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I 106t1shtcSoenssgiroenss H. R. 2739 To proAide for the continuation ofthe demonstration program, known as the Healthy Start Initiative, that is carried out by the Secretary- of Health and Human Ser\ices as a program of grants to reduce the rateofinfantmortality. IN THE HOUSE OF REPRESENTATIVES August5,1999 Mr. CuiBQXGS (forhimself, Ms. Kilpatrick, Ms. Pelosi, Ms. Brownof Florida, Mr. ScOTT, Mr. Leavis of Georgia, Mr. Hilliard, Mrs. Maloxey ofNew York, Mr. Oweks, Mr. Meeks ofNewYork, Mr. Clay,Mr.Payxe,Mrs.JonesofOhio,Ms.DeLauro,Mr.Frost,Mr. Stark,andMr.CoY'NE)introducedthefollowingbill;whichwasreferred totheCommitteeonCommerce A BILL To provide for the continuation of the demonstration program, known as the Healthy Start Initiative, that is carriedoutbythe SecretaryofHealthandHumanServ- ices as aprogram ofgrants to reducethe rate ofinfant mortality. 1 BeitenactedbytheSenateandHouseofRepresenta- 2 tivesoftheUnitedStatesofAmericainCongressassembled, 3 SECTION1.SHORTTITLE. 4 ThisActmaybe cited asthe "HealthyStartInitia- 5 tiveContinuationAct". 1 SEC.2.CONTINUATIONOFHEALTHYSTARTPROGRAM. 2 Title V ofthe Social Security Act (42 U.S.C. 701 3 et seq.) is amended by adding at the end the following 4 section: 5 "HEALTm'STARTFORINFANTS .. 6 "Sec.511.(a)InGener.\l.— 7 "(1) Continuation and expansion of pro- — 8 GRAM. The Secretary, actingthroughtheAdminis- 9 tratorofthe HealthResources and ServicesAdmin- 10 istration, shall under authority ofthis section con- 11 tinueineffecttheHealthyStartInitiativeandmay, 12 duringfiscalyear2000 and subsequentyears, carry 13 outsuchprogramonanationalbasis. — 14 "(2) Definition. For purposes ofparagraph 15 (1),theterm'HealthyStartInitiative'isareference 16 to the program that, as an initiative to reduce the 17 rate of infant mortality and improve perinatal out- 18 comes, makes grantsforprojectareaswithhigh an- 19 nualrates ofinfant mortalityandthat, priorto the 20 effective date of this section, was a demonstration 21 programcarriedoutundersection301 ofthePublic 22 HealthServiceAct. 23 ''(b) Requirements for Consortia in Making — 24 Grants. In making grants under subsection (a), the 25 Secretary shall require that applicants (in addition to 26 meetingallehgibilitycriteriaestabhshedbytheSecretary) m •HR2739 1 establish,forprojectareasundersuchsubsection,cominu- 2 nity-basedconsortiaofindividuals(includingconsumersof 3 project services) and organizations (including public 4 health departments, hospitals, health centers under sec- 5 tion330ofthePublicHealthServiceAct,orothersignifi- ' 6 cant sourcesofhealthcareservices) thatareappropriate 7 forparticipationinprojectsundersubsection(a). — 8 "(c)RuleofConstructiox. ^Excepttotheextent 9 inconsistentwith subsection (b), this sectionmaynotbe 10 construed as affecting the authority ofthe Secretary to 11 makemodificationsintheprogramcarriedoutundersub- 12 section(a). — 13 "(d)FederalReserves. — 14 "(1) Program admlmstratiox. The Sec- 15 retarymayreserve up to 5 percent ofamounts ap- 16 propriated annuallyunderthis section for coordina- 17 tion, dissemination, technical assistance, and data 18 activities under paragraphs (2) through (5) of sec- 19 tion 509(a) that are determinedbythe Secretaryto 20 be appropriate for carrying out the program under 21 thissection. — 22 "(2) EvALUATiox. The Secretarymayreserve 23 up to 1 percent of amounts appropriated annually 24 under this section for evaluation ofprojects carried 25 outundersubsection(a). •HR2739m 4 3 flDTS 00D17Dn 7 — 1 "(e)AUTHORIZATIOXOFAPPROPRIATIONS. Forthe 2 purposeofcarryingoutthissection, thereareauthorized 3 to be appropriated $115,000,000 for fiscal year 2000, 4 $155,000,000 forfiscalyear2001, $250,000,000 forfis- 5 eal year 2002, and $300,000,000 for each ofthe fiscal 6 years2003through2005.". 7 SEC.3.EFFECTIVEDATE. 8 ThisAct takes effect October 1, 1999, orupon the 9 dateoftheenactmentofthisAct,whicheveroccurslater. O •HR2739IH