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United States · Law · S

S. 580 (106th)

Healthcare Research and Quality Act of 1999

enactedUnited States· United States Congress· EN

Introduced

10 March 1999

Last action

6 December 1999 · Became law

Status

Became Public Law No: 106-129.

Sponsors

Sen. Frist, William H. [R-TN], Sen. Jeffords, James M. [I-VT], Sen. Kennedy, Edward M. [D-MA], Sen. Nickles, Don [R-OK], Sen. Collins, Susan M. [R-ME], Sen. Breaux, John B. [D-LA], Sen. Inouye, Daniel K. [D-HI], Sen. Mack, Connie, III [R-FL], Sen. Hagel, Chuck [R-NE], Sen. Santorum, Rick [R-PA], Sen. Mikulski, Barbara A. [D-MD], Sen. Bingaman, Jeff [D-NM], Sen. Hutchinson, Tim [R-AR]

Subjects

Healthcare, Education

Source updated

12 September 2025

Healthcare · Education

Summary

Healthcare Research and Quality Act of 1999 - Amends the Public Health Service Act to establish within the Public Health Service (PHS) an Agency for Healthcare Research and Quality to replace the current Agency for Health Care Policy and Research. Directs the Agency to identify and disseminate methods or systems used to assess healthcare research results, particularly to rate the strength of the scientific evidence behind healthcare practice and technology recommendations in the research. Requires the Agency to employ research strategies and mechanisms that will link research directly with clinical practice in geographically diverse locations throughout the United States, including: (1) Healthcare Improvement Research Centers that combine demonstrated multidisciplinary expertise in outcomes or quality improvement research with linkages to relevant sites of care; (2) Provider-based Research Networks, including plan, facility, or delivery system sites of care (especially primary care), that can evaluate and promote quality improvement; and (3) other innovative mechanisms or strategies. Directs the Agency to: (1) award grants to enable eligible entities at geographically diverse locations throughout the United States to carry out research training programs dedicated to health services research training at the doctoral, post-doctoral, and junior faculty levels; and (2) provide specified scientific and technical support for private and public efforts to improve healthcare quality, including accrediting organizations. Directs the Secretary of Health and Human Services, acting through the Agency Director, to establish a program of grants for one or more centers to conduct: (1) state-of-the-art clinical research on drugs, biological products, and devices; (2) research on the comparative effectiveness, cost-effectiveness, and safety of drugs, biological products, and devices; and (3) other appropriate activities (excluding the review of new drugs). Requires the Agency Director to: (1) collect certain data on the cost and quality of healthcare; (2) support research on and initiatives to advance the use of information systems for the study of healthcare quality; and (3) provide ongoing administrative, research, and technical support for the Preventive Services Task Force, which shall review scientific evidence on the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services regarding their usefulness in daily clinical practice. Establishes within the Agency a Center for Primary Care Research to serve as the principal funding source for Department of Health and Human Services primary care delivery research and demonstrations with respect to the first contact when illness or health concerns arise, the diagnosis, treatment or referral to specialty care, preventive care, and the relationship between the clinician and the patient in the context of the family and community. Requires the Agency Director by specified activities to promote innovation in evidence-based clinical practice and healthcare technologies. Requires the Secretary, acting through the Director, to coordinate all research, evaluations, and demonstrations related to health services research and quality measurement and improvement activities undertaken and supported by the Federal Government. Establishes an Advisory Council for Healthcare Research and Quality to replace the current Advisory Council for Health Care Policy, Research, and Evaluation. Requires the Agency Director to establish technical and scientific peer review groups to review each application for a grant, cooperative agreement, or contract under this title. Repeals the mandates for: (1) a demonstration program regarding centers for education and research on therapeutics; and (2) the Office of the Forum for Quality and Effectiveness in Health Care. Authorizes appropriations.

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

Timeline

  1. 10 March 1999

    Introduced

    Read twice and referred to the Committee on HELP.

    Source: IntroReferral

  2. 10 March 1999

    Introduced

    Introduced in Senate

    Source: IntroReferral

  3. 3 November 1999

    Passed

    Passed Senate with an amendment by Unanimous Consent.

    Source: Floor

  4. 3 November 1999

    Passed

    Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.

    Source: Floor

  5. 3 November 1999

    Discharge

    Senate Committee on HELP discharged by Unanimous Consent. (consideration: CR S13843-13845)

    Source: Discharge

  6. 3 November 1999

    Committee

    Senate Committee on HELP discharged by Unanimous Consent.(consideration: CR S13843-13845)

    Source: Committee

  7. 4 November 1999

    Floor

    Held at the desk.

    Source: Floor

  8. 4 November 1999

    Floor

    Message on Senate action sent to the House.

    Source: Floor

  9. 4 November 1999

    Floor

    Received in the House.

    Source: Floor

  10. 18 November 1999

    Passed

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

    Source: Floor

  11. 18 November 1999

    Passed

    On passage Passed without objection. (text: CR H12858-12864)

    Source: Floor

  12. 18 November 1999

    Passed

    Passed/agreed to in House: On passage Passed without objection.(text: CR H12858-12864)

    Source: Floor

  13. 18 November 1999

    Floor

    Mr. Bliley asked unanimous consent to take from the Speaker's table and consider.

    Source: Floor

  14. 18 November 1999

    Floor

    Considered by unanimous consent. (consideration: CR H12857-12864)

    Source: Floor

  15. 1 December 1999

    Floor

    Presented to President.

    Source: Floor

  16. 1 December 1999

    President

    Presented to President.

    Source: President

  17. 6 December 1999

    President

    Signed by President.

    Source: President

  18. 6 December 1999

    Became law

    Became Public Law No: 106-129.

    Source: President

  19. 6 December 1999

    Became law

    Signed by President.

    Source: BecameLaw

Votes

No vote records are attached yet.

Versions

Documents

10 official files

Enrolled Bill (text)

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  • Enrolled Bill (text)

    Enrolled Bill · EN

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  • Enrolled Bill (PDF)

    Enrolled Bill · EN

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  • Public Law (text)

    Public Law · EN · 6 December 1999

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  • Public Law (PDF)

    Public Law · EN · 6 December 1999

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  • Engrossed in Senate (text)

    Engrossed in Senate · EN · 3 November 1999

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  • Engrossed in Senate (PDF)

    Engrossed in Senate · EN · 3 November 1999

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  • Passed Senate amended

    summary · EN · 3 November 1999

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  • Introduced in Senate (text)

    Introduced in Senate · EN · 10 March 1999

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  • Introduced in Senate (PDF)

    Introduced in Senate · EN · 10 March 1999

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  • Introduced in Senate

    summary · EN · 10 March 1999

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