A bill to amend the Public Health Service Act with respect to children's health.
(Sec. 104) Authorizes grants for projects (currently, for demonstration projects) to improve access to health and other services regarding traumatic brain injury. Allows required matching funds to be in cash or in kind (currently, in cash). Regulates the use of grant funds. Authorizes appropriations.
Subtitle B: Child Care Safety and Health Grants - Directs the Secretary to make allotments to States to establish programs to improve the health and safety of children receiving child care outside the home. Authorizes appropriations.
Title II: Maternal and Infant Health - Subtitle A: Safe Motherhood and Infant Health Promotion - Pregnant Women and Infants Health Protection Act - Directs the Secretary to carry out programs relating to prenatal and postnatal smoking and alcohol and illegal drug use. Authorizes grants and contracts. Authorizes appropriations.
Authorizes the Secretary to: (1) establish and implement a national surveillance program regarding investigation of deaths and severe complications during pregnancy; (2) expand the Pregnancy Risk Assessment Monitoring System; and (3) expand the Maternal and Child Health Epidemiology Program. Authorizes appropriations.
Subtitle B: Healthy Start Initiative - Healthy Start Initiative Continuation Act - Directs the Secretary to continue the Healthy Start Initiative (to reduce infant mortality and improve perinatal outcomes) and authorizes carrying it out on a national basis. Authorizes, if funding increases, additional grants.
Authorizes the Secretary to make grants to provide other health services (including ultrasound, prenatal care, genetic counseling, and fetal and other surgery) for pregnant women or infants that are medically appropriate to prevent or mitigate congenital defects or other serious obstetric complications. Allows using grant funds for paying transportation and subsistence expenses to assist the woman in obtaining health services from the grantee involved.
Authorizes appropriations.
Subtitle C: National Center for Birth Defects and Developmental Disabilities - Establishes the National Center for Birth Defects and Developmental Disabilities to: (1) collect, analyze, and make available date on birth defects and developmental disabilities; and (2) conduct applied epidemiological research, and provide information and education to the pubic, on prevention of such defects and disabilities. Transfers to such Center all activities, budgets, and personnel of the National Center for Environmental Health that relate to birth defects, folic acid, cerebral palsy, mental retardation, child development, newborn screening, autism, Fragile X syndrome, fetal alcohol syndrome, pediatric genetics, disability prevention, and other activities. Authorizes appropriations.
Subtitle D: Folic Acid Education Program - Directs the Secretary to carry out a program of professional and public education and training, research, and epidemiological activities regarding folic acid and birth defects. Authorizes appropriations.
Title III: Pediatric Public Health Promotion - Subtitle A: Asthma - Directs the Secretary to make grants to provide comprehensive asthma-related services for children and other individuals. Authorizes appropriations.
Allows preventive health and health services block grant funds to be used for projects to reduce the prevalence of asthma and asthma-related illnesses among urban populations, especially children, by reducing exposure to cockroach allergen or other known asthma triggers through pest management that minimizes or avoids pesticide chemicals through a combination of site maintenance, cleaning, and monitoring.
Directs the Secretary to: (1) identify all Federal programs carrying out asthma-related activities; (2) develop a Federal plan for responding to asthma; and (3) submit recommendations to Congress on ways to strengthen and improve Federal coordination of such activities. Authorizes appropriations.
Requires the Director of the Centers for Disease Control and Prevention (CDCP) to: (1) conduct local asthma surveillance activities to collect data on the prevalence and severity of asthma and the quality of asthma management; and (2) compile and annually publish data on the prevalence of children suffering from asthma in each State and the childhood mortality rate associated with asthma nationally and in each State. Authorizes appropriations.
Subtitle B: Childhood Obesity Prevention - Directs the Secretary to award grants for the development and implementation of State and community-based intervention programs promoting good nutrition and physical activity in children and adolescents. Authorizes appropriations.
Directs the Secretary to: (1) conduct research on physical activity, diet, health, health-related behaviors, and childhood obesity and its effects in adulthood; (2) develop and evaluate strategies to prevent and treat obesity and eating disorders; (3) identify obesity behaviors and risk factors; (4) evaluate materials and programs providing nutrition education to parents, teachers, and food service staff of child care and pre-school entities; and (5) evaluate materials and programs designed to educate and encourage physical activity in child care and pre-school facilities.
Directs the Secretary to develop a national public campaign to promote and educate children and parents regarding health risks associated with obesity, inactivity, and poor nutrition, ways to incorporate physical activity into daily living, the benefits of good nutrition, and strategies to improve eating habits.
Directs the Secretary to develop and carry out a program to educate and train health professionals in effective strategies to identify and assess patients with, or at risk for, obesity or an eating disorder, counsel, refer, or treat patients with obesity or an eating disorder, and educate patients and their families about strategies to improve dietary habits and establish appropriate levels of physical activity.
Subtitle C: Early Detection and Treatment Regarding Childhood Lead Poisoning - Modifies application and reporting requirements for existing grants regarding lead poisoning. Directs the Secretary to develop national guidelines for the uniform and complete reporting of all blood lead test results to State and local health departments.
Requires the CDCP Director to assist with the improvement of data links between local and State health departments and the CDCP, help States with the development of data management systems for the surveillance of children with lead poisoning, and take other actions regarding lead poisoning. Authorizes appropriations.
(Sec. 322) Directs the Secretary to: (1) make grants where data suggests that at least five percent of preschool-age children have an elevated blood level; and (2) conduct education and training programs for health care providers regarding childhood lead poisoning. Authorizes appropriations.
Subtitle D: Oral Health - Directs the Secretary to support: (1) community-based research on the etiology, pathogenesis, diagnosis, prevention, and treatment of pediatric oral, dental, craniofacial diseases and conditions and their sequelae in high risk populations; (2) demonstrations of preventive interventions in those populations; and (3) the development of clinical approaches to assess individual patients for the risk of pediatric dental disease. Authorizes appropriations.
(Sec. 332) Directs the Secretary to establish a program of repayment of oral health professionals' educational loans in return for the professionals agreeing to conduct pediatric oral, dental, and craniofacial disease and condition research or training.
(Sec. 333) Authorizes the Secretary to make grants to increase the resources available for community water fluoridation. Authorizes appropriations.
(Sec. 334) Directs the Secretary to establish a demonstration project to assist rural water systems in implementing the CDCP's water fluoridation guidelines. Authorizes appropriations.
(Sec. 335) Authorizes the Secretary to make grants for the development of programs to improve children's school-based access to sealants. Authorizes appropriations.
(Sec. 336) Directs the Secretary to: (1) fund innovative oral health activities that improve the oral health of children under six years who are eligible for services under a Federal health program; and (2) make grants or contracts to increase training of oral health services providers or to increase children's use of dental services. Authorizes appropriations.
Title IV: Pediatric Research - Subtitle A: Pediatric Research Initiative - Mandates the establishment of a Pediatric Research Initiative to conduct and support research and coordination directly related to illnesses and conditions of children. Authorizes appropriations.
(Sec. 402) Directs the Secretary to make available enhanced support for extramural activities relating to the training and career development of pediatric researchers. Authorizes appropriations.
Authorizes the Secretary to repay the educational loans of pediatricians in return for conducting pediatric research. Authorizes appropriations.
Subtitle B: Autism - Requires the NIH Director to expand, intensify, and coordinate NIH activities regarding autism. Requires the Director, among other things, to make grants and contracts for centers of excellence regarding autism research. Authorizes appropriations.
(Sec. 412) Authorizes the Secretary to make grants and cooperative agreements for the collection, analysis, and reporting of data on autism and pervasive developmental disabilities. Directs the Secretary to: (1) establish, through grants or cooperative agreements, at least three regional centers of excellence in autism and pervasive developmental disabilities epidemiology to collect and analyze information on autism and developmental disabilities; (2) establish a clearinghouse for the collection and storage of data generated from the monitoring programs created by this title; (3) coordinate the Federal response to requests for assistance from State health department officials regarding potential or alleged autism or developmental disability clusters. Authorizes appropriations; and (4) establish a program to provide information and education on autism to health professionals and the public. Authorizes appropriations.
(Sec. 414) Directs the Secretary to establish an Autism Coordinating Committee.
Subtitle C: Long-Term Child Development - Requires the Director of the National Institute of Child Health and Human Development to establish a consortium of Federal agency representatives to: (1) plan and implement a prospective cohort study of the effects of chronic and intermittent exposures on human development; and (2) investigate basic mechanisms of developmental disorders and environmental factors that influence growth and developmental processes. Authorizes appropriations.
Subtitle D: Research on Rare Diseases in Children - Requires the NIH Director to report to Congress on NIH activities regarding children's rare diseases.
Subtitle E: GME Programs in Children's Hospitals - Extends the mandate to make annual payments to each children's hospital for the direct and indirect expenses of operating graduate medical residency training programs. Authorizes appropriations.
Became Public Law No: 106-310.
Introduced in Senate
Sponsor introductory remarks on measure. (CR S6682-6685)
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sponsor introductory remarks on measure. (CR S9840-9842)
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