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--$170,000 for Madison Community Health Center, Madison, Wisconsin, for a model preventive health program for hard to reach and at-risk populations;
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--$250,000 for the multiple sclerosis disease state management program at the University of Mississippi Center for Pharmaceutical Marketing;
--$306,000 for the Texas Tech University Health Sciences Center at El Paso and the University of Texas at El Paso for joint research on health problems of migrant workers;
--$400,000 for the McLaughlin Research Institute cancer education program;
--$500,000 for the University of Alaska to develop a research and evaluation agenda for health care delivery;
--$840,000 for the Marshfield Clinic in Marshfield, Wisconsin, for scientific, ethical and citizen advisory groups and education programs in connection with the development of a personalized medicine program;
--$921,000 for the Virginia Center for Sustainable Health Outreach at James Madison University;
--$921,000 for Atlantic City Medical Center for prevention services and medical education activities;
--$1,275,000 for the University of North Dakota School of Medicine, Grand Forks, North Dakota for a rural health program in preventive medicine and behavioral sciences; and
--$1,612,000 for the Carolina's Community Health Initiative for its community health assessment plan.
The conferees encourage the National Human Genome Research Institute and the Agency for Healthcare Research and Quality to provide any necessary technical assistance to HRSA in supporting the Marshfield Clinic project.
The conference agreement includes $35,981,000 for telehealth instead of $25,000,000 as proposed by the Senate. The House provided funding for this program within rural health research.
The conferees include the following amounts for the following projects and activities in fiscal year 2001:
--$14,000 for networking capabilities of the Cullman Area, Alabama, Mental Health Authority;
--$43,000 for Arrowhead Regional Medical Center, Colton, California, for a telemedicine regional network;
--$85,000 for the New York Primary Care Health Foundation, Inc., Flushing, New York, for a telehealth initiative;
--$111,000 for Staten Island University Hospital to support a teleconferencing initiative to improve and strengthen linkages within campuses;
--$184,000 for the Union Hospital Telehealth Demonstration project in Terre Haute, Indiana;
--$300,000 for the University of Michigan Emergency Telemedicine Network;
--$350,000 for Molokai General Hospital to use the latest technology advances to provide health care in rural areas;
--$340,000 for Massachusetts College of Pharmacy and Health Sciences, Worcester, Massachusetts for a telehealth initiative;
--$361,000 for the Center for Telehealth and Distance Education at the University of Texas Medical Branch, Galveston, Texas for a telehealth initiative;
--$430,000 for Daemen College in Amherst, New York to continue a project to provide distance learning/medical linkages to rural counties in Western New York State;
--$500,000 for a telehealth project at Magee-Women's Hospital;
--$500,000 for the Susquehanna Health Systems telemedicine project;
--$468,000 for the Southern Illinois University School of Medicine telemedicine and rural health initiative project;
--$489,000 for the La Crosse Medical Health Science Consortium, Inc., Wisconsin for a telehealth initiative;
--$750,000 for a joint New Mexico-Hawaii Telehealth Outreach for Unified Community Health;
--$638,000 for Children's Hospital and Regional Medical Center in Seattle, Washington;
--$737,000 for the Community Hospital Telehealth Consortium in Louisiana for continued development of a regional telehealth network;
--$783,000 for the Memorial Telehealth Network in Springfield, Illinois;
--$723,000 for Childrens Hospital Los Angeles, California, for a telemedicine initiative;
--$737,000 for the Rural Telehealth and Community Education Network at Central Michigan University;
--$900,000 for the Southwest Alabama Rural Telehealth Network at the University of South Alabama;
--$850,000 for New York Presbyterian Hospital for a telehealth initiative;
--$850,000 for the University of Pittsburgh Medical Center Information Technology project;
--$1,000,000 for the University of Florida Human Brain Functional Imaging Technology project;
--$800,000 for the University of Nebraska telemedicine outreach program;
--$850,000 for the Fairview Lakes Regional Medical Center in Wyoming, Minnesota telemedicine project;
--$1,020,000 for the Northern California Telemedicine Network, Santa Rosa Memorial Hospital, Santa Rosa, California;
--$1,290,000 for a telemedicine program for downstate Illinois through the Southern Illinois University Medical School in Springfield, Illinois;
--$1,335,000 for the University of Nevada Las Vegas Telemedicine Network;
--$1,770,000 for the Idaho Telehealth Integrated Care Center to establish a comprehensive telehealth clinic to support care in rural and frontier areas;
--$1,843,000 for the Telehealth Deployment Research Testbed program;
--$1,800,000 for a project to link Rocky Mountain College and Deaconess Billings Clinic with telemedicine capabilities;
--$1,700,000 for the Saint Vincent Hospital in Billings, Montana for its Telemedicine Model;
--$2,418,000 for the Northeast Ohio Outreach Network to expand health services to rural residents in northeastern Ohio; and
--$3,400,000 for the Alaska Federal Health Care Access Network.
The conference agreement includes $19,000,000 for emergency medical services for children as proposed by the House instead of $15,000,000 as proposed by the Senate.
The conference agreement includes $20,000,000 for poison control instead of $6,600,000 as proposed by the House and $26,000,000 as proposed by the Senate. Funds are provided to support activities authorized in the Poison Control Center Enhancement and Awareness Act.
The conference agreement includes $6,000,000 for black lung clinics as proposed by the Senate instead of $5,943,000 as proposed by the House.
The conference agreement includes $3,000,000 for trauma care as proposed by the Senate. The House bill contained no similar provision.
The conference agreement includes a total of $1,807,700,000 for Ryan White programs instead of $1,725,000,000 as proposed by the House and $1,650,000,000 as proposed by the Senate. Included in this amount is $604,200,000 for emergency assistance, $911,000,000 for comprehensive care, $185,900,000 for early intervention, $65,000,000 for pediatric HIV/AIDS, $10,000,000 for dental services, and $31,600,000 for education and training centers.
The conference agreement includes bill language identifying $589,000,000 for the Ryan White Title II State AIDS drug assistance programs instead of $554,000,000 as proposed by the House and $538,000,000 as proposed by the Senate. The conferees concur with Senate report language regarding the Institute of Medicine study to evaluate the effectiveness of the current role and structure of the Ryan White CARE Act and the efforts to create a national consumer and provider education center within pediatric HIV/AIDS.
The conference agreement includes $109,200,000 for Ryan White AIDS activities that are targeted to address the trend of the HIV/AIDS epidemic in communities of color, based on the most recent estimated living AIDS cases, HIV infections and AIDS mortality among ethnic and racial minorities as reported by the Centers for Disease Control and Prevention. These funds are allocated as follows:
Within Ryan White Title I, the agreement provides $34,000,000 to the competitive supplemental allocation targeted to minority community based organizations, as defined by the Centers for Disease Control and Prevention, and directs that these funds be allocated through the established planning council processes of eligible metropolitan areas. These funds are designed to reduce the HIV related health disparities and improve the health outcomes for HIV infected African Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians and Pacific Islanders. These funds are expected to expand medical and supportive service capacity in communities of color, and expand peer treatment education that is both culturally and linguistically appropriate to individuals living with HIV/AIDS.
Within Ryan White Title II, the agreement provides $7,000,000 for State HIV care grants to support educational and outreach grants to minority community-based organizations to increase the number of minorities participating in the AIDS Drug Assistance Program (ADAP ). The continuing under representation of African Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians and Pacific Islanders in state run ADAP contributes to their persistently poor health outcomes in comparison to other communities.
Within Ryan White Title III, the agreement provides $44,400,000 for planning grants, early intervention service (EIS) grants to minority community-based health care and service providers with a history of service provision to communities of color. Funds should also be made available to national, regional and local organizations representing people of color to provide technical assistance collaborations, and linkages designed to strengthen HIV/AIDS systems of care. Funds are intended to support the implementation of the plans developed by minority community based and health care organizations. The conferees expect that fiscal year 2001 increases to Title III should be directed primarily towards providing early intervention service grants to those organizations that received Title III planning grants in the previous fiscal year and enhancing the service capacity of existing minority EIS providers.
Within Ryan White Title IV, the agreement provides $15,700,000 to fund traditional minority community-based providers of services to minority children, youth and families to develop and implement culturally competent and linguistically appropriate research-based interventions that provide additional HIV/AIDS care, services and linkages. Funds are also intended to directly fund minority community based organizations and providers to expand or implement programs specifically designed to provide
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The agreement provides $7,700,000 to AIDS education and training centers. These funds are intended to increase training of community-based minority health care professionals in AIDS-related treatments, standards of care, guidelines for the use of antiretroviral and other effective clinical interventions, and treatment adherence for HIV/AIDS infected adults, adolescents and children, as developed by the U.S. Public Health Service. The training of minority providers is to be implemented through collaborations with Historically Black Colleges and Universities (HBCU) and Hispanic Serving Institutions, and Tribal Colleges. These efforts are designed to increase the treatment expertise and HIV knowledge of minority front-line providers serving individuals living with HIV/AIDS. Funds are also intended to support minority community based organizations to train minority providers to deliver culturally competent and language appropriate treatment education services.
The conferees intend that at least ninety percent of total title IV funding be provided to grantees. The conferees expect the agency to use the funding increases for title IV, with the exception of any increases provided through the CBC/Minority AIDS Initiative, to provide, at a minimum, additional funds to existing grantees to reflect the increases in the costs of providing comprehensive care. The agency should use a significant portion of the remaining funds to expand comprehensive services for youth, both through existing and new grantees. The conferees believe that the agency should expand efforts to facilitate ongoing communication with grantees so that prospective changes in the administration of the program can be discussed.
From within the increase provided to pediatric AIDS demonstrations, the conferees encourage HRSA to target funds towards approved but unfunded applications from the previous fiscal year.
The conference agreement includes $140,000,000 for health care access for the uninsured instead of $25,000,000 as proposed by the Senate. The House bill did not contain funding for this unauthorized program. Of this amount, $125,000,000 is included to provide grants to public, private, and non-profit health entities to develop and expand integrated systems of care and address service gaps within such integrated systems with a focus on primary care, mental health services and substance abuse services. The program will supplement existing categorical safety net programs to assist communities in better harnessing their current capabilities and resources. The national health care safety net is under enormous strain and the demand for this initiative large.
The remaining $15,000,000 is to continue the initiative that was begun in fiscal year 2000 to help states identify the characteristics of the uninsured within the state and approaches for providing all uninsured with health coverage through an expanded state, Federal and private partnership. States have shown great interest in committing to the initiative and a second year of funding will produce a more comprehensive set of designs for providing insurance coverage for the uninsured. Sufficient funds are included to support up to ten new state grants, provide technical assistance to grantees and, if necessary, provide limited supplemental funding to states funded in fiscal year 2000 to complete their work. The Secretary is requested to submit a final report on state findings no later than December 1, 2001. The report should provide state by state summaries on baseline information, the process by which the state developed recommendations, including a description of data collection and partnerships, characteristics of the uninsured within the state, the proposed approaches for providing all uninsured with health coverage, and the estimated public and private cost of providing coverage. The report should also highlight and summarize common findings, policy development efforts and approaches identified by the states.
The conference agreement includes $9,900,000 for an adoption awareness program as authorized in the Child Health Act of 2000.
The conference agreement includes $10,000,000 for authorized health-related activities of the Denali Commission.
The conference agreement includes $139,246,000 for program management instead of $128,123,000 as proposed by the House and $135,766,000 as proposed by the Senate.
The conferees include the following amounts for the following projects and activities in fiscal year 2001:
--$230,000 for the Illinois Poison Center;
--$250,000 for the University of Alaska to establish an INPSYCH Center to train Alaska natives as psychologists to practice in Alaska villages;
--$500,000 for the University of Alaska, Anchorage to recruit and train nurses;
--$700,000 to support the efforts of the American Federation for Negro Affairs Education and Research Fund of Philadelphia;
--$900,000 for Northeastern University in Boston, Massachusetts to train doctors to serve low-income communities; and
--$900,000 for Des Moines University Osteopathic Medical Center for development of a model program for training and education in the field of geriatrics.
The Child Health Act of 2000 authorizes oral health activities intended to improve the oral health of children under six years of age who are eligible for services provided under a Federal health program. These activities should increase the utilization of dental services by such children and decrease the incidence of early childhood and baby bottle tooth decay. The conferees are supportive of these efforts.
Centers for Disease Control and Prevention
DISEASE CONTROL, RESEARCH, AND TRAINING
The conference agreement includes $3,868,027,000 for disease control, research, and training instead of $3,386,369,000 as proposed by the House and $3,251,996,000 as proposed by the Senate.
The conference agreement includes $175,000,000 for equipment, construction, and renovation of facilities as proposed by the Senate instead of $145,000,000 as proposed by the House. The conference agreement includes bill language to allow CDC to enter into a single contract or related contracts for the full scope of development and construction of facilities as proposed by the Senate. The House bill provided this authority only for laboratory building 18.
The conference agreement includes a total of $97,354,000 for the National Center for Health Statistics instead of $86,759,000 as proposed by the House and $105,110,000 as proposed by the Senate. The conference agreement also includes bill language designating $71,690,000 of the total to be available to the Center under the Public Health Service Act one percent evaluation set-aside as proposed by the House instead of $91,129,000 as proposed by the Senate.
The conference agreement includes bill language to allow funds recouped from fiscal years 2000 and 2001 obligations for the influenza vaccine stockpile to be used in fiscal year 2001 for childhood vaccine purchase.
The conference agreement does not include language proposed by the Senate to allow funds made available for section 317A of the Public Health Service Act to be used at Early Head Start program sites. The House bill contained no similar provision.
The conference agreement consolidates the salaries and expenses of CDC into a single account. Salaries and expenses activities encompass all non-extramural activities with the exception of program support services, centrally managed services, and buildings and facilities. The agency may allocate administrative funds for extramural program activities according to its judgment. Funds should be apportioned and allocated consistent with the table, and any changes in funding are subject to the normal notification procedures.
The conference agreement includes $175,969,000 for the prevention health services block grant instead of $175,964,000 as proposed by the House and $175,124,000 as proposed by the Senate. Within the total provided, $44,225,000 is for rape prevention and education activities previously funded through the Crime Trust Fund.
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