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H.R.3064
Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2000 (Enrolled Bill (Sent to
President))
TITLE VI--EARLY DETECTION , DIAGNOSIS, AND INTERVENTIONS
FOR NEWBORNS AND INFANTS WITH HEARING LOSS
SEC. 601. (a) DEFINITIONS- For the purposes of this section only, the
following terms in this section are defined as follows:
(1) HEARING SCREENING-
Newborn and infant hearing
screening consists of objective physiologic procedures to detect possible
hearing loss and to identify
newborns and infants who, after rescreening, require further audiologic and
medical evaluations.
(2) AUDIOLOGIC EVALUATION- Audiologic evaluation consists of procedures
to assess the status of the auditory system; to establish the site of the
auditory disorder; the type and degree of hearing loss, and the potential
effects of hearing loss on
communication; and to identify appropriate treatment and referral options.
Referral options should include linkage to State IDEA part C coordinating
agencies or other appropriate agencies, medical evaluation, hearing aid/sensory aid assessment,
audiologic rehabilitation treatment, national and local consumer, self-help,
parent, and education organizations, and other family-centered
services.
(3) MEDICAL EVALUATION- Medical evaluation by a physician consists of
key components including history, examination, and medical decision making
focused on symptomatic and related body systems for the purpose of
diagnosing the etiology of hearing loss and related physical
conditions, and for identifying appropriate treatment and referral
options.
(4) MEDICAL INTERVENTION -
Medical intervention is the
process by which a physician provides medical diagnosis and direction for
medical and/or surgical treatment options of hearing loss and/or related medical
disorder associated with hearing loss.
(5) AUDIOLOGIC REHABILITATION- Audiologic rehabilitation (intervention ) consists of
procedures, techniques, and technologies to facilitate the receptive and
expressive communication abilities of a child with hearing loss.
(6) EARLY INTERVENTION - Early intervention (e.g., nonmedical)
means providing appropriate services for the child with hearing loss and ensuring that
families of the child are provided comprehensive, consumer-oriented
information about the full range of family support, training, information
services, communication options and are given the opportunity to consider
the full range of educational and program placements and options for their
child.
(b) PURPOSES- The purposes of this section are to clarify the authority
within the Public Health Service Act to authorize statewide newborn and infant
hearing screening, evaluation
and intervention programs and
systems, technical assistance, a national applied research program, and
interagency and private sector collaboration for policy development, in order
to assist the States in making progress toward the following goals:
(1) All babies born in hospitals in the United States and its
territories should have a hearing screening before leaving the
birthing facility. Babies born in other countries and residing in the United
States via immigration or adoption should have a hearing screening as early as possible.
(2) All babies who are not born in hospitals in the United States and
its territories should have a hearing screening within the first 3
months of life.
(3) Appropriate audiologic and medical evaluations should be conducted
by 3 months for all newborns and infants suspected of having hearing loss to allow appropriate
referral and provisions for audiologic rehabilitation, medical and early intervention before the age of 6
months.
(4) All newborn and infant hearing screening programs and
systems should include a component for audiologic rehabilitation, medical
and early intervention options that ensures
linkage to any new and existing statewide systems of intervention and rehabilitative
services for newborns and infants with hearing loss.
(5) Public policy in regard to newborn and infant hearing screening and intervention should be based on
applied research and the recognition that newborns, infants, toddlers, and
children who are deaf or hard-of-hearing have unique language,
learning, and communication needs, and should be the result of consultation
with pertinent public and private sectors.
(c) STATEWIDE NEWBORN AND INFANT HEARING SCREENING, EVALUATION AND
INTERVENTION PROGRAMS AND
SYSTEMS- Under the existing authority of the Public Health Service Act, the
Secretary of Health and Human Services (in this section referred to as the
`Secretary'), acting through the Administrator of the Health Resources and
Services Administration, shall make awards of grants or cooperative agreements
to develop statewide newborn and infant hearing screening, evaluation and
intervention programs and
systems for the following purposes:
(1) To develop and monitor the efficacy of statewide newborn and infant
hearing screening, evaluation
and intervention programs and
systems. Early intervention includes referral to
schools and agencies, including community, consumer, and parent-based
agencies and organizations and other programs mandated by part C of the
Individuals with Disabilities Education Act, which offer programs
specifically designed to meet the unique language and communication needs of
deaf and hard-of-hearing
newborns, infants, toddlers, and children.
(2) To collect data on statewide newborn and infant hearing screening, evaluation and
intervention programs and
systems that can be used for applied research, program evaluation and policy
development.
(d) TECHNICAL ASSISTANCE, DATA MANAGEMENT, AND APPLIED RESEARCH-
(1) CENTERS FOR DISEASE CONTROL AND PREVENTION- Under the existing
authority of the Public Health Service Act, the Secretary, acting through
the Director of the Centers for Disease Control and Prevention, shall make
awards of grants or cooperative agreements to provide technical assistance
to State agencies to complement an intramural program and to conduct applied
research related to newborn and infant hearing screening, evaluation and
intervention programs and
systems. The program shall develop standardized procedures for data
management and program effectiveness and costs, such as--
(A) to ensure quality monitoring of newborn and infant hearing loss screening,
evaluation, and intervention
programs and systems;
(B) to provide technical assistance on data collection and
management;
(C) to study the costs and effectiveness of newborn and infant hearing screening, evaluation and
intervention programs and
systems conducted by State-based programs in order to answer issues of
importance to State and national policymakers;
(D) to identify the causes and risk factors for congenital hearing loss;
(E) to study the effectiveness of newborn and infant hearing screening, audiologic and
medical evaluations and intervention programs and systems
by assessing the health, intellectual and social developmental, cognitive,
and language status of these children at school age; and
(F) to promote the sharing of data regarding early hearing loss with State-based
birth defects and developmental disabilities monitoring programs for the
purpose of identifying previously unknown causes of hearing loss.
(2) NATIONAL INSTITUTES OF HEALTH- Under the existing authority of the
Public Health Service Act, the Director of the National Institutes of
Health, acting through the Director of the National Institute on Deafness
and Other Communication Disorders, shall for purposes of this section,
continue a program of research and development on the efficacy of new
screening techniques and technology, including clinical studies of screening
methods, studies on efficacy of intervention , and related
research.
(e) COORDINATION AND COLLABORATION-
(1) IN GENERAL- Under the existing authority of the Public Health
Service Act, in carrying out programs under this section, the Administrator
of the Health Resources and Services Administration, the Director of the
Centers for Disease Control and Prevention, and the Director of the National
Institutes of Health shall collaborate and consult with other Federal
agencies; State and local agencies, including those responsible for early intervention services pursuant to
title XIX of the Social Security Act (Medicaid Early and Periodic Screening,
Diagnosis and Treatment Program); title XXI of the Social Security Act
(State Children's Health Insurance Program); title V of the Social Security
Act (Maternal and Child Health Block Grant Program); and part C of the
Individuals with Disabilities Education Act; consumer groups of and that
serve individuals who are deaf and hard-of-hearing and their families;
appropriate national medical and other health and education specialty
organizations; persons who are deaf and hard-of-hearing and their families; other
qualified professional personnel who are proficient in deaf or hard-of-hearing children's language and who
possess the specialized knowledge, skills, and attributes needed to serve
deaf and hard-of-hearing
newborns, infants, toddlers, children, and their families; third-party
payers and managed care organizations; and related commercial
industries.
(2) POLICY DEVELOPMENT- Under the existing authority of the Public
Health Service Act, the Administrator of the Health Resources and Services
Administration, the Director of the Centers for Disease Control and
Prevention, and the Director of the National Institutes of Health shall
coordinate and collaborate on recommendations for policy development at the
Federal and State levels and with the private sector, including consumer,
medical and other health and education professional-based organizations,
with respect to newborn and infant hearing screening, evaluation and
intervention programs and
systems.
(3) STATE EARLY DETECTION , DIAGNOSIS, AND INTERVENTION PROGRAMS AND SYSTEMS;
DATA COLLECTION- Under the existing authority of the Public Health Service
Act, the Administrator of the Health Resources and Services Administration
and the Director of the Centers for Disease Control and Prevention shall
coordinate and collaborate in assisting States to establish newborn and
infant hearing screening,
evaluation and intervention
programs and systems under subsection (c) and to develop a data collection
system under subsection (d).
(f) RULE OF CONSTRUCTION- Nothing in this section shall be construed to
preempt any State law.
(g) AUTHORIZATION OF APPROPRIATIONS-
(1) STATEWIDE NEWBORN AND INFANT HEARING SCREENING, EVALUATION AND
INTERVENTION PROGRAMS AND
SYSTEMS- For the purpose of carrying out subsection (c) under the existing
authority of the Public Health Service Act, there are authorized to the
Health Resources and Services Administration appropriations in the amount of
$5,000,000 for fiscal year 2000, $8,000,000 for fiscal year 2001, and such
sums as may be necessary for fiscal year 2002.
(2) TECHNICAL ASSISTANCE, DATA MANAGEMENT, AND APPLIED RESEARCH; CENTERS
FOR DISEASE CONTROL AND PREVENTION- For the purpose of carrying out
subsection (d)(1) under the existing authority of the Public Health Service
Act, there are authorized to the Centers for Disease Control and Prevention,
appropriations in the amount of $5,000,000 for fiscal year 2000, $7,000,000
for fiscal year 2001, and such sums as may be necessary for fiscal year
2002.
(3) TECHNICAL ASSISTANCE, DATA MANAGEMENT, AND APPLIED RESEARCH;
NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS- For the
purpose of carrying out subsection (d)(2) under the existing authority of
the Public Health Service Act, there are authorized to the National
Institute on Deafness and Other Communication Disorders appropriations for
such sums as may be necessary for each of the fiscal years 2000 through
2002.
This Act may be cited as the `Departments of Labor, Health and Human
Services, and Education, and Related Agencies Appropriations Act, 2000'.
DIVISION C
RESCISSIONS AND OFFSETS
SEC. 1001. (a) ACROSS-THE-BOARD RESCISSIONS- There is hereby rescinded an
amount equal to 0.97 percent of--
(1) the budget authority provided (or obligation limitation established)
for fiscal year 2000 for any discretionary account in any fiscal year 2000
appropriation law;
(2) the budget authority provided (or obligation limitation established)
in any advance appropriation for fiscal year 2000 for any discretionary
account in any prior fiscal year appropriation law; and
(3) the budget authority provided in any fiscal year 2000 appropriation
law that would have been estimated as increasing direct spending for fiscal
year 2000 under section 252 of the Balanced Budget and Emergency Deficit
Control Act of 1985 were it included in a law other than an appropriation
law and not designated as an emergency requirement.
(b) PROPORTIONATE APPLICATION- Any rescission made by subsection (a) shall
be applied proportionately--
(1) to each discretionary account and each item of budget authority
described in subsection (a)(3); and
(2) within each such account and item, to each program, project, and
activity (with programs, projects, and activities as delineated in the
appropriation Act or accompanying report for the relevant fiscal year
covering such account or item, or for accounts and items not included in
appropriation Acts, as delineated in the most recently submitted President's
budget).
(c) SUBSEQUENT APPROPRIATION LAWS- In the case of any fiscal year 2000
appropriation law enacted after the enactment of this section, any rescission
required by subsection (a) shall take effect immediately after the enactment
of such law.
(d) OMB REPORTS- Within 30 days after the date of the enactment of this
section (or, if later, 30 days after the date of the enactment of any fiscal
year 2000 appropriation law), the Director of the Office of Management and
Budget shall submit to the Committees on Appropriations of the House of
Representatives and the Senate a report specifying the amount of each
rescission made pursuant to this section.
(e) SAME PERCENTAGE REDUCTION APPLICABLE TO PAY FOR MEMBERS OF
CONGRESS-
(1) IN GENERAL- In determining rates of pay for service performed in any
fiscal year beginning after September 30, 1999, the rate of pay for a Member
of Congress shall be determined as if the fiscal year 2000 pay adjustment
(taking effect in January 2000) had resulted in a rate equal to--
(A) the rate of pay that would otherwise have taken effect for the
position involved beginning in January 2000 (if this section had not been
enacted), reduced by
(B) the same percentage as specified in subsection (a).
(2) DEFINITIONS- For purposes of this subsection--
(A) the term `Member of Congress' refers to any position under
subparagraph (A), (B), or (C) of section 601(a)(1) of the Legislative
Reorganization Act of 1946 (2 U.S.C. 31(1)(A)-(C)); and
(B) the term `fiscal year 2000 pay adjustment' means the adjustment in
rates of pay scheduled to take effect in fiscal year 2000 under section
601(a)(2) of the Legislative Reorganization Act of 1946 (2 U.S.C.
31(2)).
SEC. 1002. (a) Section 453(j) of the Social Security Act (42 U.S.C.
653(j)) is amended by adding at the end the following:
`(6) INFORMATION COMPARISONS AND DISCLOSURE FOR ENFORCEMENT OF
OBLIGATIONS ON HIGHER EDUCATION ACT LOANS AND GRANTS-
`(A) FURNISHING OF INFORMATION BY THE SECRETARY OF EDUCATION- The
Secretary of Education shall furnish to the Secretary, on a quarterly
basis or at such less frequent intervals as may be determined by the
Secretary of Education, information in the custody of the Secretary of
Education for comparison with information in the National Directory of New
Hires, in order to obtain the information in such directory with respect
to individuals who--
`(i) are borrowers of loans made under title IV of the Higher
Education Act of 1965 that are in default; or
`(ii) owe an obligation to refund an overpayment of a grant awarded
under such title.
`(B) REQUIREMENT TO SEEK MINIMUM INFORMATION NECESSARY- The Secretary
of Education shall seek information pursuant to this section only to the
extent essential to improving collection of the debt described in
subparagraph (A).
`(C) DUTIES OF THE SECRETARY-
`(i) INFORMATION COMPARISON; DISCLOSURE TO THE SECRETARY OF
EDUCATION- The Secretary, in cooperation with the Secretary of
Education, shall compare information in the National Directory of New
Hires with information in the custody of the Secretary of Education, and
disclose information in that Directory to the Secretary of Education, in
accordance with this paragraph, for the purposes specified in this
paragraph.
`(ii) CONDITION ON DISCLOSURE- The Secretary shall make disclosures
in accordance with clause (i) only to the extent that the Secretary
determines that such disclosures do not interfere with the effective
operation of the program under this part. Support collection under
section 466(b) shall be given priority over collection of any defaulted
student loan or grant overpayment against the same income.
`(D) USE OF INFORMATION BY THE SECRETARY OF EDUCATION- The Secretary
of Education may use information resulting from a data match pursuant to
this paragraph only--
`(i) for the purpose of collection of the debt described in
subparagraph (A) owed by an individual whose annualized wage level
(determined by taking into consideration information from the National
Directory of New Hires) exceeds $16,000; and
`(ii) after removal of personal identifiers, to conduct analyses of
student loan defaults.
`(E) DISCLOSURE OF INFORMATION BY THE SECRETARY OF EDUCATION-
`(i) DISCLOSURES PERMITTED- The Secretary of Education may disclose
information resulting from a data match pursuant to this paragraph only
to--
`(I) a guaranty agency holding a loan made under part B of title
IV of the Higher Education Act of 1965 on which the individual is
obligated;
`(II) a contractor or agent of the guaranty agency described in
subclause (I);
`(III) a contractor or agent of the Secretary; and
`(IV) the Attorney General.
`(ii) PURPOSE OF DISCLOSURE- The Secretary of Education may make a
disclosure under clause (i) only for the purpose of collection of the
debts owed on defaulted student loans, or overpayments of grants, made
under title IV of the Higher Education Act of 1965.
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