79C3C34C52B45572883A05D425EB0F82

Public Health Service Act

https://legcounsel.house.gov/Comps/PHSA-merged.pdf

http://leaux.net/URLS/ConvertAPI Text Files/1796CD71B2F8033DC80FFAA2124D16BA.en.txt

Examining the file media/Synopses/1796CD71B2F8033DC80FFAA2124D16BA.html:

This file was generated: 2020-12-01 05:19:38

Indicators in focus are typically shown highlighted in yellow; Peer Indicators (that share the same Vulnerability association) are shown highlighted in pink; "Outside" Indicators (those that do NOT share the same Vulnerability association) are shown highlighted in green; Trigger Words/Phrases are shown highlighted in gray.

Link to Orphaned Trigger Words (Appendix (Indicator List, Indicator Peers, Trigger Words, Type/Vulnerability/Indicator Overlay)


Applicable Type / Vulnerability / Indicator Overlay for this Input

Vulnerability TypeVulnerabilityIndicator# Matches
PoliticalCaptive/Exiled Populationcaptive1
PoliticalCriminal Convictionsprisoners5
PoliticalIllegal Activitycrime9
PoliticalIllegal Activityillegal7
PoliticalIllegal Activityunlawful7
PoliticalIndigenousindigenous1
PoliticalIndigenousnative55
PoliticalRefugee Statusrefugee1
Politicalcriminalcriminal41
Politicalmigrantmigrant11
Politicalperson in detention centerdetained5
Politicalperson under arrestarrest14
Politicalpolitical affiliationparty97
Politicalpolitical affiliationpolitical187
Politicalstateless personsnation39
Politicalvulnerablevulnerable15
Politicalvulnerablevulnerability1
HealthCognitive Impairmentcognitive15
HealthCognitive Impairmentimpaired6
HealthCognitive Impairmentimpairment15
HealthDrug Dependencedependence7
HealthDrug Dependencedependency8
HealthDrug Usagedrug577
HealthDrug Usageinfluence3
HealthDrug Usagesubstance471
HealthDrug Usageusage4
HealthHIV/AIDSHIV408
HealthHIV/AIDShiv/aids0
HealthHealthy Peoplevolunteers10
HealthMentally Disableddisabled12
HealthMentally Disabledmentally8
HealthMentally Disableddisability92
HealthMotherhood/Familyfamily304
HealthMotherhood/Familymotherhood3
HealthPhysically Disabledillness139
HealthPhysically Disabledphysically5
HealthPhysically Illsick2
HealthPregnantpregnant94
HealthTerminally Illterminal1
Healthaddictionaddicts2
Healthalcoholismalcoholic5
Healthalcoholismalcoholism37
Healthdegenerative conditionsdegenerative2
Healthillill34
Healthinjuredinjured11
Healthpatients in emergency situationsemergencies76
Healthsexually transmitted disasessexually transmitted16
Healthsexually transmitted disasesstd1
Healthsexually transmitted disasessti4
Healthsubstance usesubstance use146
Healthvisual impairmentblind2
SocialAccess to Social Goodsaccess343
SocialAccess to informationfoia1
SocialAgeage189
SocialChildchild314
SocialChildchildren498
SocialElderlyelderly26
SocialEthnicityethnic60
SocialEthnicityethnicity17
SocialFetus/Neonatefetus11
SocialFetus/Neonatefetuses5
SocialHomeless Personshomeless60
SocialIncarceratedincarcerated3
SocialIncarceratedjail3
SocialIncarceratedliberty3
SocialIncarceratedprison2
SocialIncarceratedrestricted12
SocialInfantinfant58
SocialInstitutionalizedinstitutionalized1
SocialLGBTQ+ Statushomosexual4
SocialLinguistic Proficiencylanguage44
SocialLinguistic Proficiencylinguistic15
SocialLiteracyliteracy11
SocialMarital Statusmarried1
SocialMarital Statussingle91
SocialMarital Statusunmarried6
SocialMothersmothers13
SocialOccupationjob9
SocialOccupationoccupation1
SocialPolice Officerofficer329
SocialPolice Officerpolice7
SocialProperty Ownershiphome158
SocialProperty Ownershipproperty87
SocialRacial Minorityminority177
SocialRacial Minorityrace20
SocialRacial Minorityracial71
SocialReligionfaith18
SocialReligionbelief8
SocialReligionconviction4
SocialReligionreligion7
SocialReligionreligious53
SocialSoldierarmed forces9
SocialSoldierarmy14
SocialSoldiermilitary64
SocialStudentstudent192
SocialThreat of Stigmastigma7
SocialThreat of Stigmathreat51
SocialThreat of Violenceviolence100
SocialTrade Union Membershipunion1
SocialUnemploymentunemployment1
SocialVictim of Abusetrauma297
SocialVictim of Abusevictim36
SocialVictim of Abuseabuse445
SocialWomenwomen339
SocialYouth/Minorsminor61
SocialYouth/Minorsyouth119
Socialeducationeducation859
Socialeducationeducational193
Socialeducationschooling1
Socialembryoembryo5
Socialemployeesemployees224
Socialethnic minorityethnic minority11
Socialgendergender12
Socialin child protective serviceschild protective services1
Socialorphanorphan6
Socialparentsparent47
Socialparentsparents82
Socialpersons with care obligationscaretaker2
Socialphilosophical differences/differences of opinionopinion12
EconomicEconomic/Povertypoor6
EconomicEconomic/Povertypoverty56
EconomicEconomic/Povertylow-income32
Economicinvestors/intellectual rightsinvestors1
General/OtherDependentdependent60
General/OtherDeveloping Countryunderdeveloped1
General/OtherDiminished Autonomydiminished2
General/OtherIncapacitatedincapacitated2
General/OtherNatural Hazardshazard6
General/OtherOther Countryforeign country2
General/OtherOther Countryother country2
General/OtherPublic Emergencyemergency559
General/OtherRelationship to Authorityauthority302
General/Othercultural differenceculturally34
General/Otherremote/rural communitiesrural area7
General/Otherwhistleblowerwhistleblower3

Political / Captive/Exiled Population

Searching for indicator captive:

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p.000651: (3) and is satisfactory to the Secretary.
p.000651: (B) The terms of service for members of such board are in accordance with paragraph (3).
p.000651: (C) The members of the board serve without com- pensation. The members may be reimbursed for travel,
p.000651: subsistence, and other necessary expenses incurred in car- rying out the duties of the board.
p.000651: (D) The entity has an executive director meeting such requirements as the Secretary determines to be appro-
p.000651: priate.
p.000651: (E) The entity makes the agreement described in para- graph (4) (relating to non-Federal contributions).
p.000651: (F) The entity agrees to comply with standards under subsection (d).
p.000651: (G) The entity agrees to make necropsy reports on chimpanzees in the sanctuary system available on a
p.000651: rea- sonable basis to persons who conduct biomedical or behav- ioral research, with priority given to such persons who
p.000651: are Federal employees or who receive financial support from the Federal Government for research.
p.000651: (H) Such other requirements as the Secretary deter- mines to be appropriate.
p.000651: (3) BOARD OF DIRECTORS.—For purposes of subparagraphs
p.000651: (A) and (B) of paragraph (2):
p.000651: (A) The governing board of directors of the nonprofit private entity involved is composed and appointed
p.000651: in ac- cordance with this paragraph if the following conditions are met:
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p.000651: January 30, 2020
p.000651: (i) Such board is composed of not more than 13 voting members.
p.000651: (ii) Such members include individuals with exper- tise and experience in the science of managing captive chimpanzees
p.000651: (including primate veterinary care), ap- pointed from among individuals endorsed by organiza- tions that represent
p.000651: individuals in such field.
p.000651: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000653: 653
p.000653: PUBLIC HEALTH SERVICE ACT
p.000653: Sec. 404K
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p.000653: January 30, 2020
p.000653: (iii) Such members include individuals with exper- tise and experience in the field of animal protection,
p.000653: appointed from among individuals endorsed by organi- zations that represent individuals in such field.
p.000653: (iv) Such members include individuals with exper- tise and experience in the zoological field (including
p.000653: behavioral primatology), appointed from among indi- viduals endorsed by organizations that represent indi- viduals
p.000653: in such field.
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Political / Criminal Convictions

Searching for indicator prisoners:

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p.000017: January 30, 2020
p.000017: 17 Subsection (a) of section 322 was repealed by section 986 of Public Law 97–35, and the Pub- lic Law redesignated
p.000017: former subsection (c) as subsection (a). Section 232 (above) was enacted before this repeal and
p.000017: redesignation. Current section 322(a) authorizes the treatment and care of certain persons. (Section 232 was
p.000017: originally enacted as section 502, and was subsequently re- designated by Public Laws 98–24, 99–660, 100–690, and
p.000017: 103–43.)
p.000017: 18 Now the Office of Management and Budget.
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000017: Sec. 237 PUBLIC HEALTH SERVICE ACT 52
p.000017:
p.000017: AVAILABILITY OF APPROPRIATIONS
p.000017: SEC. 237. ø238f¿ Appropriations for carrying out the purposes of this Act shall be available for
p.000017: expenditure for personal services and rent at the seat of Government; books of reference, periodicals, and
p.000017: exhibits; printing and binding; transporting in Government- owned automotive equipment, to and from school,
p.000017: children of per- sonnel who have quarters for themselves and their families at sta- tions determined by the
p.000017: Surgeon General to be isolated stations; expenses incurred in pursuing, identifying, and returning prisoners who
p.000017: escape from any hospital, institution, or station of the Service or from the custody of any officer or employee
p.000017: of the Service, in- cluding rewards for the capture of such prisoners; furnishing, re- pairing, and
p.000017: cleaning such wearing apparel as may be prescribed by the Surgeon General for use by employees in the
p.000017: performance of their official duties; reimbursing officers and employees, subject to regulations of the
p.000017: Administrator, for the cost of repairing or re- placing their personal belongings damaged or destroyed by patients
p.000017: while such officers or employees are engaged in the performance of their official duties; and maintenance of
p.000017: buildings of the National Institutes of Health.
p.000017: UNAUTHORIZED WEARING OF UNIFORMS
p.000017: SEC. 238. ø238g¿ Except as may be authorized by regulations of the President, the insignia and uniform of
p.000017: commissioned officers of the Service, or any distinctive part of such insignia or uniform, or any insignia
p.000017: or uniform any part of which is similar to a distinc- tive part thereof, shall not be worn, after the promulgation of
p.000017: such regulations, by any person other than a commissioned officer of the Service.
p.000017: BIANNUAL REPORT
p.000017: SEC. 239. ø238h¿ The Surgeon General shall transmit to the Secretary, for submission to the Congress, on
p.000017: January 1, 1995, and on January 1, every 2 years thereafter, a full report of the adminis- tration of the functions
p.000017: of the Service under this Act, including a detailed statement of receipts and disbursements.
p.000017: MEMORIALS AND OTHER ACKNOWLEDGMENTS
p.000017: SEC. 240. ø238i¿ The Secretary may provide for suitably ac- knowledging, within the Department (whether
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p.000253:
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p.000253: January 30, 2020
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p.000253: CARE AND TREATMENT OF PERSONS UNDER QUARANTINE AND CERTAIN OTHER PERSONS
p.000253: SEC. 322. ø249¿ (a) Any person when detained in accordance with quarantine laws, or, at the request of
p.000253: the Immigration and Naturalization Service, any person detained by that Service, may be treated and cared for
p.000253: by the Public Health Service.
p.000253: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000255: 255
p.000255: PUBLIC HEALTH SERVICE ACT
p.000255: Sec. 324
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p.000255: (b) Persons not entitled to treatment and care at institutions, hospitals, and stations of the Service may, in
p.000255: accordance with regu- lations of the Surgeon General, be admitted thereto for temporary treatment and care in
p.000255: case of emergency.
p.000255: (c) Persons whose care and treatment is authorized by sub- section (a) may, in accordance with
p.000255: regulations, receive such care and treatment at the expense of the Service from public or private medical or
p.000255: hospital facilities other than those of the Service, when authorized by the officer in charge of the station
p.000255: at which the ap- plication is made.
p.000255: CARE AND TREATMENT OF FEDERAL PRISONERS 27
p.000255: SEC. 323. ø250¿ The Service shall supervise and furnish med- ical treatment and other necessary medical,
p.000255: psychiatric, and re- lated technical and scientific services, authorized by the Act of May 13, 1930, as amended
p.000255: (U.S.C., 1940 edition, title 18, secs. 751, 752), 28 in penal and correctional institutions of the United
p.000255: States.
p.000255: EXAMINATION AND TREATMENT OF FEDERAL EMPLOYEES
p.000255: SEC. 324. ø251¿ (a) The Surgeon General is authorized to pro- vide at institutions, hospitals, and stations of
p.000255: the Service medical, surgical, and hospital services and supplies for persons entitled to treatment under
p.000255: the United States Employees’ Compensation Act 29 and extensions thereof. The Surgeon General may also provide
p.000255: for making medical examinations of—
p.000255: (1) employees of the Federal Government for retirement purposes;
p.000255: (2) employees in Federal classified service, and applicants for appointment, as requested by the Civil Service
p.000255: Commission for the purpose of promoting health and efficiency;
p.000255: (3) seamen for purposes of qualifying for certificates of service; and
p.000255: (4) employees eligible for benefits under the Longshore- men’s and Harbor Workers’ Compensation Act, as
p.000255: amended (U.S.C. 1940 edition, title 33, chapter 18), 30 as requested by any deputy commissioner thereunder.
p.000255: (b) The Secretary is authorized to provide medical, surgical, and dental treatment and hospitalization and
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p.000305: by a city or county health de- partment, and community health center and which is not rea- sonably
p.000305: accessible to an adequately served area;
p.000305: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000307: PUBLIC HEALTH SERVICE ACT
p.000307: Sec. 332
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p.000307: (B) such a facility of a State correctional institution or of the Indian Health Service, and a health program
p.000307: or facility op- erated by a tribe or tribal organization under the Indian Self- Determination Act;
p.000307: (C) such a facility used in connection with the delivery of health services under section 321 (relating
p.000307: to hospitals), 322 (relating to care and treatment of persons under quarantine and others), 323 (relating
p.000307: to care and treatment of Federal prisoners), 324 (relating to examination and treatment of cer- tain
p.000307: Federal employees), 325 (relating to examination of aliens), 326 (relating to services to certain Federal
p.000307: employees), 320 (relating to services for persons with Hansen’s disease), or 330(h) (relating to the provision of
p.000307: health services to homeless individuals); and
p.000307: (D) a Federal medical facility.
p.000307: (3) Homeless individuals (as defined in section 330(h)(5)), sea- sonal agricultural workers (as defined in
p.000307: section 330(g)(3)) and mi- gratory agricultural workers (as so defined)), and residents of pub- lic housing (as defined
p.000307: in section 3(b)(1) of the United States Hous- ing Act of 1937 (42 U.S.C. 1437a(b)(1))) may be population
p.000307: groups under paragraph (1).
p.000307: (b) The Secretary shall establish by regulation criteria for the designation of areas, population
p.000307: groups, medical facilities, and other public facilities, in the States, as health professional shortage areas.
p.000307: In establishing such criteria, the Secretary shall take into consideration the following:
p.000307: (1) The ratio of available health manpower to the number of individuals in an area or population group, or
p.000307: served by a medical facility or other public facility under consideration for designation.
p.000307: (2) Indicators of a need, notwithstanding the supply of health manpower, for health services for the
p.000307: individuals in an area or population group or served by a medical facility or other public facility under
p.000307: consideration for designation.
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p.001443: (D) mental health and substance abuse providers;
p.001443: (E) local public health agencies;
p.001443: (F) hospital planning agencies or health care planning agencies;
p.001443: (G) affected communities, including people with HIV/ AIDS, members of a Federally recognized Indian tribe
p.001443: as represented in the population, individuals co-infected with hepatitis B or C and historically underserved
p.001443: groups and subpopulations;
p.001443: (H) nonelected community leaders;
p.001443: (I) State government (including the State medicaid agency and the agency administering the program under
p.001443: part B);
p.001443: (J) grantees under subpart II of part C;
p.001443: (K) grantees under section 2671, or, if none are oper- ating in the area, representatives of
p.001443: organizations with a history of serving children, youth, women, and families liv- ing with HIV and operating in the
p.001443: area;
p.001443: (L) grantees under other Federal HIV programs, in- cluding but not limited to providers of HIV
p.001443: prevention services; and
p.001443: (M) representatives of individuals who formerly were Federal, State, or local prisoners, were released
p.001443: from the custody of the penal system during the preceding 3 years, and had HIV/AIDS as of the date on which the
p.001443: individuals were so released.
p.001443: (3) METHOD OF PROVIDING FOR COUNCIL.—
p.001443: (A) IN GENERAL.—In providing for a council for pur- poses of paragraph (1), a chief elected official
p.001443: receiving a grant under section 2601(a) may establish the council di- rectly or designate an existing entity
p.001443: to serve as the coun- cil, subject to subparagraph (B).
p.001443: (B) CONSIDERATION REGARDING DESIGNATION OF COUN- CIL.—In making a determination of whether to establish or
p.001443: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001445: PUBLIC HEALTH SERVICE ACT
p.001445: Sec. 2602
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Political / Illegal Activity

Searching for indicator crime:

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p.000017: 65 PUBLIC HEALTH SERVICE ACT Sec. 266
p.000017:
p.000017: (A) IN GENERAL.—Except as provided in subparagraph (B), an eligible individual shall not be provided compensa- tion
p.000017: under this section for the first 5 work days of loss of employment income.
p.000017: (B) EXCEPTION.—Subparagraph (A) does not apply if the period of loss of employment income of an eligible indi-
p.000017: vidual is 10 or more work days.
p.000017: (5) TERMINATION OF BENEFITS.—No payment shall be made under subsection (a) in compensation for loss of
p.000017: employment income once the eligible individual involves reaches the age of 65.
p.000017: (d) BENEFIT IN ADDITION TO MEDICAL BENEFITS.—A benefit under subsection (a) shall be in addition to
p.000017: any amounts received by an eligible individual under section 264.
p.000017: SEC. 266. ø239e¿ PAYMENT FOR DEATH.
p.000017: (a) DEATH BENEFIT.—
p.000017: (1) IN GENERAL.—The Secretary shall pay, in the case of an eligible individual whose death is determined to have
p.000017: resulted from a covered injury or injuries, a death benefit in the amount determined under
p.000017: paragraph (2) to the survivor or sur- vivors in the same manner as death benefits are paid pursuant to the Public
p.000017: Safety Officers’ Benefits Program under subpart 1 of part L of title I of the Omnibus Crime Control
p.000017: and Safe Streets Act of 1968 (42 U.S.C. 3796 et seq.) with respect to an eligible deceased (except that in the
p.000017: case of an eligible indi- vidual who is a minor with no living parent, the legal guardian shall be considered the
p.000017: survivor in the place of the parent).
p.000017: (2) BENEFIT AMOUNT.—
p.000017: (A) IN GENERAL.—The amount of the death benefit under paragraph (1) in a fiscal year shall equal
p.000017: the amount of the comparable benefit calculated under the Public Safety Officers’ Benefits Program under
p.000017: subpart 1 of part L of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3796 et
p.000017: seq.) in such fiscal year, without regard to any reduction attributable to a lim- itation on appropriations, but
p.000017: subject to subparagraph (B).
p.000017: (B) REDUCTION FOR PAYMENTS FOR LOST EMPLOYMENT INCOME.—The amount of the benefit as determined under
p.000017: subparagraph (A) shall be reduced by the total amount of any benefits paid under section 265 with
p.000017: respect to lost employment income.
p.000017: (3) LIMITATIONS.—
p.000017: (A) IN GENERAL.—No benefit is payable under para- graph (1) with respect to the death of an eligible individual
p.000017: if—
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p.000017: January 30, 2020
p.000017: (i) a disability benefit is paid with respect to such individual under the Public Safety Officers’ Benefits
p.000017: Program under subpart 1 of part L of title I of the Omnibus Crime Control and Safe Streets Act of
p.000017: 1968 (42 U.S.C. 3796 et seq.); or
p.000017: (ii) a death benefit is paid or payable with respect to such individual under the Public Safety Officers’
p.000017: Benefits Program under subpart 1 of part L of title I
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
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p.000017: Sec. 266 PUBLIC HEALTH SERVICE ACT 66
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p.000017:
p.000017: January 30, 2020
p.000017:
p.000017: of the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3796 et seq.).
p.000017: (B) EXCEPTION IN THE CASE OF A LIMITATION ON AP- PROPRIATIONS FOR DISABILITY BENEFITS UNDER PSOB.—In
p.000017: the event that disability benefits available to an eligible individual under the Public Safety Officers’
p.000017: Benefits Pro- gram under subpart 1 of part L of title I of the Omnibus Crime Control and Safe Streets
p.000017: Act of 1968 (42 U.S.C. 3796 et seq.) are reduced because of a limitation on appro- priations, and such reduction
p.000017: would affect the amount that would be payable under subparagraph (A) without regard to this subparagraph,
p.000017: benefits shall be available under paragraph (1) to the extent necessary to ensure that the survivor or
p.000017: survivors of such individual receives a total amount equal to the amount described in paragraph (2).
p.000017: (b) ELECTION IN CASE OF DEPENDENTS.—
p.000017: (1) IN GENERAL.—In the case of an eligible individual whose death is determined to have resulted from a
p.000017: covered in- jury or injuries, if the individual had one or more dependents under the age of 18, the legal
p.000017: guardian of the dependents may, in lieu of the death benefit under subsection (a), elect to re- ceive on
p.000017: behalf of the aggregate of such dependents payments in accordance with this subsection. An election under
p.000017: the pre- ceding sentence is effective in lieu of a request under sub- section (a) by an individual who
p.000017: is not the legal guardian of such dependents.
p.000017: (2) AMOUNT OF PAYMENTS.—Payments under paragraph (1) with respect to an eligible individual described in such
p.000017: para- graph shall be made as if such individual were an eligible indi- vidual to whom compensation would be paid
p.000017: under subsection
p.000017: (a) of section 265, with the rate augmented in accordance with subsection (b)(2) of such section and with such
p.000017: individual con- sidered to be an eligible individual described in subsection (c)(3)(B) of such section.
p.000017: (3) LIMITATIONS.—
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p.000403: thereafter while the individuals have such access, not less frequently than once every five years;
p.000403: (C) deny access to such agents and toxins by individ- uals whom the Attorney General has identified as
p.000403: re- stricted persons; and
p.000403: (D) limit or deny access to such agents and toxins by individuals whom the Attorney General has
p.000403: identified as within any category under paragraph (3)(B)(ii), if limiting or denying such access by the
p.000403: individuals involved is deter- mined appropriate by the Secretary, in consultation with the Attorney General.
p.000403: (3) SUBMITTED NAMES; USE OF DATABASES BY ATTORNEY GENERAL.—
p.000403: (A) IN GENERAL.—Upon the receipt of names and other identifying information under paragraph (2)(B), the Attor-
p.000403: ney General shall, for the sole purpose of identifying whether the individuals involved are within any
p.000403: of the cat- egories specified in subparagraph (B), promptly use crimi- nal, immigration, national security, and
p.000403: other electronic databases that are available to the Federal Government and are appropriate for such purpose.
p.000403: (B) CERTAIN INDIVIDUALS.—For purposes of subpara- graph (A), the categories specified in this subparagraph re-
p.000403: garding an individual are that—
p.000403: (i) the individual is a restricted person; or
p.000403: (ii) the individual is reasonably suspected by any Federal law enforcement or intelligence agency of—
p.000403: (I) committing a crime set forth in section 2332b(g)(5) of title 18, United States Code;
p.000403: (II) knowing involvement with an organiza- tion that engages in domestic or international ter- rorism (as defined
p.000403: in section 2331 of such title 18) or with any other organization that engages in in- tentional crimes of violence; or
p.000403: (III) being an agent of a foreign power (as de- fined in section 1801 of title 50, United States Code).
p.000403: (C) NOTIFICATION BY ATTORNEY GENERAL REGARDING SUBMITTED NAMES.—After the receipt of a name and other
p.000403: identifying information under paragraph (2)(B), the Attor- ney General shall promptly notify the Secretary
p.000403: whether the individual is within any of the categories specified in subparagraph (B).
p.000403: (4) NOTIFICATIONS BY SECRETARY.—The Secretary, after re- ceiving notice under paragraph (3) regarding an
p.000403: individual, shall promptly notify the registered person involved of whether the individual is granted or denied access
p.000403: under paragraph (2).
p.000403: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000405: 405
p.000405: PUBLIC HEALTH SERVICE ACT
p.000405: Sec. 351A
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p.001127: (B) Disclosure of nonidentifiable patient safety work product.
p.001127: (C) Disclosure of patient safety work product to grant- ees, contractors, or other entities carrying out
p.001127: research, evaluation, or demonstration projects authorized, funded, certified, or otherwise sanctioned by
p.001127: rule or other means by the Secretary, for the purpose of conducting research to the extent that disclosure of
p.001127: protected health information would be allowed for such purpose under the HIPAA con- fidentiality
p.001127: regulations.
p.001127: (D) Disclosure by a provider to the Food and Drug Ad- ministration with respect to a product or activity regulated by
p.001127: the Food and Drug Administration.
p.001127: (E) Voluntary disclosure of patient safety work prod- uct by a provider to an accrediting body that accredits
p.001127: that provider.
p.001127: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001127:
p.001127:
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p.001127:
p.001129: 1129
p.001129: PUBLIC HEALTH SERVICE ACT
p.001129: Sec. 922
p.001129:
p.001129: (F) Disclosures that the Secretary may determine, by rule or other means, are necessary for business operations
p.001129: and are consistent with the goals of this part.
p.001129: (G) Disclosure of patient safety work product to law enforcement authorities relating to the commission
p.001129: of a crime (or to an event reasonably believed to be a crime) if the person making the disclosure believes,
p.001129: reasonably under the circumstances, that the patient safety work product that is disclosed is necessary
p.001129: for criminal law en- forcement purposes.
p.001129: (H) With respect to a person other than a patient safe- ty organization, the disclosure of patient safety work prod-
p.001129: uct that does not include materials that—
p.001129: (i) assess the quality of care of an identifiable pro- vider; or
p.001129: (ii) describe or pertain to one or more actions or failures to act by an identifiable provider.
p.001129: (3) EXCEPTION FROM PRIVILEGE.—Subsection (a) shall not apply to (and shall not be construed to prohibit)
p.001129: voluntary dis- closure of nonidentifiable patient safety work product.
p.001129: (d) CONTINUED PROTECTION OF INFORMATION AFTER DISCLO-
p.001129: SURE.—
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p.001129: January 30, 2020
p.001129: (1) IN GENERAL.—Patient safety work product that is dis-
p.001129: closed under subsection (c) shall continue to be privileged and confidential as provided for in subsections
p.001129: (a) and (b), and such disclosure shall not be treated as a waiver of privilege or con- fidentiality, and the
p.001129: privileged and confidential nature of such work product shall also apply to such work product in the pos- session or
p.001129: control of a person to whom such work product was disclosed.
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p.001641: (B) any identified measures to address such shortage.
p.001641: (4) CERTAIN APPOINTMENTS.—
p.001641: (A) IN GENERAL.—If the Secretary determines that the number of intermittent disaster response personnel within the
p.001641: National Disaster Medical System under this section is insufficient to address a public health emergency or poten- tial
p.001641: public health emergency, the Secretary may appoint candidates directly to personnel positions for
p.001641: intermittent disaster response within such system. The Secretary shall provide updates on the number of vacant
p.001641: or unfilled posi- tions within such system to the congressional committees
p.001641: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001641:
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p.001641: Sec. 2812 PUBLIC HEALTH SERVICE ACT 1642
p.001641:
p.001641: of jurisdiction each quarter for which this authority is in effect.
p.001641: (B) SUNSET.—The authority under this paragraph shall expire on September 30, 2021.
p.001641: (5) 1 SERVICE BENEFIT.—Individuals appointed to serve under this subsection shall be considered
p.001641: eligible for benefits under part L of title I of the Omnibus Crime Control and Safe Streets Act of 1968. The
p.001641: Secretary shall provide notification to any eligible individual of any effect such designation may have on other
p.001641: benefits for which such individual is eligible, includ- ing benefits from private entities.
p.001641: (d) CERTAIN EMPLOYMENT ISSUES REGARDING INTERMITTENT APPOINTMENTS.—
p.001641: (1) INTERMITTENT DISASTER-RESPONSE APPOINTEE.—For purposes of this subsection, the term ‘‘intermittent
p.001641: disaster-re- sponse appointee’’ means an individual appointed by the Sec- retary under subsection (c).
p.001641: (2) COMPENSATION FOR WORK INJURIES.—
p.001641: (A) IN GENERAL.—An intermittent disaster-response appointee shall, while acting in the scope of such appoint-
p.001641: ment, be considered to be an employee of the Public Health Service performing medical, surgical,
p.001641: dental, or re- lated functions, and an injury sustained by such an indi- vidual shall be deemed ‘‘in the
p.001641: performance of duty’’, for purposes of chapter 81 of title 5, United States Code, per- taining to compensation for
p.001641: work injuries.
p.001641: (B) APPLICATION TO TRAINING PROGRAMS.—With re- spect to the participation of individuals appointed under
p.001641: subsection (c) in training programs authorized by the As- sistant Secretary for Preparedness and Response or a
p.001641: com- parable official of any Federal agency specified in sub- section (a)(2)(B), injuries sustained by
p.001641: such an individual, while acting within the scope of such participation, also shall be deemed ‘‘in the
p.001641: performance of duty’’ for purposes of chapter 81 of title 5, United States Code (regardless of whether the
p.001641: individuals receive compensation for such par- ticipation).
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p.000001: (A) IN GENERAL.—A covered person shall cooperate with the United States in the processing and defense of
p.000001: a claim or action under this subsection based upon alleged acts or omissions of such person.
p.000001: (B) CONSEQUENCES OF FAILURE TO COOPERATE.—Upon the motion of the United States or any other party and
p.000001: upon finding that such person has failed to so cooperate—
p.000001: (i) the court shall substitute such person as the party defendant in place of the United States and,
p.000001: upon motion, shall remand any such suit to the court in which it was instituted if it appears that
p.000001: the court lacks subject matter jurisdiction;
p.000001: (ii) the United States shall not be liable based on the acts or omissions of such person; and
p.000001: (iii) the Attorney General shall not be obligated to defend such action.
p.000001: (6) RECOURSE AGAINST COVERED PERSON IN CASE OF GROSS MISCONDUCT OR CONTRACT VIOLATION.—
p.000001: (A) IN GENERAL.—Should payment be made by the United States to any claimant bringing a claim under this
p.000001: subsection, either by way of administrative determination, settlement, or court judgment, the United States
p.000001: shall have, notwithstanding any provision of State law, the right to recover for that portion of the damages so
p.000001: awarded or paid, as well as interest and any costs of litigation, result- ing from the failure of any covered person
p.000001: to carry out any obligation or responsibility assumed by such person under a contract with the United States or from
p.000001: any grossly neg- ligent, reckless, or illegal conduct or willful misconduct on the part of such person.
p.000001: (B) VENUE.—The United States may maintain an ac- tion under this paragraph against such person in the
p.000001: dis- trict court of the United States in which such person re- sides or has its principal place of business.
p.000001: (7) DEFINITIONS.—As used in this subsection, terms have the following meanings:
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
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p.000001: Sec. 224 PUBLIC HEALTH SERVICE ACT 40
p.000001:
p.000001: (A) COVERED COUNTERMEASURE.—The term ‘‘covered countermeasure’’ or ‘‘covered countermeasure against
p.000001: smallpox’’, means a substance that is—
p.000001: (i)(I) used to prevent or treat smallpox (including the vaccinia or another vaccine); or
p.000001: (II) 12 used to control or treat the adverse ef- fects of vaccinia inoculation or of administration of another
p.000001: covered countermeasure; and
p.000001: (ii) specified in a declaration under paragraph (2).
p.000001: (B) COVERED PERSON.—The term ‘‘covered person’’, when used with respect to the administration of a covered
p.000001: countermeasure, means a person who is—
p.000001: (i) a manufacturer or distributor of such counter- measure;
p.000001: (ii) a health care entity under whose auspices 13—
p.000001: (I) such countermeasure was administered;
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p.000863: (4) Public health groups, consumer groups, and the alcohol beverage industry should continue and expand
p.000863: evidence-based efforts to prevent and reduce underage drinking.
p.000863: (5) The entertainment industries have a powerful impact on youth, and they should use rating systems and
p.000863: marketing codes to reduce the likelihood that underage audiences will be exposed to movies, recordings, or television
p.000863: programs with un- suitable alcohol content.
p.000863: (6) The National Collegiate Athletic Association, its mem- ber colleges and universities, and athletic
p.000863: conferences should affirm a commitment to a policy of discouraging alcohol use among underage students and
p.000863: other young fans.
p.000863: (7) Alcohol is a unique product and should be regulated differently than other products by the States and
p.000863: Federal Gov- ernment. States have primary authority to regulate alcohol dis- tribution and sale, and the Federal
p.000863: Government should sup- port and supplement these State efforts. States also have a re- sponsibility to fight youth
p.000863: access to alcohol and reduce under- age drinking. Continued State regulation and licensing of the
p.000863: manufacture, importation, sale, distribution, transportation and storage of alcoholic beverages are clearly in
p.000863: the public in- terest and are critical to promoting responsible consumption, preventing illegal access to
p.000863: alcohol by persons under 21 years of age from commercial and non-commercial sources, maintain- ing industry
p.000863: integrity and an orderly marketplace, and fur- thering effective State tax collection.
p.000863: (c) INTERAGENCY COORDINATING COMMITTEE; ANNUAL REPORT ON STATE UNDERAGE DRINKING PREVENTION AND
p.000863: ENFORCEMENT ACTIVITIES.—
p.000863: (1) INTERAGENCY COORDINATING COMMITTEE ON THE PRE- VENTION OF UNDERAGE DRINKING.—
p.000863: (A) IN GENERAL.—The Secretary, in collaboration with the Federal officials specified in subparagraph (B), shall
p.000863: formally establish and enhance the efforts of the inter- agency coordinating committee, that began
p.000863: operating in 2004, focusing on underage drinking (referred to in this subsection as the ‘‘Committee’’).
p.000863: (B) OTHER AGENCIES.—The officials referred to in paragraph (1) are the Secretary of Education, the Attorney
p.000863: General, the Secretary of Transportation, the Secretary of the Treasury, the Secretary of Defense, the
p.000863: Surgeon Gen- eral, the Director of the Centers for Disease Control and Prevention, the Director of the
p.000863: National Institute on Alco- hol Abuse and Alcoholism, the Assistant Secretary for Mental Health and Substance
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p.000865:
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p.000865: January 30, 2020
p.000865:
p.000865: (VI) Evidence-based best practices to prevent and reduce underage drinking and provide treat- ment services
p.000865: to those youth who need them.
p.000865: (2) ANNUAL REPORT ON STATE UNDERAGE DRINKING PRE- VENTION AND ENFORCEMENT ACTIVITIES.—
p.000865: (A) IN GENERAL.—The Secretary shall, with input and collaboration from other appropriate Federal agencies,
p.000865: States, Indian tribes, territories, and public health, con- sumer, and alcohol beverage industry groups,
p.000865: annually issue a report on each State’s performance in enacting, en- forcing, and creating laws, regulations, and
p.000865: programs to prevent or reduce underage drinking.
p.000865: (B) STATE PERFORMANCE MEASURES.—
p.000865: (i) IN GENERAL.—The Secretary shall develop, in consultation with the Committee, a set of measures to be used in
p.000865: preparing the report on best practices.
p.000865: (ii) CATEGORIES.—In developing these measures, the Secretary shall consider categories including, but not
p.000865: limited to:
p.000865: (I) Whether or not the State has comprehen- sive anti-underage drinking laws such as for the illegal
p.000865: sale, purchase, attempt to purchase, con- sumption, or possession of alcohol; illegal use of fraudulent ID;
p.000865: illegal furnishing or obtaining of al- cohol for an individual under 21 years; the degree of strictness of the
p.000865: penalties for such offenses; and the prevalence of the enforcement of each of these infractions.
p.000865: (II) Whether or not the State has comprehen- sive liability statutes pertaining to underage ac- cess to alcohol
p.000865: such as dram shop, social host, and house party laws, and the prevalence of enforce- ment of each of these laws.
p.000865: (III) Whether or not the State encourages and conducts comprehensive enforcement efforts to prevent underage
p.000865: access to alcohol at retail out- lets, such as random compliance checks and shoul- der tap programs, and the
p.000865: number of compliance checks within alcohol retail outlets measured against the number of total alcohol
p.000865: retail outlets in each State, and the result of such checks.
p.000865: (IV) Whether or not the State encourages training on the proper selling and serving of alco- hol for all
p.000865: sellers and servers of alcohol as a condi- tion of employment.
p.000865: (V) Whether or not the State has policies and regulations with regard to direct sales to con- sumers and home
p.000865: delivery of alcoholic beverages.
p.000865: (VI) Whether or not the State has programs or laws to deter adults from purchasing alcohol for minors; and the
p.000865: number of adults targeted by these programs.
p.000865: (VII) Whether or not the State has programs targeted to youths, parents, and caregivers to
...

p.001313: $4,000 and each such loan is repaid to the revolving fund by the residents of the housing involved not
p.001313: later than 2 years after the date on which the loan is made.
p.001313: (5) Each such loan is repaid by such residents through monthly installments, and a reasonable penalty is
p.001313: assessed for each failure to pay such periodic installments by the date spec- ified in the loan agreement involved.
p.001313: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001313:
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p.001313: Sec. 1926 PUBLIC HEALTH SERVICE ACT 1314
p.001313:
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p.001313: January 30, 2020
p.001313:
p.001313: (6) Such loans are made only to nonprofit private entities agreeing that, in the operation of the program
p.001313: established pur- suant to the loan—
p.001313: (A) the use of alcohol or any illegal drug in the hous- ing provided by the program will be prohibited;
p.001313: (B) any resident of the housing who violates such pro- hibition will be expelled from the housing;
p.001313: (C) the costs of the housing, including fees for rent and utilities, will be paid by the residents of the
p.001313: housing; and
p.001313: (D) the residents of the housing will, through a major- ity vote of the residents, otherwise establish policies
p.001313: gov- erning residence in the housing, including the manner in which applications for residence in the
p.001313: housing are ap- proved.
p.001313: (b) ISSUANCE BY SECRETARY OF GUIDELINES.—The Secretary shall ensure that there are in effect
p.001313: guidelines under this subpart for the operation of programs described in subsection (a).
p.001313: (c) APPLICABILITY TO TERRITORIES.—The requirements estab- lished in subsection (a) shall not apply to any
p.001313: territory of the United States other than the Commonwealth of Puerto Rico.
p.001313: SEC. 1926. ø300x–26¿ SALE OF TOBACCO PRODUCTS TO INDIVIDUALS UNDER AGE OF 21.
p.001313: (a) IN GENERAL.—A funding agreement for a grant under sec- tion 1921 is that the State involved will—
p.001313: (1) annually conduct random, unannounced inspections to ensure that retailers do not sell tobacco products to
p.001313: individuals under the age of 21; and
p.001313: (2) annually submit to the Secretary a report describing—
p.001313: (A) the activities carried out by the State to ensure that retailers do not sell tobacco products to
p.001313: individuals under the age of 21;
...

p.001381: (d) PUNITIVE DAMAGES.—
p.001381: (1) If sought by the plaintiff, the third stage of such an ac- tion shall be held to determine the amount of
p.001381: punitive dam-
p.001381:
p.001381:
p.001381:
p.001381: January 30, 2020
p.001381: 24 Effective October 1, 1988.
p.001381:
p.001381: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001381:
p.001381:
p.001381:
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p.001381:
p.001381: Sec. 2125 PUBLIC HEALTH SERVICE ACT 1382
p.001381:
p.001381: ages a vaccine manufacturer found to be liable under section 2122 shall be required to pay.
p.001381: (2) If in such an action the manufacturer shows that it complied, in all material respects, with all
p.001381: requirements under the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act applicable to
p.001381: the vaccine and related to the vaccine injury or death with respect to which the action was brought, the
p.001381: manufacturer shall not be held liable for punitive damages unless the manufacturer engaged in—
p.001381: (A) fraud or intentional and wrongful withholding of information from the Secretary during any phase of a pro-
p.001381: ceeding for approval of the vaccine under section 351,
p.001381: (B) intentional and wrongful withholding of informa- tion relating to the safety or efficacy of the
p.001381: vaccine after its approval, or
p.001381: (C) other criminal or illegal activity relating to the safety and effectiveness of vaccines,
p.001381: which activity related to the vaccine-related injury or death for which the civil action was brought.
p.001381: (e) EVIDENCE.—In any stage of a civil action, the Vaccine In- jury Table, any finding of fact or
p.001381: conclusion of law of the United States Claims Court or a special master in a proceeding on a peti- tion filed
p.001381: under section 2111 and the final judgment of the United States Claims Court and subsequent appellate review on such a
p.001381: pe- tition shall not be admissible.
p.001381: PART C—ASSURING A SAFER CHILDHOOD VACCINATION PROGRAM IN THE UNITED STATES
p.001381:
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p.001381:
p.001381:
p.001381: January 30, 2020
p.001381:
p.001381: RECORDING AND REPORTING OF INFORMATION
p.001381: SEC. 2125. ø300aa–25¿ (a) GENERAL RULE.—Each health care provider who administers a vaccine set forth in the
p.001381: Vaccine Injury Table to any person shall record, or ensure that there is recorded, in such person’s permanent
p.001381: medical record (or in a permanent of- fice log or file to which a legal representative shall have
p.001381: access upon request) with respect to each such vaccine—
p.001381: (1) the date of administration of the vaccine,
p.001381: (2) the vaccine manufacturer and lot number of the vac- cine,
p.001381: (3) the name and address and, if appropriate, the title of the health care provider administering the
p.001381: vaccine, and
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p.000317: the extent that such utilization will not impair the delivery of health services and treatment
p.000317: through such hospital or facility to individuals who are entitled to health services and treatment through such
p.000317: hospital or facility.
p.000317: (c) The Secretary may make one loan to any entity with an ap- proved application under section 333 to assist such
p.000317: entity in meet- ing the costs of (1) establishing medical, dental, or other health profession practices,
p.000317: including the development of medical practice management systems; (2) acquiring equipment for use in providing health
p.000317: services; and (3) renovating buildings to establish health fa- cilities. No loan may be made under this
p.000317: subsection unless an ap- plication therefor is submitted to, and approved by, the Secretary. The amount of
p.000317: any such loan shall be determined by the Secretary, except that no such loan may exceed $50,000.
p.000317: (d) Upon the expiration of the assignment of all Corps mem- bers to a health professional shortage area, the
p.000317: Secretary may (not- withstanding any other provision of law) sell, to any appropriate local entity, equipment
p.000317: and other property of the United States uti- lized by such members in providing health services. Sales made
p.000317: under this subsection shall be made at the fair market value (as determined by the Secretary) of the
p.000317: equipment or such other prop- erty; except that the Secretary may make such sales for a lesser value to an
p.000317: appropriate local entity, if he determines that the enti- ty is financially unable to pay the full market value.
p.000317: (e)(1)(A) It shall be unlawful for any hospital to deny an au- thorized Corps member admitting
p.000317: privileges when such Corps member otherwise meets the professional qualifications established by the hospital for
p.000317: granting such privileges and agrees to abide by the published bylaws of the hospital and the published bylaws,
p.000317: rules, and regulations of its medical staff.
p.000317: (B) Any hospital which is found by the Secretary, after notice and an opportunity for a hearing on the
p.000317: record, to have violated this subsection shall upon such finding cease, for a period to be de- termined by the
p.000317: Secretary, to receive and to be eligible to receive any Federal funds under this Act or under titles XVIII,
p.000317: XIX, or XXI of the Social Security Act.
p.000317: (2) For purposes of this subsection, the term ‘‘hospital’’ includes a State or local public hospital, a private
p.000317: profit hospital, a private nonprofit hospital, a general or special hospital, and any other type of hospital
p.000317: (excluding a hospital owned or operated by an agency of the Federal Government), and any related facilities.
p.000317: SEC. 336. ø254h–1¿ FACILITATION OF EFFECTIVE PROVISION OF CORPS SERVICES.
p.000317: (a) CONSIDERATION OF INDIVIDUAL CHARACTERISTICS OF MEM- BERS IN MAKING ASSIGNMENTS.—In making an
p.000317: assignment of a Corps member to an entity that has had an application approved under section 333, the
p.000317: Secretary shall, subject to making the as- signment in accordance with section 333A, seek to assign to the en-
p.000317: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000317:
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p.000443: shall be estab- lished by regulation.
p.000443: (b) Original bills of health shall be delivered to the collectors
p.000443: of customs at the port of entry. Duplicate copies of such bills of health shall be delivered at the time of
p.000443: inspection to quarantine of- ficers at such port. The bills of health herein prescribed shall be considered
p.000443: as part of the ship’s papers, and when duly certified to by the proper consular or other officer of the United
p.000443: States, over his official signature and seal, shall be accepted as evidence of the statements therein contained in
p.000443: any court of the United States.
p.000443: (c) The Surgeon General shall from time to time prescribe reg- ulations, applicable to vessels referred to in
p.000443: subsection (a) of this section for the purpose of preventing the introduction into the States or
p.000443: possessions of the United States of any communicable dis- ease by securing the best sanitary condition of such
p.000443: vessels, their cargoes, passengers, and crews. Such regulations shall be observed by such vessels prior to departure,
p.000443: during the course of the voyage, and also during inspection, disinfection, or other quarantine proce- dure upon arrival
p.000443: at any United States quarantine station.
p.000443: (d) The provisions of subsections (a) and (b) of this section shall not apply to vessels plying between such
p.000443: foreign ports on or near the frontiers of the United States and ports of the United States as are
p.000443: designated by treaty.
p.000443: (e) It shall be unlawful for any vessel to enter any port in any State or possession of the United States to
p.000443: discharge its cargo, or land its passengers, except upon a certificate of the quarantine offi- cer that regulations
p.000443: prescribed under subsection (c) have in all re- spects been complied with by such officer, the vessel, and its mas-
p.000443: ter. The master of every such vessel shall deliver such certificate to the collector of customs at the
p.000443: port of entry, together with the original bill of health and other papers of the vessel. The certificate required
p.000443: by this subsection shall be procurable from the quarantine officer, upon arrival of the vessel at the quarantine
p.000443: station and sat- isfactory inspection thereof, at any time within which quarantine services are performed at
p.000443: such station.
p.000443: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000443:
p.000443:
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p.000443:
p.000445: 445
p.000445: PUBLIC HEALTH SERVICE ACT
p.000445: Sec. 371
p.000445:
p.000445: CIVIL AIR NAVIGATION AND CIVIL AIRCRAFT
p.000445: SEC. 367. ø270¿ The Surgeon General is authorized to provide by regulations for the application to air
p.000445: navigation and aircraft of any of the provisions of sections 364, 365, and 366 and regulations prescribed thereunder
p.000445: (including penalties and forfeitures for viola- tions of such sections and regulations), to such extent and
...

p.000445: organization which, as determined by the Secretary, will carry out the functions de- scribed in paragraph (2)
p.000445: 77 and—
p.000445: (A) is a nonprofit entity,
p.000445: (B) has accounting and other fiscal procedures (as specified by the Secretary) necessary to assure the fiscal stability
p.000445: of the organization,
p.000445: (C) has an agreement with the Secretary to be reimbursed under title XVIII of the Social Security Act for the
p.000445: procurement of kidneys,
p.000445: (D) notwithstanding any other provision of law, has met the other requirements of this section and has been
p.000445: certified or recertified by the Secretary within the previous 4-year period as meeting the performance
p.000445: standards to be a qualified organ procurement organization through a process that either—
p.000445: (i) granted certification or recertification within such 4-year period with such certification or recertification
p.000445: in ef- fect as of January 1, 2000, and remaining in effect through the earlier of—
p.000445: (I) January 1, 2002; or
p.000445: (II) the completion of recertification under the re- quirements of clause (ii); or
p.000445: (ii) is defined through regulations that are promul- gated by the Secretary by not later than January 1, 2002,
p.000445: that—
p.000445: (I) require recertifications of qualified organ pro- curement organizations not more frequently than once every 4
p.000445: years;
p.000445:
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p.000445:
p.000445: January 30, 2020
p.000445: SEC. 301. (a) It shall be unlawful for any person to knowingly acquire, receive, or otherwise transfer
p.000445: any human organ for valuable consideration for use in human transplantaion if the transfer affects
p.000445: interstate commerce.
p.000445: (b) Any person who violates subsection (a) shall be fined not more than $50,000 or imprisoned not more than five years,
p.000445: or both.
p.000445: (c) For purposes of subsection (a):
p.000445: (1) The term ‘‘human organ’’ means the human (including fetal) kidney, liver, heart, lung, pancreas, bone marrow,
p.000445: cornea, eye, bone, and skin or any subpart thereof and any other human organ (or any subpart thereof,
p.000445: including that derived from a fetus) specified by the Secretary of Health and Human Services by regulation.
p.000445: (2) The term ‘‘valuable consideration’’ does not include the reasonable payments associ- ated with the
p.000445: removal, transportation, implantation, processing, preservation, quality con- trol, and storage of a human
p.000445: organ or the expenses of travel, housing, and lost wages in- curred by the donor of a human organ in
p.000445: connection with the donation of the organ.
p.000445: (3) The term ‘‘interstate commerce’’ has the meaning prescribed for it by section 201(b) of the Federal
p.000445: Food, Drug and Cosmetic Act.
p.000445: 76 So in law. Subparagraphs (D) and (E) have the same text, and there are two subparagraphs (H). This results from the
p.000445: same set of amendments to section 371(b)(1) being enacted twice. The first set of amendments was made by section
p.000445: 701(c) of Public Law 106–505 (114 Stat. 2347). These amendments redesignated subparagraphs (D) through (G) as
...

p.000535: (2) the consultation of the PDMP by each prescribing prac- titioner, or their designee, in the State or
p.000535: locality before initi- ating treatment with a controlled substance, or any substance as required by the State
p.000535: to be reported to the PDMP, and over the course of ongoing treatment for each prescribing event;
p.000535: (3) the consultation of the PDMP before dispensing a con- trolled substance, or any substance as required by the State
p.000535: to be reported to the PDMP;
p.000535: (4) the proactive notification to a practitioner when pat- terns indicative of controlled substance misuse by a
p.000535: patient, in- cluding opioid misuse, are detected;
p.000535: (5) the availability of data in the PDMP to other States, as allowable under State law; and
p.000535: (6) the availability of nonidentifiable information to the Centers for Disease Control and Prevention for
p.000535: surveillance, epidemiology, statistical research, or educational purposes.
p.000535: (c) DRUG MISUSE AND ABUSE.—In consultation with practi- tioners, dispensers, and other relevant and interested
p.000535: stakeholders, a State receiving support under this section—
p.000535: (1) shall establish a program to notify practitioners and dispensers of information that will help to identify
p.000535: and prevent the unlawful diversion or misuse of controlled substances;
p.000535: (2) may, to the extent permitted under State law, notify the appropriate authorities responsible for
p.000535: carrying out drug diversion investigations if the State determines that informa- tion in the PDMP maintained
p.000535: by the State indicates an unlaw- ful diversion or abuse of a controlled substance;
p.000535: (3) may conduct analyses of controlled substance program data for purposes of providing appropriate State
p.000535: agencies with aggregate reports based on such analyses in as close to real-
p.000535: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000535:
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p.000535: Sec. 399O PUBLIC HEALTH SERVICE ACT 536
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p.000813: dead human em- bryo or fetus after a spontaneous or induced abortion, or after a stillbirth.
p.000813: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000813: Sec. 498B PUBLIC HEALTH SERVICE ACT 814
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p.000813: January 30, 2020
p.000813:
p.000813: PROHIBITIONS REGARDING HUMAN FETAL TISSUE
p.000813: SEC. 498B. ø289g–2¿ (a) PURCHASE OF TISSUE.—It shall be un-
p.000813: lawful for any person to knowingly acquire, receive, or otherwise transfer any human fetal tissue for
p.000813: valuable consideration if the transfer affects interstate commerce.
p.000813: (b) SOLICITATION OR ACCEPTANCE OF TISSUE AS DIRECTED DO- NATION FOR USE IN TRANSPLANTATION.—It shall
p.000813: be unlawful for any person to solicit or knowingly acquire, receive, or accept a do- nation of human
p.000813: fetal tissue for the purpose of transplantation of such tissue into another person if the donation
p.000813: affects interstate commerce, the tissue will be or is obtained pursuant to an induced abortion, and—
p.000813: (1) the donation will be or is made pursuant to a promise to the donating individual that the donated
p.000813: tissue will be transplanted into a recipient specified by such individual;
p.000813: (2) the donated tissue will be transplanted into a relative of the donating individual; or
p.000813: (3) the person who solicits or knowingly acquires, receives, or accepts the donation has provided valuable
p.000813: consideration for the costs associated with such abortion.
p.000813: (c) SOLICITATION OR ACCEPTANCE OF TISSUE FROM FETUSES GESTATED FOR RESEARCH PURPOSES.—It shall be
p.000813: unlawful for any person or entity involved or engaged in interstate commerce to—
p.000813: (1) solicit or knowingly acquire, receive, or accept a dona- tion of human fetal tissue knowing that a
p.000813: human pregnancy was deliberately initiated to provide such tissue; or
p.000813: (2) knowingly acquire, receive, or accept tissue or cells ob- tained from a human embryo or fetus that was gestated in
p.000813: the uterus of a nonhuman animal.
p.000813: (d) CRIMINAL PENALTIES FOR VIOLATIONS.—
p.000813: (1) IN GENERAL.—Any person who violates subsection (a), (b), or (c) shall be fined in accordance with
p.000813: title 18, United States Code, subject to paragraph (2), or imprisoned for not more than 10 years, or both.
p.000813: (2) PENALTIES APPLICABLE TO PERSONS RECEIVING CONSID- ERATION.—With respect to the imposition of a fine under
p.000813: para- graph (1), if the person involved violates subsection (a) or (b)(3), a fine shall be imposed in an
p.000813: amount not less than twice the amount of the valuable consideration received.
p.000813: (e) DEFINITIONS.—For purposes of this section:
p.000813: (1) The term ‘‘human fetal tissue’’ has the meaning given such term in section 498A(g).
p.000813: (2) The term ‘‘interstate commerce’’ has the meaning given such term in section 201(b) of the Federal Food,
p.000813: Drug, and Cosmetic Act.
p.000813: (3) The term ‘‘valuable consideration’’ does not include rea- sonable payments associated with the transportation,
p.000813: implan- tation, processing, preservation, quality control, or storage of human fetal tissue.
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p.001309: 1309
p.001309: PUBLIC HEALTH SERVICE ACT
p.001309: Sec. 1922
p.001309:
p.001309: SEC. 1922. ø300x–22¿ CERTAIN ALLOCATIONS.
p.001309: (a) ALLOCATION REGARDING PRIMARY PREVENTION PRO- GRAMS.—A funding agreement for a grant under
p.001309: section 1921 is that, in expending the grant, the State involved—
p.001309: (1) will expend not less than 20 percent for programs for individuals who do not require treatment for
p.001309: substance abuse, which programs—
p.001309: (A) educate and counsel the individuals on such abuse;
p.001309: and
p.001309: (B) provide for activities to reduce the risk of such
p.001309: abuse by the individuals;
p.001309: (2) will, in carrying out paragraph (1)—
p.001309: (A) give priority to programs for populations that are at risk of developing a pattern of such abuse; and
p.001309: (B) ensure that programs receiving priority under sub- paragraph (A) develop community-based strategies for the
p.001309: prevention of such abuse, including strategies to discour- age the use of alcoholic beverages and tobacco
p.001309: products by individuals to whom it is unlawful to sell or distribute such beverages or products.
p.001309: (b) 5 ALLOCATIONS REGARDING WOMEN.—
p.001309: (1) IN GENERAL.—Subject to paragraph (2), a funding agreement for a grant under section 1921 for
p.001309: a fiscal year is that—
p.001309: (A) in the case of a grant for fiscal year 1993, the State involved will expend not less than 5
p.001309: percent of the grant to increase (relative to fiscal year 1992) the avail- ability of treatment services
p.001309: designed for pregnant women and women with dependent children (either by estab- lishing new programs or
p.001309: expanding the capacity of existing programs);
p.001309: (B) in the case of a grant for fiscal year 1994, the State will expend not less than 5 percent of
p.001309: the grant to so increase (relative to fiscal year 1993) the availability of such services for such women; and
p.001309: (C) in the case of a grant for any subsequent fiscal year, the State will expend for such services
p.001309: for such women not less than an amount equal to the amount ex- pended by the State for fiscal year 1994.
p.001309: (2) WAIVER.—
p.001309: (A) Upon the request of a State, the Secretary may provide to the State a waiver of all or part of the
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p.001273: receive, and eliminating racial and ethnic disparities. In carrying out this subsection, the Secretary, acting
p.001273: through the Deputy Assistant Sec- retary, shall award grants, contracts, enter into memoranda of un- derstanding,
p.001273: cooperative, interagency, intra-agency and other agreements with public and nonprofit private entities,
p.001273: agencies, as well as Departmental and Cabinet agencies and organizations, and
p.001273: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001273: Sec. 1707 PUBLIC HEALTH SERVICE ACT 1274
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p.001273: January 30, 2020
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p.001273: with organizations that are indigenous human resource providers in communities of color to assure improved
p.001273: health status of racial and ethnic minorities, and shall develop measures to evaluate the effectiveness
p.001273: of activities aimed at reducing health disparities and supporting the local community. Such measures shall
p.001273: evaluate community outreach activities, language services, workforce cul- tural competence, and other areas as
p.001273: determined by the Secretary.
p.001273: (b) DUTIES.—With respect to improving the health of racial and ethnic minority groups, the Secretary, acting
p.001273: through the Deputy Assistant Secretary for Minority Health (in this section referred to as the ‘‘Deputy Assistant
p.001273: Secretary’’), shall carry out the following:
p.001273: (1) Establish short-range and long-range goals and objec- tives and coordinate all other activities
p.001273: within the Public Health Service that relate to disease prevention, health pro- motion, service delivery,
p.001273: and research concerning such individ- uals. The heads of each of the agencies of the Service shall con- sult with the
p.001273: Deputy Assistant Secretary to ensure the coordi- nation of such activities.
p.001273: (2) Enter into interagency agreements with other agencies of the Public Health Service.
p.001273: (3) Support research, demonstrations and evaluations to test new and innovative models.
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p.000111: fair market value of any supplies, equipment, or services provided by the Secretary. The Secretary shall,
p.000111: for the payment of ex- penses incurred in complying with such request, expend the amounts withheld.
p.000111: (3) APPLICATION FOR AWARD.—The Secretary may make an award of a grant or contract under paragraph (1) only if an ap-
p.000111: plication for the award is submitted to the Secretary and the application is in such form, is made in such
p.000111: manner, and con- tains such agreements, assurances, and information as the Sec- retary determines to be necessary to
p.000111: carry out the purposes for which the award is to be made.
p.000111: (c) BIENNIAL REPORT.—Not later than February 1 of fiscal year 1999 and of every second such year thereafter, the
p.000111: Secretary shall submit to the Committee on Commerce of the House of Representa- tives, and the Committee on Labor
p.000111: and Human Resources of the Senate, a report that, with respect to the preceding 2 fiscal years—
p.000111: (1) contains information regarding the incidence and prev- alence of birth defects, developmental
p.000111: disabilities, and the health status of individuals with disabilities and the extent to which these conditions
p.000111: have contributed to the incidence and prevalence of infant mortality and affected quality of life;
p.000111: (2) contains information under paragraph (1) that is spe- cific to various racial and ethnic groups
p.000111: (including Hispanics, non-Hispanic whites, Blacks, Native Americans, and Asian Americans);
p.000111: (3) contains an assessment of the extent to which various approaches of preventing birth defects,
p.000111: developmental disabil- ities, and secondary health conditions among individuals with disabilities have been
p.000111: effective;
p.000111: (4) describes the activities carried out under this section;
p.000111: (5) contains information on the incidence and prevalence of individuals living with birth defects and disabilities or
p.000111: develop- mental disabilities, information on the health status of individ- uals with disabilities, information on any
p.000111: health disparities ex- perienced by such individuals, and recommendations for im- proving the health and
p.000111: wellness and quality of life of such indi- viduals;
p.000111: (6) contains a summary of recommendations from all birth defects research conferences sponsored by the Centers for Dis-
p.000111: ease Control and Prevention, including conferences related to spina bifida; and
p.000111: (7) contains any recommendations of the Secretary regard- ing this section.
p.000111: (d) APPLICABILITY OF PRIVACY LAWS.—The provisions of this section shall be subject to the requirements of
p.000111: section 552a of title 5, United States Code. All Federal laws relating to the privacy of information shall
p.000111: apply to the data and information that is col- lected under this section.
p.000111: (e) ADVISORY COMMITTEE.—Notwithstanding any other provi- sion of law, the members of the advisory
p.000111: committee appointed by
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p.000133: erators and other Indian Health Service personnel working directly with fluoridation projects.
p.000133: (ii) LIAISON.—A fluoridation specialist shall serve as the principal technical liaison between the Indian
p.000133: Health Service and the Centers for Disease Control and Prevention with respect to engineering and fluori- dation
p.000133: issues.
p.000133: (iii) CDC.—The Director of the Centers for Dis- ease Control and Prevention shall appoint individuals to
p.000133: serve as the fluoridation specialists.
p.000133: (D) IMPLEMENTATION.—The project established under this subsection shall be planned, implemented and evalu-
p.000133: ated over the 5-year period beginning on the date on which funds are appropriated under this section and shall be de-
p.000133: signed to serve as a model for improving the effectiveness of water fluoridation systems of small rural
p.000133: communities.
p.000133: (3) EVALUATION.—In conducting the ongoing evaluation as provided for in paragraph (2)(D), the Secretary shall
p.000133: ensure that such evaluation includes—
p.000133: (A) the measurement of changes in water fluoridation compliance levels resulting from assistance provided under
p.000133: this section;
p.000133: (B) the identification of the administrative, technical and operational challenges that are unique to the
p.000133: fluorida- tion of small water systems;
p.000133: (C) the development of a practical model that may be easily utilized by other tribal, State, county or
p.000133: local gov- ernments in improving the quality of water fluoridation with emphasis on small water systems; and
p.000133: (D) the measurement of any increased percentage of Native Americans or Alaskan Natives who receive the ben-
p.000133: efits of optimally fluoridated water.
p.000133: (c) SCHOOL-BASED DENTAL SEALANT PROGRAM.—
p.000133: (1) IN GENERAL.—The Secretary, acting through the Direc- tor of the Centers for Disease Control and Prevention
p.000133: and in collaboration with the Administrator of the Health Resources and Services Administration, shall
p.000133: award a grant to each of the 50 States and territories and to Indians, Indian tribes, trib- al organizations
p.000133: and urban Indian organizations (as such
p.000133: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000133: Sec. 317M PUBLIC HEALTH SERVICE ACT 134
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p.000133: terms are defined in section 4 of the Indian Health Care Im- provement Act) to provide for the development
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p.000345: agrees—
p.000345: (1) to submit to the Secretary reports or performance data containing such information as the Secretary may
p.000345: require re- garding activities carried out under this section; and
p.000345: (2) to submit such a report or performance data not later than September 30 of each fiscal year
p.000345: immediately following any fiscal year for which the State office of rural health has received such a grant.
p.000345: (g) REQUIREMENT OF APPLICATION.—The Secretary may not make a grant under subsection (a) unless an
p.000345: application for the grant is submitted to the Secretary and the application is in such form, is made in
p.000345: such manner, and contains such agreements, as- surances, and information as the Secretary determines to
p.000345: be nec- essary to carry out such subsection.
p.000345: (h) NONCOMPLIANCE.—The Secretary may not make payments under subsection (a) to a State office of rural
p.000345: health for any fiscal year subsequent to the first fiscal year of such payments unless the Secretary determines
p.000345: that, for the immediately preceding fiscal year, the State office of rural health has complied with each of the
p.000345: agreements made by the State office of rural health under this sec- tion.
p.000345: (i) AUTHORIZATION OF APPROPRIATIONS.—
p.000345: (1) IN GENERAL.—For the purpose of making grants under subsection (a), there are authorized to be
p.000345: appropriated
p.000345: $12,500,000 for each of fiscal years 2018 through 2022.
p.000345: (2) AVAILABILITY.—Amounts appropriated under paragraph
p.000345: (1) shall remain available until expended.
p.000345: SEC. 338K. ø254s¿ NATIVE HAWAIIAN HEALTH SCHOLARSHIPS.
p.000345: (a) Subject to the availability of funds appropriated under the authority of subsection (d), the Secretary
p.000345: shall provide scholarship
p.000345: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000345:
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p.000345: Sec. 338L PUBLIC HEALTH SERVICE ACT 346
p.000345:
p.000345: assistance, pursuant to a contract with the Papa Ola Lokahi, to students who—
p.000345: (1) meet the requirements of section 338A(b), and
p.000345: (2) are Native Hawaiians.
p.000345: (b)(1) The scholarship assistance provided under subsection (a) shall be provided under the same terms and
p.000345: subject to the same conditions, regulations, and rules that apply to scholarship assist- ance provided under
p.000345: section 338A.
p.000345: (2) The Native Hawaiian Health Scholarship program shall not be administered by or through the Indian Health Service.
p.000345: (c) For purposes of this section, the term ‘‘Native Hawaiian’’ means any individual who is—
p.000345: (1) a citizen of the United States,
p.000345: (2) a resident of the State of Hawaii, and
p.000345: (3) a descendant of the aboriginal people, who prior to 1778, occupied and exercised sovereignty in the area
p.000345: that now constitutes the State of Hawaii, as evidenced by—
p.000345: (A) genealogical records,
p.000345: (B) Kupuna (elders) or Kama’aina (long-term commu- nity residents) verification, or
p.000345: (C) birth records of the State of Hawaii.
p.000345: (d) There are authorized to be appropriated $1,800,000 for each of the fiscal years 1990, 1991, and 1992 for the
p.000345: purpose of funding the scholarship assistance provided under subsection (a).
p.000345: SEC. 338L. ø254t¿ DEMONSTRATION PROJECT.
p.000345: (a) PROGRAM AUTHORIZED.—The Secretary shall establish a demonstration project to provide for the participation of
p.000345: individuals who are chiropractic doctors or pharmacists in the Loan Repay- ment Program described in section
p.000345: 338B.
p.000345: (b) PROCEDURE.—An individual that receives assistance under this section with regard to the program
p.000345: described in section 338B shall comply with all rules and requirements described in such sec- tion (other than
p.000345: subparagraphs (A) and (B) of section 338B(b)(1)) in order to receive assistance under this section.
p.000345: (c) LIMITATIONS.—
p.000345: (1) IN GENERAL.—The demonstration project described in this section shall provide for the participation of
p.000345: individuals who shall provide services in rural and urban areas.
p.000345: (2) AVAILABILITY OF OTHER HEALTH PROFESSIONALS.—The Secretary may not assign an individual receiving
p.000345: assistance under this section to provide obligated service at a site un- less—
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p.000359: scription and which is prescribed by a physician (or other persons authorized to prescribe such drug under
p.000359: State law).
p.000359: (3) DRUGS PROVIDED UNDER STATE MEDICAID PLANS.— Drugs described in this paragraph are drugs purchased
p.000359: by the entity for which payment is made by the State under the State plan for medical assistance under title XIX of the
p.000359: Social Secu- rity Act.
p.000359: (4) COVERED ENTITY DEFINED.—In this section, the term ‘‘covered entity’’ means an entity that meets the
p.000359: requirements described in paragraph (5) and is one of the following:
p.000359: (A) A Federally-qualified health center (as defined in section 1905(l)(2)(B) of the Social Security Act).
p.000359: (B) An entity receiving a grant under section 340A 46.
p.000359: (C) A family planning project receiving a grant or con- tract under section 1001.
p.000359: (D) An entity receiving a grant under subpart II of part C of title XXVI (relating to categorical grants for
p.000359: out- patient early intervention services for HIV disease).
p.000359: (E) A State-operated AIDS drug purchasing assistance program receiving financial assistance under title XXVI.
p.000359: (F) A black lung clinic receiving funds under section 427(a) of the Black Lung Benefits Act.
p.000359: (G) A comprehensive hemophilia diagnostic treatment center receiving a grant under section 501(a)(2) of the So-
p.000359: cial Security Act.
p.000359: (H) A Native Hawaiian Health Center receiving funds under the Native Hawaiian Health Care Act of 1988.
p.000359: (I) An urban Indian organization receiving funds under title V of the Indian Health Care Improvement Act.
p.000359:
p.000359:
p.000359:
p.000359: January 30, 2020
p.000359: 46 See footnote on preceding page. See also footnote for section 217(a).
p.000359: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000361: 361
p.000361: PUBLIC HEALTH SERVICE ACT
p.000361: Sec. 340B
p.000361:
p.000361: (J) Any entity receiving assistance under title XXVI (other than a State or unit of local government or an
p.000361: entity described in subparagraph (D)), but only if the entity is certified by the Secretary pursuant to
p.000361: paragraph (7).
p.000361: (K) An entity receiving funds under section 318 (relat- ing to treatment of sexually transmitted diseases) or
p.000361: sec- tion 317(j)(2) (relating to treatment of tuberculosis) through a State or unit of local government,
p.000361: but only if the entity is certified by the Secretary pursuant to paragraph (7).
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p.000489: (c) CONSIDERATIONS IN MAKING GRANTS.—In awarding grants under subsection (a), the Secretary shall take
p.000489: into consideration—
p.000489: (1) the ability of the entity involved to provide, either di- rectly or through linkages, a broad range of
p.000489: preventive and pri- mary health care services and related social, family support, and developmental services;
p.000489: (2) different combinations of professional and lay home visitors utilized within programs that are reflective of
p.000489: the iden- tified service needs and characteristics of target populations;
p.000489: (3) the extent to which the population to be targeted has limited access to health care, and related
p.000489: social, family sup- port, and developmental services; and
p.000489: (4) whether such grants are equitably distributed among urban and rural settings and whether entities
p.000489: serving Native American communities are represented among the grantees.
p.000489: (d) FEDERAL SHARE.—With respect to the costs of carrying out a project under subsection (a), a grant under
p.000489: such subsection for the project may not exceed 90 percent of such costs. To be eligible to receive such a grant, an
p.000489: applicant must provide assurances that the applicant will obtain at least 10 percent of such costs from non- Federal
p.000489: funds (and such contributions to such costs may be in cash or in-kind, including facilities and personnel).
p.000489: (e) RULE OF CONSTRUCTION REGARDING AT-RISK BIRTHS.—For purposes of subsection (a)(1), a pregnant woman
p.000489: shall be consid- ered to be at risk of delivering an infant with a health or develop- mental complication if during
p.000489: the pregnancy the woman—
p.000489: (1) lacks appropriate access to, or information concerning, early and routine prenatal care;
p.000489: (2) lacks the transportation necessary to gain access to the services described in subsection (b);
p.000489: (3) lacks appropriate child care assistance, which results in impeding the ability of such woman to utilize
p.000489: health and re- lated social services;
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p.000491: (B) not less than once during each 3-year period, pre- pare and submit to the appropriate committees of
p.000491: Con- gress a report concerning the results of such evaluations.
p.000491: (2) CONTENTS.—The evaluations conducted under para- graph (1) shall—
p.000491: (A) include a summary of the data contained in the annual reports submitted under subsection (m);
p.000491: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000491:
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p.000493: 493
p.000493: PUBLIC HEALTH SERVICE ACT
p.000493: Sec. 399
p.000493:
p.000493: (B) assess the relative effectiveness of projects under subsection (a) in urban and rural areas, and
p.000493: among pro- grams utilizing differing combinations of professionals and trained home visitors recruited from the
p.000493: community to meet the needs of defined target service populations; and
p.000493: (C) make further recommendations necessary or desir- able to increase the effectiveness of such projects.
p.000493: (q) DEFINITIONS.—For purposes of this section:
p.000493: (1) The term ‘‘eligible entity’’ includes public and nonprofit private entities that provide health or related
p.000493: social services, including community-based organizations, visiting nurse orga- nizations, hospitals, local
p.000493: health departments, community health centers, Native Hawaiian health centers, nurse man- aged clinics,
p.000493: family service agencies, child welfare agencies, de- velopmental service providers, family resource and support
p.000493: programs, and resource mothers projects.
p.000493: (2) The term ‘‘eligible family’’ means a family described in subsection (a).
p.000493: (3) The term ‘‘health or developmental complication’’, with respect to a child, means—
p.000493: (A) being born in an unhealthy or potentially unhealthy condition, including premature birth, low
p.000493: birth- weight, and prenatal exposure to maternal substance abuse;
p.000493: (B) a condition arising from a condition described in subparagraph (A);
p.000493: (C) a physical disability or delay; and
p.000493: (D) a developmental disability or delay.
p.000493: (4) The term ‘‘home visiting services’’ means the services specified in subsection (b), provided at the
p.000493: residence of the eli- gible family involved or provided pursuant to arrangements made for the family
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p.000499: (o) DEFINITIONS.—For purposes of this section:
p.000499: (1) The term ‘‘caretaker’’, with respect to a child of a sub- stance abuser, means any individual
p.000499: acting in a parental role regarding the child (including any birth parent, foster parent, adoptive parent,
p.000499: relative of such a child, or other individual acting in such a role).
p.000499: (2) The term ‘‘children of substance abusers’’ means—
p.000499: (A) children who have lived or are living in a house- hold with a substance abuser who is acting in
p.000499: a parental role regarding the children; and
p.000499: (B) children who have been prenatally exposed to alco- hol or other dangerous drugs.
p.000499: (3) The term ‘‘Indian tribe’’ means any tribe, band, nation, or other organized group or community of Indians,
p.000499: including any Alaska Native village (as defined in, or established pursu- ant to, the Alaska Native Claims
p.000499: Settlement Act), that is rec- ognized as eligible for the special programs and services pro- vided by
p.000499: the United States to Indians because of their status as Indians.
p.000499: (4) The term ‘‘public or nonprofit private entities that pro- vide health or social services to disadvantaged
p.000499: populations’’ in- cludes community-based organizations, local public health de- partments, community action
p.000499: agencies, hospitals, community health centers, child welfare agencies, developmental disabil- ities service
p.000499: providers, and family resource and support pro- grams.
p.000499: (5) The term ‘‘substance abuse’’ means the abuse of alcohol or other drugs.
p.000499:
p.000499: NOTE: ƒFor the convenience of the reader, the following indicates the probable intent of the Congress by showing
p.000499: section 399A as the section would appear if the amendments described in section 3106 of Public Law 106–310
p.000499: (114 Stat. 1175) were executed to section 399A, rather than to section 399D as instructed by such
p.000499: section 3106, including the amendment that redesignates the section as sec- tion 519 (toward the purpose of
p.000499: transferring the section to title V of this Act). See footnote on page 619.≈
p.000499: SEC. 519. ƒ280d≈ GRANTS FOR SERVICES FOR CHILDREN OF SUB- STANCE ABUSERS.
p.000499: (a) ESTABLISHMENT.—
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p.000507: (n) DEFINITIONS.—For purposes of this section:
p.000507: (1) The term ‘‘caretaker’’, with respect to a child of a sub- stance abuser, means any individual
p.000507: acting in a parental role regarding the child (including any birth parent, foster parent, adoptive parent,
p.000507: relative of such a child, or other individual acting in such a role).
p.000507: (2) The term ‘‘children of substance abusers’’ means—
p.000507: (A) children who have lived or are living in a house- hold with a substance abuser who is acting in
p.000507: a parental role regarding the children; and
p.000507: (B) children who have been prenatally exposed to alco- hol or other drugs.
p.000507: (3) The term ‘‘Indian tribe’’ means any tribe, band, nation, or other organized group or community of Indians,
p.000507: including any Alaska Native village (as defined in, or established pursu- ant to, the Alaska Native Claims Settlement
p.000507: Act), that is recog- nized as eligible for the special programs and services provided by the United States to Indians
p.000507: because of their status as Indi- ans.
p.000507: (4) The term ‘‘public or nonprofit private entities that pro- vide health or social services to disadvantaged
p.000507: populations’’ in- cludes community-based organizations, local public health de- partments, community action
p.000507: agencies, hospitals, community health centers, child welfare agencies, developmental disabil- ities service
p.000507: providers, and family resource and support pro- grams.
p.000507: (5) The term ‘‘substance abuse’’ means the abuse of alcohol or other drugs.
p.000507: (o) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000507: to be appropriated
p.000507: $50,000,000 for fiscal year 2001, and such sums as may be nec- essary for each of fiscal years 2002 and
p.000507: 2003.
p.000507:
p.000507: PART M—NATIONAL PROGRAM OF CANCER REGISTRIES
p.000507: SEC. 399B. ø280e¿ NATIONAL PROGRAM OF CANCER REGISTRIES.
p.000507: (a) IN GENERAL.—
p.000507: (1) STATEWIDE CANCER REGISTRIES.—The Secretary, acting through the Director of the Centers for Disease
p.000507: Control, may make grants to States, or may make grants or enter into con- tracts with academic or
p.000507: nonprofit organizations designated by the State to operate the State’s cancer registry in lieu of mak- ing a grant
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p.000591:
p.000591: SEC. 399LL. ø280k¿ ORAL HEALTHCARE PREVENTION EDUCATION CAMPAIGN.
p.000591: (a) ESTABLISHMENT OF ORAL HEALTH EDUCATION CAMPAIGN.— The Secretary, acting through the Director of the
p.000591: Centers for Dis- ease Control and Prevention and in consultation with professional oral health organizations,
p.000591: shall, subject to the availability of appro- priations, establish a 5-year national, public education campaign
p.000591: (referred to in this section as the ‘‘campaign’’) that is focused on oral health education, including
p.000591: prevention of oral disease such as early childhood and other caries, periodontal disease, and oral can- cer.
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p.000591: January 30, 2020
p.000591: (b) REQUIREMENTS.—In establishing the campaign under sub- section (a), the Secretary shall—
p.000591: (1) ensure that activities are targeted towards specific pop- ulations such as children, pregnant women, parents, the
p.000591: elder- ly, individuals with disabilities, and ethnic and racial minority populations, including Indians, Alaska Natives
p.000591: and Native Ha- waiians (as defined in section 4(c) of the Indian Health Care Improvement Act) in a culturally
p.000591: and linguistically appropriate manner; and
p.000591: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000593: PUBLIC HEALTH SERVICE ACT
p.000593: Sec. 399LL–1
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p.000593: January 30, 2020
p.000593: (2) utilize science-based strategies to convey oral health prevention messages that include, but are not limited
p.000593: to, com- munity water fluoridation and dental sealants.
p.000593: (c) ACTION FOR DENTAL HEALTH PROGRAM.—
p.000593: (1) IN GENERAL.—The Secretary, in consultation with the Director of the Centers for Disease Control and
p.000593: Prevention and the Administrator of the Health Resources and Services Ad- ministration, may award grants,
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p.000829: (2) DUTIES.—The Associate Administrator appointed under paragraph (1) shall—
p.000829: (A) establish a committee to be known as the Coordi- nating Committee for Women’s Services (hereafter in
p.000829: this subparagraph referred to as the ‘‘Coordinating Com- mittee’’), which shall be composed of the
p.000829: Directors of the agencies of the Administration (or the designees of the Di- rectors);
p.000829: (B) acting through the Coordinating Committee, with respect to women’s substance abuse and mental health
p.000829: services—
p.000829: (i) identify the need for such services, and make an estimate each fiscal year of the funds needed to
p.000829: adequately support the services;
p.000829: (ii) identify needs regarding the coordination of services;
p.000829: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000829: Sec. 501 PUBLIC HEALTH SERVICE ACT 830
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p.000829: (iii) encourage the agencies of the Administration to support such services; and
p.000829: (iv) assure that the unique needs of minority women, including Native American, Hispanic, African-
p.000829: American and Asian women, are recognized and ad- dressed within the activities of the Administration; and
p.000829: (C) establish an advisory committee to be known as the Advisory Committee for Women’s Services, which shall be
p.000829: composed of not more than 10 individuals, a majority of whom shall be women, who are not officers or employees
p.000829: of the Federal Government, to be appointed by the Assist- ant Secretary from among physicians, practitioners,
p.000829: treat- ment providers, and other health professionals, whose clin- ical practice, specialization, or professional
p.000829: expertise in- cludes a significant focus on women’s substance abuse and mental health conditions, that shall—
p.000829: (i) advise the Associate Administrator on appro- priate activities to be undertaken by the agencies of
p.000829: the Administration with respect to women’s substance abuse and mental health services, including services which
p.000829: require a multidisciplinary approach;
p.000829: (ii) collect and review data, including information provided by the Secretary (including the material re-
p.000829: ferred to in paragraph (3)), and report biannually to the Assistant Secretary regarding the extent to which
...

p.000845: mental illness or a substance use disorder; and
p.000845: (5) entities that demonstrate effectiveness in serving homeless veterans.
p.000845: (c) SERVICES FOR CERTAIN INDIVIDUALS.—In awarding grants, contracts, and cooperative agreements under
p.000845: subsection (a), the Secretary shall not—
p.000845: (1) prohibit the provision of services under such subsection to homeless individuals who are suffering from a substance
p.000845: use disorder and are not suffering from a mental health disorder; and
p.000845: (2) make payments under subsection (a) to any entity that has a policy of—
p.000845: (A) excluding individuals from mental health services due to the existence or suspicion of a substance
p.000845: use dis- order; or
p.000845: (B) has a policy of excluding individuals from sub- stance use disorder services due to the existence
p.000845: or sus- picion of mental illness.
p.000845: (d) TERM OF THE AWARDS.—No entity may receive a grant, con- tract, or cooperative agreement under subsection (a) for
p.000845: more than 5 years.
p.000845: (e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated to carry out this
p.000845: section$41,304,000 for each of fiscal years 2018 through 2022.
p.000845: SEC. 506A. ø290aa–5a¿ ALCOHOL AND DRUG PREVENTION OR TREAT-
p.000845: MENT SERVICES FOR INDIANS AND NATIVE ALASKANS. 5
p.000845: (a) IN GENERAL.—The Secretary shall award grants, contracts, or cooperative agreements to public and private
p.000845: nonprofit entities, including Native Alaskan entities and Indian tribes and tribal or- ganizations, for the
p.000845: purpose of providing alcohol and drug preven- tion or treatment services for Indians and Native Alaskans.
p.000845: (b) PRIORITY.—In awarding grants, contracts, or cooperative agreements under subsection (a), the Secretary
p.000845: shall give priority to applicants that—
p.000845: (1) propose to provide alcohol and drug prevention or treat- ment services on reservations;
p.000845: (2) propose to employ culturally-appropriate approaches, as determined by the Secretary, in providing such services;
p.000845: and
p.000845: (3) have provided prevention or treatment services to Na- tive Alaskan entities and Indian tribes and tribal
p.000845: organizations for at least 1 year prior to applying for a grant under this sec- tion.
p.000845: (c) DURATION.—The Secretary shall award grants, contracts, or cooperative agreements under subsection (a) for a period
p.000845: not to ex- ceed 5 years.
p.000845:
p.000845:
p.000845:
p.000845:
p.000845: January 30, 2020
p.000845: 5 Section 3307 of Public Law 106–310 (114 Stat. 1216) establishes a Commission on Indian and Native
p.000845: Alaskan Health Care and provides that the Commission ‘‘shall examine the health concerns of Indians and
p.000845: Native Alaskans who reside on reservations and tribal lands’’.
p.000845: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000847: PUBLIC HEALTH SERVICE ACT
p.000847: Sec. 507
p.000847:
p.000847: (d) APPLICATION.—An entity desiring a grant, contract, or coop- erative agreement under subsection (a) shall submit an
p.000847: application to the Secretary at such time, in such manner, and accompanied by such information as the
p.000847: Secretary may reasonably require.
p.000847: (e) EVALUATION.—An entity that receives a grant, contract, or cooperative agreement under subsection (a) shall
p.000847: submit, in the ap- plication for such grant, a plan for the evaluation of any project un- dertaken with funds provided
p.000847: under this section. Such entity shall provide the Secretary with periodic evaluations of the progress of such
p.000847: project and such evaluation at the completion of such project as the Secretary determines to be appropriate.
p.000847: The final evaluation submitted by such entity shall include a recommendation as to whether such project shall
p.000847: continue.
p.000847: (f) REPORT.—Not later than 3 years after the date of the enact- ment of this section and annually thereafter,
p.000847: the Secretary shall prepare and submit, to the Committee on Health, Education, Labor, and Pensions of
p.000847: the Senate, a report describing the services provided pursuant to this section.
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p.000923: overdose death), including by improving access and adherence to treatment, including medication-assisted treatment.
p.000923: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000925: PUBLIC HEALTH SERVICE ACT
p.000925: Sec. 551
p.000925:
p.000925: (e) RULE OF CONSTRUCTION.—Nothing in this section shall be construed to provide the Secretary with the
p.000925: authority to require States to adhere to minimum standards in the State oversight of recovery housing.
p.000925: (f) DEFINITIONS.—In this section:
p.000925: (1) The term ‘‘recovery housing’’ means a shared living en- vironment free from alcohol and illicit drug use
p.000925: and centered on peer support and connection to services that promote sus- tained recovery from substance use
p.000925: disorders.
p.000925: (2) The terms ‘‘Indian tribe’’ and ‘‘tribal organization’’ have the meanings given those terms in section 4 of the
p.000925: Indian Self- Determination and Education Assistance Act (25 U.S.C. 5304).
p.000925: (3) The term ‘‘tribally designated housing entity’’ has the meaning given that term in section 4 of the
p.000925: Native American Housing Assistance and Self-Determination Act of 1996 (25
p.000925: U.S.C. 4103).
p.000925: (g) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec- tion, there is authorized to be appropriated
p.000925: $3,000,000 for the pe- riod of fiscal years 2019 through 2021.
p.000925: SEC. 551. ø290ee–6¿ REGIONAL CENTERS OF EXCELLENCE IN SUB- STANCE USE DISORDER EDUCATION.
p.000925: (a) IN GENERAL.—The Secretary, in consultation with appro- priate agencies, shall award cooperative agreements
p.000925: to eligible en- tities for the designation of such entities as Regional Centers of Ex- cellence in Substance Use
p.000925: Disorder Education for purposes of im- proving health professional training resources with respect to sub- stance
p.000925: use disorder prevention, treatment, and recovery.
p.000925: (b) ELIGIBILITY.—To be eligible to receive a cooperative agree- ment under subsection (a), an entity shall—
p.000925: (1) be an accredited entity that offers education to students in various health professions, which may include—
p.000925: (A) a teaching hospital;
p.000925: (B) a medical school;
p.000925: (C) a certified behavioral health clinic; or
p.000925: (D) any other health professions school, school of pub- lic health, or Cooperative Extension Program at institu-
p.000925: tions of higher education, as defined in section 101 of the Higher Education Act of 1965, engaged in
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p.001011: 1 or more public or nonprofit community based His- panic serving organizations, or public or nonprofit pri-
p.001011: vate institutions of higher education, including schools of nursing, whose enrollment of students has tradi-
p.001011: tionally included a significant number of Hispanic in- dividuals, the purposes of which will be to carry out a
p.001011: program—
p.001011: (I) to identify Hispanic students who are in- terested in a career in the health profession in- volved;
p.001011: and
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p.001011:
p.001011: January 30, 2020
p.001011: 7 So in law. Probably should read ‘‘paragraph (2) or (5)’’.
p.001011: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001011: Sec. 736 PUBLIC HEALTH SERVICE ACT 1012
p.001011:
p.001011: (II) to facilitate the educational preparation of such students to enter the health professions school; and
p.001011: (ii) the school will make efforts to recruit Hispanic students, including students who have participated in the
p.001011: undergraduate or other matriculation program carried out under arrangements established by the school
p.001011: pursuant to clause (i)(II) and will assist His- panic students regarding the completion of the edu-
p.001011: cational requirements for a degree from the school.
p.001011: (4) NATIVE AMERICAN CENTERS OF EXCELLENCE.—Subject to subsection (e), the conditions specified in this
p.001011: paragraph are that—
p.001011: (A) with respect to Native Americans, each of clauses
p.001011: (i) through (iv) of paragraph (1)(B) applies to the des- ignated health professions school involved;
p.001011: (B) the school agrees, as a condition of receiving a grant under subsection (a), that the school will, in
p.001011: carrying out the duties described in subsection (b), give priority to carrying out the duties with
p.001011: respect to Native Americans; and
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p.001011: (C) the school agrees, as a condition of receiving a grant under subsection (a), that—
p.001011: (i) the school will establish an arrangement with
p.001011: 1 or more public or nonprofit private institutions of higher education, including schools of nursing,
p.001011: whose enrollment of students has traditionally included a significant number of Native Americans, the
p.001011: purpose of which arrangement will be to carry out a program—
p.001011: (I) to identify Native American students, from the institutions of higher education referred to in clause (i),
p.001011: who are interested in health professions careers; and
p.001011: (II) to facilitate the educational preparation of such students to enter the designated health pro- fessions
p.001011: school; and
p.001011: (ii) the designated health professions school will make efforts to recruit Native American students, in-
p.001011: cluding students who have participated in the under- graduate program carried out under arrangements es-
p.001011: tablished by the school pursuant to clause (i) and will assist Native American students regarding the comple- tion of
p.001011: the educational requirements for a degree from the designated health professions school.
p.001011: (5) OTHER CENTERS OF EXCELLENCE.—The conditions speci- fied in this paragraph are—
p.001011: (A) with respect to other centers of excellence, the con- ditions described in clauses (i) through (iv) of
p.001011: paragraph (1)(B); and
p.001011: (B) that the health professions school involved has an enrollment of under-represented minorities above the na-
p.001011: tional average for such enrollments of health professions schools.
p.001011: (d) DESIGNATION AS CENTER OF EXCELLENCE.—
p.001011: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001013: 1013
p.001013: PUBLIC HEALTH SERVICE ACT
p.001013: Sec. 736
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p.001013: (1) IN GENERAL.—Any designated health professions school receiving a grant under subsection (a) and meeting the
p.001013: condi- tions described in paragraph (2) or (5) of subsection (c) shall, for purposes of this section, be
p.001013: designated by the Secretary as a Center of Excellence in Under-Represented Minority Health Professions
p.001013: Education.
p.001013: (2) HISPANIC CENTERS OF EXCELLENCE.—Any designated health professions school receiving a grant under subsection
p.001013: (a) and meeting the conditions described in subsection (c)(3) shall, for purposes of this section, be designated by the
p.001013: Secretary as a Hispanic Center of Excellence in Health Professions Edu- cation.
p.001013: (3) NATIVE AMERICAN CENTERS OF EXCELLENCE.—Any des- ignated health professions school receiving a grant under
p.001013: sub- section (a) and meeting the conditions described in subsection (c)(4) shall, for purposes of this
p.001013: section, be designated by the Secretary as a Native American Center of Excellence in Health Professions Education.
p.001013: Any consortium receiving such a grant pursuant to subsection (e) shall, for purposes of this section, be so
p.001013: designated.
p.001013: (e) AUTHORITY REGARDING NATIVE AMERICAN CENTERS OF EX- CELLENCE.—With respect to meeting the conditions
p.001013: specified in subsection (c)(4), the Secretary may make a grant under subsection
p.001013: (a) to a designated health professions school that does not meet such conditions if—
p.001013: (1) the school has formed a consortium in accordance with subsection (d)(1); and
p.001013: (2) the schools of the consortium collectively meet such conditions, without regard to whether the
p.001013: schools individually meet such conditions.
p.001013: (f) DURATION OF GRANT.—The period during which payments are made under a grant under subsection (a) may
p.001013: not exceed 5 years. Such payments shall be subject to annual approval by the Secretary and to the
p.001013: availability of appropriations for the fiscal year involved to make the payments.
p.001013: (g) DEFINITIONS.—In this section:
p.001013: (1) DESIGNATED HEALTH PROFESSIONS SCHOOL.—
p.001013: (A) IN GENERAL.—The term ‘‘health professions school’’ means, except as provided in subparagraph (B), a school of
p.001013: medicine, a school of osteopathic medicine, a school of den- tistry, a school of pharmacy, or a graduate program in be-
p.001013: havioral or mental health.
p.001013: (B) EXCEPTION.—The definition established in sub- paragraph (A) shall not apply to the use of the term ‘‘des-
p.001013: ignated health professions school’’ for purposes of sub- section (c)(2).
p.001013: (2) PROGRAM OF EXCELLENCE.—The term ‘‘program of ex- cellence’’ means any program carried out by a
p.001013: designated health professions school with a grant made under subsection (a), if the program is for purposes
p.001013: for which the school involved is authorized in subsection (b) or (c) to expend the grant.
p.001013: (3) NATIVE AMERICANS.—The term ‘‘Native Americans’’ means American Indians, Alaskan Natives, Aleuts, and
p.001013: Native Hawaiians.
p.001013: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001013:
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p.001013: Sec. 736 PUBLIC HEALTH SERVICE ACT 1014
p.001013:
p.001013: (h) FORMULA FOR ALLOCATIONS.—
p.001013: (1) ALLOCATIONS.—Based on the amount appropriated under subsection (i) for a fiscal year, the
p.001013: following subpara- graphs shall apply as appropriate:
p.001013: (A) IN GENERAL.—If the amounts appropriated under subsection (i) for a fiscal year are $24,000,000 or less—
p.001013: (i) the Secretary shall make available $12,000,000 for grants under subsection (a) to health professions schools
p.001013: that meet the conditions described in sub- section (c)(2)(A); and
p.001013: (ii) and available after grants are made with funds under clause (i), the Secretary shall make avail-
p.001013: able—
p.001013: (I) 60 percent of such amount for grants under subsection (a) to health professions schools that
p.001013: meet the conditions described in paragraph
p.001013: (3) or (4) of subsection (c) (including meeting the conditions under subsection (e)); and
p.001013: (II) 40 percent of such amount for grants under subsection (a) to health professions schools that
p.001013: meet the conditions described in subsection (c)(5).
p.001013: (B) FUNDING IN EXCESS OF $24,000,000.—If amounts ap- propriated under subsection (i) for a fiscal year
p.001013: exceed
p.001013: $24,000,000 but are less than $30,000,000—
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p.001043: under subsection (a) for administrative expenses.
p.001043: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001045: PUBLIC HEALTH SERVICE ACT
p.001045: Sec. 755
p.001045:
p.001045: (B) TRAINING.—Not more than 10 percent of the indi- viduals receiving training with funds made available to an
p.001045: applicant under subsection (a) shall be trained as doctors of medicine or doctors of osteopathy.
p.001045: (C) LIMITATION.—An institution that receives a grant under this section shall use amounts received under
p.001045: such grant to supplement, not supplant, amounts made avail- able by such institution for activities of the type
p.001045: described in subsection (b)(1) in the fiscal year preceding the year for which the grant is received.
p.001045: (c) APPLICATIONS.—Applications submitted for assistance under this section shall—
p.001045: (1) be jointly submitted by at least two eligible applicants with the express purpose of assisting
p.001045: individuals in academic institutions in establishing long-term collaborative relation- ships with health care
p.001045: providers in rural areas; and
p.001045: (2) designate a rural health care agency or agencies for clinical treatment or training, including
p.001045: hospitals, community health centers, migrant health centers, rural health clinics, community behavioral and
p.001045: mental health centers, long-term care facilities, Native Hawaiian health centers, or facilities op- erated by the
p.001045: Indian Health Service or an Indian tribe or tribal organization or Indian organization under a contract with
p.001045: the Indian Health Service under the Indian Self-Determination Act.
p.001045: (d) DEFINITIONS.—For the purposes of this section, the term ‘‘rural’’ means geographic areas that are located
p.001045: outside of standard metropolitan statistical areas.
p.001045: SEC. 755. ø294e¿ ALLIED HEALTH AND OTHER DISCIPLINES.
p.001045: (a) IN GENERAL.—The Secretary may make grants or contracts under this section to help entities fund activities
p.001045: of the type de- scribed in subsection (b).
p.001045: (b) ACTIVITIES.—Activities of the type described in this sub- section include the following:
p.001045: (1) Assisting entities in meeting the costs associated with expanding or establishing programs that
p.001045: will increase the number of individuals trained in allied health professions. Pro- grams and activities funded
p.001045: under this paragraph may in- clude—
p.001045:
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p.001045: January 30, 2020
p.001045: (A) those that expand enrollments in allied health pro- fessions with the greatest shortages or whose services
p.001045: are most needed by the elderly;
p.001045: (B) those that provide rapid transition training pro- grams in allied health fields to individuals who
p.001045: have bac- calaureate degrees in health-related sciences;
p.001045: (C) those that establish community-based allied health training programs that link academic centers to rural clin- ical
p.001045: settings;
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p.001053:
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p.001053:
p.001053: (i) the delivery of mental and substance use dis- orders services at the eligible entities described in sub-
p.001053: sections (c)(1) and (c)(2); and
p.001053: (ii) community health centers in integrating pri- mary care and mental and substance use disorders
p.001053: treatment; or
p.001053: (D) have the capacity to expand access to mental and substance use disorders services in areas
p.001053: with dem- onstrated need, as determined by the Secretary, such as tribal, rural, or other underserved
p.001053: communities.
p.001053: (2) ACADEMIC UNITS OR PROGRAMS.—In awarding grants under subsection (a)(3), the Secretary shall give priority
p.001053: to eli- gible entities that—
p.001053: (A) have a record of training the greatest percentage of mental and substance use disorders providers who enter
p.001053: and remain in these fields or who enter and remain in set- tings with integrated primary care and mental and
p.001053: sub- stance use disorder prevention and treatment services;
p.001053: (B) have a record of training individuals who are from underrepresented minority groups, including native popu-
p.001053: lations, or from a rural or disadvantaged background;
p.001053: (C) provide training in the care of vulnerable popu- lations such as infants, children, adolescents,
p.001053: pregnant and postpartum women, older adults, homeless individ- uals, victims of abuse or trauma, individuals with
p.001053: disabil- ities, and other groups as defined by the Secretary;
p.001053: (D) teach trainees the skills to provide interprofes- sional, integrated care through collaboration among health
p.001053: professionals; or
p.001053: (E) provide training in cultural competency and health literacy.
p.001053: (e) DURATION.—Grants awarded under this section shall be for a minimum of 5 years.
p.001053: (f) STUDY AND REPORT.—
p.001053: (1) STUDY.—
p.001053: (A) IN GENERAL.—The Secretary, acting through the Administrator of the Health Resources and Services Ad-
p.001053: ministration, shall conduct a study on the results of the demonstration program under this section.
p.001053: (B) DATA SUBMISSION.—Not later than 90 days after the completion of the first year of the training
p.001053: program and each subsequent year that the program is in effect, each recipient of a grant under subsection (a)
p.001053: shall submit to the Secretary such data as the Secretary may require for analysis for the report described in
p.001053: paragraph (2).
...

p.001085: January 30, 2020
p.001085: a recognized body or bodies or State agency, shall be deemed accredited for purposes of this title if the
p.001085: Secretary of Education finds, after consultation with the appropriate accreditation body or bodies, that there is
p.001085: reasonable as- surance that the program will meet the accreditation standards of such body or bodies
p.001085: prior to the beginning of the academic year following the normal graduation date of students of the first entering
p.001085: class in such a program.
p.001085: (7) NONPROFIT.—The term ‘‘nonprofit’’ as applied to any school, agency, organization, or institution means one
p.001085: which is a corporation or association, or is owned and operated by one or more corporations or
p.001085: associations, no part of the net earn- ings of which inures, or may lawfully inure, to the benefit of
p.001085: any private shareholder or individual.
p.001085: (8) STATE.—The term ‘‘State’’ means a State, the Common- wealth of Puerto Rico, the District of Columbia, the
p.001085: Common- wealth of the Northern Mariana Islands, Guam, American Samoa, the Virgin Islands, or the Trust Territory
p.001085: of the Pacific Islands.
p.001085: (9) AMBULATORY SURGICAL CENTER.—The term ‘‘ambula- tory surgical center’’ has the meaning applicable to
p.001085: such term under title XVIII of the Social Security Act.
p.001085: (10) FEDERALLY QUALIFIED HEALTH CENTER.—The term ‘‘Federally qualified health center’’ has the meaning
p.001085: given such term under section 1861(aa)(4) of the Social Security Act.
p.001085: (11) HEALTH CARE FACILITY.—The term ‘‘health care facil- ity’’ means an Indian Health Service health
p.001085: center, a Native Hawaiian health center, a hospital, a Federally qualified health center, a rural
p.001085: health clinic, a nursing home, a home health agency, a hospice program, a public health clinic, a State
p.001085: or local department of public health, a skilled nursing fa- cility, an ambulatory surgical center, or any other
p.001085: facility des- ignated by the Secretary.
p.001085: (12) HOME HEALTH AGENCY.—The term ‘‘home health agen- cy’’ has the meaning given such term in section 1861(o) of the
p.001085: Social Security Act.
p.001085: (13) HOSPICE PROGRAM.—The term ‘‘hospice program’’ has the meaning given such term in section 1861(dd)(2)
p.001085: of the So- cial Security Act.
p.001085: (14) RURAL HEALTH CLINIC.—The term ‘‘rural health clinic’’ has the meaning given such term in section 1861(aa)(2) of
p.001085: the Social Security Act.
p.001085: (15) SKILLED NURSING FACILITY.—The term ‘‘skilled nurs- ing facility’’ has the meaning given
p.001085: such term in section 1819(a) of the Social Security Act.
p.001085: (16) ACCELERATED NURSING DEGREE PROGRAM.—The term ‘‘accelerated nursing degree program’’ means a program of edu-
p.001085: cation in professional nursing offered by an accredited school of nursing in which an individual holding
p.001085: a bachelors degree in another discipline receives a BSN or MSN degree in an ac- celerated time frame as
p.001085: determined by the accredited school of nursing.
p.001085: (17) BRIDGE OR DEGREE COMPLETION PROGRAM.—The term ‘‘bridge or degree completion program’’ means a program
p.001085: of
...

p.001089: enter a bridge or degree completion program, student scholarships or
p.001089:
p.001089:
p.001089:
p.001089: January 30, 2020
p.001089: 1 So in law. There is no paragraph (2) in subsection (a).
p.001089: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001091: 1091
p.001091: PUBLIC HEALTH SERVICE ACT
p.001091: Sec. 831
p.001091:
p.001091: stipends for accelerated nursing degree programs, pre-entry preparation, advanced education preparation, and
p.001091: retention ac- tivities.
p.001091: (b) GUIDANCE.—In carrying out subsection (a), the Secretary shall take into consideration the
p.001091: recommendations of the National Advisory Council on Nurse Education and Practice and consult with nursing
p.001091: associations including the National Coalition of Eth- nic Minority Nurse Associations, American Nurses
p.001091: Association, the National League for Nursing, the American Association of Colleges of Nursing, the National Black
p.001091: Nurses Association, the National Association of Hispanic Nurses, the Association of Asian American and Pacific
p.001091: Islander Nurses, the Native American Indian and Alas- kan Nurses Association, and the National Council of State
p.001091: Boards of Nursing, and other organizations determined appropriate by the Secretary.
p.001091: (c) REQUIRED INFORMATION AND CONDITIONS FOR AWARD RE-
p.001091: CIPIENTS.—
p.001091: (1) IN GENERAL.—Recipients of awards under this section may be required, where requested, to report to
p.001091: the Secretary concerning the annual admission, retention, and graduation rates for individuals from
p.001091: disadvantaged backgrounds and eth- nic and racial minorities in the school or schools involved in the
p.001091: projects.
p.001091: (2) FALLING RATES.—If any of the rates reported under paragraph (1) fall below the average of the two previous
p.001091: years, the grant or contract recipient shall provide the Secretary with plans for immediately improving such rates.
p.001091: (3) INELIGIBILITY.—A recipient described in paragraph (2) shall be ineligible for continued funding under
p.001091: this section if the plan of the recipient fails to improve the rates within the 1-year period beginning on
p.001091: the date such plan is implemented.
p.001091:
p.001091: PART D—STRENGTHENING CAPACITY FOR BASIC NURSE EDUCATION AND PRACTICE
p.001091:
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p.001091:
p.001091: January 30, 2020
p.001091: SEC. 831. ø296p¿ NURSE EDUCATION, PRACTICE, AND QUALITY GRANTS.
...

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p.001277: 1277
p.001277: PUBLIC HEALTH SERVICE ACT
p.001277: Sec. 1707A
p.001277:
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p.001277: January 30, 2020
p.001277: ice agencies shall submit to the Deputy Assistant Secretary a report summarizing the minority health
p.001277: activities of each of the respective agencies.
p.001277: (g) DEFINITION.—For purposes of this section:
p.001277: (1) The term ‘‘racial and ethnic minority group’’ means American Indians (including Alaska Natives,
p.001277: Eskimos, and Aleuts); Asian Americans; Native Hawaiians and other Pacific Islanders; Blacks; and Hispanics.
p.001277: (2) The term ‘‘Hispanic’’ means individuals whose origin is Mexican, Puerto Rican, Cuban, Central or South American, or
p.001277: any other Spanish-speaking country.
p.001277: (h) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.001277: to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2016.
p.001277: SEC. 1707A. ø300u–6a¿ INDIVIDUAL OFFICES OF MINORITY HEALTH WITHIN THE DEPARTMENT.
p.001277: (a) IN GENERAL.—The head of each agency specified in sub- section (b)(1) shall establish within the
p.001277: agency an office to be known as the Office of Minority Health. The head of each such Of- fice shall be appointed by
p.001277: the head of the agency within which the Office is established, and shall report directly to the head of the
p.001277: agency. The head of such agency shall carry out this section (as this section relates to the agency) acting
p.001277: through such Director.
p.001277: (b) SPECIFIED AGENCIES.—The agencies referred to in sub- section (a) are the Centers for Disease Control and
p.001277: Prevention, the Health Resources and Services Administration, the Substance Abuse and Mental Health
p.001277: Services Administration, the Agency for Healthcare Research and Quality, the Food and Drug Administra-
p.001277: tion, and the Centers for Medicare & Medicaid Services.
...

p.001333: health and substance abuse disorders;
p.001333: (3) the definitions for the data elements to be used under the plan;
p.001333: (4) the obstacles to implementation of the plan and the manner in which such obstacles would be resolved;
p.001333: (5) the resources needed to implement the performance partnerships under the plan; and
p.001333: (6) an implementation strategy complete with rec- ommendations for any necessary legislation.
p.001333: (b) SUBMISSION.—Not later than 2 years after the date of the enactment of this Act 16, the plans
p.001333: developed under subsection (a) shall be submitted to the Committee on Health, Education, Labor, and Pensions of the
p.001333: Senate and the Committee on Commerce of the House of Representatives.
p.001333: (c) INFORMATION.—As the elements of the plans described in subsection (a) are developed, States are
p.001333: encouraged to provide in- formation to the Secretary on a voluntary basis.
p.001333: (d) PARTICIPANTS.—The Secretary shall include among those interested groups that participate in the
p.001333: development of the plan consumers of mental health or substance abuse services, providers, representatives of
p.001333: political divisions of States, and representatives of racial and ethnic groups including Native Americans.
p.001333: SEC. 1950. ø300x–60¿ RULE OF CONSTRUCTION REGARDING DELEGA- TION OF AUTHORITY TO STATES.
p.001333: With respect to States receiving grants under section 1911 or 1921, this part may not be construed to
p.001333: authorize the Secretary to
p.001333:
p.001333:
p.001333:
p.001333:
p.001333:
p.001333:
p.001333:
p.001333:
p.001333: January 30, 2020
p.001333: 15 Section 1949 appears according to the probable intent of the Congress. Section 3403(a) of Public Law
p.001333: 106–310 (114 Stat. 1219) provides that the section ‘‘is amended as follows:’’. No amendatory instructions
p.001333: were then given, but a substitute text was provided. The amendment probably should have instructed that
p.001333: section 1949 ‘‘is amended to read as follows:’’.
p.001333: 16 The probable intent of the Congress was that the reference to ‘‘this Act’’ be a reference to the
p.001333: Children’s Health Act of 2000 (Public Law 106–310), which provided a substitute text for section 1949 (see
p.001333: footnote 1), including subsection (b) above. That Act was enacted October 17, 2000. (A reference to ‘‘this Act’’
p.001333: is a reference to the Public Health Service Act, which was en- acted July 1, 1944.)
p.001333: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001333:
p.001333:
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p.001333:
p.001333: Sec. 1951 PUBLIC HEALTH SERVICE ACT 1334
p.001333:
p.001333: delegate to the States the primary responsibility for interpreting the governing provisions of this part.
p.001333: SEC. 1951. ø300x–61¿ SOLICITATION OF VIEWS OF CERTAIN ENTITIES.
p.001333: In carrying out this part, the Secretary, as appropriate, shall solicit the views of the States and other
p.001333: appropriate entities.
p.001333: SEC. 1952. 17 ø300x–62¿ AVAILABILITY TO STATES OF GRANT PAYMENTS.
p.001333: Any amounts paid to a State for a fiscal year under section 1911 or 1921 shall be available for obligation
p.001333: and expenditure until the end of the fiscal year following the fiscal year for which the amounts were paid.
p.001333: SEC. 1953. ø300x–63¿ CONTINUATION OF CERTAIN PROGRAMS.
p.001333: (a) IN GENERAL.—Of the amount allotted to the State of Ha- waii under section 1911, and the amount
p.001333: allotted to such State under section 1921, an amount equal to the proportion of Native Hawaiians residing
p.001333: in the State to the total population of the State shall be available, respectively, for carrying out the
p.001333: program in- volved for Native Hawaiians.
p.001333: (b) EXPENDITURE OF AMOUNTS.—The amount made available under subsection (a) may be expended only through
p.001333: contracts en- tered into by the State of Hawaii with public and private nonprofit organizations to enable such
p.001333: organizations to plan, conduct, and administer comprehensive substance use disorder and treatment programs
p.001333: for the benefit of Native Hawaiians. In entering into con- tracts under this section, the State of Hawaii shall give
p.001333: preference to Native Hawaiian organizations and Native Hawaiian health cen- ters.
p.001333: (c) DEFINITIONS.—For the purposes of this subsection 18, the terms ‘‘Native Hawaiian’’, ‘‘Native Hawaiian
p.001333: organization’’, and ‘‘Native Hawaiian health center’’ have the meaning given such terms in section 2308 of
p.001333: subtitle D of title II of the Anti-Drug Abuse Act of 1988.
p.001333: SEC. 1954. ø300x–64¿ DEFINITIONS.
p.001333: (a) DEFINITIONS FOR SUBPART III.—For purposes of this sub- part:
p.001333: (1) The term ‘‘program involved’’ means the program of grants established in section 1911 or 1921, or
p.001333: both, as indi- cated by whether the State involved is receiving or is applying to receive a grant under section 1911
p.001333: or 1921, or both.
p.001333: (2)(A) The term ‘‘funding agreement’’, with respect to a grant under section 1911, has the meaning given such
p.001333: term in section 1919.
p.001333: (B) The term ‘‘funding agreement’’, with respect to a grant under section 1921, has the meaning given such term
p.001333: in sec- tion 1934.
p.001333: (b) DEFINITIONS FOR PART B.—For purposes of this part:
p.001333: (1) The term ‘‘Comptroller General’’ means the Comptroller General of the United States.
p.001333:
p.001333:
p.001333:
p.001333:
p.001333:
p.001333:
p.001333: January 30, 2020
p.001333: 17 Section 1952 appears according to the probable intent of the Congress. Section 3403(b) of Public Law
p.001333: 106–310 (114 Stat. 1220) provides that the section ‘‘is amended as follows:’’. No amendatory instructions
p.001333: were then given, but a substitute text was provided. The amendment probably should have instructed that
p.001333: section 1952 ‘‘is amended to read as follows:’’.
p.001333: 18 So in law. See section 203 of Public Law 102–321 (106 Stat. 409). Probably should be ‘‘sec- tion’’.
p.001333: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001333:
p.001333:
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p.001509: 1509
p.001509: PUBLIC HEALTH SERVICE ACT
p.001509: Sec. 2652
p.001509:
p.001509: (A) federally-qualified health centers under section 1905(l)(2)(B) of the Social Security Act;
p.001509: (B) grantees under section 1001 (regarding family planning) other than States;
p.001509: (C) comprehensive hemophilia diagnostic and treat- ment centers;
p.001509: (D) rural health clinics;
p.001509: (E) health facilities operated by or pursuant to a con- tract with the Indian Health Service;
p.001509: (F) community-based organizations, clinics, hospitals and other health facilities that provide early
p.001509: intervention services to those persons infected with HIV/AIDS through intravenous drug use; or
p.001509: (G) nonprofit private entities that provide comprehen- sive primary care services to populations at risk of
p.001509: HIV/ AIDS, including faith-based and community-based organi- zations.
p.001509: (2) UNDERSERVED POPULATIONS.—Entities described in paragraph (1) shall serve underserved populations
p.001509: which may include minority populations and Native American populations, ex-offenders, individuals with comorbidities
p.001509: including hepatitis B or C, mental illness, or substance abuse, low-income popu- lations, inner city
p.001509: populations, and rural populations. 13;
p.001509: (b) STATUS AS MEDICAID PROVIDER.—
p.001509: (1) IN GENERAL.—Subject to paragraph (2), the Secretary may not make a grant under section 2651 for the
p.001509: provision of services described in subsection (b) of such section in a State unless, in the case of any
p.001509: such service that is available pursu- ant to the State plan approved under title XIX of the Social Se- curity Act for
p.001509: the State—
p.001509: (A) the applicant for the grant will provide the service directly, and the applicant has entered into a participation
p.001509: agreement under the State plan and is qualified to receive payments under such plan; or
p.001509: (B) the applicant for the grant will enter into an agreement with a public or nonprofit private entity,
p.001509: or a private for-profit entity if such entity is the only available provider of quality HIV care in the area, under
p.001509: which the entity will provide the service, and the entity has entered into such a participation agreement and
p.001509: is qualified to re- ceive such payments.
p.001509: (2) WAIVER REGARDING CERTAIN SECONDARY AGREE- MENTS.—
p.001509: (A) In the case of an entity making an agreement pur- suant to paragraph (1)(B) regarding the provision of
...

p.001527: trans- mission of the disease, including measures for the preven- tion and treatment of opportunistic infections, and
p.001527: includ- ing (as applicable to the type of health professional in- volved), prenatal and other
p.001527: gynecological care for women with HIV/AIDS;
p.001527: (B) to train the faculty of schools of, and graduate de- partments or programs of, medicine, nursing, osteopathic
p.001527: medicine, dentistry, public health, allied health, and men- tal health practice to teach health professions
p.001527: students to provide for the health care needs of individuals with HIV/ AIDS;
p.001527: (C) to develop and disseminate curricula and resource materials relating to the care and treatment of individuals with
p.001527: such disease and the prevention of the disease among individuals who are at risk of contracting the disease; and
p.001527: (D) to develop protocols for the medical care of women with HIV/AIDS, including prenatal and other gynecological care
p.001527: for such women.
p.001527: (2) PREFERENCE IN MAKING GRANTS.—In making grants under paragraph (1), the Secretary shall give
p.001527: preference to qualified projects which will—
p.001527: (A) train, or result in the training of, health profes- sionals who will provide treatment for minority
p.001527: individuals and Native Americans with HIV/AIDS and other individ- uals who are at high risk of contracting such
p.001527: disease;
p.001527: (B) train, or result in the training of, minority health professionals and minority allied health
p.001527: professionals to provide treatment for individuals with such disease; and
p.001527: (C) train or result in the training of health profes- sionals and allied health professionals to provide
p.001527: treat- ment for hepatitis B or C co-infected individuals.
p.001527: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001527:
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p.001527: Sec. 2692 PUBLIC HEALTH SERVICE ACT 1528
p.001527:
p.001527: (3) APPLICATION.—No grant or contract may be made under paragraph (1) unless an application is
p.001527: submitted to the Secretary in such form, at such time, and containing such in- formation, as the Secretary
p.001527: may prescribe.
p.001527: (b) DENTAL SCHOOLS.—
p.001527: (1) IN GENERAL.—
p.001527: (A) GRANTS.—The Secretary may make grants to den- tal schools and programs described in subparagraph (B) to assist
p.001527: such schools and programs with respect to oral health care to patients with HIV/AIDS.
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p.001529: 1529
p.001529: PUBLIC HEALTH SERVICE ACT
p.001529: Sec. 2693
p.001529:
p.001529: 2011, $15,049,000 for fiscal year 2012, and $15,802,000 for fis- cal year 2013.
p.001529: Subpart III—Minority AIDS Initiative
p.001529:
p.001529:
p.001529:
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p.001529:
p.001529:
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p.001529: January 30, 2020
p.001529: SEC. 2693. ø300ff–121¿ MINORITY AIDS INITIATIVE.
p.001529: (a) IN GENERAL.—For the purpose of carrying out activities under this section to evaluate and address the
p.001529: disproportionate im- pact of HIV/AIDS on, and the disparities in access, treatment, care, and outcomes for, racial
p.001529: and ethnic minorities (including African Americans, Alaska Natives, Latinos, American Indians, Asian
p.001529: Americans, Native Hawaiians, and Pacific Islanders), there are au- thorized to be appropriated $131,200,000
p.001529: for fiscal year 2007,
p.001529: $135,100,000 for fiscal year 2008, $139,100,000 for fiscal year 2009,
p.001529: $146,055,000 for fiscal year 2010, $153,358,000 for fiscal year 2011,
p.001529: $161,026,000 for fiscal year 2012, and $169,077,000 for fiscal year 2013. The Secretary shall develop a
p.001529: formula for the awarding of grants under subsections (b)(1)(A) and (b)(1)(B) that ensures that funding is
p.001529: provided based on the distribution of populations dis- proportionately impacted by HIV/AIDS.
p.001529: (b) CERTAIN ACTIVITIES.—
p.001529: (1) IN GENERAL.—In carrying out the purpose described in subsection (a), the Secretary shall provide for—
p.001529: (A) emergency assistance under part A;
p.001529: (B) care grants under part B;
p.001529: (C) early intervention services under part C;
p.001529: (D) services through projects for HIV-related care under part D; and
p.001529: (E) activities through education and training centers under section 2692.
p.001529: (2) ALLOCATIONS AMONG ACTIVITIES.—Activities under paragraph (1) shall be carried out by the
p.001529: Secretary in accord- ance with the following:
p.001529: (A) For supplemental grants to improve HIV-related health outcomes to reduce existing racial and ethnic health
...

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p.001601: PUBLIC HEALTH SERVICE ACT
p.001601: Sec. 2744
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p.001601: January 30, 2020
p.001601: (i) a model act described in subsection (c)(1),
p.001601: (ii) a qualified high risk pool described in sub- section (c)(2), or
p.001601: (iii) a mechanism described in subsection (c)(3).
p.001601: (2) PERMISSIBLE FORMS OF MECHANISMS.—A private or public individual health insurance mechanism
p.001601: (such as a health insurance coverage pool or programs, mandatory group conversion policies, guaranteed
p.001601: issue of one or more plans of individual health insurance coverage, or open enrollment by one or more
p.001601: health insurance issuers), or combination of such mechanisms, that is designed to provide access to health bene-
p.001601: fits for individuals in the individual market in the State in ac- cordance with this section may constitute an
p.001601: acceptable alter- native mechanism.
p.001601: (b) APPLICATION OF ACCEPTABLE ALTERNATIVE MECHANISMS.—
p.001601: (1) PRESUMPTION.—
p.001601: (A) IN GENERAL.—Subject to the succeeding provisions of this subsection, a State is presumed to be implementing an
p.001601: acceptable alternative mechanism in accordance with this section as of July 1, 1997, if, by not later
p.001601: than April 1, 1997, the chief executive officer of a State—
p.001601: (i) notifies the Secretary that the State has en- acted or intends to enact (by not later than January
p.001601: 1, 1998, or July 1, 1998, in the case of a State de- scribed in subparagraph (B)(ii)) any necessary
p.001601: legisla- tion to provide for the implementation of a mechanism reasonably designed to be an acceptable
p.001601: alternative mechanism as of January 1, 1998, (or, in the case of a State described in subparagraph
p.001601: (B)(ii), July 1, 1998); and
p.001601: (ii) provides the Secretary with such information as the Secretary may require to review the mechanism and its
p.001601: implementation (or proposed implementation) under this subsection.
p.001601: (B) DELAY PERMITTED FOR CERTAIN STATES.—
p.001601: (i) EFFECT OF DELAY.—In the case of a State de- scribed in clause (ii) that provides notice under sub-
p.001601: paragraph (A)(i), for the presumption to continue on and after July 1, 1998, the chief executive officer
p.001601: of the State by April 1, 1998—
p.001601: (I) must notify the Secretary that the State has enacted any necessary legislation to provide for the
p.001601: implementation of a mechanism reason- ably designed to be an acceptable alternative mechanism as of
p.001601: July 1, 1998; and
p.001601: (II) must provide the Secretary with such in- formation as the Secretary may require to review the
p.001601: mechanism and its implementation (or pro- posed implementation) under this subsection.
p.001601: (ii) STATES DESCRIBED.—A State described in this clause is a State that has a legislature that does not
p.001601: meet within the 12-month period beginning on the date of enactment of this Act.
p.001601: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001601:
p.001601:
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p.001601:
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p.001601:
p.001601: Sec. 2744 PUBLIC HEALTH SERVICE ACT 1602
p.001601: (C) CONTINUED APPLICATION.—In order for a mecha- nism to continue to be presumed to be an acceptable alter-
p.001601: native mechanism, the State shall provide the Secretary every 3 years with information described in subparagraph
p.001601: (A)(ii) or (B)(i)(II) (as the case may be).
p.001601: (2) NOTICE.—If the Secretary finds, after review of infor- mation provided under paragraph (1) and in
p.001601: consultation with the chief executive officer of the State and the insurance com- missioner or chief insurance
p.001601: regulatory official of the State, that such a mechanism is not an acceptable alternative mecha- nism or is not
p.001601: (or no longer) being implemented, the Sec- retary—
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p.001601: January 30, 2020
p.001601: (A) shall notify the State of—
p.001601: (i) such preliminary determination, and
p.001601: (ii) the consequences under paragraph (3) of a fail- ure to implement such a mechanism; and
p.001601: (B) shall permit the State a reasonable opportunity in which to modify the mechanism (or to adopt another mech- anism)
p.001601: in a manner so that may be an acceptable alter- native mechanism or to provide for implementation of such a
p.001601: mechanism.
p.001601: (3) FINAL DETERMINATION.—If, after providing notice and opportunity under paragraph (2), the Secretary
p.001601: finds that the mechanism is not an acceptable alternative mechanism or the State is not implementing such
p.001601: a mechanism, the Secretary shall notify the State that the State is no longer considered to be implementing an
p.001601: acceptable alternative mechanism and that the requirements of section 2741 shall apply to health in- surance
p.001601: coverage offered in the individual market in the State, effective as of a date specified in the notice.
p.001601: (4) LIMITATION ON SECRETARIAL AUTHORITY.—The Sec- retary shall not make a determination under paragraph
p.001601: (2) or
p.001601: (3) on any basis other than the basis that a mechanism is not an acceptable alternative mechanism or is not
p.001601: being imple- mented.
p.001601: (5) FUTURE ADOPTION OF MECHANISMS.—If a State, after January 1, 1997, submits the notice and information
p.001601: described in paragraph (1), unless the Secretary makes a finding de- scribed in paragraph (3) within the
p.001601: 90-day period beginning on the date of submission of the notice and information, the mech- anism shall be
p.001601: considered to be an acceptable alternative mechanism for purposes of this section, effective 90 days after
p.001601: the end of such period, subject to the second sentence of para- graph (1).
p.001601: (c) PROVISION RELATED TO RISK.—
p.001601: (1) ADOPTION OF NAIC MODELS.—The model act referred to in subsection (a)(1)(D)(i) is the Small Employer and
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p.001275: functions of the Committee. Such com- pensation may not be in an amount in excess of the daily
p.001275: equivalent of the annual maximum rate of basic pay payable under the General Schedule (under title 5, United
p.001275: States Code) for positions above GS–15.
p.001275: (d) CERTAIN REQUIREMENTS REGARDING DUTIES.—
p.001275: (1) RECOMMENDATIONS REGARDING LANGUAGE.—
p.001275: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001275:
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p.001275:
p.001275: Sec. 1707 PUBLIC HEALTH SERVICE ACT 1276
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p.001275: January 30, 2020
p.001275:
p.001275: (A) PROFICIENCY IN SPEAKING ENGLISH.—The Deputy Assistant Secretary shall consult with the Director of
p.001275: the Office of International and Refugee Health, the Director of the Office of Civil Rights, and the Directors of other
p.001275: appro- priate departmental entities regarding recommendations for carrying out activities under subsection (b)(9).
p.001275: (B) HEALTH PROFESSIONS EDUCATION REGARDING HEALTH DISPARITIES.—The Deputy Assistant Secretary
p.001275: shall carry out the duties under subsection (b)(10) in col- laboration with appropriate personnel of the
p.001275: Department of Health and Human Services, other Federal agencies, and other offices, centers, and institutions,
p.001275: as appropriate, that have responsibilities under the Minority Health and Health Disparities Research and
p.001275: Education Act of 2000.
p.001275: (2) EQUITABLE ALLOCATION REGARDING ACTIVITIES.—In car- rying out subsection (b), the Secretary shall ensure
p.001275: that serv- ices provided under such subsection are equitably allocated among all groups served under this
p.001275: section by the Secretary.
p.001275: (3) CULTURAL COMPETENCY OF SERVICES.—The Secretary shall ensure that information and services provided
p.001275: pursuant to subsection (b) are provided in the language, educational, and cultural context that is most appropriate for
p.001275: the individuals for whom the information and services are intended.
p.001275: (e) GRANTS AND CONTRACTS REGARDING DUTIES.—
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p.000017: the device is immune from such liability, if the harm was not due to the fail- ure of such acquirer of the device—
p.000017: (1) to notify local emergency response personnel or other appropriate entities of the most recent placement of
p.000017: the device within a reasonable period of time after the device was placed;
p.000017: (2) to properly maintain and test the device; or
p.000017: (3) to provide appropriate training in the use of the device to an employee or agent of the acquirer when the employee
p.000017: or agent was the person who used the device on the victim, except that such requirement of training does not apply if—
p.000017: (A) the employee or agent was not an employee or agent who would have been reasonably expected to use the
p.000017: device; or
p.000017: (B) the period of time elapsing between the engage- ment of the person as an employee or agent and the occur-
p.000017: rence of the harm (or between the acquisition of the device and the occurrence of the harm, in any case in
p.000017: which the device was acquired after such engagement of the person) was not a reasonably sufficient period in
p.000017: which to provide the training.
p.000017: (b) INAPPLICABILITY OF IMMUNITY.—Immunity under subsection
p.000017: (a) does not apply to a person if—
p.000017: (1) the harm involved was caused by willful or criminal misconduct, gross negligence, reckless misconduct,
p.000017: or a con- scious, flagrant indifference to the rights or safety of the victim who was harmed;
p.000017: (2) the person is a licensed or certified health professional who used the automated external defibrillator device
p.000017: while act- ing within the scope of the license or certification of the profes-
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
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p.000017:
p.000017: Sec. 248 PUBLIC HEALTH SERVICE ACT 58
p.000017:
p.000017: sional and within the scope of the employment or agency of the professional;
p.000017: (3) the person is a hospital, clinic, or other entity whose purpose is providing health care directly
p.000017: to patients, and the harm was caused by an employee or agent of the entity who used the device while
p.000017: acting within the scope of the employ- ment or agency of the employee or agent; or
p.000017: (4) the person is an acquirer of the device who leased the device to a health care entity (or who
p.000017: otherwise provided the device to such entity for compensation without selling the de- vice to the
p.000017: entity), and the harm was caused by an employee or agent of the entity who used the device while acting within
p.000017: the scope of the employment or agency of the employee or agent.
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p.000221: Sec. 319F–3 PUBLIC HEALTH SERVICE ACT 222
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p.000221: January 30, 2020
p.000221:
p.000221: metic Act, such act or omission shall not constitute ‘‘willful misconduct’’ for purposes of subsection (d) if—
p.000221: (i) neither the Secretary nor the Attorney General has initiated an enforcement action with respect to such act
p.000221: or omission; or
p.000221: (ii) such an enforcement action has been initiated and the action has been terminated or finally resolved without a
p.000221: covered remedy.
p.000221: Any action or proceeding under subsection (d) shall be stayed during the pendency of such an enforcement
p.000221: action.
p.000221: (B) DEFINITIONS.—For purposes of this paragraph, the following terms have the following meanings:
p.000221: (i) ENFORCEMENT ACTION.—The term ‘‘enforcement action’’ means a criminal prosecution, an action seek- ing an
p.000221: injunction, a seizure action, a civil monetary proceeding based on willful misconduct, a mandatory recall
p.000221: of a product because voluntary recall was re- fused, a proceeding to compel repair or replacement of a product,
p.000221: a termination of an exemption under sec- tion 505(i) or 520(g) of the Federal Food, Drug, and Cosmetic
p.000221: Act, a debarment proceeding, an investigator disqualification proceeding where an investigator is an employee or
p.000221: agent of the manufacturer, a revocation, based on willful misconduct, of an authorization under section 564 of
p.000221: such Act, or a suspension or withdrawal, based on willful misconduct, of an approval or clear- ance under
p.000221: chapter V of such Act or of a licensure under section 351 of this Act.
p.000221: (ii) COVERED REMEDY.—The term ‘‘covered rem- edy’’ means an outcome—
p.000221: (I) that is a criminal conviction, an injunction, or a condemnation, a civil monetary payment, a product
p.000221: recall, a repair or replacement of a prod- uct, a termination of an exemption under section 505(i) or
p.000221: 520(g) of the Federal Food, Drug, and Cosmetic Act, a debarment, an investigator dis- qualification, a
p.000221: revocation of an authorization under section 564 of such Act, or a suspension or withdrawal of an
p.000221: approval or clearance under chapter 5 of such Act or of a licensure under sec- tion 351 of this Act;
p.000221: and
p.000221: (II) that results from a final determination by a court or from a final agency action.
p.000221: (iii) FINAL.—The terms ‘‘final’’ and ‘‘finally’’—
p.000221: (I) with respect to a court determination, or to a final resolution of an enforcement action that is a court
p.000221: determination, mean a judgment from which an appeal of right cannot be taken or a vol- untary or stipulated
p.000221: dismissal; and
p.000221: (II) with respect to an agency action, or to a final resolution of an enforcement action that is an
p.000221: agency action, mean an order that is not sub- ject to further review within the agency and that has not
p.000221: been reversed, vacated, enjoined, or other-
p.000221: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000223: 223
p.000223: PUBLIC HEALTH SERVICE ACT
p.000223: Sec. 319F–3
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p.000223: January 30, 2020
p.000223: (C) facts supporting the allegation that the person on whose behalf the complaint was filed suffered death or
p.000223: se- rious physical injury.
p.000223: (4) VERIFICATION, CERTIFICATION, AND MEDICAL RECORDS.—
p.000223: (A) IN GENERAL.—In an action under subsection (d), the plaintiff shall verify the complaint in the manner stat-
p.000223: ed in subparagraph (B) and shall file with the complaint the materials described in subparagraph (C). A
p.000223: complaint that does not substantially comply with subparagraphs (B) and (C) shall not be accepted for filing
p.000223: and shall not stop the running of the statute of limitations.
p.000223: (B) VERIFICATION REQUIREMENT.—
p.000223: (i) IN GENERAL.—The complaint shall include a verification, made by affidavit of the plaintiff under oath,
p.000223: stating that the pleading is true to the knowl- edge of the deponent, except as to matters specifically
p.000223: identified as being alleged on information and belief, and that as to those matters the plaintiff believes it to
p.000223: be true.
p.000223: (ii) IDENTIFICATION OF MATTERS ALLEGED UPON IN- FORMATION AND BELIEF.—Any matter that is not spe- cifically
p.000223: identified as being alleged upon the informa- tion and belief of the plaintiff, shall be regarded for all
p.000223: purposes, including a criminal prosecution, as having been made upon the knowledge of the plaintiff.
p.000223: (C) MATERIALS REQUIRED.—In an action under sub- section (d), the plaintiff shall file with the complaint—
p.000223: (i) an affidavit, by a physician who did not treat the person on whose behalf the complaint was filed,
p.000223: certifying, and explaining the basis for such physi- cian’s belief, that such person suffered the serious
p.000223: physical injury or death alleged in the complaint and that such injury or death was proximately caused
p.000223: by the administration or use of a covered counter- measure; and
p.000223: (ii) certified medical records documenting such in- jury or death and such proximate causal connection.
p.000223: (5) THREE-JUDGE COURT.—Any action under subsection (d) shall be assigned initially to a panel of three judges.
p.000223: Such panel shall have jurisdiction over such action for purposes of considering motions to dismiss,
p.000223: motions for summary judg- ment, and matters related thereto. If such panel has denied such motions, or if
p.000223: the time for filing such motions has expired, such panel shall refer the action to the chief judge for
p.000223: assign- ment for further proceedings, including any trial. Section 1253 of title 28, United States Code, and paragraph
p.000223: (3) of subsection
p.000223: (b) of section 2284 of title 28, United States Code, shall not apply to actions under subsection (d).
p.000223: (6) CIVIL DISCOVERY.—
p.000223: (A) TIMING.—In an action under subsection (d), no dis- covery shall be allowed—
p.000223: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000223:
p.000223:
p.000223:
p.000223:
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p.000223:
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p.000401: health, or to animal or plant products. Such program has requirements and authorities similar to those established in
p.000401: section 351A above. See subtitle B of title II of Public Law 107–188 (section 211 et seq.; 116 Stat. 647).
p.000401: Subtitle C of such title (section 221 et seq.; 116 Stat. 657) relates to interagency coordination of the two
p.000401: programs.
p.000401: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000401:
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p.000403: PUBLIC HEALTH SERVICE ACT
p.000403: Sec. 351A
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p.000403: (B) proper laboratory facilities to contain and dispose of such agents and toxins;
p.000403: (2) the establishment and enforcement of safeguard and security measures to prevent access to such agents and
p.000403: toxins for use in domestic or international terrorism or for any other criminal purpose;
p.000403: (3) the establishment of procedures to protect the public safety in the event of a transfer or
p.000403: potential transfer of such an agent or toxin in violation of the safety procedures estab- lished under
p.000403: paragraph (1) or the safeguard and security meas- ures established under paragraph (2); and
p.000403: (4) appropriate availability of biological agents and toxins for research, education, and other legitimate
p.000403: purposes.
p.000403: (c) POSSESSION AND USE OF LISTED AGENTS AND TOXINS.—The Secretary shall by regulation provide for the
p.000403: establishment and en- forcement of standards and procedures governing the possession and use of listed
p.000403: agents and toxins, including the provisions de- scribed in paragraphs (1) through (4) of subsection (b),
p.000403: in order to protect the public health and safety.
p.000403: (d) REGISTRATION; IDENTIFICATION; DATABASE.—
p.000403: (1) REGISTRATION.—Regulations under subsections (b) and
p.000403: (c) shall require registration with the Secretary of the posses- sion, use, and transfer of listed agents and
p.000403: toxins, and shall in- clude provisions to ensure that persons seeking to register under such regulations
p.000403: have a lawful purpose to possess, use, or transfer such agents and toxins, including provisions in ac-
p.000403: cordance with subsection (e)(6).
p.000403: (2) IDENTIFICATION; DATABASE.—Regulations under sub- sections (b) and (c) shall require that
p.000403: registration include (if available to the person registering) information regarding the characterization of
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p.000405: January 30, 2020
p.000405: If the individual is denied such access, the Secretary shall promptly notify the individual of the denial.
p.000405: (5) EXPEDITED REVIEW.—Regulations under subsections (b) and (c) shall provide for a procedure through which,
p.000405: upon re- quest to the Secretary by a registered person who submits names and other identifying
p.000405: information under paragraph (2)(B) and who demonstrates good cause, the Secretary may, as determined appropriate by
p.000405: the Secretary—
p.000405: (A) request the Attorney General to expedite the proc- ess of identification under paragraph (3)(A) and
p.000405: notifica- tion of the Secretary under paragraph (3)(C); and
p.000405: (B) expedite the notification of the registered person by the Secretary under paragraph (4).
p.000405: (6) PROCESS REGARDING PERSONS SEEKING TO REGISTER.—
p.000405: (A) INDIVIDUALS.—Regulations under subsections (b) and (c) shall provide that an individual who seeks to
p.000405: reg- ister under either of such subsections is subject to the same processes described in paragraphs (2)
p.000405: through (4) as apply to names and other identifying information sub- mitted to the Attorney General under
p.000405: paragraph (2)(B). Paragraph (5) does not apply for purposes of this subpara- graph.
p.000405: (B) OTHER PERSONS.—Regulations under subsections
p.000405: (b) and (c) shall provide that, in determining whether to deny or revoke registration by a person other than
p.000405: an indi- vidual, the Secretary shall submit the name of such person to the Attorney General, who shall use criminal,
p.000405: immigra- tion, national security, and other electronic databases available to the Federal Government,
p.000405: as appropriate for the purpose of promptly notifying the Secretary whether the person, or, where relevant, the
p.000405: individual who owns or controls such person, is a restricted person or is reasonably suspected by any Federal law
p.000405: enforcement or intelligence agency of being within any category specified in paragraph (3)(B)(ii) (as applied
p.000405: to persons, including individuals). Such regulations shall provide that a person who seeks to register under
p.000405: either of such subsections is subject to the same processes described in paragraphs (2) and (4) as apply
p.000405: to names and other identifying information sub- mitted to the Attorney General under paragraph (2)(B).
p.000405: Paragraph (5) does not apply for purposes of this subpara- graph. The Secretary may exempt Federal, State, or
p.000405: local governmental agencies from the requirements of this sub- paragraph.
p.000405: (7) REVIEW.—
p.000405: (A) ADMINISTRATIVE REVIEW.—
p.000405: (i) IN GENERAL.—Regulations under subsections
p.000405: (b) and (c) shall provide for an opportunity for a re- view by the Secretary—
p.000405: (I) when requested by the individual involved, of a determination under paragraph (2) to deny the individual
p.000405: access to listed agents and toxins; and
p.000405: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000409: facility of the reg- istered person. Upon receipt of such notification and a finding by the Secretary
p.000409: that the release poses a threat to public health or safety, the Secretary shall take appropriate action
p.000409: to notify rel- evant State and local public health authorities, other relevant Fed- eral authorities, and, if
p.000409: necessary, other appropriate persons (in- cluding the public). If the released listed agent or toxin is an over-
p.000409: lap agent or toxin (as defined in subsection (l)), the Secretary shall promptly notify the Secretary of
p.000409: Agriculture upon notification by the registered person.
p.000409: (k) REPORTS.—
p.000409: (1) IN GENERAL.—The Secretary shall report to the Con- gress annually on the number and nature of
p.000409: notifications re- ceived under subsection (e)(8) (relating to theft or loss) and subsection (j) (relating to
p.000409: releases).
p.000409: (2) IMPLEMENTATION OF RECOMMENDATIONS OF THE FED- ERAL EXPERTS SECURITY ADVISORY PANEL AND THE FAST
p.000409: TRACK ACTION COMMITTEE ON SELECT AGENT REGULATIONS.—
p.000409: (A) IN GENERAL.—Not later than 1 year after the date of the enactment of the Pandemic and All-Hazards Pre-
p.000409: paredness and Advancing Innovation Act of 2019, the Sec- retary shall report to the congressional committees of
p.000409: ju- risdiction on the implementation of recommendations of the Federal Experts Security Advisory Panel
p.000409: concerning the select agent program.
p.000409:
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p.000409: January 30, 2020
p.000409: 61 Section 175b of title 18, United States Code, establishes criminal penalties relating to bio- logical
p.000409: agents or toxins that are listed as select agents in Appendix A of part 72 of title 42, Code of
p.000409: Federal Regulations, pursuant to section 351A above, and are not exempted under sub- section (h) of section 72.6,
p.000409: or Appendix A of part 72, of title 42, Code of Federal Regulations.
p.000409: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000411: PUBLIC HEALTH SERVICE ACT
p.000411: Sec. 353
p.000411:
p.000411: (B) CONTINUED UPDATES.—The Secretary shall report to the congressional committees of jurisdiction
p.000411: annually following the submission of the report under subparagraph
p.000411: (A) until the recommendations described in such subpara- graph are fully implemented, or a justification is
p.000411: provided for the delay in, or lack of, implementation.
p.000411: (l) DEFINITIONS.—For purposes of this section:
p.000411: (1) The terms ‘‘biological agent’’ and ‘‘toxin’’ have the meanings given such terms in section
p.000411: 178 of title 18, United States Code.
p.000411: (2) The term ‘‘listed agents and toxins’’ means biological agents and toxins listed pursuant to subsection
p.000411: (a)(1).
p.000411: (3) The term ‘‘listed agents or toxins’’ means biological agents or toxins listed pursuant to subsection
p.000411: (a)(1).
p.000411: (4) The term ‘‘overlap agents and toxins’’ means biological agents and toxins that—
p.000411: (A) are listed pursuant to subsection (a)(1); and
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p.000499: substance abuser;
p.000499: (C) to identify such children and such families through youth service agencies, family social services, child
p.000499: care
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p.000501: PUBLIC HEALTH SERVICE ACT
p.000501: Sec. 399A
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p.000501: providers, Head Start, schools and after-school programs, early childhood development programs,
p.000501: community-based family resource and support centers, the criminal justice system, health, substance abuse
p.000501: and mental health pro- viders through screenings conducted during regular child- hood examinations and other
p.000501: examinations, self and family member referrals, substance abuse treatment services, and other providers of
p.000501: services to children and families; and
p.000501: (D) to provide education and training to health, sub- stance abuse and mental health professionals, and
p.000501: other providers of services to children and families through youth service agencies, family social services, child
p.000501: care, Head Start, schools and after-school programs, early childhood development programs, community-based
p.000501: family resource and support centers, the criminal justice system, and other providers of services to children and
p.000501: families.
p.000501: (2) ADMINISTRATIVE CONSULTATIONS.—The Administrator of the Administration for Children, Youth, and Families
p.000501: and the Administrator of the Health Resources and Services Admin- istration shall be consulted regarding the
p.000501: promulgation of pro- gram guidelines and funding priorities under this section.
p.000501: (3) REQUIREMENT OF STATUS AS MEDICAID PROVIDER.—
p.000501: (A) Subject to subparagraph (B), the Secretary may make a grant under paragraph (1) only if, in the
p.000501: case of any service under such paragraph that is covered in the State plan approved under title XIX of
p.000501: the Social Security Act for the State involved—
p.000501: (i)(I) the entity involved will provide the service di- rectly, and the entity has entered into a participation
p.000501: agreement under the State plan and is qualified to re- ceive payments under such plan; or
p.000501: (II) the entity will enter into an agreement with an organization under which the organization will provide the
p.000501: service, and the organization has entered into such a participation agreement and is qualified to receive such
p.000501: payments; and
p.000501: (ii) the entity will identify children who may be eli- gible for medical assistance under a State program under
p.000501: title XIX or XXI of the Social Security Act.
p.000501: (B)(i) In the case of an organization making an agree- ment under subparagraph (A)(ii) regarding the provision
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p.000503: (G) Aftercare services, including continued support through parent groups and home visits.
p.000503: (d) TRAINING FOR PROVIDERS OF SERVICES TO CHILDREN AND
p.000503: FAMILIES.—The Secretary may make a grant under subsection (a)
p.000503: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000503: Sec. 399A PUBLIC HEALTH SERVICE ACT 504
p.000503:
p.000503: for the training of health, substance abuse and mental health pro- fessionals and other providers of
p.000503: services to children and families through youth service agencies, family social services, child care
p.000503: providers, Head Start, schools and after-school programs, early childhood development programs, community-based
p.000503: family resource centers, the criminal justice system, and other providers of services to children and
p.000503: families. Such training shall be to assist profes- sionals in recognizing the drug and alcohol problems of their
p.000503: clients and to enhance their skills in identifying and understanding the na- ture of substance abuse, and obtaining
p.000503: substance abuse early inter- vention, prevention and treatment resources.
p.000503: (e) ELIGIBLE ENTITIES.—The Secretary shall distribute the grants through the following types of entities:
p.000503: (1) Alcohol and drug early intervention, prevention or treat- ment programs, especially those providing treatment
p.000503: to preg- nant women and mothers and their children.
p.000503: (2) Public or nonprofit private entities that provide health or social services to disadvantaged
p.000503: populations, and that have—
p.000503: (A) expertise in applying the services to the particular problems of substance abusers and the children
p.000503: of sub- stance abusers; or
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p.000521: coun- selors and other service providers in all phases of child- hood development, and other relevant
p.000521: service providers, concerning the prevention, identification, and provision of services for children,
p.000521: adolescents and adults with Fetal Al- cohol Syndrome and Fetal Alcohol Effect;
p.000521: (B) strategies to educate school-age children, including pregnant and high risk youth, concerning Fetal Alcohol
p.000521: Syndrome and Fetal Alcohol Effect;
p.000521: (C) public and community awareness programs con- cerning Fetal Alcohol Syndrome and Fetal Alcohol Effect;
p.000521: and
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p.000521: (D) strategies to coordinate information and services across affected community agencies, including
p.000521: agencies providing social services such as foster care, adoption, and social work, medical and mental health services,
p.000521: and agen- cies involved in education, vocational training and civil and criminal justice;
p.000521: (2) a prevention and diagnosis program to support clinical studies, demonstrations and other research as appropriate
p.000521: to—
p.000521: (A) develop appropriate medical diagnostic methods for identifying Fetal Alcohol Syndrome and Fetal Alcohol Ef-
p.000521: fect; and
p.000521: (B) develop effective prevention services and interven- tions for pregnant, alcohol-dependent women; and
p.000521: (3) an applied research program concerning intervention and prevention to support and conduct service
p.000521: demonstration projects, clinical studies and other research models providing advocacy, educational and
p.000521: vocational training, counseling, med- ical and mental health, and other supportive services, as well as models
p.000521: that integrate and coordinate such services, that are aimed at the unique challenges facing individuals with
p.000521: Fetal Alcohol Syndrome or Fetal Alcohol Effect and their families.
p.000521: (b) GRANTS AND TECHNICAL ASSISTANCE.—The Secretary may award grants, cooperative agreements and contracts
p.000521: and provide
p.000521: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000523: PUBLIC HEALTH SERVICE ACT
p.000523: Sec. 399H
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p.000585: participating in their community.
p.000585: (b) REPORT ON THE HEALTH AND WELL-BEING OF INDIVIDUALS WITH AUTISM SPECTRUM DISORDER ACROSS THEIR
p.000585: LIFESPAN.—
p.000585: (1) IN GENERAL.—Not later than 2 years after the date of enactment of the Autism CARES Act of 2019,
p.000585: the Secretary shall prepare and submit, to the Committee on Health, Edu- cation, Labor, and Pensions of
p.000585: the Senate and the Committee on Energy and Commerce of the House of Representatives, a report concerning
p.000585: the health and well-being of individuals with autism spectrum disorder.
p.000585: (2) CONTENTS.—The report submitted under paragraph (1) shall contain—
p.000585: (A) demographic factors associated with the health and well-being of individuals with autism spectrum dis-
p.000585: order;
p.000585: (B) an overview of policies and programs relevant to the health and well-being of individuals with autism spec-
p.000585: trum disorder, including an identification of existing Fed- eral laws, regulations, policies, research, and
p.000585: programs;
p.000585: (C) recommendations on establishing best practices guidelines to ensure interdisciplinary coordination between all
p.000585: relevant service providers receiving Federal funding;
p.000585: (D) comprehensive approaches to improving health outcomes and well-being for individuals with autism spec-
p.000585: trum disorder, including—
p.000585: (i) community-based behavioral supports and interventions;
p.000585: (ii) nutrition, recreational, and social activities;
p.000585: and
p.000585: (iii) personal safety services related to public safe-
p.000585:
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p.000585: ty agencies or the criminal justice system for such in- dividuals; and
p.000585: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000587: PUBLIC HEALTH SERVICE ACT
p.000587: Sec. 399HH
p.000587:
p.000587: (E) recommendations that seek to improve health out- comes for such individuals, including across their lifespan, by
p.000587: addressing—
p.000587: (i) screening and diagnosis of children and adults;
p.000587: (ii) behavioral and other therapeutic approaches;
p.000587: (iii) primary and preventative care;
p.000587: (iv) communication challenges;
p.000587: (v) aggression, self-injury, elopement, and other behavioral issues;
p.000587: (vi) emergency room visits and acute care hos- pitalization;
p.000587: (vii) treatment for co-occurring physical and men- tal health conditions;
p.000587: (viii) premature mortality;
p.000587: (ix) medical practitioner training; and
p.000587: (x) caregiver mental health.
p.000587: SEC. 399EE. ø280i–4¿ AUTHORIZATION OF APPROPRIATIONS.
p.000587: (a) DEVELOPMENTAL DISABILITIES SURVEILLANCE AND RE- SEARCH PROGRAM.—To carry out section 399AA, there is
p.000587: authorized to be appropriated $23,100,000 for each of fiscal years 2020 through 2024.
p.000587: (b) AUTISM EDUCATION, EARLY DETECTION, AND INTERVEN- TION.—To carry out section 399BB, there is authorized
...

p.000813: be unlawful for any person to solicit or knowingly acquire, receive, or accept a do- nation of human
p.000813: fetal tissue for the purpose of transplantation of such tissue into another person if the donation
p.000813: affects interstate commerce, the tissue will be or is obtained pursuant to an induced abortion, and—
p.000813: (1) the donation will be or is made pursuant to a promise to the donating individual that the donated
p.000813: tissue will be transplanted into a recipient specified by such individual;
p.000813: (2) the donated tissue will be transplanted into a relative of the donating individual; or
p.000813: (3) the person who solicits or knowingly acquires, receives, or accepts the donation has provided valuable
p.000813: consideration for the costs associated with such abortion.
p.000813: (c) SOLICITATION OR ACCEPTANCE OF TISSUE FROM FETUSES GESTATED FOR RESEARCH PURPOSES.—It shall be
p.000813: unlawful for any person or entity involved or engaged in interstate commerce to—
p.000813: (1) solicit or knowingly acquire, receive, or accept a dona- tion of human fetal tissue knowing that a
p.000813: human pregnancy was deliberately initiated to provide such tissue; or
p.000813: (2) knowingly acquire, receive, or accept tissue or cells ob- tained from a human embryo or fetus that was gestated in
p.000813: the uterus of a nonhuman animal.
p.000813: (d) CRIMINAL PENALTIES FOR VIOLATIONS.—
p.000813: (1) IN GENERAL.—Any person who violates subsection (a), (b), or (c) shall be fined in accordance with
p.000813: title 18, United States Code, subject to paragraph (2), or imprisoned for not more than 10 years, or both.
p.000813: (2) PENALTIES APPLICABLE TO PERSONS RECEIVING CONSID- ERATION.—With respect to the imposition of a fine under
p.000813: para- graph (1), if the person involved violates subsection (a) or (b)(3), a fine shall be imposed in an
p.000813: amount not less than twice the amount of the valuable consideration received.
p.000813: (e) DEFINITIONS.—For purposes of this section:
p.000813: (1) The term ‘‘human fetal tissue’’ has the meaning given such term in section 498A(g).
p.000813: (2) The term ‘‘interstate commerce’’ has the meaning given such term in section 201(b) of the Federal Food,
p.000813: Drug, and Cosmetic Act.
p.000813: (3) The term ‘‘valuable consideration’’ does not include rea- sonable payments associated with the transportation,
p.000813: implan- tation, processing, preservation, quality control, or storage of human fetal tissue.
p.000813: SEC. 498C. ø289g–3¿ BREAST IMPLANT RESEARCH.
p.000813: (a) IN GENERAL.—The Director of NIH may conduct or support research to examine the long-term health implications
p.000813: of silicone
p.000813: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000815: PUBLIC HEALTH SERVICE ACT
p.000815: Sec. 498D
p.000815:
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p.000827: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000827: Sec. 501 PUBLIC HEALTH SERVICE ACT 828
p.000827: (21) collaborate with the heads of relevant Federal agen- cies and departments, States, communities, and
p.000827: nongovern- mental experts to improve mental and substance use disorders services for chronically homeless
p.000827: individuals, including by de- signing strategies to provide such services in supportive hous- ing;
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p.000827: January 30, 2020
p.000827: (22) work with States and other stakeholders to develop and support activities to recruit and retain a
p.000827: workforce ad- dressing mental and substance use disorders;
p.000827: (23) collaborate with the Attorney General and representa- tives of the criminal justice system to improve mental and
p.000827: sub- stance use disorders services for individuals who have been ar- rested or incarcerated;
p.000827: (24) after providing an opportunity for public input, set standards for grant programs under this title
p.000827: for mental and substance use disorders services and prevention programs, which standards may address—
p.000827: (A) the capacity of the grantee to implement the award;
p.000827: (B) requirements for the description of the program implementation approach;
p.000827: (C) the extent to which the grant plan submitted by the grantee as part of its application must explain how
p.000827: the grantee will reach the population of focus and provide a statement of need, which may include information
p.000827: on how the grantee will increase access to services and a descrip- tion of measurable objectives for improving
p.000827: outcomes;
p.000827: (D) the extent to which the grantee must collect and report on required performance measures; and
p.000827: (E) the extent to which the grantee is proposing to use evidence-based practices; and
p.000827: (25) advance, through existing programs, the use of per- formance metrics, including those based on the
p.000827: recommenda- tions on performance metrics from the Assistant Secretary for Planning and Evaluation under section
p.000827: 6021(d) of the Helping Families in Mental Health Crisis Reform Act of 2016.
p.000827: (e) ASSOCIATE ADMINISTRATOR FOR ALCOHOL PREVENTION AND
p.000827: TREATMENT POLICY.—
...

p.000891: and
p.000891: (3) individuals receiving regular followup care following a
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p.000891: January 30, 2020
p.000891: crisis.
p.000891: (e) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section, $12,500,000
p.000891: for the pe- riod of fiscal years 2018 through 2022.
p.000891: SEC. 520G. ø290bb–38¿ GRANTS FOR JAIL DIVERSION PROGRAMS.
p.000891: (a) PROGRAM AUTHORIZED.—The Secretary shall make up to
p.000891: 125 grants to States, political subdivisions of States, and Indian tribes and tribal organizations (as
p.000891: the terms ‘‘Indian tribes’’ and ‘‘tribal organizations’’ are defined in section 4 of the Indian Self-De-
p.000891: termination and Education Assistance Act), acting directly or through agreements with other public
p.000891: or nonprofit entities, or a health facility or program operated by or in accordance with a con- tract or grant
p.000891: with the Indian Health Service, to develop and im- plement programs to divert individuals with a mental illness
p.000891: from the criminal justice system to community-based services.
p.000891: (b) ADMINISTRATION.—
p.000891: (1) CONSULTATION.—The Secretary shall consult with the Attorney General and any other appropriate officials
p.000891: in car- rying out this section.
p.000891: (2) REGULATORY AUTHORITY.—The Secretary shall issue regulations and guidelines necessary to carry out this
p.000891: section, including methodologies and outcome measures for evaluating programs carried out by States, political
p.000891: subdivisions of States, Indian tribes, and tribal organizations receiving grants under subsection (a).
p.000891: (c) APPLICATIONS.—
p.000891: (1) IN GENERAL.—To receive a grant under subsection (a), the chief executive of a State, chief executive
p.000891: of a subdivision of a State, Indian tribe or tribal organization shall prepare and submit an application to the
p.000891: Secretary at such time, in such manner, and containing such information as the Secretary shall reasonably
p.000891: require.
p.000891: (2) CONTENT.—Such application shall—
p.000891: (A) contain an assurance that—
p.000891: (i) community-based mental health services will be available for the individuals who are diverted from the
p.000891: criminal justice system, and that such services are based on evidence-based practices, reflect current re- search
p.000891: findings, include case management, assertive community treatment, medication management and access,
p.000891: integrated mental health and co-occurring sub- stance use disorder treatment, and psychiatric reha- bilitation,
p.000891: and will be coordinated with social services, including life skills training, housing placement, voca- tional
p.000891: training, education job placement, and health care;
p.000891: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000891:
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p.000891: Sec. 520G PUBLIC HEALTH SERVICE ACT 892
p.000891:
p.000891: (ii) there has been relevant interagency collabora- tion between the appropriate criminal justice, mental health,
p.000891: and substance use disorder systems; and
p.000891: (iii) the Federal support provided will be used to supplement, and not supplant, State, local,
p.000891: Indian tribe, or tribal organization sources of funding that would otherwise be available;
p.000891: (B) demonstrate that the diversion program will be in- tegrated with an existing system of care for those with
p.000891: mental illness;
p.000891: (C) explain the applicant’s inability to fund the pro- gram adequately without Federal assistance;
p.000891: (D) specify plans for obtaining necessary support and continuing the proposed program following the
p.000891: conclusion of Federal support; and
p.000891: (E) describe methodology and outcome measures that will be used in evaluating the program.
p.000891: (d) SPECIAL CONSIDERATION REGARDING VETERANS.—In award- ing grants under subsection (a), the Secretary shall, as
p.000891: appropriate, give special consideration to entities proposing to use grant funding to support jail diversion services
p.000891: for veterans.
p.000891: (e) USE OF FUNDS.—A State, political subdivision of a State, Indian tribe, or tribal organization that
p.000891: receives a grant under sub- section (a) may use funds received under such grant to—
p.000891: (1) integrate the diversion program into the existing sys- tem of care;
...

p.000893: (j) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section
p.000893: $4,269,000 for each of fiscal years 2018 through 2022.
p.000893: øSection 520H was repealed by section 9017 of Public Law 114–255.¿
p.000893: SEC. 520I. ø290bb–40¿ GRANTS FOR THE INTEGRATED TREATMENT OF SERIOUS MENTAL ILLNESS AND CO-OCCURRING
p.000893: SUB- STANCE ABUSE.
p.000893: (a) IN GENERAL.—The Secretary shall award grants, contracts, or cooperative agreements to States, political
p.000893: subdivisions of States, Indian tribes, tribal organizations, and private nonprofit or- ganizations for the
p.000893: development or expansion of programs to pro- vide integrated treatment services for individuals with a
p.000893: serious mental illness and a co-occurring substance abuse disorder.
p.000893: (b) PRIORITY.—In awarding grants, contracts, and cooperative agreements under subsection (a), the Secretary
p.000893: shall give priority to applicants that emphasize the provision of services for individ- uals with a
p.000893: serious mental illness and a co-occurring substance abuse disorder who—
p.000893: (1) have a history of interactions with law enforcement or the criminal justice system;
p.000893: (2) have recently been released from incarceration;
p.000893: (3) have a history of unsuccessful treatment in either an inpatient or outpatient setting;
p.000893: (4) have never followed through with outpatient services despite repeated referrals; or
p.000893: (5) are homeless.
p.000893: (c) USE OF FUNDS.—A State, political subdivision of a State, In- dian tribe, tribal organization, or private
p.000893: nonprofit organization that receives a grant, contract, or cooperative agreement under subsection (a) shall
p.000893: use funds received under such grant—
p.000893: (1) to provide fully integrated services rather than serial or parallel services;
p.000893: (2) to employ staff that are cross-trained in the diagnosis and treatment of both serious mental illness
p.000893: and substance abuse;
p.000893: (3) to provide integrated mental health and substance abuse services at the same location;
p.000893: (4) to provide services that are linguistically appropriate and culturally competent;
p.000893: (5) to provide at least 10 programs for integrated treat- ment of both mental illness and substance
p.000893: abuse at sites that
...

p.000899: including assistance with se- lection and implementation of evidence-based interventions and frameworks
p.000899: to prevent suicide.
p.000899: (c) DURATION.—A grant under this section shall be for a period of not more than 5 years.
p.000899: (d) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section $30,000,000
p.000899: for the pe- riod of fiscal years 2018 through 2022.
p.000899: SEC. 520M. ø290bb–44¿ ASSERTIVE COMMUNITY TREATMENT GRANT PROGRAM.
p.000899: (a) IN GENERAL.—The Assistant Secretary shall award grants to eligible entities—
p.000899: (1) to establish assertive community treatment programs for adults with a serious mental illness; or
p.000899: (2) to maintain or expand such programs.
p.000899: (b) ELIGIBLE ENTITIES.—To be eligible to receive a grant under this section, an entity shall be a State,
p.000899: political subdivision of a State, Indian tribe or tribal organization (as such terms are defined in section 4 of the
p.000899: Indian Self-Determination and Education Assist- ance Act), mental health system, health care facility, or any
p.000899: other entity the Assistant Secretary deems appropriate.
p.000899: (c) SPECIAL CONSIDERATION.—In selecting among applicants for a grant under this section, the Assistant Secretary
p.000899: may give special consideration to the potential of the applicant’s program to reduce hospitalization,
p.000899: homelessness, and involvement with the criminal justice system while improving the health and social
p.000899: outcomes of the patient.
p.000899: (d) ADDITIONAL ACTIVITIES.—The Assistant Secretary shall—
p.000899: (1) not later than the end of fiscal year 2021, submit a re- port to the appropriate congressional committees on
p.000899: the grant program under this section, including an evaluation of—
p.000899: (A) any cost savings and public health outcomes such as mortality, suicide, substance use disorders,
p.000899: hospitaliza- tion, and use of services;
p.000899: (B) rates of involvement with the criminal justice sys- tem of patients;
p.000899: (C) rates of homelessness among patients; and
p.000899: (D) patient and family satisfaction with program par- ticipation; and
p.000899: (2) provide appropriate information, training, and technical assistance to grant recipients under this section
p.000899: to help such
p.000899: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000899: Sec. 521 PUBLIC HEALTH SERVICE ACT 900
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p.000899: recipients to establish, maintain, or expand their assertive community treatment programs.
p.000899: (e) AUTHORIZATION OF APPROPRIATIONS.—
p.000899: (1) IN GENERAL.—To carry out this section, there is author- ized to be appropriated $5,000,000 for the period of fiscal
p.000899: years 2018 through 2022.
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p.000905: payments under subsection (b)(1), the Secretary shall provide to the State an oppor- tunity for a hearing.
p.000905: (d) RULE OF CONSTRUCTION.—Notwithstanding any other pro- vision of this part, a State receiving payments
p.000905: under section 521 may not, with respect to any agreements required to be contained in the application
p.000905: submitted under section 529, be considered to be in violation of any such agreements by reason of the fact
p.000905: that the State, in the regular course of providing services under section 522(b) to eligible homeless
p.000905: individuals, incidentally provides serv- ices to homeless individuals who are not eligible homeless individ- uals.
p.000905: SEC. 532. ø290cc–32¿ PROHIBITION AGAINST CERTAIN FALSE STATE- MENTS.
p.000905: (a) IN GENERAL.—
p.000905: (1) A person may not knowingly make or cause to be made any false statement or representation of a material fact in
p.000905: con- nection with the furnishing of items or services for which amounts may be paid by a State from
p.000905: payments received by the State under section 521.
p.000905: (2) A person with knowledge of the occurrence of any event affecting the right of the person to receive any
p.000905: amounts from payments made to the State under section 521 may not conceal or fail to disclose any such event
p.000905: with the intent of securing such an amount that the person is not authorized to receive or securing such an
p.000905: amount in an amount greater than the amount the person is authorized to receive.
p.000905: (b) CRIMINAL PENALTY FOR VIOLATION OF PROHIBITION.—Any person who violates a prohibition established in
p.000905: subsection (a) may for each violation be fined in accordance with title 18, United States Code, or imprisoned
p.000905: for not more than 5 years, or both.
p.000905: SEC. 533. ø290cc–33¿ NONDISCRIMINATION.
p.000905: (a) IN GENERAL.—
p.000905: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000905:
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p.000907: 907
p.000907: PUBLIC HEALTH SERVICE ACT
p.000907: Sec. 534
p.000907:
p.000907: (1) RULE OF CONSTRUCTION REGARDING CERTAIN CIVIL RIGHTS LAWS.—For the purpose of applying the
p.000907: prohibitions against discrimination on the basis of age under the Age Dis- crimination Act of 1975, on the
p.000907: basis of handicap under section 504 of the Rehabilitation Act of 1973, on the basis of sex under title IX of the
p.000907: Education Amendments of 1972, or on the basis of race, color, or national origin under title VI of the Civil
p.000907: Rights Act of 1964, programs and activities funded in whole or in part with funds made available under section
p.000907: 521 shall be considered to be programs and activities receiving Federal fi- nancial assistance.
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p.000909: good cause therefor, including the need to avert a substan- tial risk of death or serious bodily harm. In assessing
p.000909: good cause the court shall weigh the public interest and the need for disclosure against the injury to the
p.000909: patient, to the physician-patient relationship, and to the treatment serv- ices. Upon the granting of such
p.000909: order, the court, in deter-
p.000909: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000909:
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p.000911: 911
p.000911: PUBLIC HEALTH SERVICE ACT
p.000911: Sec. 543A
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p.000911: mining the extent to which any disclosure of all or any part of any record is necessary, shall impose
p.000911: appropriate safeguards against unauthorized disclosure.
p.000911: (c) USE OF RECORDS IN CRIMINAL PROCEEDINGS.—Except as au- thorized by a court order granted under
p.000911: subsection (b)(2)(C), no record referred to in subsection (a) may be used to initiate or sub- stantiate any criminal
p.000911: charges against a patient or to conduct any investigation of a patient.
p.000911: (d) APPLICATION.—The prohibitions of this section continue to apply to records concerning any individual who has
p.000911: been a patient, irrespective of whether or when such individual ceases to be a pa- tient.
p.000911: (e) NONAPPLICABILITY.—The prohibitions of this section do not apply to any interchange of records—
p.000911: (1) within the Uniformed Services or within those compo- nents of the Department of Veterans Affairs furnishing
p.000911: health care to veterans; or
p.000911: (2) between such components and the Uniformed Services. The prohibitions of this section do not apply to the reporting
p.000911: under State law of incidents of suspected child abuse and neglect to the appropriate State or local
p.000911: authorities.
p.000911: (f) PENALTIES.—Any person who violates any provision of this section or any regulation issued pursuant to
p.000911: this section shall be fined in accordance with title 18, United States Code.
p.000911: (g) REGULATIONS.—Except as provided in subsection (h), the Secretary shall prescribe regulations to carry
p.000911: out the purposes of this section. Such regulations may contain such definitions, and may provide for such
p.000911: safeguards and procedures, including proce- dures and criteria for the issuance and scope of orders
p.000911: under sub- section (b)(2)(C), as in the judgment of the Secretary are necessary or proper to effectuate the
p.000911: purposes of this section, to prevent cir- cumvention or evasion thereof, or to facilitate compliance
p.000911: there- with.
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p.000921: Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and
p.000921: (ii) submits to the Secretary a certification by the at- torney general of the State that the attorney general
p.000921: has—
p.000921: (I) reviewed any applicable civil liability protec- tion law to determine the applicability of the law with
p.000921: respect to first responders, health care professionals, family members, and other individuals who—
p.000921: (aa) have received appropriate training in ad- ministering a drug or device approved or cleared under the
p.000921: Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose; and
p.000921: (bb) may administer a drug or device ap- proved or cleared under the Federal Food, Drug, and
p.000921: Cosmetic Act for emergency treatment of known or suspected opioid overdose; and
p.000921: (II) concluded that the law described in subclause
p.000921: (I) provides adequate civil liability protection applica- ble to such persons;
p.000921: (B) has a process for enrollment in services and bene- fits necessary by criminal justice agencies to initiate
p.000921: or continue treatment in the community, under which an in- dividual who is incarcerated may, while
p.000921: incarcerated, en- roll in services and benefits that are necessary for the indi- vidual to continue treatment upon
p.000921: release from incarcer- ation;
p.000921: (C) ensures the capability of data sharing with other States, where applicable, such as by making data
p.000921: available to a prescription monitoring hub;
p.000921: (D) ensures that data recorded in the prescription drug monitoring program database of the State are
p.000921: regu- larly updated, to the extent possible;
p.000921: (E) ensures that the prescription drug monitoring pro- gram of the State notifies prescribers and dispensers of
p.000921: schedule II, III, or IV controlled substances when overuse or misuse of such controlled substances by patients
p.000921: is sus- pected; and
p.000921: (F) has in effect one or more statutes or implements policies that maximize use of prescription drug
p.000921: monitoring programs by individuals authorized by the State to pre- scribe schedule II, III, or IV controlled
p.000921: substances.
p.000921: (6) EVALUATION.—In conducting an evaluation of the pro- gram under this section pursuant to section 701
p.000921: of the Com- prehensive Addiction and Recovery Act of 2016, with respect to a State, the Secretary shall report on
...

p.001125: pursu- ant to, a patient safety evaluation system.
p.001125: (B) CLARIFICATION.—
p.001125: (i) Information described in subparagraph (A) does not include a patient’s medical record, billing and dis-
p.001125: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001127: PUBLIC HEALTH SERVICE ACT
p.001127: Sec. 922
p.001127:
p.001127: charge information, or any other original patient or provider record.
p.001127: (ii) Information described in subparagraph (A) does not include information that is collected, main-
p.001127: tained, or developed separately, or exists separately, from a patient safety evaluation system. Such sepa-
p.001127: rate information or a copy thereof reported to a pa- tient safety organization shall not by reason of
p.001127: its re- porting be considered patient safety work product.
p.001127: (iii) Nothing in this part shall be construed to limit—
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p.001127: (I) the discovery of or admissibility of informa- tion described in this subparagraph in a criminal, civil, or
p.001127: administrative proceeding;
p.001127: (II) the reporting of information described in this subparagraph to a Federal, State, or local
p.001127: governmental agency for public health surveil- lance, investigation, or other public health pur- poses
p.001127: or health oversight purposes; or
p.001127: (III) a provider’s recordkeeping obligation with respect to information described in this sub- paragraph
p.001127: under Federal, State, or local law.
p.001127: (8) PROVIDER.—The term ‘‘provider’’ means—
p.001127: (A) an individual or entity licensed or otherwise au- thorized under State law to provide health care
p.001127: services, including—
p.001127: (i) a hospital, nursing facility, comprehensive out- patient rehabilitation facility, home health agency,
p.001127: hospice program, renal dialysis facility, ambulatory surgical center, pharmacy, physician or health care
p.001127: practitioner’s office, long term care facility, behavior health residential treatment facility, clinical
p.001127: labora- tory, or health center; or
p.001127: (ii) a physician, physician assistant, nurse practi- tioner, clinical nurse specialist, certified
p.001127: registered nurse anesthetist, certified nurse midwife, psycholo- gist, certified social worker, registered
p.001127: dietitian or nu- trition professional, physical or occupational therapist, pharmacist, or other individual
p.001127: health care practi- tioner; or
p.001127: (B) any other individual or entity specified in regula- tions promulgated by the Secretary.
p.001127: SEC. 922. ø299b–22¿ PRIVILEGE AND CONFIDENTIALITY PROTECTIONS.
p.001127: (a) PRIVILEGE.—Notwithstanding any other provision of Fed- eral, State, or local law, and subject to subsection
p.001127: (c), patient safety work product shall be privileged and shall not be—
p.001127: (1) subject to a Federal, State, or local civil, criminal, or administrative subpoena or order,
p.001127: including in a Federal, State, or local civil or administrative disciplinary proceeding against a
p.001127: provider;
p.001127: (2) subject to discovery in connection with a Federal, State, or local civil, criminal, or administrative
p.001127: proceeding, including
p.001127: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001127:
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p.001127: Sec. 922 PUBLIC HEALTH SERVICE ACT 1128
p.001127:
p.001127: in a Federal, State, or local civil or administrative disciplinary proceeding against a provider;
p.001127: (3) subject to disclosure pursuant to section 552 of title 5, United States Code (commonly known as the
p.001127: Freedom of Infor- mation Act) or any other similar Federal, State, or local law;
p.001127: (4) admitted as evidence in any Federal, State, or local governmental civil proceeding, criminal
p.001127: proceeding, adminis- trative rulemaking proceeding, or administrative adjudicatory proceeding, including any
p.001127: such proceeding against a provider; or
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p.001127: January 30, 2020
p.001127: (5) admitted in a professional disciplinary proceeding of a professional disciplinary body established or
p.001127: specifically au- thorized under State law.
p.001127: (b) CONFIDENTIALITY OF PATIENT SAFETY WORK PRODUCT.— Notwithstanding any other provision of Federal, State,
p.001127: or local law, and subject to subsection (c), patient safety work product shall be confidential and shall not
p.001127: be disclosed.
p.001127: (c) EXCEPTIONS.—Except as provided in subsection (g)(3)—
p.001127: (1) EXCEPTIONS FROM PRIVILEGE AND CONFIDENTIALITY.— Subsections (a) and (b) shall not apply to (and shall not
p.001127: be con- strued to prohibit) one or more of the following disclosures:
p.001127: (A) Disclosure of relevant patient safety work product for use in a criminal proceeding, but only after
p.001127: a court makes an in camera determination that such patient safe- ty work product contains evidence of a
p.001127: criminal act and that such patient safety work product is material to the proceeding and not reasonably
p.001127: available from any other source.
p.001127: (B) Disclosure of patient safety work product to the ex- tent required to carry out subsection (f)(4)(A).
p.001127: (C) Disclosure of identifiable patient safety work prod- uct if authorized by each provider identified in such
p.001127: work product.
p.001127: (2) EXCEPTIONS FROM CONFIDENTIALITY.—Subsection (b) shall not apply to (and shall not be construed
p.001127: to prohibit) one or more of the following disclosures:
p.001127: (A) Disclosure of patient safety work product to carry out patient safety activities.
p.001127: (B) Disclosure of nonidentifiable patient safety work product.
p.001127: (C) Disclosure of patient safety work product to grant- ees, contractors, or other entities carrying out
p.001127: research, evaluation, or demonstration projects authorized, funded, certified, or otherwise sanctioned by
p.001127: rule or other means by the Secretary, for the purpose of conducting research to the extent that disclosure of
p.001127: protected health information would be allowed for such purpose under the HIPAA con- fidentiality
p.001127: regulations.
p.001127: (D) Disclosure by a provider to the Food and Drug Ad- ministration with respect to a product or activity regulated by
p.001127: the Food and Drug Administration.
p.001127: (E) Voluntary disclosure of patient safety work prod- uct by a provider to an accrediting body that accredits
p.001127: that provider.
p.001127: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001129: PUBLIC HEALTH SERVICE ACT
p.001129: Sec. 922
p.001129:
p.001129: (F) Disclosures that the Secretary may determine, by rule or other means, are necessary for business operations
p.001129: and are consistent with the goals of this part.
p.001129: (G) Disclosure of patient safety work product to law enforcement authorities relating to the commission
p.001129: of a crime (or to an event reasonably believed to be a crime) if the person making the disclosure believes,
p.001129: reasonably under the circumstances, that the patient safety work product that is disclosed is necessary
p.001129: for criminal law en- forcement purposes.
p.001129: (H) With respect to a person other than a patient safe- ty organization, the disclosure of patient safety work prod-
p.001129: uct that does not include materials that—
p.001129: (i) assess the quality of care of an identifiable pro- vider; or
p.001129: (ii) describe or pertain to one or more actions or failures to act by an identifiable provider.
p.001129: (3) EXCEPTION FROM PRIVILEGE.—Subsection (a) shall not apply to (and shall not be construed to prohibit)
p.001129: voluntary dis- closure of nonidentifiable patient safety work product.
p.001129: (d) CONTINUED PROTECTION OF INFORMATION AFTER DISCLO-
p.001129: SURE.—
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p.001129: January 30, 2020
p.001129: (1) IN GENERAL.—Patient safety work product that is dis-
p.001129: closed under subsection (c) shall continue to be privileged and confidential as provided for in subsections
p.001129: (a) and (b), and such disclosure shall not be treated as a waiver of privilege or con- fidentiality, and the
p.001129: privileged and confidential nature of such work product shall also apply to such work product in the pos- session or
p.001129: control of a person to whom such work product was disclosed.
p.001129: (2) EXCEPTION.—Notwithstanding paragraph (1), and sub- ject to paragraph (3)—
p.001129: (A) if patient safety work product is disclosed in a criminal proceeding, the confidentiality protections
p.001129: pro- vided for in subsection (b) shall no longer apply to the work product so disclosed; and
p.001129: (B) if patient safety work product is disclosed as pro- vided for in subsection (c)(2)(B) (relating to
p.001129: disclosure of nonidentifiable patient safety work product), the privilege and confidentiality protections
p.001129: provided for in subsections
p.001129: (a) and (b) shall no longer apply to such work product.
p.001129: (3) CONSTRUCTION.—Paragraph (2) shall not be construed as terminating or limiting the privilege or
p.001129: confidentiality pro- tections provided for in subsection (a) or (b) with respect to pa- tient safety work product
p.001129: other than the specific patient safety work product disclosed as provided for in subsection (c).
p.001129: (4) LIMITATIONS ON ACTIONS.—
p.001129: (A) PATIENT SAFETY ORGANIZATIONS.—
p.001129: (i) IN GENERAL.—A patient safety organization shall not be compelled to disclose information collected or
p.001129: developed under this part whether or not such in- formation is patient safety work product unless such
p.001129: information is identified, is not patient safety work
p.001129: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001129:
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p.001129: Sec. 922 PUBLIC HEALTH SERVICE ACT 1130
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p.001189: SEC. 1219. ø300d–19¿ FAILURE TO COMPLY WITH AGREEMENTS.
p.001189: (a) REPAYMENT OF PAYMENTS.—
p.001189: (1) REQUIREMENT.—The Secretary may, in accordance with subsection (b), require a State to repay any payments received
p.001189: by the State pursuant to section 1211(a) that the Secretary de- termines were not expended by the State in
p.001189: accordance with the agreements required to be made by the State as a condi- tion of the receipt of payments
p.001189: under such section.
p.001189: (2) OFFSET OF AMOUNTS.—If a State fails to make a repay- ment required in paragraph (1), the Secretary may
p.001189: offset the amount of the repayment against any amount due to be paid to the State under section 1211(a).
p.001189: (b) OPPORTUNITY FOR A HEARING.—Before requiring repayment of payments under subsection (a)(1), the Secretary
p.001189: shall provide to the State an opportunity for a hearing.
p.001189: SEC. 1220. ø300d–20¿ PROHIBITION AGAINST CERTAIN FALSE STATE- MENTS.
p.001189: (a) IN GENERAL.—
p.001189: (1) FALSE STATEMENTS OR REPRESENTATIONS.—A person may not knowingly and willfully make or cause to be made any
p.001189: false statement or representation of a material fact in connec- tion with the furnishing of items or
p.001189: services for which pay- ments may be made by a State from amounts paid to the State under section 1211(a).
p.001189: (2) CONCEALING OR FAILING TO DISCLOSE INFORMATION.—A person with knowledge of the occurrence of any event
p.001189: affecting the right of the person to receive any payments from amounts paid to the State under section 1211(a) may not
p.001189: conceal or fail to disclose any such event with the intent of fraudulently se- curing such amount.
p.001189: (b) CRIMINAL PENALTY FOR VIOLATION OF PROHIBITION.—Any person who violates a prohibition established in
p.001189: subsection (a) may for each violation be fined in accordance with title 18, United States Code, or imprisoned
p.001189: for not more than 5 years, or both.
p.001189: SEC. 1221. ø300d–21¿ TECHNICAL ASSISTANCE AND PROVISION BY SEC- RETARY OF SUPPLIES AND SERVICES IN LIEU OF
p.001189: GRANT FUNDS.
p.001189: (a) TECHNICAL ASSISTANCE.—The Secretary shall, without charge to a State receiving payments under
p.001189: section 1211(a), pro- vide to the State (or to any public or nonprofit private entity des- ignated by the
p.001189: State) technical assistance with respect to the plan- ning, development, and operation of any program carried
p.001189: out pur- suant to section 1211(b). The Secretary may provide such technical assistance directly, through contract, or
p.001189: through grants.
p.001189: (b) PROVISION BY SECRETARY OF SUPPLIES AND SERVICES IN
p.001189: LIEU OF GRANT FUNDS.—
p.001189: (1) IN GENERAL.—Upon the request of a State receiving payments under section 1211(a), the Secretary may,
p.001189: subject to paragraph (2), provide supplies, equipment, and services for
p.001189: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001189:
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p.001191: PUBLIC HEALTH SERVICE ACT
p.001191: Sec. 1231
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p.001293: compliance. If within a reasonable period of time, not to exceed sixty days, the chief executive officer
p.001293: fails or refuses to secure compliance, the Secretary may—
p.001293: (1) refer the matter to the Attorney General with a rec- ommendation that an appropriate civil action be
p.001293: instituted,
p.001293: (2) exercise the powers and functions provided by title VI of the Civil Rights Act of 1964, the Age
p.001293: Discrimination Act of 1975, or section 504 of the Rehabilitation Act of 1973, as may be applicable, or
p.001293: (3) take such other action as may be provided by law.
p.001293: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001293:
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p.001295: 1295
p.001295: PUBLIC HEALTH SERVICE ACT
p.001295: Sec. 1910
p.001295:
p.001295: (c) When a matter is referred to the Attorney General pursuant to subsection (b)(1), or whenever he has reason
p.001295: to believe that a State or an entity is engaged in a pattern or practice in violation of a provision of
p.001295: law referred to in subsection (a)(1) or in violation of subsection (a)(2), the Attorney General may bring a
p.001295: civil action in any appropriate district court of the United States for such relief as may be appropriate, including
p.001295: injunctive relief.
p.001295: CRIMINAL PENALTY FOR FALSE STATEMENTS
p.001295: SEC. 1909. ø300w–8¿ Whoever—
p.001295: (1) knowingly and willfully makes or causes to be made any false statement or representation of a material
p.001295: fact in con- nection with the furnishing of items or services for which pay- ment may be made by a State from funds
p.001295: allotted to the State under this part, or
p.001295: (2) having knowledge of the occurrence of any event affect- ing his initial or continued right to any such payment
p.001295: conceals or fails to disclose such event with an intent fraudulently to se- cure such payment either in a greater
p.001295: amount than is due or when no such payment is authorized,
p.001295: shall be fined not more than $25,000 or imprisoned for not more than five years, or both.
p.001295:
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p.001295: January 30, 2020
p.001295: EMERGENCY MEDICAL SERVICES FOR CHILDREN
p.001295: SEC. 1910. ø300w–9¿ (a) For activities in addition to the activi- ties which may be carried out by States under section
p.001295: 1904(a)(1)(F), the Secretary may make grants to States or accredited schools of medicine in States to support
p.001295: a program of demonstration projects for the expansion and improvement of emergency medical services for
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p.001301: (a) IN GENERAL.—A funding agreement for a grant under sec- tion 1911 is that the State involved will
p.001301: establish and maintain a State mental health planning council in accordance with the condi- tions described in this
p.001301: section.
p.001301: (b) DUTIES.—A condition under subsection (a) for a Council is that the duties of the Council are—
p.001301: (1) to review plans provided to the Council pursuant to section 1915(a) by the State involved and to
p.001301: submit to the State any recommendations of the Council for modifications to the plans;
p.001301: (2) to serve as an advocate for adults with a serious men- tal illness, children with a severe emotional
p.001301: disturbance, and other individuals with mental illnesses or emotional problems; and
p.001301:
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p.001301: January 30, 2020
p.001301: (3) to monitor, review, and evaluate, not less than once each year, the allocation and adequacy of
p.001301: mental health serv- ices within the State.
p.001301: (c) MEMBERSHIP.—
p.001301: (1) IN GENERAL.—A condition under subsection (a) for a Council is that the Council be composed of
p.001301: residents of the State, including representatives of—
p.001301: (A) the principal State agencies with respect to—
p.001301: (i) mental health, education, vocational rehabilita- tion, criminal justice, housing, and social services; and
p.001301: (ii) the development of the plan submitted pursu- ant to title XIX of the Social Security Act;
p.001301: (B) public and private entities concerned with the need, planning, operation, funding, and use of
p.001301: mental health services and related support services;
p.001301: (C) adults with serious mental illnesses who are re- ceiving (or have received) mental health services; and
p.001301: (D) the families of such adults or families of children with emotional disturbance.
p.001301: (2) CERTAIN REQUIREMENTS.—A condition under subsection
p.001301: (a) for a Council is that—
p.001301: (A) with respect to the membership of the Council, the ratio of parents of children with a serious emotional
p.001301: dis- turbance to other members of the Council is sufficient to
p.001301: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001301:
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p.001301: Sec. 1915 PUBLIC HEALTH SERVICE ACT 1302
p.001301:
p.001301: provide adequate representation of such children in the de- liberations of the Council; and
p.001301: (B) not less than 50 percent of the members of the Council are individuals who are not State employees
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p.001317: seeking treatment services, a funding agreement for a grant under section 1921 is that the State involved
p.001317: will improve the process in the State for re- ferring the individuals to treatment facilities that can provide
p.001317: to the individuals the treatment modality that is most appropriate for the individuals.
p.001317: (b) PROFESSIONAL DEVELOPMENT.—A funding agreement for a grant under section 1921 is that the State involved
p.001317: will ensure that prevention, treatment, and recovery personnel operating in the State’s substance use disorder
p.001317: prevention, treatment, and recovery systems have an opportunity to receive training, on an ongoing basis,
p.001317: concerning—
p.001317: (1) recent trends in substance use disorders in the State;
p.001317: (2) improved methods and evidence-based practices for pro- viding substance use disorder prevention and treatment
p.001317: serv- ices;
p.001317: (3) performance-based accountability;
p.001317: (4) data collection and reporting requirements; and
p.001317: (5) any other matters that would serve to further improve the delivery of substance use disorder prevention and
p.001317: treat- ment services within the State.
p.001317: (c) COORDINATION OF VARIOUS ACTIVITIES AND SERVICES.—A funding agreement for a grant under section 1921 is
p.001317: that the State involved will coordinate prevention and treatment activities with the provision of other
p.001317: appropriate services (including health, social, correctional and criminal justice, educational, vocational rehabilita-
p.001317: tion, and employment services).
p.001317:
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p.001317: January 30, 2020
p.001317: 6 So in law. See section 202 of Public Law 102–321 (106 Stat. 396). Probably should be ‘‘woman’’.
p.001317: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.001317: Sec. 1930 PUBLIC HEALTH SERVICE ACT 1318
p.001317:
p.001317: (d) 8 WAIVER OF REQUIREMENT.—
p.001317: (1) IN GENERAL.—Upon the request of a State, the Sec- retary may provide to a State a waiver of any or all of
p.001317: the re- quirements established in this section if the Secretary deter- mines that, with respect to
p.001317: services for the prevention and treatment of substance use disorders, the requirement involved is unnecessary for
p.001317: maintaining quality in the provision of such services in the State.
p.001317: (2) DATE CERTAIN FOR ACTING UPON REQUEST.—The Sec- retary shall approve or deny a request for a waiver
p.001317: under para- graph (1) not later than 120 days after the date on which the request is made.
p.001317: (3) APPLICABILITY OF WAIVER.—Any waiver provided by the Secretary under paragraph (1) shall be applicable only
p.001317: to the fiscal year involved.
p.001317: øSection 1929 was repealed by section 8002(f) of Public Law 114–255.¿
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p.001331: records available to the Sec- retary or the Comptroller General, or any of their duly author- ized
p.001331: representatives, for examination, copying, or mechanical reproduction on or off the premises of the
p.001331: appropriate entity upon a reasonable request therefor.
p.001331: (3) LIMITATIONS ON AUTHORITY.—The Secretary may not institute proceedings under subsection (c) unless the
p.001331: Secretary has conducted an investigation concerning whether the State has expended payments under the program
p.001331: involved in accord- ance with the agreements required under the program. Any such investigation shall be
p.001331: conducted within the State by qualified investigators.
p.001331: SEC. 1946. ø300x–56¿ PROHIBITIONS REGARDING RECEIPT OF FUNDS.
p.001331: (a) ESTABLISHMENT.—
p.001331: (1) CERTAIN FALSE STATEMENTS AND REPRESENTATIONS.—A person shall not knowingly and willfully make or cause
p.001331: to be made any false statement or representation of a material fact in connection with the furnishing of
p.001331: items or services for which payments may be made by a State from a grant made to the State under section
p.001331: 1911 or 1921.
p.001331: (2) CONCEALING OR FAILING TO DISCLOSE CERTAIN EVENTS.—A person with knowledge of the
p.001331: occurrence of any event affecting the initial or continued right of the person to receive any payments from
p.001331: a grant made to a State under sec- tion 1911 or 1921 shall not conceal or fail to disclose any such event with an
p.001331: intent fraudulently to secure such payment ei- ther in a greater amount than is due or when no such amount is
p.001331: due.
p.001331: (b) CRIMINAL PENALTY FOR VIOLATION OF PROHIBITION.—Any person who violates any prohibition established
p.001331: in subsection (a) shall for each violation be fined in accordance with title 18, United States Code, or imprisoned
p.001331: for not more than 5 years, or both.
p.001331: SEC. 1947. ø300x–57¿ NONDISCRIMINATION.
p.001331: (a) IN GENERAL.—
p.001331: (1) RULE OF CONSTRUCTION REGARDING CERTAIN CIVIL RIGHTS LAWS.—For the purpose of applying the
p.001331: prohibitions against discrimination on the basis of age under the Age Dis- crimination Act of 1975, on the
p.001331: basis of handicap under section 504 of the Rehabilitation Act of 1973, on the basis of sex under title IX of the
p.001331: Education Amendments of 1972, or on the basis of race, color, or national origin under title VI of the Civil
p.001331: Rights Act of 1964, programs and activities funded in whole or in part with funds made available under section 1911 or
p.001331: 1921 shall be considered to be programs and activities receiving Fed- eral financial assistance.
p.001331: (2) PROHIBITION.—No person shall on the ground of sex (including, in the case of a woman, on the
p.001331: ground that the woman is pregnant), or on the ground of religion, be excluded from participation in, be
p.001331: denied the benefits of, or be subjected to discrimination under, any program or activity funded in
p.001331: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001331:
p.001331:
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p.001381: pay.
p.001381: (d) PUNITIVE DAMAGES.—
p.001381: (1) If sought by the plaintiff, the third stage of such an ac- tion shall be held to determine the amount of
p.001381: punitive dam-
p.001381:
p.001381:
p.001381:
p.001381: January 30, 2020
p.001381: 24 Effective October 1, 1988.
p.001381:
p.001381: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001381:
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p.001381:
p.001381: Sec. 2125 PUBLIC HEALTH SERVICE ACT 1382
p.001381:
p.001381: ages a vaccine manufacturer found to be liable under section 2122 shall be required to pay.
p.001381: (2) If in such an action the manufacturer shows that it complied, in all material respects, with all
p.001381: requirements under the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act applicable to
p.001381: the vaccine and related to the vaccine injury or death with respect to which the action was brought, the
p.001381: manufacturer shall not be held liable for punitive damages unless the manufacturer engaged in—
p.001381: (A) fraud or intentional and wrongful withholding of information from the Secretary during any phase of a pro-
p.001381: ceeding for approval of the vaccine under section 351,
p.001381: (B) intentional and wrongful withholding of informa- tion relating to the safety or efficacy of the
p.001381: vaccine after its approval, or
p.001381: (C) other criminal or illegal activity relating to the safety and effectiveness of vaccines,
p.001381: which activity related to the vaccine-related injury or death for which the civil action was brought.
p.001381: (e) EVIDENCE.—In any stage of a civil action, the Vaccine In- jury Table, any finding of fact or
p.001381: conclusion of law of the United States Claims Court or a special master in a proceeding on a peti- tion filed
p.001381: under section 2111 and the final judgment of the United States Claims Court and subsequent appellate review on such a
p.001381: pe- tition shall not be admissible.
p.001381: PART C—ASSURING A SAFER CHILDHOOD VACCINATION PROGRAM IN THE UNITED STATES
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p.001381: January 30, 2020
p.001381:
p.001381: RECORDING AND REPORTING OF INFORMATION
p.001381: SEC. 2125. ø300aa–25¿ (a) GENERAL RULE.—Each health care provider who administers a vaccine set forth in the
p.001381: Vaccine Injury Table to any person shall record, or ensure that there is recorded, in such person’s permanent
p.001381: medical record (or in a permanent of- fice log or file to which a legal representative shall have
p.001381: access upon request) with respect to each such vaccine—
p.001381: (1) the date of administration of the vaccine,
p.001381: (2) the vaccine manufacturer and lot number of the vac- cine,
p.001381: (3) the name and address and, if appropriate, the title of the health care provider administering the
p.001381: vaccine, and
...

p.001425:
p.001425:
p.001425:
p.001425:
p.001425:
p.001425:
p.001425: January 30, 2020
p.001425: compliance with the agreements required to be contained in the applications submitted to the Secretary pursuant
p.001425: to section 2407.
p.001425: (2) Each State, and each entity receiving funds from pay- ments made to a State under section 2401(a),
p.001425: shall make ap- propriate books, documents, papers, and records available to the Secretary and the
p.001425: Comptroller General of the United States, or any of their duly authorized representatives, for ex- amination,
p.001425: copying, or mechanical reproduction on or off the premises of the appropriate entity upon a reasonable
p.001425: request therefor.
p.001425: (3)(A) In conducting any investigation in a State, the Sec- retary and the Comptroller General of the
p.001425: United States may not make a request for any information not readily available to the State, or to an
p.001425: entity receiving funds from payments made to the State under section 2401(a), or make an unreason- able request for
p.001425: information to be compiled, collected, or trans- mitted in any form not readily available.
p.001425: (B) Subparagraph (A) shall not apply to the collection, compilation, or transmittal of data in the
p.001425: course of a judicial proceeding.
p.001425: SEC. 2410. ø300dd–9¿ PROHIBITION AGAINST CERTAIN FALSE STATE- MENTS.
p.001425: (a) IN GENERAL.—A person may not knowingly make or cause to be made any false statement or representation of a
p.001425: material fact in connection with the furnishing of items or services for which amounts may be paid by a
p.001425: State from payments received by the State under section 2401(a).
p.001425: (b) CRIMINAL PENALTY FOR VIOLATION OF PROHIBITION.—Any person who violates a prohibition established in
p.001425: subsection (a) may for each violation be fined in accordance with title 18, United States Code, or imprisoned
p.001425: for not more than 5 years, or both.
p.001425: SEC. 2411. ø300dd–10¿ TECHNICAL ASSISTANCE AND PROVISION BY SECRETARY OF SUPPLIES AND SERVICES IN
p.001425: LIEU OF GRANT FUNDS.
p.001425: (a) TECHNICAL ASSISTANCE.—Upon the request of a State re- ceiving payments under section 2401(a), the
p.001425: Secretary may, with- out charge to the State, provide to the State (or to any public or private entity
p.001425: designated by the State) technical assistance with re- spect to the planning, development, and operation of any
p.001425: program or service carried out pursuant to this part. The Secretary may pro- vide such technical assistance
p.001425: directly, through contract, or through grants.
p.001425: (b) PROVISION BY SECRETARY OF SUPPLIES AND SERVICES IN
p.001425: LIEU OF GRANT FUNDS.—
p.001425: (1) Upon the request of a State receiving payments under section 2401(a), the Secretary may, subject to
p.001425: paragraph (2), provide supplies, equipment, and services for the purpose of aiding the State in carrying
p.001425: out this part and, for such pur- pose, may detail to the State any officer or employee of the De- partment of
p.001425: Health and Human Services.
p.001425: (2) With respect to a request described in paragraph (1), the Secretary shall reduce the amount of payments
p.001425: under sec- tion 2401(a) to the State by an amount equal to the costs of
p.001425: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001425:
p.001425:
p.001425:
p.001425:
p.001425:
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p.001439: January 30, 2020
p.001439: premises of the appropriate entity upon a reasonable request therefor.
p.001439: (4)(A) In conducting any investigation in a State, the Sec- retary and the Comptroller General of the
p.001439: United States may not make a request for any information not readily available to the State, or to an
p.001439: entity receiving funds from payments made to the State under section 2501(a), or make an unreason- able request for
p.001439: information to be compiled, collected, or trans- mitted in any form not readily available.
p.001439: (B) Subparagraph (A) shall not apply to the collection, compilation, or transmittal of data in the
p.001439: course of a judicial proceeding.
p.001439: SEC. 2509. ø300ee–19¿ PROHIBITION AGAINST CERTAIN FALSE STATE- MENTS.
p.001439: (a) IN GENERAL.—
p.001439: (1) A person may not knowingly make or cause to be made any false statement or representation of a material fact in
p.001439: con- nection with the furnishing of items or services for which amounts may be paid by a State from
p.001439: payments received by the State under section 2501(a).
p.001439: (2) A person with knowledge of the occurrence of any event affecting the right of the person to receive any
p.001439: amounts from payments made to the State under section 2501(a) may not conceal or fail to disclose any
p.001439: such event with the intent of fraudulently securing such amounts.
p.001439: (b) CRIMINAL PENALTY FOR VIOLATION OF PROHIBITION.—Any person who violates a prohibition established in
p.001439: subsection (a) may for each violation be fined in accordance with title 18, United States Code, or imprisoned
p.001439: for not more than 5 years, or both.
p.001439: SEC. 2510. ø300ee–20¿ TECHNICAL ASSISTANCE AND PROVISION BY SECRETARY OF SUPPLIES AND SERVICES
p.001439: IN LIEU OF GRANT FUNDS.
p.001439: (a) TECHNICAL ASSISTANCE.—The Secretary may provide train- ing and technical assistance to States with respect to
p.001439: the planning, development, and operation of any program or service carried out pursuant to this part. The
p.001439: Secretary may provide such technical as- sistance directly or through grants or contracts.
p.001439: (b) PROVISION BY SECRETARY OF SUPPLIES AND SERVICES IN
p.001439: LIEU OF GRANT FUNDS.—
p.001439: (1) Upon the request of a State receiving payments under this part, the Secretary may, subject to paragraph
p.001439: (2), provide supplies, equipment, and services for the purpose of aiding the State in carrying out such part and, for
p.001439: such purpose, may de- tail to the State any officer or employee of the Department of Health and Human
p.001439: Services.
p.001439: (2) With respect to a request described in paragraph (1), the Secretary shall reduce the amount of payments
p.001439: under sec- tion 2501(a) to the State by an amount equal to the costs of detailing personnel and the
p.001439: fair market value of any supplies, equipment, or services provided by the Secretary. The Sec- retary
p.001439: shall, for the payment of expenses incurred in complying with such request, expend the amounts withheld.
p.001439: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001439:
p.001439:
...

p.001505: the program. This subparagraph may not be con- strued as affecting the requirement of subparagraph (A)
p.001505: with respect to a health entity that treats an individual for HIV/ AIDS.
p.001505: (3) The program under paragraph (1) is carried out in ac- cordance with the following:
p.001505: (A) Partners are provided with an appropriate oppor- tunity to learn that the partners have been exposed
p.001505: to HIV/AIDS, subject to subparagraph (B).
p.001505: (B) The State does not inform partners of the identity of the infected individuals involved.
p.001505: (C) Counseling and testing for HIV/AIDS are made available to the partners and to infected individuals,
p.001505: and such counseling includes information on modes of trans- mission for the disease, including information
p.001505: on prenatal and perinatal transmission and preventing transmission.
p.001505: (D) Counseling of infected individuals and their part- ners includes the provision of information regarding
p.001505: thera- peutic measures for preventing and treating the deteriora- tion of the immune system and conditions arising from
p.001505: the disease, and the provision of other prevention-related in- formation.
p.001505: (E) Referrals for appropriate services are provided to partners and infected individuals, including
p.001505: referrals for support services and legal aid.
p.001505: (F) Notifications under subparagraph (A) are provided in person, unless doing so is an unreasonable burden on
p.001505: the State.
p.001505: (G) There is no criminal or civil penalty on, or civil li- ability for, an infected individual if the individual
p.001505: chooses not to identify the partners of the individual, or the indi- vidual does not otherwise cooperate
p.001505: with such program.
p.001505: (H) The failure of the State to notify partners is not a basis for the civil liability of any health entity
p.001505: who under the program reported to the State the identity of the in- fected individual involved.
p.001505: (I) The State provides that the provisions of the pro- gram may not be construed as prohibiting the
p.001505: State from providing a notification under subparagraph (A) without the consent of the infected individual
p.001505: involved.
p.001505: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001505:
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p.001505:
p.001505: Sec. 2651 PUBLIC HEALTH SERVICE ACT 1506
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Political / migrant

Searching for indicator migrant:

(return to top)
p.000001: extent and in such manner as shall in his judgment promote the public interest. In time of war, or of emergency
p.000001: involving the national defense pro-
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
p.000001:
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p.000001:
p.000001: Sec. 217 PUBLIC HEALTH SERVICE ACT 22
p.000001:
p.000001: claimed by the President, he may by Executive order declare the commissioned corps of the Service to be
p.000001: a military service. Upon such declaration, and during the period of such war or such emer- gency or such part
p.000001: thereof as the President shall prescribe, the commissioned corps (a) shall constitute a branch of the
p.000001: land and naval forces of the United States, (b) shall, to the extent prescribed by regulations of the President,
p.000001: be subject to the Uniform Code of Military Justice, and (c) shall continue to operate as part of the
p.000001: Service except to the extent that the President may direct as Com- mander in Chief.
p.000001:
p.000001: NATIONAL ADVISORY COUNCILS
p.000001: SEC. 217. ø218¿ (a) Within 120 days of the date of the enact- ment of this subsection, the Secretary
p.000001: shall appoint and organize a National Advisory Council on Migrant Health (hereinafter in this subsection referred
p.000001: to as the Council) which shall advise, consult with, and make recommendations to, the Secretary on matters con-
p.000001: cerning the organization, operation, selection, and funding of mi- grant health centers and other entities
p.000001: under grants and contracts under section 329. 8
p.000001: (b) The Council shall consist of fifteen members, at least twelve of whom shall be members of the governing
p.000001: boards of migrant health centers or other entities assisted under section 329. 8 Of such twelve members
p.000001: who are members of such governing boards, at least nine shall be chosen from among those members of
p.000001: such governing boards who are being served by such centers or grantees and who are familiar with the delivery of health
p.000001: care to migratory agricultural workers and seasonal agricultural workers. The re- maining three Council
p.000001: members shall be individuals qualified by training and experience in the medical sciences or in the adminis-
p.000001: tration of health programs.
p.000001: (c) Each member of the Council shall hold office for a term of four years, except that (1) any member
p.000001: appointed to fill a vacancy occurring prior to the expiration of the term for which his prede- cessor was
p.000001: appointed shall be appointed for the remainder of such term; and (2) the terms of the members first taking office after
p.000001: the date of enactment of this subsection shall expire as follows: four shall expire four years after such
p.000001: date, four shall expire three years after such date, four shall expire two years after such date, and three
p.000001: shall expire one year after such date, as designated by the Secretary at the time of appointment.
p.000001: (d) Section 14(a) of the Federal Advisory Committee Act shall not apply to the Council.
p.000001: TRAINING OF OFFICERS
p.000001: SEC. 218. ø218a¿ (a) Appropriations available for the pay and allowances of commissioned officers of the
p.000001: Service shall also be available for the pay and allowances of any such officer on active
p.000001:
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p.000001:
p.000001: January 30, 2020
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p.000285: (A) The term ‘‘adoption organization’’ means a na- tional, regional, or local organization—
p.000285: (i) among whose primary purposes are adoption;
p.000285: (ii) that is knowledgeable in all elements of the adoption process and on providing adoption informa-
p.000285: tion and referrals to pregnant women; and
p.000285: (iii) that is a nonprofit private entity.
p.000285: (B) The term ‘‘designated staff’’, with respect to an eli- gible health center, means staff of the center who
p.000285: provide pregnancy or adoption information and referrals (or will provide such information and referrals
p.000285: after receiving training under a grant under paragraph (1)).
p.000285: (C) The term ‘‘eligible health centers’’ means public and nonprofit private entities that provide health
p.000285: services to pregnant women.
p.000285: (5) TRAINING FOR CERTAIN ELIGIBLE HEALTH CENTERS.—A condition for the receipt of a grant under paragraph (1) is
p.000285: that the adoption organization involved agree to make reasonable efforts to ensure that the eligible
p.000285: health centers with respect to which training under the grant is provided include—
p.000285: (A) eligible health centers that receive grants under section 1001 (relating to voluntary family
p.000285: planning projects);
p.000285: (B) eligible health centers that receive grants under section 330 (relating to community health centers, migrant
p.000285: health centers, and centers regarding homeless individuals and residents of public housing); and
p.000285: (C) eligible health centers that receive grants under this Act for the provision of services in schools.
p.000285: (6) PARTICIPATION OF CERTAIN ELIGIBLE HEALTH CLINICS.— In the case of eligible health centers that receive grants
p.000285: under section 330 or 1001:
p.000285: (A) Within a reasonable period after the Secretary be- gins making grants under paragraph (1), the Secretary
p.000285: shall provide eligible health centers with complete infor- mation about the training available from
p.000285: organizations re- ceiving grants under such paragraph. The Secretary shall make reasonable efforts to
p.000285: encourage eligible health cen- ters to arrange for designated staff to participate in such training. Such
p.000285: efforts shall affirm Federal requirements, if any, that the eligible health center provide nondirective
p.000285: counseling to pregnant women.
p.000285: (B) All costs of such centers in obtaining the training shall be reimbursed by the organization that
p.000285: provides the training, using grants under paragraph (1).
p.000285: (C) Not later than 1 year after the date of the enact- ment of the Children’s Health Act of 2000 36, the
p.000285: Secretary shall submit to the appropriate committees of the Congress a report evaluating the extent to which
p.000285: adoption informa- tion and referral, upon request, are provided by eligible
p.000285:
p.000285:
p.000285:
p.000285: January 30, 2020
p.000285: 36 Public Law 106–310, enacted October 17, 2000.
...

p.000291: a non- profit entity.
p.000291: (B) TELEHEALTH NETWORKS.—
p.000291: (i) IN GENERAL.—To be eligible to receive a grant under subsection (d)(1), an entity shall demonstrate
p.000291: that the entity will provide services through a tele- health network.
p.000291: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000291:
p.000291:
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p.000291: Sec. 330I PUBLIC HEALTH SERVICE ACT 292
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p.000291: January 30, 2020
p.000291:
p.000291: (ii) NATURE OF ENTITIES.—Each entity partici- pating in the telehealth network may be a nonprofit or
p.000291: for-profit entity.
p.000291: (iii) COMPOSITION OF NETWORK.—The telehealth network shall include at least 2 of the following enti- ties
p.000291: (at least 1 of which shall be a community-based health care provider):
p.000291: (I) Community or migrant health centers or other Federally qualified health centers.
p.000291: (II) Health care providers, including phar- macists, in private practice.
p.000291: (III) Entities operating clinics, including rural health clinics.
p.000291: (IV) Local health departments.
p.000291: (V) Nonprofit hospitals, including community access hospitals.
p.000291: (VI) Other publicly funded health or social service agencies.
p.000291: (VII) Long-term care providers.
p.000291: (VIII) Providers of health care services in the home.
p.000291: (IX) Providers of outpatient mental health services and entities operating outpatient mental health
p.000291: facilities.
p.000291: (X) Local or regional emergency health care providers.
p.000291: (XI) Institutions of higher education.
p.000291: (XII) Entities operating dental clinics.
p.000291: (2) TELEHEALTH RESOURCE CENTERS GRANTS.—To be eligi- ble to receive a grant under subsection (d)(2), an
p.000291: entity shall be a nonprofit entity.
p.000291: (g) APPLICATIONS.—To be eligible to receive a grant under sub- section (d), an eligible entity, in consultation
p.000291: with the appropriate State office of rural health or another appropriate State entity, shall prepare and
p.000291: submit to the Secretary an application, at such time, in such manner, and containing such information as the
p.000291: Sec- retary may require, including—
p.000291: (1) a description of the project that the eligible entity will carry out using the funds provided under the grant;
p.000291: (2) a description of the manner in which the project funded under the grant will meet the health care needs of
...

p.000305: which is a rational area for the deliv- ery of health services) which the Secretary determines has a health manpower
p.000305: shortage, (B) a population group which the Secretary de- termines has such a shortage, or (C) a public or
p.000305: nonprofit private medical facility or other public facility which the Secretary deter- mines has such a
p.000305: shortage. All Federally qualified health centers and rural health clinics, as defined in section 1861(aa) of the
p.000305: Social Security Act (42 U.S.C. 1395x(aa)), that meet the requirements of section 334 shall be
p.000305: automatically designated as having such a shortage. The Secretary shall not remove an area from the
p.000305: areas determined to be health professional shortage areas under subpara- graph (A) of the preceding sentence
p.000305: until the Secretary has af- forded interested persons and groups in such area an opportunity to provide
p.000305: data and information in support of the designation as a health professional shortage area or a population group
p.000305: described in subparagraph (B) of such sentence or a facility described in sub- paragraph (C) of such sentence, and has
p.000305: made a determination on the basis of the data and information submitted by such persons and groups and
p.000305: other data and information available to the Sec- retary.
p.000305: (2) For purposes of this subsection, the term ‘‘medical facility’’ means a facility for the delivery of
p.000305: health services and includes—
p.000305: (A) a hospital, State mental hospital, public health center, outpatient medical facility, rehabilitation facility,
p.000305: facility for long-term care, community mental health center, migrant health center, facility operated
p.000305: by a city or county health de- partment, and community health center and which is not rea- sonably
p.000305: accessible to an adequately served area;
p.000305: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000305:
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p.000307: 307
p.000307: PUBLIC HEALTH SERVICE ACT
p.000307: Sec. 332
p.000307:
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p.000307: January 30, 2020
p.000307: (B) such a facility of a State correctional institution or of the Indian Health Service, and a health program
p.000307: or facility op- erated by a tribe or tribal organization under the Indian Self- Determination Act;
p.000307: (C) such a facility used in connection with the delivery of health services under section 321 (relating
p.000307: to hospitals), 322 (relating to care and treatment of persons under quarantine and others), 323 (relating
...

p.000369: supply of vaccines provided by the State to any of the entities described in subsection (a)(2).
p.000369: BREAST AND CERVICAL CANCER INFORMATION
p.000369: SEC. 340D. ø256d¿ (a) IN GENERAL.—As a condition of receiv- ing grants, cooperative agreements, or
p.000369: contracts under this Act, each of the entities specified in subsection (c) shall, to the extent
p.000369: determined to be appropriate by the Secretary, make available in- formation concerning breast and cervical
p.000369: cancer.
p.000369: (b) CERTAIN AUTHORITIES.—In carrying out subsection (a), an entity specified in subsection (c)—
p.000369: (1) may make the information involved available to such individuals as the entity determines appropriate;
p.000369: (2) may, as appropriate, provide information under sub- section (a) on the need for self-examination of the
p.000369: breasts and on the skills for such self-examinations;
p.000369: (3) shall provide information under subsection (a) in the language and cultural context most appropriate to the
p.000369: individ- uals to whom the information is provided; and
p.000369: (4) shall refer such clients as the entities determine appro- priate for breast and cervical cancer screening,
p.000369: treatment, or other appropriate services.
p.000369: (c) RELEVANT ENTITIES.—The entities specified in this sub- section are the following:
p.000369: (1) Entities receiving assistance under section 317F (relat- ing to tuberculosis) 53.
p.000369: (2) Entities receiving assistance under section 318 (relat- ing to sexually transmitted diseases).
p.000369: (3) Migrant health centers receiving assistance under sec- tion 329 54.
p.000369: (4) Community health centers receiving assistance under section 330 54.
p.000369: (5) Entities receiving assistance under section 330(h) (re- lating to homeless individuals).
p.000369: (6) Entities receiving assistance under section 340A 54 (re- lating to health services for residents of public
p.000369: housing).
p.000369: (7) Entities providing services with assistance under title V or title XIX.
p.000369: (8) Entities receiving assistance under section 1001 (relat- ing to family planning).
p.000369: (9) Entities receiving assistance under title XXVI (relating to services with respect to acquired immune
p.000369: deficiency syn- drome).
p.000369: (10) Non-Federal entities authorized under the Indian Self- Determination Act.
p.000369:
p.000369:
p.000369:
p.000369:
p.000369: January 30, 2020
p.000369: 53 The reference to section 317F is so in law. See section 2502(b) of Public Law 106–310 (114 Stat. 1163). Section 317E
p.000369: relates to tuberculosis, not section 317F.
p.000369: 54 See footnote for section 217(a).
p.000369: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000369:
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p.000369: Sec. 340E PUBLIC HEALTH SERVICE ACT 370
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p.001043: (3) ADMINISTRATION.—
p.001043: (A) IN GENERAL.—An applicant shall not use more than 10 percent of the funds made available to such appli- cant
p.001043: under subsection (a) for administrative expenses.
p.001043: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001043:
p.001043:
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p.001043:
p.001045: 1045
p.001045: PUBLIC HEALTH SERVICE ACT
p.001045: Sec. 755
p.001045:
p.001045: (B) TRAINING.—Not more than 10 percent of the indi- viduals receiving training with funds made available to an
p.001045: applicant under subsection (a) shall be trained as doctors of medicine or doctors of osteopathy.
p.001045: (C) LIMITATION.—An institution that receives a grant under this section shall use amounts received under
p.001045: such grant to supplement, not supplant, amounts made avail- able by such institution for activities of the type
p.001045: described in subsection (b)(1) in the fiscal year preceding the year for which the grant is received.
p.001045: (c) APPLICATIONS.—Applications submitted for assistance under this section shall—
p.001045: (1) be jointly submitted by at least two eligible applicants with the express purpose of assisting
p.001045: individuals in academic institutions in establishing long-term collaborative relation- ships with health care
p.001045: providers in rural areas; and
p.001045: (2) designate a rural health care agency or agencies for clinical treatment or training, including
p.001045: hospitals, community health centers, migrant health centers, rural health clinics, community behavioral and
p.001045: mental health centers, long-term care facilities, Native Hawaiian health centers, or facilities op- erated by the
p.001045: Indian Health Service or an Indian tribe or tribal organization or Indian organization under a contract with
p.001045: the Indian Health Service under the Indian Self-Determination Act.
p.001045: (d) DEFINITIONS.—For the purposes of this section, the term ‘‘rural’’ means geographic areas that are located
p.001045: outside of standard metropolitan statistical areas.
p.001045: SEC. 755. ø294e¿ ALLIED HEALTH AND OTHER DISCIPLINES.
p.001045: (a) IN GENERAL.—The Secretary may make grants or contracts under this section to help entities fund activities
p.001045: of the type de- scribed in subsection (b).
p.001045: (b) ACTIVITIES.—Activities of the type described in this sub- section include the following:
p.001045: (1) Assisting entities in meeting the costs associated with expanding or establishing programs that
p.001045: will increase the number of individuals trained in allied health professions. Pro- grams and activities funded
p.001045: under this paragraph may in- clude—
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045:
p.001045: January 30, 2020
p.001045: (A) those that expand enrollments in allied health pro- fessions with the greatest shortages or whose services
p.001045: are most needed by the elderly;
p.001045: (B) those that provide rapid transition training pro- grams in allied health fields to individuals who
...

p.001069: with or in recovery from a substance use disorder, includ- ing master’s level social workers, psychologists,
p.001069: counselors, marriage and family therapists, psychiatric mental health practitioners, occupational therapists,
p.001069: psychology doctoral interns, and behavioral health paraprofessionals and phy- sicians, physician assistants, and
p.001069: nurses, who are licensed
p.001069: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001069:
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p.001069:
p.001071: 1071
p.001071: PUBLIC HEALTH SERVICE ACT
p.001071: Sec. 791
p.001071:
p.001071: or certified in accordance with applicable State and Fed- eral laws; and
p.001071: (B) which is located at a substance use disorder treat- ment program, private physician practice, hospital
p.001071: or health system-affiliated inpatient treatment center or out- patient clinic (including an academic medical
p.001071: center-affili- ated treatment program), correctional facility or program, youth detention center or program,
p.001071: inpatient psychiatric facility, crisis stabilization unit, community health center, community mental health or
p.001071: other specialty community be- havioral health center, recovery center, school, community- based organization,
p.001071: telehealth platform, migrant health center, health program or facility operated by an Indian tribe or tribal
p.001071: organization, Federal medical facility, or any other facility as determined appropriate for purposes of this
p.001071: section by the Secretary.
p.001071: (j) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section $25,000,000
p.001071: for each of fiscal years 2019 through 2023.
p.001071: PART G—GENERAL PROVISIONS
p.001071:
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p.001071:
p.001071: January 30, 2020
p.001071: SEC. 791. ø295j¿ PREFERENCES AND REQUIRED INFORMATION IN CER- TAIN PROGRAMS.
p.001071: (a) PREFERENCES IN MAKING AWARDS.—
p.001071: (1) IN GENERAL.—Subject to paragraph (2), in making awards of grants or contracts under any of
p.001071: sections 747 and 750, the Secretary shall give preference to any qualified appli- cant that—
p.001071: (A) has a high rate for placing graduates in practice settings having the principal focus of serving
p.001071: residents of medically underserved communities;
p.001071: (B) during the 2-year period preceding the fiscal year for which such an award is sought, has achieved a
p.001071: signifi- cant increase in the rate of placing graduates in such set- tings; or
p.001071: (C) utilizes a longitudinal evaluation (as described in section 761(d)(2)) and reports data from such system to
p.001071: the national workforce database (as established under section 761(b)(2)(E)).
...

p.001079: (v) health systems management services; and
p.001079: (C) who has not received a degree of doctor of medi- cine, a degree of doctor of osteopathy, a degree
p.001079: of doctor of dentistry or an equivalent degree, a degree of doctor of veterinary medicine or an
p.001079: equivalent degree, a degree of
p.001079: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001079:
p.001079:
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p.001079:
p.001081: 1081
p.001081: PUBLIC HEALTH SERVICE ACT
p.001081: Sec. 799B
p.001081:
p.001081: doctor of optometry or an equivalent degree, a degree of doctor of podiatric medicine or an equivalent degree,
p.001081: a de- gree of bachelor of science in pharmacy or an equivalent degree, a degree of doctor of pharmacy or an
p.001081: equivalent de- gree, a graduate degree in public health or an equivalent degree, a degree of doctor of
p.001081: chiropractic or an equivalent degree, a graduate degree in health administration or an equivalent degree,
p.001081: a doctoral degree in clinical psychology or an equivalent degree, or a degree in social work or an
p.001081: equivalent degree or a degree in counseling or an equiva- lent degree.
p.001081: (6) The term ‘‘medically underserved community’’ means an urban or rural area or population that—
p.001081: (A) is eligible for designation under section 332 as a health professional shortage area;
p.001081: (B) is eligible to be served by a migrant health center under section 329 25, a community health center under sec- tion
p.001081: 330 25, a grantee under section 330(h) (relating to homeless individuals), or a grantee under section
p.001081: 340A 25 (relating to residents of public housing);
p.001081: (C) has a shortage of personal health services, as de- termined under criteria issued by the Secretary under
p.001081: sec- tion 1861(aa)(2) of the Social Security Act (relating to rural health clinics); or
p.001081: (D) is designated by a State Governor (in consultation with the medical community) as a shortage area or medi-
p.001081: cally underserved community.
p.001081: (7) The term ‘‘Department’’ means the Department of Health and Human Services.
p.001081: (8) The term ‘‘nonprofit’’ refers to the status of an entity owned and operated by one or more
p.001081: corporations or associa- tions no part of the net earnings of which inures, or may law- fully inure, to the
p.001081: benefit of any private shareholder or indi- vidual.
p.001081: (9) The term ‘‘State’’ includes, in addition to the several States, only the District of Columbia, the
p.001081: Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Is- lands, the Virgin Islands, Guam,
p.001081: American Samoa, and the Trust Territory of the Pacific Islands.
p.001081: (10)(A) Subject to subparagraph (B), the term ‘‘underrep- resented minorities’’ means, with respect to a
p.001081: health profes- sion, racial and ethnic populations that are underrepresented in the health profession
p.001081: relative to the number of individuals who are members of the population involved.
...

p.001433: for a fiscal year unless the State involved agrees that—
p.001433: (1) all programs conducted or supported by the State with such payments will establish objectives for the
p.001433: program and will determine the extent to which the objectives are met;
p.001433: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001433:
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p.001433:
p.001433:
p.001435: 1435
p.001435: PUBLIC HEALTH SERVICE ACT
p.001435: Sec. 2506
p.001435:
p.001435: (2) information provided under this part will be scientif- ically accurate and factually correct;
p.001435: (3) in carrying out section 2501(b), the State will give pri- ority to programs described in section 2502(10) for
p.001435: individuals described in such section;
p.001435: (4) with respect to a State in which there is a substantial number of individuals who are intravenous substance
p.001435: abusers, the State will place priority on activities under this part di- rected at such substance abusers;
p.001435: (5) with respect to a State in which there is a significant incidence of reported cases of acquired immune
p.001435: deficiency syn- drome, the State will—
p.001435: (A) for the purpose described in subsection (b) of sec- tion 2501, expend not less than 50 percent of payments
p.001435: re- ceived under subsection (a) of such section for a fiscal year—
p.001435: (i) to make grants to public entities, to migrant health centers (as defined in section 329(a)), to
p.001435: com- munity health centers (as defined in section 330(a)) 3, and to nonprofit private entities concerned
p.001435: with ac- quired immune deficiency syndrome; or
p.001435: (ii) to enter into contracts with public and private entities; and
p.001435: (B) of the amounts reserved for a fiscal year by the State for expenditures required in subparagraph
p.001435: (A), ex- pend not less than 50 percent to carry out section 2502(10) through grants to nonprofit private
p.001435: entities, including mi- nority entities, concerned with acquired immune deficiency syndrome located in and
p.001435: representative of communities and subpopulations reflecting the local incidence of such syndrome;
p.001435: (6) with respect to programs carried out pursuant to sec- tion 2502(10), the State will ensure that any
p.001435: applicant for a grant under such section agrees—
p.001435: (A) that any educational or informational materials developed with a grant pursuant to such section will
p.001435: con- tain material, and be presented in a manner, that is spe- cifically directed toward the group for
p.001435: which such mate- rials are intended;
p.001435: (B) to provide a description of the manner in which the applicant has planned the program in
p.001435: consultation with, and of the manner in which such applicant will con- sult during the conduct of the program with—
p.001435: (i) appropriate local officials and community groups for the area to be served by the program;
p.001435: (ii) organizations comprised of, and representing, the specific population to which the education or pre-
p.001435: vention effort is to be directed; and
...

p.001441: of toll-free telephone communications to provide information to, and respond to queries from, the public
p.001441: concerning acquired immune deficiency syndrome. Such communications shall be available on a 24-hour basis.
p.001441: SEC. 2522. ø300ee–32¿ PUBLIC INFORMATION CAMPAIGNS.
p.001441: (a) IN GENERAL.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may make
p.001441: grants to public entities, and to nonprofit private entities concerned with acquired immune deficiency
p.001441: syndrome, and shall enter into con- tracts with public and private entities, for the development and de- livery
p.001441: of public service announcements and paid advertising mes- sages that warn individuals about activities
p.001441: which place them at risk of infection with the etiologic agent for such syndrome.
p.001441: (b) REQUIREMENT OF APPLICATION.—The Secretary may not provide financial assistance under subsection (a) unless—
p.001441: (1) an application for such assistance is submitted to the Secretary;
p.001441: (2) with respect to carrying out the purpose for which the assistance is to be provided, the
p.001441: application provides assur- ances of compliance satisfactory to the Secretary; and
p.001441: (3) the application otherwise is in such form, is made in such manner, and contains such agreements,
p.001441: assurances, and information as the Secretary determines to be necessary to carry out this section.
p.001441: SEC. 2523. ø300ee–33¿ PROVISION OF INFORMATION TO UNDERSERVED POPULATIONS.
p.001441: (a) IN GENERAL.—The Secretary may make grants to public en- tities, to migrant health centers (as defined in
p.001441: section 329(a) 5), to community health centers (as defined in section 330(a)) 5, and to nonprofit private
p.001441: entities concerned with acquired immune defi- ciency syndrome, for the purpose of assisting grantees in providing
p.001441: services to populations of individuals that are underserved with re- spect to programs providing information on the
p.001441: prevention of expo- sure to, and the transmission of, the etiologic agent for acquired immune deficiency
p.001441: syndrome.
p.001441: (b) PREFERENCES IN MAKING GRANTS.—In making grants under subsection (a), the Secretary shall give
p.001441: preference to any ap- plicant for such a grant that has the ability to disseminate rapidly the information described in
p.001441: subsection (a) (including any national organization with such ability).
p.001441:
p.001441:
p.001441:
p.001441:
p.001441: January 30, 2020
p.001441: 4 So in law. The word ‘‘the’’ appears twice.
p.001441: 5 See footnote for section 217(a).
p.001441:
p.001441:
p.001441: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001441:
p.001441:
p.001441:
p.001441:
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p.001441:
p.001441: Sec. 2524 PUBLIC HEALTH SERVICE ACT 1442
p.001441:
p.001441: SEC. 2524. ø300ee–34¿ AUTHORIZATION OF APPROPRIATIONS.
p.001441: (a) IN GENERAL.—For the purpose of carrying out sections 2521 through 2523, there are authorized to
p.001441: be appropriated
p.001441: $105,000,000 for fiscal year 1989 and such sums as may be nec- essary for each of the fiscal years 1990 and
p.001441: 1991.
...

Political / person in detention center

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p.000001: with the Secretary of the Treasury, whenever in his judg- ment the purposes of the gifts will be served
p.000001: thereby.
p.000001:
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p.000001: January 30, 2020
p.000001: USE OF IMMIGRATION STATION HOSPITALS
p.000001:
p.000001: SEC. 232. ø238a¿ The Immigration and Naturalization Service may, by agreement of the heads of the departments
p.000001: concerned, per- mit the Public Health Service to use hospitals at immigration sta- tions for the care of Public
p.000001: Health Service patients. The Surgeon General shall reimburse the Immigration and Naturalization Serv- ice for the
p.000001: actual cost of furnishing fuel, light, water, telephone, and similar supplies and services, which
p.000001: reimbursement shall be covered into the proper Immigration and Naturalization Service ap- propriation, or such
p.000001: costs may be paid from working funds estab- lished as provided by law, but no charge shall be made for the ex-
p.000001: pense of physical upkeep of the hospitals. The Immigration and Naturalization Service shall reimburse the
p.000001: Surgeon General for the
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
p.000001:
p.000001:
p.000001:
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p.000001:
p.000001: 51 PUBLIC HEALTH SERVICE ACT Sec. 236
p.000001:
p.000001: care and treatment of persons detained in hospitals of the Public Health Service at the request of the
p.000001: Immigration and Naturaliza- tion Service unless such persons are entitled to care and treatment under section 322(a).
p.000017: 17
p.000017: MONEY COLLECTED FOR CARE OF PATIENTS
p.000017: SEC. 233. ø238b¿ Money collected as provided by law for ex- penses incurred in the care and treatment
p.000017: of foreign seamen, and money received for the care and treatment of pay patients, includ- ing any amounts
p.000017: received from any executive department on ac- count of care and treatment of pay patients, shall be
p.000017: covered into the appropriation from which the expenses of such care and treat- ment were paid.
p.000017: TRANSPORTATION OF REMAINS OF OFFICERS
p.000017: SEC. 234. ø238c¿ Appropriations available for traveling ex- penses of the Service shall be available for
p.000017: meeting the cost of preparation for burial and of transportation to the place of burial of remains of
p.000017: commissioned officers, and of personnel specified in regulations, who die in line of duty. Appropriations
p.000017: available for carrying out the provisions of this Act shall also be available for the payment of such
p.000017: expenses relating to the recovery, care, and disposition of the remains of personnel or their dependents as may
p.000017: be authorized under other provisions of law.
p.000017: GRANTS TO FEDERAL INSTITUTIONS
p.000017: SEC. 235. ø238d¿ Appropriations to the Public Health Service available under this Act for research,
p.000017: training, or demonstration project grants or for grants to expand existing treatment and re- search
...

p.000253: President, select suitable sites for and establish such addi- tional institutions, hospitals, and stations in the
p.000253: States and possessions of the United States as in his judgment are nec- essary to enable the Service to
p.000253: discharge its functions and du- ties;
p.000253: (b) Provide for the transfer of Public Health Service pa- tients, in the care of attendants where necessary,
p.000253: between hos- pitals and stations operated by the Service or between such hospitals and stations and other
p.000253: hospitals and stations in which Public Health Service patients may be received, and the payment of expenses of such
p.000253: transfer;
p.000253: (c) Provide for the disposal of articles produced by patients in the course of their curative treatment, either by
p.000253: allowing the patient to retain such articles or by selling them and depos- iting the money received therefor
p.000253: to the credit of the appropria- tion from which the materials for making the articles were purchased;
p.000253: (d) Provide for the disposal of money and effects, in the custody of the hospitals or stations, of
p.000253: deceased patients; and
p.000253: (e) Provide, to the extent the Surgeon General determines that other public or private funds are not available
p.000253: therefor, for the payment of expenses of preparing and transporting the remains of, or the payment of reasonable
p.000253: burial expenses for, any patient dying in a hospital or station.
p.000253:
p.000253:
p.000253:
p.000253:
p.000253:
p.000253:
p.000253:
p.000253:
p.000253: January 30, 2020
p.000253:
p.000253: CARE AND TREATMENT OF PERSONS UNDER QUARANTINE AND CERTAIN OTHER PERSONS
p.000253: SEC. 322. ø249¿ (a) Any person when detained in accordance with quarantine laws, or, at the request of
p.000253: the Immigration and Naturalization Service, any person detained by that Service, may be treated and cared for
p.000253: by the Public Health Service.
p.000253: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000253:
p.000253:
p.000253:
p.000253:
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p.000253:
p.000253:
p.000255: 255
p.000255: PUBLIC HEALTH SERVICE ACT
p.000255: Sec. 324
p.000255:
p.000255: (b) Persons not entitled to treatment and care at institutions, hospitals, and stations of the Service may, in
p.000255: accordance with regu- lations of the Surgeon General, be admitted thereto for temporary treatment and care in
p.000255: case of emergency.
p.000255: (c) Persons whose care and treatment is authorized by sub- section (a) may, in accordance with
p.000255: regulations, receive such care and treatment at the expense of the Service from public or private medical or
p.000255: hospital facilities other than those of the Service, when authorized by the officer in charge of the station
p.000255: at which the ap- plication is made.
p.000255: CARE AND TREATMENT OF FEDERAL PRISONERS 27
p.000255: SEC. 323. ø250¿ The Service shall supervise and furnish med- ical treatment and other necessary medical,
p.000255: psychiatric, and re- lated technical and scientific services, authorized by the Act of May 13, 1930, as amended
p.000255: (U.S.C., 1940 edition, title 18, secs. 751, 752), 28 in penal and correctional institutions of the United
p.000255: States.
...

p.000439: the recommendation of the Secretary, in consultation with the Sur- geon General, 72.
p.000439: (c) Except as provided in subsection (d), regulations prescribed under this section, insofar as they provide for the
p.000439: apprehension, de- tention, examination, or conditional release of individuals, shall be
p.000439:
p.000439:
p.000439:
p.000439:
p.000439: January 30, 2020
p.000439: 72 The comma is so in law. See the amendment made by section 142(a)(1) of Public Law 107– 188 (116 Stat. 626).
p.000439: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000439:
p.000439:
p.000439:
p.000439:
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p.000439:
p.000439:
p.000441: 441
p.000441: PUBLIC HEALTH SERVICE ACT
p.000441: Sec. 363
p.000441:
p.000441: applicable only to individuals coming into a State or possession from a foreign country or a possession.
p.000441: (d)(1) Regulations prescribed under this section may provide for the apprehension and examination of any
p.000441: individual reasonably believed to be infected with a communicable disease in a qualifying stage and (A) to be
p.000441: moving or about to move from a State to an- other State; or (B) to be a probable source of infection
p.000441: to individ- uals who, while infected with such disease in a qualifying stage, will be moving from a State
p.000441: to another State. Such regulations may provide that if upon examination any such individual is found to be
p.000441: infected, he may be detained for such time and in such manner as may be reasonably necessary. For purposes of
p.000441: this subsection, the term ‘‘State’’ includes, in addition to the several States, only the District of
p.000441: Columbia.
p.000441: (2) For purposes of this subsection, the term ‘‘qualifying stage’’, with respect to a communicable disease, means that
p.000441: such disease—
p.000441: (A) is in a communicable stage; or
p.000441: (B) is in a precommunicable stage, if the disease would be likely to cause a public health emergency if
p.000441: transmitted to other individuals.
p.000441: (e) Nothing in this section or section 363, or the regulations promulgated under such sections, may be
p.000441: construed as superseding any provision under State law (including regulations and including provisions established by
p.000441: political subdivisions of States), except to the extent that such a provision conflicts with an exercise of
p.000441: Fed- eral authority under this section or section 363.
p.000441: SUSPENSION OF ENTRIES AND IMPORTS FROM DESIGNATED PLACES
p.000441: SEC. 362. ø265¿ Whenever the Surgeon General determines that by reason of the existence of any
p.000441: communicable disease in a foreign country there is serious danger of the introduction of such disease into
p.000441: the United States, and that this danger is so increased by the introduction of persons or property from such
p.000441: country that a suspension of the right to introduce such persons and property is required in the
...

p.000441: against any com- municable disease specified in Executive orders as provided in sub- section (b) of section 361,
p.000441: the Secretary, in consultation with the Surgeon General, is authorized to provide by regulations for the ap-
p.000441: prehension and examination, in time of war, of any individual rea- sonably believed (1) to be infected with such
p.000441: disease and (2) to be a probable source of infection to members of the armed forces of the
p.000441:
p.000441:
p.000441:
p.000441:
p.000441: January 30, 2020
p.000441: 73 Under section 3 of Public Law 239, 80th Congress, the date of July 25, 1947, is deemed, for purposes
p.000441: of this section, to be the date of termination of ‘‘any state of war heretofore declared by the Congress’’.
p.000441: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000441:
p.000441:
p.000441:
p.000441:
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p.000441: C:\XML\SSA-MERGED.XML
p.000441:
p.000441: Sec. 364 PUBLIC HEALTH SERVICE ACT 442
p.000441:
p.000441: United States or to individuals engaged in the production or trans- portation of arms, munitions, ships, food,
p.000441: clothing, or other supplies for the armed forces. Such regulations may provide that if upon ex- amination any such
p.000441: individual is found to be so infected, he may be detained for such time and in such manner as may be
p.000441: reason- ably necessary.
p.000441: QUARANTINE STATIONS
p.000441: SEC. 364. ø267¿ (a) Except as provided in title II of the Act of June 15, 1917, as amended (U.S.C., 1940
p.000441: edition, title 50, secs. 191–194), 74 the Surgeon General shall control, direct, and manage all United States
p.000441: quarantine stations, grounds, and anchorages, designate their boundaries, and designate the quarantine
p.000441: officers to be in charge thereof. With the approval of the President he shall from time to time select suitable sites
p.000441: for and establish such addi- tional stations, grounds, and anchorages in the States and posses- sions of the
p.000441: United States as in his judgment are necessary to pre- vent the introduction of communicable diseases into the States
p.000441: and possessions of the United States.
p.000441: (b) The Surgeon General shall establish the hours during which quarantine service shall be
p.000441: performed at each quarantine station, and, upon application by any interested party, may estab- lish
p.000441: quarantine inspection during the twenty-four hours of the day, or any fraction thereof, at such quarantine stations as,
p.000441: in his opin- ion, require such extended service. He may restrict the perform- ance of quarantine inspection to
p.000441: hours of daylight for such arriving vessels as cannot, in his opinion, be satisfactorily inspected during hours of
p.000441: darkness. No vessel shall be required to undergo quar- antine inspection during the hours of darkness,
...

Political / person under arrest

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p.000017: persons, the typical number of employees and visitors in the buildings, the extent of the need for
p.000017: security measures re- garding the buildings, buildings or portions of buildings in which there are special
p.000017: circumstances such as high electrical voltage or extreme heat or cold, and such other factors as the Secretary
p.000017: deter- mines to be appropriate.
p.000017: (b) RELATED RECOMMENDATIONS.—The Secretary shall publish in the Federal Register the recommendations
p.000017: of the Secretary on the appropriate implementation of the placement of automated ex- ternal defibrillator devices
p.000017: under subsection (a), including proce- dures for the following:
p.000017: (1) Implementing appropriate training courses in the use of such devices, including the role of
p.000017: cardiopulmonary resus- citation.
p.000017: (2) Proper maintenance and testing of the devices.
p.000017: (3) Ensuring coordination with appropriate licensed profes- sionals in the oversight of training of the devices.
p.000017: (4) Ensuring coordination with local emergency medical systems regarding the placement and incidents of
p.000017: use of the devices.
p.000017: (c) CONSULTATIONS; CONSIDERATION OF CERTAIN RECOMMENDA-
p.000017: TIONS.—In carrying out this section, the Secretary shall—
p.000017: (1) consult with appropriate public and private entities;
p.000017: (2) consider the recommendations of national and local public-health organizations for improving the
p.000017: survival rates of individuals who experience cardiac arrest in nonhospital set- tings by minimizing the
p.000017: time elapsing between the onset of
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020
p.000017: 20 Public Law 105–12 (111 Stat. 23).
p.000017:
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
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p.000017:
p.000017: 57 PUBLIC HEALTH SERVICE ACT Sec. 248
p.000017:
p.000017: cardiac arrest and the initial medical response, including defibrillation as necessary; and
p.000017: (3) consult with and counsel other Federal agencies where such devices are to be used.
p.000017: (d) DATE CERTAIN FOR ESTABLISHING GUIDELINES AND REC- OMMENDATIONS.—The Secretary shall comply with
p.000017: this section not later than 180 days after the date of the enactment of the Cardiac Arrest Survival Act of 2000.
p.000017: (e) DEFINITIONS.—For purposes of this section:
p.000017: (1) The term ‘‘automated external defibrillator device’’ has the meaning given such term in section 248.
p.000017: (2) The term ‘‘Federal building’’ includes a building or por- tion of a building leased or rented by a Federal agency,
p.000017: and in- cludes buildings on military installations of the United States.
p.000017:
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p.000017:
p.000017: January 30, 2020
p.000017: LIABILITY REGARDING EMERGENCY USE OF AUTOMATED EXTERNAL DEFIBRILLATORS
p.000017: SEC. 248. ø238q¿ (a) GOOD SAMARITAN PROTECTIONS REGARD-
p.000017: ING AEDS.—Except as provided in subsection (b), any person who uses or attempts to use an automated
p.000017: external defibrillator device on a victim of a perceived medical emergency is immune from civil liability for any
p.000017: harm resulting from the use or attempted use of such device; and in addition, any person who acquired
p.000017: the device is immune from such liability, if the harm was not due to the fail- ure of such acquirer of the device—
...

p.000017:
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020
p.000017: (1) by training and equipping local emergency medical services personnel, including firefighters, police
p.000017: officers, para- medics, emergency medical technicians, and other first re-
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
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p.000017:
p.000017: 91 PUBLIC HEALTH SERVICE ACT Sec. 312
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p.000017: January 30, 2020
p.000017: sponders, to administer immediate care, including cardiopulmonary resuscitation and
p.000017: automated external defibrillation, to cardiac arrest victims;
p.000017: (2) by purchasing automated external defibrillators, plac- ing the defibrillators in public places where cardiac
p.000017: arrests are likely to occur, and training personnel in such places to admin- ister cardiopulmonary resuscitation and
p.000017: automated external defibrillation to cardiac arrest victims;
p.000017: (3) by setting procedures for proper maintenance and test- ing of such devices, according to the guidelines of the
p.000017: manufac- turers of the devices;
p.000017: (4) by providing training to members of the public in cardiopulmonary resuscitation and automated
p.000017: external defibrillation;
p.000017: (5) by integrating the emergency medical services system with the public access defibrillation programs so
p.000017: that emer- gency medical services personnel, including dispatchers, are in- formed about the location of
p.000017: automated external defibrillators in their community; and
p.000017: (6) by encouraging private companies, including small businesses, to purchase automated external
p.000017: defibrillators and provide training for their employees to administer cardiopulmonary
p.000017: resuscitation and external automated defibrillation to cardiac arrest victims in their community.
p.000017: (b) PREFERENCE.—In awarding grants under subsection (a), the Secretary shall give a preference to a State, political
p.000017: subdivision of a State, Indian tribe, or tribal organization that—
p.000017: (1) has a particularly low local survival rate for cardiac ar- rests, or a particularly low local response rate
p.000017: for cardiac ar- rest victims; or
p.000017: (2) demonstrates in its application the greatest commit- ment to establishing and maintaining a
p.000017: public access defibrillation program.
p.000017: (c) USE OF FUNDS.—A State, political subdivision of a State, In- dian tribe, or tribal organization that receives
p.000017: a grant under sub- section (a) may use funds received through such grant to—
p.000017: (1) purchase automated external defibrillators that have been approved, or cleared for marketing, by the Food and
p.000017: Drug Administration;
p.000017: (2) provide automated external defibrillation and basic life support training in automated external
p.000017: defibrillator usage through nationally recognized courses;
p.000017: (3) provide information to community members about the public access defibrillation program to be funded
p.000017: with the grant;
p.000017: (4) provide information to the local emergency medical services system regarding the placement of automated
p.000017: external defibrillators in public places;
...

p.000017: (2) CONTENTS.—An application submitted under paragraph
p.000017: (1) shall—
p.000017: (A) describe the comprehensive public access defibrillation program to be funded with the
p.000017: grant and demonstrate how such program would make automated ex- ternal defibrillation accessible and available to
p.000017: cardiac ar- rest victims in the community;
p.000017: (B) contain procedures for implementing appropriate nationally recognized training courses in
p.000017: performing cardiopulmonary resuscitation and the use of automated external defibrillators;
p.000017: (C) contain procedures for ensuring direct involvement of a licensed medical professional and coordination with
p.000017: the local emergency medical services system in the over- sight of training and notification of incidents of the
p.000017: use of the automated external defibrillators;
p.000017: (D) contain procedures for proper maintenance and testing of the automated external defibrillators,
p.000017: according to the labeling of the manufacturer;
p.000017: (E) contain procedures for ensuring notification of local emergency medical services system personnel, including
p.000017: dispatchers, of the location and type of devices used in the public access defibrillation program; and
p.000017: (F) provide for the collection of data regarding the ef- fectiveness of the public access defibrillation
p.000017: program to be funded with the grant in affecting the out-of-hospital car- diac arrest survival rate.
p.000017: (e) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000017: to be appropriated
p.000017: $25,000,000 for for 6 each of fiscal years 2003 through 2014. Not more than 10 percent of amounts
p.000017: received under a grant awarded under this section may be used for administrative expenses.
p.000017: SEC. 313. ø245¿ PUBLIC ACCESS DEFIBRILLATION DEMONSTRATION PROJECTS.
p.000017: (a) IN GENERAL.—The Secretary shall award grants to political subdivisions of States, Indian tribes, and tribal
p.000017: organizations to de- velop and implement innovative, comprehensive, community-based public access defibrillation
p.000017: demonstration projects that—
p.000017: (1) provide cardiopulmonary resuscitation and automated external defibrillation to cardiac arrest victims in
p.000017: unique set- tings;
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020
p.000017: 6 The words ‘‘for for’’ so in law.
p.000017:
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
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p.000017:
p.000017: 93 PUBLIC HEALTH SERVICE ACT Sec. 313
p.000017:
p.000017: (2) provide training to community members in cardiopulmonary resuscitation and
p.000017: automated external defibrillation; and
p.000017: (3) maximize community access to automated external defibrillators.
p.000017: (b) USE OF FUNDS.—A recipient of a grant under subsection (a) shall use the funds provided through the grant to—
p.000017: (1) purchase automated external defibrillators that have been approved, or cleared for marketing, by the Food and
p.000017: Drug Administration;
p.000017: (2) provide basic life training in automated external defibrillator usage through nationally recognized
p.000017: courses;
p.000017: (3) provide information to community members about the public access defibrillation demonstration project
p.000017: to be funded with the grant;
p.000017: (4) provide information to the local emergency medical services system regarding the placement of automated
p.000017: external defibrillators in the unique settings; and
p.000017: (5) further develop strategies to improve access to auto- mated external defibrillators in public places.
p.000017: (c) APPLICATION.—
p.000017: (1) IN GENERAL.—To be eligible to receive a grant under subsection (a), a political subdivision of a
p.000017: State, Indian tribe, or tribal organization shall prepare and submit an application to the Secretary at such time, in
p.000017: such manner, and containing such information as the Secretary may reasonably require.
p.000017: (2) CONTENTS.—An application submitted under paragraph
p.000017: (1) may—
p.000017: (A) describe the innovative, comprehensive, commu- nity-based public access defibrillation
p.000017: demonstration project to be funded with the grant;
p.000017: (B) explain how such public access defibrillation dem- onstration project represents innovation in
p.000017: providing pub- lic access to automated external defibrillation; and
p.000017: (C) provide for the collection of data regarding the ef- fectiveness of the demonstration project to be funded
p.000017: with the grant in—
p.000017: (i) providing emergency cardiopulmonary resus- citation and automated external defibrillation to car- diac
p.000017: arrest victims in the setting served by the dem- onstration project; and
p.000017: (ii) affecting the cardiac arrest survival rate in the setting served by the demonstration project.
p.000017: (d) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated to carry out this section
p.000017: $5,000,000 for each of fiscal years 2002 through 2006. Not more than 10 percent of amounts received
p.000017: under a grant awarded under this section may be used for administrative expenses.
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020 As Amended Through P.L. 116-94,
p.000017: Enacted December 20, 2019
p.000017:
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p.000017:
p.000017: Sec. 314 PUBLIC HEALTH SERVICE ACT 94
p.000017:
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p.000017: January 30, 2020
p.000017:
p.000017: GRANTS FOR COMPREHENSIVE HEALTH PLANNING AND PUBLIC HEALTH SERVICES
p.000017: Grants to States for Comprehensive State Health Planning SEC. 314. ø246¿ (a)(1) AUTHORIZATION.—In order to assist
p.000017: the
...

p.000833: Committee under section 6031 of such Act.
p.000833: (3) PUBLICATION OF PLAN.—Not later than September 30, 2018, and every 4 years thereafter, the Assistant
p.000833: Secretary shall—
p.000833:
p.000833:
p.000833:
p.000833:
p.000833:
p.000833:
p.000833:
p.000833:
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p.000833:
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p.000833:
p.000833:
p.000833:
p.000833: January 30, 2020
p.000833: (A) submit the strategic plan developed under para- graph (1) to the Committee on Energy and Commerce and the
p.000833: Committee on Appropriations of the House of Rep- resentatives and the Committee on Health,
p.000833: Education, Labor, and Pensions and the Committee on Appropriations of the Senate; and
p.000833: (B) post such plan on the Internet website of the Ad- ministration.
p.000833: (4) CONTENTS.—The strategic plan developed under para- graph (1) shall—
p.000833: (A) identify strategic priorities, goals, and measurable objectives for mental and substance use disorders activities
p.000833: and programs operated and supported by the Administra- tion, including priorities to prevent or eliminate
p.000833: the bur- den of mental and substance use disorders;
p.000833: (B) identify ways to improve the quality of services for individuals with mental and substance use disorders,
p.000833: and to reduce homelessness, arrest, incarceration, violence, in- cluding self-directed violence, and unnecessary
p.000833: hospitaliza- tion of individuals with a mental or substance use dis- order, including adults with a
p.000833: serious mental illness or children with a serious emotional disturbance;
p.000833: (C) ensure that programs provide, as appropriate, ac- cess to effective and evidence-based prevention,
p.000833: diagnosis, intervention, treatment, and recovery services, including culturally and linguistically appropriate
p.000833: services, as appro-
p.000833: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000833:
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p.000833: Sec. 501 PUBLIC HEALTH SERVICE ACT 834
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p.000891: (D) specify plans for obtaining necessary support and continuing the proposed program following the
p.000891: conclusion of Federal support; and
p.000891: (E) describe methodology and outcome measures that will be used in evaluating the program.
p.000891: (d) SPECIAL CONSIDERATION REGARDING VETERANS.—In award- ing grants under subsection (a), the Secretary shall, as
p.000891: appropriate, give special consideration to entities proposing to use grant funding to support jail diversion services
p.000891: for veterans.
p.000891: (e) USE OF FUNDS.—A State, political subdivision of a State, Indian tribe, or tribal organization that
p.000891: receives a grant under sub- section (a) may use funds received under such grant to—
p.000891: (1) integrate the diversion program into the existing sys- tem of care;
p.000891: (2) create or expand community-based mental health and co-occurring mental illness and substance use disorder
p.000891: services to accommodate the diversion program;
p.000891: (3) train professionals involved in the system of care, and law enforcement officers, attorneys, and judges;
p.000891: (4) provide community outreach and crisis intervention;
p.000891: and
p.000891: (5) develop programs to divert individuals prior to booking
p.000891:
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p.000891: January 30, 2020
p.000891: or arrest.
p.000891: (f) FEDERAL SHARE.—
p.000891: (1) IN GENERAL.—The Secretary shall pay to a State, polit- ical subdivision of a State, Indian tribe, or tribal
p.000891: organization receiving a grant under subsection (a) the Federal share of the cost of activities described in the
p.000891: application.
p.000891: (2) FEDERAL SHARE.—The Federal share of a grant made under this section shall not exceed 75 percent of the
p.000891: total cost of the program carried out by the State, political subdivision of a State, Indian tribe, or tribal
p.000891: organization. Such share shall be used for new expenses of the program carried out by such State, political
p.000891: subdivision of a State, Indian tribe, or tribal or- ganization.
p.000891: (3) NON-FEDERAL SHARE.—The non-Federal share of pay- ments made under this section may be made in cash or in kind
p.000891: fairly evaluated, including planned equipment or services. The Secretary may waive the requirement of matching
p.000891: contribu- tions.
p.000891: (g) GEOGRAPHIC DISTRIBUTION.—The Secretary shall ensure that such grants awarded under subsection (a) are
p.000891: equitably dis-
p.000891: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000893: 893
p.000893: PUBLIC HEALTH SERVICE ACT
p.000893: Sec. 520I
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p.001203: (2) shall ensure that the activities of the Program are co- ordinated among such agencies; and
p.001203: (3) shall, as appropriate, provide for collaboration among such agencies in carrying out such activities.
p.001203: (d) CERTAIN ACTIVITIES OF PROGRAM.—The Program shall in- clude—
p.001203: (1) studies with respect to all phases of trauma care, in- cluding prehospital, resuscitation, surgical
p.001203: intervention, critical care, infection control, wound healing, nutritional care and support, and medical
p.001203: rehabilitation care;
p.001203: (2) basic and clinical research regarding the response of the body to trauma and the acute treatment and
p.001203: medical reha- bilitation of individuals who are the victims of trauma;
p.001203: (3) basic and clinical research regarding trauma care for pediatric and geriatric patients; and
p.001203: (4) the authority to make awards of grants or contracts to public or nonprofit private entities for the conduct of
p.001203: basic and applied research regarding traumatic brain injury, which re- search may include—
p.001203: (A) the development of new methods and modalities for the more effective diagnosis, measurement of degree of
p.001203: brain injury, post-injury monitoring and prognostic assess- ment of head injury for acute, subacute and later
p.001203: phases of care;
p.001203: (B) the development, modification and evaluation of therapies that retard, prevent or reverse brain damage
p.001203: after acute head injury 3, that arrest further deterioration following injury and that provide the
p.001203: restitution of func- tion for individuals with long-term injuries;
p.001203: (C) the development of research on a continuum of care from acute care through rehabilitation, designed,
p.001203: to the extent practicable, to integrate rehabilitation and long- term outcome evaluation with acute care research;
p.001203: (D) the development of programs that increase the participation of academic centers of excellence in brain in-
p.001203:
p.001203:
p.001203:
p.001203:
p.001203:
p.001203: January 30, 2020
p.001203: 3 Section 1303(a)(2) of Public Law 106–310 (114 Stat. 1138) provides that subparagraph (B) is amended by
p.001203: striking ‘‘acute injury’’ and inserting ‘‘acute brain injury’’. The amendment cannot be executed because the term
p.001203: to be struck does not appear in subparagraph (B). (Compare ‘‘acute injury’’ and ‘‘acute head injury’’.)
p.001203: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001203:
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p.001205: 1205
p.001205: PUBLIC HEALTH SERVICE ACT
p.001205: Sec. 1261
p.001205:
p.001205: jury treatment and rehabilitation research and training; and
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p.001369: A. Anaphylaxis or anaphylactic
p.001369: shock 24 hours
p.001369: B. Any acute complication or se- quela (including death) of an ill- ness, disability, injury, or
p.001369: condi- tion referred to above which ill- ness, disability, injury, or condi- tion arose within the time
p.001369: period
p.001369: prescribed Not applicable
p.001369: (b) QUALIFICATIONS AND AIDS TO INTERPRETATION.—The fol- lowing qualifications and aids to interpretation
p.001369: shall apply to the Vaccine Injury Table in subsection (a):
p.001369: (1) A shock-collapse or a hypotonic-hyporesponsive collapse may be evidenced by indicia or symptoms such as
p.001369: decrease or loss of muscle tone, paralysis (partial or complete), hemiplegia or hemiparesis, loss of color or turning
p.001369: pale white or blue, un- responsiveness to environmental stimuli, depression of con-
p.001369: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001369:
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p.001369:
p.001369: Sec. 2114 PUBLIC HEALTH SERVICE ACT 1370
p.001369: sciousness, loss of consciousness, prolonged sleeping with dif- ficulty arousing, or cardiovascular or
p.001369: respiratory arrest.
p.001369: (2) A petitioner may be considered to have suffered a resid- ual seizure disorder if the petitioner did not suffer a
p.001369: seizure or convulsion unaccompanied by fever or accompanied by a fever of less than 102 degrees Fahrenheit
p.001369: before the first seizure or convulsion after the administration of the vaccine involved and if—
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p.001369: January 30, 2020
p.001369: (A) in the case of a measles, mumps, or rubella vaccine or any combination of such vaccines, the first seizure
p.001369: or convulsion occurred within 15 days after administration of the vaccine and 2 or more seizures or convulsions
p.001369: occurred within 1 year after the administration of the vaccine which were unaccompanied by fever or accompanied by a
p.001369: fever of less than 102 degrees Fahrenheit, and
p.001369: (B) in the case of any other vaccine, the first seizure or convulsion occurred within 3 days after
p.001369: administration of the vaccine and 2 or more seizures or convulsions oc- curred within 1 year after the
p.001369: administration of the vac- cine which were unaccompanied by fever or accompanied by a fever of less than 102
p.001369: degrees Fahrenheit.
p.001369: (3)(A) The term ‘‘encephalopathy’’ means any significant acquired abnormality of, or injury to, or impairment of
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p.000001: (2) In providing a health service to an individual, a health care practitioner shall for purposes of this
p.000001: subsection be considered to
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000001: Sec. 224 PUBLIC HEALTH SERVICE ACT 34
p.000001: be a free clinic health professional if the following conditions are met:
p.000001:
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p.000001: January 30, 2020
p.000001: (A) The service is provided to the individual at a free clin- ic, or through offsite programs or events carried out by
p.000001: the free clinic.
p.000001: (B) The free clinic is sponsoring the health care practi- tioner pursuant to paragraph (5)(C).
p.000001: (C) The service is a qualifying health service (as defined in paragraph (4)).
p.000001: (D) Neither the health care practitioner nor the free clinic receives any compensation for the service from the
p.000001: individual or from any third-party payor (including reimbursement under any insurance policy or health plan, or
p.000001: under any Federal or State health benefits program). With respect to compliance with such condition:
p.000001: (i) The health care practitioner may receive repayment from the free clinic for reasonable expenses incurred by
p.000001: the health care practitioner in the provision of the service to the individual.
p.000001: (ii) The free clinic may accept voluntary donations for the provision of the service by the health care practitioner to
p.000001: the individual.
p.000001: (E) Before the service is provided, the health care practi- tioner or the free clinic provides written
p.000001: notice to the indi- vidual of the extent to which the legal liability of the health care practitioner
p.000001: is limited pursuant to this subsection (or in the case of an emergency, the written notice is provided to the
p.000001: individual as soon after the emergency as is practicable). If the individual is a minor or is otherwise legally
p.000001: incompetent, the condition under this subparagraph is that the written notice be provided to a legal guardian or other
p.000001: person with legal respon- sibility for the care of the individual.
p.000001: (F) At the time the service is provided, the health care practitioner is licensed or certified in accordance
p.000001: with applica- ble law regarding the provision of the service.
p.000001: (3)(A) For purposes of this subsection, the term ‘‘free clinic’’ means a health care facility operated by a
p.000001: nonprofit private entity meeting the following requirements:
p.000001: (i) The entity does not, in providing health services through the facility, accept reimbursement
p.000001: from any third- party payor (including reimbursement under any insurance policy or health plan, or under
p.000001: any Federal or State health benefits program).
p.000001: (ii) The entity, in providing health services through the fa- cility, either does not impose charges on the
p.000001: individuals to whom the services are provided, or imposes a charge according to the ability of the individual involved
p.000001: to pay the charge.
p.000001: (iii) The entity is licensed or certified in accordance with applicable law regarding the provision of health
p.000001: services.
p.000001: (B) With respect to compliance with the conditions under sub- paragraph (A), the entity involved may accept voluntary
p.000001: donations for the provision of services.
p.000001: (4) For purposes of this subsection, the term ‘‘qualifying health service’’ means any medical assistance required or
p.000001: authorized to be
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000001: 35 PUBLIC HEALTH SERVICE ACT Sec. 224
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p.000001: January 30, 2020
p.000001: (4) CERTIFICATION OF ACTION BY ATTORNEY GENERAL.— Subsection (c) applies to actions under this subsection,
p.000001: subject to the following provisions:
p.000001: (A) NATURE OF CERTIFICATION.—The certification by the Attorney General that is the basis for deeming
p.000001: an ac- tion or proceeding to be against the United States, and for removing an action or proceeding from a
p.000001: State court, is a certification that the action or proceeding is against a cov- ered person and is based upon
p.000001: a claim alleging personal injury or death arising out of the administration of a cov- ered countermeasure.
p.000001: (B) CERTIFICATION OF ATTORNEY GENERAL CONCLU- SIVE.—The certification of the Attorney General of
p.000001: the facts specified in subparagraph (A) shall conclusively es- tablish such facts for purposes of
p.000001: jurisdiction pursuant to this subsection.
p.000001: (5) COVERED PERSON TO COOPERATE WITH UNITED STATES.—
p.000001: (A) IN GENERAL.—A covered person shall cooperate with the United States in the processing and defense of
p.000001: a claim or action under this subsection based upon alleged acts or omissions of such person.
p.000001: (B) CONSEQUENCES OF FAILURE TO COOPERATE.—Upon the motion of the United States or any other party and
p.000001: upon finding that such person has failed to so cooperate—
p.000001: (i) the court shall substitute such person as the party defendant in place of the United States and,
p.000001: upon motion, shall remand any such suit to the court in which it was instituted if it appears that
p.000001: the court lacks subject matter jurisdiction;
p.000001: (ii) the United States shall not be liable based on the acts or omissions of such person; and
p.000001: (iii) the Attorney General shall not be obligated to defend such action.
p.000001: (6) RECOURSE AGAINST COVERED PERSON IN CASE OF GROSS MISCONDUCT OR CONTRACT VIOLATION.—
p.000001: (A) IN GENERAL.—Should payment be made by the United States to any claimant bringing a claim under this
p.000001: subsection, either by way of administrative determination, settlement, or court judgment, the United States
p.000001: shall have, notwithstanding any provision of State law, the right to recover for that portion of the damages so
p.000001: awarded or paid, as well as interest and any costs of litigation, result- ing from the failure of any covered person
p.000001: to carry out any obligation or responsibility assumed by such person under a contract with the United States or from
p.000001: any grossly neg- ligent, reckless, or illegal conduct or willful misconduct on the part of such person.
p.000001: (B) VENUE.—The United States may maintain an ac- tion under this paragraph against such person in the
p.000001: dis- trict court of the United States in which such person re- sides or has its principal place of business.
p.000001: (7) DEFINITIONS.—As used in this subsection, terms have the following meanings:
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000001: subsection be considered to be a health professional volunteer at an entity described in sub- section
p.000001: (g)(4) if the following conditions are met:
p.000001: (A) The service is provided to the individual at the facili- ties of an entity described in subsection
p.000001: (g)(4), or through off- site programs or events carried out by the entity.
p.000001:
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p.000001: January 30, 2020
p.000001: 14 Subparagraph (C) is shown according to the probable intent of the Congress. In amending the
p.000001: subparagraph to create a clause (i), section 3(g) of Public Law 108–20 (117 Stat. 648) pro- vided that
p.000001: the subparagraph is amended by redesignating certain words ‘‘as clause (i) and in- denting accordingly’’.
p.000001: The use in the amendatory instructions of the word ‘‘accordingly’’ requires the exercise of editorial judgment.
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
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p.000001: Sec. 224 PUBLIC HEALTH SERVICE ACT 42
p.000001:
p.000001: (B) The entity is sponsoring the health care practitioner pursuant to paragraph (3)(B).
p.000001: (C) The health care practitioner does not receive any com- pensation for the service from the individual, the
p.000001: entity de- scribed in subsection (g)(4), or any third-party payer (including reimbursement under any insurance
p.000001: policy or health plan, or under any Federal or State health benefits program), except that the health
p.000001: care practitioner may receive repayment from the entity described in subsection (g)(4) for reasonable ex-
p.000001: penses incurred by the health care practitioner in the provision of the service to the individual, which may
p.000001: include travel ex- penses to or from the site of services.
p.000001: (D) Before the service is provided, the health care practi- tioner or the entity described in subsection
p.000001: (g)(4) posts a clear and conspicuous notice at the site where the service is provided of the extent to which the
p.000001: legal liability of the health care practitioner is limited pursuant to this subsection.
p.000001: (E) At the time the service is provided, the health care practitioner is licensed or certified in accordance
p.000001: with applica- ble Federal and State laws regarding the provision of the serv- ice.
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p.000001: January 30, 2020
p.000001: (F) At the time the service is provided, the entity described in subsection (g)(4) maintains relevant
p.000001: documentation certi- fying that the health care practitioner meets the requirements of this subsection.
p.000001: (3) Subsection (g) (other than paragraphs (3) and (5)) and sub- sections (h), (i), and (l) apply to a health care
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p.000017: respect to the injury involved an eligible in- dividual under the table as in effect before the amendment but who with
p.000017: respect to such injury is an eligible individual under the table as amended. With respect to a request for benefits or
p.000017: compensation under this part by an individual who becomes an eligible individual as described in the preceding
p.000017: sentence, the Secretary may not provide such benefits or compensation un- less the request (or amendment
p.000017: to a request, as applicable) is filed before the expiration of one year after the effective date of the
p.000017: amendment to the table in the case of an individual to whom the vaccine was administered and before
p.000017: the expiration of two years after such effective date in the case of a request based on accidental
p.000017: vaccinia inoculation.
p.000017: SEC. 264. ø239c¿ MEDICAL BENEFITS.
p.000017: (a) IN GENERAL.—Subject to the succeeding provisions of this section, the Secretary shall make payment or
p.000017: reimbursement for medical items and services as reasonable and necessary to treat a covered injury of an
p.000017: eligible individual, including the services, ap- pliances, and supplies prescribed or recommended by a
p.000017: qualified physician, which the Secretary considers likely to cure, give relief, reduce the degree or the
p.000017: period of disability, or aid in lessening the amount of monthly compensation.
p.000017: (b) BENEFITS SECONDARY TO OTHER COVERAGE.—Payment or reimbursement for services or benefits under subsection
p.000017: (a) shall be secondary to any obligation of the United States or any third party (including any State or local
p.000017: governmental entity, private insur- ance carrier, or employer) under any other provision of law or con- tractual
p.000017: agreement, to pay for or provide such services or benefits.
p.000017: SEC. 265. ø239d¿ COMPENSATION FOR LOST EMPLOYMENT INCOME.
p.000017: (a) IN GENERAL.—Subject to the succeeding provisions of this section, the Secretary shall provide compensation
p.000017: to an eligible in- dividual for loss of employment income (based on such income at the time of injury)
p.000017: incurred as a result of a covered injury, at the rate specified in subsection (b).
p.000017: (b) AMOUNT OF COMPENSATION.—
p.000017: (1) IN GENERAL.—Compensation under subsection (a) shall be at the rate of 662⁄3 percent of the relevant pay period
p.000017: (week- ly, monthly, or otherwise), except as provided in paragraph (2).
p.000017: (2) AUGMENTED COMPENSATION FOR DEPENDENTS.—If an el- igible individual has one or more dependents, the basic
p.000017: com- pensation for loss of employment income as described in para- graph (1) shall be augmented at the rate of 81⁄3
p.000017: percent.
p.000017: (3) CONSIDERATION OF OTHER PROGRAMS.—
p.000017: (A) IN GENERAL.—The Secretary may consider the pro- visions of sections 8114, 8115, and 8146a of title 5, United States
p.000017: Code, and any implementing regulations, in deter- mining the amount of payment under subsection (a) and
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000017: Sec. 265 PUBLIC HEALTH SERVICE ACT 64
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p.000017: the circumstances under which such payments are reason- able and necessary.
p.000017: (B) MINORS.—With respect to an eligible individual who is a minor, the Secretary may consider the provisions of
p.000017: section 8113 of title 5, United States Code, and any im- plementing regulations, in determining the amount of pay- ment
p.000017: under subsection (a) and the circumstances under which such payments are reasonable and necessary.
p.000017: (4) TREATMENT OF SELF-EMPLOYMENT INCOME.—For pur- poses of this section, the term ‘‘employment income’’
p.000017: includes income from self-employment.
p.000017: (c) LIMITATIONS.—
p.000017: (1) BENEFITS SECONDARY TO OTHER COVERAGE.—
p.000017: (A) IN GENERAL.—Any compensation under subsection
p.000017: (a) shall be secondary to the obligation of the United States or any third party (including any State or local
p.000017: gov- ernmental entity, private insurance carrier, or employer), under any other law or contractual agreement, to
p.000017: pay com- pensation for loss of employment income or to provide dis- ability or retirement benefits.
p.000017: (B) RELATION TO OTHER OBLIGATIONS.—Compensation under subsection (a) shall not be made to an eligible indi- vidual
p.000017: to the extent that the total of amounts paid to the individual under such subsection and under the other
p.000017: obli- gations referred to in subparagraph (A) is an amount that exceeds the rate specified in subsection (b)(1). If
p.000017: under any such other obligation a lump-sum payment is made, such payment shall, for purposes of this
p.000017: paragraph, be deemed to be received over multiple years rather than received in a single year. The
p.000017: Secretary may, in the discretion of the Secretary, determine how to apportion such payment over multiple
p.000017: years.
p.000017: (2) NO BENEFITS IN CASE OF DEATH.—No payment shall be made under subsection (a) in compensation for loss of
p.000017: employ- ment income subsequent to the receipt, by the survivor or sur- vivors of an eligible individual, of
p.000017: benefits under section 266 for death.
p.000017: (3) LIMIT ON TOTAL BENEFITS.—
p.000017: (A) IN GENERAL.—Except as provided in subparagraph (B)—
p.000017: (i) total compensation paid to an individual under subsection (a) shall not exceed $50,000 for any year; and
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p.000017: (ii) the lifetime total of such compensation for the individual may not exceed an amount equal to the amount
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p.000017: (b) ELECTION IN CASE OF DEPENDENTS.—
p.000017: (1) IN GENERAL.—In the case of an eligible individual whose death is determined to have resulted from a
p.000017: covered in- jury or injuries, if the individual had one or more dependents under the age of 18, the legal
p.000017: guardian of the dependents may, in lieu of the death benefit under subsection (a), elect to re- ceive on
p.000017: behalf of the aggregate of such dependents payments in accordance with this subsection. An election under
p.000017: the pre- ceding sentence is effective in lieu of a request under sub- section (a) by an individual who
p.000017: is not the legal guardian of such dependents.
p.000017: (2) AMOUNT OF PAYMENTS.—Payments under paragraph (1) with respect to an eligible individual described in such
p.000017: para- graph shall be made as if such individual were an eligible indi- vidual to whom compensation would be paid
p.000017: under subsection
p.000017: (a) of section 265, with the rate augmented in accordance with subsection (b)(2) of such section and with such
p.000017: individual con- sidered to be an eligible individual described in subsection (c)(3)(B) of such section.
p.000017: (3) LIMITATIONS.—
p.000017: (A) AGE OF DEPENDENTS.—No payments may be made under paragraph (1) once the youngest of the dependents involved
p.000017: reaches the age of 18.
p.000017: (B) BENEFITS SECONDARY TO OTHER COVERAGE.—
p.000017: (i) IN GENERAL.—Any payment under paragraph
p.000017: (1) shall be secondary to the obligation of the United States or any third party (including any State or local
p.000017: governmental entity, private insurance carrier, or em- ployer), under any other law or contractual agreement, to pay
p.000017: compensation for loss of employment income or to provide disability benefits, retirement benefits, life insurance
p.000017: benefits on behalf of dependents under the age of 18, or death benefits.
p.000017: (ii) RELATION TO OTHER OBLIGATIONS.—Payments under paragraph (1) shall not be made to with respect to an eligible
p.000017: individual to the extent that the total of amounts paid with respect to the individual under such paragraph
p.000017: and under the other obligations re- ferred to in clause (i) is an amount that exceeds the
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000017: 67 PUBLIC HEALTH SERVICE ACT Sec. 271
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p.000017: rate of payment that applies under paragraph (2). If under any such other obligation a lump-sum payment is
p.000017: made, such payment shall, for purposes of this sub- paragraph, be deemed to be received over multiple years
p.000017: rather than received in a single year. The Sec- retary may, in the discretion of the Secretary, deter-
p.000017: mine how to apportion such payment over multiple years.
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p.000105: activities in the area.
p.000105: (3) PROVISION OF ALL SERVICES AND ACTIVITIES THROUGH EACH GRANTEE.—In making grants under paragraph (1),
p.000105: the Secretary shall ensure that each of the activities described in such paragraph is provided through
p.000105: each grantee under such paragraph. The Secretary may authorize such a grantee to pro- vide the services and
p.000105: activities directly, or through arrange- ments with other providers.
p.000105: (b) STATUS AS MEDICAID PROVIDER.—
p.000105: (1) IN GENERAL.—Subject to paragraph (2), the Secretary may not make a grant under subsection (a) unless, in the
p.000105: case of any service described in such subsection that is made avail- able pursuant to the State plan approved under
p.000105: title XIX of the Social Security Act for the State involved—
p.000105: (A) the applicant for the grant will provide the service directly, and the applicant has entered into a participation
p.000105: agreement under the State plan and is qualified to receive payments under such plan; or
p.000105: (B) the applicant will enter into an agreement with a provider under which the provider will provide the
p.000105: service, and the provider has entered into such a participation agreement and is qualified to receive such
p.000105: payments.
p.000105: (2) WAIVER REGARDING CERTAIN SECONDARY AGREE- MENTS.—
p.000105: (A) In the case of a provider making an agreement pursuant to paragraph (1)(B) regarding the provision
p.000105: of services, the requirement established in such paragraph regarding a participation agreement shall be waived by
p.000105: the Secretary if the provider does not, in providing health care services, impose a charge or accept
p.000105: reimbursement avail- able from any third-party payor, including reimbursement under any insurance policy or
p.000105: under any Federal or State health benefits plan.
p.000105: (B) A determination by the Secretary of whether a pro- vider referred to in subparagraph (A) meets the criteria for a
p.000105: waiver under such subparagraph shall be made without regard to whether the provider accepts voluntary dona-
p.000105: tions regarding the provision of services to the public.
p.000105: (c) PRIORITY IN MAKING GRANTS.—In making grants under sub- section (a), the Secretary shall give priority to
p.000105: applications for pro- grams that will serve areas with a high incidence of elevated blood lead levels in infants and
p.000105: children.
p.000105: (d) GRANT APPLICATION.—No grant may be made under sub- section (a), unless an application therefor has
p.000105: been submitted to, and approved by, the Secretary. Such an application shall be in such form and shall be
p.000105: submitted in such manner as the Secretary shall prescribe and shall include each of the following:
p.000105: (1) A complete description of the program which is to be provided by or through the applicant.
p.000105: (2) Assurances satisfactory to the Secretary that the pro- gram to be provided under the grant applied
p.000105: for will include educational programs designed to—
p.000105: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000225: PUBLIC HEALTH SERVICE ACT
p.000225: Sec. 319F–3
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p.000225: (i) before each covered person sued has had a rea- sonable opportunity to file a motion to dismiss;
p.000225: (ii) in the event such a motion is filed, before the court has ruled on such motion; and
p.000225: (iii) in the event a covered person files an inter- locutory appeal from the denial of such a motion,
p.000225: be- fore the court of appeals has ruled on such appeal.
p.000225: (B) STANDARD.—Notwithstanding any other provision of law, the court in an action under subsection (d)
p.000225: shall permit discovery only with respect to matters directly re- lated to material issues contested in
p.000225: such action, and the court shall compel a response to a discovery request (in- cluding a request for
p.000225: admission, an interrogatory, a re- quest for production of documents, or any other form of discovery
p.000225: request) under Rule 37, Federal Rules of Civil Procedure, only if the court finds that the requesting party
p.000225: needs the information sought to prove or defend as to a material issue contested in such action and that the
p.000225: likely benefits of a response to such request equal or exceed the burden or cost for the responding party of
p.000225: providing such response.
p.000225: (7) REDUCTION IN AWARD OF DAMAGES FOR COLLATERAL SOURCE BENEFITS.—
p.000225: (A) IN GENERAL.—In an action under subsection (d), the amount of an award of damages that would otherwise be
p.000225: made to a plaintiff shall be reduced by the amount of collateral source benefits to such plaintiff.
p.000225: (B) PROVIDER OF COLLATERAL SOURCE BENEFITS NOT TO HAVE LIEN OR SUBROGATION.—No provider of collateral
p.000225: source benefits shall recover any amount against the plain- tiff or receive any lien or credit against the
p.000225: plaintiff’s re- covery or be equitably or legally subrogated to the right of the plaintiff in an action under
p.000225: subsection (d).
p.000225: (C) COLLATERAL SOURCE BENEFIT DEFINED.—For pur- poses of this paragraph, the term ‘‘collateral source ben-
p.000225: efit’’ means any amount paid or to be paid in the future to or on behalf of the plaintiff, or any
p.000225: service, product, or other benefit provided or to be provided in the future to or on behalf of the plaintiff, as
p.000225: a result of the injury or wrongful death, pursuant to—
p.000225: (i) any State or Federal health, sickness, income- disability, accident, or workers’ compensation law;
p.000225: (ii) any health, sickness, income-disability, or acci- dent insurance that provides health benefits or in-
p.000225: come-disability coverage;
p.000225: (iii) any contract or agreement of any group, orga- nization, partnership, or corporation to provide, pay for,
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p.000225: Sec. 319F–3 PUBLIC HEALTH SERVICE ACT 226
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p.000225: January 30, 2020
p.000225:
p.000225: bility of a defendant for the harm to the plaintiff. For purposes of this paragraph, the term ‘‘noneconomic
p.000225: damages’’ means damages for losses for physical and emotional pain, suffering, inconvenience, physical
p.000225: impairment, mental anguish, disfigure- ment, loss of enjoyment of life, loss of society and companion- ship,
p.000225: loss of consortium, hedonic damages, injury to reputation, and any other nonpecuniary losses.
p.000225: (9) RULE 11 SANCTIONS.—Whenever a district court of the United States determines that there has been a
p.000225: violation of Rule 11 of the Federal Rules of Civil Procedure in an action under subsection (d), the court
p.000225: shall impose upon the attorney, law firm, or parties that have violated Rule 11 or are respon- sible for
p.000225: the violation, an appropriate sanction, which may in- clude an order to pay the other party or parties for the
p.000225: reason- able expenses incurred as a direct result of the filing of the pleading, motion, or other paper that
p.000225: is the subject of the viola- tion, including a reasonable attorney’s fee. Such sanction shall be sufficient to deter
p.000225: repetition of such conduct or comparable conduct by others similarly situated, and to compensate the
p.000225: party or parties injured by such conduct.
p.000225: (10) INTERLOCUTORY APPEAL.—The United States Court of Appeals for the District of Columbia Circuit shall have
p.000225: jurisdic- tion of an interlocutory appeal by a covered person taken with- in 30 days of an order denying a motion to
p.000225: dismiss or a motion for summary judgment based on an assertion of the immunity from suit conferred by subsection
p.000225: (a) or based on an assertion of the exclusion under subsection (c)(5).
p.000225: (f) ACTIONS BY AND AGAINST THE UNITED STATES.—Nothing in this section shall be construed to abrogate or limit any
p.000225: right, rem- edy, or authority that the United States or any agency thereof may possess under any other provision of law
p.000225: or to waive sovereign im- munity or to abrogate or limit any defense or protection available to the United
p.000225: States or its agencies, instrumentalities, officers, or employees under any other law, including any provision of
p.000225: chapter 171 of title 28, United States Code (relating to tort claims proce- dure).
p.000225: (g) SEVERABILITY.—If any provision of this section, or the appli- cation of such provision to any person or
p.000225: circumstance, is held to be unconstitutional, the remainder of this section and the applica- tion of such
p.000225: remainder to any person or circumstance shall not be affected thereby.
p.000225: (h) RULE OF CONSTRUCTION CONCERNING NATIONAL VACCINE INJURY COMPENSATION PROGRAM.—Nothing in this
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p.000263: PUBLIC HEALTH SERVICE ACT
p.000263: Sec. 330
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p.000263: (3) CONSTRUCTION.—The Secretary may award grants which may be used to pay the costs associated with expanding
p.000263: and modernizing existing buildings or constructing new build- ings (including the costs of amortizing the
p.000263: principal of, and paying the interest on, loans) for projects approved prior to Oc- tober 1, 1996.
p.000263: (4) LIMITATION.—Not more than two grants may be made under subparagraph (B) of paragraph (1) for the
p.000263: same entity.
p.000263: (5) AMOUNT.—
p.000263: (A) IN GENERAL.—The amount of any grant made in any fiscal year under subparagraphs (A) and (B) of
p.000263: para- graph (1) to a health center shall be determined by the Secretary, but may not exceed the amount
p.000263: by which the costs of operation of the center in such fiscal year exceed the total of—
p.000263: (i) State, local, and other operational funding pro- vided to the center; and
p.000263: (ii) the fees, premiums, and third-party reimburse- ments, which the center may reasonably be expected to
p.000263: receive for its operations in such fiscal year.
p.000263: (B) NETWORKS.—The total amount of grant funds made available for any fiscal year under paragraph
p.000263: (1)(C) to a health center or to a network shall be determined by the Secretary, but may not exceed 2 percent of
p.000263: the total amount appropriated under this section for such fiscal year.
p.000263: (C) PAYMENTS.—Payments under grants under sub- paragraph (A) or (B) of paragraph (1) shall be made in ad- vance
p.000263: or by way of reimbursement and in such install- ments as the Secretary finds necessary and adjustments
p.000263: may be made for overpayments or underpayments.
p.000263: (D) USE OF NONGRANT FUNDS.—Nongrant funds de- scribed in clauses (i) and (ii) of subparagraph (A),
p.000263: includ- ing any such funds in excess of those originally expected, shall be used as permitted under this
p.000263: section, and may be used for such other purposes as are not specifically prohib- ited under this section if such
p.000263: use furthers the objectives of the project.
p.000263: (6) NEW ACCESS POINTS AND EXPANDED SERVICES.—
p.000263: (A) APPROVAL OF NEW ACCESS POINTS.—
p.000263: (i) IN GENERAL.—The Secretary may approve ap- plications for grants under subparagraph (A) or (B) of paragraph
p.000263: (1) to establish new delivery sites.
p.000263: (ii) SPECIAL CONSIDERATION.—In carrying out clause (i), the Secretary may give special consideration to
p.000263: applicants that have demonstrated the new delivery site will be located within a sparsely populated area, or
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p.000295: PUBLIC HEALTH SERVICE ACT
p.000295: Sec. 330I
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p.000295: tier communities, or medically underserved areas, or for medically underserved populations; or
p.000295: (ii) mentoring, precepting, or supervising health care providers and students seeking to become health care pro-
p.000295: viders, in a manner that enhances access to care in the areas and communities, or for the populations,
p.000295: described in clause (i);
p.000295: (D) developing and acquiring instructional program- ming;
p.000295: (E)(i) providing for transmission of medical data, and maintenance of equipment; and
p.000295: (ii) providing for compensation (including travel ex- penses) of specialists, and referring health care
p.000295: providers, who are providing telehealth services through the tele- health network, if no third party
p.000295: payment is available for the telehealth services delivered through the telehealth network;
p.000295: (F) developing projects to use telehealth technology to facilitate collaboration between health care providers;
p.000295: (G) collecting and analyzing usage statistics and data to document the cost-effectiveness of the
p.000295: telehealth serv- ices; and
p.000295: (H) carrying out such other activities as are consistent with achieving the objectives of this section, as determined
p.000295: by the Secretary.
p.000295: (2) TELEHEALTH RESOURCE CENTERS.—The recipient of a grant under subsection (d)(2) may use funds received
p.000295: through such grant for salaries, equipment, and operating or other costs for—
p.000295: (A) providing technical assistance, training, and sup- port, and providing for travel expenses, for health care
p.000295: pro- viders and a range of health care entities that provide or will provide telehealth services;
p.000295: (B) disseminating information and research findings related to telehealth services;
p.000295: (C) promoting effective collaboration among telehealth resource centers and the Office;
p.000295: (D) conducting evaluations to determine the best utili- zation of telehealth technologies to meet health care needs;
p.000295: (E) promoting the integration of the technologies used in clinical information systems with other telehealth tech-
p.000295: nologies;
p.000295: (F) fostering the use of telehealth technologies to pro- vide health care information and education for health
p.000295: care providers and consumers in a more effective manner; and
...

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p.000309:
p.000309: Sec. 333 PUBLIC HEALTH SERVICE ACT 310
p.000309:
p.000309: (A) a public or private entity, which is located or has a demonstrated interest in such area, makes
p.000309: application to the Secretary for such assignment;
p.000309: (B) such application has been approved by the Secretary;
p.000309: (C) the entity agrees to comply with the requirements of section 334; and
p.000309: (D) the Secretary has (i) conducted an evaluation of the need and demand for health professional shortage
p.000309: area, the in- tended use of Corps members to be assigned to the area, com- munity support for the assignment of
p.000309: Corps members to the area, the area’s efforts to secure health professional shortage area, and the fiscal
p.000309: management capability of the entity to which Corps members would be assigned and (ii) on the basis of
p.000309: such evaluation has determined that—
p.000309:
p.000309: (I) there is a need and demand for health manpower for the area;
p.000309: (II) there has been appropriate and efficient use of any Corps members previously assigned to the entity for
p.000309: the area;
p.000309: (III) there is general community support for the as- signment of Corps members to the entity;
p.000309: (IV) the area has made unsuccessful efforts to secure health manpower for the area;
p.000309: (V) there is a reasonable prospect of sound fiscal man- agement, including efficient collection of
p.000309: fee-for-service, third-party, and other appropriate funds, by the entity with respect to Corps members
p.000309: assigned to such entity; and
p.000309: (VI) 39 the entity demonstrates willingness to support or facilitate mentorship, professional de- velopment,
p.000309: and training opportunities for Corps members.
p.000309: An application for assignment of a Corps member to a health pro- fessional shortage area shall include a demonstration
p.000309: by the appli- cant that the area or population group to be served by the appli- cant has a shortage of
p.000309: personal health services and that the Corps member will be located so that the member will provide services to the
p.000309: greatest number of persons residing in such area or included in such population group. Such a
p.000309: demonstration shall be made on the basis of the criteria prescribed by the Secretary under section 332(b)
p.000309: and on additional criteria which the Secretary shall pre- scribe to determine if the area or population group
p.000309: to be served by the applicant has a shortage of personal health services.
p.000309: (2) Corps members may be assigned to a Federal health care facility, but only upon the request of the
p.000309: head of the department or agency of which such facility is a part.
p.000309: (3) In approving applications for assignment of members of the Corps the Secretary shall not discriminate against
p.000309: applications from entities which are not receiving Federal financial assistance under this Act. In approving
p.000309: such applications, the Secretary shall give preference to applications in which a nonprofit entity or public
p.000309:
p.000309:
p.000309:
p.000309: January 30, 2020
p.000309: 39 Margin so in law.
p.000309:
p.000309: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000309:
p.000309:
...

p.000315: C:\XML\PHSA.BEL HOUSEP
p.000315:
p.000315:
p.000315: C:\XML\SSA-MERGED.XML
p.000315:
p.000315: Sec. 335 PUBLIC HEALTH SERVICE ACT 316
p.000315:
p.000315: (C) USE OF SCHEDULES.—The entity shall make every reasonable effort to secure from patients fees and
p.000315: pay- ments for services in accordance with such schedules, and fees or payments shall be sufficiently discounted in
p.000315: accord- ance with the schedule described in subparagraph (B).
p.000315: (2) SERVICES TO BENEFICIARIES OF FEDERAL AND FEDER- ALLY ASSISTED PROGRAMS.—In the case of health
p.000315: care services furnished to an individual who is a beneficiary of a program listed in subsection (a)(2), the
p.000315: entity—
p.000315: (A) shall accept an assignment pursuant to section 1842(b)(3)(B)(ii) of the Social Security Act (42
p.000315: U.S.C. 1395u(b)(3)(B)(ii)) with respect to an individual who is a beneficiary under the medicare program; and
p.000315: (B) shall enter into an appropriate agreement with—
p.000315: (i) the State agency administering the program under title XIX of such Act with respect to an indi-
p.000315: vidual who is a beneficiary under the medicaid pro- gram; and
p.000315: (ii) the State agency administering the program under title XXI of such Act with respect to an indi-
p.000315: vidual who is a beneficiary under the State children’s health insurance program.
p.000315: (3) COLLECTION OF PAYMENTS.—The entity shall take rea- sonable and appropriate steps to collect all
p.000315: payments due for health care services provided by the entity, including payments from any third party (including
p.000315: a Federal, State, or local gov- ernment agency and any other third party) that is responsible for part or all of
p.000315: the charge for such services.
p.000315:
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p.000315:
p.000315: January 30, 2020
p.000315: PROVISION OF HEALTH SERVICES BY CORPS MEMBERS
p.000315: SEC. 335. ø254h¿ (a) In providing health services in a health professional shortage area, Corps members
p.000315: shall utilize the tech- niques, facilities, and organizational forms most appropriate for the area, population
p.000315: group, medical facility, or other public facility, and shall, to the maximum extent feasible, provide such services (1)
p.000315: to all individuals in, or served by, such health professional shortage area regardless of their ability
p.000315: to pay for the services, and (2) in a manner which is cooperative with other health care providers
p.000315: serving such health professional shortage area.
p.000315: (b)(1) Notwithstanding any other provision of law, the Sec- retary may (A) to the maximum extent feasible make
p.000315: such arrange- ments as he determines necessary to enable Corps members to uti- lize the health facilities in or serving
p.000315: the health professional short- age area in providing health services; (B) make such arrangements as he determines
p.000315: are necessary for the use of equipment and sup- plies of the Service and for the lease or acquisition of other
p.000315: equip- ment and supplies; and (C) secure the permanent or temporary services of physicians, dentists,
...

p.000441: C:\XML\PHSA.BEL HOUSEP
p.000441:
p.000441:
p.000441: C:\XML\SSA-MERGED.XML
p.000441:
p.000441: Sec. 364 PUBLIC HEALTH SERVICE ACT 442
p.000441:
p.000441: United States or to individuals engaged in the production or trans- portation of arms, munitions, ships, food,
p.000441: clothing, or other supplies for the armed forces. Such regulations may provide that if upon ex- amination any such
p.000441: individual is found to be so infected, he may be detained for such time and in such manner as may be
p.000441: reason- ably necessary.
p.000441: QUARANTINE STATIONS
p.000441: SEC. 364. ø267¿ (a) Except as provided in title II of the Act of June 15, 1917, as amended (U.S.C., 1940
p.000441: edition, title 50, secs. 191–194), 74 the Surgeon General shall control, direct, and manage all United States
p.000441: quarantine stations, grounds, and anchorages, designate their boundaries, and designate the quarantine
p.000441: officers to be in charge thereof. With the approval of the President he shall from time to time select suitable sites
p.000441: for and establish such addi- tional stations, grounds, and anchorages in the States and posses- sions of the
p.000441: United States as in his judgment are necessary to pre- vent the introduction of communicable diseases into the States
p.000441: and possessions of the United States.
p.000441: (b) The Surgeon General shall establish the hours during which quarantine service shall be
p.000441: performed at each quarantine station, and, upon application by any interested party, may estab- lish
p.000441: quarantine inspection during the twenty-four hours of the day, or any fraction thereof, at such quarantine stations as,
p.000441: in his opin- ion, require such extended service. He may restrict the perform- ance of quarantine inspection to
p.000441: hours of daylight for such arriving vessels as cannot, in his opinion, be satisfactorily inspected during hours of
p.000441: darkness. No vessel shall be required to undergo quar- antine inspection during the hours of darkness,
p.000441: unless the quar- antine officer at such quarantine station shall deem an immediate inspection necessary to protect
p.000441: the public health. Uniformity shall not be required in the hours during which quarantine inspection may
p.000441: be obtained at the various ports of the United States.
p.000441: (c) The Surgeon General shall fix a reasonable rate of extra compensation for overtime services of
p.000441: employees of the United States Public Health Service, Foreign Quarantine Division, per- forming overtime
p.000441: duties including the operation of vessels, in con- nection with the inspection or quarantine treatment of
p.000441: persons (passengers and crews), conveyances, or goods arriving by land, water, or air in the United States or
p.000441: any place subject to the juris- diction thereof, hereinafter referred to as ‘‘employees of the Public Health
p.000441: Service’’, when required to be on duty between the hours of 6 o’clock postmeridian and 6 o’clock antemeridian
...

p.000465: (4) IMPLEMENTATION OF SUBSECTION.—The requirements of this subsection shall be carried out by the entity that has
p.000465: been awarded a contract by the Secretary under subsection (a) to carry out the functions described in
p.000465: subsection (d)(2).
p.000465: (h) PATIENT ADVOCACY AND CASE MANAGEMENT FOR BONE MARROW AND CORD BLOOD.—
p.000465: (1) IN GENERAL.—The Secretary shall establish and main- tain, through a contract or other means
p.000465: determined appro- priate by the Secretary, an office of patient advocacy (in this subsection referred to as
p.000465: the ‘‘Office’’).
p.000465: (2) GENERAL FUNCTIONS.—The Office shall meet the fol- lowing requirements:
p.000465: (A) The Office shall be headed by a director.
p.000465: (B) The Office shall be staffed by individuals with ex- pertise in bone marrow and cord blood therapy covered
p.000465: under the Program.
p.000465: (C) The Office shall operate a system for patient advo- cacy, which shall be separate from mechanisms for donor
p.000465: advocacy, and which shall serve patients for whom the Program is conducting, or has been requested to
p.000465: conduct, a search for a bone marrow donor or cord blood unit.
p.000465: (D) In the case of such a patient, the Office shall serve as an advocate for the patient by directly providing to the
p.000465: patient (or family members, physicians, or other individ- uals acting on behalf of the patient) individualized
p.000465: services with respect to efficiently utilizing the system under para- graphs (1) and (2) of subsection (d) to
p.000465: conduct an ongoing search for a bone marrow donor or cord blood unit and as- sist with information regarding third
p.000465: party payor matters.
p.000465: (E) In carrying out subparagraph (D), the Office shall monitor the system under paragraphs (1) and (2) of sub-
p.000465: section (d) to determine whether the search needs of the patient involved are being met, including with
p.000465: respect to the following:
p.000465: (i) Periodically providing to the patient (or an in- dividual acting on behalf of the patient)
p.000465: information regarding bone marrow donors or cord blood units that are suitably matched to the patient, and other
p.000465: infor-
p.000465: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000465:
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p.000465:
p.000467: 467
p.000467: PUBLIC HEALTH SERVICE ACT
p.000467: Sec. 379
p.000467:
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p.000467: January 30, 2020
p.000467: mation regarding the progress being made in the search.
p.000467: (ii) Informing the patient (or such other indi- vidual) if the search has been interrupted or
p.000467: discon- tinued.
...

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p.000487:
p.000487:
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p.000487:
p.000487: Sec. 399 PUBLIC HEALTH SERVICE ACT 488
p.000487:
p.000487:
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p.000487: January 30, 2020
p.000487:
p.000487: (i) the entity involved will provide the service di- rectly, and the entity has entered into a
p.000487: participation agreement under the State plan and is qualified to re- ceive payments under such plan; or
p.000487: (ii) the entity will enter into an agreement with an organization under which the organization will pro- vide
p.000487: the service, and the organization has entered into such a participation agreement and is qualified to re- ceive
p.000487: such payments.
p.000487: (B)(i) In the case of an organization making an agree- ment under subparagraph (A)(ii) regarding the provision of
p.000487: services under paragraph (1), the requirement established in such subparagraph regarding a participation
p.000487: agreement shall be waived by the Secretary if the organization does not, in providing health or mental health
p.000487: services, impose a charge or accept reimbursement available from any third-party payor, including
p.000487: reimbursement under any in- surance policy or under any Federal or State health bene- fits program.
p.000487: (ii) A determination by the Secretary of whether an or- ganization referred to in clause (i) meets the criteria for a
p.000487: waiver under such clause shall be made without regard to whether the organization accepts voluntary donations re-
p.000487: garding the provision of services to the public.
p.000487: (b) HOME VISITING SERVICES FOR ELIGIBLE FAMILIES.—With re- spect to an eligible family, each of the
p.000487: following services shall, di- rectly or through arrangement with other public or nonprofit pri- vate
p.000487: entities, be available (as applicable to the family member in- volved) in each project operated with a grant
p.000487: under subsection (a):
p.000487: (1) Prenatal and postnatal health care.
p.000487: (2) Primary health care for the children, including develop- mental assessments.
p.000487: (3) Education for the parents concerning infant care and child development, including the development and
p.000487: utilization of parent and teacher resource networks and other family re- source and support networks where
p.000487: such networks are avail- able.
...

p.000493: and the Administrator of the Substance Abuse and Mental Health Services Administration shall be consulted
p.000493: regarding the pro- mulgation of program guidelines and funding priorities under this section.
p.000493: (3) REQUIREMENT OF STATUS AS MEDICAID PROVIDER.—
p.000493: (A) Subject to subparagraph (B), the Secretary may make a grant under paragraph (1) only if, in the
p.000493: case of any service under such paragraph that is covered in the State plan approved under title XIX of the
p.000493: Social Security Act for the State involved—
p.000493: (i) the entity involved will provide the service di- rectly, and the entity has entered into a
p.000493: participation agreement under the State plan and is qualified to re- ceive payments under such plan; or
p.000493: (ii) the entity will enter into an agreement with an organization under which the organization will pro- vide
p.000493: the service, and the organization has entered into such a participation agreement and is qualified to re- ceive
p.000493: such payments.
p.000493: (B)(i) In the case of an organization making an agree- ment under subparagraph (A)(ii) regarding the provision of
p.000493: services under paragraph (1), the requirement established in such subparagraph regarding a participation
p.000493: agreement shall be waived by the Secretary if the organization does not, in providing health or mental health
p.000493: services, impose a charge or accept reimbursement available from any third-party payor, including
p.000493: reimbursement under any in- surance policy or under any Federal or State health bene- fits program.
p.000493: (ii) A determination by the Secretary of whether an or- ganization referred to in clause (i) meets the criteria for a
p.000493: waiver under such clause shall be made without regard to whether the organization accepts voluntary donations re-
p.000493: garding the provision of services to the public.
p.000493: (b) SERVICES FOR CHILDREN OF SUBSTANCE ABUSERS.—The Secretary may make a grant under subsection (a) only if
p.000493: the appli- cant involved agrees to make available (directly or through agree- ments with other entities) to
p.000493: children of substance abusers each of the following services:
p.000493: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000493:
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p.000493:
p.000495: 495
p.000495: PUBLIC HEALTH SERVICE ACT
p.000495: Sec. 399A
p.000495:
p.000495: (1) Periodic evaluation of children for developmental, psy- chological, and medical problems.
p.000495: (2) Primary pediatric care.
p.000495: (3) Other necessary health and mental health services.
...

p.000501: and the Administrator of the Health Resources and Services Admin- istration shall be consulted regarding the
p.000501: promulgation of pro- gram guidelines and funding priorities under this section.
p.000501: (3) REQUIREMENT OF STATUS AS MEDICAID PROVIDER.—
p.000501: (A) Subject to subparagraph (B), the Secretary may make a grant under paragraph (1) only if, in the
p.000501: case of any service under such paragraph that is covered in the State plan approved under title XIX of
p.000501: the Social Security Act for the State involved—
p.000501: (i)(I) the entity involved will provide the service di- rectly, and the entity has entered into a participation
p.000501: agreement under the State plan and is qualified to re- ceive payments under such plan; or
p.000501: (II) the entity will enter into an agreement with an organization under which the organization will provide the
p.000501: service, and the organization has entered into such a participation agreement and is qualified to receive such
p.000501: payments; and
p.000501: (ii) the entity will identify children who may be eli- gible for medical assistance under a State program under
p.000501: title XIX or XXI of the Social Security Act.
p.000501: (B)(i) In the case of an organization making an agree- ment under subparagraph (A)(ii) regarding the provision
p.000501: of services under paragraph (1), the requirement established in such subparagraph regarding a participation
p.000501: agreement shall be waived by the Secretary if the organization does not, in providing health or mental
p.000501: health services, impose a charge or accept reimbursement available from any third- party payor, including
p.000501: reimbursement under any insurance policy or under any Federal or State health benefits pro- gram.
p.000501: (ii) A determination by the Secretary of whether an or- ganization referred to in clause (i) meets the criteria
p.000501: for a waiver under such clause shall be made without regard to whether the organization accepts
p.000501: voluntary donations re- garding the provision of services to the public.
p.000501: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000501:
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p.000501: Sec. 399A PUBLIC HEALTH SERVICE ACT 502
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p.000501:
p.000501: (b) SERVICES FOR CHILDREN OF SUBSTANCE ABUSERS.—The Secretary may make a grant under subsection (a) only if
...

p.000531: Services Administration, the Director of the Centers for Disease Control and Prevention, and the Director of the
p.000531: National Institutes of Health shall collaborate and consult with—
p.000531: (A) other Federal agencies;
p.000531: (B) State and local agencies, including agencies re- sponsible for early intervention services pursuant to
p.000531: title XIX of the Social Security Act (Medicaid Early and Peri- odic Screening, Diagnosis and Treatment
p.000531: Program); title XXI of the Social Security Act (State Children’s Health In- surance Program); title V of the
p.000531: Social Security Act (Ma- ternal and Child Health Block Grant Program); and part C of the Individuals with
p.000531: Disabilities Education Act;
p.000531: (C) consumer groups of, and that serve, individuals who are deaf and hard-of-hearing and their families;
p.000531: (D) appropriate national medical and other health and education specialty organizations;
p.000531: (E) individuals who are deaf or hard-of-hearing and their families;
p.000531: (F) other qualified professional personnel who are pro- ficient in deaf or hard-of-hearing children’s language
p.000531: and who possess the specialized knowledge, skills, and at- tributes needed to serve deaf and
p.000531: hard-of-hearing children, and their families;
p.000531: (G) third-party payers and managed care organiza- tions; and
p.000531: (H) related commercial industries.
p.000531: (2) POLICY DEVELOPMENT.—The Administrator of the Health Resources and Services Administration, the Director
p.000531: of the Centers for Disease Control and Prevention, and the Direc- tor of the National Institutes of Health shall
p.000531: coordinate and collaborate on recommendations for policy development at the Federal and State levels and with
p.000531: the private sector, including consumer, medical and other health and education profes- sional-based
p.000531: organizations, with respect to newborn and infant hearing screening, evaluation, diagnosis, and intervention pro- grams
p.000531: and systems.
p.000531: (3) STATE EARLY DETECTION, DIAGNOSIS, AND INTERVENTION PROGRAMS AND SYSTEMS; DATA COLLECTION.—The
p.000531: Adminis- trator of the Health Resources and Services Administration and the Director of the Centers for
p.000531: Disease Control and Pre- vention shall coordinate and collaborate in assisting States—
p.000531: (A) to establish newborn, infant, and young child hear- ing screening, evaluation, diagnosis, and intervention
p.000531: pro- grams and systems under subsection (a); and
p.000531: (B) to develop a data collection system under sub- section (b).
p.000531: (d) RULE OF CONSTRUCTION; RELIGIOUS ACCOMMODATION.— Nothing in this section shall be construed to
p.000531: preempt or prohibit any State law, including State laws that do not require the screen- ing for hearing loss of
...

p.000611: trial to test prototype devices where the primary outcome measure relates to feasibility and not to health
p.000611: outcomes); and
p.000611: (II) a pediatric postmarket surveillance as re- quired under section 522 of the Federal Food, Drug, and Cosmetic
p.000611: Act.
p.000611: (iii) APPLICABLE DRUG CLINICAL TRIAL.—
p.000611: (I) IN GENERAL.—The term ‘‘applicable drug clinical trial’’ means a controlled clinical investiga- tion, other
p.000611: than a phase I clinical investigation, of a drug subject to section 505 of the Federal Food, Drug, and Cosmetic Act
p.000611: or to section 351 of this Act.
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p.000611: (II) CLINICAL INVESTIGATION.—For purposes of subclause (I), the term ‘‘clinical investigation’’ has the meaning
p.000611: given that term in section 312.3 of title 21, Code of Federal Regulations (or any suc- cessor
p.000611: regulation).
p.000611: (III) PHASE I.—For purposes of subclause (I), the term ‘‘phase I’’ has the meaning given that term in
p.000611: section 312.21 of title 21, Code of Federal Regulations (or any successor regulation).
p.000611: (iv) CLINICAL TRIAL INFORMATION.—The term ‘‘clinical trial information’’ means, with respect to an
p.000611: applicable clinical trial, those data elements that the responsible party is required to submit under
p.000611: para- graph (2) or under paragraph (3).
p.000611: (v) COMPLETION DATE.—The term ‘‘completion date’’ means, with respect to an applicable clinical trial,
p.000611: the date that the final subject was examined or
p.000611: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000611: Sec. 402 PUBLIC HEALTH SERVICE ACT 612
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p.000611: received an intervention for the purposes of final col- lection of data for the primary outcome, whether
p.000611: the clinical trial concluded according to the prespecified protocol or was terminated.
p.000611: (vi) DEVICE.—The term ‘‘device’’ means a device as defined in section 201(h) of the Federal Food, Drug, and
p.000611: Cosmetic Act.
p.000611: (vii) DRUG.—The term ‘‘drug’’ means a drug as de- fined in section 201(g) of the Federal Food, Drug, and Cosmetic Act
p.000611: or a biological product as defined in sec- tion 351 of this Act.
p.000611: (viii) ONGOING.—The term ‘‘ongoing’’ means, with respect to a clinical trial of a drug or a device and
p.000611: to a date, that—
p.000611: (I) 1 or more patients is enrolled in the clin- ical trial; and
p.000611: (II) the date is before the completion date of the clinical trial.
p.000611: (ix) RESPONSIBLE PARTY.—The term ‘‘responsible party’’, with respect to a clinical trial of a drug or de- vice,
p.000611: means—
p.000611: (I) the sponsor of the clinical trial (as defined in section 50.3 of title 21, Code of Federal Regula- tions (or any
p.000611: successor regulation)); or
p.000611: (II) the principal investigator of such clinical trial if so designated by a sponsor, grantee, con-
p.000611: tractor, or awardee, so long as the principal inves- tigator is responsible for conducting the trial, has access to
p.000611: and control over the data from the clin- ical trial, has the right to publish the results of the trial,
p.000611: and has the ability to meet all of the re- quirements under this subsection for the submis- sion of clinical
p.000611: trial information.
p.000611: (B) REQUIREMENT.—The Secretary shall develop a mechanism by which the responsible party for each
p.000611: appli- cable clinical trial shall submit the identity and contact in- formation of such responsible party to the
p.000611: Secretary at the time of submission of clinical trial information under para- graph (2).
p.000611: (2) EXPANSION OF CLINICAL TRIAL REGISTRY DATA BANK WITH RESPECT TO CLINICAL TRIAL INFORMATION.—
p.000611: (A) IN GENERAL.—
p.000611: (i) EXPANSION OF DATA BANK.—To enhance patient enrollment and provide a mechanism to track subse- quent
p.000611: progress of clinical trials, the Secretary, acting through the Director of NIH, shall expand, in accord-
p.000611: ance with this subsection, the clinical trials registry of the data bank described under subsection (i)(1) (re-
p.000611: ferred to in this subsection as the ‘‘registry data bank’’). The Director of NIH shall ensure that the
p.000611: reg- istry data bank is made publicly available through the Internet.
p.000611: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000613: 613
p.000613: PUBLIC HEALTH SERVICE ACT
p.000613: Sec. 402
p.000613:
p.000613: (ii) CONTENT.—The clinical trial information re- quired to be submitted under this paragraph for an
p.000613: applicable clinical trial shall include—
p.000613: (I) descriptive information, including—
p.000613: (aa) a brief title, intended for the lay pub-
p.000613: lic;
p.000613: (bb) a brief summary, intended for the lay
p.000613: public;
p.000613: (cc) the primary purpose; (dd) the study design;
p.000613: (ee) for an applicable drug clinical trial, the study phase;
p.000613: (ff) study type;
p.000613: (gg) the primary disease or condition being studied, or the focus of the study;
p.000613: (hh) the intervention name and interven- tion type;
p.000613: (ii) the study start date;
p.000613: (jj) the expected completion date;
p.000613: (kk) the target number of subjects; and (ll) outcomes, including primary and sec-
p.000613: ondary outcome measures;
p.000613: (II) recruitment information, including— (aa) eligibility criteria;
p.000613: (bb) gender; (cc) age limits;
p.000613: (dd) whether the trial accepts healthy vol- unteers;
p.000613: (ee) overall recruitment status; (ff) individual site status; and
p.000613: (gg) in the case of an applicable drug clin- ical trial, if the drug is not approved under section 505 of
p.000613: the Federal Food, Drug, and Cosmetic Act or licensed under section 351 of this Act, specify whether or not
p.000613: there is ex- panded access to the drug under section 561 of the Federal Food, Drug, and Cosmetic Act
p.000613: for those who do not qualify for enrollment in the clinical trial and how to obtain informa- tion about such
p.000613: access;
p.000613: (III) location and contact information, includ- ing—
p.000613:
p.000613:
p.000613: and
p.000613: (aa) the name of the sponsor;
p.000613: (bb) the responsible party, by official title;
p.000613: (cc) the facility name and facility contact
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p.000613: January 30, 2020
p.000613: information (including the city, State, and zip code for each clinical trial location, or a toll- free number
p.000613: through which such location in- formation may be accessed); and
p.000613: (IV) administrative data (which the Secretary may make publicly available as necessary), includ- ing—
p.000613: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000613: (aa) the unique protocol identification number;
p.000613: (bb) other protocol identification numbers, if any; and
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p.000613: descriptors.
p.000613: (II) The name of the intervention, including any drug or device being studied in the clinical trial.
p.000613: (III) The location of the clinical trial.
p.000613: (IV) The age group studied in the clinical trial, including pediatric subpopulations.
p.000613: (V) The study phase of the clinical trial.
p.000613: (VI) The sponsor of the clinical trial, which may be the National Institutes of Health or an- other
p.000613: Federal agency, a private industry source, or a university or other organization.
p.000613: (VII) The recruitment status of the clinical trial.
p.000613: (VIII) The National Clinical Trial number or other study identification for the clinical trial.
p.000613: (ii) ADDITIONAL SEARCHABLE CATEGORY.—Not later than 18 months after the date of the enactment of the Food and Drug
p.000613: Administration Amendments Act of 2007, the Director of NIH shall ensure that the public may search the entries
p.000613: of the registry data bank by the safety issue, if any, being studied in the clinical trial as a primary
p.000613: or secondary outcome.
p.000613: (iii) OTHER ELEMENTS.—The Director of NIH shall also ensure that the public may search the entries of the
p.000613: registry data bank by such other elements as the Director deems necessary on an ongoing basis.
p.000613: (iv) FORMAT.—The Director of the NIH shall en- sure that the registry data bank is easily used by the public,
p.000613: and that entries are easily compared.
p.000613: (C) DATA SUBMISSION.—The responsible party for an applicable clinical trial, including an applicable drug
p.000613: clin- ical trial for a serious or life-threatening disease or condi- tion, that is initiated after, or is
p.000613: ongoing on the date that is 90 days after, the date of the enactment of the Food and
p.000613: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000615: PUBLIC HEALTH SERVICE ACT
p.000615: Sec. 402
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p.000615: January 30, 2020
p.000615: Drug Administration Amendments Act of 2007, shall sub- mit to the Director of NIH for inclusion in the
p.000615: registry data bank the clinical trial information described in of sub- paragraph (A)(ii) not later than the later of—
p.000615: (i) 90 days after such date of enactment;
p.000615: (ii) 21 days after the first patient is enrolled in such clinical trial; or
p.000615: (iii) in the case of a clinical trial that is not for a serious or life-threatening disease or
p.000615: condition and that is ongoing on such date of enactment, 1 year after such date of enactment.
p.000615: (D) POSTING OF DATA.—
p.000615: (i) APPLICABLE DRUG CLINICAL TRIAL.—The Direc- tor of NIH shall ensure that clinical trial information for
p.000615: an applicable drug clinical trial submitted in ac- cordance with this paragraph is posted in the registry data
p.000615: bank not later than 30 days after such submis- sion.
p.000615: (ii) APPLICABLE DEVICE CLINICAL TRIAL.—The Di- rector of NIH shall ensure that clinical trial informa-
p.000615: tion for an applicable device clinical trial submitted in accordance with this paragraph is posted publicly in
p.000615: the registry data bank—
p.000615: (I) not earlier than the date of clearance under section 510(k) of the Federal Food, Drug, and
p.000615: Cosmetic Act, or approval under section 515 or 520(m) of such Act, as applicable, for a device that was
p.000615: not previously cleared or approved, and not later than 30 days after such date, unless the responsible party
p.000615: affirmatively requests that the Director of the National Institutes of Health pub- licly post such clinical
p.000615: trial information for an ap- plicable device clinical trial prior to such date of clearance or approval; or
p.000615: (II) for a device that was previously cleared or approved, not later than 30 days after the clinical trial information
p.000615: under paragraph (3)(C) is re- quired to be posted by the Secretary.
p.000615: (iii) OPTION TO MAKE CERTAIN CLINICAL TRIAL IN- FORMATION AVAILABLE EARLIER.—The Director of the National
p.000615: Institutes of Health shall inform responsible parties of the option to request that clinical trial infor- mation
p.000615: for an applicable device clinical trial be pub- licly posted prior to the date of clearance or approval, in
p.000615: accordance with clause (ii)(I).
p.000615: (iv) COMBINATION PRODUCTS.—An applicable clin- ical trial for a product that is a combination of drug,
p.000615: device, or biological product shall be considered—
p.000615: (I) an applicable drug clinical trial, if the Sec- retary determines under section 503(g) of the Fed- eral Food,
p.000615: Drug, and Cosmetic Act that the pri- mary mode of action of such product is that of a drug or
p.000615: biological product; or
p.000615: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000619: (5)(C), procedures for quality control, in- cluding using representative samples, with respect to completeness
p.000619: and content of clinical trial infor- mation under this subsection, to help ensure that data elements are not
p.000619: false or misleading and are non-promotional;
p.000619: (IV) the appropriate timing and requirements for updates of clinical trial information, and whether and,
p.000619: if so, how such updates should be tracked;
p.000619: (V) a statement to accompany the entry for an applicable clinical trial when the primary and sec- ondary outcome
p.000619: measures for such clinical trial are submitted under paragraph (4)(A) after the date specified for the
p.000619: submission of such informa- tion in paragraph (2)(C); and
p.000619: (VI) additions or modifications to the manner of reporting of the data elements established under
p.000619: subparagraph (C).
p.000619: (vi) CONSIDERATION OF WORLD HEALTH ORGANIZA- TION DATA SET.—The Secretary shall consider the sta- tus of the
p.000619: consensus data elements set for reporting clinical trial results of the World Health Organization when issuing
p.000619: the regulations under this subpara- graph.
p.000619: (vii) PUBLIC MEETING.—The Secretary shall hold a public meeting no later than 18 months after the date of the enactment
p.000619: of the Food and Drug Administration Amendments Act of 2007 to provide an opportunity for input from interested parties
p.000619: with regard to the regu- lations to be issued under this subparagraph.
p.000619: (E) SUBMISSION OF RESULTS INFORMATION.—
p.000619: (i) IN GENERAL.—Except as provided in clauses (iii), (iv), (v), and (vi) the responsible party for an
p.000619: ap- plicable clinical trial that is described in clause (ii) shall submit to the Director of NIH for inclusion
p.000619: in the registry and results data bank the clinical trial infor- mation described in subparagraph (C) not later
p.000619: than 1 year, or such other period as may be provided by regu- lation under subparagraph (D), after the earlier of—
p.000619: (I) the estimated completion date of the trial as described in paragraph (2)(A)(ii)(I)(jj)); or
p.000619: (II) the actual date of completion.
p.000619: (ii) CLINICAL TRIALS DESCRIBED.—An applicable clinical trial described in this clause is an
p.000619: applicable clinical trial subject to—
p.000619: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000621: PUBLIC HEALTH SERVICE ACT
p.000621: Sec. 402
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p.000621: (I) paragraph (2)(C); and (II)(aa) subparagraph (C); or
p.000621: (bb) the regulations issued under subpara- graph (D).
p.000621: (iii) DELAYED SUBMISSION OF RESULTS WITH CER- TIFICATION.—If the responsible party for an applicable clinical
p.000621: trial submits a certification that clause (iv) or
p.000621: (v) applies to such clinical trial, the responsible party shall submit to the Director of NIH for inclusion in
p.000621: the registry and results data bank the clinical trial infor- mation described in subparagraphs (C) and
p.000621: (D) as re- quired under the applicable clause.
p.000621: (iv) SEEKING INITIAL APPROVAL OF A DRUG OR DE- VICE.—With respect to an applicable clinical trial that is
p.000621: completed before the drug is initially approved under section 505 of the Federal Food, Drug, and Cos- metic
p.000621: Act or initially licensed under section 351 of this Act, or the device is initially cleared under section
p.000621: 510(k) or initially approved under section 515 or 520(m) of the Federal Food, Drug, and Cosmetic
p.000621: Act, the responsible party shall submit to the Director of NIH for inclusion in the registry and results
p.000621: data bank the clinical trial information described in sub- paragraphs (C) and (D) not later than 30
p.000621: days after the drug or device is approved under such section 505, licensed under such section 351, cleared under
p.000621: such section 510(k), or approved under such section 515 or 520(m), as applicable.
p.000621: (v) SEEKING APPROVAL OF A NEW USE FOR THE DRUG OR DEVICE.—
p.000621: (I) IN GENERAL.—With respect to an applica- ble clinical trial where the manufacturer of the drug or
p.000621: device is the sponsor of an applicable clin- ical trial, and such manufacturer has filed, or will file within 1 year,
p.000621: an application seeking approval under section 505 of the Federal Food, Drug, and Cosmetic Act, licensing
p.000621: under section 351 of this Act, or clearance under section 510(k), or approval under section 515 or 520(m), of the
p.000621: Federal Food, Drug, and Cosmetic Act for the use studied in such clinical trial (which use is not included in
p.000621: the labeling of the approved drug or device), then the responsible party shall submit to the Director of NIH for
p.000621: inclusion in the registry and results data bank the clinical trial information described in subparagraphs (C)
p.000621: and (D) on the earlier of the date that is 30 days after the date—
p.000621: (aa) the new use of the drug or device is approved under such section 505, licensed under such
p.000621: section 351, cleared under such section 510(k), or approved under such section 515 or 520(m);
p.000621: (bb) the Secretary issues a letter, such as a complete response letter, not approving the
p.000621: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000621: Sec. 402 PUBLIC HEALTH SERVICE ACT 622
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p.000621: submission or not clearing the submission, a not approvable letter, or a not substantially equivalent
p.000621: letter for the new use of the drug or device under such section 505, 351, 510(k), 515, or 520(m); or
p.000621: (cc) except as provided in subclause (III), the application or premarket notification under such
p.000621: section 505, 351, 510(k), 515, or 520(m) is withdrawn without resubmission for no less than 210 days.
p.000621: (II) REQUIREMENT THAT EACH CLINICAL TRIAL IN APPLICATION BE TREATED THE SAME.—If a man- ufacturer makes a
p.000621: certification under clause (iii) that this clause applies with respect to a clinical trial, the
p.000621: manufacturer shall make such a certifi- cation with respect to each applicable clinical trial that is required to
p.000621: be submitted in an application or report for licensure, approval, or clearance (under section 351 of
p.000621: this Act or section 505, 510(k), 515, or 520(m) of the Federal Food, Drug, and Cosmetic Act, as
p.000621: applicable) of the use stud- ied in the clinical trial.
p.000621: (III) TWO-YEAR LIMITATION.—The responsible party shall submit to the Director of NIH for in- clusion in
p.000621: the registry and results data bank the clinical trial information subject to subclause (I) on the date that
p.000621: is 2 years after the date a certifi- cation under clause (iii) was made to the Director of NIH, if an action
p.000621: referred to in item (aa), (bb), or (cc) of subclause (I) has not occurred by such date.
p.000621: (vi) EXTENSIONS.—The Director of NIH may pro- vide an extension of the deadline for submission of
p.000621: clinical trial information under clause (i) if the respon- sible party for the trial submits to the Director a writ-
p.000621: ten request that demonstrates good cause for the ex- tension and provides an estimate of the date on which the
p.000621: information will be submitted. The Director of NIH may grant more than one such extension for a clinical
p.000621: trial.
p.000621: (F) NOTICE TO DIRECTOR OF NIH.—The Commissioner of Food and Drugs shall notify the Director of
p.000621: NIH when there is an action described in subparagraph (E)(iv) or item (aa), (bb), or (cc) of
p.000621: subparagraph (E)(v)(I) with re- spect to an application or a report that includes a certifi- cation
p.000621: required under paragraph (5)(B) of such action not later than 30 days after such action.
p.000621: (G) POSTING OF DATA.—The Director of NIH shall en- sure that the clinical trial information described in
p.000621: sub- paragraphs (C) and (D) for an applicable clinical trial sub- mitted in accordance with this paragraph is
p.000621: posted pub- licly in the registry and results database not later than 30 days after such submission.
p.000621: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000623: 623
p.000623: PUBLIC HEALTH SERVICE ACT
p.000623: Sec. 402
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p.000623: January 30, 2020
p.000623: (H) WAIVERS REGARDING CERTAIN CLINICAL TRIAL RE- SULTS.—The Secretary may waive any applicable require-
p.000623: ments of this paragraph for an applicable clinical trial, upon a written request from the responsible
p.000623: party, if the Secretary determines that extraordinary circumstances justify the waiver and that
p.000623: providing the waiver is con- sistent with the protection of public health, or in the inter- est of national
p.000623: security. Not later than 30 days after any part of a waiver is granted, the Secretary shall notify, in
p.000623: writing, the appropriate committees of Congress of the waiver and provide an explanation for why the waiver was
p.000623: granted.
p.000623: (I) ADVERSE EVENTS.—
p.000623: (i) REGULATIONS.—Not later than 18 months after the date of the enactment of the Food and Drug Ad-
p.000623: ministration Amendments Act of 2007, the Secretary shall by regulation determine the best method for in-
p.000623: cluding in the registry and results data bank appro- priate results information on serious adverse and
p.000623: fre- quent adverse events for applicable clinical trials de- scribed in subparagraph (C) in a manner and
p.000623: form that is useful and not misleading to patients, physi- cians, and scientists.
p.000623: (ii) DEFAULT.—If the Secretary fails to issue the regulation required by clause (i) by the date that is 24
p.000623: months after the date of the enactment of the Food and Drug Administration Amendments Act of 2007,
p.000623: clause (iii) shall take effect.
p.000623: (iii) ADDITIONAL ELEMENTS.—Upon the application of clause (ii), the Secretary shall include in the reg-
p.000623: istry and results data bank for applicable clinical trials described in subparagraph (C), in addition to
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p.000623: (iv) POSTING OF OTHER INFORMATION.—In carrying out clause (iii), the Secretary shall, in consultation with
p.000623: experts in risk communication, post with the ta- bles information to enhance patient understanding and
p.000623: to ensure such tables do not mislead patients or the lay public.
p.000623: (v) RELATION TO SUBPARAGRAPH (C).—Clinical trial information included in the registry and results data
p.000623: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000623: Sec. 402 PUBLIC HEALTH SERVICE ACT 624
p.000623: bank pursuant to this subparagraph is deemed to be clinical trial information included in such data bank
p.000623: pursuant to subparagraph (C).
p.000623: (4) ADDITIONAL SUBMISSIONS OF CLINICAL TRIAL INFORMA- TION.—
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p.000623: January 30, 2020
p.000623: (A) VOLUNTARY SUBMISSIONS.—A responsible party for a clinical trial that is not an applicable clinical
p.000623: trial, or that is an applicable clinical trial that is not subject to paragraph (2)(C), may submit complete
p.000623: clinical trial infor- mation described in paragraph (2) or paragraph (3) pro- vided the responsible party
p.000623: submits clinical trial informa- tion for each applicable clinical trial that is required to be submitted under
p.000623: section 351 or under section 505, 510(k), 515, or 520(m) of the Federal Food, Drug, and Cosmetic Act in
p.000623: an application or report for licensure, approval, or clearance of the drug or device for the use
p.000623: studied in the clinical trial.
p.000623: (B) REQUIRED SUBMISSIONS.—
p.000623: (i) IN GENERAL.—Notwithstanding paragraphs (2) and (3) and subparagraph (A), in any case in which the
p.000623: Secretary determines for a specific clinical trial de- scribed in clause (ii) that posting in the registry and
p.000623: results data bank of clinical trial information for such clinical trial is necessary to protect the public health—
p.000623: (I) the Secretary may require by notification that such information be submitted to the Sec- retary in
p.000623: accordance with paragraphs (2) and (3) except with regard to timing of submission;
p.000623: (II) unless the responsible party submits a certification under paragraph (3)(E)(iii), such in- formation
p.000623: shall be submitted not later than 30 days after the date specified by the Secretary in the notification;
p.000623: and
p.000623: (III) failure to comply with the requirements under subclauses (I) and (II) shall be treated as a violation of
p.000623: the corresponding requirement of such paragraphs.
p.000623: (ii) CLINICAL TRIALS DESCRIBED.—A clinical trial described in this clause is—
p.000623: (I) an applicable clinical trial for a drug that is approved under section 505 of the Federal Food, Drug, and
p.000623: Cosmetic Act or licensed under section
p.000623: 351 of this Act or for a device that is cleared under section 510(k) of the Federal Food, Drug, and
p.000623: Cosmetic Act or approved under section 515 or section 520(m) of such Act, whose completion date is on
p.000623: or after the date 10 years before the date of the enactment of the Food and Drug Ad- ministration
p.000623: Amendments Act of 2007; or
p.000623: (II) an applicable clinical trial that is de- scribed by both by paragraph (2)(C) and para- graph
p.000623: (3)(D)(ii)(II)).
p.000623: (C) UPDATES TO CLINICAL TRIAL DATA BANK.—
p.000623: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000625: 625
p.000625: PUBLIC HEALTH SERVICE ACT
p.000625: Sec. 402
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p.000625: January 30, 2020
p.000625: (i) SUBMISSION OF UPDATES.—The responsible party for an applicable clinical trial shall submit to the
p.000625: Director of NIH for inclusion in the registry and results data bank updates to reflect changes to the
p.000625: clinical trial information submitted under paragraph (2). Such updates—
p.000625: (I) shall be provided not less than once every
p.000625: 12 months, unless there were no changes to the clinical trial information during the preceding 12- month
p.000625: period;
p.000625: (II) shall include identification of the dates of any such changes;
p.000625: (III) not later than 30 days after the recruit- ment status of such clinical trial changes, shall in- clude an
p.000625: update of the recruitment status; and
p.000625: (IV) not later than 30 days after the comple- tion date of the clinical trial, shall include notifi-
p.000625: cation to the Director that such clinical trial is complete.
p.000625: (ii) PUBLIC AVAILABILITY OF UPDATES.—The Direc- tor of NIH shall make updates submitted under clause
p.000625: (i) publicly available in the registry data bank. Except with regard to overall recruitment status, individual
p.000625: site status, location, and contact information, the Di- rector of NIH shall ensure that updates to
p.000625: elements required under subclauses (I) to (V) of paragraph (2)(A)(ii) do not result in the removal
p.000625: of any informa- tion from the original submissions or any preceding updates, and information in such
p.000625: databases is pre- sented in a manner that enables users to readily ac- cess each original element submission
p.000625: and to track the changes made by the updates. The Director of NIH shall provide a link from the table of
p.000625: primary and sec- ondary outcomes required under paragraph (3)(C)(ii) to the tracked history required under this
p.000625: clause of the primary and secondary outcome measures submitted under paragraph (2)(A)(ii)(I)(ll).
p.000625: (5) COORDINATION AND COMPLIANCE.—
p.000625: (A) CLINICAL TRIALS SUPPORTED BY GRANTS FROM FED- ERAL AGENCIES.—
p.000625: (i) GRANTS FROM CERTAIN FEDERAL AGENCIES.—If an applicable clinical trial is funded in whole or in part
p.000625: by a grant from any agency of the Department of Health and Human Services, including the Food and Drug
p.000625: Administration, the National Institutes of Health, or the Agency for Healthcare Research and
p.000625: Quality, any grant or progress report forms required under such grant shall include a certification that the
p.000625: responsible party has made all required submissions to the Director of NIH under paragraphs (2) and (3).
p.000625: (ii) VERIFICATION BY FEDERAL AGENCIES.—The heads of the agencies referred to in clause (i), as appli- cable,
p.000625: shall verify that the clinical trial information for each applicable clinical trial for which a grantee is the
p.000625: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000625: Sec. 402 PUBLIC HEALTH SERVICE ACT 626
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p.000625: January 30, 2020
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p.000625: responsible party has been submitted under para- graphs (2) and (3) before releasing any
p.000625: remaining funding for a grant or funding for a future grant to such grantee.
p.000625: (iii) NOTICE AND OPPORTUNITY TO REMEDY.—If the head of an agency referred to in clause (i), as applica- ble,
p.000625: verifies that a grantee has not submitted clinical trial information as described in clause (ii), such agen- cy
p.000625: head shall provide notice to such grantee of such non-compliance and allow such grantee 30 days to cor- rect
p.000625: such non-compliance and submit the required clinical trial information.
p.000625: (iv) CONSULTATION WITH OTHER FEDERAL AGEN- CIES.—The Secretary shall—
p.000625: (I) consult with other agencies that conduct research involving human subjects in accordance with any
p.000625: section of part 46 of title 45, Code of Federal Regulations (or any successor regula- tions), to
p.000625: determine if any such research is an ap- plicable clinical trial; and
p.000625: (II) develop with such agencies procedures comparable to those described in clauses (i), (ii), and
p.000625: (iii) to ensure that clinical trial information for such applicable clinical trial is submitted under
p.000625: paragraphs (2) and (3).
p.000625: (B) CERTIFICATION TO ACCOMPANY DRUG, BIOLOGICAL PRODUCT, AND DEVICE SUBMISSIONS.—At the time of sub-
p.000625: mission of an application under section 505 of the Federal Food, Drug, and Cosmetic Act, section 515 of such Act, sec-
p.000625: tion 520(m) of such Act, or section 351 of this Act, or sub- mission of a report under section 510(k) of such
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p.000625: appropriate National Clinical Trial con- trol numbers.
p.000625: (C) QUALITY CONTROL.—
p.000625: (i) PILOT QUALITY CONTROL PROJECT.—Until the effective date of the regulations issued under para- graph
p.000625: (3)(D), the Secretary, acting through the Direc- tor of NIH and the Commissioner of Food and Drugs,
p.000625: shall conduct a pilot project to determine the optimal method of verification to help to ensure that
p.000625: the clin- ical trial information submitted under paragraph (3)(C) is non-promotional and is not
p.000625: false or mis- leading in any particular under subparagraph (D). The Secretary shall use the publicly available
p.000625: information described in paragraph (3)(A) and any other informa- tion available to the Secretary about
p.000625: applicable clinical trials to verify the accuracy of the clinical trial infor- mation submitted under
p.000625: paragraph (3)(C).
p.000625: (ii) NOTICE OF COMPLIANCE.—If the Secretary de- termines that any clinical trial information was not
p.000625: submitted as required under this subsection, or was
p.000625: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000627: 627
p.000627: PUBLIC HEALTH SERVICE ACT
p.000627: Sec. 402
p.000627:
p.000627: submitted but is false or misleading in any particular, the Secretary shall notify the responsible party and
p.000627: give such party an opportunity to remedy such non- compliance by submitting the required revised clinical trial
p.000627: information not later than 30 days after such no- tification.
p.000627: (D) TRUTHFUL CLINICAL TRIAL INFORMATION.—
p.000627: (i) IN GENERAL.—The clinical trial information submitted by a responsible party under this subsection shall
p.000627: not be false or misleading in any particular.
p.000627: (ii) EFFECT.—Clause (i) shall not have the effect
p.000627:
p.000627: of—
p.000627:
p.000627: (I) requiring clinical trial information with re- spect to an applicable clinical trial to include in-
p.000627: formation from any source other than such clinical trial involved; or
p.000627: (II) requiring clinical trial information de- scribed in paragraph (3)(D) to be submitted for purposes
p.000627: of paragraph (3)(C).
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p.000627: January 30, 2020
p.000627: (E) PUBLIC NOTICES.—
p.000627: (i) NOTICE OF VIOLATIONS.—If the responsible party for an applicable clinical trial fails to submit
p.000627: clinical trial information for such clinical trial as re- quired under paragraphs (2) or (3), the
p.000627: Director of NIH shall include in the registry and results data bank entry for such clinical trial a notice—
p.000627: (I) that the responsible party is not in compli- ance with this Act by—
p.000627: (aa) failing to submit required clinical trial information; or
p.000627: (bb) submitting false or misleading clin- ical trial information;
p.000627: (II) of the penalties imposed for the violation, if any; and
p.000627: (III) whether the responsible party has cor- rected the clinical trial information in the registry and results
p.000627: data bank.
p.000627: (ii) NOTICE OF FAILURE TO SUBMIT PRIMARY AND SECONDARY OUTCOMES.—If the responsible party for an
p.000627: applicable clinical trial fails to submit the primary and secondary outcomes as required under section
p.000627: 2(A)(ii)(I)(ll), the Director of NIH shall include in the registry and results data bank entry for such
p.000627: clinical trial a notice that the responsible party is not in com- pliance by failing to register the primary and
p.000627: sec- ondary outcomes in accordance with this act, and that the primary and secondary outcomes were not publicly
p.000627: disclosed in the database before conducting the clinical trial.
p.000627: (iii) FAILURE TO SUBMIT STATEMENT.—The notice under clause (i) for a violation described in clause
p.000627: (i)(I)(aa) shall include the following statement: ‘‘The entry for this clinical trial was not complete at
p.000627: the time of submission, as required by law. This may or
p.000627: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000627: Sec. 402 PUBLIC HEALTH SERVICE ACT 628
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p.000627: may not have any bearing on the accuracy of the infor- mation in the entry.’’.
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p.000821: prescribe.
p.000821: (2) COMPENSATION.—The rate of compensation of the Exec- utive Director shall be fixed by the Board.
p.000821: (h) POWERS.—In carrying out subsection (b), the Foundation may—
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p.000821: January 30, 2020
p.000821: (1) operate under the direction of its Board;
p.000821: (2) adopt, alter, and use a corporate seal, which shall be judicially noticed;
p.000821: (3) provide for 1 or more officers, employees, and agents, as may be necessary, define their duties,
p.000821: and require surety bonds or make other provisions against losses occasioned by acts of such persons;
p.000821: (4) hire, promote, compensate, and discharge officers and employees of the Foundation, and define the duties of
p.000821: the offi- cers and employees;
p.000821: (5) with the consent of any executive department or inde- pendent agency, use the information, services,
p.000821: staff, and facili- ties of such in carrying out this section;
p.000821: (6) sue and be sued in its corporate name, and complain and defend in courts of competent jurisdiction;
p.000821: (7) modify or consent to the modification of any contract or agreement to which it is a party or in which it has an
p.000821: interest under this part;
p.000821: (8) establish a process for the selection of candidates for positions under subsection (c);
p.000821: (9) enter into contracts with public and private organiza- tions for the writing, editing, printing, and
p.000821: publishing of books and other material;
p.000821: (10) take such action as may be necessary to obtain pat- ents and licenses for devices and procedures
p.000821: developed by the Foundation and its employees;
p.000821: (11) solicit, accept, hold, administer, invest, and spend any gift, devise, or bequest of real or personal property
p.000821: made to the Foundation;
p.000821: (12) enter into such other contracts, leases, cooperative agreements, and other transactions as the
p.000821: Executive Director considers appropriate to conduct the activities of the Founda- tion;
p.000821: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000821:
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p.000821: Sec. 499 PUBLIC HEALTH SERVICE ACT 822
p.000821:
p.000821: (13) appoint other groups of advisors as may be deter- mined necessary from time to time to carry out
p.000821: the functions of the Foundation;
p.000821: (14) enter into such other contracts, leases, cooperative agreements, and other transactions as the
p.000821: Executive Director considers appropriate to conduct the activities of the Founda- tion; and
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p.000851: 851
p.000851: PUBLIC HEALTH SERVICE ACT
p.000851: Sec. 508
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p.000851: January 30, 2020
p.000851: (ii) the applicant will enter into an agreement with a public or nonprofit private entity under which
p.000851: the entity will provide the service, and the entity has entered into such a participation agreement plan
p.000851: and is qualified to receive such payments.
p.000851: (B) WAIVER OF PARTICIPATION AGREEMENTS.—
p.000851: (i) IN GENERAL.—In the case of an entity making an agreement pursuant to subparagraph (A)(ii) regard- ing the
p.000851: provision of services, the requirement estab- lished in such subparagraph regarding a participation agreement
p.000851: shall be waived by the Director if the entity does not, in providing health care services, impose a charge or
p.000851: accept reimbursement available from any third-party payor, including reimbursement under any insurance policy or
p.000851: under any Federal or State health benefits plan.
p.000851: (ii) DONATIONS.—A determination by the Director of whether an entity referred to in clause (i) meets the criteria
p.000851: for a waiver under such clause shall be made without regard to whether the entity accepts voluntary donations
p.000851: regarding the provision of services to the public.
p.000851: (C) NONAPPLICATION OF CERTAIN REQUIREMENTS.— With respect to any authorized service that is
p.000851: available pursuant to the State plan described in subparagraph (A), the requirements established in such
p.000851: subparagraph shall not apply to the provision of any such service by an insti- tution for mental diseases to an
p.000851: individual who has at- tained 21 years of age and who has not attained 65 years of age. For purposes of the
p.000851: preceding sentence, the term ‘‘institution for mental diseases’’ has the meaning given such term in section
p.000851: 1905(i) of the Social Security Act.
p.000851: (f) REQUIREMENT OF MATCHING FUNDS.—
p.000851: (1) IN GENERAL.—With respect to the costs of the program to be carried out by an applicant pursuant to subsection (a),
p.000851: a funding agreement for an award under such subsection is that the applicant will make available (directly or
p.000851: through dona- tions from public or private entities) non-Federal contributions toward such costs in an amount that—
p.000851: (A) for the first fiscal year for which the applicant re- ceives payments under an award under such subsection, is not
p.000851: less than $1 for each $9 of Federal funds provided in the award;
...

p.000865: (2) ANNUAL REPORT ON STATE UNDERAGE DRINKING PRE- VENTION AND ENFORCEMENT ACTIVITIES.—
p.000865: (A) IN GENERAL.—The Secretary shall, with input and collaboration from other appropriate Federal agencies,
p.000865: States, Indian tribes, territories, and public health, con- sumer, and alcohol beverage industry groups,
p.000865: annually issue a report on each State’s performance in enacting, en- forcing, and creating laws, regulations, and
p.000865: programs to prevent or reduce underage drinking.
p.000865: (B) STATE PERFORMANCE MEASURES.—
p.000865: (i) IN GENERAL.—The Secretary shall develop, in consultation with the Committee, a set of measures to be used in
p.000865: preparing the report on best practices.
p.000865: (ii) CATEGORIES.—In developing these measures, the Secretary shall consider categories including, but not
p.000865: limited to:
p.000865: (I) Whether or not the State has comprehen- sive anti-underage drinking laws such as for the illegal
p.000865: sale, purchase, attempt to purchase, con- sumption, or possession of alcohol; illegal use of fraudulent ID;
p.000865: illegal furnishing or obtaining of al- cohol for an individual under 21 years; the degree of strictness of the
p.000865: penalties for such offenses; and the prevalence of the enforcement of each of these infractions.
p.000865: (II) Whether or not the State has comprehen- sive liability statutes pertaining to underage ac- cess to alcohol
p.000865: such as dram shop, social host, and house party laws, and the prevalence of enforce- ment of each of these laws.
p.000865: (III) Whether or not the State encourages and conducts comprehensive enforcement efforts to prevent underage
p.000865: access to alcohol at retail out- lets, such as random compliance checks and shoul- der tap programs, and the
p.000865: number of compliance checks within alcohol retail outlets measured against the number of total alcohol
p.000865: retail outlets in each State, and the result of such checks.
p.000865: (IV) Whether or not the State encourages training on the proper selling and serving of alco- hol for all
p.000865: sellers and servers of alcohol as a condi- tion of employment.
p.000865: (V) Whether or not the State has policies and regulations with regard to direct sales to con- sumers and home
p.000865: delivery of alcoholic beverages.
p.000865: (VI) Whether or not the State has programs or laws to deter adults from purchasing alcohol for minors; and the
p.000865: number of adults targeted by these programs.
p.000865: (VII) Whether or not the State has programs targeted to youths, parents, and caregivers to
p.000865: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000865:
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p.000865:
p.000867: 867
p.000867: PUBLIC HEALTH SERVICE ACT
p.000867: Sec. 519B
p.000867:
...

p.000881: (A) State and local agencies, including agencies re- sponsible for early intervention and prevention
p.000881: services under title XIX of the Social Security Act, the State Chil- dren’s Health Insurance Program
p.000881: under title XXI of the Social Security Act, and programs funded by grants under title V of the Social Security Act;
p.000881: (B) local and national organizations that serve youth at risk for suicide and their families;
p.000881: (C) relevant national medical and other health and education specialty organizations;
p.000881: (D) youth who are at risk for suicide, who have sur- vived suicide attempts, or who are currently receiving
p.000881: care from early intervention services;
p.000881: (E) families and friends of youth who are at risk for suicide, who have survived suicide attempts, who
p.000881: are cur- rently receiving care from early intervention and preven- tion services, or who have completed
p.000881: suicide;
p.000881: (F) qualified professionals who possess the specialized knowledge, skills, experience, and relevant
p.000881: attributes needed to serve youth at risk for suicide and their families; and
p.000881:
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p.000881: January 30, 2020
p.000881: (G) third-party payers, managed care organizations, and related commercial industries.
p.000881: (3) POLICY DEVELOPMENT.—In carrying out this section, the Secretary shall—
p.000881: (A) coordinate and collaborate on policy development at the Federal level with the relevant
p.000881: Department of
p.000881: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000881:
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p.000881: Sec. 520E PUBLIC HEALTH SERVICE ACT 882
p.000881:
p.000881: Health and Human Services agencies and suicide working groups; and
p.000881: (B) consult on policy development at the Federal level with the private sector, including consumer, medical,
p.000881: sui- cide prevention advocacy groups, and other health and education professional-based organizations, with
p.000881: respect to State-sponsored statewide or tribal youth suicide early intervention and prevention strategies.
p.000881: (f) RULE OF CONSTRUCTION; RELIGIOUS AND MORAL ACCOMMO- DATION.—Nothing in this section shall be construed to
p.000881: require sui- cide assessment, early intervention, or treatment services for youth whose parents or legal guardians
...

p.000929: (2) REQUIREMENT OF STATUS AS MEDICAID PROVIDER.—
p.000929: (A) Subject to subparagraph (B), the Secretary may make a grant under subsection (a) only if, in the
p.000929: case of any service under such subsection that is covered in the State plan approved under title XIX of the
p.000929: Social Security Act for the State involved—
p.000929: (i) the public entity involved will provide the serv- ice directly, and the entity has entered into a partici-
p.000929: pation agreement under the State plan and is quali- fied to receive payments under such plan; or
p.000929: (ii) the public entity will enter into an agreement with an organization under which the organization
p.000929: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000929: Sec. 561 PUBLIC HEALTH SERVICE ACT 930
p.000929:
p.000929: will provide the service, and the organization has en- tered into such a participation agreement and is quali-
p.000929: fied to receive such payments.
p.000929: (B)(i) In the case of an organization making an agree- ment under subparagraph (A)(ii) regarding the provision of
p.000929: services under subsection (a), the requirement established in such subparagraph regarding a participation
p.000929: agreement shall be waived by the Secretary if the organization does not, in providing health or mental health
p.000929: services, impose a charge or accept reimbursement available from any third-party payor, including
p.000929: reimbursement under any in- surance policy or under any Federal or State health bene- fits program.
p.000929: (ii) A determination by the Secretary of whether an or- ganization referred to in clause (i) meets the criteria for a
p.000929: waiver under such clause shall be made without regard to whether the organization accepts voluntary donations re-
p.000929: garding the provision of services to the public.
p.000929: (3) CERTAIN CONSIDERATIONS.—In making grants under subsection (a), the Secretary shall—
p.000929: (A) equitably allocate such assistance among the prin- cipal geographic regions of the United States;
p.000929: (B) consider the extent to which the public entity in- volved has a need for the grant; and
p.000929: (C) in the case of any public entity that is a political subdivision of a State or that is an Indian
p.000929: tribe or tribal organization—
p.000929: (i) shall consider any comments regarding the ap- plication of the entity for such a grant that are re-
p.000929: ceived by the Secretary from the State in which the entity is located; and
p.000929: (ii) shall give special consideration to the entity if the State agrees to provide a portion of the non-Fed-
p.000929: eral contributions required in subsection (c) regarding such a grant.
p.000929: (c) MATCHING FUNDS.—
p.000929: (1) IN GENERAL.—A funding agreement for a grant under subsection (a) is that the public entity involved
p.000929: will, with re- spect to the costs to be incurred by the entity in carrying out the purpose described
p.000929: in such subsection, make available (di- rectly or through donations from public or private entities)
...

p.000935: involved will annually submit to the Secretary (and provide a copy to the State involved) a report on the
p.000935: activities of the entity under the grant that in- cludes a description of the number of children
p.000935: provided access to systems of care operated pursuant to the grant, the demographic
p.000935: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000937: 937
p.000937: PUBLIC HEALTH SERVICE ACT
p.000937: Sec. 565
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p.000937: January 30, 2020
p.000937: characteristics of the children, the types and costs of services pro- vided pursuant to the grant, the
p.000937: availability and use of third-party reimbursements, estimates of the unmet need for such services in the
p.000937: jurisdiction of the entity, and the manner in which the grant has been expended toward the establishment of a
p.000937: jurisdiction-wide system of care for children with a serious emotional disturbance, and such other
p.000937: information as the Secretary may require with re- spect to the grant.
p.000937: (g) DESCRIPTION OF INTENDED USES OF GRANT.—The Secretary may make a grant under section 561(a) only if—
p.000937: (1) the public entity involved submits to the Secretary a description of the purposes for which the
p.000937: entity intends to ex- pend the grant;
p.000937: (2) the description identifies the populations, areas, and lo- calities in the jurisdiction of the entity with a need
p.000937: for services under this section; and
p.000937: (3) the description provides information relating to the services and activities to be provided, including
p.000937: a description of the manner in which the services and activities will be co- ordinated with any similar
p.000937: services or activities of public or nonprofit entities.
p.000937: (h) REQUIREMENT OF APPLICATION.—The Secretary may make a grant under section 561(a) only if an
p.000937: application for the grant is submitted to the Secretary, the application contains the description of intended uses
p.000937: required in subsection (g), and the application is in such form, is made in such manner, and contains
p.000937: such agree- ments, assurances, and information as the Secretary determines to be necessary to carry out this section.
p.000937: SEC. 565. ø290ff–4¿ GENERAL PROVISIONS.
...

p.000989:
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p.000989: Sec. 709 PUBLIC HEALTH SERVICE ACT 990
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p.000989: January 30, 2020
p.000989:
p.000989: (ii) such institution shall be assessed a risk-based premium in an amount equal to 10 percent of the prin- cipal amount
p.000989: of the loan.
p.000989: (B) DEFAULT MANAGEMENT PLAN.—An institution of the type described in subparagraph (A) shall prepare
p.000989: and submit to the Secretary for approval a plan that meets the requirements of paragraph (2)(B).
p.000989: (4) INELIGIBILITY.—An individual shall not be eligible to obtain a loan under this subpart for attendance
p.000989: at an institu- tion that has a default rate in excess of 20 percent.
p.000989: (c) REDUCTION OF RISK-BASED PREMIUM.—Lenders shall reduce by 50 percent the risk-based premium to
p.000989: eligible borrowers if a credit worthy parent or other responsible party co-signs the loan note.
p.000989: (d) ADMINISTRATIVE WAIVERS.—
p.000989: (1) HEARING.—The Secretary shall afford an institution not less than one hearing, and may consider
p.000989: mitigating cir- cumstances, prior to making such institution ineligible for par- ticipation in the program under this
p.000989: subpart.
p.000989: (2) EXCEPTIONS.—In carrying out this section with respect to an institution, the Secretary may grant an
p.000989: institution a waiver of requirements of paragraphs (2) through (4) of sub- section (b) if the Secretary
p.000989: determines that the default rate for such institution is not an accurate indicator because the vol- ume of
p.000989: the loans under this subpart made by such institution has been insufficient.
p.000989: (3) TRANSITION FOR CERTAIN INSTITUTIONS.—During the 3- year period beginning on the effective date of the
p.000989: Health Pro- fessions Education Extension Amendments of 1992—
p.000989: (A) subsection (b)(4) shall not apply with respect to any eligible institution that is a Historically Black
p.000989: College or University; and
p.000989: (B) any such institution that has a default rate in ex- cess of 20 percent, and any eligible borrower seeking
p.000989: a loan for attendance at the institution, shall be subject to subsection (b)(3) to the same extent and in the
p.000989: same man- ner as eligible institutions and borrowers described in such subsection.
p.000989: (e) PAYOFF TO REDUCE RISK CATEGORY.—An institution may pay off the outstanding principal and interest
p.000989: owed by the bor- rowers of such institution who have defaulted on loans made under this subpart in order to reduce
...

p.001123: other private and public entities.
p.001123: (3) METHODOLOGY.—The Director shall, in developing the methods used under paragraph (1), consider—
p.001123: (A) safety, efficacy, and effectiveness;
p.001123: (B) legal, social, and ethical implications;
p.001123: (C) costs, benefits, and cost-effectiveness;
p.001123: (D) comparisons to alternate health care practices and technologies; and
p.001123: (E) requirements of Food and Drug Administration ap- proval to avoid duplication.
p.001123: (c) SPECIFIC ASSESSMENTS.—
p.001123: (1) IN GENERAL.—The Director shall conduct or support specific assessments of health care technologies and
p.001123: practices.
p.001123: (2) REQUESTS FOR ASSESSMENTS.—The Director is author- ized to conduct or support assessments, on a
p.001123: reimbursable basis, for the Centers for Medicare & Medicaid Services, the Department of Defense, the
p.001123: Department of Veterans Affairs, the Office of Personnel Management, and other public or pri- vate entities.
p.001123: (3) GRANTS AND CONTRACTS.—In addition to conducting as- sessments, the Director may make grants to, or enter
p.001123: into co- operative agreements or contracts with, entities described in paragraph (4) for the purpose of
p.001123: conducting assessments of ex- perimental, emerging, existing, or potentially outmoded health care technologies, and for
p.001123: related activities.
p.001123: (4) ELIGIBLE ENTITIES.—An entity described in this para- graph is an entity that is determined to be appropriate
p.001123: by the Director, including academic medical centers, research institu- tions and organizations, professional
p.001123: organizations, third party payers, governmental agencies, minority institutions of higher education (such as
p.001123: Historically Black Colleges and Univer- sities, and Hispanic institutions), and consortia of appropriate
p.001123: research entities established for the purpose of conducting technology assessments.
p.001123: (d) MEDICAL EXAMINATION OF CERTAIN VICTIMS.—
p.001123: (1) IN GENERAL.—The Director shall develop and dissemi- nate a report on evidence-based clinical practices for—
p.001123: (A) the examination and treatment by health profes- sionals of individuals who are victims of sexual assault
p.001123: (in- cluding child molestation) or attempted sexual assault; and
p.001123: (B) the training of health professionals, in consultation with the Health Resources and Services Administration,
p.001123: on performing medical evidentiary examinations of individ- uals who are victims of child abuse or neglect,
p.001123: sexual as- sault, elder abuse, or domestic violence.
p.001123: (2) CERTAIN CONSIDERATIONS.—In identifying the issues to be addressed by the report, the Director shall,
p.001123: to the extent practicable, take into consideration the expertise and experi- ence of Federal and State
p.001123: law enforcement officials regarding
p.001123: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001123:
p.001123:
p.001123:
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p.001161: a fiscal year beginning after June 30, 1975, may be made for less than 90 per centum of its costs
p.001161: (as determined under regulations of the Secretary) unless the grant is to be made for a program or
p.001161: project for which a grant was made (under the same section) for the fiscal year ending June 30, 1975,
p.001161: for less than 90 per centum of its costs (as so determined), in which case a grant under such section
p.001161: for that program or project for a fiscal year beginning after that date may be made for a percentage which
p.001161: shall not be less than the percentage of its costs for which the fiscal year 1975 grant was made.
p.001161: (b) Grants under this title shall be payable in such install- ments and subject to such conditions as
p.001161: the Secretary may deter- mine to be appropriate to assure that such grants will be effectively utilized for the
p.001161: purposes for which made.
p.001161: (c) A grant may be made or contract entered into under section 1001 or 1002 for a family planning service project or
p.001161: program only upon assurances satisfactory to the Secretary that—
p.001161: (1) priority will be given in such project or program to the furnishing of such services to persons from
p.001161: low-income fami- lies; and
p.001161: (2) no charge will be made in such project or program for services provided to any person from a
p.001161: low-income family ex- cept to the extent that payment will be made by a third party
p.001161: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001161:
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p.001161: Sec. 1007 PUBLIC HEALTH SERVICE ACT 1162
p.001161:
p.001161: (including a government agency) which is authorized or is under legal obligation to pay such charge.
p.001161: For purposes of this subsection, the term ‘‘low-income family’’ shall be defined by the Secretary in accordance with
p.001161: such criteria as he may prescribe so as to insure that economic status shall not be a deterrent to
p.001161: participation in the programs assisted under this title. (d)(1) A grant may be made or a contract entered
p.001161: into under section 1001 or 1005 only upon assurances satisfactory to the Sec- retary that informational or
p.001161: educational materials developed or made available under the grant or contract will be suitable for the purposes of
p.001161: this title and for the population or community to which they are to be made available, taking into account the
p.001161: educational and cultural background of the individuals to whom such materials are addressed and the standards of such
p.001161: population or community
p.001161: with respect to such materials.
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p.001197: support, peer mentoring, and parent to parent programs.
p.001197: (D) To develop individual and family service coordina- tion or case management systems.
p.001197: (E) To support other needs identified by the advisory board under subsection (b) for the State or
p.001197: American In- dian consortium involved.
p.001197: (2) BEST PRACTICES.—
p.001197: (A) IN GENERAL.—State or American Indian consor- tium services and supports provided under a grant under
p.001197: this section shall reflect the best practices in the field of traumatic brain injury, shall be in compliance
p.001197: with title II of the Americans with Disabilities Act of 1990, and shall be supported by quality assurance
p.001197: measures as well as state-of-the-art health care and integrated community sup- ports, regardless of the severity of
p.001197: injury.
p.001197: (B) DEMONSTRATION BY STATE AGENCY.—The State or American Indian consortium agency responsible for admin- istering
p.001197: amounts received under a grant under this section shall demonstrate that it has obtained knowledge and ex-
p.001197: pertise of traumatic brain injury and the unique needs as- sociated with traumatic brain injury.
p.001197: (3) STATE CAPACITY BUILDING.—A State or American In- dian consortium may use amounts received under a
p.001197: grant under this section to—
p.001197: (A) educate consumers and families;
p.001197: (B) train professionals in public and private sector fi- nancing (such as third party payers, State
p.001197: agencies, com- munity-based providers, schools, and educators);
p.001197: (C) develop or improve case management or service co- ordination systems;
p.001197: (D) develop best practices in areas such as family or consumer support, return to work, housing or
p.001197: supportive living personal assistance services, assistive technology and devices, behavioral health
p.001197: services, substance abuse services, and traumatic brain injury treatment and reha- bilitation;
p.001197: (E) tailor existing State or American Indian consor- tium systems to provide accommodations to the needs
p.001197: of individuals with traumatic brain injury (including systems administered by the State or American Indian
p.001197: consortium departments responsible for health, mental health, labor/ employment, education, intellectual
p.001197: disabilities or develop- mental disorders, transportation, and correctional sys- tems);
p.001197: (F) improve data sets coordinated across systems and other needs identified by a State or American
p.001197: Indian con- sortium plan supported by its advisory council; and
p.001197: (G) develop capacity within targeted communities.
p.001197: (f) COORDINATION OF ACTIVITIES.—The Secretary shall ensure that activities under this section are
p.001197: coordinated as appropriate
p.001197: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001197:
p.001197:
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p.001231: proposes to become a health maintenance organization and which the Secretary determines will when it be-
p.001231: comes operational provide basic and supplemental health services to its members in the manner prescribed
p.001231: by section 1301(b) and will be organized and operated in the manner prescribed by section 1301(c).
p.001231: (d)(1) Any employer who knowingly does not comply with one or more of the requirements of paragraph (1)
p.001231: or (2) of subsection
p.001231: (b) shall be subject to a civil penalty of not more than $10,000. If such noncompliance continues, a civil
p.001231: penalty may be assessed and collected under this subsection for each thirty-day period such non- compliance continues.
p.001231: Such penalty may be assessed by the Sec- retary and collected in a civil action brought by the United
p.001231: States in a United States district court.
p.001231: (2) In any proceeding by the Secretary to assess a civil penalty under this subsection, no penalty shall be
p.001231: assessed until the em- ployer charged shall have been given notice and an opportunity to present its views on such
p.001231: charge. In determining the amount of the penalty, or the amount agreed upon in compromise, the Secretary shall
p.001231: consider the gravity of the noncompliance and the dem- onstrated good faith of the employer charged in
p.001231: attempting to achieve rapid compliance after notification by the Secretary of a noncompliance.
p.001231: (3) In any civil action brought to review the assessment of a civil penalty assessed under this subsection,
p.001231: the court shall, at the request of any party to such action, hold a trial de novo on the as- sessment of such civil
p.001231: penalty and in any civil action to collect such a civil penalty, the court shall, at the request of any party to such
p.001231: action, hold a trial de novo on the assessment of such civil penalty unless in a prior civil action to review the
p.001231: assessment of such pen- alty the court held a trial de novo on such assessment.
p.001231: (e) For purposes of this section, the term ‘‘employer’’ does not include (1) the Government of the
p.001231: United States, the government of the District of Columbia or any territory or possession of the United
p.001231: States, a State or any political subdivision thereof, or any agency or instrumentality (including the United
p.001231: States Postal Serv- ice and Postal Rate Commission) of any of the foregoing, except that such term includes
p.001231: nonappropriated fund instrumentalities of the Government of the United States; or (2) a church, convention or
p.001231: association of churches, or any organization operated, supervised or controlled by a church, convention or
p.001231: association of churches which organization (A) is an organization described in section 501(c)(3) of the
p.001231: Internal Revenue Code of 1986, and (B) does not discriminate (i) in the employment, compensation,
p.001231: promotion, or termination of employment of any personnel, or (ii) in the extension of staff or other privileges
p.001231: to any physician or other health per- sonnel, because such persons seek to obtain or obtained health
p.001231: care, or participate in providing health care, through a health maintenance organization.
p.001231: (f) If the Secretary, after reasonable notice and opportunity for a hearing to a State, finds that it or any of its
...

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p.001235: Sec. 1318 PUBLIC HEALTH SERVICE ACT 1236
p.001235:
p.001235: tenance organizations. The Secretary may provide such technical assistance through grants to public and
p.001235: nonprofit private entities and contracts with public and private entities.
p.001235: (c) The authority of the Secretary to enter into contracts under subsections (a) and (b) shall be effective for any
p.001235: fiscal year only to such extent or in such amounts as are provided in advance by ap- propriation Acts.
p.001235: FINANCIAL DISCLOSURE
p.001235: SEC. 1318. ø300e–17¿ (a) Each health maintenance organiza- tion shall, in accordance with regulations of
p.001235: the Secretary, report to the Secretary financial information which shall include the fol- lowing:
p.001235: (1) Such information as the Secretary may require dem- onstrating that the health maintenance organization has
p.001235: a fis- cally sound operation.
p.001235: (2) A copy of the report, if any, filed with the Centers for Medicare & Medicaid Services containing
p.001235: the information re- quired to be reported under section 1124 of the Social Security Act by disclosing entities
p.001235: and the information required to be supplied under section 1902(a)(38) of such Act.
p.001235: (3) A description of transactions, as specified by the Sec- retary, between the health maintenance
p.001235: organization and a party in interest. Such transactions shall include—
p.001235: (A) any sale or exchange, or leasing of any property between the health maintenance organization and a party
p.001235: in interest;
p.001235: (B) any furnishing for consideration of goods, services (including management services), or facilities
p.001235: between the health maintenance organization and a party in interest, but not including salaries paid to
p.001235: employees for services provided in the normal course of their employment and health services provided
p.001235: to members by hospitals and other providers and by staff, medical group (or groups), in- dividual practice
p.001235: association (or associations), or any com- bination thereof; and
p.001235: (C) any lending of money or other extension of credit between a health maintenance organization and a party in
p.001235: interest.
p.001235: The Secretary may require that information reported respecting a health maintenance organization which
p.001235: controls, is controlled by, or is under common control with, another entity be in the form of a
p.001235: consolidated financial statement for the organization and such entity.
p.001235: (b) For the purposes of this section the term ‘‘party in interest’’ means:
p.001235:
p.001235:
p.001235:
p.001235:
p.001235:
p.001235:
p.001235:
p.001235: January 30, 2020
p.001235: (1) any director, officer, partner, or employee responsible for management or administration of a health
p.001235: maintenance or- ganization, any person who is directly or indirectly the bene- ficial owner of more than 5 per
p.001235: centum of the equity of the or- ganization, any person who is the beneficial owner of a mort- gage, deed of
p.001235: trust, note, or other interest secured by, and val- uing more than 5 per centum of the health maintenance orga-
p.001235: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001235:
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p.001235:
p.001235:
p.001237: 1237
p.001237: PUBLIC HEALTH SERVICE ACT
p.001237: Sec. 1318
p.001237:
p.001237: nization, and, in the case of a health maintenance organization organized as a nonprofit corporation, an
p.001237: incorporator or mem- ber of such corporation under applicable State corporation law;
p.001237: (2) any entity in which a person described in paragraph (1)—
p.001237: (A) is an officer or director;
p.001237: (B) is a partner (if such entity is organized as a part- nership);
p.001237: (C) has directly or indirectly a beneficial interest of more than 5 per centum of the equity; or
p.001237: (D) has a mortgage, deed of trust, note, or other inter- est valuing more than 5 per centum of the assets of
p.001237: such entity;
...

p.001295: (2) carrying out the plan submitted under section 1912(a) by the State for the fiscal year involved;
p.001295: (3) evaluating programs and services carried out under the plan; and
p.001295: (4) planning, administration, and educational activities re- lated to providing services under the plan.
p.001295: SEC. 1912. ø300x–1¿ STATE PLAN FOR COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CERTAIN INDIVIDUALS.
p.001295: (a) IN GENERAL.—The Secretary may make a grant under sec- tion 1911 only if—
p.001295: (1) the State involved submits to the Secretary a plan for providing comprehensive community mental
p.001295: health services to adults with a serious mental illness and to children with a se- rious emotional disturbance;
p.001295: (2) the plan meets the criteria specified in subsection (b);
p.001295: and
p.001295: (3) the plan is approved by the Secretary.
p.001295:
p.001295:
p.001295:
p.001295:
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p.001295:
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p.001295:
p.001295:
p.001295: January 30, 2020
p.001295: (b) CRITERIA FOR PLAN.—In accordance with subsection (a), a State shall submit to the Secretary a plan every
p.001295: two years that, at a minimum, includes each of the following:
p.001295: (1) SYSTEM OF CARE.—A description of the State’s system of care that contains the following:
p.001295: (A) COMPREHENSIVE COMMUNITY-BASED HEALTH SYS- TEMS.—The plan shall—
p.001295: (i) identify the single State agency to be respon- sible for the administration of the program under
p.001295: the grant, including any third party who administers men- tal health services and is responsible for complying
p.001295: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001295:
p.001295:
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p.001295:
p.001297: 1297
p.001297: PUBLIC HEALTH SERVICE ACT
p.001297: Sec. 1912
p.001297:
p.001297:
p.001297:
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p.001297:
p.001297: January 30, 2020
p.001297: with the requirements of this part with respect to the grant;
p.001297: (ii) provide for an organized community-based sys- tem of care for individuals with mental illness, and de- scribe
p.001297: available services and resources in a com- prehensive system of care, including services for indi-
p.001297: viduals with co-occurring disorders;
p.001297: (iii) include a description of the manner in which the State and local entities will coordinate services
p.001297: to maximize the efficiency, effectiveness, quality, and cost-effectiveness of services and programs to
...

p.001321: (other than any such agreement that is not applicable to the State);
p.001321: (3) the agreements are made through certification from the chief executive officer of the State;
p.001321: (4) with respect to such agreements, the application pro- vides assurances of compliance satisfactory to the
p.001321: Secretary;
p.001321: (5) the application contains the report required in section 1942(a);
p.001321: (6)(A) the application contains a plan in accordance with subsection (b) and the plan is approved by
p.001321: the Secretary; and
p.001321: (B) the State provides assurances satisfactory to the Sec- retary that the State complied with the
p.001321: provisions of the plan under subparagraph (A) that was approved by the Secretary for the most recent
p.001321: fiscal year for which the State received a grant under section 1921; and
p.001321: (7) the application (including the plan under paragraph (6)) is otherwise in such form, is made in such
p.001321: manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary
p.001321: to carry out this subpart.
p.001321: (b) STATE PLAN.—
p.001321: (1) IN GENERAL.—In order for a State to be in compliance with subsection (a)(6), the State shall submit
p.001321: to the Secretary a plan that, at a minimum, includes the following:
p.001321: (A) A description of the State’s system of care that—
p.001321: (i) identifies the single State agency responsible for the administration of the program, including any
p.001321: third party who administers substance use disorder services and is responsible for complying with the re-
p.001321: quirements of the grant;
p.001321: (ii) provides information on the need for substance use disorder prevention and treatment services in the State,
p.001321: including estimates on the number of individ- uals who need treatment, who are pregnant women, women with
p.001321: dependent children, individuals with a co- occurring mental health and substance use disorder, persons who inject
p.001321: drugs, and persons who are experi- encing homelessness;
p.001321: (iii) provides aggregate information on the number of individuals in treatment within the State, including the number
p.001321: of such individuals who are pregnant women, women with dependent children, individuals with a
p.001321: co-occurring mental health and substance use
p.001321: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001321:
p.001321:
p.001321:
p.001321:
p.001321:
p.001321:
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p.001337:
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p.001337:
p.001337: January 30, 2020
p.001337: religion, a religious belief, a refusal to hold a religious belief, or a refusal to actively participate in
p.001337: a religious practice.
p.001337: (g) FISCAL ACCOUNTABILITY.—
p.001337: (1) IN GENERAL.—Except as provided in paragraph (2), any religious organization providing services under any
p.001337: substance abuse program under this title or title V shall be subject to the same regulations as other
p.001337: nongovernmental organizations to account in accord with generally accepted accounting principles for the use of such
p.001337: funds provided under such program.
p.001337: (2) LIMITED AUDIT.—Such organization shall segregate gov- ernment funds provided under such substance abuse
p.001337: program into a separate account. Only the government funds shall be subject to audit by the government.
p.001337: (h) COMPLIANCE.—Any party that seeks to enforce such party’s rights under this section may assert a civil action for
p.001337: injunctive re- lief exclusively in an appropriate Federal or State court against the entity, agency or official that
p.001337: allegedly commits such violation.
p.001337: (i) LIMITATIONS ON USE OF FUNDS FOR CERTAIN PURPOSES.—No funds provided through a grant or contract to a
p.001337: religious organiza- tion to provide services under any substance abuse program under this title or title V shall be
p.001337: expended for sectarian worship, instruc- tion, or proselytization.
p.001337: (j) EFFECT ON STATE AND LOCAL FUNDS.—If a State or local government contributes State or local funds to
p.001337: carry out any sub- stance abuse program under this title or title V, the State or local government may segregate
p.001337: the State or local funds from the Fed- eral funds provided to carry out the program or may commingle the State
p.001337: or local funds with the Federal funds. If the State or local government commingles the State or local
p.001337: funds, the provisions of this section shall apply to the commingled funds in the same man- ner, and to the same
p.001337: extent, as the provisions apply to the Federal funds.
p.001337: (k) TREATMENT OF INTERMEDIATE CONTRACTORS.—If a non- governmental organization (referred to in this subsection
p.001337: as an ‘‘in- termediate organization’’), acting under a contract or other agree- ment with the Federal
p.001337: Government or a State or local government, is given the authority under the contract or agreement to select
...

p.001347: provide preven- tion services for adolescents and their families which are appropriate for the target
p.001347: population and the geographic area to be served, including the special needs of rural areas;
p.001347: (4) will utilize to the maximum extent feasible existing available programs and facilities such as neighborhood
p.001347: and pri- mary health care centers, maternity homes which provide or can be equipped to provide services
p.001347: to pregnant adolescents, agencies serving families, youth, and children with established programs of service to
p.001347: pregnant adolescents and vulnerable families, licensed adoption agencies, children and youth cen- ters,
p.001347: maternal and infant health centers, regional rural health facilities, school and other educational programs,
p.001347: mental health programs, nutrition programs, recreation programs, and other ongoing pregnancy prevention services
p.001347: and programs of care for pregnant adolescents and adolescent parents;
p.001347: (5) make use, to the maximum extent feasible, of other Federal, State, and local funds, programs,
p.001347: contributions, and other third-party reimbursements;
p.001347: (6) can demonstrate a community commitment to the pro- gram by making available to the demonstration
p.001347: project non- Federal funds, personnel, and facilities;
p.001347: (7) have involved the community to be served, including public and private agencies, adolescents, and
p.001347: families, in the planning and implementation of the demonstration project; and
p.001347: (8) will demonstrate innovative and effective approaches in addressing the problems of adolescent premarital
p.001347: sexual rela- tions, pregnancy, or parenthood, including approaches to pro- vide pregnant adolescents with
p.001347: adequate information about adoption.
p.001347: (b)(1) The amount of a grant for a demonstration project for services under this title shall be
p.001347: determined by the Secretary, based on factors such as the incidence of adolescent pregnancy in the
p.001347: geographic area to be served, and the adequacy of pregnancy prevention services and programs of care for
p.001347: pregnant adolescents and adolescent parents in such area.
p.001347: (2) In making grants for demonstration projects for services under this title, the Secretary shall
p.001347: consider the special needs of
p.001347: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001347:
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p.001359: under section 2112(d)(1).
p.001359: (2)(A) No person may bring a civil action for damages in an amount greater than $1,000 or in an
p.001359: unspecified amount against a vaccine administrator or manufacturer in a State or Federal court for damages arising
p.001359: from a vaccine-related injury or death associated with the administration of a vaccine after the effective
p.001359: date of this part, and no such court may award damages in an amount greater than $1,000 in a civil action for
p.001359: damages for such a vaccine-related injury or death,
p.001359: unless a petition has been filed, in accordance with section 2116, for compensation under the Program
p.001359: for such injury or death and—
p.001359: (i)(I) the United States Claims Court has issued a judgment under section 2112 on such petition, and
p.001359: (II) such person elects under section 2121(a) to file such an action, or
p.001359: (ii) such person elects to withdraw such petition under section 2121(b) or such petition is considered withdrawn
p.001359: under such section.
p.001359: (B) If a civil action which is barred under subparagraph
p.001359: (A) is filed in a State or Federal court, the court shall dismiss the action. If a petition is filed under this section
p.001359: with respect to the injury or death for which such civil action was brought, the date such dismissed action was filed
p.001359: shall, for purposes of the limitations of actions prescribed by section 2116, be consid- ered the date the petition
p.001359: was filed if the petition was filed within one year of the date of the dismissal of the civil action.
p.001359: (3) No vaccine administrator or manufacturer may be made a party to a civil action (other than a
p.001359: civil action which may be brought under paragraph (2)) for damages for a vac- cine-related injury or death
p.001359: associated with the administration of a vaccine after the effective date of this part. 2
p.001359: (4) If in a civil action brought against a vaccine adminis- trator or manufacturer before the effective
p.001359: date of this part 2 damages were denied for a vaccine-related injury or death or if such civil action
p.001359: was dismissed with prejudice, the person who brought such action may file a petition under subsection
p.001359: (b) for such injury or death.
p.001359: (5)(A) A plaintiff who on the effective date of this part 2
p.001359: has pending a civil action for damages for a vaccine-related in-
p.001359:
p.001359:
p.001359:
p.001359: January 30, 2020
p.001359: 2 Effective October 1, 1988.
p.001359:
p.001359: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001359:
p.001359:
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p.001359: Sec. 2111 PUBLIC HEALTH SERVICE ACT 1360
p.001359:
p.001359: jury or death may, at any time within 2 years after the effec- tive date of this part 2 or before
p.001359: judgment, whichever occurs first, petition to have such action dismissed without prejudice or costs and file
p.001359: a petition under subsection (b) for such injury or death.
p.001359: (B) If a plaintiff has pending a civil action for damages for a vaccine-related injury or death, such person may
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p.001365: 1365
p.001365: PUBLIC HEALTH SERVICE ACT
p.001365: Sec. 2112
p.001365:
p.001365: (i) include findings of fact and conclusions of law, and
p.001365: (ii) be issued as expeditiously as practicable but not later than 240 days, exclusive of suspended time
p.001365: under subparagraph (C), after the date the petition was filed.
p.001365: The decision of the special master may be reviewed by the United States Claims Court in accordance with
p.001365: subsection (e).
p.001365: (B) In conducting a proceeding on a petition a special mas- ter—
p.001365: (i) may require such evidence as may be reasonable and necessary,
p.001365: (ii) may require the submission of such information as may be reasonable and necessary,
p.001365: (iii) may require the testimony of any person and the production of any documents as may be reasonable
p.001365: and necessary,
p.001365: (iv) shall afford all interested persons an opportunity to submit relevant written information—
p.001365: (I) relating to the existence of the evidence de- scribed in section 2113(a)(1)(B), or
p.001365: (II) relating to any allegation in a petition with re- spect to the matters described in
p.001365: section 2111(c)(1)(C)(ii), and
p.001365: (v) may conduct such hearings as may be reasonable and necessary.
p.001365: There may be no discovery in a proceeding on a petition other than the discovery required by the special master.
p.001365: (C) In conducting a proceeding on a petition a special mas- ter shall suspend the proceedings one time for 30
p.001365: days on the motion of either party. After a motion for suspension is grant- ed, further motions for suspension
p.001365: by either party may be granted by the special master, if the special master determines the suspension is
p.001365: reasonable and necessary, for an aggregate period not to exceed 150 days.
p.001365: (D) If, in reviewing proceedings on petitions for vaccine-re- lated injuries or deaths associated with the
p.001365: administration of vaccines before the effective date of this part, the chief special master determines that the
p.001365: number of filings and resultant workload place an undue burden on the parties or the special master
p.001365: involved in such proceedings, the chief special master may, in the interest of justice, suspend proceedings on
p.001365: any pe- tition for up to 30 months (but for not more than 6 months at a time) in addition to the suspension time under
p.001365: subparagraph (C).
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
p.001365: January 30, 2020
p.001365: (4)(A) Except as provided in subparagraph (B), information submitted to a special master or the court in a
p.001365: proceeding on a petition may not be disclosed to a person who is not a party to the proceeding without the
p.001365: express written consent of the person who submitted the information.
p.001365: (B) A decision of a special master or the court in a pro- ceeding shall be disclosed, except that if
p.001365: the decision is to in- clude information—
p.001365: (i) which is trade secret or commercial or financial in- formation which is privileged and confidential, or
p.001365: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001365:
p.001365:
p.001365:
p.001365:
p.001365:
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p.001365:
p.001365: C:\XML\SSA-MERGED.XML
p.001365:
p.001365: Sec. 2112 PUBLIC HEALTH SERVICE ACT 1366
p.001365:
p.001365: (ii) which are medical files and similar files the disclo- sure of which would constitute a clearly unwarranted inva-
p.001365: sion of privacy,
p.001365: and if the person who submitted such information objects to the inclusion of such information in the
p.001365: decision, the decision shall be disclosed without such information.
p.001365: (e) ACTION BY THE UNITED STATES CLAIMS COURT.—
p.001365: (1) Upon issuance of the special master’s decision, the par- ties shall have 30 days to file with the clerk
p.001365: of the United States Claims Court a motion to have the court review the de- cision. If such a motion is filed, the
p.001365: other party shall file a re- sponse with the clerk of the United States Claims Court no later than 30 days
p.001365: after the filing of such motion.
p.001365: (2) Upon the filing of a motion under paragraph (1) with respect to a petition, the United States
p.001365: Claims Court shall have jurisdiction to undertake a review of the record of the proceedings and may
p.001365: thereafter—
p.001365: (A) uphold the findings of fact and conclusions of law of the special master and sustain the special master’s
p.001365: deci- sion,
p.001365: (B) set aside any findings of fact or conclusion of law of the special master found to be arbitrary,
p.001365: capricious, an abuse of discretion, or otherwise not in accordance with law and issue its own findings
p.001365: of fact and conclusions of law, or
p.001365: (C) remand the petition to the special master for fur- ther action in accordance with the court’s direction.
p.001365: The court shall complete its action on a petition within 120 days of the filing of a response under
p.001365: paragraph (1) excluding any days the petition is before a special master as a result of a remand under
p.001365: subparagraph (C). The court may allow not more than 90 days for remands under subparagraph (C).
p.001365: (3) In the absence of a motion under paragraph (1) respect- ing the special master’s decision or if the United States
p.001365: Claims Court takes the action described in paragraph (2)(A) with re- spect to the special master’s
p.001365: decision, the clerk of the United States Claims Court shall immediately enter judgment in ac- cordance
p.001365: with the special master’s decision.
...

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p.001379:
p.001381: 1381
p.001381: PUBLIC HEALTH SERVICE ACT
p.001381: Sec. 2123
p.001381:
p.001381: erly prepared and was accompanied by proper directions and warnings.
p.001381: (2) For purposes of paragraph (1), a vaccine shall be pre- sumed to be accompanied by proper directions and
p.001381: warnings if the vaccine manufacturer shows that it complied in all mate- rial respects with all
p.001381: requirements under the Federal Food, Drug, and Cosmetic Act and section 351 of the Public Health Service
p.001381: Act (including regulations issued under such provi- sions) applicable to the vaccine and related to
p.001381: vaccine-related injury or death for which the civil action was brought unless the plaintiff shows—
p.001381: (A) that the manufacturer engaged in the conduct set forth in subparagraph (A) or (B) of section
p.001381: 2123(d)(2), or
p.001381: (B) by clear and convincing evidence that the manufac- turer failed to exercise due care notwithstanding its
p.001381: com- pliance with such Act and section (and regulations issued under such provisions).
p.001381: (c) DIRECT WARNINGS.—No vaccine manufacturer shall be lia- ble in a civil action for damages arising
p.001381: from a vaccine-related in- jury or death associated with the administration of a vaccine after the effective date
p.001381: of this part 24 solely due to the manufacturer’s failure to provide direct warnings to the injured
p.001381: party (or the in- jured party’s legal representative) of the potential dangers result- ing from the
p.001381: administration of the vaccine manufactured by the manufacturer.
p.001381: (d) CONSTRUCTION.—The standards of responsibility prescribed by this section are not to be construed as authorizing a
p.001381: person who brought a civil action for damages against a vaccine manufacturer for a vaccine-related injury or death in
p.001381: which damages were denied or which was dismissed with prejudice to bring a new civil action against such
p.001381: manufacturer for such injury or death.
p.001381: (e) PREEMPTION.—No State may establish or enforce a law which prohibits an individual from bringing a
p.001381: civil action against a vaccine manufacturer for damages for a vaccine-related injury or death if such civil action is
p.001381: not barred by this subtitle.
p.001381: TRIAL
p.001381: SEC. 2123. ø300aa–23¿ (a) GENERAL RULE.—A civil action against a vaccine manufacturer for damages
p.001381: for a vaccine-related injury or death associated with the administration of a vaccine after the effective
p.001381: date of this part 24 which is not barred by section 2111(a)(2) shall be tried in three stages.
p.001381: (b) LIABILITY.—The first stage of such a civil action shall be held to determine if a vaccine manufacturer is
p.001381: liable under section 2122.
p.001381: (c) GENERAL DAMAGES.—The second stage of such a civil action shall be held to determine the amount of damages (other
p.001381: than pu- nitive damages) a vaccine manufacturer found to be liable under section 2122 shall be required to
p.001381: pay.
p.001381: (d) PUNITIVE DAMAGES.—
p.001381: (1) If sought by the plaintiff, the third stage of such an ac- tion shall be held to determine the amount of
p.001381: punitive dam-
p.001381:
p.001381:
p.001381:
p.001381: January 30, 2020
...

p.001461: which the entity will provide the service, and the entity has en- tered into such a participation
p.001461: agreement and is qualified to receive such payments.
p.001461: (2) WAIVER.—
p.001461: (A) IN GENERAL.—In the case of an entity making an agreement pursuant to paragraph (1)(B) regarding the pro-
p.001461: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001461:
p.001461:
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p.001461:
p.001461: Sec. 2604 PUBLIC HEALTH SERVICE ACT 1462
p.001461:
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p.001461:
p.001461: January 30, 2020
p.001461:
p.001461: vision of services, the requirement established in such paragraph shall be waived by the HIV health
p.001461: services planning council for the eligible area if the entity does not, in providing health care services, impose
p.001461: a charge or ac- cept reimbursement available from any third-party payor, including reimbursement under any
p.001461: insurance policy or under any Federal or State health benefits program.
p.001461: (B) DETERMINATION.—A determination by the HIV health services planning council of whether an entity
p.001461: re- ferred to in subparagraph (A) meets the criteria for a waiv- er under such subparagraph shall be made without
p.001461: regard to whether the entity accepts voluntary donations for the purpose of providing services to the public.
p.001461: (h) ADMINISTRATION.—
p.001461: (1) LIMITATION.—The chief elected official of an eligible area shall not use in excess of 10 percent of amounts
p.001461: received under a grant under this subpart for administrative expenses.
p.001461: (2) ALLOCATIONS BY CHIEF ELECTED OFFICIAL.—In the case of entities and subcontractors to which the chief elected
p.001461: official of an eligible area allocates amounts received by the official under a grant under this subpart, the
p.001461: official shall ensure that, of the aggregate amount so allocated, the total of the expendi- tures by such entities for
p.001461: administrative expenses does not ex- ceed 10 percent (without regard to whether particular entities expend more
p.001461: than 10 percent for such expenses).
p.001461: (3) ADMINISTRATIVE ACTIVITIES.—For purposes of para- graph (1), amounts may be used for
p.001461: administrative activities that include—
p.001461: (A) routine grant administration and monitoring ac- tivities, including the development of applications for part
p.001461: A funds, the receipt and disbursal of program funds, the development and establishment of reimbursement
p.001461: and ac- counting systems, the development of a clinical quality management program as described in
...

p.001465: (9) that the eligible area has procedures in place to ensure that services provided with funds received under
p.001465: this subpart meet the criteria specified in section 2604(b)(1); and
p.001465: (10) that the chief elected official will submit to the lead State agency under section 2617(b)(4),
p.001465: audits, consistent with Office of Management and Budget circular A133, regarding funds expended in
p.001465: accordance with this subpart every 2 years and shall include necessary client-based data to compile unmet need
p.001465: calculations and Statewide coordinated statements of need process.
p.001465: (b) APPLICATION.—An eligible area that desires to receive a grant under section 2603(b) shall prepare and
p.001465: submit to the Sec- retary an application, in accordance with subsection (c) regarding a single
p.001465: application and grant award, at such time, in such form, and containing such information as the Secretary
p.001465: shall require, in- cluding the information required under such subsection and infor- mation concerning—
p.001465: (1) the number of individuals to be served within the eligi- ble area with assistance provided under the grant,
p.001465: including the identification of individuals with HIV/AIDS as described in clauses (i) through (iii) of section
p.001465: 2603(b)(2)(A);
p.001465: (2) demographic data on the population of such individ- uals;
p.001465: (3) the average cost of providing each category of HIV-re- lated health services and the extent to which such
p.001465: cost is paid by third-party payors;
p.001465: (4) the aggregate amounts expended for each such category of services;
p.001465: (5) the manner in which the expected expenditures are re- lated to the planning process for States that receive
p.001465: funding under part B (including the planning process described in sec- tion 2617(b)); and
p.001465: (6) the expected expenditures and how those expenditures will improve overall client outcomes, as
p.001465: described under the State plan under section 2617(b), and through additional out- comes measures as
p.001465: identified by the HIV health services plan- ning council under section 2602(b).
p.001465: (c) SINGLE APPLICATION AND GRANT AWARD.—
p.001465: (1) APPLICATION.—The Secretary may phase in the use of a single application that meets the requirements of
p.001465: subsections
p.001465: (a) and (b) of section 2603 with respect to an eligible area that desires to receive grants under section 2603
p.001465: for a fiscal year.
p.001465: (2) GRANT AWARD.—The Secretary may phase in the awarding of a single grant to an eligible area that
p.001465: submits an approved application under paragraph (1) for a fiscal year.
p.001465: (d) DATE CERTAIN FOR SUBMISSION.—
p.001465: (1) REQUIREMENT.—Except as provided in paragraph (2), to be eligible to receive a grant under section 2601(a) for a
p.001465: fiscal year, an application under subsection (a) shall be submitted
p.001465: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001465:
p.001465:
p.001465:
p.001465:
p.001465:
p.001465:
...

p.001479:
p.001479:
p.001481: 1481
p.001481: PUBLIC HEALTH SERVICE ACT
p.001481: Sec. 2617
p.001481:
p.001481:
p.001481:
p.001481:
p.001481:
p.001481:
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p.001481:
p.001481:
p.001481: January 30, 2020
p.001481: quested, and the number of individuals and families receiving such services, that shall include—
p.001481: (A) a description of the types of programs operated or funded by the State for the provision of HIV-related
p.001481: serv- ices during the year preceding the year for which the grant is requested and the methods utilized by the
p.001481: State to fi- nance such programs;
p.001481: (B) an accounting of the amount of funds that the State has expended for such services and programs during the
p.001481: year preceding the year for which the grant is re- quested; and
p.001481: (C) information concerning—
p.001481: (i) the number of individuals to be served with as- sistance provided under the grant;
p.001481: (ii) demographic data on the population of the in- dividuals to be served;
p.001481: (iii) the average cost of providing each category of HIV-related health services and the extent to which such
p.001481: cost is paid by third-party payors; and
p.001481: (iv) the aggregate amounts expended for each such category of services;
p.001481: (2) a determination of the size and demographics of the population of individuals with HIV/AIDS in the State;
p.001481: (3) a determination of the needs of such population, with particular attention to—
p.001481: (A) individuals with HIV/AIDS who know their HIV status and are not receiving HIV-related services; and
p.001481: (B) disparities in access and services among affected subpopulations and historically underserved
p.001481: communities;
p.001481: (4) the designation of a lead State agency that shall—
p.001481: (A) administer all assistance received under section 2611;
p.001481: (B) conduct the needs assessment and prepare the State plan under paragraph (3);
p.001481: (C) prepare all applications for assistance under sec- tion 2611;
p.001481: (D) receive notices with respect to programs under this title;
p.001481: (E) every 2 years, collect and submit to the Secretary all audits, consistent with Office of
p.001481: Management and Budget circular A133, from grantees within the State, in- cluding audits regarding funds
p.001481: expended in accordance with section 2611; and
p.001481: (F) carry out any other duties determined appropriate by the Secretary to facilitate the coordination of programs under
p.001481: this title.
p.001481: (5) a comprehensive plan that describes the organization and delivery of HIV health care and support
...

p.001485: and (E) of paragraph (1) re- garding the imposition of charges for services applies to the an- nual aggregate of
p.001485: charges imposed for such services, without regard to whether they are characterized as enrollment fees,
p.001485: premiums, deductibles, cost sharing, copayments, coinsurance, or other charges.
p.001485: (4) WAIVER.—
p.001485: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001485:
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p.001485: Sec. 2617 PUBLIC HEALTH SERVICE ACT 1486
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p.001485: January 30, 2020
p.001485:
p.001485: (A) IN GENERAL.—The State shall waive the require- ments established in paragraphs (1) through (3) in
p.001485: the case of an entity that does not, in providing health care services, impose a charge or accept
p.001485: reimbursement from any third-party payor, including reimbursement under any insurance policy or under any Federal or
p.001485: State health ben- efits program.
p.001485: (B) DETERMINATION.—A determination by the State of whether an entity referred to in subparagraph (A) meets the
p.001485: criteria for a waiver under such subparagraph shall be made without regard to whether the entity accepts vol-
p.001485: untary donations regarding the provision of services to the public.
p.001485: (d) REQUIREMENT OF MATCHING FUNDS REGARDING STATE AL-
p.001485: LOTMENTS.—
p.001485: (1) IN GENERAL.—In the case of any State to which the cri- terion described in paragraph (3) applies, the
p.001485: Secretary may not make a grant under section 2611 unless the State agrees that, with respect to the
p.001485: costs to be incurred by the State in carrying out the program for which the grant was awarded, the State will,
p.001485: subject to subsection (b)(2), make available (directly or through donations from public or private entities)
p.001485: non-Fed- eral contributions toward such costs in an amount equal to—
p.001485: (A) for the first fiscal year of payments under the grant, not less than 162⁄3 percent of such costs ($1 for
p.001485: each
p.001485: $5 of Federal funds provided in the grant);
p.001485: (B) for any second fiscal year of such payments, not less than 20 percent of such costs ($1 for each
p.001485: $4 of Fed- eral funds provided in the grant);
p.001485: (C) for any third fiscal year of such payments, not less than 25 percent of such costs ($1 for each $3 of
p.001485: Federal funds provided in the grant);
p.001485: (D) for any fourth fiscal year of such payments, not less than 331⁄3 percent of such costs ($1 for each $2 of
p.001485: Fed- eral funds provided in the grant); and
...

p.001509: populations, and rural populations. 13;
p.001509: (b) STATUS AS MEDICAID PROVIDER.—
p.001509: (1) IN GENERAL.—Subject to paragraph (2), the Secretary may not make a grant under section 2651 for the
p.001509: provision of services described in subsection (b) of such section in a State unless, in the case of any
p.001509: such service that is available pursu- ant to the State plan approved under title XIX of the Social Se- curity Act for
p.001509: the State—
p.001509: (A) the applicant for the grant will provide the service directly, and the applicant has entered into a participation
p.001509: agreement under the State plan and is qualified to receive payments under such plan; or
p.001509: (B) the applicant for the grant will enter into an agreement with a public or nonprofit private entity,
p.001509: or a private for-profit entity if such entity is the only available provider of quality HIV care in the area, under
p.001509: which the entity will provide the service, and the entity has entered into such a participation agreement and
p.001509: is qualified to re- ceive such payments.
p.001509: (2) WAIVER REGARDING CERTAIN SECONDARY AGREE- MENTS.—
p.001509: (A) In the case of an entity making an agreement pur- suant to paragraph (1)(B) regarding the provision of
p.001509: serv- ices, the requirement established in such paragraph re- garding a participation agreement shall be
p.001509: waived by the Secretary if the entity does not, in providing health care services, impose a charge or
p.001509: accept reimbursement avail- able from any third-party payor, including reimbursement under any insurance
p.001509: policy or under any Federal or State health benefits program.
p.001509:
p.001509:
p.001509:
p.001509: January 30, 2020
p.001509: 13 See footnote for section 217(a).
p.001509:
p.001509: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001509:
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p.001509:
p.001509: Sec. 2653 PUBLIC HEALTH SERVICE ACT 1510
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p.001509: January 30, 2020
p.001509:
p.001509: (B) A determination by the Secretary of whether an entity referred to in subparagraph (A) meets the
p.001509: criteria for a waiver under such subparagraph shall be made with- out regard to whether the entity accepts
p.001509: voluntary dona- tions regarding the provision of services to the public.
p.001509: SEC. 2653. ø300ff–53¿ PREFERENCES IN MAKING GRANTS.
p.001509: (a) IN GENERAL.—In making grants under section 2651, the Secretary shall give preference to any qualified
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p.001513:
p.001513:
p.001513:
p.001513: January 30, 2020
p.001513:
p.001513: appropriated through this Act will be carried out in accordance with conditions described in sections 2661 and
p.001513: 2662.
p.001513: SEC. 2664. ø300ff–64¿ ADDITIONAL REQUIRED AGREEMENTS.
p.001513: (a) REPORTS TO SECRETARY.—The Secretary may not make a grant under this part unless—
p.001513: (1) the applicant submits to the Secretary—
p.001513: (A) a specification of the expenditures made by the ap- plicant for early intervention services for the fiscal
p.001513: year preceding the fiscal year for which the applicant is apply- ing to receive the grant;
p.001513: (B) an estimate of the number of individuals to whom the applicant has provided such services for such fiscal
p.001513: year;
p.001513: (C) information regarding how the expected expendi- tures of the grant are related to the planning
p.001513: process for localities funded under part A (including the planning process described in section 2602) and
p.001513: for States funded under part B (including the planning process described in section 2617(b)); and
p.001513: (D) a specification of the expected expenditures and how those expenditures will improve overall client
p.001513: out- comes, as described in the State plan under section 2617(b);
p.001513: (2) the applicant agrees to submit to the Secretary a report providing—
p.001513: (A) the number of individuals to whom the applicant provides early intervention services pursuant to the grant;
p.001513: (B) epidemiological and demographic data on the pop- ulation of such individuals;
p.001513: (C) the extent to which the costs of HIV-related health care for such individuals are paid by third-party payors;
p.001513: (D) the average costs of providing each category of early intervention service; and
p.001513: (E) the aggregate amounts expended for each such cat- egory;
p.001513: (3) the applicant agrees to provide additional documenta- tion to the Secretary regarding the process used to
p.001513: obtain com- munity input into the design and implementation of activities related to such grant; and
p.001513: (4) the applicant agrees to submit, every 2 years, to the lead State agency under section 2617(b)(4)
p.001513: audits, consistent with Office of Management and Budget circular A133, regard- ing funds expended in
p.001513: accordance with this title and shall in- clude necessary client level data to complete unmet need cal-
p.001513: culations and Statewide coordinated statements of need proc- ess.
p.001513: (b) PROVISION OF OPPORTUNITIES FOR ANONYMOUS COUNSELING AND TESTING.—The Secretary may not make a grant
p.001513: under this part unless the applicant for the grant agrees that, to the extent permitted under State law,
p.001513: regulation or rule, the applicant will offer substantial opportunities for an individual—
p.001513: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001513:
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p.001513:
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p.001515: 1515
p.001515: PUBLIC HEALTH SERVICE ACT
p.001515: Sec. 2664
p.001515:
p.001515: (1) to undergo counseling and testing regarding HIV/AIDS without being required to provide any information
p.001515: relating to the identity of the individual; and
...

p.001669: shall be ap- pointed only for the remainder of that term. A member may serve after the expiration of that
p.001669: member’s term until a successor has been appointed. A vacancy in the HIT Ad- visory Committee shall be filled in
p.001669: the manner in which the original appointment was made.
p.001669: (C) LIMITS.—Members of the HIT Advisory Committee shall be limited to two 3-year terms, for a total of not
p.001669: to exceed 6 years of service on the Committee.
p.001669: (5) OUTSIDE INVOLVEMENT.—The HIT Advisory Committee shall ensure an opportunity for the participation in
p.001669: activities of the Committee of outside advisors, including individuals with expertise in the development of
p.001669: policies and standards for the electronic exchange and use of health information, includ- ing in the areas of
p.001669: health information privacy and security.
p.001669: (6) QUORUM.—A majority of the members of the HIT Advi- sory Committee shall constitute a quorum for purposes of vot-
p.001669: ing, but a lesser number of members may meet and hold hear- ings.
p.001669: (7) CONSIDERATION.—The National Coordinator shall en- sure that the relevant and available recommendations
p.001669: and comments from the National Committee on Vital and Health Statistics are considered in the development of
p.001669: policies.
p.001669: (8) ASSISTANCE.—For the purposes of carrying out this sec- tion, the Secretary may provide or ensure that financial
p.001669: assist- ance is provided by the HIT Advisory Committee to defray in whole or in part any membership fees or
p.001669: dues charged by such Committee to those consumer advocacy groups and not-for- profit entities that work in
p.001669: the public interest as a party of their mission.
p.001669: (e) APPLICATION OF FACA.—The Federal Advisory Committee Act (5 U.S.C. App.), other than section 14 of
p.001669: such Act, shall apply to the HIT Advisory Committee.
p.001669: (f) PUBLICATION.—The Secretary shall provide for publication in the Federal Register and the posting on the
p.001669: Internet website of the Office of the National Coordinator for Health Information Tech- nology of all policy
p.001669: recommendations made by the HIT Advisory Committee under this section.
p.001669: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001669:
p.001669:
p.001669:
p.001669:
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p.001669:
p.001669: Sec. 3003 PUBLIC HEALTH SERVICE ACT 1670
p.001669:
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p.001669:
p.001669: January 30, 2020
p.001669:
p.001669: SEC. 3003. ø300jj–13¿ SETTING PRIORITIES FOR STANDARDS ADOP- TION.
p.001669: (a) IDENTIFYING PRIORITIES.—
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p.001675:
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p.001675: January 30, 2020
p.001675: (d) EFFORTS TO PROMOTE ACCESS TO HEALTH INFORMATION.— The National Coordinator and the Office for Civil Rights
p.001675: of the De- partment of Health and Human Services shall jointly promote pa- tient access to health
p.001675: information in a manner that would ensure that such information is available in a form convenient for the pa-
p.001675: tient, in a reasonable manner, without burdening the health care provider involved.
p.001675: (e) ACCESSIBILITY OF PATIENT RECORDS.—
p.001675: (1) ACCESSIBILITY AND UPDATING OF INFORMATION.—
p.001675: (A) IN GENERAL.—The Secretary, in consultation with the National Coordinator, shall promote policies that
p.001675: en- sure that a patient’s electronic health information is acces- sible to that patient and the patient’s designees, in
p.001675: a man- ner that facilitates communication with the patient’s health care providers and other
p.001675: individuals, including re- searchers, consistent with such patient’s consent.
p.001675: (B) UPDATING EDUCATION ON ACCESSING AND EX- CHANGING PERSONAL HEALTH INFORMATION.—To promote
p.001675: awareness that an individual has a right of access to in- spect, obtain a copy of, and transmit to a
p.001675: third party a copy of such individual’s protected health information pur- suant to the Health Information
p.001675: Portability and Account- ability Act, Privacy Rule (subpart E of part 164 of title 45, Code of Federal Regulations),
p.001675: the Director of the Office for Civil Rights, in consultation with the National Coordi- nator, shall assist
p.001675: individuals and health care providers in understanding a patient’s rights to access and protect per- sonal health
p.001675: information under the Health Insurance Port- ability and Accountability Act of 1996 (Public Law 104– 191),
p.001675: including providing best practices for requesting per- sonal health information in a computable format, including using
p.001675: patient portals or third-party applications and com- mon cases when a provider is permitted to exchange
p.001675: and provide access to health information.
p.001675: (2) CERTIFYING USABILITY FOR PATIENTS.—In carrying out certification programs under section 3001(c)(5), the
p.001675: National Coordinator may require that—
p.001675: (A) the certification criteria support—
p.001675: (i) patient access to their electronic health infor- mation, including in a single longitudinal format
p.001675: that is easy to understand, secure, and may be updated automatically;
p.001675: (ii) the patient’s ability to electronically commu- nicate patient-reported information (such as family
p.001675: history and medical history); and
p.001675: (iii) patient access to their personal electronic health information for research at the option of the pa-
p.001675: tient; and
p.001675: (B) the HIT Advisory Committee develop and prioritize standards, implementation specifications,
p.001675: and certification criteria required to help support patient ac- cess to electronic health information, patient
p.001675: usability, and support for technologies that offer patients access to their electronic health information in
p.001675: a single, longitudinal for-
p.001675: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001675:
p.001675:
p.001675:
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p.001719:
p.001719:
p.001719:
p.001719:
p.001719: January 30, 2020
p.001719:
p.001719: (C) FINAL REGULATIONS.—Based on all the available evidence in the rulemaking record, the WTC Program Ad-
p.001719: ministrator shall make a final determination of whether cancer or a certain type of cancer should be added to
p.001719: such list of WTC-related health conditions. If such a determina- tion is made to make such an addition, the WTC Program
p.001719: Administrator shall by regulation add cancer or the certain type of cancer to such list.
p.001719: (D) DETERMINATIONS NOT TO ADD CANCER OR CERTAIN TYPES OF CANCER.—In the case that the WTC Program Ad-
p.001719: ministrator determines under subparagraph (B) or (C) that cancer or a certain type of cancer should not be
p.001719: added to such list of WTC-related health conditions, the WTC Pro- gram Administrator shall publish an
p.001719: explanation for such determination in the Federal Register. Any such deter- mination to not make such an
p.001719: addition shall not preclude the addition of cancer or the certain type of cancer to such list at a later date.
p.001719: (6) ADDITION OF HEALTH CONDITIONS TO LIST FOR WTC RE- SPONDERS.—
p.001719: (A) IN GENERAL.—Whenever the WTC Program Ad- ministrator determines that a proposed rule should be pro- mulgated
p.001719: to add a health condition to the list of health conditions in paragraph (3), the Administrator may re-
p.001719: quest a recommendation of the Advisory Committee or may publish such a proposed rule in the Federal
p.001719: Register in accordance with subparagraph (D).
p.001719: (B) ADMINISTRATOR’S OPTIONS AFTER RECEIPT OF PETI- TION.—In the case that the WTC Program Administrator
p.001719: receives a written petition by an interested party to add a health condition to the list of health conditions
p.001719: in para- graph (3), not later than 90 days after the date of receipt of such petition the Administrator
p.001719: shall—
p.001719: (i) request a recommendation of the Advisory Committee;
p.001719: (ii) publish a proposed rule in the Federal Register to add such health condition, in accordance with sub-
p.001719: paragraph (D);
p.001719: (iii) publish in the Federal Register the Adminis- trator’s determination not to publish such a proposed
p.001719: rule and the basis for such determination; or
p.001719: (iv) publish in the Federal Register a determina- tion that insufficient evidence exists to take action
p.001719: under clauses (i) through (iii).
p.001719: (C) ACTION BY ADVISORY COMMITTEE.—In the case that the Administrator requests a recommendation of the Advi- sory
p.001719: Committee under this paragraph, with respect to add- ing a health condition to the list in paragraph (3), the Ad-
p.001719: visory Committee shall submit to the Administrator such recommendation not later than 90 days after the
p.001719: date of such request or by such date (not to exceed 180 days after such date of request) as specified by the
p.001719: Administrator. Not later than 90 days after the date of receipt of such rec- ommendation, the Administrator shall, in
p.001719: accordance with
p.001719: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001719:
p.001719:
p.001719:
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p.001719:
p.001719:
p.001721: 1721
p.001721: PUBLIC HEALTH SERVICE ACT
p.001721: Sec. 3312
p.001721:
p.001721: subparagraph (D), publish in the Federal Register a pro- posed rule with respect to such recommendation
p.001721: or a de- termination not to propose such a proposed rule and the basis for such determination.
p.001721: (D) PUBLICATION.—The WTC Program Administrator shall, with respect to any proposed rule under this para-
p.001721: graph—
p.001721: (i) publish such proposed rule in accordance with section 553 of title 5, United States Code; and
p.001721: (ii) provide interested parties a period of 30 days after such publication to submit written comments on
p.001721: the proposed rule.
p.001721: The WTC Program Administrator may extend the period described in clause (ii) upon a finding of good cause. In
p.001721: the case of such an extension, the Administrator shall publish such extension in the Federal Register.
p.001721: (E) INTERESTED PARTY DEFINED.—For purposes of this paragraph, the term ‘‘interested party’’ includes a
p.001721: rep- resentative of any organization representing WTC respond- ers, a nationally recognized medical association, a
p.001721: Clinical or Data Center, a State or political subdivision, or any other interested person.
p.001721: (F) INDEPENDENT PEER REVIEWS.—Prior to issuing a final rule to add a health condition to the list in paragraph
p.001721: (3), the WTC Program Administrator shall provide for an independent peer review of the scientific and technical
p.001721: evi- dence that would be the basis for issuing such final rule.
p.001721: (G) ADDITIONAL ADVISORY COMMITTEE RECOMMENDA- TIONS.—
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p.001721: January 30, 2020
p.001721: (i) PROGRAM POLICIES.—
p.001721: (I) EXISTING POLICIES.—Not later than 1 year after the date of enactment of the James Zadroga 9/11 Health and
p.001721: Compensation Reauthorization Act, the WTC Program Administrator shall re- quest the Advisory Committee
p.001721: to review and evaluate the policies and procedures, in effect at the time of the review and
p.001721: evaluation, that are used to determine whether sufficient evidence ex- ists to support adding a health
p.001721: condition to the list in paragraph (3).
p.001721: (II) SUBSEQUENT POLICIES.—Prior to estab- lishing any substantive new policy or procedure used to make
p.001721: the determination described in sub- clause (I) or prior to making any substantive amendment to any
...

p.001733: law or plan, including line of duty compensation, to which New York City is obligated to make payments,
p.001733: if, in accordance with terms specified under the contract under subsection (d)(1)(A), New York City has made
p.001733: the full payment required under such contract for such quarter.
p.001733: (3) RULES OF CONSTRUCTION.—Nothing in this title shall be construed to affect, modify, or relieve any
p.001733: obligations under a worker’s compensation law or plan, other work-related injury or illness benefit plan of an
p.001733: employer, or any health insurance plan.
p.001733: (c) HEALTH INSURANCE COVERAGE.—
p.001733: (1) IN GENERAL.—In the case of an individual who has a WTC-related health condition that is not work-related
p.001733: and has health coverage for such condition through any public or pri- vate health plan (including health
p.001733: benefits under title XVIII, XIX, or XXI of the Social Security Act) the provisions of section 1862(b) of the Social
p.001733: Security Act shall apply to such a health plan and such individual in the same manner as they apply to group health
p.001733: plan and an individual entitled to benefits under title XVIII of such Act pursuant to section 226(a) of such
p.001733: Act. Any costs for items and services covered under such plan that are not reimbursed by such health plan, due to the
p.001733: application of deductibles, copayments, coinsurance, other cost sharing, or otherwise, are reimbursable under
p.001733: this title to the extent that they are covered under the WTC Program. The program under this title shall not be treated
p.001733: as a legally liable party for pur- poses of applying section 1902(a)(25) of the Social Security Act.
p.001733: (2) RECOVERY BY INDIVIDUAL PROVIDERS.—Nothing in para- graph (1) shall be construed as requiring an entity
p.001733: providing monitoring and treatment under this title to seek reimburse- ment under a health plan with
p.001733: which the entity has no con- tract for reimbursement.
p.001733: (3) MAINTENANCE OF REQUIRED MINIMUM ESSENTIAL COV- ERAGE.—No payment may be made for monitoring and
p.001733: treat- ment under this title for an individual for a month (beginning with July 2014) if with respect to such month the
p.001733: individual—
p.001733: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.001733:
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p.001733: Sec. 3331 PUBLIC HEALTH SERVICE ACT 1734
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p.001733: January 30, 2020
p.001733:
p.001733: (A) is an applicable individual (as defined in sub- section (d) of section 5000A of Internal Revenue
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p.001735: (B) bill such amount directly to New York City; and
p.001735: (C) certify periodically, for purposes of this subsection, whether or not New York City has paid the amount
p.001735: so billed.
p.001735: Such amount shall initially be estimated by the WTC Program Administrator and shall be subject to adjustment and
p.001735: reconcili- ation based upon actual expenditures in carrying out this title.
p.001735: (3) RULE OF CONSTRUCTION.—Nothing in this subsection shall be construed as authorizing the WTC Administrator,
p.001735: with respect to a fiscal year, to reduce the numerical limitation under section 3311(a)(4) or 3321(a)(3)
p.001735: for such fiscal year if New York City fails to comply with paragraph (1) for a cal- endar quarter in
p.001735: such fiscal year.
p.001735: (e) WORK-RELATED DESCRIBED.—For the purposes of this sec- tion, a WTC-related health condition shall be treated
p.001735: as a condition that is work-related if—
p.001735: (1) the condition is diagnosed in an enrolled WTC re- sponder, or in an individual who qualifies as a
p.001735: certified-eligible WTC survivor on the basis of being a rescue, recovery, or cleanup worker; or
p.001735: (2) with respect to the condition the individual has filed and had established a claim under a workers’
p.001735: compensation law or plan of the United States or a State, or other work-re- lated injury or illness
p.001735: benefit plan of the employer of such indi- vidual.
p.001735: SEC. 3332. ø42 U.S.C. 300mm–42¿ ADMINISTRATIVE ARRANGEMENT AU- THORITY.
p.001735: The WTC Program Administrator may enter into arrange- ments with other government agencies, insurance
p.001735: companies, or other third-party administrators to provide for timely and accurate processing of claims under sections
p.001735: 3312, 3313, 3322, and 3323.
p.001735:
p.001735:
p.001735: January 30, 2020 As Amended Through P.L. 116-94,
p.001735: Enacted December 20, 2019
p.001735:
p.001735:
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p.001735: Sec. 3341 PUBLIC HEALTH SERVICE ACT
p.001735:
p.001735: Subtitle C—Research Into Conditions
p.001736: 1736
p.001736:
p.001736: SEC. 3341. ø42 U.S.C. 300mm–51¿ RESEARCH REGARDING CERTAIN HEALTH CONDITIONS RELATED TO SEPTEMBER 11
p.001736: TER- RORIST ATTACKS.
p.001736: (a) IN GENERAL.—With respect to individuals, including en- rolled WTC responders and certified-eligible WTC
p.001736: survivors, receiv- ing monitoring or treatment under subtitle B, the WTC Program Administrator shall conduct
p.001736: or support—
p.001736: (1) research on physical and mental health conditions that may be related to the September 11, 2001, terrorist attacks;
p.001736: (2) research on diagnosing WTC-related health conditions of such individuals, in the case of conditions
p.001736: for which there has been diagnostic uncertainty; and
p.001736: (3) research on treating WTC-related health conditions of such individuals, in the case of conditions for which
p.001736: there has been treatment uncertainty.
p.001736: The Administrator may provide such support through continuation and expansion of research that was initiated before the
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p.000001: functions of such department or of the Service. When officers or employees are so de- tailed their salaries and
p.000001: allowances may be paid from working funds established as provided by law or may be paid by the Service from
p.000001: applicable appropriation and reimbursement may be made as agreed upon by the Secretary and the head of the executive
p.000001: depart- ment concerned. Officers detailed for duty with the Army, Navy, or Coast Guard shall be subject to the laws for
p.000001: the government of the service to which detailed.
p.000001: (b) Upon the request of any State health authority or, in the case of work relating to mental health, any
p.000001: State mental health au-
p.000001:
p.000001:
p.000001:
p.000001:
p.000001: January 30, 2020
p.000001: 7 Former section 213 was repealed by section 14 of Public Law 87–649 (76 Stat. 499). Section 415(c) of title 37, United
p.000001: States Code, now applies to the matter with which former section 213 was concerned.
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
p.000001:
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p.000001: 21 PUBLIC HEALTH SERVICE ACT Sec. 216
p.000001:
p.000001: thority, personnel of the Service may be detailed by the Surgeon General for the purpose of assisting such
p.000001: State or political subdivi- sion thereof in work related to the functions of the Service.
p.000001: (c) The Surgeon General may detail personnel of the Service to any appropriate committee of the Congress or to
p.000001: nonprofit edu- cational research or other institutions engaged in health activities for special studies of
p.000001: scientific problems and for the dissemination of information relating to public health.
p.000001: (d) Personnel detailed under subsections (b) and (c) shall be paid from applicable appropriations of the
p.000001: Service except that, in accordance with regulations such personnel may be placed on leave without pay and paid
p.000001: by the State, subdivision, or institution to which they are detailed. In the case of detail of
p.000001: personnel under subsections (b) or (c) to be paid from applicable Service appropria- tions, the Secretary may
p.000001: condition such detail on an agreement by the State, subdivision, or institution concerned that such State,
p.000001: subdivision, or institution concerned shall reimburse the United States for the amount of such payments made by
p.000001: the Service. The services of personnel while detailed pursuant to this section shall be considered as having
p.000001: been performed in the Service for purposes of the computation of basic pay, promotion, retirement, compensa-
p.000001: tion for injury or death, and the benefits provided by section 212.
p.000001: (e) Except with respect to the United States Coast Guard and the Department of Defense, and except as
p.000001: provided in agreements negotiated with officials at agencies where officers of the Commis- sioned Corps
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p.000001: section.
p.000001: (d) The Attorney General may compromise or settle any claim asserted in such civil action or proceeding in the
p.000001: manner provided in section 2677 of title 28 and with the same effect.
p.000001: (e) For purposes of this section, the provisions of section 2680(h) of title 28 shall not apply to
p.000001: assault or battery arising out of negligence in the performance of medical, surgical, dental, or re-
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
p.000001:
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p.000001: 27 PUBLIC HEALTH SERVICE ACT Sec. 224
p.000001:
p.000001: lated functions, including the conduct of clinical studies or inves- tigations.
p.000001: (f) The Secretary or his designee may, to the extent that he deems appropriate, hold harmless or provide
p.000001: liability insurance for any officer or employee of the Public Health Service for damage for personal injury, including
p.000001: death, negligently caused by such officer or employee while acting within the scope of his office or employ-
p.000001: ment and as a result of the performance of medical, surgical, den- tal, or related functions, including the conduct of
p.000001: clinical studies or investigations, if such employee is assigned to a foreign country or detailed to a State or
p.000001: political subdivision thereof or to a non-profit institution, and if the circumstances are such as are likely
p.000001: to pre- clude the remedies of third persons against the United States de- scribed in section 2679(b) of
p.000001: title 28, for such damage or injury.
p.000001: (g)(1)(A) For purposes of this section and subject to the ap- proval by the Secretary of an application under
p.000001: subparagraph (D), an entity described in paragraph (4), and any officer, governing board member, or
p.000001: employee of such an entity, and any contractor of such an entity who is a physician or other licensed
p.000001: or certified health care practitioner (subject to paragraph (5)), shall be deemed to be an employee of the Public
p.000001: Health Service for a calendar year that begins during a fiscal year for which a transfer was made under
p.000001: subsection (k)(3) (subject to paragraph (3)). The remedy against the United States for an entity
p.000001: described in paragraph (4) and any officer, governing board member, employee, or contractor (subject to
p.000001: paragraph (5)) of such an entity who is deemed to be an employee of the Public Health Service pursuant
p.000001: to this para- graph shall be exclusive of any other civil action or proceeding to the same extent as the
p.000001: remedy against the United States is exclu- sive pursuant to subsection (a).
p.000001: (B) The deeming of any entity or officer, governing board mem- ber, employee, or contractor of the entity to be an
p.000001: employee of the Public Health Service for purposes of this section shall apply with respect to services provided—
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p.000001:
p.000001: Sec. 224 PUBLIC HEALTH SERVICE ACT 40
p.000001:
p.000001: (A) COVERED COUNTERMEASURE.—The term ‘‘covered countermeasure’’ or ‘‘covered countermeasure against
p.000001: smallpox’’, means a substance that is—
p.000001: (i)(I) used to prevent or treat smallpox (including the vaccinia or another vaccine); or
p.000001: (II) 12 used to control or treat the adverse ef- fects of vaccinia inoculation or of administration of another
p.000001: covered countermeasure; and
p.000001: (ii) specified in a declaration under paragraph (2).
p.000001: (B) COVERED PERSON.—The term ‘‘covered person’’, when used with respect to the administration of a covered
p.000001: countermeasure, means a person who is—
p.000001: (i) a manufacturer or distributor of such counter- measure;
p.000001: (ii) a health care entity under whose auspices 13—
p.000001: (I) such countermeasure was administered;
p.000001: (II) a determination was made as to whether, or under what circumstances, an individual should receive a
p.000001: covered countermeasure;
p.000001: (III) the immediate site of administration on the body of a covered countermeasure was mon- itored,
p.000001: managed, or cared for; or
p.000001: (IV) an evaluation was made of whether the administration of a countermeasure was effective;
p.000001: (iii) a qualified person who administered such countermeasure;
p.000001: (iv) a State, a political subdivision of a State, or an agency or official of a State or of such a
p.000001: political subdivision, if such State, subdivision, agency, or offi- cial has established requirements,
p.000001: provided policy guidance, supplied technical or scientific advice or as- sistance, or otherwise supervised
p.000001: or administered a program with respect to administration of such coun- termeasures;
p.000001: (v) in the case of a claim arising out of alleged transmission of vaccinia from an individual—
p.000001: (I) the individual who allegedly transmitted the vaccinia, if vaccinia vaccine was administered to such individual
p.000001: as provided by paragraph (2)(B) and such individual was within a category of indi- viduals covered by a declaration
p.000001: under paragraph (2)(A)(i); or
p.000001: (II) an entity that employs an individual de- scribed by clause (I) or where such individual has privileges or
p.000001: is otherwise authorized to provide health care;
p.000001: (vi) an official, agent, or employee of a person de- scribed in clause (i), (ii), (iii), or (iv);
p.000001:
p.000001:
p.000001:
p.000001:
p.000001:
p.000001:
p.000001:
p.000001: January 30, 2020
p.000001: 12 Indentation is so in law. See section 3(e) of Public Law 108–20 (117 Stat. 647).
p.000001: 13 Clause (ii) is shown according to the probable intent of the Congress. In amending the clause to
p.000001: create a subclause (I), section 3(f)(2)(B) of Public Law 108–20 (117 Stat. 647) provided that the clause is amended by
p.000001: redesignating certain words ‘‘as clause (I) and indenting accord- ingly’’. The reference in the amendatory instructions
p.000001: to ‘‘clause (I)’’ probably should be to ‘‘sub- clause (I)’’, and the use in the instructions of the word
p.000001: ‘‘accordingly’’ requires the exercise of editorial judgment.
p.000001: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000001:
p.000001:
p.000001:
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p.000017: (1) unique to, significantly more serious for, or signifi- cantly more prevalent in women; and
p.000017: (2) for which the factors of medical risk or type of medical intervention are different for women, or for which there
p.000017: is rea- sonable evidence that indicates that such factors or types may be different for women.
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
p.000017:
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p.000017:
p.000017: Sec. 311 PUBLIC HEALTH SERVICE ACT 90
p.000017: (d) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000017: to be appropriated such sums as may be necessary for each of the fiscal years 2010 through 2014.
p.000017: PART B—FEDERAL-STATE COOPERATION
p.000017: IN GENERAL
p.000017: SEC. 311. ø243¿ (a) The Secretary is authorized to accept from State and local authorities any assistance in the
p.000017: enforcement of quarantine regulations made pursuant to this Act which such au- thorities may be able and
p.000017: willing to provide. The Secretary shall also assist States and their political subdivisions in the prevention and
p.000017: suppression of communicable diseases and with respect to other public health matters, shall cooperate with and
p.000017: aid State and local authorities in the enforcement of their quarantine and other health regulations, and
p.000017: shall advise the several States on matters relating to the preservation and improvement of the public health.
p.000017: (b) The Secretary shall encourage cooperative activities be- tween the States with respect to
p.000017: comprehensive and continuing planning as to their current and future health needs, the establish- ment and
p.000017: maintenance of adequate public health services, and oth- erwise carrying out the public health activities. The
p.000017: Secretary is also authorized to train personnel for State and local health work. The Secretary may charge only private
p.000017: entities reasonable fees for the training of their personnel under the preceding sentence.
p.000017: (c)(1) The Secretary is authorized to develop (and may take such action as may be necessary to implement) a
p.000017: plan under which personnel, equipment, medical supplies, and other resources of the Service and other agencies
p.000017: under the jurisdiction of the Secretary may be effectively used to control epidemics of any disease or con- dition
p.000017: and to meet other health emergencies or problems. The Sec- retary may enter into agreements providing for the
p.000017: cooperative planning between the Service and public and private community health programs and agencies to cope
p.000017: with health problems (includ- ing epidemics and health emergencies).
p.000017: (2) The Secretary may, at the request of the appropriate State or local authority, extend temporary (not in
p.000017: excess of six months) assistance to States or localities in meeting health emergencies of such a nature as
p.000017: to warrant Federal assistance. The Secretary may require such reimbursement of the United States for assistance
p.000017: provided under this paragraph as he may determine to be reason- able under the circumstances. Any
p.000017: reimbursement so paid shall be credited to the applicable appropriation for the Service for the year in which such
p.000017: reimbursement is received.
p.000017: SEC. 312. ø244¿ PUBLIC ACCESS DEFIBRILLATION PROGRAMS.
p.000017: (a) IN GENERAL.—The Secretary shall award grants to States, political subdivisions of States, Indian
p.000017: tribes, and tribal organiza- tions to develop and implement public access defibrillation pro- grams—
p.000017:
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020
p.000017: (1) by training and equipping local emergency medical services personnel, including firefighters, police
p.000017: officers, para- medics, emergency medical technicians, and other first re-
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
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p.000017:
p.000017: 91 PUBLIC HEALTH SERVICE ACT Sec. 312
p.000017:
p.000017:
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p.000017: January 30, 2020
p.000017: sponders, to administer immediate care, including cardiopulmonary resuscitation and
p.000017: automated external defibrillation, to cardiac arrest victims;
p.000017: (2) by purchasing automated external defibrillators, plac- ing the defibrillators in public places where cardiac
p.000017: arrests are likely to occur, and training personnel in such places to admin- ister cardiopulmonary resuscitation and
p.000017: automated external defibrillation to cardiac arrest victims;
p.000017: (3) by setting procedures for proper maintenance and test- ing of such devices, according to the guidelines of the
p.000017: manufac- turers of the devices;
p.000017: (4) by providing training to members of the public in cardiopulmonary resuscitation and automated
p.000017: external defibrillation;
p.000017: (5) by integrating the emergency medical services system with the public access defibrillation programs so
p.000017: that emer- gency medical services personnel, including dispatchers, are in- formed about the location of
p.000017: automated external defibrillators in their community; and
p.000017: (6) by encouraging private companies, including small businesses, to purchase automated external
p.000017: defibrillators and provide training for their employees to administer cardiopulmonary
p.000017: resuscitation and external automated defibrillation to cardiac arrest victims in their community.
p.000017: (b) PREFERENCE.—In awarding grants under subsection (a), the Secretary shall give a preference to a State, political
p.000017: subdivision of a State, Indian tribe, or tribal organization that—
p.000017: (1) has a particularly low local survival rate for cardiac ar- rests, or a particularly low local response rate
p.000017: for cardiac ar- rest victims; or
p.000017: (2) demonstrates in its application the greatest commit- ment to establishing and maintaining a
p.000017: public access defibrillation program.
p.000017: (c) USE OF FUNDS.—A State, political subdivision of a State, In- dian tribe, or tribal organization that receives
p.000017: a grant under sub- section (a) may use funds received through such grant to—
p.000017: (1) purchase automated external defibrillators that have been approved, or cleared for marketing, by the Food and
p.000017: Drug Administration;
p.000017: (2) provide automated external defibrillation and basic life support training in automated external
p.000017: defibrillator usage through nationally recognized courses;
p.000017: (3) provide information to community members about the public access defibrillation program to be funded
p.000017: with the grant;
p.000017: (4) provide information to the local emergency medical services system regarding the placement of automated
p.000017: external defibrillators in public places;
p.000017: (5) produce materials to encourage private companies, in- cluding small businesses, to purchase
p.000017: automated external defibrillators;
p.000017: (6) establish an information clearinghouse, that shall be administered by an organization that has substantial
p.000017: expertise in pediatric education, pediatric medicine, and
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
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p.000017:
p.000017: Sec. 313 PUBLIC HEALTH SERVICE ACT 92
p.000017:
p.000017: electrophysiology and sudden death, that provides information to increase public access to defibrillation in
p.000017: schools; and
p.000017: (7) further develop strategies to improve access to auto- mated external defibrillators in public places.
p.000017: (d) APPLICATION.—
p.000017: (1) IN GENERAL.—To be eligible to receive a grant under subsection (a), a State, political subdivision
p.000017: of a State, Indian tribe, or tribal organization shall prepare and submit an appli- cation to the Secretary at such
p.000017: time, in such manner, and con- taining such information as the Secretary may reasonably re- quire.
p.000017: (2) CONTENTS.—An application submitted under paragraph
p.000017: (1) shall—
p.000017: (A) describe the comprehensive public access defibrillation program to be funded with the
p.000017: grant and demonstrate how such program would make automated ex- ternal defibrillation accessible and available to
p.000017: cardiac ar- rest victims in the community;
p.000017: (B) contain procedures for implementing appropriate nationally recognized training courses in
p.000017: performing cardiopulmonary resuscitation and the use of automated external defibrillators;
p.000017: (C) contain procedures for ensuring direct involvement of a licensed medical professional and coordination with
p.000017: the local emergency medical services system in the over- sight of training and notification of incidents of the
p.000017: use of the automated external defibrillators;
p.000017: (D) contain procedures for proper maintenance and testing of the automated external defibrillators,
p.000017: according to the labeling of the manufacturer;
p.000017: (E) contain procedures for ensuring notification of local emergency medical services system personnel, including
p.000017: dispatchers, of the location and type of devices used in the public access defibrillation program; and
p.000017: (F) provide for the collection of data regarding the ef- fectiveness of the public access defibrillation
p.000017: program to be funded with the grant in affecting the out-of-hospital car- diac arrest survival rate.
p.000017: (e) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000017: to be appropriated
p.000017: $25,000,000 for for 6 each of fiscal years 2003 through 2014. Not more than 10 percent of amounts
p.000017: received under a grant awarded under this section may be used for administrative expenses.
p.000017: SEC. 313. ø245¿ PUBLIC ACCESS DEFIBRILLATION DEMONSTRATION PROJECTS.
p.000017: (a) IN GENERAL.—The Secretary shall award grants to political subdivisions of States, Indian tribes, and tribal
p.000017: organizations to de- velop and implement innovative, comprehensive, community-based public access defibrillation
p.000017: demonstration projects that—
p.000017: (1) provide cardiopulmonary resuscitation and automated external defibrillation to cardiac arrest victims in
p.000017: unique set- tings;
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020
p.000017: 6 The words ‘‘for for’’ so in law.
p.000017:
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
p.000017:
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p.000017:
p.000017: 93 PUBLIC HEALTH SERVICE ACT Sec. 313
p.000017:
p.000017: (2) provide training to community members in cardiopulmonary resuscitation and
p.000017: automated external defibrillation; and
p.000017: (3) maximize community access to automated external defibrillators.
p.000017: (b) USE OF FUNDS.—A recipient of a grant under subsection (a) shall use the funds provided through the grant to—
p.000017: (1) purchase automated external defibrillators that have been approved, or cleared for marketing, by the Food and
p.000017: Drug Administration;
p.000017: (2) provide basic life training in automated external defibrillator usage through nationally recognized
p.000017: courses;
p.000017: (3) provide information to community members about the public access defibrillation demonstration project
p.000017: to be funded with the grant;
p.000017: (4) provide information to the local emergency medical services system regarding the placement of automated
p.000017: external defibrillators in the unique settings; and
p.000017: (5) further develop strategies to improve access to auto- mated external defibrillators in public places.
p.000017: (c) APPLICATION.—
p.000017: (1) IN GENERAL.—To be eligible to receive a grant under subsection (a), a political subdivision of a
p.000017: State, Indian tribe, or tribal organization shall prepare and submit an application to the Secretary at such time, in
p.000017: such manner, and containing such information as the Secretary may reasonably require.
p.000017: (2) CONTENTS.—An application submitted under paragraph
p.000017: (1) may—
p.000017: (A) describe the innovative, comprehensive, commu- nity-based public access defibrillation
p.000017: demonstration project to be funded with the grant;
p.000017: (B) explain how such public access defibrillation dem- onstration project represents innovation in
p.000017: providing pub- lic access to automated external defibrillation; and
p.000017: (C) provide for the collection of data regarding the ef- fectiveness of the demonstration project to be funded
p.000017: with the grant in—
p.000017: (i) providing emergency cardiopulmonary resus- citation and automated external defibrillation to car- diac
p.000017: arrest victims in the setting served by the dem- onstration project; and
p.000017: (ii) affecting the cardiac arrest survival rate in the setting served by the demonstration project.
p.000017: (d) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated to carry out this section
p.000017: $5,000,000 for each of fiscal years 2002 through 2006. Not more than 10 percent of amounts received
p.000017: under a grant awarded under this section may be used for administrative expenses.
p.000017:
p.000017:
p.000017:
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p.000017: (e) SUNSET.—The demonstration program under this section shall not exceed 5 years.
p.000017: FAMILY SUPPORT GROUPS FOR ALZHEIMER’S DISEASE PATIENTS
p.000017: SEC. 316. 8 ø247a¿ (a) Subject to available appropriations, the Secretary, acting through the National Institute
p.000017: of Mental Health, the National Institutes of Health, and the Administration on Aging, shall promote the
p.000017: establishment of family support groups to provide, without charge, educational, emotional, and practical sup- port to
p.000017: assist individuals with Alzheimer’s disease or a related memory disorder and members of the families of
p.000017: such individuals. In promoting the establishment of such groups, the Secretary shall give priority to—
p.000017: (1) university medical centers and other appropriate health care facilities which receive Federal funds from the
p.000017: Secretary and which conduct research on Alzheimer’s disease or provide services to individuals with such
p.000017: disease; and
p.000017: (2) community-based programs which receive funds from the Secretary, acting through the Administration on Aging.
p.000017: (b) The Secretary shall promote the establishment of a national network to coordinate the family support groups
p.000017: described in sub- section (a).
p.000017: PROJECT GRANTS FOR PREVENTIVE HEALTH SERVICES
p.000017: SEC. 317. ø247b¿ (a) The Secretary may make grants to States, and in consultation with State health authorities,
p.000017: to political sub- divisions of States and to other public entities to assist them in
p.000017:
p.000017:
p.000017:
p.000017:
p.000017: January 30, 2020
p.000017: 8 With respect to section 315, subsection (d) of such section provided as follows: ‘‘This section shall cease to exist
p.000017: on March 31, 1989.’’. See section 1 of Public Law 100–471 (102 Stat. 2284).
p.000017: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000017:
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p.000017:
p.000017: Sec. 317 PUBLIC HEALTH SERVICE ACT 100
p.000017:
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p.000017: January 30, 2020
p.000017:
p.000017: meeting the costs of establishing and maintaining preventive health service programs.
p.000017: (b) No grant may be made under subsection (a) unless an ap- plication therefor has been submitted to, and
p.000017: approved by, the Sec- retary. Such an application shall be in such form and be submitted in such manner as the
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p.000101: of and at the re- quest of such grant recipient and for the purpose of carrying out a program with
p.000101: respect to which the grant under subsection (a) is made. The amount by which any such grant is so reduced shall
p.000101: be available for payment by the Secretary of the costs incurred in fur- nishing the supplies or equipment, or in
p.000101: detailing the personnel, on which the reduction of such grant is based, and such amount shall be deemed as part of
p.000101: the grant and shall be deemed to have been paid to the grant recipient.
p.000101: (f)(1) Each recipient of a grant under subsection (a) shall keep such records as the Secretary shall by regulation
p.000101: prescribe, includ- ing records which fully disclose the amount and disposition by such recipient of the proceeds of
p.000101: such grant, the total cost of the under- taking in connection with which such grant was made, and the amount
p.000101: of that portion of the cost of the undertaking supplied by other sources, and such other records as will
p.000101: facilitate an effective audit.
p.000101: (2) The Secretary and the Comptroller General of the United States, or any of their duly authorized
p.000101: representatives, shall have access for the purpose of audit and examination to any books, docu- ments, papers, and
p.000101: records of the recipient of grants under sub- section (a) that are pertinent to such grants.
p.000101: (g)(1) Nothing in this section shall limit or otherwise restrict the use of funds which are granted to
p.000101: a State or to an agency or a political subdivision of a State under provisions of Federal law (other
p.000101: than this section) and which are available for the conduct of
p.000101: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000101:
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p.000101: Sec. 317 PUBLIC HEALTH SERVICE ACT 102
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p.000101: preventive health service programs from being used on connection with programs assisted through grants under
p.000101: subsection (a).
p.000101: (2) Nothing in this section shall be construed to require any State or any agency or political
p.000101: subdivision of a State to have a preventive health service program which would require any person, who objects to
p.000101: any treatment provided under such a program, to be treated or to have any child or ward treated under such
p.000101: program.
p.000101: (h) The Secretary shall include, as part of the report required by section 1705, a report on the
p.000101: extent of the problems presented by the diseases and conditions referred to in subsection (j) on the
p.000101: amount of funds obligated under grants under subsection (a) in the preceding fiscal year for each of the
p.000101: programs listed in subsection (j); and on the effectiveness of the activities assisted under grants under
p.000101: subsection (a) in controlling such diseases and conditions.
p.000101: (i) The Secretary may provide technical assistance to States, State health authorities, and other public
p.000101: entities in connection with the operation of their preventive health service programs.
p.000101: (j)(1) Except for grants for immunization programs the author- ization of appropriations for which are
p.000101: established in paragraph (2), for grants under subsections (a) and (k)(1) for preventive health service programs to
p.000101: immunize without charge children, adolescents, and adults against vaccine-preventable diseases, there are
p.000101: author- ized to be appropriated such sums as may be necessary. Not more than 10 percent ot the total amount
p.000101: appropriated under the pre- ceding sentence for any fiscal year shall be available for grants under
p.000101: subsection (k)(1) for such fiscal year.
p.000101: (2) For grants under subsection (a) for preventive health serv- ice programs for the provision without charge of
p.000101: immunizations with vaccines approved for use, and recommended for routine use, there are authorized to be
p.000101: appropriated such sums as may be nec- essary.
p.000101: (k)(1) The Secretary may make grants to States, political sub- divisions of States, and other public and
p.000101: nonprofit private entities for—
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p.000101: (A) research into the prevention and control of diseases that may be prevented through vaccination;
p.000101: (B) demonstration projects for the prevention and control of such diseases;
p.000101: (C) public information and education programs for the pre- vention and control of such diseases; and
p.000101: (D) education, training, and clinical skills improvement ac- tivities in the prevention and control of such
p.000101: diseases for health professionals (including allied health personnel).
p.000101: (2) The Secretary may make grants to States, political subdivi- sions of States, and other public and nonprofit private
p.000101: entities for—
p.000101: (A) research into the prevention and control of diseases and conditions;
p.000101: (B) demonstration projects for the prevention and control of such diseases and conditions;
p.000101: (C) public information and education programs for the pre- vention and control of such diseases and conditions; and
p.000101: (D) education, training, and clinical skills improvement ac- tivities in the prevention and control of such diseases
p.000101: and con-
p.000101: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000103: PUBLIC HEALTH SERVICE ACT
p.000103: Sec. 317
p.000103:
p.000103: ditions for health professionals (including allied health per- sonnel).
p.000103: (3) No grant may be made under this subsection unless an ap- plication therefor is submitted to the Secretary in
p.000103: such form, at such time, and containing such information as the Secretary may by regulation prescribe.
p.000103: (4) Subsections (d), (e), and (f) shall apply to grants under this subsection in the same manner as such subsections
p.000103: apply to grants under subsection (a).
p.000103: (l) AUTHORITY TO PURCHASE RECOMMENDED VACCINES FOR
p.000103: ADULTS.—
p.000103: (1) IN GENERAL.—The Secretary may negotiate and enter into contracts with manufacturers of vaccines for the
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p.000103: (H) any combination of one or more interventions de- scribed in this paragraph; or
p.000103: (I) immunization information systems to allow all States to have electronic databases for
p.000103: immunization records.
p.000103: (4) CONSIDERATION.—In awarding grants under this sub- section, the Secretary shall consider any
p.000103: reviews or rec- ommendations of the Task Force on Community Preventive Services.
p.000103: (5) EVALUATION.—Not later than 3 years after the date on which a State receives a grant under this subsection, the
p.000103: State shall submit to the Secretary an evaluation of progress made toward improving immunization coverage
p.000103: rates among high- risk populations within the State.
p.000103: (6) REPORT TO CONGRESS.—Not later than 4 years after the date of enactment of the Affordable Health Choices
p.000103: Act, the Secretary shall submit to Congress a report concerning the ef- fectiveness of the demonstration program
p.000103: established under this subsection together with recommendations on whether to continue and expand such program.
p.000103: (7) AUTHORIZATION OF APPROPRIATIONS.—There is author- ized to be appropriated to carry out this subsection, such
p.000103: sums as may be necessary for each of fiscal years 2010 through 2014.
p.000103: SCREENINGS, REFERRALS, AND EDUCATION REGARDING LEAD POISONING
p.000103: SEC. 317A. ø247b–1¿ (a) AUTHORITY FOR GRANTS.—
p.000103: (1) IN GENERAL.—Subject to paragraph (2), the Secretary, acting through the Director of the Centers for Disease
p.000103: Control and Prevention, may make grants to States and political sub- divisions of States for the
p.000103: initiation and expansion of commu- nity programs designed—
p.000103: (A) to provide, for infants and children
p.000103: (i) screening for elevated blood lead levels;
p.000103: (ii) referral for treatment of such levels; and
p.000103: (iii) referral for environmental intervention associ- ated with such levels; and
p.000103: (B) to provide education about childhood lead poi- soning.
p.000103: (2) AUTHORITY REGARDING CERTAIN ENTITIES.—With re- spect to a geographic area with a need for activities
p.000103: authorized in paragraph (1), in any case in which neither the State nor the political subdivision in
p.000103: which such area is located has ap- plied for a grant under paragraph (1), the Secretary may make
p.000103: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000105: PUBLIC HEALTH SERVICE ACT
p.000105: Sec. 317A
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p.000105: a grant under such paragraph to any grantee under section 329, 330, or 340A for carrying out such
p.000105: activities in the area.
p.000105: (3) PROVISION OF ALL SERVICES AND ACTIVITIES THROUGH EACH GRANTEE.—In making grants under paragraph (1),
p.000105: the Secretary shall ensure that each of the activities described in such paragraph is provided through
p.000105: each grantee under such paragraph. The Secretary may authorize such a grantee to pro- vide the services and
p.000105: activities directly, or through arrange- ments with other providers.
p.000105: (b) STATUS AS MEDICAID PROVIDER.—
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p.000117: Department of Health and Human Services.
p.000117: (B) With respect to a request described in subpara- graph (A), the Secretary shall reduce the amount of
p.000117: pay- ments under the grant under subsection (a) to the appli- cant involved by an amount equal to the costs
p.000117: of detailing personnel (including pay, allowances, and travel expenses) and the fair market value of any
p.000117: supplies, equipment, or services provided by the Secretary. The Secretary shall, for the payment of expenses
p.000117: incurred in complying with such request, expend the amounts withheld.
p.000117: (k) DEFINITION.—For purposes of this section, the term ‘‘units of local government’’ includes Indian tribes.
p.000117: (l) AUTHORIZATION OF APPROPRIATIONS.—
p.000117: (1) IN GENERAL.—For the purpose of carrying out this sec- tion, there are authorized to be appropriated
p.000117: $20,000,000 for fiscal year 1993, and such sums as may be necessary for each of the fiscal years 1994 through 2004.
p.000117: (2) ALLOCATION FOR TECHNICAL ASSISTANCE.—Of the amounts appropriated under paragraph (1) for a
p.000117: fiscal year, the Secretary shall reserve not more than 20 percent for car- rying out subsection (j)(1).
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p.000117: January 30, 2020
p.000117: NATIONAL STRATEGY FOR COMBATING AND ELIMINATING TUBERCULOSIS
p.000117: SEC. 317E. ø247b–6¿ (a) IN GENERAL.—The Secretary, acting through the Director of the Centers for Disease
p.000117: Control and Pre- vention, may make grants to States, political subdivisions, and other public entities for
p.000117: preventive health service programs for the prevention, control, and elimination of tuberculosis.
p.000117: (b) RESEARCH AND DEVELOPMENT; DEMONSTRATION PROJECTS; EDUCATION AND TRAINING.—With respect to the
p.000117: prevention, treat- ment, control, and elimination of tuberculosis, the Secretary may, directly or through
p.000117: grants to public or nonprofit private entities, carry out the following:
p.000117: (1) Research, with priority given to research and develop- ment concerning latent tuberculosis infection,
p.000117: strains of tuber- culosis resistant to drugs, and research concerning cases of tu- berculosis that affect certain
p.000117: populations at risk for tuber- culosis.
p.000117: (2) Research and development and related activities to de- velop new tools for the elimination of tuberculosis,
p.000117: including
p.000117: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000117: Sec. 317E PUBLIC HEALTH SERVICE ACT 118
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p.000121: elimination;
p.000121: (D) members from the general public who are knowl- edgeable with respect to tuberculosis including individuals
p.000121: who have or have had tuberculosis; and
p.000121: (E) scientists, physicians, laboratorians, and other health professionals who reside in a foreign
p.000121: country with a substantial incidence or prevalence of tuberculosis, and who represent the specialties and
p.000121: disciplines relevant to the research under consideration.
p.000121: (h) AUTHORIZATION OF APPROPRIATIONS.—
p.000121: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000121:
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p.000121: Sec. 317F PUBLIC HEALTH SERVICE ACT 122
p.000121:
p.000121: (1) GENERAL PROGRAM.—
p.000121: (A) IN GENERAL.—For the purpose of carrying out this section, there are authorized to be appropriated
p.000121: $200,000,000 for fiscal year 2009, $210,000,000 for fiscal year 2010, $220,500,000 for fiscal year 2011,
p.000121: $231,525,000 for fiscal year 2012, and $243,101,250 for fiscal year 2013.
p.000121: (B) RESERVATION FOR EMERGENCY GRANTS.—Of the amounts appropriated under subparagraph (A) for a fiscal year,
p.000121: the Secretary may reserve not more than 25 percent for emergency grants under subsection (a) for any geo-
p.000121: graphic area, State, political subdivision of a State, or other public entity in which there is,
p.000121: relative to other areas, a substantial number of cases of tuberculosis, multidrug resistant
p.000121: tuberculosis, or extensively drug re- sistant tuberculosis or a substantial rate of increase in such cases.
p.000121: (C) PRIORITY.—In allocating amounts appropriated under subparagraph (A), the Secretary shall give
p.000121: priority to allocating such amounts for grants under subsection (a).
p.000121: (D) ALLOCATION OF FUNDS.—
p.000121: (i) REQUIREMENT OF FORMULA.—Of the amounts appropriated under subparagraph (A), not reserved under
p.000121: subparagraph (B), and allocated by the Sec- retary for grants under subsection (a), the Secretary shall
p.000121: distribute a portion of such amounts to grantees under subsection (a) on the basis of a formula.
p.000121: (ii) RELEVANT FACTORS.—The formula developed by the Secretary under clause (i) shall take into ac-
p.000121: count the level of tuberculosis morbidity and case com- plexity in the respective geographic area and may con- sider
p.000121: other factors relevant to tuberculosis in such area.
p.000121: (iii) NO CHANGE TO FORMULA REQUIRED.—This subparagraph does not require the Secretary to modify the
p.000121: formula that was used by the Secretary to dis- tribute funds to grantees under subsection (a) for fis-
p.000121: cal year 2009.
p.000121: (2) LIMITATION.—The authorization of appropriations es- tablished in paragraph (1) for a fiscal year is
p.000121: effective only if the amount appropriated under such paragraph for such year equals or exceeds the amount
p.000121: appropriated to carry out this section for fiscal year 2009.
p.000121:
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p.000139: not later than 3 months after the date on which the report is to be submitted under subparagraph (A), and every
p.000139: 3 months thereafter, submit to Congress an explanation as to why the Secretary has not yet complied
p.000139: with the first sentence of subparagraph (A), a detailed description of all actions undertaken within the
p.000139: month for which the report is being submitted to bring the Secretary into compliance with such sentence, and
p.000139: the anticipated date the Secretary expects to be in full compliance with such sentence.
p.000139: (4) CONSULTATION WITH NONPROFIT GYNECOLOGIC CANCER ORGANIZATIONS.—In carrying out the national campaign under this
p.000139: subsection, the Secretary shall consult with nonprofit gynecologic cancer organizations, with a
p.000139: mission both to con- quer ovarian or other gynecologic cancer and to provide out- reach to State and local
p.000139: governments and communities, for the purpose of determining the best practices for providing gynecologic
p.000139: cancer information and outreach services to varied populations.
p.000139: (6) 14 AUTHORIZATION OF APPROPRIATIONS.—For the pur- pose of carrying out this subsection, there is
p.000139: authorized to be appropriated $16,500,000 for the period of fiscal years 2007 through 2009 and $18,000,000
p.000139: for the period of fiscal years 2012 through 2014.
p.000139: SEC. 317Q. ø247b–18¿ SURVEILLANCE AND RESEARCH REGARDING MUSCULAR DYSTROPHY.
p.000139: (a) IN GENERAL.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may award
p.000139: grants and cooperative agreements to public or nonprofit private entities (including health departments of
p.000139: States and political subdivisions of States, and including universities and other educational entities) for the
p.000139: collection, analysis, and reporting of data on Duchenne and other forms of muscular dystrophy. In making such
p.000139: awards, the Secretary may provide direct technical assistance in lieu of cash.
p.000139: (b) NATIONAL MUSCULAR DYSTROPHY EPIDEMIOLOGY PRO- GRAM.—The Secretary, acting through the Director
p.000139: of the Centers for Disease Control and Prevention, may award grants to public or nonprofit private entities
p.000139: (including health departments of States and political subdivisions of States, and including universities and other
p.000139: educational entities) for the purpose of carrying out epidemio- logical activities regarding Duchenne and other
p.000139: forms of muscular dystrophies, including collecting and analyzing information on the number, incidence,
p.000139: correlates, and symptoms of cases. In carrying out the preceding sentence, the Secretary shall provide
p.000139: for a na- tional surveillance program and, to the extent possible, ensure that data be representative of all
p.000139: affected populations and shared in a timely manner. In making awards under this subsection, the Sec-
p.000139: retary may provide direct technical assistance in lieu of cash.
p.000139: (c) COORDINATION WITH CENTERS OF EXCELLENCE.—The Sec- retary shall ensure that epidemiological
p.000139: information under sub- sections (a) and (b) is made available to centers of excellence sup- ported under
p.000139: section 404E(b) by the Director of the National Insti- tutes of Health.
p.000139:
p.000139:
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p.000139: January 30, 2020
p.000139: 14 So in law. There is no paragraph (5).
p.000139:
p.000139: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000141: 141
p.000141: PUBLIC HEALTH SERVICE ACT
p.000141: Sec. 317S
p.000141:
p.000141: (d) DATA.—In carrying out this section, the Secretary may en- sure that any data on patients that is collected
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p.000141: year for which the report is prepared;
p.000141: (B) containing the data collected and findings derived from the MD STARnet sites each fiscal year (as
p.000141: funded under a grant under this section during fiscal years 2008 through 2012); and
p.000141: (C) that every 2 years outlines prospective data collec- tion objectives and strategies.
p.000141: (2) TRACKING HEALTH OUTCOMES.—The Secretary may pro- vide health outcome data on the health and survival of people
p.000141: with muscular dystrophy.
p.000141: (f) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated such sums as may be necessary to
p.000141: carry out this section.
p.000141: SEC. 317R. ø247b–20¿ FOOD SAFETY GRANTS.
p.000141: (a) IN GENERAL.—The Secretary may award grants to States and Indian tribes (as defined in section 4(e) of the
p.000141: Indian Self-De- termination and Education Assistance Act (25 U.S.C. 450b(e))) to expand participation in
p.000141: networks to enhance Federal, State, and local food safety efforts, including meeting the costs of establishing and
p.000141: maintaining the food safety surveillance, technical, and labora- tory capacity needed for such participation.
p.000141: (b) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000141: to be appropriated
p.000141: $19,500,000 for fiscal year 2010, and such sums as may be nec- essary for each of the fiscal years 2011
p.000141: through 2015.
p.000141: SEC. 317S. ø247b–21¿ MOSQUITO-BORNE DISEASES; COORDINATION GRANTS TO STATES; ASSESSMENT AND CONTROL GRANTS TO
p.000141: POLITICAL SUBDIVISIONS.
p.000141: (a) COORDINATION GRANTS TO STATES; ASSESSMENT GRANTS TO
p.000141: POLITICAL SUBDIVISIONS.—
p.000141: (1) IN GENERAL.—With respect to mosquito control pro- grams to prevent and control mosquito-borne diseases
p.000141: (referred to in this section as ‘‘control programs’’), the Secretary, acting through the Director of the
p.000141: Centers for Disease Control and Prevention, may make grants to States for the purpose of—
p.000141: (A) coordinating control programs in the State in- volved; and
p.000141: (B) assisting such State in making grants to political subdivisions of the State to conduct assessments
p.000141: to deter-
p.000141:
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p.000141: January 30, 2020
p.000141: 15 So in law. The term ‘‘site’’ probably should be ‘‘sites’’.
p.000141: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000141: Sec. 317S PUBLIC HEALTH SERVICE ACT 142
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p.000141: mine the immediate needs in such subdivisions for control programs, including programs to address emerging infec-
p.000141: tious mosquito-borne diseases, and to develop, on the basis of such assessments, plans for carrying out control
p.000141: pro- grams in the subdivisions or improving existing control programs.
p.000141: (2) PREFERENCE IN MAKING GRANTS.—In making grants under paragraph (1), the Secretary shall give
p.000141: preference to States that have one or more political subdivisions with an in- cidence, prevalence, or high risk
p.000141: of mosquito-borne disease, or a population of infected mosquitoes, that is substantial relative to political
p.000141: subdivisions in other States.
p.000141: (3) CERTAIN REQUIREMENTS.—A grant may be made under paragraph (1) only if—
p.000141: (A) the State involved has developed, or agrees to de- velop, a plan for coordinating control programs
p.000141: in the State, and the plan takes into account any assessments or plans described in subsection (b)(3) that have
p.000141: been con- ducted or developed, respectively, by political subdivisions in the State;
p.000141: (B) in developing such plan, the State consulted or will consult (as the case may be under subparagraph (A)) with
p.000141: political subdivisions in the State that are carrying out or planning to carry out control programs;
p.000141: (C) the State agrees to monitor control programs in the State in order to ensure that the programs are carried
p.000141: out in accordance with such plan, with priority given to co- ordination of control programs in political subdivisions
p.000141: de- scribed in paragraph (2) that are contiguous;
p.000141: (D) the State agrees that the State will make grants to political subdivisions as described in paragraph
p.000141: (1)(B), and that such a grant will not exceed $10,000; and
p.000141: (E) the State agrees that the grant will be used to sup- plement, and not supplant, State and local funds available for
p.000141: the purpose described in paragraph (1).
p.000141: (4) REPORTS TO SECRETARY.—A grant may be made under paragraph (1) only if the State involved agrees
p.000141: that, promptly after the end of the fiscal year for which the grant is made, the State will submit to the Secretary a
p.000141: report that—
p.000141: (A) describes the activities of the State under the grant; and
p.000141: (B) contains an evaluation of whether the control pro- grams of political subdivisions in the State were effectively
p.000141: coordinated with each other, which evaluation takes into account any reports that the State received
p.000141: under sub- section (b)(5) from such subdivisions.
p.000141: (5) NUMBER OF GRANTS.—A State may not receive more than one grant under paragraph (1).
p.000141: (b) PREVENTION AND CONTROL GRANTS TO POLITICAL SUBDIVI-
p.000141: SIONS.—
p.000141:
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p.000141: January 30, 2020
p.000141: (1) IN GENERAL.—The Secretary, acting through the Direc-
p.000141: tor of the Centers for Disease Control and Prevention, may make grants to political subdivisions of
p.000141: States or consortia of
p.000141: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000141:
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p.000143: PUBLIC HEALTH SERVICE ACT
p.000143: Sec. 317S
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p.000143: political subdivisions of States, for the operation, including im- provement, of control programs.
p.000143: (2) PREFERENCE IN MAKING GRANTS.—In making grants under paragraph (1), the Secretary shall give
p.000143: preference to a political subdivision or consortium of political subdivisions that—
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p.000143: (A) has—
p.000143: (i) a history of elevated incidence or prevalence of mosquito-borne disease;
p.000143: (ii) a population of infected mosquitoes;
p.000143: (iii) met criteria determined by the Secretary to suggest an increased risk of elevated incidence
p.000143: or prevalence of mosquito-borne disease in the pending fiscal year, including an emerging infectious mosquito-
p.000143: borne disease that presents a serious public health threat; or
p.000143: (iv) a public health emergency due to the inci- dence or prevalence of a mosquito-borne disease that
p.000143: presents a serious public health threat;
p.000143: (B) demonstrates to the Secretary that such political subdivision or consortium of political subdivisions
p.000143: will, if appropriate to the mosquito circumstances involved, effec- tively coordinate the activities of the
p.000143: control programs with contiguous political subdivisions;
p.000143: (C) demonstrates to the Secretary (directly or through State officials) that the State in which such a political sub-
p.000143: division or consortium of political subdivisions is located has identified or will identify geographic
p.000143: areas in such State that have a significant need for control programs and will effectively coordinate
p.000143: such programs in such areas; and
p.000143: (D)(i) is located in a State that has received a grant under subsection (a); or
p.000143: (ii) that demonstrates to the Secretary that the control program is consistent with existing State mosquito control
p.000143: plans or policies, or other applicable State preparedness plans.
p.000143: (3) REQUIREMENT OF ASSESSMENT AND PLAN.—A grant may be made under paragraph (1) only if the political
p.000143: subdivision or consortium of political subdivisions involved—
p.000143: (A) has conducted an assessment to determine the im- mediate needs in such subdivision or consortium for a con- trol
p.000143: program, including an entomological survey of poten- tial mosquito breeding areas; and
p.000143: (B) has, on the basis of such assessment, developed a plan for carrying out such a program.
p.000143: (4) REQUIREMENT OF MATCHING FUNDS.—
p.000143: (A) IN GENERAL.—With respect to the costs of a control program to be carried out under paragraph (1) by a
p.000143: polit- ical subdivision or consortium of political subdivisions, a grant under such paragraph may be made only
p.000143: if the sub- division or consortium agrees to make available (directly or through donations from public or
p.000143: private entities) non- Federal contributions toward such costs in an amount that
p.000143: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000143: Sec. 317S PUBLIC HEALTH SERVICE ACT 144
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p.000143: is not less than 1⁄3 of such costs ($1 for each $2 of Federal funds provided in the grant).
p.000143: (B) DETERMINATION OF AMOUNT CONTRIBUTED.—Non- Federal contributions required in subparagraph (A) may be in cash
p.000143: or in kind, fairly evaluated, including plant, equip- ment, or services. Amounts provided by the Federal Gov-
p.000143: ernment, or services assisted or subsidized to any signifi- cant extent by the Federal Government, may
p.000143: not be in- cluded in determining the amount of such non-Federal con- tributions.
p.000143: (C) WAIVER.—The Secretary may waive the require- ment established in subparagraph (A) if the Secretary
p.000143: de- termines that—
p.000143: (i) extraordinary economic conditions in the polit- ical subdivision or consortium of political
p.000143: subdivisions involved justify the waiver; or
p.000143: (ii) the geographical area covered by a political subdivision or consortium for a grant under paragraph
p.000143: (1) has an extreme mosquito control need due to—
p.000143: (I) the size or density of the potentially im- pacted human population;
p.000143: (II) the size or density of a mosquito popu- lation that requires heightened control; or
p.000143: (III) the severity of the mosquito-borne dis- ease, such that expected serious adverse health outcomes for
p.000143: the human population justify the waiver.
p.000143: (5) REPORTS TO SECRETARY.—A grant may be made under paragraph (1) only if the political subdivision or
p.000143: consortium of political subdivisions involved agrees that, promptly after the end of the fiscal year for which
p.000143: the grant is made, the subdivi- sion or consortium will submit to the Secretary, and to the State within
p.000143: which the subdivision or consortium is located, a report that describes the control program and contains an
p.000143: eval- uation of whether the program was effective.
p.000143: (6) NUMBER OF GRANTS.—A political subdivision or a con- sortium of political subdivisions may not receive more
p.000143: than one grant under paragraph (1).
p.000143: (c) APPLICATIONS FOR GRANTS.—A grant may be made under subsection (a) or (b) only if an application for
p.000143: the grant is sub- mitted to the Secretary and the application is in such form, is made in such
p.000143: manner, and contains such agreements, assurances, and information as the Secretary determines to be
p.000143: necessary to carry out this section.
p.000143: (d) TECHNICAL ASSISTANCE.—Amounts appropriated under sub- section (f) may be used by the Secretary to provide
p.000143: training and technical assistance with respect to the planning, development, and operation of assessments and
p.000143: plans under subsection (a) and con- trol programs under subsection (b). The Secretary may provide such
p.000143: technical assistance directly or through awards of grants or contracts to public and private entities.
p.000143: (e) DEFINITION OF POLITICAL SUBDIVISION.—In this section, the term ‘‘political subdivision’’ means the local
p.000143: political jurisdiction immediately below the level of State government, including coun-
p.000143: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000145: 145
p.000145: PUBLIC HEALTH SERVICE ACT
p.000145: Sec. 317U
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p.000145: January 30, 2020
p.000145: ties, parishes, and boroughs. If State law recognizes an entity of general government that functions in
p.000145: lieu of, and is not within, a county, parish, or borough, the Secretary may recognize an area under the
p.000145: jurisdiction of such other entities of general government as a political subdivision for purposes of this section.
p.000145: (f) AUTHORIZATION OF APPROPRIATIONS.—
p.000145: (1) IN GENERAL.—For the purpose of carrying out this sec- tion, there are authorized to be appropriated
p.000145: $100,000,000 for each of fiscal years 2019 through 2023.
p.000145: (2) PUBLIC HEALTH EMERGENCIES.—In the case of control programs carried out in response to a
p.000145: mosquito-borne disease that constitutes a public health emergency, the authorization of appropriations under
p.000145: paragraph (1) is in addition to applica- ble authorizations of appropriations under this Act and other medical
p.000145: and public health preparedness and response laws.
p.000145: (3) FISCAL YEAR 2019 APPROPRIATIONS.—For fiscal year 2019, 50 percent or more of the funds appropriated
p.000145: under para- graph (1) shall be used to award grants to political subdivi- sions or consortia of political
p.000145: subdivisions under subsection (b).
p.000145: SEC. 317T. ø247b–22¿ MICROBICIDE RESEARCH.
p.000145: (a) IN GENERAL.—The Director of the Centers for Disease Con- trol and Prevention is strongly encouraged to fully
p.000145: implement the Centers’ microbicide agenda to support research and development of microbicides for use to
p.000145: prevent the transmission of the human immunodeficiency virus.
p.000145: (b) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated such sums as may be necessary for each
p.000145: of fiscal years 2009 through 2013 to carry out this section.
p.000145: SEC. 317U. ø???¿ NATIONAL STRATEGY AND REGIONAL CENTERS OF EXCELLENCE IN VECTOR-BORNE DISEASES.
p.000145: (a) IN GENERAL.—The Secretary shall—
p.000145: (1)(A) ensure the development and implementation of a na- tional strategy to address vector-borne diseases, including
p.000145: tick- borne diseases, that—
p.000145: (i) identifies and assesses gaps and any unnecessary duplication in federally-funded programs; and
p.000145: (ii) identifies strategic goals to address such diseases and appropriate benchmarks to measure progress
p.000145: toward achieving such goals; and
p.000145: (B) update such strategy, as appropriate; and
p.000145: (2) coordinate programs and activities, including related to data collection, research, and the development of
p.000145: diagnostics, treatments, vaccines, and other related activities, to address vector-borne diseases, including
p.000145: tick-borne diseases, across the Department of Health and Human Services and with other Federal agencies or
p.000145: departments, as appropriate.
p.000145: (b) CONSULTATION.—In carrying out subsection (a)(1), the Sec- retary shall consult with the Tick-Borne
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p.000145: receiv- ing such award, and annually thereafter, submit to the Sec- retary a summary of programs and
p.000145: activities funded under the award.
p.000145: (2) PROGRESS REPORT.—Not later than 4 years after the date of enactment of this section, the Secretary shall
p.000145: submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and
p.000145: Commerce of the House of Representatives, a report on the progress made in ad- dressing vector-borne diseases,
p.000145: including tick-borne diseases, through activities carried out under this section.
p.000145: (f) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000145: to be appropriated
p.000145: $10,000,000 for each of fiscal years 2021 through 2025.
p.000145: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000147: PUBLIC HEALTH SERVICE ACT
p.000147: Sec. 318
p.000147:
p.000147: PROJECTS AND PROGRAMS FOR THE PREVENTION AND CONTROL OF SEXUALLY TRANSMITTED DISEASES 16
p.000147: SEC. 318. ø247c¿ (a) The Secretary may provide technical as- sistance to appropriate public and non-profit
p.000147: private entities and to scientific institutions for their research in, and training and public health programs for
p.000147: the prevention and control of sexually trans- mitted diseases.
p.000147: (b) The Secretary may make grants to States, political subdivi- sions of States, and any other public and
p.000147: nonprofit private entity for—
p.000147: (1) research into the prevention and control of sexually transmitted diseases;
p.000147: (2) demonstration projects for the prevention and control of sexually transmitted diseases;
p.000147: (3) public information and education programs for the pre- vention and control of such diseases; and
p.000147: (4) education, training, and clinical skills improvement ac- tivities in the prevention and control of such
p.000147: diseases for health professionals (including allied health personnel).
p.000147: (c) The Secretary is also authorized to make project grants to States and, in consultation with the
p.000147: State health authority, to po- litical subdivisions of States, for—
p.000147: (1) sexually transmitted diseases surveillance activities, in- cluding the reporting, screening, and followup of
p.000147: diagnostic tests for, and diagnosed cases of, sexually transmitted diseases;
p.000147: (2) casefinding and case followup activities respecting sex- ually transmitted diseases, including contact tracing
p.000147: of infec- tious cases of sexually transmitted diseases and routine test- ing, including laboratory tests and
p.000147: followup systems;
p.000147: (3) interstate epidemiologic referral and followup activities respecting sexually transmitted diseases; and
p.000147: (4) such special studies or demonstrations to evaluate or test sexually transmitted diseases prevention and
p.000147: control strat- egies and activities as may be prescribed by the Secretary.
p.000147: (d) The Secretary may make grants to States and political sub- divisions of States for the development,
p.000147: implementation, and eval- uation of innovative, interdisciplinary approaches to the prevention and control of
p.000147: sexually transmitted diseases.
p.000147: (e)(1) For the purpose of making grants under subsections (b) through (d), there are authorized to be
p.000147: appropriated $85,000,000 for fiscal year 1994, and such sums as may be necessary for each of the fiscal
p.000147: years 1995 through 1998.
p.000147: (2) Each recipient of a grant under this section shall keep such records as the Secretary shall prescribe
p.000147: including records which fully disclose the amount and disposition by such recipient of the
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p.000147: January 30, 2020
p.000147: 16 Title II of Public Law 103–333, an appropriations Act, provides (under the heading relating to the Centers for
p.000147: Disease Control and Prevention; see 108 Stat. 2550) in part as follows: ‘‘That funds appropriated under this heading
p.000147: for fiscal year 1995 and subsequent fiscal years shall be available for payment of the costs of medical care,
p.000147: related expenses, and burial expenses here- after incurred by or on behalf of any person who had
p.000147: participated in the study of untreated syphilis initiated in Tuskegee, Alabama, in 1932, in such amounts
p.000147: and subject to such terms and conditions as prescribed by the Secretary of Health and Human Services and for
p.000147: payment, in such amounts and subject to such terms and conditions, of such costs and expenses hereafter incurred by or
p.000147: on behalf of such person’s wife or offspring determined by the Secretary to have suffered injury or disease from
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p.000147: representatives, shall have access for the purpose of audit and examination to any books, docu- ments, papers, and
p.000147: records of the recipients of grants under this section that are pertinent to such grants.
p.000147: (4) The Secretary, at the request of a recipient of a grant under this section, may reduce such grant by the fair
p.000147: market value of any supplies or equipment furnished to such recipient and by the amount of pay, allowances,
p.000147: travel expenses, and any other costs in connection with the detail of an officer or employee of the United
p.000147: States to the recipient when the furnishing of such supplies or equipment or the detail of such an
p.000147: officer or employee is for the convenience of and at the request of such recipient and for the pur- pose of
p.000147: carrying out the program with respect to which the grant under this section is made. The amount by
p.000147: which any such grant is so reduced shall be available for payment by the Secretary of the costs incurred in
p.000147: furnishing the supplies, equipment, or personal services on which the reduction of such grant is based.
p.000147: (5) All information obtained in connection with the examina- tion, care, or treatment of any individual under
p.000147: any program which is being carried out with a grant made under this section shall not, without such individual’s
p.000147: consent, be disclosed except as may be necessary to provide service to him or as may be required by a law of a
p.000147: State or political subdivision of a State. Information derived from any such program may be disclosed—
p.000147: (A) in summary, statistical, or other form; or
p.000147: (B) for clinical or research purposes;
p.000147: but only if the identity of the individuals diagnosed or provided care or treatment under such program is not
p.000147: disclosed.
p.000147: (f) Nothing in this section shall be construed to require any State or any political subdivision of a
p.000147: State to have a sexually transmitted diseases program which would require any person, who objects to any
p.000147: treatment provided under such a program, to be treated under such a program.
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p.000147: January 30, 2020
p.000147: INFERTILITY AND SEXUALLY TRANSMITTED DISEASES
p.000147:
p.000147: SEC. 318A. ø247c–1¿ (a) IN GENERAL.—The Secretary, acting through the Director of the Centers for Disease
p.000147: Control and Pre- vention, may make grants to States, political subdivisions of States, and other
p.000147: public or nonprofit private entities for the pur- pose of carrying out the activities described in
p.000147: subsection (c) re- garding any treatable sexually transmitted disease that can cause infertility in women if
p.000147: treatment is not received for the disease.
p.000147: (b) AUTHORITY REGARDING INDIVIDUAL DISEASES.—With re- spect to diseases described in subsection (a), the
p.000147: Secretary shall, in making a grant under such subsection, specify the particular dis- ease or diseases with
p.000147: respect to which the grant is to be made. The Secretary may not make the grant unless the applicant involved
p.000147: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000149: PUBLIC HEALTH SERVICE ACT
p.000149: Sec. 318A
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p.000149: agrees to carry out this section only with respect to the disease or diseases so specified.
p.000149: (c) AUTHORIZED ACTIVITIES.—With respect to any sexually transmitted disease described in subsection
p.000149: (a), the activities re- ferred to in such subsection are—
p.000149: (1) screening women for the disease and for secondary con- ditions resulting from the disease, subject to
p.000149: compliance with criteria issued under subsection (f);
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p.000159: of the in- formation contained in the systems involved may be used to pro- vide proprietary advantage within
p.000159: the vaccine market, while allow- ing State, local, and tribal health officials access to such informa- tion
p.000159: to maximize the delivery and availability of vaccines to high priority populations, during times of
p.000159: influenza pandemics, vaccine shortages, and supply disruptions, in consultation with manufac- turers,
p.000159: distributors, wholesalers and State, local, and tribal health departments, shall develop guidelines for subsections (a)
p.000159: and (b).
p.000159: (e) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section,
p.000159: $30,800,000 for each of fiscal years 2019 through 2023.
p.000159: (f) REPORT TO CONGRESS.—As part of the National Health Se- curity Strategy described in section 2802,
p.000159: the Secretary shall pro- vide an update on the implementation of subsections (a) through (d).
p.000159: SEC. 319C–1. ø247d–3a¿ IMPROVING STATE AND LOCAL PUBLIC HEALTH SECURITY. 17
p.000159: (a) IN GENERAL.—To enhance the security of the United States with respect to public health emergencies, the
p.000159: Secretary, acting through the Director of the Centers for Disease Control and Pre- vention, shall award
p.000159: cooperative agreements to eligible entities to enable such entities to conduct the activities described in
p.000159: sub- section (d).
p.000159: (b) ELIGIBLE ENTITIES.—To be eligible to receive an award under subsection (a), an entity shall—
p.000159: (1)(A) be a State;
p.000159: (B) be a political subdivision determined by the Secretary to be eligible for an award under this section
p.000159: (based on criteria described in subsection (h)(4)); or
p.000159: (C) be a consortium of States; and
p.000159: (2) prepare and submit to the Secretary an application at such time, and in such manner, and containing
p.000159: such informa- tion as the Secretary may require, including—
p.000159: (A) an All-Hazards Public Health Emergency Pre- paredness and Response Plan which shall include—
p.000159: (i) a description of the activities such entity will carry out under the agreement to meet the goals iden-
p.000159: tified under section 2802, including with respect to chemical, biological, radiological, or nuclear
p.000159: threats, whether naturally occurring, unintentional, or delib- erate;
p.000159: (ii) a description of the activities such entity will carry out with respect to pandemic influenza, as
p.000159: a component of the activities carried out under clause (i), and consistent with the requirements of
p.000159: para- graphs (2) and (5) of subsection (g);
p.000159: (iii) preparedness and response strategies and ca- pabilities that take into account the medical and pub-
p.000159:
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p.000159: January 30, 2020
p.000159: 17 Former sections 319B and 319C were repealed by section 204(b)(1) of Public Law 109–417 (120 Stat.
p.000159: 2951).
p.000159: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000167: January 30, 2020
p.000167: sum of all base amounts determined for the States under subparagraph (B), and less the amount, if any,
p.000167: reserved by the Secretary under paragraphs (4) and (5); and
p.000167: (ii) subject to paragraph (4)(C), the percentage constituted by the ratio of an amount equal to the pop- ulation
p.000167: of the State over an amount equal to the total population of the States (as indicated by the most re- cent
p.000167: data collected by the Bureau of the Census).
p.000167: (D) MINIMUM AMOUNT.—Subject to the amount appro- priated under paragraph (1)(A), an award pursuant to sub-
p.000167: paragraph (A) for a State shall be the greater of the base amount as increased under subparagraph (C), or
p.000167: the min- imum amount under this subparagraph. The minimum amount under this subparagraph is—
p.000167: (i) in the case of each of the several States, the District of Columbia, and the Commonwealth of Puer- to
p.000167: Rico, an amount equal to the lesser of—
p.000167: (I) $5,000,000; or
p.000167: (II) if the amount appropriated under para- graph (1)(A) is less than $667,000,000, an amount equal to 0.75
p.000167: percent of the amount appropriated under such paragraph, less the amount, if any, re- served by the Secretary under
p.000167: paragraphs (4) and (5); or
p.000167: (ii) in the case of each of American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the
p.000167: Virgin Islands, an amount determined by the Secretary to be appropriate, except that such amount may not
p.000167: exceed the amount determined under clause (i).
p.000167: (4) CERTAIN POLITICAL SUBDIVISIONS.—
p.000167: (A) IN GENERAL.—For fiscal year 2007, the Secretary may, before making awards pursuant to paragraph (3) for such
p.000167: year, reserve from the amount appropriated under paragraph (1) for the year an amount determined nec-
p.000167: essary by the Secretary to make awards under subsection
p.000167: (a) to political subdivisions that have a substantial number of residents, have a substantial local infrastructure for
p.000167: re- sponding to public health emergencies, and face a high de- gree of risk from bioterrorist attacks or other public
p.000167: health emergencies. Not more than three political subdivisions may receive awards pursuant to this subparagraph.
p.000167: (B) COORDINATION WITH STATEWIDE PLANS.—An award pursuant to subparagraph (A) may not be made unless the application
p.000167: of the political subdivision involved is in co- ordination with, and consistent with, applicable Statewide plans
p.000167: described in subsection (b).
p.000167: (C) RELATIONSHIP TO FORMULA GRANTS.—In the case of a State that will receive an award pursuant to paragraph
p.000167: (3), and in which there is located a political subdivision that will receive an award pursuant to
p.000167: subparagraph (A), the Secretary shall, in determining the amount under paragraph (3)(C) for the
p.000167: State, subtract from the popu-
p.000167: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000167: Sec. 319C–1 PUBLIC HEALTH SERVICE ACT 168
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p.000167:
p.000167: lation of the State an amount equal to the population of such political subdivision.
p.000167: (D) CONTINUITY OF FUNDING.—In determining whether to make an award pursuant to subparagraph (A) to a polit- ical
p.000167: subdivision, the Secretary may consider, as a factor in- dicating that the award should be made, that the political
p.000167: subdivision received public health funding from the Sec- retary for fiscal year 2006.
p.000167: (5) SIGNIFICANT UNMET NEEDS; DEGREE OF RISK.—
p.000167: (A) IN GENERAL.—For fiscal year 2007, the Secretary may, before making awards pursuant to paragraph (3) for such
p.000167: year, reserve from the amount appropriated under paragraph (1) for the year an amount determined nec-
p.000167: essary by the Secretary to make awards under subsection
p.000167: (a) to eligible entities that—
p.000167: (i) have a significant need for funds to build ca- pacity to identify, detect, monitor, and respond to
p.000167: a bioterrorist or other threat to the public health, which need will not be met by awards pursuant to paragraph (3);
p.000167: and
p.000167: (ii) face a particularly high degree of risk of such a threat.
p.000167: (B) RECIPIENTS OF GRANTS.—Awards pursuant to sub- paragraph (A) may be supplemental awards to States that receive
p.000167: awards pursuant to paragraph (3), or may be awards to eligible entities described in subsection
p.000167: (b)(1)(B) within such States.
p.000167: (C) FINDING WITH RESPECT TO DISTRICT OF COLUM- BIA.—The Secretary shall consider the District of Columbia
p.000167: to have a significant unmet need for purposes of subpara- graph (A), and to face a particularly high degree of risk for
p.000167: such purposes, on the basis of the concentration of entities of national significance located within the District.
p.000167: (6) FUNDING OF LOCAL ENTITIES.—The Secretary shall, in making awards under this section, ensure that with
p.000167: respect to the cooperative agreement awarded, the entity make available appropriate portions of such award to
p.000167: political subdivisions and local departments of public health through a process in- volving the consensus,
p.000167: approval or concurrence with such local entities.
p.000167: (7) AVAILABILITY OF COOPERATIVE AGREEMENT FUNDS.—
p.000167: (A) IN GENERAL.—Amounts provided to an eligible en- tity under a cooperative agreement under subsection (a) for
p.000167: a fiscal year and remaining unobligated at the end of such year shall remain available to such entity
p.000167: for the next fiscal year for the purposes for which such funds were provided.
p.000167: (B) FUNDS CONTINGENT ON ACHIEVING BENCHMARKS.— The continued availability of funds under subparagraph
p.000167: (A) with respect to an entity shall be contingent upon such entity achieving the benchmarks and submitting the
p.000167: pan- demic influenza plan as described in subsection (g).
p.000167: (i) ADMINISTRATIVE AND FISCAL RESPONSIBILITY.—
p.000167: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000169: 169
p.000169: PUBLIC HEALTH SERVICE ACT
p.000169: Sec. 319C–1
p.000169:
p.000169: (1) ANNUAL REPORTING REQUIREMENTS.—Each entity shall prepare and submit to the Secretary annual reports on
p.000169: its ac- tivities under this section and section 319C–2. Each such re- port shall be prepared by, or in
p.000169: consultation with, the health department. In order to properly evaluate and compare the performance of
p.000169: different entities assisted under this section and section 319C–2 and to assure the proper expenditure of
...

p.000169: ITY.
p.000169: (a) IN GENERAL.—The Secretary, acting through the Assistant Secretary for Preparedness and Response, shall award
p.000169: competitive grants or cooperative agreements to eligible entities to enable such entities to improve surge capacity
p.000169: and enhance community and hospital preparedness for, and response to, public health emer- gencies in
p.000169: accordance with subsection (c), including, as appropriate, capacity and preparedness to address the needs of
p.000169: children and other at-risk individuals.
p.000169: (b) ELIGIBILITY.—To be eligible for an award under subsection (a), an entity shall—
p.000169: (1)(A) be a coalition that includes—
p.000169: (i) one or more hospitals, at least one of which shall be a designated trauma center, consistent with
p.000169: section 1213(c);
p.000169: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000171: PUBLIC HEALTH SERVICE ACT
p.000171: Sec. 319C–2
p.000171:
p.000171: (ii) one or more other local health care facilities, in- cluding clinics, health centers, community
p.000171: health centers, primary care facilities, mental health centers, mobile med- ical assets, or nursing homes;
p.000171: (iii)(I) one or more political subdivisions;
p.000171: (II) one or more States; or
p.000171: (III) one or more States and one or more political sub- divisions; and
p.000171: (iv) one or more emergency medical service organiza- tions or emergency management organizations; and
p.000171: (B) prepare, in consultation with the Chief Executive Offi- cer and the lead health officials of the State, District,
p.000171: or terri- tory in which the hospital and health care facilities described in subparagraph (A) are located,
p.000171: and submit to the Secretary, an application at such time, in such manner, and containing such information
p.000171: as the Secretary may require; or
p.000171: (2)(A) be an entity described in section 319C–1(b)(1); and
p.000171: (B) submit an application at such time, in such manner, and containing such information as the Secretary may
p.000171: require, including the information or assurances required under section 319C–1(b)(2) and an assurance that the
p.000171: State will adhere to any applicable guidelines established by the Secretary.
p.000171: (c) USE OF FUNDS.—An award under subsection (a) shall be ex- pended for activities to achieve the preparedness
p.000171: goals described under paragraphs (1), (3), (4), (5), and (6) of section 2802(b) with respect to
p.000171: all-hazards, including chemical, biological, radiological, or nuclear threats.
p.000171: (d) PREFERENCES.—
p.000171: (1) REGIONAL COORDINATION.—In making awards under subsection (a), the Secretary shall give preference to
p.000171: eligible entities that submit applications that, in the determination of the Secretary—
p.000171: (A) will enhance coordination—
p.000171: (i) among the entities described in subsection (b)(1)(A)(i);
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p.000171: Sec. 319C–2 PUBLIC HEALTH SERVICE ACT 172
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p.000171: (C) have a significant need for funds to achieve the preparedness and response goals described in
p.000171: section 2802(b)(3).
p.000171: (e) CONSISTENCY OF PLANNED ACTIVITIES.—The Secretary may not award a cooperative agreement to an eligible
p.000171: entity described in subsection (b)(1) unless the application submitted by the entity is coordinated and
p.000171: consistent with an applicable State All-Hazards Public Health Emergency Preparedness and Response Plan and rel- evant
p.000171: local plans, as determined by the Secretary in consultation with relevant State health officials.
p.000171: (f) LIMITATION ON AWARDS.—A political subdivision shall not participate in more than one coalition
p.000171: described in subsection (b)(1).
p.000171: (g) COORDINATION.—
p.000171: (1) LOCAL RESPONSE CAPABILITIES.—An eligible entity shall, to the extent practicable, ensure that
p.000171: activities carried out under an award under subsection (a) are coordinated with activities of relevant local
p.000171: Metropolitan Medical Response Sys- tems, local Medical Reserve Corps, the local Cities Readiness Initiative,
p.000171: and local emergency plans.
p.000171: (2) NATIONAL COLLABORATION.—Coalitions consisting of one or more eligible entities under this section may,
p.000171: to the ex- tent practicable, collaborate with other coalitions consisting of one or more eligible entities under
p.000171: this section for purposes of national coordination and collaboration with respect to activi- ties to achieve
p.000171: the preparedness and response goals described under paragraphs (1), (3), (4), (5), and (6) of section 2802(b).
p.000171: (h) MAINTENANCE OF FUNDING.—
p.000171: (1) IN GENERAL.—An entity that receives an award under this section shall maintain expenditures for
p.000171: health care pre- paredness at a level that is not less than the average level of such expenditures
p.000171: maintained by the entity for the preceding 2 year period.
p.000171: (2) RULE OF CONSTRUCTION.—Nothing in this section shall be construed to prohibit the use of awards under
p.000171: this section to pay salary and related expenses of public health and other professionals employed by
p.000171: State, local, or tribal agencies who are carrying out activities supported by such awards (regard- less of
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p.000173: January 30, 2020
p.000173: (i) IN GENERAL.—Subject to clause (ii), of the amount appropriated under subparagraph (A) for a fis- cal
p.000173: year, the Secretary may reserve up to 5 percent for the purpose of carrying out section 319C–3.
p.000173: (ii) RESERVATION CONTINGENT ON CONTINUED AP- PROPRIATIONS FOR THIS SECTION.—If for fiscal year 2019 or
p.000173: a subsequent fiscal year, the amount appro- priated under subparagraph (A) is such that, after ap- plication of
p.000173: clause (i), the amount remaining for the purpose of carrying out this section would be less than the amount
p.000173: available for such purpose for the previous fiscal year, the amount that may be reserved under clause (i)
p.000173: shall be reduced such that the amount re- maining for the purpose of carrying out this section is not less
p.000173: than the amount available for such purpose for the previous fiscal year.
p.000173: (iii) SUNSET.—The authority to reserve amounts under clause (i) shall expire on September 30, 2023.
p.000173: (2) RESERVATION OF AMOUNTS FOR PARTNERSHIPS.—Prior to making awards described in paragraph (3), the
p.000173: Secretary may reserve from the amount appropriated under paragraph (1)(A) for a fiscal year and not reserved
p.000173: for the purpose described in paragraph (1)(B)(i), an amount determined appropriate by the Secretary for making
p.000173: awards to entities described in subsection (b)(1)(A).
p.000173: (3) AWARDS TO STATES AND POLITICAL SUBDIVISIONS.—
p.000173: (A) IN GENERAL.—From amounts appropriated for a fiscal year under paragraph (1)(A) and not reserved under
p.000173: paragraph (1)(B)(i) or (2), the Secretary shall make awards to entities described in subsection (b)(2)(A) that have
p.000173: com- pleted an application as described in subsection (b)(2)(B).
p.000173: (B) AMOUNT.—The Secretary shall determine the amount of an award to each entity described in
p.000173: subpara- graph (A) in the same manner as such amounts are deter- mined under section 319C–1(h).
p.000173: (4) AVAILABILITY OF COOPERATIVE AGREEMENT FUNDS.—
p.000173: (A) IN GENERAL.—Amounts provided to an eligible en- tity under a cooperative agreement under subsection (a) for
p.000173: a fiscal year and remaining unobligated at the end of such year shall remain available to such entity
p.000173: for the next fiscal year for the purposes for which such funds were provided.
p.000173: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000173:
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p.000173: Sec. 319C–3 PUBLIC HEALTH SERVICE ACT 174
p.000173:
p.000173: (B) FUNDS CONTINGENT ON ACHIEVING BENCHMARKS.— The continued availability of funds under subparagraph
p.000173: (A) with respect to an entity shall be contingent upon such entity achieving the benchmarks and submitting the
p.000173: pan- demic influenza plan as required under subsection (i).
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p.000219: January 30, 2020
p.000219:
p.000219: (5) CERTAIN DISCLOSURES.—In publishing a declaration under paragraph (1) in the Federal Register, the
p.000219: Secretary is not required to disclose any matter described in section 552(b) of title 5, United States Code.
p.000219: (6) FACTORS TO BE CONSIDERED.—In deciding whether and under what circumstances or conditions to issue a
p.000219: declaration under paragraph (1) with respect to a covered countermeasure, the Secretary shall consider the desirability
p.000219: of encouraging the design, development, clinical testing or investigation, manufac- ture, labeling, distribution,
p.000219: formulation, packaging, marketing, promotion, sale, purchase, donation, dispensing, prescribing, administration,
p.000219: licensing, and use of such countermeasure.
p.000219: (7) JUDICIAL REVIEW.—No court of the United States, or of any State, shall have subject matter jurisdiction to
p.000219: review, whether by mandamus or otherwise, any action by the Sec- retary under this subsection.
p.000219: (8) PREEMPTION OF STATE LAW.—During the effective pe- riod of a declaration under subsection (b), or at any
p.000219: time with respect to conduct undertaken in accordance with such declara- tion, no State or political subdivision of a
p.000219: State may establish, enforce, or continue in effect with respect to a covered counter- measure any provision of law or
p.000219: legal requirement that—
p.000219: (A) is different from, or is in conflict with, any require- ment applicable under this section; and
p.000219: (B) relates to the design, development, clinical testing or investigation, formulation, manufacture,
p.000219: distribution, sale, donation, purchase, marketing, promotion, packaging, labeling, licensing, use, any other
p.000219: aspect of safety or effi- cacy, or the prescribing, dispensing, or administration by qualified persons of
p.000219: the covered countermeasure, or to any matter included in a requirement applicable to the covered countermeasure under
p.000219: this section or any other provision of this Act, or under the Federal Food, Drug, and Cosmetic Act.
p.000219: (9) REPORT TO CONGRESS.—Within 30 days after making a declaration under paragraph (1), the Secretary shall submit to
p.000219: the appropriate committees of the Congress a report that pro- vides an explanation of the reasons for issuing
p.000219: the declaration and the reasons underlying the determinations of the Sec- retary with respect to paragraph
p.000219: (2). Within 30 days after making an amendment under paragraph (4), the Secretary shall submit to such
p.000219: committees a report that provides the rea- sons underlying the determination of the Secretary to make the
p.000219: amendment.
p.000219: (c) DEFINITION OF WILLFUL MISCONDUCT.—
p.000219: (1) DEFINITION.—
p.000219: (A) IN GENERAL.—Except as the meaning of such term is further restricted pursuant to paragraph (2), the term
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p.000231: (A) who is in a population specified in such declara- tion, and with respect to whom the administration
p.000231: or use of the covered countermeasure satisfies the other specifica- tions of such declaration; or
p.000231: (B) who uses the covered countermeasure, or to whom the covered countermeasure is administered, in a good faith
p.000231: belief that the individual is in the category described by subparagraph (A).
p.000231: (3) COVERED INJURY.—The term ‘‘covered injury’’ means se- rious physical injury or death.
p.000231: (4) DECLARATION.—The term ‘‘declaration’’ means a dec- laration under section 319F–3(b).
p.000231: (5) ELIGIBLE INDIVIDUAL.—The term ‘‘eligible individual’’ means an individual who is determined, in
p.000231: accordance with subsection (b), to be a covered individual who sustains a cov- ered injury.
p.000231: SEC. 319G. ø247d–7¿ DEMONSTRATION PROGRAM TO ENHANCE BIO- TERRORISM TRAINING, COORDINATION, AND READINESS.
p.000231: (a) IN GENERAL.—The Secretary shall make grants to not more than three eligible entities to carry out demonstration
p.000231: programs to improve the detection of pathogens likely to be used in a bioter- rorist attack, the development
p.000231: of plans and measures to respond to bioterrorist attacks, and the training of personnel involved with the various
p.000231: responsibilities and capabilities needed to respond to acts of bioterrorism upon the civilian population.
p.000231: Such awards shall be made on a competitive basis and pursuant to scientific and tech- nical review.
p.000231: (b) ELIGIBLE ENTITIES.—Eligible entities for grants under sub- section (a) are States, political subdivisions of
p.000231: States, and public or private non-profit organizations.
p.000231: (c) SPECIFIC CRITERIA.—In making grants under subsection (a), the Secretary shall take into account the following
p.000231: factors:
p.000231: (1) Whether the eligible entity involved is proximate to, and collaborates with, a major research university
p.000231: with exper- tise in scientific training, identification of biological agents, medicine, and life sciences.
p.000231: (2) Whether the entity is proximate to, and collaborates with, a laboratory that has expertise in the
p.000231: identification of bi- ological agents.
p.000231: (3) Whether the entity demonstrates, in the application for the program, support and participation of State and local
p.000231: gov- ernments and research institutions in the conduct of the pro- gram.
p.000231: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000231: Sec. 319H PUBLIC HEALTH SERVICE ACT 232
p.000231:
p.000231: (4) Whether the entity is proximate to, and collaborates with, or is, an academic medical center that
p.000231: has the capacity to serve an uninsured or underserved population, and is equipped to educate medical
p.000231: personnel.
p.000231: (5) Such other factors as the Secretary determines to be appropriate.
p.000231: (d) DURATION OF AWARD.—The period during which payments are made under a grant under subsection (a) may
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p.000271: governing board of a public center (as defined in the second sen- tence of this paragraph), establishes general
p.000271: policies for the center; and
p.000271: (iii) in the case of an application for a second or subsequent grant for a public center, has approved the
p.000271: application or if the governing body has not approved the application, the failure of the governing body
p.000271: to approve the application was unreasonable;
p.000271: except that, upon a showing of good cause the Secretary shall waive, for the length of the project period, all
p.000271: or part of the requirements of this subparagraph in the case of a health center that receives a grant
p.000271: pursuant to subsection (g), (h), (i), or (p);
p.000271: (I) the center has developed—
p.000271: (i) an overall plan and budget that meets the re- quirements of the Secretary; and
p.000271: (ii) an effective procedure for compiling and re- porting to the Secretary such statistics and other in-
p.000271: formation as the Secretary may require relating to—
p.000271: (I) the costs of its operations;
p.000271: (II) the patterns of use of its services;
p.000271: (III) the availability, accessibility, and accept- ability of its services; and
p.000271: (IV) such other matters relating to operations of the applicant as the Secretary may require;
p.000271: (J) the center will review periodically its catchment area to—
p.000271: (i) ensure that the size of such area is such that the services to be provided through the center (includ-
p.000271: ing any satellite) are available and accessible to the residents of the area promptly and as appropriate;
p.000271: (ii) ensure that the boundaries of such area con- form, to the extent practicable, to relevant boundaries of
p.000271: political subdivisions, school districts, and Federal and State health and social service programs; and
p.000271: (iii) ensure that the boundaries of such area elimi- nate, to the extent possible, barriers to access to the
p.000271: services of the center, including barriers resulting from the area’s physical characteristics, its
p.000271: residential patterns, its economic and social grouping, and avail- able transportation;
p.000271: (K) in the case of a center which serves a population including a substantial proportion of individuals of
p.000271: limited English-speaking ability, the center has—
p.000271: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000271:
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p.000271:
p.000271: Sec. 330 PUBLIC HEALTH SERVICE ACT 272
p.000271: (i) developed a plan and made arrangements re- sponsive to the needs of such population for providing services
p.000271: to the extent practicable in the language and cultural context most appropriate to such individuals; and
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p.000299: (e) APPLICATION.—An entity that desires a grant under this section shall submit an application to the
p.000299: Secretary at such time, in such manner, and containing such information as the Secretary determines to be
p.000299: reasonable.
p.000299: (f) REPORT.—Not later than 4 years after the date of enactment of the Health Care Safety Net Amendments of 2002, the
p.000299: Secretary shall prepare and submit to the appropriate committees of Con- gress a report that shall
p.000299: evaluate activities funded with grants under this section.
p.000299: (g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section,
p.000299: $20,000,000 for fiscal year 2002 and such sums as may be necessary for fiscal years 2003 through 2006.
p.000299: SEC. 330L. ø254c–18¿ TELEMEDICINE; INCENTIVE GRANTS REGARDING COORDINATION AMONG STATES.
p.000299: (a) IN GENERAL.—The Secretary may make grants to State pro- fessional licensing boards to carry out programs under
p.000299: which such licensing boards of various States cooperate to develop and imple- ment State policies that
p.000299: will reduce statutory and regulatory bar- riers to telemedicine.
p.000299: (b) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out subsection (a), there are authorized to be
p.000299: appropriated such sums as may be necessary for each of the fiscal years 2002 through 2006.
p.000299: SEC. 330M 37 ø254c–19¿ PEDIATRIC MENTAL HEALTH CARE ACCESS GRANTS.
p.000299: (a) IN GENERAL.—The Secretary, acting through the Adminis- trator of the Health Resources and Services
p.000299: Administration and in coordination with other relevant Federal agencies, shall award grants to States, political
p.000299: subdivisions of States, and Indian tribes and tribal organizations (for purposes of this section, as such terms are
p.000299: defined in section 4 of the Indian Self-Determination and Edu- cation Assistance Act (25 U.S.C. 450b)) to
p.000299: promote behavioral health integration in pediatric primary care by—
p.000299: (1) supporting the development of statewide or regional pe- diatric mental health care telehealth access programs; and
p.000299: (2) supporting the improvement of existing statewide or re- gional pediatric mental health care telehealth access
p.000299: programs.
p.000299: (b) PROGRAM REQUIREMENTS.—
p.000299: (1) IN GENERAL.—A pediatric mental health care telehealth access program referred to in subsection (a), with
p.000299: respect to which a grant under such subsection may be used, shall—
p.000299:
p.000299:
p.000299:
p.000299: January 30, 2020
p.000299: 37 So in original. There probably should be a period after ‘‘330M’’.
p.000299: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000299:
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p.000299:
p.000299:
p.000301: 301
p.000301: PUBLIC HEALTH SERVICE ACT
p.000301: Sec. 330M
p.000301:
p.000301:
p.000301:
p.000301:
p.000301:
p.000301:
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p.000301: (F) conduct training and provide technical assistance to pediatric primary care providers to support the
p.000301: early identification, diagnosis, treatment, and referral of chil- dren with behavioral health conditions;
p.000301: (G) provide information to pediatric providers about, and assist pediatric providers in accessing,
p.000301: pediatric men- tal health care providers, including child and adolescent psychiatrists, and licensed
p.000301: mental health professionals, such as psychologists, social workers, or mental health counselors and in
p.000301: scheduling and conducting technical as- sistance;
p.000301: (H) assist with referrals to specialty care and commu- nity or behavioral health resources; and
p.000301: (I) establish mechanisms for measuring and moni- toring increased access to pediatric mental health
p.000301: care services by pediatric primary care providers and expanded capacity of pediatric primary care providers to
p.000301: identify, treat, and refer children with mental health problems.
p.000301: (2) PEDIATRIC MENTAL HEALTH TEAMS.—In this subsection, the term ‘‘pediatric mental health team’’ means a
p.000301: team con- sisting of at least one case coordinator, at least one child and adolescent psychiatrist, and at
p.000301: least one licensed clinical men- tal health professional, such as a psychologist, social worker, or mental
p.000301: health counselor. Such a team may be regionally based.
p.000301: (c) APPLICATION.—A State, political subdivision of a State, In- dian tribe, or tribal organization seeking a
p.000301: grant under this section shall submit an application to the Secretary at such time, in such manner, and
p.000301: containing such information as the Secretary may re- quire, including a plan for the comprehensive evaluation
p.000301: of activi- ties that are carried out with funds received under such grant.
p.000301: (d) EVALUATION.—A State, political subdivision of a State, In- dian tribe, or tribal organization that
p.000301: receives a grant under this section shall prepare and submit an evaluation of activities that are carried
p.000301: out with funds received under such grant to the Sec- retary at such time, in such manner, and containing such
p.000301: informa-
p.000301: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000301:
p.000301:
p.000301:
p.000301:
p.000301:
p.000301:
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p.000301:
p.000301: Sec. 331 PUBLIC HEALTH SERVICE ACT 302
p.000301:
p.000301: tion as the Secretary may reasonably require, including a process and outcome evaluation.
p.000301: (e) ACCESS TO BROADBAND.—In administering grants under this section, the Secretary may coordinate with
p.000301: other agencies to ensure that funding opportunities are available to support access to reliable, high-speed
p.000301: Internet for providers.
p.000301: (f) MATCHING REQUIREMENT.—The Secretary may not award a grant under this section unless the State, political
p.000301: subdivision of a State, Indian tribe, or tribal organization involved agrees, with re- spect to the costs to be
p.000301: incurred by the State, political subdivision of a State, Indian tribe, or tribal organization in carrying out
p.000301: the purpose described in this section, to make available non-Federal contributions (in cash or in kind)
p.000301: toward such costs in an amount that is not less than 20 percent of Federal funds provided in the
p.000301: grant.
p.000301: (g) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec- tion, there are authorized to be appropriated, $9,000,000
p.000301: for the pe- riod of fiscal years 2018 through 2022.
p.000301: Subpart II—National Health Service Corps Program
p.000301: NATIONAL HEALTH SERVICE CORPS
p.000301: SEC. 331. ø254d¿ (a)(1) For the purpose of eliminating health manpower 38 shortages in health professional
p.000301: shortage areas, there is established, within the Service, the National Health Service Corps, which shall
p.000301: consist of—
p.000301: (A) such officers of the Regular and Reserve Corps of the Service as the Secretary may designate,
p.000301: (B) such civilian employees of the United States as the Secretary may appoint, and
p.000301: (C) such other individuals who are not employees of the United States.
p.000301: (2) The Corps shall be utilized by the Secretary to provide pri- mary health services in health professional shortage
p.000301: areas.
p.000301: (3) For purposes of this subpart and subpart III:
p.000301: (A) The term ‘‘Corps’’ means the National Health Service Corps.
p.000301: (B) The term ‘‘Corps member’’ means each of the officers, employees, and individuals of which the Corps
p.000301: consists pursu- ant to paragraph (1).
...

p.000305: (2) The term ‘‘Loan Repayment Program’’ means the Na- tional Health Service Corps Loan Repayment Program
p.000305: estab- lished under section 338B.
p.000305: (3) The term ‘‘Scholarship Program’’ means the National Health Service Corps Scholarship Program
p.000305: established under section 338A.
p.000305: (4) The term ‘‘State’’ includes, in addition to the several States, only the District of Columbia, the
p.000305: Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Is- lands, the Virgin Islands, Guam,
p.000305: American Samoa, and the Trust Territory of the Pacific Islands.
p.000305: (5) The terms ‘‘full time’’ and ‘‘full-time’’ mean a minimum of 40 hours per week in a clinical practice, for
p.000305: a minimum of 45 weeks per year.
p.000305: (6) The terms ‘‘half time’’ and ‘‘half-time’’ mean a min- imum of 20 hours per week (not to exceed 39 hours
p.000305: per week) in a clinical practice, for a minimum of 45 weeks per year.
p.000305:
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p.000305: January 30, 2020
p.000305: DESIGNATION OF HEALTH PROFESSIONAL SHORTAGE AREAS
p.000305: SEC. 332. ø254e¿ (a)(1) For purposes of this subpart the term ‘‘health professional shortage area’’ means (A)
p.000305: an area in an urban or rural area (which need not conform to the geographic boundaries of a political subdivision and
p.000305: which is a rational area for the deliv- ery of health services) which the Secretary determines has a health manpower
p.000305: shortage, (B) a population group which the Secretary de- termines has such a shortage, or (C) a public or
p.000305: nonprofit private medical facility or other public facility which the Secretary deter- mines has such a
p.000305: shortage. All Federally qualified health centers and rural health clinics, as defined in section 1861(aa) of the
p.000305: Social Security Act (42 U.S.C. 1395x(aa)), that meet the requirements of section 334 shall be
p.000305: automatically designated as having such a shortage. The Secretary shall not remove an area from the
p.000305: areas determined to be health professional shortage areas under subpara- graph (A) of the preceding sentence
p.000305: until the Secretary has af- forded interested persons and groups in such area an opportunity to provide
p.000305: data and information in support of the designation as a health professional shortage area or a population group
p.000305: described in subparagraph (B) of such sentence or a facility described in sub- paragraph (C) of such sentence, and has
p.000305: made a determination on the basis of the data and information submitted by such persons and groups and
p.000305: other data and information available to the Sec- retary.
p.000305: (2) For purposes of this subsection, the term ‘‘medical facility’’ means a facility for the delivery of
p.000305: health services and includes—
p.000305: (A) a hospital, State mental hospital, public health center, outpatient medical facility, rehabilitation facility,
...

p.000311: this paragraph to communicate with other commu- nities, State Offices of Rural Health, State Primary
p.000311: Care Associa- tions and Offices, and other entities concerned with site develop- ment and community needs
p.000311: assessment.
p.000311: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000311:
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p.000311:
p.000311: Sec. 333 PUBLIC HEALTH SERVICE ACT 312
p.000311:
p.000311: (2) The Secretary may provide, to public and private entities which are located in a health professional
p.000311: shortage area to which area a Corps member has been assigned, technical assistance to as- sist in the retention of
p.000311: such member in such area after the comple- tion of such member’s assignment to the area.
p.000311: (3) The Secretary may provide, to health professional shortage areas to which no Corps member has been
p.000311: assigned, (A) technical assistance to assist in the recruitment of health manpower for such areas, and (B) current
p.000311: information on public and private programs which provide assistance in the securing of health manpower.
p.000311: (4)(A) The Secretary shall undertake to demonstrate the im- provements that can be made in the assignment of
p.000311: members of the Corps to health professional shortage areas and in the delivery of health care by Corps
p.000311: members in such areas through coordination with States, political subdivisions of States, agencies of States and
p.000311: political subdivisions, and other public and private entities which have expertise in the planning,
p.000311: development, and operation of cen- ters for the delivery of primary health care. In carrying out this
p.000311: subparagraph, the Secretary shall enter into agreements with qualified entities which provide that if—
p.000311: (i) the entity places in effect a program for the planning, development, and operation of centers for
p.000311: the delivery of pri- mary health care in health professional shortage areas which reasonably addresses the
p.000311: need for such care in such areas, and
p.000311: (ii) under the program the entity will perform the func- tions described in subparagraph (B),
p.000311: the Secretary will assign under this section members of the Corps in accordance with the program.
p.000311: (B) For purposes of subparagraph (A), the term ‘‘qualified enti- ty’’ means a State, political subdivision of a
p.000311: State, an agency of a State or political subdivision, or other public or private entity oper- ating solely within
p.000311: one State, which the Secretary determines is able—
p.000311:
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p.000311: January 30, 2020
p.000311: (i) to analyze the potential use of health professions per-
p.000311: sonnel in defined health services delivery areas by the resi- dents of such areas;
p.000311: (ii) to determine the need for such personnel in such areas and to recruit, select, and retain health
p.000311: professions personnel (including members of the National Health Service Corps) to meet such need;
p.000311: (iii) to determine the extent to which such areas will have a financial base to support the practice of such
p.000311: personnel and the extent to which additional financial resources are needed to adequately support the
p.000311: practice;
p.000311: (iv) to determine the types of inpatient and other health services that should be provided by such
p.000311: personnel in such areas;
p.000311: (v) to assist such personnel in the development of their clinical practice and fee schedules and in the
p.000311: management of their practice;
p.000311: (vi) to assist in the planning and development of facilities for the delivery of primary health care; and
p.000311: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000311:
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p.000441: PUBLIC HEALTH SERVICE ACT
p.000441: Sec. 363
p.000441:
p.000441: applicable only to individuals coming into a State or possession from a foreign country or a possession.
p.000441: (d)(1) Regulations prescribed under this section may provide for the apprehension and examination of any
p.000441: individual reasonably believed to be infected with a communicable disease in a qualifying stage and (A) to be
p.000441: moving or about to move from a State to an- other State; or (B) to be a probable source of infection
p.000441: to individ- uals who, while infected with such disease in a qualifying stage, will be moving from a State
p.000441: to another State. Such regulations may provide that if upon examination any such individual is found to be
p.000441: infected, he may be detained for such time and in such manner as may be reasonably necessary. For purposes of
p.000441: this subsection, the term ‘‘State’’ includes, in addition to the several States, only the District of
p.000441: Columbia.
p.000441: (2) For purposes of this subsection, the term ‘‘qualifying stage’’, with respect to a communicable disease, means that
p.000441: such disease—
p.000441: (A) is in a communicable stage; or
p.000441: (B) is in a precommunicable stage, if the disease would be likely to cause a public health emergency if
p.000441: transmitted to other individuals.
p.000441: (e) Nothing in this section or section 363, or the regulations promulgated under such sections, may be
p.000441: construed as superseding any provision under State law (including regulations and including provisions established by
p.000441: political subdivisions of States), except to the extent that such a provision conflicts with an exercise of
p.000441: Fed- eral authority under this section or section 363.
p.000441: SUSPENSION OF ENTRIES AND IMPORTS FROM DESIGNATED PLACES
p.000441: SEC. 362. ø265¿ Whenever the Surgeon General determines that by reason of the existence of any
p.000441: communicable disease in a foreign country there is serious danger of the introduction of such disease into
p.000441: the United States, and that this danger is so increased by the introduction of persons or property from such
p.000441: country that a suspension of the right to introduce such persons and property is required in the
p.000441: interest of the public health, the Surgeon Gen- eral, in accordance with regulations approved by the
p.000441: President, shall have the power to prohibit, in whole or in part, the introduc- tion of persons and property from
p.000441: such countries or places as he shall designate in order to avert such danger, and for such period of
p.000441: time as he may deem necessary for such purpose.
p.000441: SPECIAL POWERS IN TIME OF WAR
p.000441: SEC. 363. 73 ø266¿ To protect the military and naval forces and war workers of the United States, in time of war,
p.000441: against any com- municable disease specified in Executive orders as provided in sub- section (b) of section 361,
p.000441: the Secretary, in consultation with the Surgeon General, is authorized to provide by regulations for the ap-
...

p.000469: $30,000,000 for each of fiscal years 2016 through 2020.
p.000469: PART J—PREVENTION AND CONTROL OF INJURIES
p.000469: RESEARCH
p.000469: SEC. 391. ø280b¿ (a) The Secretary, through the Director of the Centers for Disease Control and Prevention, shall—
p.000469: (1) conduct, and give assistance to public and nonprofit private entities, scientific institutions, and
p.000469: individuals engaged in the conduct of, research relating to the causes, mechanisms, prevention, diagnosis, treatment
p.000469: 87 of injuries, and rehabilita- tion from injuries;
p.000469: (2) make grants to, or enter into cooperative agreements or contracts with, public and nonprofit private entities
p.000469: (including academic institutions, hospitals, and laboratories) and individ- uals for the conduct of such research; and
p.000469: (3) make grants to, or enter into cooperative agreements or contracts with, academic institutions for the purpose
p.000469: of pro- viding training on the causes, mechanisms, prevention, diag- nosis, treatment of injuries, and
p.000469: rehabilitation from injuries.
p.000469: (b) The Secretary, through the Director of the Centers for Dis- ease Control and Prevention, shall collect and
p.000469: disseminate, through publications and other appropriate means, information concerning the practical
p.000469: applications of research conducted or assisted under subsection (a). In carrying out the preceding
p.000469: sentence, the Sec- retary shall disseminate such information to the public, including through elementary and
p.000469: secondary schools.
p.000469: PREVENTION AND CONTROL ACTIVITIES
p.000469: SEC. 392. ø280b–0¿ (a) The Secretary, through the Director of the Centers for Disease Control and Prevention,
p.000469: shall—
p.000469: (1) assist States and political subdivisions of States in ac- tivities for the prevention and control of
p.000469: injuries; and
p.000469:
p.000469:
p.000469:
p.000469: January 30, 2020
p.000469: 87 So in law. Probably should read ‘‘...diagnosis, and treatment...’’.
p.000469: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000469:
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p.000469:
p.000469: Sec. 392A PUBLIC HEALTH SERVICE ACT 470
p.000469:
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p.000469: January 30, 2020
p.000469:
p.000469: (2) encourage regional activities between States designed to reduce injury rates.
p.000469: (b) The Secretary, through the Director of the Centers for Dis- ease Control and Prevention, may—
p.000469: (1) enter into agreements between the Service and public and private community health agencies which provide
p.000469: for coop- erative planning of activities to deal with problems relating to the prevention and control of injuries;
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p.000481: (3) otherwise be in such form, be made in such manner, and contain such information and agreements as the
p.000481: Secretary determines to be necessary to carry out this subpart.
p.000481: (d) EVALUATIONS AND REPORT BY SECRETARY.—The Secretary shall—
p.000481: (1) provide for an evaluation of each demonstration project for which a grant is made under section 395(a); and
p.000481: (2) not later than 6 months after the completion of such evaluations, submit to the Congress a report
p.000481: describing the findings made as a result of the evaluations.
p.000481: (e) AUTHORIZATIONS OF APPROPRIATIONS.—For the purpose of carrying out this subpart, there are authorized
p.000481: to be appropriated
p.000481: $5,000,000 for each of the fiscal years 1988 through 1990,
p.000481: $7,500,000 for fiscal year 1991, and such sums as may be necessary for each of the fiscal years 1992 and 1993.
p.000481:
p.000481: Subpart II—Programs With Respect to Alzheimer’s Disease and Related Dementias
p.000481:
p.000481:
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p.000481: January 30, 2020
p.000481: SEC. 398. ø280c–3¿ COOPERATIVE AGREEMENTS TO STATES AND PUB- LIC HEALTH DEPARTMENTS FOR ALZHEIMER’S
p.000481: DISEASE AND RELATED DEMENTIAS.
p.000481: (a) IN GENERAL.—The Secretary, in coordination with the Di- rector of the Centers for Disease Control
p.000481: and Prevention and the heads of other agencies, as appropriate, shall award cooperative agreements to
p.000481: health departments of States, political subdivisions of States, and Indian tribes and tribal organizations,
p.000481: to address Alzheimer’s disease and related dementias, including by reducing cognitive decline, helping meet
p.000481: the needs of caregivers, and ad- dressing unique aspects of Alzheimer’s disease and related demen- tias to
p.000481: support the development and implementation of evidence- based interventions with respect to—
p.000481: (1) educating and informing the public, based on evidence- based public health research and data, about
p.000481: Alzheimer’s dis- ease and related dementias;
p.000481: (2) supporting early detection and diagnosis;
p.000481: (3) reducing the risk of potentially avoidable hospitaliza- tions for individuals with Alzheimer’s disease
p.000481: and related de- mentias;
p.000481: (4) reducing the risk of cognitive decline and cognitive im- pairment associated with Alzheimer’s disease and
p.000481: related de- mentias;
p.000481: (5) improving support to meet the needs of caregivers of in- dividuals with Alzheimer’s disease and related dementias;
p.000481: (6) supporting care planning and management for individ- uals with Alzheimer’s disease and related dementias.
p.000481: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000483: PUBLIC HEALTH SERVICE ACT
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p.000483: in such manner, and containing such information as the Secretary may require, including a plan that describes—
p.000483: (1) how the applicant proposes to develop or expand, pro- grams to educate individuals through partnership
p.000483: engagement, workforce development, guidance and support for pro- grammatic efforts, and evaluation
p.000483: with respect to Alzheimer’s disease and related dementias, and in the case of a cooperative agreement under this
p.000483: section, how the applicant proposes to support other relevant activities identified by the Secretary or Director
p.000483: of the Centers for Disease Control and Prevention, as appropriate.
p.000483: (2) the manner in which the applicant will coordinate with Federal, tribal, and State programs related to Alzheimer’s
p.000483: dis- ease and related dementias, and appropriate State, tribal, and local agencies, as well as other relevant public
p.000483: and private or- ganizations or agencies; and
p.000483: (3) the manner in which the applicant will evaluate the ef- fectiveness of any program carried out under the
p.000483: cooperative agreement.
p.000483: (d) MATCHING REQUIREMENT.—Each health department that is awarded a cooperative agreement under subsection (a)
p.000483: shall pro- vide, from non-Federal sources, an amount equal to 30 percent of the amount provided under
p.000483: such agreement (which may be pro- vided in cash or in-kind) to carry out the activities supported by
p.000483: the cooperative agreement.
p.000483: (e) WAIVER AUTHORITY.—The Secretary may waive all or part of the matching requirement described in
p.000483: subsection (d) for any fis- cal year for a health department of a State, political subdivision of a State, or Indian
p.000483: tribe and tribal organization (including those lo- cated in a rural area or frontier area), if the Secretary determines
p.000483: that applying such matching requirement would result in serious hardship or an inability to carry out
p.000483: the purposes of the coopera- tive agreement awarded to such health department of a State, po- litical
p.000483: subdivision of a State, or Indian tribe and tribal organiza- tion.
p.000483: (g) RELATIONSHIP TO ITEMS AND SERVICES UNDER OTHER PRO- GRAMS.—A State may not make payments from a
p.000483: grant 92 under subsection (a) for any item or service to the extent that payment
p.000483:
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p.000483: January 30, 2020
p.000483: 92 Section 3(6) of Public Law 115–406 provides as follows: ‘‘(6) in subsection (f) (as so redesig- nated), by striking
p.000483: ‘grant’ and inserting ‘cooperative agreement’ ’’. The amendment was not car- ried out because it probably should have
p.000483: been made to subsection (g) (as so redesignated).
p.000483: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000483: Sec. 398A PUBLIC HEALTH SERVICE ACT 484
p.000483:
p.000483: has been made, or can reasonably be expected to be made, with re- spect to such item or service—
p.000483: (1) under any State compensation program, under an in- surance policy, or under any Federal or State
p.000483: health benefits program; or
...

p.000525: presented by medical teams.
p.000525: (2) 103 AWARD OF GRANTS.—
p.000525: (A) APPLICATION.—
p.000525: (i) IN GENERAL.—An eligible entity shall submit an application to the Secretary for a grant under this
p.000525: section in such form and manner as the Secretary may require.
p.000525: (ii) REQUIRED INFORMATION.—An application sub- mitted under this subparagraph shall include a plan for the
p.000525: use of funds awarded under the grant and such other information as the Secretary may require.
p.000525: (B) REQUIREMENT.—In awarding grants under this section, the Secretary shall give preference to eligible enti-
p.000525: ties that demonstrate that the activities to be carried out under this section shall be in localities
p.000525: within areas of known or suspected high prevalence of childhood asthma or high asthma-related mortality
p.000525: or high rate of hos- pitalization or emergency room visits for asthma (relative to the average
p.000525: asthma prevalence rates and associated mortality rates in the United States). Acceptable data sets to demonstrate
p.000525: a high prevalence of childhood asthma or high asthma-related mortality may include data from Fed- eral, State, or
p.000525: local vital statistics, claims data under title XIX or XXI of the Social Security Act, other public health
p.000525: statistics or surveys, or other data that the Secretary, in consultation with the Director of the
p.000525: Centers for Disease Control and Prevention, deems appropriate.
p.000525: (3) DEFINITION OF ELIGIBLE ENTITY.—For purposes of this section, the term ‘‘eligible entity’’ means a
p.000525: public or nonprofit private entity (including a State or political subdivision of a State), or a consortium
p.000525: of any of such entities.
p.000525: (b) COORDINATION WITH OTHER CHILDREN’S PROGRAMS.—An el- igible entity shall identify in the plan submitted
p.000525: as part of an ap- plication for a grant under this section how the entity will coordi- nate operations
p.000525: and activities under the grant with—
p.000525:
p.000525:
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p.000525: January 30, 2020
p.000525: 103 So in law. There are two paragraphs (2) in subsection (a). The second paragraph (2) and paragraph
p.000525: (3) probably should be redesignated as paragraphs (3) and (4), respectively. See sec- tion 501 of Public Law 106–310
p.000525: (114 Stat. 1113).
p.000525: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000525: Sec. 399L PUBLIC HEALTH SERVICE ACT 526
p.000525:
p.000525: (1) other programs operated in the State that serve chil- dren with asthma, including any such
p.000525: programs operated under title V, XIX, or XXI of the Social Security Act; and
p.000525: (2) one or more of the following—
p.000525: (A) the child welfare and foster care and adoption as- sistance programs under parts B and E of title IV of
p.000525: such Act;
p.000525: (B) the head start program established under the Head Start Act (42 U.S.C. 9831 et seq.);
...

p.000551: vide them with up-to-date information on the range of outcomes for individuals living with the diagnosed
p.000551: condition, including physical, developmental, edu- cational, and psychosocial outcomes;
p.000551: (iii) the expansion and further development of na- tional and local peer-support programs, so that such programs
p.000551: can more effectively serve women who re- ceive a positive diagnosis for Down syndrome or other prenatal
p.000551: conditions or parents of infants with a postnatally diagnosed condition;
p.000551: (iv) the establishment of a national registry, or network of local registries, of families willing to adopt
p.000551: newborns with Down syndrome or other prenatally or postnatally diagnosed conditions, and links to adoption
p.000551: agencies willing to place babies with Down syndrome or other prenatally or postnatally diagnosed condi-
p.000551: tions, with families willing to adopt; and
p.000551: (v) the establishment of awareness and education programs for health care providers who provide, inter- pret, or
p.000551: inform parents of the results of prenatal tests for Down syndrome or other prenatally or postnatally diagnosed
p.000551: conditions, to patients, consistent with the purpose described in section 2(b)(1) 107 of the Pre-
p.000551: natally and Postnatally Diagnosed Conditions Aware- ness Act.
p.000551: (2) ELIGIBLE ENTITY.—In this subsection, the term ‘‘eligible entity’’ means—
p.000551: (A) a State or a political subdivision of a State;
p.000551: (B) a consortium of 2 or more States or political sub- divisions of States;
p.000551: (C) a territory;
p.000551: (D) a health facility or program operated by or pursu- ant to a contract with or grant from the Indian Health
p.000551: Service; or
p.000551: (E) any other entity with appropriate expertise in pre- natally and postnatally diagnosed conditions (including na-
p.000551: tionally recognized disability groups), as determined by the Secretary.
p.000551: (3) DISTRIBUTION.—In distributing funds under this sub- section, the Secretary shall place an emphasis on funding
p.000551: part- nerships between health care professional groups and dis- ability advocacy organizations.
p.000551:
p.000551:
p.000551:
p.000551: January 30, 2020
p.000551: 107 So in law. Probably should read ‘‘section 2(1)’’.
p.000551: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000553: PUBLIC HEALTH SERVICE ACT
p.000553: Sec. 399U
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p.000569: existing programs, such as the Epi-Aids program of the Centers for Dis- ease Control and Prevention and the Assessments
p.000569: of Chemical Exposures Program of the Agency for Toxic Substances and Disease Registry.
p.000569:
p.000569:
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p.000569:
p.000569: January 30, 2020 As Amended Through P.L. 116-94,
p.000569: Enacted December 20, 2019
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p.000569: Sec. 399W PUBLIC HEALTH SERVICE ACT
p.000569:
p.000569: PART Q—PROGRAMS TO IMPROVE THE HEALTH OF CHILDREN
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p.000570: January 30, 2020
p.000570: SEC. 399W. ø280h¿ GRANTS TO PROMOTE CHILDHOOD NUTRITION AND PHYSICAL ACTIVITY.
p.000570: (a) IN GENERAL.—The Secretary, acting though the Director of the Centers for Disease Control and Prevention,
p.000570: shall award com- petitive grants to States and political subdivisions of States for the development and
p.000570: implementation of State and community-based intervention programs to promote good nutrition and physical
p.000570: ac- tivity in children and adolescents.
p.000570: (b) ELIGIBILITY.—To be eligible to receive a grant under this section a State or political subdivision of a
p.000570: State shall prepare and submit to the Secretary an application at such time, in such man- ner, and containing such
p.000570: information as the Secretary may require, including a plan that describes—
p.000570: (1) how the applicant proposes to develop a comprehensive program of school- and community-based approaches to encour-
p.000570: age and promote good nutrition and appropriate levels of phys- ical activity with respect to children or
p.000570: adolescents in local communities;
p.000570: (2) the manner in which the applicant shall coordinate with appropriate State and local authorities, such as
p.000570: State and local school departments, State departments of health, chronic disease directors, State directors of programs
p.000570: under section 17 of the Child Nutrition Act of 1966, 5-a-day coordinators, gov- ernors councils for
p.000570: physical activity and good nutrition, and State and local parks and recreation departments; and
p.000570: (3) the manner in which the applicant will evaluate the ef- fectiveness of the program carried out under this section.
p.000570: (c) USE OF FUNDS.—A State or political subdivision of a State shall use amount received under a grant under
p.000570: this section to—
p.000570: (1) develop, implement, disseminate, and evaluate school- and community-based strategies in States to
p.000570: reduce inactivity and improve dietary choices among children and adolescents;
p.000570: (2) expand opportunities for physical activity programs in school- and community-based settings; and
p.000570: (3) develop, implement, and evaluate programs that pro- mote good eating habits and physical activity including
p.000570: oppor- tunities for children with cognitive and physical disabilities.
p.000570: (d) TECHNICAL ASSISTANCE.—The Secretary may set-aside an amount not to exceed 10 percent of the amount
p.000570: appropriated for a fiscal year under subsection (h) to permit the Director of the Cen- ters for Disease
p.000570: Control and Prevention to—
p.000570: (1) provide States and political subdivisions of States with technical support in the development and
p.000570: implementation of programs under this section; and
p.000570: (2) disseminate information about effective strategies and interventions in preventing and treating obesity
p.000570: through the promotion of good nutrition and physical activity.
p.000570: (e) LIMITATION ON ADMINISTRATIVE COSTS.—Not to exceed 10 percent of the amount of a grant awarded to
p.000570: the State or political subdivision under subsection (a) for a fiscal year may be used by the State or
p.000570: political subdivision for administrative expenses.
p.000570: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000570:
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p.000571: 571
p.000571: PUBLIC HEALTH SERVICE ACT
p.000571: Sec. 399Y
p.000571:
p.000571: (f) TERM.—A grant awarded under subsection (a) shall be for a term of 3 years.
p.000571: (g) DEFINITION.—In this section, the term ‘‘children and adoles- cents’’ means individuals who do not exceed 18 years
p.000571: of age.
p.000571: (h) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section such
p.000571: sums as may be necessary for each of the fiscal years 2001 through 2005.
p.000571: SEC. 399X. ø280h–1¿ APPLIED RESEARCH PROGRAM.
p.000571: (a) IN GENERAL.—The Secretary, acting through the Centers for Disease Control and Prevention and in
p.000571: consultation with the Director of the National Institutes of Health, shall—
p.000571: (1) conduct research to better understand the relationship between physical activity, diet, and health and
p.000571: factors that in- fluence health-related behaviors;
p.000571: (2) develop and evaluate strategies for the prevention and treatment of obesity to be used in community-based
p.000571: interven- tions and by health professionals;
p.000571: (3) develop and evaluate strategies for the prevention and treatment of eating disorders, such as anorexia and bulimia;
...

p.000577: SEC. 399AA. ø280i¿ DEVELOPMENTAL DISABILITIES SURVEILLANCE AND RESEARCH PROGRAM.
p.000577: (a) AUTISM SPECTRUM DISORDER AND OTHER DEVELOPMENTAL DISABILITIES.—
p.000577: (1) IN GENERAL.—The Secretary, acting through the Direc- tor of the Centers for Disease Control and Prevention,
p.000577: may award grants or cooperative agreements to eligible entities for the collection, analysis, and reporting of
p.000577: State epidemiological data for children and adults with autism spectrum disorder and other developmental
p.000577: disabilities. An eligible entity shall assist with the development and coordination of State autism
p.000577: spectrum disorder and other developmental disability surveil- lance efforts within a region. In making such
p.000577: awards, the Sec- retary may provide direct technical assistance in lieu of cash.
p.000577: (2) DATA STANDARDS.—In submitting epidemiological data to the Secretary pursuant to paragraph (1), an
p.000577: eligible entity shall report data according to guidelines prescribed by the Di- rector of the Centers for Disease
p.000577: Control and Prevention, after consultation with relevant State, local, and Tribal public health
p.000577: officials, private sector developmental disability re- searchers, and advocates for individuals with autism
p.000577: spectrum disorder and other developmental disabilities.
p.000577: (3) ELIGIBILITY.—To be eligible to receive an award under paragraph (1), an entity shall be a public or
p.000577: nonprofit private entity (including a health department of a State or a political subdivision of a
p.000577: State, a university, any other educational in- stitution, an Indian tribe, or a tribal organization), and submit
p.000577: to the Secretary an application at such time, in such manner, and containing such information as the
p.000577: Secretary may require.
p.000577: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000577:
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p.000577: Sec. 399AA PUBLIC HEALTH SERVICE ACT 578
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p.000577: January 30, 2020
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p.000577: (b) CENTERS OF EXCELLENCE IN AUTISM SPECTRUM DISORDER EPIDEMIOLOGY.—
p.000577: (1) IN GENERAL.—The Secretary, acting through the Direc- tor of the Centers for Disease Control and Prevention,
p.000577: shall, subject to the availability of appropriations, award grants or cooperative agreements for the
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p.000827: (C) require that all grants that are awarded to entities other than States are awarded only after the State in
p.000827: which the entity intends to provide services—
p.000827: (i) is notified of the pendency of the grant applica- tion; and
p.000827: (ii) is afforded an opportunity to comment on the merits of the application; and
p.000827: (D) inform a State when any funds are awarded through such a grant to any entity within such State;
p.000827: (14) assure that services provided with amounts appro- priated under this title are provided bilingually, if
p.000827: appropriate;
p.000827: (15) improve coordination among prevention programs, treatment facilities and nonhealth care systems
p.000827: such as em- ployers, labor unions, and schools, and encourage the adoption of employee assistance programs and
p.000827: student assistance pro- grams;
p.000827: (16) maintain a clearinghouse for substance use disorder information, including evidence-based and promising
p.000827: best prac- tices for prevention, treatment, and recovery support services for individuals with mental and
p.000827: substance use disorders, to as- sure the widespread dissemination of such information to States,
p.000827: political subdivisions, educational agencies and institu- tions, treatment providers, and the general public;
p.000827: (17) in collaboration with the National Institute on Aging, and in consultation with the National Institute on Drug
p.000827: Abuse, the National Institute on Alcohol Abuse and Alcoholism and the National Institute of Mental Health,
p.000827: as appropriate, pro- mote and evaluate substance use disorder services for older Americans in need of such
p.000827: services, and mental health services for older Americans who are seriously mentally ill;
p.000827: (18) promote the coordination of service programs con- ducted by other departments, agencies, organizations and
p.000827: indi- viduals that are or may be related to the problems of individ- uals suffering from mental illness
p.000827: or substance abuse, includ- ing liaisons with the Social Security Administration, Centers for Medicare &
p.000827: Medicaid Services, and other programs of the Department, as well as liaisons with the Department of Edu-
p.000827: cation, Department of Justice, and other Federal Departments and offices, as appropriate;
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p.000855: section 4 of the Indian Self-Deter-
p.000855: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000855: Sec. 509 PUBLIC HEALTH SERVICE ACT 856
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p.000855:
p.000855: mination and Education Assistance Act) to focus on emerging trends in substance abuse and co-occurrence
p.000855: of substance use disorders with mental illness or other conditions.
p.000855: The Secretary may carry out the activities described in this section directly or through grants, contracts, or
p.000855: cooperative agreements with States, political subdivisions of States, Indian tribes or tribal organizations
p.000855: (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act), health
p.000855: facilities, or programs operated by or in accordance with a contract or grant with the Indian Health Service, or other
p.000855: public or nonprofit private entities.
p.000855: (b) PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS.—
p.000855: (1) IN GENERAL.—Priority substance use disorder treat- ment needs of regional and national significance shall be
p.000855: deter- mined by the Secretary after consultation with States and other interested groups. The Secretary
p.000855: shall meet with the States and interested groups on an annual basis to discuss pro- gram priorities.
p.000855: (2) SPECIAL CONSIDERATION.—In developing program prior- ities under paragraph (1), the Secretary shall give special
p.000855: con- sideration to promoting the integration of substance use dis- order treatment services into primary health
p.000855: care systems.
p.000855: (c) REQUIREMENTS.—
p.000855: (1) IN GENERAL.—Recipients of grants, contracts, or cooper- ative agreements under this section shall comply with
p.000855: informa- tion and application requirements determined appropriate by the Secretary.
p.000855: (2) DURATION OF AWARD.—With respect to a grant, con- tract, or cooperative agreement awarded under this
...

p.000859: and the pro- motion of resiliency;
p.000859: (2) coordinate the findings of research sponsored by agen- cies of the Service on the prevention of drug and
p.000859: alcohol abuse;
p.000859: (3) collaborate with the Director of the National Institute on Drug Abuse, the Director of the National
p.000859: Institute on Alco- hol Abuse and Alcoholism, and States to promote the study of substance abuse prevention and the
p.000859: dissemination and imple- mentation of research findings that will improve the delivery and effectiveness of
p.000859: substance abuse prevention activities;
p.000859: (4) develop effective drug and alcohol abuse prevention lit- erature (including educational information on the
p.000859: effects of drugs abused by individuals, including drugs that are emerg- ing as abused drugs);
p.000859: (5) in cooperation with the Secretary of Education, assure the widespread dissemination of prevention
p.000859: materials among States, political subdivisions, and school systems;
p.000859: (6) support clinical training programs for health profes- sionals who provide substance use and misuse
p.000859: prevention and treatment services and other health professionals involved in illicit drug use education and
p.000859: prevention;
p.000859: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000861: 861
p.000861: PUBLIC HEALTH SERVICE ACT
p.000861: Sec. 516
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p.000861: January 30, 2020
p.000861: (7) in cooperation with the Director of the Centers for Dis- ease Control and Prevention, develop and disseminate
...

p.000861: (1) knowledge development and application projects for prevention and the conduct or support of
p.000861: evaluations of such projects;
p.000861: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000861: Sec. 516 PUBLIC HEALTH SERVICE ACT 862
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p.000861: January 30, 2020
p.000861:
p.000861: (2) training and technical assistance; and
p.000861: (3) targeted capacity response programs, including such programs that focus on emerging drug abuse issues.
p.000861: The Secretary may carry out the activities described in this section directly or through grants, contracts, or
p.000861: cooperative agreements with States, political subdivisions of States, Indian tribes or tribal organizations
p.000861: (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act), health
p.000861: facilities, or programs operated by or in accordance with a contract or grant with the Indian Health Service, or other
p.000861: public or nonprofit private entities.
p.000861: (b) PRIORITY SUBSTANCE ABUSE PREVENTION NEEDS.—
p.000861: (1) IN GENERAL.—Priority substance use disorder preven- tion needs of regional and national significance shall be
p.000861: deter- mined by the Secretary in consultation with the States and other interested groups. The Secretary
p.000861: shall meet with the States and interested groups on an annual basis to discuss pro- gram priorities.
p.000861: (2) SPECIAL CONSIDERATION.—In developing program prior- ities under paragraph (1), the Secretary shall give special
p.000861: con- sideration to—
p.000861: (A) applying the most promising strategies and re- search-based primary prevention approaches;
p.000861: (B) promoting the integration of substance use dis- order prevention information and activities into
p.000861: primary health care systems; and
p.000861: (C) substance use disorder prevention among high-risk groups.
p.000861: (c) REQUIREMENTS.—
...

p.000875: individuals;
p.000875: (7) administer the mental health services block grant pro- gram authorized in section 1911;
p.000875: (8) promote policies and programs at Federal, State, and local levels and in the private sector that foster
p.000875: independence, increase meaningful participation of individuals with mental illness in programs and activities
p.000875: of the Administration, and protect the legal rights of persons with mental illness, includ- ing carrying
p.000875: out the provisions of the Protection and Advocacy of Mentally Ill Individuals Act;
p.000875: (9) carry out the programs under part C;
p.000875: (10) carry out responsibilities for the Human Resource De- velopment program, and programs of clinical
p.000875: training for health paraprofessional personnel and health professionals;
p.000875: (11) conduct services-related assessments, including eval- uations of the organization and financing of care,
p.000875: self-help and consumer-run programs, mental health economics, mental health service systems, rural mental
p.000875: health and tele-mental health, and improve the capacity of State to conduct evalua- tions of publicly
p.000875: funded mental health programs;
p.000875: (12) disseminate mental health information, including evi- dence-based practices, to States, political
p.000875: subdivisions, edu- cational agencies and institutions, treatment and prevention service providers, and the
p.000875: general public, including information concerning the practical application of research supported by the
p.000875: National Institute of Mental Health that is applicable to improving the delivery of services;
p.000875: (13) provide technical assistance to public and private enti- ties that are providers of mental health services;
p.000875: (14) monitor and enforce obligations incurred by commu- nity mental health centers pursuant to the Community
p.000875: Mental Health Centers Act (as in effect prior to the repeal of such Act on August 13, 1981, by section
p.000875: 902(e)(2)(B) of Public Law 97– 35 (95 Stat. 560));
p.000875: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000875:
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p.000875: Sec. 520A PUBLIC HEALTH SERVICE ACT 876
p.000875:
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p.000875: January 30, 2020
p.000875:
p.000875: (15) conduct surveys with respect to mental health, such as the National Reporting Program;
p.000875: (16) assist States in improving their mental health data collection; and
p.000875: (17) ensure the consistent documentation of the application of criteria when awarding grants and the ongoing oversight
p.000875: of grantees after such grants are awarded.
p.000875: (c) GRANTS AND CONTRACTS.—In carrying out the duties estab- lished in subsection (b), the Director may make grants to
p.000875: and enter into contracts and cooperative agreements with public and non- profit private entities.
p.000875: SEC. 520A. ø290bb–32¿ PRIORITY MENTAL HEALTH NEEDS OF RE- GIONAL AND NATIONAL SIGNIFICANCE.
p.000875: (a) PROJECTS.—The Secretary shall address priority mental health needs of regional and national
p.000875: significance (as determined under subsection (b)) through the provision of or through assist- ance for—
p.000875: (1) knowledge development and application projects for prevention, treatment, and rehabilitation, and the
p.000875: conduct or support of evaluations of such projects;
p.000875: (2) training and technical assistance programs;
p.000875: (3) targeted capacity response programs; and
p.000875: (4) systems change grants including statewide family net- work grants and client-oriented and consumer run
p.000875: self-help ac- tivities, which may include technical assistance centers.
p.000875: The Secretary may carry out the activities described in this sub- section directly or through grants,
p.000875: contracts, or cooperative agree- ments with States, political subdivisions of States, Indian tribes or tribal
p.000875: organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education
p.000875: Assistance Act), health facilities, or programs operated by or in accordance with a contract or grant with the Indian
p.000875: Health Service, or, other public or private nonprofit entities.
p.000875: (b) PRIORITY MENTAL HEALTH NEEDS.—
p.000875: (1) DETERMINATION OF NEEDS.—Priority mental health needs of regional and national significance shall be
p.000875: determined by the Secretary in consultation with States and other inter- ested groups. The Secretary shall
p.000875: meet with the States and in- terested groups on an annual basis to discuss program prior- ities.
p.000875: (2) SPECIAL CONSIDERATION.—In developing program prior- ities described in paragraph (1), the Secretary shall
p.000875: give spe- cial consideration to promoting the integration of mental health services into primary health
p.000875: care systems.
p.000875: (c) REQUIREMENTS.—
p.000875: (1) IN GENERAL.—Recipients of grants, contracts, and coop- erative agreements under this section shall comply with
p.000875: infor- mation and application requirements determined appropriate by the Secretary.
p.000875: (2) DURATION OF AWARD.—With respect to a grant, con- tract, or cooperative agreement awarded under this
p.000875: section, the period during which payments under such award are made to the recipient may not exceed 5 years.
p.000875: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000875:
p.000875:
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p.000877: $394,550,000 for each of fiscal years 2018 through 2022.
p.000877: øSection 520B was repealed by section 9017 of Public Law 114–255.¿
p.000877:
p.000877: January 30, 2020 As Amended Through P.L. 116-94,
p.000877: Enacted December 20, 2019
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p.000877: Sec. 520C PUBLIC HEALTH SERVICE ACT 878
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p.000877: January 30, 2020
p.000877:
p.000877: SEC. 520C. ø290bb–34¿ SUICIDE PREVENTION TECHNICAL ASSISTANCE CENTER.
p.000877: (a) PROGRAM AUTHORIZED.—The Secretary, acting through the Assistant Secretary, shall establish a research,
p.000877: training, and tech- nical assistance resource center to provide appropriate information, training, and technical
p.000877: assistance to States, political subdivisions of States, federally recognized Indian tribes, tribal organizations,
p.000877: in- stitutions of higher education, public organizations, or private non- profit organizations regarding the
p.000877: prevention of suicide among all ages, particularly among groups that are at a high risk for suicide.
p.000877: (b) RESPONSIBILITIES OF THE CENTER.—The center established under subsection (a) shall conduct activities for
p.000877: the purpose of—
p.000877: (1) developing and continuing statewide or tribal suicide early intervention and prevention strategies for
p.000877: all ages, par- ticularly among groups that are at a high risk for suicide;
p.000877: (2) ensuring the surveillance of suicide early intervention and prevention strategies for all ages,
p.000877: particularly among groups that are at a high risk for suicide;
p.000877: (3) studying the costs and effectiveness of statewide and tribalsuicide early intervention and prevention
p.000877: strategies in order to provide information concerning relevant issues of im- portance to State, tribal, and
p.000877: national policymakers;
p.000877: (4) further identifying and understanding causes and asso- ciated risk factors for suicide;
p.000877: (5) analyzing the efficacy of new and existing suicide early intervention and prevention techniques and technology;
p.000877: (6) ensuring the surveillance of suicidal behaviors and nonfatal suicidal attempts;
...

p.000879: suicide early intervention and pre- vention strategy.
p.000879: (2) LIMITATION.—In carrying out this section, the Secretary shall ensure that a State does not receive more
p.000879: than 1 grant or cooperative agreement under this section at any 1 time. For purposes of the preceding sentence, a
p.000879: State shall be considered to have received a grant or cooperative agreement if the eligi- ble entity
p.000879: involved is the State or an entity designated by the State under paragraph (1)(B). Nothing in this paragraph
p.000879: shall be construed to apply to entities described in paragraph (1)(C).
p.000879: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000879: Sec. 520E PUBLIC HEALTH SERVICE ACT 880
p.000879: (3) CONSIDERATION.—In awarding grants under this sec- tion, the Secretary shall take into consideration
p.000879: the extent of the need of the applicant, including the incidence and preva- lence of suicide in the
p.000879: State and among the populations of focus, including rates of suicide determined by the Centers for Disease
p.000879: Control and Prevention for the State or population of focus.
p.000879: (c) PREFERENCE.—In providing assistance under a grant or co- operative agreement under this section, an eligible entity
p.000879: shall give preference to public organizations, private nonprofit organizations, political subdivisions,
p.000879: institutions of higher education, and tribal organizations actively involved with the State-sponsored
p.000879: statewide or tribal youth suicide early intervention and prevention strategy that—
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p.000879: January 30, 2020
p.000879: (1) provide early intervention and assessment services, in- cluding screening programs, to youth who are at risk for
p.000879: men- tal or emotional disorders that may lead to a suicide attempt, and that are integrated with school
p.000879: systems, educational insti- tutions, juvenile justice systems, substance use disorder pro- grams, mental health
p.000879: programs, foster care systems, and other child and youth support organizations;
p.000879: (2) demonstrate collaboration among early intervention and prevention services or certify that entities
p.000879: will engage in future collaboration;
...

p.000883: (A) ‘‘educational institution’’ means a school or institu- tion of higher education;
p.000883: (B) ‘‘institution of higher education’’ has the meaning given such term in section 101 of the Higher
p.000883: Education Act of 1965; and
p.000883: (C) ‘‘school’’ means an elementary school or secondary school (as such terms are defined in section 8101 of the
p.000883: El- ementary and Secondary Education Act of 1965).
p.000883: (3) PREVENTION.—The term ‘‘prevention’’ means a strategy or approach that reduces the likelihood or risk of
p.000883: onset, or delays the onset, of adverse health problems that have been known to lead to suicide.
p.000883: (4) YOUTH.—The term ‘‘youth’’ means individuals who are between 10 and 24 years of age.
p.000883: (m) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized
p.000883: to be appropriated
p.000883: $30,000,000 for each of fiscal years 2018 through 2022.
p.000883: SEC. 520E–1. ø290bb–36a¿ SUICIDE PREVENTION FOR CHILDREN AND ADOLESCENTS 10.
p.000883: (a) IN GENERAL.—The Secretary shall award grants or cooperative agreements to public organizations,
p.000883: private nonprofit organizations, political subdivisions, consortia of political subdivi- sions, consortia of
p.000883: States, or Federally recognized Indian tribes or tribal organizations to design early intervention and
p.000883: prevention strategies that will complement the State-sponsored statewide or tribal youth suicide early
p.000883: intervention and prevention strategies developed pursuant to section 520E.
p.000883: (b) COLLABORATION.—In carrying out subsection (a), the Sec- retary shall ensure that activities under this
p.000883: section are coordi- nated with the relevant Department of Health and Human Services agencies and suicide working
p.000883: groups.
p.000883: (c) REQUIREMENTS.—A public organization, private nonprofit organization, political subdivision, consortium of
p.000883: political subdivi- sions, consortium of States, or federally recognized Indian tribe or tribal organization
p.000883: desiring a grant, contract, or cooperative agree- ment under this section shall demonstrate that the suicide preven-
p.000883: tion program such entity proposes will—
p.000883:
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p.000883: January 30, 2020
p.000883: 10 The probable intent of the Congress is that the heading be ‘‘SUICIDE PREVENTION FOR YOUTH’’. See the amendment
p.000883: described in section 3(b)(1)(A) of Public Law 108–355 (118 Stat. 1407). The amendment cannot be executed
p.000883: because the matter in the heading to be struck does not appear, as the amendatory instruction used the wrong
p.000883: font. The amendment referred to ‘‘CHILDREN AND ADOLESCENTS’’ rather than ‘‘CHILDREN AND ADOLESCENTS’’. (The
p.000883: amendment is directed to section ‘‘520E’’. Section 520E–1 above formerly was section 520E, and was redesignated by
p.000883: section 3(b)(2) of such Public Law.)
p.000883: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000883:
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p.000883: Sec. 520E–1 PUBLIC HEALTH SERVICE ACT 884
p.000883:
p.000883: (1)(A) comply with the State-sponsored statewide early intervention and prevention strategy as developed
p.000883: under sec- tion 520E; and
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p.000883: used to supplement, and not supplant, Federal and non-Federal funds available for car- rying out the activities
p.000883: described in this section. Applicants shall provide financial information to demonstrate compliance with
p.000883: this section.
p.000883: (e) CONDITION.—An applicant for a grant or cooperative agree- ment under subsection (a) shall demonstrate to the
p.000883: Secretary that the application complies with the State-sponsored statewide early intervention and prevention
p.000883: strategy as developed under section 520E and the applicant has the support of the local community and relevant
p.000883: public health officials.
p.000883: (f) SPECIAL POPULATIONS.—In awarding grants and cooperative agreements under subsection (a), the Secretary shall
p.000883: ensure that such awards are made in a manner that will focus on the needs of communities or groups
p.000883: that experience high or rapidly rising rates of suicide.
p.000883:
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p.000883: January 30, 2020
p.000883: 11 So in law. Probably should include ‘‘and’’ after the semicolon at the end of paragraph (9). See
p.000883: section 3(b)(1)(D)(ix) of Public Law 108–355 (118 Stat. 1408).
p.000883: As Amended Through P.L. 116-94, Enacted December 20, 2019
p.000883:
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p.000885: PUBLIC HEALTH SERVICE ACT
p.000885: Sec. 520E–1
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p.000885: (g) APPLICATION.—A public organization, private nonprofit or- ganization, political subdivision, consortium
p.000885: of political subdivi- sions, consortium of States, or Federally recognized Indian tribe or tribal organization
p.000885: receiving a grant or cooperative agreement under subsection (a) shall prepare and submit an application to
p.000885: the Secretary at such time, in such manner, and containing such infor- mation as the Secretary may reasonably
p.000885: require. Such application shall include a plan for the rigorous evaluation of activities funded under the grant or
p.000885: cooperative agreement, including a process and outcome evaluation.
p.000885: (h) DISTRIBUTION OF AWARDS.—In awarding grants and cooper- ative agreements under subsection (a), the Secretary
p.000885: shall ensure that such awards are distributed among the geographical regions of the United States and between
p.000885: urban and rural settings.
p.000885: (i) EVALUATION.—A public organization, private nonprofit orga- nization, political subdivision, consortium of
p.000885: political subdivisions, consortium of States, or Federally recognized Indian tribe or tribal organization receiving a
p.000885: grant or cooperative agreement under sub- section (a) shall prepare and submit to the Secretary at the end of the
p.000885: program period, an evaluation of all activities funded under this section.
p.000885: (j) DISSEMINATION AND EDUCATION.—The Secretary shall en- sure that findings derived from activities
p.000885: carried out under this section are disseminated to State, county and local governmental agencies and
p.000885: public and private nonprofit organizations active in promoting suicide prevention and family support activities.
p.000885: (k) DURATION OF PROJECTS.—With respect to a grant, contract, or cooperative agreement 12 awarded under this
p.000885: section, the period during which payments under such award may be made to the re- cipient may not exceed 3 years.
p.000885: (l) STUDY.—Within 1 year after the date of the enactment of this section, the Secretary shall, directly
p.000885: or by grant or contract, initiate a study to assemble and analyze data to identify—
p.000885: (1) unique profiles of children under 13 who attempt or complete suicide;
p.000885: (2) unique profiles of youths between ages 13 and 24 who attempt or complete suicide; and
p.000885: (3) a profile of services available to these groups and the use of these services by children and
p.000885: youths from paragraphs
p.000885: (1) and (2).
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p.000889: evaluation of the effect of such grant on—
p.000889: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000891: PUBLIC HEALTH SERVICE ACT
p.000891: Sec. 520G
p.000891:
p.000891: (1) local crisis response services and measures for individ- uals receiving crisis planning and early
p.000891: intervention supports;
p.000891: (2) individuals reporting improved functional outcomes;
p.000891: and
p.000891: (3) individuals receiving regular followup care following a
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p.000891: January 30, 2020
p.000891: crisis.
p.000891: (e) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section, $12,500,000
p.000891: for the pe- riod of fiscal years 2018 through 2022.
p.000891: SEC. 520G. ø290bb–38¿ GRANTS FOR JAIL DIVERSION PROGRAMS.
p.000891: (a) PROGRAM AUTHORIZED.—The Secretary shall make up to
p.000891: 125 grants to States, political subdivisions of States, and Indian tribes and tribal organizations (as
p.000891: the terms ‘‘Indian tribes’’ and ‘‘tribal organizations’’ are defined in section 4 of the Indian Self-De-
p.000891: termination and Education Assistance Act), acting directly or through agreements with other public
p.000891: or nonprofit entities, or a health facility or program operated by or in accordance with a con- tract or grant
p.000891: with the Indian Health Service, to develop and im- plement programs to divert individuals with a mental illness
p.000891: from the criminal justice system to community-based services.
p.000891: (b) ADMINISTRATION.—
p.000891: (1) CONSULTATION.—The Secretary shall consult with the Attorney General and any other appropriate officials
p.000891: in car- rying out this section.
p.000891: (2) REGULATORY AUTHORITY.—The Secretary shall issue regulations and guidelines necessary to carry out this
p.000891: section, including methodologies and outcome measures for evaluating programs carried out by States, political
p.000891: subdivisions of States, Indian tribes, and tribal organizations receiving grants under subsection (a).
p.000891: (c) APPLICATIONS.—
p.000891: (1) IN GENERAL.—To receive a grant under subsection (a), the chief executive of a State, chief executive
p.000891: of a subdivision of a State, Indian tribe or tribal organization shall prepare and submit an application to the
p.000891: Secretary at such time, in such manner, and containing such information as the Secretary shall reasonably
p.000891: require.
p.000891: (2) CONTENT.—Such application shall—
p.000891: (A) contain an assurance that—
p.000891: (i) community-based mental health services will be available for the individuals who are diverted from the
p.000891: criminal justice system, and that such services are based on evidence-based practices, reflect current re- search
p.000891: findings, include case management, assertive community treatment, medication management and access,
p.000891: integrated mental health and co-occurring sub- stance use disorder treatment, and psychiatric reha- bilitation,
p.000891: and will be coordinated with social services, including life skills training, housing placement, voca- tional
p.000891: training, education job placement, and health care;
p.000891: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000891: Sec. 520G PUBLIC HEALTH SERVICE ACT 892
p.000891:
p.000891: (ii) there has been relevant interagency collabora- tion between the appropriate criminal justice, mental health,
p.000891: and substance use disorder systems; and
p.000891: (iii) the Federal support provided will be used to supplement, and not supplant, State, local,
p.000891: Indian tribe, or tribal organization sources of funding that would otherwise be available;
p.000891: (B) demonstrate that the diversion program will be in- tegrated with an existing system of care for those with
p.000891: mental illness;
p.000891: (C) explain the applicant’s inability to fund the pro- gram adequately without Federal assistance;
p.000891: (D) specify plans for obtaining necessary support and continuing the proposed program following the
p.000891: conclusion of Federal support; and
p.000891: (E) describe methodology and outcome measures that will be used in evaluating the program.
p.000891: (d) SPECIAL CONSIDERATION REGARDING VETERANS.—In award- ing grants under subsection (a), the Secretary shall, as
p.000891: appropriate, give special consideration to entities proposing to use grant funding to support jail diversion services
p.000891: for veterans.
p.000891: (e) USE OF FUNDS.—A State, political subdivision of a State, Indian tribe, or tribal organization that
p.000891: receives a grant under sub- section (a) may use funds received under such grant to—
p.000891: (1) integrate the diversion program into the existing sys- tem of care;
p.000891: (2) create or expand community-based mental health and co-occurring mental illness and substance use disorder
p.000891: services to accommodate the diversion program;
p.000891: (3) train professionals involved in the system of care, and law enforcement officers, attorneys, and judges;
p.000891: (4) provide community outreach and crisis intervention;
p.000891: and
p.000891: (5) develop programs to divert individuals prior to booking
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p.000891: January 30, 2020
p.000891: or arrest.
p.000891: (f) FEDERAL SHARE.—
p.000891: (1) IN GENERAL.—The Secretary shall pay to a State, polit- ical subdivision of a State, Indian tribe, or tribal
p.000891: organization receiving a grant under subsection (a) the Federal share of the cost of activities described in the
p.000891: application.
p.000891: (2) FEDERAL SHARE.—The Federal share of a grant made under this section shall not exceed 75 percent of the
p.000891: total cost of the program carried out by the State, political subdivision of a State, Indian tribe, or tribal
p.000891: organization. Such share shall be used for new expenses of the program carried out by such State, political
p.000891: subdivision of a State, Indian tribe, or tribal or- ganization.
p.000891: (3) NON-FEDERAL SHARE.—The non-Federal share of pay- ments made under this section may be made in cash or in kind
p.000891: fairly evaluated, including planned equipment or services. The Secretary may waive the requirement of matching
p.000891: contribu- tions.
p.000891: (g) GEOGRAPHIC DISTRIBUTION.—The Secretary shall ensure that such grants awarded under subsection (a) are
p.000891: equitably dis-
p.000891: As Amended Through P.L. 116-94, Enacted December 20, 2019
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p.000893: PUBLIC HEALTH SERVICE ACT
p.000893: Sec. 520I
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p.000893: January 30, 2020
p.000893: tributed among the geographical regions of the United States and between urban and rural populations.
p.000893: (h) TRAINING AND TECHNICAL ASSISTANCE.—Training and tech- nical assistance may be provided by the Secretary to
p.000893: assist a State, political subdivision of a State, Indian tribe, or tribal organization receiving a grant under
p.000893: subsection (a) in establishing and operating a diversion program.
p.000893: (i) EVALUATIONS.—The programs described in subsection (a) shall be evaluated not less than one time in every
p.000893: 12-month period using the methodology and outcome measures identified in the grant application.
p.000893: (j) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section
p.000893: $4,269,000 for each of fiscal years 2018 through 2022.
p.000893: øSection 520H was repealed by section 9017 of Public Law 114–255.¿
p.000893: SEC. 520I. ø290bb–40¿ GRANTS FOR THE INTEGRATED TREATMENT OF SERIOUS MENTAL ILLNESS AND CO-OCCURRING
p.000893: SUB- STANCE ABUSE.
p.000893: (a) IN GENERAL.—The Secretary shall award grants, contracts, or cooperative agreements to States, political
p.000893: subdivisions of States, Indian tribes, tribal organizations, and private nonprofit or- ganizations for the
p.000893: development or expansion of programs to pro- vide integrated treatment services for individuals with a
p.000893: serious mental illness and a co-occurring substance abuse disorder.
p.000893: (b) PRIORITY.—In awarding grants, contracts, and cooperative agreements under subsection (a), the Secretary
p.000893: shall give priority to applicants that emphasize the provision of services for individ- uals with a
p.000893: serious mental illness and a co-occurring substance abuse disorder who—
p.000893: (1) have a history of interactions with law enforcement or the criminal justice system;
p.000893: (2) have recently been released from incarceration;
p.000893: (3) have a history of unsuccessful treatment in either an inpatient or outpatient setting;
p.000893: (4) have never followed through with outpatient services despite repeated referrals; or
p.000893: (5) are homeless.
p.000893: (c) USE OF FUNDS.—A State, political subdivision of a State, In- dian tribe, tribal organization, or private
p.000893: nonprofit organization that receives a grant, contract, or cooperative agreement under subsection (a) shall
p.000893: use funds received under such grant—
p.000893: (1) to provide fully integrated services rather than serial or parallel services;
p.000893: (2) to employ staff that are cross-trained in the diagnosis and treatment of both serious mental illness
p.000893: and substance abuse;
p.000893: (3) to provide integrated mental health and substance abuse services at the same location;
p.000893: (4) to provide services that are linguistically appropriate and culturally competent;
p.000893: (5) to provide at least 10 programs for integrated treat- ment of both mental