To amend the Public Health Service Act to revise and extend the programs of the National Institutes of Health, and for other purposes.
TABLE OF CONTENTS:
Title I: General Provisions Regarding Title IV of Public
Health Service Act
Title II: National Institutes of Health in General
Title III: General Provisions Respecting National Research
Institutes
Title IV: National Cancer Institute
Title V: National Heart, Lung, and Blood Institute
Title VI: National Institute on Diabetes and Digestive
and Kidney Diseases
Title VII: National Institute on Arthritis and
Musculoskeletal and Skin Diseases
Title VIII: National Institute on Aging
Title IX: National Institute of Allergy and Infectious
Diseases
Title X: National Institute of Child Health and Human
Development
Title XI: National Eye Institute
Title XII: National Institute of Neurological Disorders
and Stroke
Title XIII: National Institute of Environmental Health
Sciences
Title XIV: National Library of Medicine
Title XV: Other Agencies of National Institutes of Health
Title XVI: Awards and Training
Title XVII: National Foundation for Biomedical Research
Title XVIII: Research With Respect to Acquired Immune
Deficiency Syndrome
Title XIX: Studies
Title XX: Miscellaneous Provisions
Title XXI: Effective Dates
National Institutes of Health Revitalization Amendments of 1993 - Title I: General Provisions Regarding title IV of Public Health Service Act - (Sec. 101) Amends the Public Health Service Act to condition research funding on human subject review and scientific and technical peer review. Prohibits withholding funding on ethical grounds unless an ethics advisory board so recommends.
(Sec. 111) Regulates human fetal tissue transplantation research.
(Sec. 121) Removes provisions regarding: (1) biomedical ethics; (2) waiver of a risk standard; and (3) the construction of title IV (National Research Institutes). Declares ineffective a Federal regulation relating to ethical advisory boards.
(Sec. 131) Requires inclusion of women and minorities as subjects in each clinical research project under such title IV.
(Sec. 141) Establishes:
(1) the Office of Research on Women's Health; (2) the Coordinating Committee on Research on Women's Health; and (3) the Advisory Committee on Research on Women's Health.
Mandates: (1) study of the representation of women among senior physicians and scientists of the national research institutes (NRIs) and among those conducting supported research; and (2) activities to increase that representation.
Establishes a data system containing information on research on women's health.
(Sec. 151) Establishes the Office of Scientific Integrity. Requires grant, contract, or cooperative agreement applicants to have a scientific misconduct report review process. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures against financial conflicts of interest.
Title II: National Institutes of Health in General - (Sec. 201) Modifies the duties of the National Institute of Health's (NIH's) Associate Director for Prevention.
(Sec. 202) Establishes a program to enhance competitiveness in States receiving little funding from the NRIs.
(Sec. 203) Mandates activities, consistent with the global Children's Vaccine Initiative, to develop vaccines. Authorizes appropriations.
(Sec. 204) Requires a plan regarding the use of animals in research. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions.
(Sec. 205) Authorizes activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research.
(Sec. 206) Regulates surveys of human sexual behavior conducted or supported through NIH.
(Sec. 207) Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations.
(Sec. 208) Modifies NRI advisory council terms of office.
Requires that at least half of NIH health education materials not exceed functional literacy.
Authorizes a day care service for NIH employees.
Title III: General Provisions Respecting National Research Institutes - (Sec. 301) Requires that the Secretary of Health and Human Services receive directly all funds appropriated for the Institute. Removes provisions authorizing the National Cancer Institute to directly receive such funds.
Modifies requirements regarding the establishment of technical and scientific peer review groups.
(Sec. 302) Requires expansion of research on osteoporosis, Paget's disease, and related bone disorders. Establishes a clearinghouse. Authorizes appropriations.
(Sec. 303) Establishes a program of trauma research and the Trauma Research Interagency Coordinating Committee.
Title IV: National Cancer Institute - (Sec. 401) Requires expanding National Cancer Institute (NCI) activities on breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Authorizes appropriations. Removes authorizations of appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI).
Title V: National Heart, Lung, and Blood Institute - (Sec. 501) Requires NHLBI to conduct intramural training and education. Authorizes centers on cardiovascular diseases in children. Establishes the National Center on Sleep Disorders. Authorizes appropriations for NHLBI.
Title VI: National Institute on Diabetes and Digestive and Kidney Diseases - (Sec. 601) Establishes a program on nutritional disorders. Provides for research and training centers.
Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - (Sec. 701) Establishes a children's arthritis and musculoskeletal disease center.
Renames the National Arthritis Advisory Board as the National Arthritis and Musculoskeletal and Skin Diseases Advisory Board and modifies its composition.
Title VIII: National Institute on Aging - (Sec. 802) Mandates research into the aging processes of women. Authorizes appropriations for the National Institute on Aging.
Title IX: National Institute of Allergy and Infectious Diseases - (Sec. 901) Includes tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers for research on chronic fatigue syndrome. Establishes an extramural study section.
Title X: National Institute of Child Health and Human Development - (Sec. 1001) Mandates grants or contracts for centers on contraception and infertility. Authorizes appropriations.
(Sec. 1002) Establishes programs of: (1) agreements with health professionals to conduct research on contraception or infertility in return for educational loan repayment; and (2) obstetrics and gynecology intramural laboratory and clinical research.
(Sec. 1021) Mandates child health research center support.
(Sec. 1031) Mandates a longitudinal, large-scale study on the well-being of U.S. adolescents. Allocates funding.
Title XI: National Eye Institute - (Sec. 1101) Authorizes grants for diabetic eye care clinical research centers.
Title XII: National Institute of Neurological Disorders and Stroke - (Sec. 1201) Mandates research on multiple sclerosis.
Title XIII: National Institute of Environmental Health Sciences - (Sec. 1301) Establishes the Applied Toxicological Research and Testing Program.
Title XIV: National Library of Medicine - (Sec. 1401) Increases the limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine. Mandates grants for new educational technologies research. Establishes the National Information Center on Health Services Research and Health Care Technology.
Title XV: Other Agencies of National Institutes of Health - (Sec. 1502) Authorizes grants to alter or construct research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities. Authorizes appropriations. Reserves funds to construct or improve regional primate research centers.
(Sec.1511) Redesignates the National Center for Nursing Research as the National Institute for Nursing Research.
(Sec. 1521) Makes the National Center for Human Genome Research an NIH agency. Includes in Center purposes the mapping and sequencing of individual genes.
Title XVI: Awards and Training - (Sec.1601) Provides for research recruitment and training for women and individuals from disadvantaged backgrounds.
(Sec. 1611) Modifies existing and authorizes or mandates various new programs of scholarships and loan repayments for health professionals' education in exchange for specified service.
(Sec. 1641) Authorizes appropriations related to National Research Service Awards. Requires a set-aside for provisions relating to residency programs in general dentistry.
Title XVII: National Foundation for Biomedical Research - (Sec. 1701) Mandates the convening, by a specified date, of a meeting to appoint the Board of the National Foundation for Biomedical Research. Adds references to the Stevenson-Wydler Technology Innovation Act of 1980. Authorizes appropriations.
Title XVIII: Research with Respect to Acquired Immune Deficiency Syndrome - (Sec. 1801) Modifies the duties of: (1) the AIDS Clinical Research Review Committee; and (2) the acquired immune deficiency syndrome (AIDS) clinical evaluation units at the National Cancer Institute and National Institute of Allergy and Infectious Diseases.
Modifies international AIDS efforts support requirements. Authorizes appropriations.
Requires that model protocols for clinical AIDS care include treatment and prevention for women. Authorizes appropriations.
Requires the AIDS epidemiological data base to include information on the natural history of AIDS infection. Authorizes appropriations.
Mandates a comprehensive plan for NIH AIDS research.
Authorizes appropriations for fellowship and training programs relating to AIDS.
Title XIX: Studies - (Sec. 1901) Mandates studies regarding AIDS on: (1) parallel-track drug-release mechanisms; (2) third-party payment incident to participation as subjects in clinical trials; and (3) coordination of AIDS advisory committees.
Requires a plan for the inclusion in NIH human immunodeficiency virus (HIV) vaccine studies of women, infants, and children infected with HIV. Authorizes appropriations.
(Sec. 1902) Requires studies on malnutrition and the elderly. Establishes an advisory panel.
(Sec. 1903) Mandates reports or studies on NIH: (1) research on chronic fatigue syndrome; (2) assuming responsibility for all Federal research relating to medical countermeasures against biowarfare; (3) support staff retention, recruitment, vacancy, and turnover rates; and (4) procurement.
Title XX: Miscellaneous Provisions - (Sec. 2001) Redesignates the Senior Biomedical Research Service as the Silvio O. Conte Senior Biomedical Research Service and increases the limit on the number of its members.
(Sec. 2004) Mandates a master plan to replace or refurbish NIH infrastructure.
(Sec. 2006) Authorizes appropriations (currently, authorizes the use of funds) to carry out cancer registries provisions.
Title XXI: Effective Date - (Sec. 2101) Sets forth the effective date of this Act and its amendments.
Became Public Law No: 103-43.
Motion to reconsider laid on the table Agreed to without objection.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 103-28.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 103-28.
Placed on the Union Calendar, Calendar No. 12.
Rule H. Res. 119 passed House.
Considered under the provisions of rule H. Res. 119. (consideration: CR H1099-1143)
Rule provides for consideration of H.R. 4 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Points of order against consideration of the bill for failure to comply with clause 2(l)(6) of rule XI are waived. It shall be in order to consider as an original bill for the purpose of amendent under the five-minute rule the amendment in the nature of a substitute recommended by the Committee on Energy and Commerce now printed in the bill. Measure will be considered read. Specified amendments are in order.
House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 119 and Rule XXIII.
The Speaker designated the Honorable Kweisi Mfume to act as Chairman of the Committee.
GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate.
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DEBATE - Pursuant to the provisions of H. Res. 119, the Committee of the Whole proceeded with One hour and 20 minutes of debate on the Bliley amendment and the Waxman substitute.
Committee of the Whole House on the state of the Union rises leaving H.R. 4 as unfinished business.
Considered as unfinished business. (consideration: CR H1178-1184)
The House resolved into Committee of the Whole House on the state of the Union for further consideration.
The House rose from the Committee of the Whole House on the state of the Union to report H.R. 4.
The previous question was ordered pursuant to the rule.
The House adopted the amendment in the nature of a substitute as agreed to by the Committee of the Whole House on the state of the Union.
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 283 - 131 (Roll no. 69).
Roll Call #69 (House)On passage Passed by the Yeas and Nays: 283 - 131 (Roll no. 69).
Roll Call #69 (House)Motion to reconsider laid on the table Agreed to without objection.
Laid on the table. See S. 1 for further action.