National Institutes of Health Revitalization Act of 1993

Summary

TABLE OF CONTENTS: Title I: General Provisions Regarding Title IV of Public Health Service Act Title II: National Institutes of Health in General Title III: General Provisions Respecting National Research Institutes Title IV: National Cancer Institute Title V: National Heart, Lung, and Blood Institute Title VI: National Institute on Diabetes and Digestive and Kidney Diseases Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases Title VIII: National Institute of Aging Title IX: National Institute of Allergy and Infectious Diseases Title X: National Institute of Child Health and Human Development Title XI: National Eye Institute Title XII: National Institute of Neurological Disorders and Stroke Title XIII: National Institute of Environmental Health Sciences Title XIV: National Library of Medicine Title XV: Other Agencies of National Institutes of Health Title XVI: Awards and Training Title XVII: National Foundation for Biomedical Research Title XVIII: Research With Respect to Acquired Immune Deficiency Syndrome Title XIX: Studies Title XX: Miscellaneous Provisions Title XXI: Effective Dates National Institutes of Health Revitalization Amendments of 1993 - Title I: General Provisions Regarding Title IV of Public Health Service Act - (Sec. 101) Amends the Public Health Service Act to condition research funding on human subject review and scientific and technical peer review. Prohibits withholding funding on ethical grounds unless an ethics advisory board so recommends. (Sec. 111) Regulates human fetal tissue transplantation research. (Sec. 121) Removes provisions regarding: (1) biomedical ethics; (2) waiver of a risk standard; and (3) the construction of title IV (National Research Institutes). Declares ineffective a Federal regulation relating to ethical advisory boards. (Sec. 131) Requires inclusion of women and minorities as subjects in each clinical research project under such title IV. (Sec. 141) Establishes: (1) the Office of Research on Women's Health; (2) the Coordinating Committee on Research on Women's Health; and (3) the Advisory Committee on Research on Women's Health. Mandates: (1) study of the representation of women among senior physicians and scientists of the national research institutes (NRIs) and among those conducting supported research; and (2) activities to increase that representation. Establishes a data system containing information on research on women's health. (Sec. 151) Establishes the Office of Research on Minority Health. (Sec. 161) Establishes the Office of Scientific Integrity. Requires grant, contract, or cooperative agreement applicants to have a scientific misconduct report review process. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures against financial conflicts of interest. Title II: National Institutes of Health in General - (Sec. 201) Modifies the duties of the National Institute of Health's (NIH's) Associate Director for Prevention. (Sec. 202) Establishes a program to enhance competitiveness in States receiving little funding from the NRIs. (Sec. 203) Mandates activities, consistent with the global Children's Vaccine Initiative, to develop vaccines. Authorizes appropriations. (Sec. 204) Requires a plan regarding the use of animals in research. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. (Sec. 205) Authorizes activities to increase the number of women and members of underrepresented minority groups in biomedical and behavioral research. (Sec. 206) Regulates surveys of human sexual behavior conducted or supported through NIH. (Sec. 207) Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. (Sec. 208) Modifies NRI advisory council terms of office. Requires that at least half of NIH health education materials not exceed functional literacy. Authorizes a day care service for NIH employees. Title III: General Provisions Respecting National Research Institutes - (Sec. 301) Requires that the Secretary of Health and Human services receive directly all funds appropriated for the Institute. Removes provisions authorizing the National Cancer Institute to directly receive such funds. Modifies requirements regarding the establishment of technical and scientific peer review groups. (Sec. 302) Requires expansion of research on osteoporosis, Paget's disease, and related bone disorders. Establishes a clearinghouse. Authorizes appropriations. (Sec. 303) Establishes a program of trauma research and the Trauma Research Interagency Coordinating Committee. Title IV: National Cancer Institute - (Sec. 401) Requires expanding National Cancer Institute (NCI) activities on breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Authorizes appropriations. Removes authorizations of appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title V: National Heart, Lung, and Blood Institute - (Sec. 501) Requires NHLBI to conduct intramural training and education. Authorizes centers on cardiovascular diseases in children. Establishes the National Center on Sleep Disorders. Authorizes appropriations for NHLBI. Title VI: National Institute on Diabetes and Digestive and Kidney Diseases - (Sec. 601) Establishes a program on nutritional disorders. Provides for research and training centers. Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - (Sec. 701) Establishes a children's arthritis and musculoskeletal disease center. Renames the National Arthritis Advisory Board as the National Arthritis and Musculoskeletal and Skin Diseases Advisory Board and modifies its composition. Title VIII: National Institute on Aging - (Sec. 802) Mandates research into the aging processes of women. Authorizes appropriations for the National Institute on Aging. Title IX: National Institute of Allergy and Infectious Diseases - (Sec. 901) Includes tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers for research on chronic fatigue syndrome. Establishes an extramural study section. Title X: National Institute of Child Health and Human Development - (Sec. 1001) Mandates grants or contracts for centers on contraception and infertility. Authorizes appropriations. (Sec. 1002) Establishes programs of: (1) agreements with health professionals to conduct research on contraception or infertility in return for educational loan repayment; and (2) obstetrics and gynecology intramural laboratory and clinical research. (Sec. 1021) Mandates child health research center support. (Sec. 1031) Mandates a longitudinal, large-scale study on the well-being of U.S. adolescents. Allocates funding. Title XI: National Eye Institute - (Sec. 1101) Authorizes grants for diabetic eye care clinical research centers. Title XII: National Institute of Neurological Disorders and Stroke - (Sec. 1201) Mandates research on multiple sclerosis. Title XIII: National Institute of Environmental Health Sciences - (Sec. 1301) Establishes the Applied Toxicological Research and Testing Program. Title XIV: National Library of Medicine - (Sec. 1401) Increases the limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine. Mandates grants for new educational technologies research. Establishes the National Information Center on Health Services Research and Health Care Technology. Title XV: Other Agencies of National Institutes of Health - (Sec. 1502) Authorizes grants to alter or construct research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities. Authorizes appropriations. Reserves funds to construct or improve regional primate research centers. (Sec.1511) Redesignates the National Center for Nursing Research as the National Institute for Nursing Research. (Sec. 1521) Makes the National Center for Human Genome Research an NIH agency. Includes the mapping and sequencing of individual genes in the purposes of the Center. Title XVI: Awards and Training - (Sec.1601) Provides for research recruitment and training for women and members from underrepresented minority groups. (Sec. 1602) Changes service requirements imposed on individuals receiving National Research Service Awards. (Sec. 1611) Modifies existing and authorizes or mandates various new programs of scholarships and loan repayments for health professionals' education in exchange for specified service. (Sec. 1641) Authorizes appropriations related to National Research Service Awards, modifying set-aside requirements. Title XVII: National Foundation for Biomedical Research - (Sec. 1701) Establishes the National Foundation for Biomedical Research. Requires the Foundation to establish a fund: (1) to provide endowments for NIH positions; and (2) consisting of non-Federal donations. Mandates grants to the Foundation for administrative expenses. Authorizes appropriations and other NIH funds for the grants. Title XVIII: Research with Respect to Acquired Immune Deficiency Syndrome - (Sec. 1801) Modifies the duties of: (1) the AIDS Clinical Research Review Committee; and (2) the acquired immune deficiency syndrome (AIDS) clinical evaluation units at the National Cancer Institute and National Institute of Allergy and Infectious Diseases. Modifies international AIDS efforts support requirements. Authorizes appropriations. Requires that model protocols for clinical AIDS care include treatment and prevention for women. Authorizes appropriations. Requires the AIDS epidemiological data base to include information on the natural history of AIDS infection. Authorizes appropriations. Revises provisions establishing the Office of AIDS Research and setting forth its special authorities (currently, provisions establishing such Office and setting forth special authorities of the NIH Director), including: (1) developing an NIH AIDS budget; (2) developing a comprehensive, long-range NIH AIDS research plan; and (3) establishing AIDS coordinating groups for each research discipline. Establishes the Office of AIDS Research Advisory Council. Mandates availability of a certain amount for an AIDS research discretionary fund. Authorizes appropriations for fellowship and training programs relating to AIDS. Title XIX: Studies - (Sec. 1901) Mandates studies regarding AIDS on: (1) parallel-track drug-release mechanisms; (2) third-party payment incident to participation as subjects in clinical trials; and (3) coordination of AIDS advisory committees. Requires a plan for the inclusion in NIH human immunodeficiency virus (HIV) vaccine studies of women, infants, and children infected with the HIV. Authorizes appropriations. (Sec. 1902) Requires studies on malnutrition and the elderly. Establishes an advisory panel. (Sec. 1903) Mandates reports or studies on NIH: (1) research on chronic fatigue syndrome; (2) assuming responsibility for all Federal research relating to medical countermeasures against biowarfare; (3) support staff retention, recruitment, vacancy, and turnover rates; and (4) procurement. (Sec. 1907) mandates reports on: (1) the leading causes of death in the United States; and (2) whether there is a relationship between legal drug use and the use or abuse of illegal drugs. Title XX: Miscellaneous Provisions - (Sec. 2001) Redesignates the Senior Biomedical Research Service as the Silvio O. Conte Senior Biomedical Research Service and increases the limit on the number of its members. (Sec. 2002) Requires that the Public Health Service (PHS) be administered by the Assistant Secretary of Health (currently, by the Surgeon General). Adds the Agency for Health Care Policy and Research to the list of PHS agencies. (Sec. 2004) Mandates a master plan to replace or refurbish NIH infrastructure. (Sec. 2006) Authorizes appropriations (currently, authorizes the use of funds) to carry out cancer registries provisions. (Sec. 2007) Prohibits conducting or supporting the SHARP survey of adult sexual behavior or the American Teenage Study of Adolescent sexual behavior. (Sec. 2008) Mandates a report on bioengineering and biomaterials sciences. Title XXI: Effective Date - (Sec. 2101) Sets forth the effective date of this Act and its amendments.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

1. 21 January 1993

   Introduced

   Read twice and referred to the Committee on Labor and Human Resources.

   Source: IntroReferral

2. 21 January 1993

   Introduced

   Sponsor introductory remarks on measure. (CR S195-196)

   Source: IntroReferral

3. 21 January 1993

   Introduced

   Introduced in Senate

   Source: IntroReferral

4. 26 January 1993

   Reported

   Committee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.

   Source: Committee

5. 27 January 1993

   Reported

   Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 103-2.

   Source: Committee

6. 27 January 1993

   Calendars

   Placed on Senate Legislative Calendar under General Orders. Calendar No. 2.

   Source: Calendars

7. 27 January 1993

   Reported

   Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 103-2.

   Source: Committee

8. 16 February 1993

   Floor

   Measure laid before Senate by unanimous consent. (consideration: CR S1525-1586)

   Source: Floor

9. 17 February 1993

   Floor

   Considered by Senate. (consideration: CR S1691-1729)

   Source: Floor

10. 18 February 1993

    Floor

    Considered by Senate. (consideration: CR S1761-1850)

    Source: Floor

11. 18 February 1993

    Vote

    Passed/agreed to in Senate: Passed Senate with amendments by Yea-Nay Vote. 93-4. Record Vote No: 15.

    Source: Floor

12. 24 February 1993

    Floor

    Held at the desk.

    Source: Floor

13. 24 February 1993

    Floor

    Message on Senate action sent to the House.

    Source: Floor

14. 24 February 1993

    Floor

    Received in the House.

    Source: Floor

15. 11 March 1993

    Passed

    On passage Passed without objection.

    Source: Floor

16. 11 March 1993

    Passed

    Passed/agreed to in House: On passage Passed without objection.

    Source: Floor

17. 11 March 1993

    Passed

    The House struck all after the enacting clause and inserted in lieu thereof the provisions of a similar measure H.R. 4. Agreed to without objection.

    Source: Floor

18. 11 March 1993

    ResolvingDifferences

    The Speaker appointed conferees - from the Committee on Energy and Commerce for consideration of the Senate bill, and the House amendment, and modifications committed to conference: Dingell, Waxman, Wyden, Moorhead, and Bliley.

    Source: ResolvingDifferences

19. 11 March 1993

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

20. 11 March 1993

    Passed

    On motion that the House insist upon its amendment, and request a conference Agreed to without objection. (consideration: CR H1203)

    Source: ResolvingDifferences

21. 11 March 1993

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

22. 11 March 1993

    Floor

    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 S. 1.

    Source: Floor

23. 11 March 1993

    ResolvingDifferences

    Mr. Bliley moved that the House instruct conferees. (consideration: CR H1210)

    Source: ResolvingDifferences

24. 11 March 1993

    ResolvingDifferences

    Mr. Waxman asked unanimous consent that the House insist upon its amendment, and request a conference.

    Source: ResolvingDifferences

25. 11 March 1993

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

26. 11 March 1993

    Floor

    A similar measure H.R. 4 was laid on the table without objection.

    Source: Floor

27. 11 March 1993

    Floor

    Considered under the provisions of rule H. Res. 119. (consideration: CR H1184-1203)

    Source: Floor

28. 15 March 1993

    Passed

    Senate agreed to request for conference. Appointed conferees. Kennedy; Simon; Metzenbaum; Kassebaum; Jeffords. (consideration: CR S2886)

    Source: ResolvingDifferences

29. 15 March 1993

    Floor

    Message on House action received in Senate and at desk: House amendment to Senate bill and House requests a conference.

    Source: Floor

30. 15 March 1993

    Passed

    Resolving differences -- Senate actions: Senate disagreed to the House amendment by Voice Vote.

    Source: NotUsed

31. 16 March 1993

    Floor

    Message on Senate action sent to the House.

    Source: Floor

32. 6 May 1993

    ResolvingDifferences

    Conference held.

    Source: ResolvingDifferences

33. 6 May 1993

    ResolvingDifferences

    Conference committee actions: Conference held.

    Source: ResolvingDifferences

34. 20 May 1993

    Reported

    Rules Committee Resolution H. Res. 179 Reported to House. Rule provides for consideration of the conference report to S. 1. All points of order against the conference report and against its consideration are waived.

    Source: Floor

35. 20 May 1993

    ResolvingDifferences

    Conference report H. Rept. 103-100 filed. (text of conference report: CR H2620-2649)

    Source: ResolvingDifferences

36. 20 May 1993

    ResolvingDifferences

    Conference report filed: Conference report H. Rept. 103-100 filed.(text of conference report: CR H2620-2649)

    Source: ResolvingDifferences

37. 20 May 1993

    Passed

    Conferees agreed to file conference report.

    Source: ResolvingDifferences

38. 20 May 1993

    Passed

    Conference committee actions: Conferees agreed to file conference report.

    Source: ResolvingDifferences

39. 25 May 1993

    ResolvingDifferences

    Conference papers: message on House action held at the desk in Senate.

    Source: ResolvingDifferences

40. 25 May 1993

    Vote

    On agreeing to the conference report Agreed to by the Yeas and Nays: 290 - 130 (Roll no. 178). (consideration: CR H2730-2742)

    Source: ResolvingDifferences

41. 25 May 1993

    Passed

    Motions to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

42. 25 May 1993

    Vote

    Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 290 - 130 (Roll no. 178).(consideration: CR H2730-2742)

    Source: ResolvingDifferences

43. 25 May 1993

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

44. 25 May 1993

    Floor

    DEBATE - Pursuant to the provisions of H. Res. 179, the House proceeded with one hour of general debate on the conference report.

    Source: Floor

45. 25 May 1993

    ResolvingDifferences

    Mr. Waxman brought up conference report H. Rept. 103-100 for consideration under the provisions of H. Res. 179.

    Source: ResolvingDifferences

46. 25 May 1993

    Passed

    Rule H. Res. 179 passed House.

    Source: Floor

47. 28 May 1993

    Passed

    Senate agreed to conference report by Voice Vote. (consideration: CR S6882)

    Source: ResolvingDifferences

48. 28 May 1993

    Passed

    Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.(consideration: CR S6882)

    Source: ResolvingDifferences

49. 28 May 1993

    Floor

    Message on Senate action sent to the House.

    Source: Floor

50. 1 June 1993

    Floor

    Presented to President.

    Source: Floor

51. 1 June 1993

    President

    Presented to President.

    Source: President

52. 10 June 1993

    Became law

    Became Public Law No: 103-43.

    Source: President

53. 10 June 1993

    Became law

    Signed by President.

    Source: BecameLaw

54. 10 June 1993

    President

    Signed by President.

    Source: President

Votes

Versions

• Enrolled Bill · 28 May 1993 · Download file
• Engrossed Amendment House · 10 March 1993 · Download file
• Engrossed in Senate · 18 February 1993 · Download file
• Reported to Senate · 27 January 1993 · Download file
• Introduced in Senate · 21 January 1993 · Download file

Documents

14 official files

• Public Law (PDF)

  Public Law · EN · 11 June 1993

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• Enrolled Bill (text)

  Enrolled Bill · EN · 28 May 1993

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• Enrolled Bill (PDF)

  Enrolled Bill · EN · 28 May 1993

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• Conference report filed in House

  summary · EN · 20 May 1993

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  Vertaal document

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• Passed House amended

  summary · EN · 11 March 1993

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  Vertaal document

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• Engrossed Amendment House (text)

  Engrossed Amendment House · EN · 10 March 1993

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  Vertaal document

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• Engrossed Amendment House (PDF)

  Engrossed Amendment House · EN · 10 March 1993

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  Vertaal document

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• Engrossed in Senate (text)

  Engrossed in Senate · EN · 18 February 1993

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• Engrossed in Senate (PDF)

  Engrossed in Senate · EN · 18 February 1993

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• Reported to Senate (text)

  Reported to Senate · EN · 27 January 1993

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• Reported to Senate (PDF)

  Reported to Senate · EN · 27 January 1993

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  Vertaal document

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• Introduced in Senate (text)

  Introduced in Senate · EN · 21 January 1993

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• Introduced in Senate (PDF)

  Introduced in Senate · EN · 21 January 1993

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• Introduced in Senate

  summary · EN · 21 January 1993

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  Vertaal document

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Sponsors

• Sen. Kennedy, Edward M. [D-MA] · D · Sponsor
• Sen. Boxer, Barbara [D-CA] · D · Sponsor
• Sen. Wellstone, Paul D. [D-MN] · D · Sponsor
• Sen. Dodd, Christopher J. [D-CT] · D · Sponsor
• Sen. Lautenberg, Frank R. [D-NJ] · D · Sponsor
• Sen. Mikulski, Barbara A. [D-MD] · D · Sponsor
• Sen. Pell, Claiborne [D-RI] · D · Sponsor
• Sen. Simon, Paul [D-IL] · D · Sponsor
• Sen. Wofford, Harris [D-PA] · D · Sponsor
• Sen. Inouye, Daniel K. [D-HI] · D · Sponsor
• Sen. Sarbanes, Paul S. [D-MD] · D · Sponsor
• Sen. Moseley-Braun, Carol [D-IL] · D · Sponsor
• Sen. Leahy, Patrick J. [D-VT] · D · Sponsor
• Sen. Riegle, Donald W., Jr. [D-MI] · D · Sponsor
• Sen. Durenberger, Dave [R-MN] · R · Sponsor
• Sen. Metzenbaum, Howard M. [D-OH] · D · Sponsor
• Sen. Levin, Carl [D-MI] · D · Cosponsor
• Sen. Rockefeller, John D., IV [D-WV] · D · Cosponsor
• Sen. Harkin, Tom [D-IA] · D · Cosponsor
• Sen. Hatch, Orrin G. [R-UT] · R · Cosponsor
• Sen. Kassebaum, Nancy Landon [R-KS] · R · Cosponsor
• Sen. Kerry, John F. [D-MA] · D · Cosponsor
• · hsju00 · Standing
• · sshr00 · Standing

Related records

• related to → National Institutes of Health Revitalization Act of 1993
• related to → Waiving points of order against the conference report to accompany the bill (S. 1) to amend the Public Health Service Act to revise and extend the programs of the National Institutes of Health, and for other purposes, and against consideration of such conference report.
• amends ← To provide for the conduct of a study concerning the use and production of radioisotopes in the United States.
• amends ← To provide for the conduct of a study concerning the implementation of a sentinel disease surveillance system.
• amends ← To provide for a study on Congressional allocations for biomedical research on diseases and conditions that threaten public health.
• amends ← Relating to the collecting of data, conducting studies, and disseminating public information concerning the impact of sleep disorders.
• amends ← To eliminate a requirement that the President appoint an Ethics Advisory Board as a condition of withholding funding for research proposals.
• amends ← To ensure that foreign corporations are not provided with access to information derived from research funded in part with Federal funds prior to such information being publicly made available to domestic corporations.
• amends ← Relating to the admission to the United States of aliens infected with the AIDS virus.
• amends ← Relating to the admission to the United States of aliens infected with the AIDS virus.

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