(Sec. 3) Amends the Public Health Service Act to revise and extend programs relating to organ procurement and transplantation, among other changes requiring the Organ Procurement and Transportation Network to: (1) carry out studies and demonstration projects to improve procedures for organ procurement and allocation; and (2) develop a peer review system to assure that members of the Network comply with appropriate medical and other specified criteria.
Mandates that the Secretary of Health and Human Services establish additional procedures for providing oversight of, and public accountability for, operation of the Network.
Repeals the mandate for a scientific registry of organ recipients. Provides for planning grants to organizations other than qualified organ procurement organizations for the purpose of increasing the supply of transplantable organs. Reassigns from the Secretary to the Network the responsibility for an annual report to specified congressional committees on the scientific and clinical status of organ transplantation.
(Sec. 4) Requires a qualified organ procurement organization to be certified or recertified by the Secretary as meeting the performance standards to be such an organization through a process which: (1) granted certification or recertification within the previous four years with such certification in effect as of October 1, 1999, and remaining in effect through the earlier of January 1, 2002, or the date that recertification is completed; or (2) is defined through regulations promulgated by the Secretary by January 1, 2002. Requires such regulations to: (1) require recertifications of qualified organ procurement organizations at most once every four years; (2) rely on performance measures based on empirical evidence of organ donor potential and other related factors in each organization service area; (3) provide for the filing and approval of a corrective action plan by an organization that fails to meet the performance standards, and a grace period of at least three years during which such organization can implement the corrective action plan without risk of decertification; and (4) provide for an organization to appeal a decertification to the Secretary on substantive and procedural grounds.
(Sec. 5) Authorizes the Secretary to award grants or contracts for: (1) payment of travel and subsistence expenses incurred toward living organ donation; (2) organ donation studies and demonstration projects; and (3) State outreach activities and programs designed to increase the number of organ donors within the State. Authorizes appropriations.
(Sec. 6) Directs the Secretary to carry out a program to educate the public about organ donation. Authorizes appropriations.
(Sec. 7) Authorizes appropriations for FY 2000 through 2005 for both the Network itself and for the purpose of increasing organ donation and procurement via the Network.
(Sec. 8) Directs the Secretary to study and report to Congress on: (1) the costs of immunosuppressive drugs provided to children pursuant to organ transplants; and (2) the extent to which health plans and insurance cover such costs.
(Sec. 9) Deems to have no force or legal effect the final rule relating to Organ Procurement and Transportation that was promulgated by the Secretary and published in the Federal Register on April 2, 1998, and amended on October 20, 1999.
Rule provides for consideration of H.R. 2418 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. It shall be in order to consider as an original bill for the purpose of amendment under the five-minute rule the amendment in the nature of a substitute recommended by the Committee on 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. 454 and Rule XXIII.
The Speaker designated the Honorable Steven C. LaTourette to act as Chairman of the Committee.
GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 2418.
DEBATE - Pursuant to the provisions of H. Res. 454, the Committee of the Whole proceeded with 10 minutes of debate on the DeGette amendment.
POSTPONED VOTE - At the conclusion of debate on the DeGette amendment, the Chair put the question on adoption of the amendment and announced that by voice vote, the ayes had prevailed. A recorded vote was demanded and pursuant to H. Res. 454, further proceedings on the amendment were postponed until later in the legislative day.
DEBATE - Pursuant to the provisions of H. Res. 454, the Committee of the Whole proceeded with 10 minutes of debate on the Luther amendment.
POSTPONED VOTE - At the conclusion of debate on the Luther amendment, the Chair put the question on adoption of the amendment and announced that by voice vote, the ayes had prevailed. A recorded vote was demanded and pursuant to H. Res. 454, further proceedings on the amendment were postponed until later in the legislative day.
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DEBATE - Pursuant to the provisions of H. Res. 454, the Committee of the Whole proceeded with one hour of debate on the LaHood amendment.
UNFINISHED BUSINESS - The Committee of the Whole proceeded with the votes on amendments debated earlier.
DEBATE - Pursuant to the provisions of H. Res. 454, the Committee of the Whole proceeded with 20 minutes of debate on the Barrett (WI) amendment.
DEBATE - Pursuant to the provisions of H. Res. 454, the Committee of the Whole proceeded with 30 minutes of debate on the Scarborough amendment.
The House rose from the Committee of the Whole House on the state of the Union to report H.R. 2418.
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. (text: CR H1697)
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 275 - 147 (Roll no. 101).
Roll Call #101 (House)On passage Passed by the Yeas and Nays: 275 - 147 (Roll no. 101).
Roll Call #101 (House)Motion to reconsider laid on the table Agreed to without objection.
The Clerk was authorized to correct section numbers, punctuation, and cross references, and to make other necessary technical and conforming corrections in the engrossment of H.R. 2418.
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.