Authorizing Legislation

Attachment 1 - Authorizing Legislation- PHSA

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Sec. 316

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ing health care facilities in its area to develop a program for capital
expenditures for replacement, modernization, and expansion, which
is consistent with an overall State plan which will meet the needs
of the State and the area for health care facilities, equipment, and
services without duplication and otherwise in the most efficient
and economical manner.
Project Grants for Training, Studies, and Demonstrations
(c) The Secretary is also authorized, during the period beginning July 1, 1966, and ending June 30, 1974, to make grants to any
public or nonprofit private agency, institution, or other organization to cover all or any part of the cost of projects for training,
studies, or demonstrations looking toward the development of improved or more effective comprehensive health planning throughout
the Nation. For the purposes of carrying out this subsection, there
are hereby authorized to be appropriated $1,500,000 for the fiscal
year ending June 30, 1967, $2,500,000 for the fiscal year ending
June 30, 1968, $5,000,000 for the fiscal year ending June 30, 1969,
$7,500,000 for the fiscal year ending June 30, 1970, $8,000,000 for
the fiscal year ending June 30, 1971, $10,000,000 for the fiscal year
ending June 30, 1972, $12,000,000 for the fiscal year ending June
30, 1973, and $4,700,000 for the fiscal year ending June 30, 1974.
FAMILY SUPPORT GROUPS FOR ALZHEIMER’S DISEASE PATIENTS

SEC. 316. 1 ø247a¿ (a) Subject to available appropriations, the
Secretary, acting through the National Institute of Mental Health,
the National Institutes of Health, and the Administration on
Aging, shall promote the establishment of family support groups to
provide, without charge, educational, emotional, and practical support to assist individuals with Alzheimer’s disease or a related
memory disorder and members of the families of such individuals.
In promoting the establishment of such groups, the Secretary shall
give priority to—
(1) university medical centers and other appropriate health
care facilities which receive Federal funds from the Secretary
and which conduct research on Alzheimer’s disease or provide
services to individuals with such disease; and
(2) community-based programs which receive funds from
the Secretary, acting through the Administration on Aging.
(b) The Secretary shall promote the establishment of a national
network to coordinate the family support groups described in subsection (a).
PROJECT GRANTS FOR PREVENTIVE HEALTH SERVICES

SEC. 317. ø247b¿ (a) The Secretary may make grants to States,
and in consultation with State health authorities, to political subdivisions of States and to other public entities to assist them in
meeting the costs of establishing and maintaining preventive
health service programs.
1 With respect to section 315, subsection (d) of such section provided as follows: ‘‘This section
shall cease to exist on March 31, 1989.’’. See section 1 of Public Law 100–471 (102 Stat. 2284).

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(b) No grant may be made under subsection (a) unless an application therefor has been submitted to, and approved by, the Secretary. Such an application shall be in such form and be submitted
in such manner as the Secretary shall by regulation prescribe and
shall provide—
(1) a complete description of the type and extent of the
program for which the applicant is seeking a grant under subsection (a);
(2) with respect to each such program (A) the amount of
Federal, State, and other funds obligated by the applicant in
its latest annual accounting period for the provision of such
program, (B) a description of the services provided by the applicant in such program in such period, (C) the amount of Federal funds needed by the applicant to continue providing such
services in such program, and (D) if the applicant proposes
changes in the provision of the services in such program, the
priorities of such proposed changes, reasons for such changes,
and the amount of Federal funds needed by the applicant to
make such changes;
(3) assurances satisfactory to the Secretary that the program which will be provided with funds under a grant under
subsection (a) will be provided in a manner consistent with the
State health plan in effect under section 1524(c) and in those
cases where the applicant is a State, that such program will
be provided, where appropriate, in a manner consistent with
any plans in effect under an application approved under section 315;
(4) assurances satisfactory to the Secretary that the applicant will provide for such fiscal control and fund accounting
procedures as the Secretary by regulation prescribes to assure
the proper disbursement of and accounting for funds received
under grants under subsection (a);
(5) assurances satisfactory to the Secretary that the applicant will provide for periodic evaluation of its program or programs;
(6) assurances satisfactory to the Secretary that the applicant will make such reports (in such form and containing such
information as the Secretary may by regulation prescribe) as
the Secretary may reasonably require and keep such records
and afford such access thereto as the Secretary may find necessary to assure the correctness of, and to verify, such reports;
(7) assurances satisfactory to the Secretary that the applicant will comply with any other conditions imposed by this section with respect to grants; and
(8) such other information as the Secretary may by regulation prescribe.
(c)(1) The Secretary shall not approve an application submitted
under subsection (b) for a grant for a program for which a grant
was previously made under subsection (a) unless the Secretary determines—
(A) the program for which the application was submitted
is operating effectively to achieve its stated purpose,
(B) the applicant complied with the assurances provided
the Secretary when applying for such previous grant, and
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(C) the applicant will comply with the assurances provided
with the application.
(2) The Secretary shall review annually the activities undertaken by each recipient of a grant under subsection (a) to determine if the program assisted by such grant is operating effectively
to achieve its stated purposes and if the recipient is in compliance
with the assurances provided the Secretary when applying for such
grant.
(d) The amount of a grant under subsection (a) shall be determined by the Secretary. Payments under such grants may be made
in advance on the basis of estimates or by the way of reimbursement, with necessary adjustments on account of underpayments or
overpayments, and in such installments and on such terms and
conditions as the Secretary finds necessary to carry out the purposes of such grants.
(e) The Secretary, at the request of a recipient of a grant under
subsection (a), may reduce the amount of such grant by—
(1) the fair market value of any supplies (including vaccines and other preventive agents) or equipment furnished the
grant recipient, and
(2) the amount of the pay, allowances, and travel expenses
of any officer or employee of the Government when detailed to
the grant recipient and the amount of any other costs incurred
in connection with the detail of such officer or employee.
When the furnishing of such supplies or equipment or the detail of
such an officer or employee is for the convenience of and at the request of such grant recipient and for the purpose of carrying out
a program with respect to which the grant under subsection (a) is
made. The amount by which any such grant is so reduced shall be
available for payment by the Secretary of the costs incurred in furnishing the supplies or equipment, or in detailing the personnel, on
which the reduction of such grant is based, and such amount shall
be deemed as part of the grant and shall be deemed to have been
paid to the grant recipient.
(f)(1) Each recipient of a grant under subsection (a) shall keep
such records as the Secretary shall by regulation prescribe, including records which fully disclose the amount and disposition by such
recipient of the proceeds of such grant, the total cost of the undertaking in connection with which such grant was made, and the
amount of that portion of the cost of the undertaking supplied by
other sources, and such other records as will facilitate an effective
audit.
(2) The Secretary and the Comptroller General of the United
States, or any of their duly authorized representatives, shall have
access for the purpose of audit and examination to any books, documents, papers, and records of the recipient of grants under subsection (a) that are pertinent to such grants.
(g)(1) Nothing in this section shall limit or otherwise restrict
the use of funds which are granted to a State or to an agency or
a political subdivision of a State under provisions of Federal law
(other than this section) and which are available for the conduct of
preventive health service programs from being used on connection
with programs assisted through grants under subsection (a).
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(2) Nothing in this section shall be construed to require any
State or any agency or political subdivision of a State to have a
preventive health service program which would require any person,
who objects to any treatment provided under such a program, to be
treated or to have any child or ward treated under such program.
(h) The Secretary shall include, as part of the report required
by section 1705, a report on the extent of the problems presented
by the diseases and conditions referred to in subsection (j) on the
amount of funds obligated under grants under subsection (a) in the
preceding fiscal year for each of the programs listed in subsection
(j); and on the effectiveness of the activities assisted under grants
under subsection (a) in controlling such diseases and conditions.
(i) The Secretary may provide technical assistance to States,
State health authorities, and other public entities in connection
with the operation of their preventive health service programs.
(j)(1) Except for grants for immunization programs the authorization of appropriations for which are established in paragraph
(2), for grants under subsections (a) and (k)(1) for preventive health
service programs to immunize without charge children, adolescents,
and adults against vaccine-preventable diseases, there are authorized to be appropriated such sums as may be necessary. Not more
than 10 percent ot the total amount appropriated under the preceding sentence for any fiscal year shall be available for grants
under subsection (k)(1) for such fiscal year.
(2) For grants under subsection (a) for preventive health service programs for the provision without charge of immunizations
with vaccines approved for use, and recommended for routine use,
there are authorized to be appropriated such sums as may be necessary.
(k)(1) The Secretary may make grants to States, political subdivisions of States, and other public and nonprofit private entities
for—
(A) research into the prevention and control of diseases
that may be prevented through vaccination;
(B) demonstration projects for the prevention and control
of such diseases;
(C) public information and education programs for the prevention and control of such diseases; and
(D) education, training, and clinical skills improvement activities in the prevention and control of such diseases for
health professionals (including allied health personnel).
(2) The Secretary may make grants to States, political subdivisions of States, and other public and nonprofit private entities for—
(A) research into the prevention and control of diseases
and conditions;
(B) demonstration projects for the prevention and control
of such diseases and conditions;
(C) public information and education programs for the prevention and control of such diseases and conditions; and
(D) education, training, and clinical skills improvement activities in the prevention and control of such diseases and conditions for health professionals (including allied health personnel).
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(3) No grant may be made under this subsection unless an application therefor is submitted to the Secretary in such form, at
such time, and containing such information as the Secretary may
by regulation prescribe.
(4) Subsections (d), (e), and (f) shall apply to grants under this
subsection in the same manner as such subsections apply to grants
under subsection (a).
(l) AUTHORITY TO PURCHASE RECOMMENDED VACCINES FOR
ADULTS.—
(1) IN GENERAL.—The Secretary may negotiate and enter
into contracts with manufacturers of vaccines for the purchase
and delivery of vaccines for adults as provided for under subsection (e).
(2) STATE PURCHASE.—A State may obtain additional quantities of such adult vaccines (subject to amounts specified to
the Secretary by the State in advance of negotiations) through
the purchase of vaccines from manufacturers at the applicable
price negotiated by the Secretary under this subsection.
(m) DEMONSTRATION PROGRAM TO IMPROVE IMMUNIZATION
COVERAGE.—
(1) IN GENERAL.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish a demonstration program to award grants to States to
improve the provision of recommended immunizations for children, adolescents, and adults through the use of evidencebased, population-based interventions for high-risk populations.
(2) STATE PLAN.—To be eligible for a grant under paragraph (1), a State shall submit to the Secretary an application
at such time, in such manner, and containing such information
as the Secretary may require, including a State plan that describes the interventions to be implemented under the grant
and how such interventions match with local needs and capabilities, as determined through consultation with local authorities.
(3) USE OF FUNDS.—Funds received under a grant under
this subsection shall be used to implement interventions that
are recommended by the Task Force on Community Preventive
Services (as established by the Secretary, acting through the
Director of the Centers for Disease Control and Prevention) or
other evidence-based interventions, including—
(A) providing immunization reminders or recalls for
target populations of clients, patients, and consumers;
(B) educating targeted populations and health care
providers concerning immunizations in combination with
one or more other interventions;
(C) reducing out-of-pocket costs for families for vaccines and their administration;
(D) carrying out immunization-promoting strategies
for participants or clients of public programs, including assessments of immunization status, referrals to health care
providers, education, provision of on-site immunizations, or
incentives for immunization;
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