Health Promotion and Disease Prevention Act of 1991

Summary

Health Promotion and Disease Prevention Act of 1991 - Title I: Health Promotion and Disease Prevention Assistance - Health Promotion and Disease Prevention Assistance Act of 1991 - Subtitle A: Preventive Health and Health Services Block Grant - Amends the Public Health Service Act to authorize appropriations for block grants. Modifies requirements regarding: (1) State reports to the Secretary of Health and Human Services; (2) health status indicators and reports; (3) application requirements; and (4) health promotion and disease prevention related to women's health. Amends the Year 2000 Health Objectives Planning Act to authorize appropriations to carry out the Act and to establish and operate State Health Objectives Advisory Committees under specified provisions of the Public Health Service Act. Amends the Public Health Service Act to authorize appropriations for centers for research and demonstration of health promotion and disease prevention. Subtitle B: National Health Objectives Project Grants to States - Requires appropriations exceeding a certain amount under general block grant authorizations to be used to carry out this subtitle. Provides for the amount of the allotment to each State and each Indian tribe or tribal organization. Provides for the uses of the funds, including assessing public health needs and health status and providing other types of assistance. Requires a State to: (1) develop a State health objectives plan containing at least five objectives from the national objectives list described by the Secretary; and (2) establish a State Health Objectives Advisory Committee. Directs the Secretary to establish: (1) the National Health Objectives Advisory Committee; (2) national health priorities, including three core priorities which must be included in each State plan; and (3) an estimate of the personnel and training needed to accomplish the national priorities. Subtitle C: Categorical Programs - Mandates grants for: (1) demonstration projects for preventing conditions or diseases affecting women; (2) demonstration projects for the promotion of women's health; and (3) development and dissemination of information on health promotion and disease prevention related to women's health. Authorizes establishment of a national information clearinghouse to disseminate information concerning prevention of injuries in locations not covered by the Occupational Safety and Health Act of 1970. Authorizes grants and contracts to help public schools implement programs to prevent injuries. Mandates grants for the establishment of ten demonstration projects for the prevention of injuries in locations not covered by the Occupational Safety and Health Act of 1970. Authorizes appropriations to carry out injury research and control provisions. Establishes the Office of Adolescent Health. Sets forth Office activities, including: (1) establishing a national clearinghouse; (2) establishing the National Advisory Committee on Adolescent Health; and (3) developing a national strategic plan to access adolescent health issues. Mandates grants and contracts for multidisciplinary projects to: (1) use innovative methods to train health care practitioners to serve adolescents; and (2) demonstrate and evaluate innovative models to prevent adolescent violence. Authorizes appropriations. Requires grantees under provisions relating to community programs on childhood lead poisoning: (1) to provide screening, referral for both treatment and environmental intervention (currently, for treatment), and education; and (2) with regard to services provided under title XIX (Medicaid) of the Social Security Act, to be or work with a qualified Medicaid provider. Revises other requirements. Authorizes appropriations. Authorizes setting aside a specified percentage of amounts appropriated for related programs in addition to the grants. Establishes: (1) a national program to educate health professionals and paraprofessionals and the general public on lead poisoning; (2) a concerted technology assessment and epidemiology program on lead poisoning; and (3) the Interagency Task Force on the Prevention of Lead Poisoning. Authorizes appropriations to carry out provisions relating to the prevention and control of sexually transmitted diseases. Authorizes grants to determine: (1) the prevalence, mortality rates, and stage at diagnosis of prostate cancer; and (2) current prostate cancer screening and diagnosis practices and their effectiveness. Mandates grants for demonstration projects for the prevention of diseases that disproportionately affect minorities. Authorizes appropriations. Title II: Coordination of Health Promotion and Disease Prevention Activities - Health Promotion and Disease Prevention Coordination Act of 1991 - Modifies the duties of the Office of Disease Prevention and Health Promotion. Authorizes appropriations to carry out specified provisions relating to health information and health promotion. Establishes an interdepartmental group for coordination and cooperation regarding multidimensional school health programs. Removes references to health information from provisions authorizing the Secretary to conduct and to support through grants and contracts research on health information and health promotion, preventive health services, and education in the appropriate use of health care. Mandates an annual report to the President and appropriate congressional committees (currently, the President and the Congress) on the status of the nation's health (currently, on the status of health information and health promotion, preventive health services, and education in the appropriate use of health care). Modifies the report contents. Mandates, with respect to the health concerns of individuals from disadvantaged backgrounds, including racial and ethnic minorities, the development of model curricula and programs for health information and education for use in community and work place settings. Authorizes grants for improving the health status in minority communities through the operation of State offices of minority health established to monitor and facilitate the achievement of the Health Objectives for the Year 2000. Requires certain activities under the grants, including establishment within a State of a clearinghouse for certain information relating to minorities and health care. Authorizes appropriations. Terminates the program after aggregate appropriations reach a specified level. Title III: Centers for Disease Control and Prevention Foundation - Centers for Disease Control and Prevention Foundation Act of 1991 - Establishes the Centers for Disease Control and Prevention Foundation as a nonprofit corporation to support efforts to prevent disease, injury, and disability, and to promote health. Requires the Foundation to establish a fund to provide endowments for positions at the Centers for Disease Control and Prevention (endowment fund). Allows those positions to be held by individuals without regard to whether the individuals are Federal Government employees. Authorizes appropriations. Prohibits providing appropriated funds to the endowment fund. Authorizes the Secretary to make limited additional amounts available to carry out this title. Title IV: Preventable Cases of Infertility - Authorizes grants for carrying out certain activities, with regard to any treatable sexually transmitted disease that can cause infertility in women if treatment is not received for the disease, including counseling, screening, treatment, referrals, public information and education, training health care providers, and data collection. Authorizes appropriations. Authorizes grants for research on the manner in which service delivery under this title may be improved. Authorizes appropriations. Title V: Miscellaneous - Establishes the Secretary's Advisory Council on Health Promotion. Authorizes the transfer of a limited percentage of any appropriation under the Public Health Service Act to provide for the operation of the Council. Limits the total amount transferred in a fiscal year. Requires that the Surgeon General: (1) notify active members of the Commissioned Corps concerning guidelines for clinical practice developed or issued by the Public Health Service; and (2) ensure that the members are using the guidelines. Directs the Secretary to inform the Surgeon Generals of the uniformed services, the Secretary of Veterans Affairs, and the Administrator of the Office of Personnel Management concerning any guidelines for clinical practice developed by the Public Health Service. Amends the Comprehensive Smoking Education Act, the Education Amendments of 1978, the Veterans' Benefits and Services Act of 1988, the Public Health Service Act, the Health Omnibus Programs Extension of 1988, the Health Research Extension Act of 1985, the Comprehensive Environmental Response, Compensation and Liability Act of 1980, and other Federal law to change certain references to the Centers for Disease Control to references to the Centers for Disease Control and Prevention. Mandates a study and report to specified congressional committees regarding bloodborne disease transmission in the health care setting.

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4 official files

• Reported to Senate (text)

  Reported to Senate · EN

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• Introduced in Senate (text)

  Introduced in Senate · EN

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• Reported to Senate with amendment(s)

  summary · EN · 25 November 1991

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• Introduced in Senate

  summary · EN · 7 November 1991

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