89ru CONGRESS
ist Szssion H R 3 1 40
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IN THE HOUSE OF REPRESENTATIVES

JANUARY 19, 1965

Mr. Harris introduced the following bill; which was referred to the Com-
mittee on Interstate and Foreign Commerce

 

A BILL

To amend the Public Health Service Act to assist in combating

heart disease, cancer, stroke, and other major diseases.

Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
That this Act may be cited as the “Heart Disease, Cancer,

and Stroke Amendments of 1965’.

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Sec. 2. The Public Health Service Act (42 U.S.C., ch.
6 6A) is amended by adding at the end thereof the following

7 new title:

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“TITLE iX—REGIONAL MEDICAL COMPLEXES

FOR RESEARCH AND TREATMENT IN HEART

DISEASE, CANCER, STROKE, AND OTILER

MAJOR DISEASES

“PURPOSES

“Sec, 900. The purposes of this tithe are—

“(a) Through grants, to encourage and assist in the
establishment of regionally coordinated arrangements among
medical schools, research institutions, and hospitals for re-
search and training and for demonstrations of patient care
in the fields of heart disease, cancer, stroke, and other major
(liseases ;

“(b) To afford to the medical profession and the medi-
cal justitations of the Nation, through such coordimated
arrangements, the opportunity of making available to their
patients the latest advances in the diagnosis and treatment
of these diseases; and

“(¢) To accomplish these ends without interfering with
the patterns, or the methods of financing, of patient care or
professional practice, or with the administration of hospitals.

“AUTHORIZATION OF APPROPRIATIONS

“Sec. 901. (a) There are authorized to be appropriated
$50,000,000 for the fiscal vear ending June 50, 1966, and
such sums as may be necessary for each of the next four

fiscal years, for grants to assist public or nonprofit private
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Wuiversities, medical schools, research institutions, and ether
public or nonprofit private institations and agencies in
planning, establishing, and operating regional medical com-
plexes for research, training, and demonstration activities
for carrving out the purposes of this title. Sums appro-
priated under this section for any fiscal year shall remain
available for making such grauts until the end of the fiscal
year following the fiscal vear for which the appropriation
is made.

“()) A grant under this title shall be for part or all
of the cost of the planning or other activities with respect
to which the application ix made, except that any such
grant with respect to construction of, or provision of }uilt-m
(ax determined in accordance with regulations) equipment
for, any facility may not exceed 90 per centum of the cost
of such construction or equipment.

“(¢) Funds appropriated purstant to this title shall
not be available to pay the cost of hospital, medical, or
other care of patients except to the extent it ix, as determined
in accordance with regulations, incident to research, traim-
ing. or demonstration activities.

“DEFINITIONS
‘Suc, 902. For the parposes of this title—
“(a) The term ‘regional medical complex’ means a

group of public or nonprofit private institutions or agencies
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each of which is engaged in research, training, diagnosis,
and treatment relating to heart disease, cancer, or stroke and,
at the option of the applicant, any other disease found by
the Surgeon General to be of major significance to the health
of the Nation; but only if such group—

“(1) is situated within a geographic area, Comi-
posed of any part or parts of any one or more States,
which the Surgeon General determines, in accordance
with regulations, to be appropriate for carrying out the
purposes of this title;

“(2) consists of one or more medical centers, one
or more categorical research centers, and one or more
diagnostic and treatment stations; and

(3) has in effect arrangements for the coordination
of the activities of its component units which the Sur-
geon General finds will be adequate for effectively carry-
ing out the purposes of this title.

“ (bh) The term ‘medical center’ means a medical school
and one or more hospitals affiliated therewith for teaching,
research, and demonstration purposes.

“(c) The term ‘categorical research center’ means an
institution (or part of an institution) the primary function
of which is research (including clinical research) , training

of specialists, and demonstrations and which, in connection

 
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therewith, provides specialized, high-quality diagnostic and
treatment services for inpatients and outpatients.

“(d) The term ‘diagnostic and treatment station’ means
a unit of a hospital or other health facility, the primary
function of which is to support and augment local capability
for diagnosis and treatment by providing specialized, high-
quality diagnostic and treatment services to outpatients and
inpatients.

“(e) The term ‘nonprofit’ as applied to any institution
or agency means an institution or agency which is owned
and operated by one or more nonprofit corporations or asso-
ciations no part of the net earnings of which mures, or may
lawfully inure, to the benefit of any private shareholder or
individual.

“(f) The term ‘construction’ includes construction and
initial equipment of new buildings, expansion, remodeling,
and alteration of existing buildings; including architects’
services, but excluding off-site improvements and the acqui-
sition of land.

“GRANTS FOR PLANNING AND DEVELOPMENT

“Src. 903. (a) The Surgeon General, after consulta-
tion with the National Advisory Council on Medical Com-
plexes established by section 905 (hereinafter in this title

H.R. 3140-2
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referred to as the ‘Council’), is authorized to make grants
to public or nonprofit private universities, medical schools,
research institutions, and other public or nonprofit private
agencies and institutions to assist them in planning the devel-
opment of regional medical complexes.

“(b) Grants under this section may be made only upon
application therefor approved by the Surgeon General. Any
such application may be approved only if it contains or Is
supported by reasonable assurances that—

“(1) Federal funds paid pursuant to any stich
grant will be used only for the purposes for which paid
and in accordance with the applicable provisions of this
title and the regulations thereunder;

“(2) the applicant will provide for such fiscal con-
trol and fund accounting procedures as are required by
the Surgeon General to assure proper disbursement of
and accounting for such Federal funds;

(3) the applicant will make such reports, in such
form and containing such information as the Surgeon
General may from time to time reasonably require, and
will keep such records and afford such access thereto
as the Surgeon General may find necessary to assure the
correctness and verification of such reports; and

“(4) the applicant will provide for the designation

of an advisory group, to advise the applicant (and the
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resulting regional medical complex and its component

units) in formulating and carrying out the plan for the

establishment and operation of such regional medical
complex, which includes representatives of organizations,
institutions, and agencies concerned with activities of
the kind to be carried on by the complex and members
of the public familiar with the need for the services
provided by the complex.

“GRANTS FOR ESTABLISHMENT AND OPERATION OF

REGIONAL MEDICAL COMPLEXES

“Src. 904. (a) The Surgeon General, after consultation
with the Council, is authorized to make grants to public or
nonprofit private universities, medical schools, research in-
stitutions, and other public or nonprofit private agencies and
institutions to assist in establishment and operation of
regional medical complexes, including construction and
equipment of facilities in connection therewith.

“(b) Grants under this section may be made only upon
application therefor approved by the Surgeon General. Any
such application may be approved only if it contains or is
supported by reasonable assurances that—

“(1) Federal funds paid pursuant to any such grant

(A) will be used only for the purposes for which paid

and in accordance with the applicable provisions of this

title and the regulations thereunder, and (B) will not
 

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* gupplant funds that are otherwise available for establish-

ment or operation of the regional medical complex with
respect to which the grant is made;

- (2) the applicant will provide for such fiscal con-
trol and fund accounting procedures as are required by
the Surgeon General to assure proper disbursement of
and accounting for such Federal funds;

“(3) the applicant will make such reports, in such

form and containing such iformation as the Surgeon.

General may from time to time reasonably require, and

will keep such records and afford such access thereto as

‘the Surgeon General may find necessary to assure the

correctness and verification of such reports ;

“(4) the applicant has designated or will desig-
nate an advisory group, described in paragraph (4) of
section 903 (b), to advise in carrying out the plan for
the regional medical complex; and

“(5) any laborer or mechanic employed by any
contractor or subcontractor in the performance of work
on any construction aided by payments pursuant to any

grant under this section will be paid wages at rates not

Jess than those prevailing on similar construction in the

~~ locality as determined by the Secretary of Labor in ac-

cordance with the Davis-Bacon Act, as amended (40
U.8.C. 276a—276a-5) ; and the Secretary of Labor shall
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have, with respect to the labor standards specified in this

paragraph, the authority and functions set forth in Re-

organization Plan Numbered 14 of 1950 (15 F.R.

3176; 5 U.S.C. 1332-15) and section 2 of the Act of

June 13, 1934, as amended (40 U.S.C. 276c).
“NATIONAL ADVISORY COUNCIL ON MEDICAL COMPLEXES

“Src. 905. (a) The Surgeon General, with the ap-
proval of the Secretary, may appoint, without regard to the
civil service laws, a National Advisory Council on Medical
Complexes. The Council shall consist of the Surgeon Gen-
eral, who shall be the chairman, and twelve members, not
otherwise in the employ of the United States, who are lead-
ers in the fields of the fundamental sciences, the medical sci-
ences, or public affairs. At least one of the appointed mem-

bers. shall be outstanding in the study, diagnosis, or

treatment of heart disease, one shall be outstanding in the

study, diagnosis, or treatment of cancer, and one shall be
outstanding in the study, diagnosis, or treatment of stroke.

““(b) Each appointed member of the Council shall hold
office for a term of four years, except that any member ap-
pointed to fill.a vacancy prior to the expiration of the term
for which his predecessor was appointed shall be appointed

for the remainder of such term, and except that the terms of

office of the members first taking office shall expire, as desig-
 

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nated by the Surgeon General at the time of appointment,
four'at the end of the first year, four at the end of the second
year, and four at the end of the third year after the date of
appointment. An appointed member shall not be eligible
to serve continuously for more than two terms.
“(c) Appointed members of the Council, while attend-

ing meetings or conferences thereof or otherwise serving on

business of the Council, shall be entitled to receive compen-

sation at rates fixed by the Secretary, but not exceeding $100
per day, including travel time, and while so serving away
from their homes or regular places of business they may be
allowed travel expenses, including per diem in lieu of sub-
sistence, as authorized by section 5 of the Administrative
Expenses Act of 1946 (5 U.S.C. 783b-2) for persons in
the Government service employed intermittently.

“(d) The Council shall advise and assist the Surgeon
General in the preparation of regulations for, and as to policy
matters arising with respect to, the administration of this
title. The Council shall consider all applications for grants
under this title and shall make recommendations to the

Surgeon General with respect to approval of applications

-for-and the amounts of grants under this title.

“REGULATIONS
“SE, 906. The Surgeon General, after consultation with

the Council, shall prescribe general regulations covering the

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terms and conditions for approving applications for grants
under this title and the coordination of programs assisted
under this title with programs for training, research, and
demonstrations relating to the same diseases assisted or au-
thorized under other titles of this Act or other Acts ot
Congress.

“REPORT

“Sec. 907. On or before June 30, 1969, the Surgeon

General, after consultation with the Council, shall submit
to the Secretary for transmission to the President and then
to the Congress, a report of the activities under this title

together with (1) a statement of the relationship between

Federal financing and financing from other sources of the

activities undertaken pursuant to this title, (2) an appraisal
of the activities assisted under this title in the light of their
effectiveness in carrying out the purposes of this title, and
(3) recommendations with respect to extension or modifi-
cation of this title in the light thereof.”

Sec. 3. (a) Section 1 of the Public Health Service Act
is amended to read as follows:

“Suction 1. Titles I to LX, inclusive, of this Act may
be cited as the ‘Public Health Service Act’.”

(b) The Act of July 1, 1944 (58 Stat. 682), as
amended, is further amended by renumbering title IX (as

in effect prior to the enactment of this Act) as title X, and
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1 by renumbering sections 901 through 914 (as in effect prior

2 to the enactment of this Act), and references thereto, as

3 sections 1001 through 1014, respectively.

@
“traener HR, 3140
A BILL

To amend the Public Health Service Act to
assist in combating heart disease, cancer,
stroke, and other major diseases.

 

 

By Mr. Harris

 

JANUARY 19, 1965

Referred to the Committee on Interstate and Foreign
Commerce