Women's Health Equity Act of 1993

TABLE OF CONTENTS:

Title I: Research on Women's Health

Subtitle A: NIH Women Scientist Employment Opportunities

Act

Subtitle B: Women and AIDS Research Initiative

Amendments of 1993

Subtitle C: Women and Alcohol Research Equity Act of

1993

Subtitle D: National Breast Cancer Strategy

Act of 1993

Subtitle E: Lupus Research Amendments of 1993

Subtitle F: Women's Midlife Health Research Act

Subtitle G: Osteoporosis and Related Bone Disorders

Research Education, and Health Services Act of 1993

Subtitle H: Ovarian Cancer Research and Information

Amendments of 1993

Subtitle I: Antiprogestin Testing Act of 1993

Subtitle J: Women's Health Environmental Factors

Research Act of 1993

Subtitle K: Federal Risk Assessment in Women's Health

Act of 1993

Subtitle L: Pharmaceutical Interactions Safety Act

Subtitle M: Pharmaceutical Testing Fairness Act

Subtitle N: Tobacco Advertising and Promotion Studies

Act of 1993

Title II: Services Regarding Women's Health

Subtitle A: Equity in Health Professions Education Act

Subtitle B: Women's Health Office Act of 1993

Subtitle C: Women's Health Information Act of 1993

Subtitle D: Breast and Cervical Cancer Amendments of

1993

Subtitle E: Women's Preventive Health Amendments of 1993

Subtitle F: Postreproductive Health Care Act

Subtitle G: Medicare Bone Mass Measurement Coverage Act

of 1993

Subtitle H: Mickey Leland Adolescent Pregnancy

Prevention and Parenthood Act of 1993

Subtitle I: Adolescent Health Demonstrations Projects

Act of 1993

Subtitle J: Eating Disorders Information and Education

Act of 1993

Subtitle K: Women and HIV Outreach and Prevention Act

Subtitle L: Standby Guardianship Act

Subtitle M: Federal Prohibition of Female Genital

Mutilation Act of 1993

Subtitle N: Smoking Prevention and Cessation in WIC

Clinics Act

Subtitle O: Family and Medical Leave Health Care Reform

Resolution of 1993

Subtitle P: Veteran Women's Health Improvement Act of

1993

Subtitle Q: Defense Women's Health Improvement Act of

1993

Subtitle R: International Population Stabilization and

Reproductive Health Act

Women's Health Equity Act of 1993 - Title I: Research on Women's Health - Subtitle A: Women Scientists Employment Opportunities Act - NIH Women Scientists Employment Opportunity Act - Amends the Public Health Service Act to require the Director of the National Institutes of Health to: (1) establish policies for NIH on matters relating to the employment of women scientists by NIH; and (2) monitor compliance with such policies and take appropriate actions if the policies have been violated. Authorizes appropriations.

Subtitle B: Women and AIDS Research Initiative Amendments of 1993 - Women and Aids Research Initiative Amendments of 1993 - Directs the Secretary of Health and Human Services, with respect to cases of infection with the human immunodeficiency virus, to establish a program, under the Public Health Service Act, for the purpose of conducting biomedical and behavioral research on such cases in women, especially on the prevention of such cases. Authorizes appropriations.

Subtitle C: Women and Alcohol Research Equity Act of 1993 - Women and Alcohol Research Equity Act of 1993 - Amends the Public Health Service Act to direct the Director of the National Institute on Alcohol Abuse and Alcoholism to obligate a specified amount to carry out research projects on alcohol abuse and alcoholism among women.

Subtitle D: National Breast Cancer Strategy Act of 1993 - National Breast Cancer Strategy Act of 1993 - Establishes an Office of Breast Cancer within the Office of the Assistant Secretary for Health to coordinate activities of Federal agencies relating to breast cancer.

(Sec. 118) Establishes the National Breast Cancer Commission to conduct a study on current efforts on both the public and private sectors relating to the prevention, early detection, treatment, education, and research relating to breast cancer.

(Sec. 119) Authorizes appropriations for FY 1994 through 1996 for conducting and supporting research on breast cancer through the National Cancer Institute.

(Sec. 120) Requires the Director of the National Cancer Institute to: (1) conduct and support biomedical and behavioral research and research training, the dissemination of health information, and other programs with respect to breast cancer; and (2) establish the Rose Kushner Scholarship Program for the purpose of entering into contracts with individuals under which the Institute provides scholarships to individuals for attending health professions schools and the individuals agree to study oncology and serve as employees of the National Institutes of Health for a specified period.

(Sec. 121) Authorizes appropriations for FY 1994 through 1996 for at least ten research programs on breast cancer, lung cancer, or prostate cancer under designated programs.

Subtitle E: Lupus Research Amendments of 1993 - Lupus Research Amendments of 1993 - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to expand and intensify research and related activities of the Institute with respect to lupus. Authorizes appropriations.

Subpart F: Women's Midlife Health Research Act - Women's Midlife Health Research Act - Requires the Director of the National Institute on Aging to provide for the development or expansion of not less than five centers for research on: (1) the process by which the functioning of the ovaries diminishes or ceases completely; and (2) conditions arising from the diminished or complete cessation of the functioning of the ovaries.

Subtitle G: Osteoporosis and Related Bone Disorders Research Education, and Health Services Act of 1993 - Osteoporosis and Related Bone Disorders Research, Education, and Health Services Act of 1993 - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the Director of the National Institute on Aging, and the Director of the National Institute of Diabetes and Digestive and Kidney Diseases to expand and intensify research on osteoporosis and related bone disorders. Authorizes appropriations.

Establishes in the Department of Health and Human Services an Interagency Council on Osteoporosis and Related Disorders. Sets forth the duties of such Council.

Establishes in the Department of Health and Human Services an Advisory Panel on Osteoporosis and Related Disorders. Authorizes appropriations.

Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to make grants or enter into contracts with eligible organizations to establish a Resource Center on Osteoporosis and Related Disorders. Authorizes appropriations.

Subtitle H: Ovarian Cancer Research and Information Amendments of 1993 - Ovarian Cancer Research and Information Amendments of 1993 - Amends provisions of the National Institutes of Health Revitalization Act of 1993 which added provisions to the Public Health Service Act to make revisions concerning ovarian cancer funding and public information education.

Subtitle I: Antiprogestin Testing Act of 1993 - Antiprogestin Testing Act of 1993 - Provides for research on antiprogestin drugs for any potential use, including termination of pregnancy and contraception and when used therapeutically for cancer, endocrine disorders, and endometriosis.

Subtitle J: Women's Health Environmental Factors Research Act of 1993 - Women's Health Environmental Factors Research Act of 1993 - Requires the Director of the National Institute of Environmental Health Sciences to carry out research on the effects that environmental factors have on women's health conditions. Authorizes appropriations.

Subtitle K: Federal Risk Assessment in Women's Health Act of 1993 - Federal Risk Assessment in Women's Health Act of 1993 - Directs the Office of Science and Technology Policy to conduct a review of all Federal programs that assess or mitigate the risks to women's health from environmental exposures.

Subtitle L: Pharmaceutical Interactions Safety Act - Pharmaceutical Interactions Safety Act - Amends the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to require clinical investigations to include investigations of the possible interaction of the drug or biological product with relevant female or male hormones, unless inappropriate.

Subtitle M: Pharmaceutical Testing Fairness Act - Pharmaceutical Testing Fairness Act - Requires new drug clinical investigations, device clinical investigations, and biological products clinical investigations to include women and minority groups as subjects, unless inappropriate.

Subtitle N: Tobacco Advertising and Promotion Studies Act of 1993 - Tobacco Advertising and Promotion Studies Act of 1993 - Directs the Federal Trade Commissions to conduct specified studies concerning tobacco advertising and its effect on women and minorities, as well as its targeting of women and girls concerning weight loss, and the demographics of such advertising.

Title II: Services Regarding Women's Health - Subtitle A: Equity in Health Professions Education Act - Equity in Health Professions Education Act - Directs the Secretary of Health and Human Services to conduct a study to determine the extent to which health professions schools provide adequate education to students on women's health conditions.

Subtitle B: Women's Health Office Act of 1993 - Women's Health Office Act of 1993 - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health an Office of Women's Health. Sets forth the duties of such Office. Authorizes appropriations.

(Sec. 208) Establishes within the Office of the Director of the Centers for Disease Control and Prevention an Office of Women's Health.

Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Research on Women's Health. Sets forth the duties of such Committee.

(Sec. 209) Establishes within the Office of the Director of the Agency for Health Care Policy and Research an Office of Women's Health.

Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Research on the Women's Health. Sets forth the duties of such Committee.

(Sec. 210) Amends title VII of the Social Security Act to provide for the establishment within the Office of the Administrator of the Health Resources and Services Administration an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of the Office to establish the Coordinating Committee on Research on Women's Health. Sets forth the duties of such Committee.

(Sec. 210A) Amends the Federal Food, Drug, and Cosmetic Act to establish within the Office of Commissioner of the Food and Drug Administration an Office of Women's Health. Sets forth the duties of such Office. Requires the Director of such Office to establish the Coordinating Committee on Women's Health. Sets forth the duties of such Committee.

Subtitle C: Women's Health Information Act of 1993 - Women's Health Information Act of 1993 - Directs the Secretary of Health and Human Services to establish an Interagency Committee on Health Communications to provide advice to the Secretary on developing and coordinating Federal promotion and education activities, including activities within the Public Health Service. Requires the Committee to give priority to carrying out activities regarding women's health.

(Sec. 214) Directs the Assistant Secretary for Health to establish the Clearinghouse on Women's Health to compile, archive and disseminate information concerning women's health and to publish a yearly summary of such materials to be made available upon request.

Subtitle D: Breast and Cervical Cancer Amendments of 1993 - Breast and Cervical Cancer Amendments of 1993 - Amends provisions of the program under the Public Health Service Act which provides for breast cancer screenings to place certain limits on the amounts which may be paid to promote entities for such screenings. Authorizes appropriations through FY 1998 for the screening program.

Subtitle E: Women's Preventive Health Amendments of 1993- Women's Preventive Health Amendments of 1993 - Provides for grants for demonstration projects relating to preventive health care for women. Authorizes appropriations.

Subtitle F: Postreproductive Health Care Act - Postreproductive Health Care Act - Provides for grants to provide specified health services to women who are of menopause age or older. Authorizes appropriations.

Subtitle G: Medicare Bone Mass Measurement Coverage Act of 1993 - Medicare Bone Mass Measurement Coverage Act of 1993 - Provides for Medicare coverage of bone mass measurements for qualified individuals.

Subtitle H: Mickey Leland Adolescent Pregnancy Prevention and Parenthood Act of 1993 - Mickey Leland Adolescent Pregency Prevention and Parenthood Act of 1993 - Revises title XX of the Public Health Service Act. Renames such title as Adolescent Pregnancy Prevention, Care, and Research Grants. Authorizes the Secretary of Health and Human Services to make grants to provide prevention and care services to pregnant adolescents and their male partners, adolescent parents, and nonpregnant adolescents. Sets forth provisions affecting: (1) how such grants are to be used; (2) priorities, amounts, and duration of such grants; (3) grant application requirements; (4) program coordination; and (5) research. Authorizes appropriations.

Subtitle I: Adolescent Health Demonstrations Projects Act of 1993 - Adolescent Health Demonstrations Projects Act of 1993 - Directs the Secretary to make grants to establish or support adolescent health demonstration projects in secondary schools for the purpose of demonstrating how such projects may be established throughout the United States. Requires that priority be given to projects serving low-income or minority populations. Prohibits the use of any project funds to perform or pay for abortions.

Subtitle J: Eating Disorders Information and Education Act of 1993 - Eating Disorders Information and Education Act of 1993 - Provides for a program of information and education to the public on the prevention and treatment of eating disorders. Authorizes appropriations.

Subtitle K: Women and HIV Outreach and Prevention Act - Women and HIV Outreach and Prevention Act - Authorizes the Secretary to make grants for a program that provides to women preventive health services that are related to acquired immune deficiency. Authorizes appropriations.

(Sec. 253) Authorizes the Director of the Center for Substance Abuse Treatment to make grants for the treatment of women for substance abuse, including counseling to prevent infection with and transmission of AIDS. Authorizes appropriations.

(Sec. 254) Authorizes appropriations for the AIDs early intervention program for women under the Public Health Service Act.

Subtitle L: Standby Guardianship Act - Standby Guardianship Act - Amends part E of title IV of the Social Security Act to require a State, in order to be eligible for payments under such part, to have in effect standby guardianship laws and procedures.

Subtitle M: Federal Prohibition of Female Genital Mutilation Act of 1993 - Federal Prohibition of Female Genital Mutilation Act of 1993 - Amends the Federal criminal code to provide for the imprisonment or fining of any individual who knowingly circumcises, excises, or infibulates the whole or any part of the labia majora or labia minora or clitoris of any person under the age of 18. Directs the Secretary to carry out outreach activities in communities that traditionally practice female circumcision.

Subtitle N: Smoking Prevention and Cessation in WIC Clinics Act - Smoking Prevention and Cessation in WIC Clinics Act - Amends the Child Nutrition Act of 1966 to require the State agency responsible for nutrition education and drug abuse education to establish a smoking cessation demonstration program for pregnant participants.

Subtitle O: Family and Medical Leave Health Care Reform Resolution of 1993 - Expresses the sense of the Congress that any bill to address the ongoing and unmet health insurance needs of this country that is enacted should require that paid or unpaid leave, as detailed in the Family and Medical Leave Act of 1993, be incorporated as a basic or elective option in specified situations.

Subtitle P: Veteran Women's Health Improvement Act of 1993 - Veteran Women's Health Improvement Act of 1993 - Includes women's health services within the definition of medical services authorized to be furnished to eligible veterans. Includes as women's health services pap smears, breast examinations, and reproductive health care. Authorizes the Secretary of Veterans Affairs to contract with non-Department of Veterans Affairs facilities for outpatient women's health services when Department facilities are inadequate or inaccessible. Requires information on the provision of women's health services to be included in a report from the Secretary to the Congress concerning women veterans.

(Sec. 278) Amends the Veterans Health Care Act of 1992 to: (1) require consultation by the Secretary with various officials, advisory committees, and task forces with regard to appropriate women's health research; (2) expand the research related to women to include specified topics; (3) include certain appropriate personnel of the Department in conducting such research, including women veterans and veteran members of minority groups; and (4) direct that a women veterans population study report required under such Act include an examination of the medical and demographic histories of women veterans comprising the study sample.

(Sec. 279) Makes applicable to Department medical facilities provisions of the Public Health Service Act regarding mammography quality standards. Requires all Department facilities to meet such standards within two years.

Subtitle Q: Defense Women's Health Improvement Act of 1993 - Requires female members and former members of the armed forces who are entitled to medical care under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) to be furnished primary and preventive health care services for women as part of such care. Provides the same coverage for female dependents of members and former members of the armed forces.

(Sec. 283) Directs the Secretary of Defense to prepare and submit to the Congress a report evaluating the provision of health care services through military medical treatment facilities and CHAMPUS to female members of the armed forces and female covered beneficiaries. Requires the Secretary to include a study to determine the needs of female members and dependents for health care services, including primary and preventive health care services for women.

(Sec. 284) Directs the Secretary to establish a Defense Women's Health Research Center within the Department of the Army to be the coordinating agent for multidisciplinary and multiinstitutional research within the Department of Defense on women's health issues related to service in the armed forces.

(Sec. 285) Directs the Secretary of the Army, during FY 1994, to continue the breast cancer research program as established under prior law.

(Sec. 286) Directs the Secretary of Defense, in conducting or supporting clinical research, to ensure that women and minority group members of the armed forces are included as research subjects. Provides a waiver of such requirement.

(Sec. 287) Directs the Secretary to submit three annual reports on research relating to female members and dependents within the armed forces.

(Sec. 288) Directs the Secretary to establish at the F. Edward Hebert School of Medicine of the Uniformed Services University of the Health Sciences a women's health curriculum advisory committee to promote the comprehensive integration of women's health issues into the curriculum.

Subtitle R: International Population Stabilization and Reproductive Health Act - International Population Stabilization and Reproductive Health Act - Amends the Foreign Assistance Act of 1961 to set forth population assistance authorities and requirements.

(Sec. 292) Makes such assistance available to a country that: (1) accounts for a significant portion of the world's annual population increment; (2) has significant unmet needs for methods of contraception, prevention and treatment of sexually transmitted diseases, and obstetric and gynecological care and requires foreign assistance to sustain quality reproductive health services; or (3) demonstrates a strong commitment to population stabilization and reproductive health strategies.

Prohibits nongovernmental and multilateral organizations from being subjected to requirements which are more restrictive than those applicable to foreign governments for such assistance.

Makes funds available for: (1) the United Nations Population Fund if it agrees to prohibit the use of funds for coerced abortion or involuntary sterilization; and (2) the Special Programme of Research, Development and Research Training to further international cooperation in the development of contraceptive technology.

Authorizes appropriations.

(Sec. 294) Makes development assistance available on a priority basis for countries which have agreed to address specific education, literacy, and health issues.

Authorizes the President to establish a grant program, to be known as the Safe Motherhood Initiative, to improve the access of girls and women to reproductive health care services.

Earmarks amounts of development and economic assistance for programs in support of equalizing male and female levels of primary and secondary school enrollment.

Authorizes appropriations for the Child Survival Fund, the Safe Motherhood Initiative, and for research on, and treatment and control of, acquired immune deficiency syndrome (AIDS) in developing countries.

(Sec. 296) Requires the U.S. executive directors of specified international financial institutions to report annually to the Congress on allocations to population activities and, if such allocations total less than $1 million, to set forth actions to encourage increased allocations.

(Sec. 297) Establishes the Commission on World Population Stabilization and Reproductive Health to coordinate U.S. participation in the 1994 International Conference on Population and Development. Authorizes appropriations.

(Sec. 298) Provides for certain actions to support the United Nations Forward Looking Strategies for the Advancement of Women and the United Nations Convention on the Elimination of All Forms of Discrimination Against Women.