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 PUBLIC LAW 99-158—NOV. 20, 1985 entities and health professions personnel and scientists and for the information of the general public; and "(C) may appoint subcommittees and convene workshops and conferences. "(b)(1) Each advisory council shall consist of ex officio members and not more than eighteen members appointed by the Secretary. "(2) The ex officio members of an advisory council shall consist of— "(A) the Secretary, the Director of NIH, the Director of the national research institute for which the council is established, the Chief Medical Director of the Veterans' Administration or the Chief Dental Director of the Veterans' Administration, and the Assistant Secretary of Defense for Health Affairs (or the designees of such officers), and "(B) such additional officers or employees of the United States as the Secretary determines necessary for the advisory council to effectively carry out its functions. "(3) The members of an advisory council who are not ex officio members shall be appointed as follows: "(A) Two-thirds of the members shall be appointed by the Secretary from among the leading representatives of the health and scientific disciplines (including public health and the behavioral or social sciences) relevant to the activities of the national research institute for which the advisory council is established, "(B) One-third of the members shall be appointed by the Secretary from the general public and shall include leaders in fields of public policy, law, health policy, economics, and management. "(4) Members of an advisory council who are officers or employees of the United States shall not receive any compensation for service on the advisory council. The other members of an advisory council shall receive, for each day (including traveltime) they are engaged in the performance of the functions of the advisory council, compensation at rates not to exceed the daily equivalent of the annual rate in effect for grade GS-18 of the General Schedule. "(c) The term of office of an appointed member of an advisory council is four years, except that any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term and the Secretary shall make appointments to an advisory council in such a manner as to ensure that the terms of the members do not all expire in the same year. A member may serve after the expiration of the member's term until a successor has taken office. A member who has been appointed for a term of four years may not be reappointed to an advisory council before two years from the date of expiration of such term of office. If a vacancy occurs in the advisory council among the appointed members, the Secretary shall make an appointment to fill the vacancy within 90 days from the date the vacancy occurs. (d) The chairman of an advisory council shall be selected by the Secretary from among the appointed members, except that the Secretary may select the Director of the national research institute for which the advisory council is established to be the chairman of the advisory council. The term of office of the chairman shall be two years. "(e) The advisory council shall meet at the call of the chairman or upon the request of the Director of the national research institute for which it was established, but at least three times each fiscal

99 STAT. 829

Government organization and employees. Prohibition.

5 USC 5332 note.

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Page:United States Statutes at Large Volume 99 Part 1.djvu/852

 99 STAT. 830

Report. Post, p. 831.

Report.

Ante, p. 820.

PUBLIC LAW 99-158—NOV. 20, 1985 year. The location of the meetings of each advisory council is subject to the approval of the Director of the national research institute for which the advisory council was established. "(f) The Director of the national research institute for which an advisory council is established shall designate a member of the staff of the institute to serve as the executive secretary of the advisory council. The Director of such institute shall make available to the advisory council such staff, information, and other assistance as it may require to carry out its functions. The Director of such institute shall provide orientation and training for new members of the advisory council to provide them with such information and training as may be appropriate for their effective participation in the functions of the advisory council. "(g) Each advisory council may prepare, for inclusion in the biennial report made under section 407, (1) comments respecting the activities of the advisory council in the fiscal years respecting which the report is prepared, (2) comments on the progress of the national research institute for which it was established in meeting its objectives, and (3) recommendations respecting the future directions and program and policy emphasis of the institute. Each advisory council may prepare such additional reports as it may determine appropriate. "(h)(1) Except as provided in paragraph (2), this section does not terminate the membership of any advisory council for a national research institute which was in existence on the date of enactment of the Health Research Extension Act of 1985. After such date— "(A) the Secretary shall make appointments to each such advisory council in such a manner as to bring about as soon as practicable the composition for such council prescribed by this section; "(B) each advisory council shall organize itself in accordance with this section and exercise the functions prescribed by this section; and "(C) the Director of each national research institute shall perform for such advisory council the functions prescribed by this section. "(2)(A) The National Cancer Advisory Board shall be the advisory council for the National Cancer Institute. This section applies to the National Cancer Advisory Board, except that— "(i) appointments to such Board shall be made by the President; "(ii) the term of office of an appointed member shall be 6 years; "(iii) of the members appointed to the Board not less than five members shall be individuals knowledgeable in environmental carcinogenesis (including carcinogenesis involving occupational and dietary factors); "(iv) the chairman of the Board shall be selected by the President from the appointed members and shall serve as chairman for a term of two years; "(v) the ex officio members of the Board shall be the Secretary, the Director of the Office of Science and Technology Policy, the Director of NIH, the Chief Medical Director of the Veterans' Administration, the Director of the National Institute for Occupational Safety and Health, the Director of the National Institute of Environmental Health Sciences, the Secretary of Labor, the Commissioner of the Food and Drug

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Page:United States Statutes at Large Volume 99 Part 1.djvu/853

 PUBLIC LAW 99-158—NOV. 20, 1985

99 STAT. 831

Administration, the Administrator of the Environmental Protection Agency, the Chairman of the Consumer Product Safety Commission, and the Assistant Secretary of Defense for Health Affairs (or the designees of such officers); and "(vi) the Board shall meet at least four times each fiscal year. "(B) This section applies to the advisory council to the National Heart, Lung, and Blood Institute, except that the advisory council shall meet at least four times each fiscal year. "BIENNIAL REPORT

"SEC. 407. The Director of each national research institute, after consultation with the advisory council for the institute, shall prepare for inclusion in the biennial report made under section 403 a biennial report which shall consist of a description of the activities of the institute and program policies of the Director of the institute in the fiscal years respecting which the report is prepared. The Director of each national research institute may prepare such additional reports as the Director determines appropriate. The Director of each national research institute shall provide the advisory council for the institute an opportunity for the submission of the written comments referred to in section 406(g).

42 USC 284b. Ante, p. 826.

Ante, p. 828.

"AUTHORIZATIONS OF APPROPRIATIONS

"SEC. 408. (a) In addition to amounts otherwise authorized to be 42 USC 284c. appropriated under this title for the National Institutes of Health, the following amounts are authorized to be appropriated: "(1)(A) For the National Cancer Institute (other than its programs under section 412), there are authorized to be appro- Post, p. 832. priated $1,194,000,000 for fiscal year 1986, $1,270,000,000 for fiscal year 1987, and $1,344,000,000 for fiscal year 1988. "(B) For the programs under section 412, there are authorized to be appropriated $68,000,000 for fiscal year 1986, $74,000,000 for fiscal year 1987, and $80,000,000 for fiscal year 1988. "(2)(A) For the National Heart, Lung, and Blood Institute (other than its programs under section 419), there are au- Post, p. 836. thorized to be appropriated $809,000,000 for fiscal year 1986, $871,000,000 for fiscal year 1987, and $927,000,000 for fiscal year 1988. Of the amount appropriated under this subsection for such fiscal year, not less than 15 percent of such amount shall be reserved for programs respecting diseases of the lung and not less than 15 percent of such amount shall be reserved for programs respecting blood diseases and blood resources. "(B) For the programs under section 419, there are authorized to be appropriated $82,000,000 for fiscal year 1986, $90,000,000 for fiscal year 1987, and $98,000,000 for fiscal year 1988. "(b)(l) Except as provided in paragraph (2), the sum of the amounts obligated in any fiscal year for administrative expenses of the National Institutes of Health may not exceed an amount which is 5.5 percent of the total amount appropriated for such fiscal year for the National Institutes of Health. "(2) Paragraph (1) does not apply to the National Library of Medicine, the National Center for Nursing Research, the John E. Fogarty International Center for Advanced Study in the Health Sciences, the Warren G. Magnuson Clinical Center, and the Office of Medical Applications of Research.

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Page:United States Statutes at Large Volume 99 Part 1.djvu/854

 99 STAT. 832

Report.

PUBLIC LAW 99-158—NOV. 20, 1985 "(3) For purposes of paragraph (1), the term 'administrative expenses' means expenses incurred for the support of activities relevant to the award of grants, contracts, and cooperative agreements and expenses incurred for general administration of the scientific programs and activities of the National Institutes of Health. In identifying expenses incurred for such support and administration the Secretary shall consult with the Comptroller General of the United States. "(4) Not later than December 31, 1987, and December 31 of each succeeding year, the Secretary shall report to the Congress the amount obligated in the fiscal year preceding such date for administrative expenses of the National Institutes of Health and the total amount appropriated for the National Institutes of Health for such fiscal year. The Secretary shall consult with the Comptroller General of the United States in preparing each report. "PART C—SPECIFIC PROVISIONS RESPECTING NATIONAL RESEARCH INSTITUTES

"Subpart 1—National Cancer Institute "PURPOSE OF INSTITUTE

42 USC 285.

"SEC. 410. The general purpose of the National Cancer Institute (hereafter in this subpart referred to as the 'Institute') is the conduct and support of research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer and the continuing care of cancer patients and the families of cancer patients. "NATIONAL CANCER PROGRAM

42 USC 285a.

"SEC. 411. The National Cancer Program shall consist of (1) an expanded, intensified, and coordinated cancer research program encompassing the research programs conducted and supported by the Institute and the related research programs of the other national research institutes, including an expanded and intensified research program for the prevention of cancer caused by occupational or environmental exposure to carcinogens, and (2) the other programs and activities of the Institute. "CANCER CONTROL PROGRAMS

Education. 42 USC 285a-l.

Physicians.

"SEC. 412. The Director of the Institute shall establish and support demonstration, education, and other programs for the detection, diagnosis, prevention, and treatment of cancer and for rehabilitation and counseling respecting cancer. Programs established and supported under this section shall include— "(1) locally initiated education and demonstration programs (and regional networks of such programs) to transmit research results and to disseminate information respecting— "(A) the detection, diagnosis, prevention, and treatment of cancer, "(B) the continuing care of cancer patients and the families of cancer patiente, and "(C) rehabilitation and counseling respecting cancer, to physicians, and other health professionals who provide care to individuals who have cancer;

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Page:United States Statutes at Large Volume 99 Part 1.djvu/855

 PUBLIC LAW 99-158—NOV. 20, 1985 "(2) the demonstration of and the education of students of the health professions and health professionals in— "(A) effective methods for the prevention and early detection of cancer and the identification of individuals with a high risk of developing cancer, and "(B) improved methods of patient referral to appropriate centers for early diagnosis and treatment of cancer; and "(3) the demonstration of new methods for the dissemination of information to the general public concerning the prevention, early detection, diagnosis, and treatment and control of cancer and information concerning unapproved and ineffective methods, drugs, and devices for the diagnosis, prevention, treatment, and control of cancer.

99 STAT. 833

Public information.

SPECIAL AUTHORITIES OF THE DIRECTOR

"SEC, 413. (a) The Director of the Institute shall establish an information and education center to collect, identify, analyze, and disseminate on a timely basis, through publications and other appropriate means, to cancer patients and their families, physicians and other health professionals, and the general public, information on cancer research, diagnosis, prevention, and treatment (including information respecting nutrition programs for cancer patients and the relationship between nutrition and cancer). The Director of the Institute may take such action as may be necessary to insure that all channels for the dissemination and exchange of scientific knowledge and information are maintained between the Institute and other scientific, medical, and biomedical disciplines and organizations nationally and internationaly. "(b) The Director of the Institute in carrying out the National Cancer Program "(1) shall establish or support the large-scale production or distribution of specialized biological materials and other therapeutic substances for cancer research and set standards of safety and care for persons using such materials; "(2) shall, in consultation with the advisory council for the Institute, support (A) research in the cancer field outside the United States by highly qualified foreign nationals which can be expected to benefit the American people, (B) collaborative research involving American and foreign participants, and (C) the training of American scientists abroad and foreign scientists in the United States; "(3) shall, in consultation with the advisory council for the Institute, support appropriate programs of education and training (including continuing education and laboratory and clinical research training); "(4) shall encourage and coordinate cancer research by industrial concerns where such concerns evidence a particular capability for such research; '(5) may obtain (with the approval of the advisory council for the Institute and in accordance with section 3109 of title 5, United States Code, but without regard to the limitation in such section on the period of service) the services of not more than one hundred and fifty-one experts or consultants who have scientific or professional qualifications; "(6)(A) may, in consultation with the advisory council for the Institute, acquire, construct, improve, repair, operate, and

Education. Physicians. Public information. 42 USC 285a-2.

Real property.

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Page:United States Statutes at Large Volume 99 Part 1.djvu/856

 99 STAT. 834

Grants.

Public buildings and grounds. District of Columbia.

Contracts. Ante, p. 826.

Prohibition.

PUBLIC LAW 99-158—NOV. 20, 1985 maintain laboratories, other research facilities, equipment, and such other real or personal property as the Director determines necessary; "(B) may, in consultation with the advisory council for the Institute, make grants for construction or renovation of facilities; and "(C) may, in consultation with the advisory council for the Institute, acquire, without regard to the Act of March 3, 1877 (40 U.S.C. 34), by lease or otherwise through the Administrator of General Services, buildings or parts of buildings in the District of Columbia or communities located adjacent to the District of Columbia for the use of the Institute for a period not to exceed ten years; "(7) may, in consultation with the advisory council for the Institute, appoint one or more advisory committees composed of such private citizens and officials of Federal, State, and local governments to advise the Director with respect to the Director's functions; "(8) may, subject to section 405(b)(2) and without regard to section 3324 of title 31, United States Code, and section 3709 of the Revised Statutes (41 U.S.C. 5), enter into such contracts, leases, cooperative agreements, as may be necessary in the conduct of functions of the Director, with any public agency, or with any person, firm, association, corporation, or educational institution; "(9) shall maintain and operate the International Cancer Research Data Bank, which shall collect, catalog, store, and disseminate insofar as feasible through the use of information systems accessible to the public, general practitioners, and oncologic investigators, the results of cancer research and treatment undertaken in any country for the use of any person involved in cancer research and treatment in any country; and "(10)(A) shall, notwithstanding section 405(a), prepare and submit, directly to the President for review and transmittal to Congress, an annual budget estimate (including an estimate of the number and type of personnel needs for the Institute) for the National Cancer Program, after reasonable opportunity for comment (but without change) by the Secretary, the Director of NIH, and the Institute's advisory council; and (B) may receive from the President and the Office of Management and Budget directly all funds appropriated by Congress for obligation and expenditure by the Institute. Except as otherwise provided, experts and consultants whose services are obtained under paragraph (5) shall be paid or reimbursed, in accordance with title 5, United States Code, for their travel to and from their place of service and for other expenses associated with their assignment. Such expenses shall not be allowed in connection with the assignment of an expert or consultant whose services are obtained under paragraph (5) unless the expert or consultant has agreed in writing to complete the entire period of the assignment or one year of the assignment, whichever is shorter, unless separated or reassigned for reasons which are beyond the control of the expert or consultant and which are acceptable to the Director of the Institute. If the expert or consultant violates the agreement, the money spent by the United States for such expenses is recoverable from the expert or consultant as a debt due the United States. The

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 PUBLIC LAW 99-158—NOV. 20, 1985

99 STAT. 835

Secretary may waive in whole or in part a right of recovery under the preceding sentence. "NATIONAL CANCER RESEARCH AND DEMONSTRATION CENTERS

"SEC. 414. (a)(1) The Director of the Institute may enter into cooperative agreements with and make grants to public or private nonprofit entities to pay all or part of the cost of planning, establishing, or strengthening, and providing basic operating support for centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention, and treatment methods for cancer. "(2) A cooperative agreement or grant under paragraph (1) shall be entered into in accordance with policies established by the Director of NIH and after consultation with the Institute's advisory council. "(b) Federal payments made under a cooperative agreement or grant under subsection (a) may be used for— "(1) construction (notwithstanding any limitation under section 496); "(2) staffing and other basic operating costs, including such patient care costs as are required for research; "(3) clinical training, including training for allied health professionals, continuing education for health professionals and allied health professions personnel, and information programs for the public respecting cancer; and "(4) demonstration purposes. As used in this paragraph, the term 'construction' does not include the acquisition of land, and the term 'training' does not include research training for which National Research Service Awards may be provided under section 487. "(c) Support of a center under subsection (a) may be for a period of not to exceed five years. Such period may be extended by the Director for additional periods of not more than five years each if the operations of such center have been reviewed by an appropriate technical and scientific peer review group established by the Director and if such group has recommended to the Director that such period should be extended.

Contracts. ^9''TIQ^ 42 USC 285a-3.

Post, p. 877.

Post, p. 869.

"PRESIDENT'S CANCER PANEL

"SEC. 415. (a)(1) The President's Cancer Panel (hereafter in this section referred to as the 'Panel') shall be composed of three persons appointed by the President who by virtue of their training, experience, and background are exceptionally qualified to appraise the National Cancer Program. At least two members of the Panel shall be distinguished scientists or physicians. "(2)(A) Members of the Panel shall be appointed for three-year terms, except that (i) any member appointed to fill a vacancy occurring prior to the expiration of the term for which the member's predecessor was appointed shall be appointed only for the remainder of such term, and (ii) a member may serve until the member's successor has taken office. If a vacancy occurs in the Panel, the President shall make an appointment to fill the vacancy not later than 90 days after the date the vacancy occurred. "(B) The President shall designate one of the members to serve as the chgdrman of the Panel for a term of one year.

42 USC 285a-4.

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 99 STAT. 836 5 USC 5332.

Reports.

PUBLIC LAW 99-158—NOV. 20, 1985 "(C) Members of the Panel shall each be entitled to receive the daily equivalent of the annual rate of basic pay in effect for grade GS-18 of the General Schedule for each day (including traveltime) during which they are engaged in the actual performance of duties as members of the Panel and shall be paid or reimbursed, in accordance with title 5, United States Code, for their travel to and from their place of service and for other expenses associated with their assignment. "(3) The Panel shall meet at the call of the chairman, but not less often than four times a year. A transcript shall be kept of the proceedings of each meeting of the Panel, and the chairman shall make such transcript available to the public. "(b) The Panel shall monitor the development and execution of the activities of the National Cancer Program, and shall report directly to the President. Any delays or blockages in rapid execution of the Program shall immediately be brought to the attention of the President. The Panel shall submit to the President periodic progress reports on the National Cancer Program and shall submit to the President, the Secretary, and the Congress an annual evaluation of the efficacy of the Program and suggestions for improvements, and shall submit such other reports as the President shall direct. "ASSOCIATE DIRECTOR FOR PREVENTION

42 USC 285a-5.

Ante, p. 831.

"SEC. 416. (a) There shall be in the Institute an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of cancer. The Associate Director shall be appointed by the Director of the Institute from individuals who because of their professional training or experience are experts in public health or preventive medicine. "(b) The Associate Director for Prevention shall prepare for inclusion in the biennial report made under section 407 a description of the prevention activities of the Institute, including a description of the staff and resources allocated to those activities. "Subpart 2—National Heart, Lung, and Blood Institute "PURPOSE OF THE INSTITUTE

42 USC 285b.

"SEC. 418. The general purpose of the National Heart, Lung, and Blood Institute (hereafter in this subpart referred to as the 'Institute') is the conduct and support of research, training, health information dissemination, and other programs with respect to heart, blood vessel, lung, and blood diseases and with respect to the use of blood and blood products and the management of blood resources. HEART, BLOOD VESSEL, LUNG, AND BLOOD DISEASE PREVENTION AND CONTROL PROGRAMS

ehildren and youth. 42 USC 285b-l.

"SEC. 419. The Director of the Institute, under policies established by the Director of NIH and after consultation with the advisory council for the Institute, shall establish programs as necessary for cooperation with other Federal health agencies. State, local, and regional public health agencies, and nonprofit private health agencies in the diagnosis, prevention, and treatment (including the provision of emergency medical services) of heart, blood vessel, lung,

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Page:United States Statutes at Large Volume 99 Part 1.djvu/859

 PUBLIC LAW 99-158—NOV. 20, 1985

99 STAT. 837

and blood diseases, appropriately emphasizing the prevention, diagnosis, and treatment of such diseases of children. "INFORMATION AND EDUCATION

"SEC. 420. The Director of the Institute shall collect, identify, analyze, and disseminate on a timely basis, through publications and other appropriate means, to patients, families of patients, physicians and other health professionals, and the general public, information on research, prevention, diagnosis, and treatment of heart, blood vessel, lung, and blood diseases, the maintenance of health to reduce the incidence of such diseases, and on the use of blood and blood products and the management of blood resources. In carrying out this section the Director of the Institute shall place special emphasis upon— "(1) the dissemination of information regarding diet and nutrition, environmental pollutants, exercise, stress, hypertension, cigarette smoking, weight control, and other factors affecting the prevention of arteriosclerosis and other cardiovascular diseases and of pulmonary and blood diseases; and "(2) the dissemination of information designed to encourage children to adopt healthful habits respecting the risk factors related to the prevention of such diseases.

42 USC 285b-2.

"NATIONAL HEART, BLOOD VESSEL, LUNG, AND BLOOD DISEASES AND BLOOD RESOURCES PROGRAM

"SEC. 421. (a)(1) The National Heart, Blood Vessel, Lung, and Blood Diseases and Blood Resources Program (hereafter in this subpart referred to as the 'Program') may provide for— "(A) investigation into the epidemiology, etiology, and prevention of all forms and aspects of heart, blood vessel, lung, and blood diseases, including investigations into the social, environmental, behavioral, nutritional, biological, and genetic determinants and influences involved in the epidemiology, etiology, and prevention of such diseases; "(B) studies and research into the basic biological processes and mechanisms involved in the underlying normal and abnormal heart, blood vessel, lung, and blood phenomena; "(C) research into the development, trial, and evaluation of techniques, drugs, and devices (including computers) used in, and approaches to, the diagnosis, treatment (including the provision of emergency medical services), and prevention of heart, blood vessel, lung, and blood diseases and the rehabilitation of patients suffering from such diseases; "(D) establishment of programs that will focus and apply scientific and technological efforts involving the biological, physical, and engineering sciences to all facets of heart, blood vessel, lung, and blood diseases with emphasis on the refinement, development, and evaluation of technological devices that will assist, replace, or monitor vital organs and improve instrumentation for detection, diagnosis, and treatment of such diseases; "(E) establishment of programs for the conduct and direction of field studies, large-scale testing and evaluation, and demonstration of preventive, diagnostic, therapeutic, and rehabilita-

42 USC 285b-3.

Science and technology,

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Page:United States Statutes at Large Volume 99 Part 1.djvu/860

 99 STAT. 838

Education.

Education.

Real property.

Grants.

Public buildings and grounds. District of Columbia.

PUBLIC LAW 99-158—NOV. 20, 1985 tive approaches to, and emergency medical services for, such diseases; "(F) studies and research into blood diseases and blood, and into the use of blood for clinical purposes and all aspects of the management of blood resources in the United States, including the collection, preservation, fractionation, and distribution of blood and blood products; "(G) the education (including continuing education) and training of scientists, clinical investigators, and educators, in fields and specialties (including computer sciences) requisite to the conduct of clinical programs respecting heart, blood vessel, lung, and blood diseeises and blood resources; "(H) public and professional education relating to all aspects of such diseases, including the prevention of such diseases, and the use of blood and blood products and the management of blood resources; "(I) establishment of programs for study and research into heart, blood vessel, lung, and blood diseases of children (including cystic fibrosis, hyaline membrane, hemol3^ic diseases such as sickle cell anemia and Cooley's anemia, and hemophilic diseases) and for the development and demonstration of diagnostic, treatment, and preventive approaches to such diseeises; and "(J) establishment of programs for study, research, development, demonstrations and evaluation of emergency medical services for people who become critically ill in connection with heart, blood vessel, lung, or blood diseases. "(2) The Program shall be coordinated with other national research institutes to the extent that they have responsibilities respecting such diseases and shall give special emphasis to the continued development in the Institute of programs related to the causes of stroke and to effective coordination of such programs with related stroke programs in the National Institute of Neurological and Communicative Disorders and Stroke. The Director of the Institute, with the advice of the advisory council for the Institute, shall revise annually the plan for the Program and shall carry out the Program in accordance with such plan. "(b) In carrying out the Program, the Director of the Institute, under policies established by the Director of NIH— (1) may, after approval of the advisory council for the Institute, obtain (in accordance with section 3109 of title 5, United States Code, but without regard to the limitation in such section on the period of such service) the services of not more than one hundred experts or consultants who have scientific or professional qualifications; "(2)(A) may, in consultation with the advisory council for the Institute, acquire and construct, improve, repair, operate, alter, renovate, and maintain, heart, blood vessel, lung, and blood disease and blood resource laboratories, research, training, and other facilities, equipment, and such other real or personal property as the Director determines necessary; "(B) may, in consultation with the advisory council for the Institute, make grants for construction or renovation of facilities; and "(C) may, in consultation with the advisory council for the Institute, acquire, without regard to the Act of March 3, 1877 (40 U.S.C. 34), by lease or otherwise, through the Administrator

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Page:United States Statutes at Large Volume 99 Part 1.djvu/861

 PUBLIC LAW 99-158—NOV. 20, 1985 of General Services, buildings or parts of buildings in the District of Columbia or communities located adjacent to the District of Columbia for the use of the Institute for a period not to exceed ten years; "(3) subject to section 405(b)(2) and without regard to section 3324 of title 31, United States Code, and section 3709 of the Revised Statutes (41 U.S.C. 5), may enter into such contracts, leases, cooperative agreements, or other transactions, as may be necessary in the conduct of the Director's functions, with any public agency, or with any person, firm, association, corporation, or educational institutions; and "(4) may make grants to public and nonprofit private entities to assist in meeting the cost of the care of patients in hospitals, clinics, and related facilities who are participating in research projects. Except as otherwise provided, experts and consultants whose services are obtained under paragraph (1) shall be paid or reimbursed, in accordance with title 5, United States Code, for their travel to and from their place of service and for other expenses associated with their assignment. Such expenses shall not be allowed in connection with the assignment of an expert or consultant whose services are obtained under paragraph (1) unless the expert or consultant has agreed in writing to complete the entire period of the assignment or one year of the assignment, whichever is shorter, unless separated or reassigned for reasons which are beyond the control of the expert or consultant and which are acceptable to the Director of the Institute. If the expert or consultant violates the agreement, the money spent by the United States for such expenses is recoverable from the expert or consultant as a debt due the United States. The Secretary may waive in whole or in part a right of recovery under the preceding sentence.

99 STAT. 839

Contracts. Ante, p. 826.

Grants.

NATIONAL RESEARCH AND DEMONSTRATION CENTERS FOR HEART, BLOOD VESSEL, LUNG, AND BLOOD DISEASES, SICKLE CELL ANEMIA, AND BLOOD RESOURCES

"SEC. 422. (a)(1) The Director of the Institute may provide, in accordance with subsection (c), for the development of— "(A) ten centers for basic and clinical research into, training in, and demonstration of, advanced diagnostic, prevention, and treatment methods (including methods of providing emergency medical services) for heart and blood vessel diseases; "(B) ten centers for basic and clinical research into, training in, and demonstration of, advanced diagnostic, prevention, and treatment methods (including methods of providing emergency medical services) for lung diseases (including bronchitis, emphysema, asthma, cystic fibrosis, and other lung diseases of children); and "(C) ten centers for basic and clinical research into, training in, and demonstration of, advanced diagnostic, prevention, and treatment methods (including methods of providing emergency medical services) for blood diseases and research into blood, in the use of blood products and in the management of blood resources. "(2) The centers developed under paragraph (1) shall, in addition to being utilized for research, training, and demonstrations, be

42 USC 285b-4.

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Page:United States Statutes at Large Volume 99 Part 1.djvu/862

 99 STAT. 840

Education.

Contracts. Grants.

Post, p. 877.

Post, p. 869.

PUBLIC LAW 99-158—NOV. 20, 1985 utilized for the following prevention programs for cardiovascular, pulmonary, and blood diseases: "(A) Programs to develop improved methods of detecting individuals with a high risk of developing cardiovascular, pulmonary, and blood diseases. "(B) Programs to develop improved methods of intervention against those factors which cause individuals to have a high risk of developing such diseases. "(C) Programs to develop health professions and allied health professions personnel highly skilled in the prevention of such diseases. "(D) Programs to develop improved methods of providing emergency medical services for persons with such diseases. "(E) Programs of continuing education for health and allied health professionals in the diagnosis, prevention, and treatment of such diseases and the maintenance of health to reduce the incidence of such diseases and information programs for the public respecting the prevention and early diagnosis and treatment of such diseases and the maintenance of health. "(3) The research, training, and demonstration activities carried out through any such center may relate to any one or more of the diseases referred to in paragraph (1) of this subsection. "(b) The Director of the Institute shall provide, in accordance with subsection (c), for the development of ten centers for basic and clinical research into the diagnosis, treatment, and control of sickle cell anemia. "(c)(l) The Director of the Institute may enter into cooperative agreements with and make grants to public or private nonprofit entities to pay all or part of the cost of planning, establishing, or strengthening, and providing basic operating support for centers for basic and clinical research into, training in, and demonstration of the management of blood resources and advanced diagnostic, prevention, and treatment methods for heart, blood vessel, lung, or blood diseases. "(2) A cooperative agreement or grant under paragraph (1) shall be entered into in accordance with policies established by the Director of NIH and after consultation with the Institute's advisory council. "(3) Federed payments made under a cooperative agreement or grant under paragraph (1) may be used for— "(A) construction (notwithstanding any limitation under section 496); "(B) staffing and other basic operating costs, including such patient care costs as are required for research; "(C) training, including training for allied health professionals; and "(D) demonstration purposes. As used in this subsection, the term 'construction' does not include the acquisition of land, and the term 'training' does not include research training for which National Research Service Awards may be provided under section 487. "(4) Support of a center under paragraph (1) may be for a period of not to exceed five years. Such period may be extended by the Director for additional periods of not more than five years each if the operations of such center have been reviewed by an appropriate technical and scientific peer review group established by the Direc-

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Page:United States Statutes at Large Volume 99 Part 1.djvu/863

 PUBLIC LAW 99-158—NOV. 20, 1985

99 STAT. 841

tor and if such group has recommended to the Director that such period should be extended. INTERAGENCY TECHNICAL COMMITTEE

"SEC. 423. (a) The Secretary shall establish an Interagency Technical Committee on Heart, Blood Vessel, Lung, and Blood Diseases and Blood Resources which shall be responsible for coordinating those aspects of all Federal health programs and activities relating to heart, blood vessel, lung, and blood diseases and blood resources to assure the adequacy and technical soundness of such programs and activities and to provide for the full communication and exchange of information necessary to maintain adequate coordination of such programs and activities. "(b) The Director of the Institute shall serve as chairman of the Committee and the Committee shall include representation from all Federal departments and agencies whose programs involve health functions or responsibilities relevant to the functions of the Committee, as determined by the Secretary,

Interagency Technical Committee on Heart, Blood Vessel, Lung, and Blood Diseases and Blood Resources, establishment. 42 USC 285b-5.

" A S S O C I A T E DIRECTOR FOR PREVENTION

"SEC. 424. (a) There shall be in the Institute an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of heart, blood vessel, lung, and blood diseases. The Associate Director shall be appointed by the Director of the Institute from individuals who because of their professional training or experience are experts in public health or preventive medicine. "(b) The Associate Director for Prevention shall prepare for inclusion in the biennial report made under section 407 a description of the prevention activities of the Institute, including a description of the staff and resources allocated to those activities.

42 USC 285b-6.

Ante, p. 831.

"Subpart 3—National Institute of Diabetes and Digestive and Kidney Diseases "PURPOSE OF THE INSTITUTE

"SEC. 426. The general purpose of the National Institute of Diabetes and Digestive and Kidney Diseases (hereafter in this subpart referred to as the 'Institute') is the conduct and support of research, training, health information dissemination, and other programs with respect to diabetes mellitus and endocrine and metabolic diseases, digestive diseases and nutritional disorders, and kidney, urologic, and hematologic diseases.

42 USC 285c.

"DATA SYSTEMS AND INFORMATION CLEARINGHOUSES

"SEC. 427. (a) The Director of the Institute shall (1) establish the National Diabetes Data System for the collection, storage, analysis, retrieval, and dissemination of data derived from patient populations with diabetes, including, where possible, data involving general populations for the purpose of detection of individuals with a risk of developing diabetes, and (2) establish the National Diabetes Information Clearinghouse to facilitate and enhance knowledge and understanding of diabetes on the part of health professionals, pa-

42 USC 285C-1.

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 99 STAT. 842

PUBLIC LAW 99-158—NOV. 20, 1985 tients, and the public through the effective dissemination of information. "(b) The Director of the Institute shall (1) establish the National Digestive Diseases Data System for the collection, storage, analysis, retrieval, and dissemination of data derived from patient populations with digestive diseases, including, where possible, data involving general populations for the purpose of detection of individuals with a risk of developing digestive diseases, and (2) establish the National Digestive Diseases Information Clearinghouse to facilitate and enhance knowledge and understanding of digestive diseases on the part of health professionals, patients, and the public through the effective dissemination of information. "(c) The Director of the Institute shall (1) establish the National Kidney and Urologic Diseases Data System for the collection, storage, analysis, retrieval, and dissemination of data derived from patient populations with kidney and urologic diseases, including, where possible, data involving general populations for the purpose of detection of individuals with a risk of developing kidney and urologic diseases, and (2) establish the National Kidney and Urologic Diseases Information Clearinghouse to facilitate and enhance knowledge and understanding of kidney and urologic diseases on the part of health professionals, patients, and the public through the effective dissemination of information. "DIVISION DIRECTORS FOR DIABETES, ENDOCRINOLOGY, AND METABOUC DISEASES, DIGESTIVE DISEASES AND NUTRITION, AND KIDNEY, UROLOGIC, AND HEMATOLOGIC DISEASES

42 USC 285C-2.

"SEC. 428. (a)(1) In the Institute there shall be a Division Director for Diabetes, Endocrinology, and Metabolic Diseases, a Division Director for Digestive Diseases and Nutrition, and a Division Director for Kidney, Urologic, and Hematologic Diseases. Such Division Directors, under the supervision of the Director of the Institute, shall be responsible for— "(A) developing a coordinated plan (including recommendations for expenditures) for each of the national research institutes within the National Institutes of Health with respect to research and training concerning diabetes, endocrine and metabolic diseases, digestive diseases and nutrition, and kidney, urologic, and hematologic diseases; "(B) assessing the adequacy of management approaches for the activities within such institutes concerning such diseases and nutrition and developing improved approaches if needed; "(C) monitoring and reviewing expenditures by such institutes concerning such diseases and nutrition; and "(D) identifying research opportunities concerning such diseases and nutrition and recommending ways to utilize such opportunities. "(2) The Director of the Institute shall transmit to the Director of NIH the plans, recommendations, and reviews of the Division Directors under subparagraphs (A) through (D) of paragraph (1) together with such comments and recommendations as the Director of the Institute determines appropriate. "(b) The Director of the Institute, acting through the the Division Director for Diabetes, Endocrinology, and Metabolic Diseases, the Division Director for Digestive Diseases and Nutrition, and the

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 PUBLIC LAW 99-158-NOV. 20, 1985 Division Director for Kidney, Urologic, and Hematologic Diseases, shall"(1) carry out programs of support for research and training (other than training for which National Research Service Awards may be made under section 487) in the diagnosis, prevention, and treatment of diabetes mellitus and endocrine and metabolic diseases, digestive diseases and nutritional disorders, and kidney, urologic, and hematologic diseases, including support for training in medical schools, graduate clinical training, graduate training in epidemiology, epidemiology studies, clinical trials, and interdisciplinary research programs; and "(2) establish programs of evaluation, planning, and dissemination of knowledge related to such research and training.

99 STAT. 843

Post, p. 869.

"INTERAGENCY COORDINATING COMMITTEES

"SEC. 429. (a) For the purpose of— "(1) better coordination of the research activities of all the national research institutes relating to diabetes mellitus, digestive diseases, and kidney, urologic, and hematologic diseases; and "(2) coordinating those aspects of all Federal health programs and activities relating to such diseases to assure the adequacy and technical soundness of such programs and activities and to provide for the full communication and exchange of information necessary to maintain adequate coordination of such programs and activities; the Secretary shall establish a Diabetes Mellitus Interagency Coordinating Committee, a Digestive Diseases Interagency Coordinating Committee, and a Kidney, Urologic, and Hematologic Diseases Coordinating Committee (hereafter in this section individually referred to as a 'Committee'). "(b) Each Committee shall be composed of the Directors of each of the national research institutes and divisions involved in research with respect to the diseases for which the Committee is established, the Division Director of the Institute for the diseases for which the Committee is established, the Chief Medical Director of the Veterans' Administration, and the Assistant Secretary of Defense for Health Affairs (or the designees of such officers) and shall include representation from all other Federal departments and agencies whose programs involve health functions or responsibilities relevant to such diseases, as determined by the Secretary. Each Committee shall be chaired by the Director of NIH (or the designee of the Director). Each Committee shall meet at the call of the chairman, but not less often than four times a year. "(c) Each Committee shall prepare an annual report for— "(1) the Secretary; "(2) the Director of NIH; and "(8) the Advisory Board established under section 430 for the diseases for which the Committee was established, detailing the work of the Committee in carrying out paragraphs (1) and (2) of subsection (a) in the fiscal ^ear for which the report was prepared. Such report shall be submitted not later than 120 days after the end of each fiscal year.

42 USC 285C-3.

Diabetes Mellitus Interagency Coordinating Committee, establishment. Digestive Diseases Interagency Coordinating Committee, establishment. Kidney, Urologic, and Hematologic Diseases Coordinating Committee, establishment.

Report. Post, p. 844.

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 99 STAT. 844

PUBLIC LAW 99-158—NOV. 20, 1985 ADVISORY BOARDS

National Diabetes Advisory Board, establishment. National Digestive Disease Advisory Board, establishment. National Kidney and Urologic Diseases Advisory Board, establishment. 42 USC 285C-4.

Government organization and employees.

5 USC 5332 note.

"SEC. 430. (a) The Secretary shall establish in the Institute the National Diabetes Advisory Board, the National Digestive Diseases Advisory Board, and the National Kidney and Urologic Diseases Advisory Board (hereafter in this section individually referred to as an 'Advisory Board'). "(b) Each Advisory Board shall be composed of eighteen appointed members and nonvoting ex officio members as follows: "(1) The Secretary shall appoint— "(A) twelve members from individuals who are scientists, physicians, and other health professionals, who are not officers or employees of the United States, and who represent the specialties and disciplines relevant to the diseases with respect to which the Advisory Board is established; and "(B) six members from the general public who are knowledgeable with respect to such diseases, including at least one member who is a person who has such a disease and one member who is a parent of a person who has such a disease. Of the appointed members at least five shall by virtue of training or experience be knowledgeable in the fields of health education, nursing, data systems, public information, and community program development. "(2)(A) The following shall be ex officio members of each Advisory Board: "(i) The Assistant Secretary for Health, the Director of NIH, the Director of the National Institute of Diabetes and Digestive and Kidney Diseases, the Director of the Centers for Disease Control, the Chief Medical Director of the Veterans' Administration, the Assistant Secretary of Defense for Health Affairs, and the Division Director of the National Institute of Diabetes and Digestive and Kidney Diseases for the diseases for which the Board is established (or the designees of such officers). "(ii) Such other officers and employees of the United States as the Secretary determines necessary for the Advisory Board to carry out its functions. "(B) In the case of the National Diabetes Advisory Board, the following shall also be ex officio members: The Director of the National Heart, Lung, and Blood Institute, the Director of the National Eye Institute, the Director of the National Institute of Child Health and Human Development, and the Administrator of the Health Resources and Services Administration (or the designees of such officers). "(c) Members of an Advisory Board who are officers or employees of the Federal Government shall serve as members of the Advisory Board without compensation in addition to that received in their regular public employment. Other members of the Board shall receive compensation at rates not to exceed the daily equivalent of the annual rate in effect for grade GS-18 of the General Schedule for each day (including traveltime) they are engaged in the performance of their duties as members of the Board. "(d) The term of office of an appointed member of an Advisory Board is four years, except that no term of office may extend beyond the expiration of the Advisory Board. Any member appointed to fill

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 w

PUBLIC LAW 99-158—NOV. 20, 1985 a vacancy for an unexpired term shall be appointed for the remainder of such term. A member may serve after the expiration of the member's term until a successor has taken office. If a vacancy occurs in an Advisory Board, the Secretary shall make an appointment to fill the vacancy not later than 90 days from the date the vacancy occurred. "(e) The members of each Advisory Board shall select a chairman from among the appointed members. "(f) The Secretary shall, after consultation with and consideration of the recommendations of an Advisory Board, provide the Advisory Board with an executive director and one other professional staff member. In addition, the Secretary shall, after consultation with and consideration of the recommendations of the Advisory Board, provide the Advisory Board with such additional professional staff members, such clerical staff members, such services of consultants, such information, and (through contracts or other arrangements) such administrative support services and facilities, as the Secretary determines are necessary for the Advisory Board to carry out its functions. "(g) Each Advisory Board shall meet at the call of the chairman or upon request of the Director of the Institute, but not less often than four times a year. "(h) The National Diabetes Advisory Board and the National Digestive Diseases Advisory Board shall— "(1) review and evaluate the implementation of the plan (referred to in section 433) respecting the diseases with respect to which the Advisory Board was established and periodically update the plan to ensure its continuing relevance; "(2) for the purpose of assuring the most effective use and organization of resources respecting such diseases, advise and make recommendations to the Congress, the Secretary, the Director of NIH, the Director of the Institute, and the heads of other appropriate Federal agencies for the implementation and revision of such plan; and "(3) maintain liaison with other advisory bodies related to Federal agencies involved in the implementation of such plan, the coordinating committee for such diseases, and with key nonFederal entities involved in activities affecting the control of such diseases, "(i) In carrying out its functions, each Advisory Board may establish subcommittees, convene workshops and conferences, and collect data. Such subcommittees may be composed of Advisory Board members and nonmember consultants with expertise in the particular area addressed by such subcommittees. The subcommittees may hold such meetings as are necessary to enable them to carry out their activities. "(j) Each Advisory Board shall prepare an annual report for the Secretary which— "(1) describes the Advisory Board's activities in the fiscal year for which the report is made; "(2) describes and evaluates the progress made in such fiscal year in research, treatment, education, and training with respect to the diseases with respect to which the Advisory Board was established; "(3) summarizes and analyzes expenditures made by the Federal Government for activities respecting such diseases in such fiscal year; and

99 STAT. 845

Post, p. 848.

Report.

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 99 STAT. 846 Post, p. 848. Expiration date.

Ante, p. 820.

PUBLIC LAW 99-158-NOV. 20, 1985 "(4) contains the Advisory Board's recommendations (if any) for changes in the plan referred to in section 433. "(k) Each Advisory Board shall expire on September 30, 1988. "(1) The National Diabetes Advisory Board and the National Digestive Diseases Advisory Board in existence on the date of enactment of the Health Research Extension Act of 1985 shall terminate upon the appointment of a successor Board under subsection (a). The Secretary shall make appointments to the Advisory Boards established under subsection (a) before the expiration of 90 days after such date. The members of the Boards in existence on such date may be appointed, in accordance with subsections (b) and (d), to the Boards established under subsection (a) for diabetes and digestive diseases, except that at least one-half of the members of the National Diabetes Advisory Board in existence on the date of enactment of the Health Research Extension Act of 1985 shall be appointed to the National Diabetes Advisory Board first established under subsection (a). RESEARCH AND TRAINING CENTERS

42 USC 285C-5.

Nurses.

"SEC. 431. (a)(1) Consistent with applicable recommendations of the National Commission on Diabetes, the Director of the Institute shall provide for the development or substantial expansion of centers for research and training in diabetes mellitus and related endocrine and metabolic diseases. Each center developed or expanded under this subsection shall— "(A) utilize the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting such research and training qualifications as may be prescribed by the Secretary; and "(B) conduct— "(i) research in the diagnosis and treatment of diabetes mellitus and related endocrine and metabolic diseases and the complications resulting from such diseases; "(ii) training programs for physicians and allied health personnel in current methods of diagnosis and treatment of such diseases and complications, and in research in diabetes; and "(iii) information programs for physicians and allied health personnel who provide primary care for patients with such diseases or complications. "(2) A center may use funds provided under paragraph (1) to provide stipends for nurses and allied health professionals enrolled m research training programs described in paragraph (l)(B)(ii). "(b) Consistent with applicable recommendations of the National Digestive Diseases Advisory Board, the Director shall provide for the development or substantial expansion of centers for research in digestive diseases and related functional, congenital, metabolic disorders, and normal development of the digestive tract. Each center developed or expanded under this subsection— (1) shall utilize the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting such research qualifications as may be prescribed by the Secretary; "(2) shall develop and conduct basic and clinical research into the cause, diagnosis, early detection, prevention, control, and treatment of digestive diseases and nutritional disorders and

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 PUBLIC LAW 99-158-NOV. 20, 1985 related functional, congenital, or metabolic complications resulting from such diseases or disorders; "(3) shall encourage research into and programs for— "(A) providing information for patients with such diseases and the families of such patients, physicians and others who care for such patients, and the general public; "(B) model programs for cost effective and preventive patient care; and "(C) training physicians and scientists in research on such diseases, disorders, and complications; and "(4) may perform research and participate in epidemiological studies and data collection relevant to digestive diseases and disorders and disseminate such research, studies, and data to the health care profession and to the public. "(c) The Director shall provide for the development or substantial expansion of centers for research in kidne^^ and urologic diseases. Each center developed or expanded under this subsection— "(1) shall utilize the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting such research qualifications as may be prescribed by the Secretary; "(2) shall develop and conduct basic and clinical research into the cause, dia^osis, early detection, prevention, control, and treatment of kidney and urologic diseases; "(8) shall encourage research into and programs for— "(A) providing information for patients with such diseases, disorders, and complications and the families of such patients, physicians and others who care for such patients, and the general public; "(B) model programs for cost effective and preventive patient care; and "(C) training physicians and scientists in research on such diseases; and "(4) may perform research and participate in epidemiological studies and data collection relevant to kidney and urologic diseases in order to disseminate such research, studies, and data to the health care profession and to the public. "(d) Insofar as practicable, centers developed or expanded under this section should be geographically dispersed throughout the United States and in environments with proven research capabilities. Support of a center under this section may be for a period of not to exceed five years and such period may be extended by the Director of the Institute for additional periods of not more than five years each if the operations of such center have been reviewed by an appropriate technical and scientific peer review group established by the Director and if such group has recommended to the Director that such period should be extended.

99 STAT. 847

Physiciana.

Physicians.

ADVISORY COUNCIL SUBCOMMITTEES

"SEC. 432. There are established within the advisory council for the Institute appointed under section 406 a subcommittee on diabetes and endocrine and metabolic diseases, a subcommittee on digestive diseases and nutrition, and a subcommittee on kidney, urologic, and hematologic diseases. The subcommittees shall be composed of members of the advisory council who are outstanding in the diagnosis, prevention, and treatment of the diseases for which

42 USC 285C-6. Ante, p. 828.

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 99 STAT. 848

Grants. Contracts.

PUBLIC LAW 99-158—NOV. 20, 1985 the subcommittees are established and members of the advisory council who are leaders in the fields of education and public affairs. The subcommittees are authorized to review applications made to the Director of the Institute for grants for research and training projects relating to the diagnosis, prevention, and treatment of the diseases for which the subcommittees are established and shall recommend to the advisory council those applications and contracts that the subcommittees determine will best carry out the purposes of the Institute. The subcommittees shall also review and evaluate the diabetes and endocrine and metabolic diseases, digestive diseases and nutrition, and kidney, urologic, and hematologic diseases programs of the Institute and recommend to the advisory council such changes in the administration of such programs as the subcommittees determine are necessary. "BIENNIAL REPORT

42 USC 285C-7. Ante, p. 831.

"SEC. 433. The Director of the Institute shall prepare for inclusion jn the biennial report made under section 407 a description of the Institute's activities— "(1) under the current diabetes plan under the National 42 USC 201 note. Diabetes Mellitus Research and Education Act; and "(2) under the current digestive diseases plan formulated under the Arthritis, Diabetes, and Digestive Diseases Amend42 USC 201 note. ments of 1976. The description submitted by the Director shall include an evaluaAnte, p. 846. tion of the activities of the centers supported under section 431. "Subpart 4—National Institute of Arthritis and Musculoskeletal and Skin Diseases "PURPOSE OF THE INSTITUTE

42 USC 285d.

"SEC. 435. The general purpose of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (hereafter in this subpart referred to as the 'Institute') is the conduct and support of research and training, the dissemination of health information, and other programs with respect to arthritis and musculoskeletal and skin diseases, including sports-related disorders. "NATIONAL ARTHRITIS AND MUSCULOSKELETAL DISEASES PROGRAM

42 USC 285d-i.

"SEC. 436. (a) The Director of the Institute, with the advice of the Institute's advisory council, shall prepare and transmit to the Director of NIH a plan for a national arthritis and musculoskeletal diseases program to expand, intensify, and coordinate the activities of the Institute respecting arthritis and musculoskeletal diseases. The plan shall include such comments and recommendations as the Director of the Institute determines appropriate. The Director of the Institute shall periodically review and revise such plan and shall transmit any revisions of such plan to the Director of NIH. "(h) Activities under the national arthritis and musculoskeletal diseases program shall be coordinated with the other national research institutes to the extent that such institutes have responsibilities respecting arthritis and musculoskeletal diseases, and shall, at least, provide for— "(1) investigation into the epidemiology, etiology, and prevention of all forms of arthritis and musculoskeletal diseases,

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 PUBLIC LAW 99-158—NOV. 20, 1985

99 STAT. 849

including sports-related disorders, primarily through the support of basic research in such areas as immunology, genetics, biochemistry, microbiology, physiology, bioengineering, and any other scientific discipline which can contribute important knowledge to the treatment and understanding of arthritis and musculoskeletal diseases; "(2) research into the development, trial, and evaluation of techniques, drugs, and devices used in the diagnosis, treatment, including medical rehabilitation, and prevention of arthritis and musculoskeletal diseases; "(3) research on the refinement, development, and evaluation of technological devices that will replace or be a substitute for damaged bone, muscle, and joints and other supporting structures; and "(4) the establishment of mechanisms to monitor the causes of athletic injuries and identify ways of preventing such injuries on scholastic athletic fields. "(c) The Director of the Institute shall carry out the national arthritis and musculoskeletal diseases program in accordance with the plan prepared under subsection (a) and any revisions of such plan made under such subsection. "RESEARCH AND TRAINING

"SEC. 437. The Director of the Institute shall— "(1) carry out programs of support for research and training (other than training for which National Research Service Awards may be made under section 487) in the diagnosis. prevention, and treatment of arthritis and musculoskeletal and skin diseases, including support for training in medical schools, graduate clinical training, graduate training in epidemiology, epidemiology studies, clinical trials, and interdisciplinary research programs; and "(2) establish programs of evaluation, planning, and dissemination of knowledge related to such research and training.

42 USC 285d-2. Post, p. 869.

"DATA SYSTEM AND INFORMATION CLEARINGHOUSE

"SEC. 438. (a) The Director of the Institute shall establish the National Arthritis and Musculoskeletal and Skin Diseases Data System for the collection, storage, analysis, retrieval, and dissemination of data derived from patient populations with arthritis and musculoskeletal and skin diseases, including where possible, data involving general populations for the purpose of detection of individuals with a risk of developing arthritis and musculoskeletal and skin diseases. "(b) The Director of the Institute shall establish the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse to facilitate and enhance, through the effective dissemination of information, knowledge and understanding of arthritis and musculoskeletal and skin diseases by health professionals, patients, and the public.

42 USC 285d-3.

"INTERAGENCY COORDINATING COMMITTEES

"SEC. 439. (a) For the purpose of— "(1) better coordination of the research activities of all the national research institutes relating to arthritis,

42 USC 285d-4.

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 99 STAT. 850

Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee, establishment. Skin Diseases Interagency Coordinating Committee, establishment.

Report.

PUBLIC LAW 99-158-NOV. 20, 1985 musculoskeletal diseases, and skin diseases, including sportsrelated disorders; and "(2) coordinating the aspects of all Federal health programs and activities relating to arthritis, musculoskeletal diseases, and skin diseases in order to assure the adequacy and technical soundness of such programs and activities and in order to provide for the full communication and exchange of information necessary to maintain adequate coordination of such programs and activities, the Secretary shall establish an Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee and a Skin Diseases Interagency Coordinating Committee (hereafter in this section individually referred to as a 'Committee'). "(b) Each Committee shall be composed of the Directors of each of the national research institutes and divisions involved in research regarding the diseases with respect to which the Committee is established, the Chief Medical Director of the Veterans' Administration, and tifie Assistant Secretary of Defense for Health Affairs (or the designees of such officers), and representatives of all other Federal departments and agencies (as determined by the Secretary) whose programs involve health functions or responsibilities relevant to arthritis and musculoskeletal diseases or skin diseases, as the case may be. Each Committee shall be chaired by the Director of NIH (or the designee of the Director). Each Committee shall meet at the call of the chairman, but not less often than four times a year. "(c) Not later than 120 days after the end of each fiscal year, each Committee shall prepare and transmit to the Secretary, the Director of NIH, the Director of the Institute, and the advisory council for the Institute a report detailing the activities of the Committee in such fiscal year in carrying out paragraphs (1) and 12) of subsection (a). ARTHRITIS AND MUSCULOSKELETAL DISEASES DEMONSTRATION PROJECTS

Grants. 42 USC 285d-5.

Post, p. 851.

"SEC. 440. (a) The Director of the Institute may make grants to public and private nonprofit entities to establish and support projects for the development and demonstration of methods for screening, detection, and referral for treatment of arthritis and musculoskeletal diseases and for the dissemination of information on such methods to the health and allied health professions. Activities under such projects shall be coordinated with Federal, State, local, and regional health agencies, centers assisted under section 441, and the data system established under subsection (c). "(b) Projects supported under this section shall include— "(1) programs which emphasize the development and demonstration of new and improved methods of screening and early detection, referral for treatment, and diagnosis of individuals with a risk of developing arthritis and musculoskeletal diseases; "(2) programs which emphasize the development and demonstration of new and improved methods for patient referral from local hospitals and physicians to appropriate centers for early diagnosis and treatment; "(3) programs which emphasize the development and demonstration of new and improved means of standardizing patient data and recordkeeping;

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 PUBLIC LAW 99-158—NOV. 20, 1985 "(4) programs which emphasize the development and demonstration of new and improved methods of dissemination of knowledge about the programs, methods, and means referred to in paragraphs (1), (2), and (3) of this subsection to health and allied health professionals; "(5) programs which emphasize the development and demonstration of new and improved methods for the dissemination to the general public of information— "(A) on the importance of early detection of arthritis and musculoskeletal diseases, of seeking prompt treatment, and of following an appropriate regimen; and "(B) to discourage the promotion and use of unapproved and ineffective diagnostic, preventive treatment, and control methods for arthritis and unapproved and ineffective drugs and devices for arthritis and musculoskeletal diseases; and "(6) projects for investigation into the epidemiology of all forms and aspects of arthritis and musculoskeletal diseases, including investigations into the social, environmental, behavioral, nutritional, and genetic determinants and influences involved in the epidemiology of arthritis and musculoskeletal diseases. "(c) The Director shall provide for the standardization of patient data and recordkeeping for the collection, storage, analysis, retrieval, and dissemination of such data in cooperation with projects assisted under this section, centers assisted under section 441, and other persons engaged in arthritis and musculoskeletal disease programs.

99 STAT. 851

Public information.

Infra.

"MULTIPURPOSE ARTHRITIS AND MUSCULOSKELETAL DISEASES CENTERS

"SEC. 441. (a) The Director of the Institute shall, after consultation with the advisory council for the Institute, provide for the development, modernization, and operation (including staffing and other operating costs such as the costs of patient care required for research) of new and existing centers for arthritis and musculoskeletal diseases. For purposes of this section, the term 'modernization' means the alteration, remodeling, improvement, expansion, and repair of existing buildings and the provision of equipment for such buildings to the extent necessary to make them suitable for use as centers described in the preceding sentence. "(b) Each center assisted under this section shall— "(1)(A) use the facilities of a single institution or a consortium of cooperating institutions, and (B) meet such qualifications as may be prescribed by the Secretary; and "(2) conduct— "(A) basic and clinical research into the cause, diagnosis, early detection, prevention, control, and treatment of arthritis and musculoskeletal diseases and complications resulting from arthritis and musculoskeletal diseases, including research into implantable biomaterials and biomechanical and other orthopedic procedures; "(B) training programs for physicians, scientists, and other health and allied health professionals; "(C) information and continuing education programs for physicians and other health and allied health professionals

42 USC 285d-

Physicians. Education. Physicians.

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 99 STAT. 852

Public information.

Drugs and drug abuse.

Children and youth.

PUBLIC LAW 99-158—NOV. 20, 1985 who provide care for patients with arthritis and musculoskeletal diseases; and "(D) programs for the dissemination to the general public of information— "(i) on the importance of early detection of arthritis and musculoskeletal diseases, of seeking prompt treatment, and of following an appropriate regimen; and "(ii) to discourage the promotion and use of unapproved and ineffective diagnostic, preventive, treatment, and control methods and unapproved and ineffective drugs and devices. A center may use funds provided under subsection (a) to provide stipends for health professionals enrolled in training programs described in paragraph (2)(B). "(c) Each center assisted under this section may conduct programs to— "(1) establish the effectiveness of new and improved methods of detection, referral, and diagnosis of individuals with a risk of developing arthritis and musculoskeletal diseases; "(2) disseminate the results of research, screening, and other activities, and develop means of standardizing patient data and recordkeeping; and "(3) develop community consultative services to facilitate the referral of patients to centers for treatment. "(d) The Director of the Institute shall, insofar as practicable, provide for an equitable geographical distribution of centers assisted under this section. The Director shall give appropriate consideration to the need for centers especially suited to meeting the needs of children affected by arthritis and musculoskeletal disegises. "(e) Support of a center under this section may be for a period of not to exceed five years. Such period may be extended by the Director of the Institute for one or more additional periods of not more than five years if the operations of such center have been reviewed by an appropriate technical and scientific peer review group established by the Director and if such group has recommended to the Director that such period should be extended. ADVISORY BOARD

National Arthritis Advisory Board, establishment. 42 USC 285d-7.

"SEC. 442. (a) The Secretary shall establish in the Institute the National Arthritis Advisory Board (hereafter in this section referred to as the 'Advisory Board'). "(b) The Advisory Board shall be composed of eighteen appointed members and nonvoting, ex officio members, as follows: "(1) The Secretary shall appoint— "(A) twelve members from individuals who are scientists, physicians, and other health professionals, who are not officers or employees of the United States, and who represent the specialties and disciplines relevant to arthritis, musculoskeletal diseases, and skin diseases; and "(B) six members from the general public who are knowledgeable with respect to such diseases, including at least one member who is a person who has such a disease and one member who is a parent of a person who has such a disease. Of the appointed members at least five shall by virtue of training or experience be knowledgeable in health education,

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 PUBLIC LAW 99-158—NOV. 20, 1985 nursing, data systems, public information, or community program development. "(2) The following shall be ex officio members of the Advisory Board: "(A) the Assistant Secretary for Health, the Director of NIH, the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the Director of the Centers for Disease Control, the Chief Medical Director of the Veterans' Administration, and the Assistant Secretary of Defense for Health Affairs (or the designees of such officers), and "(B) such other officers and employees of the United States as the Secretary determines necessary for the Advisory Board to carry out its functions. "(c) Members of the Advisory Board who are officers or employees of the Federal Government shall serve as members of the Advisory Board without compensation in addition to that received in their regular public employment. Other members of the Advisory Board shall receive compensation at rates not to exceed the daily equivalent of the annual rate in effect for grade GS-18 of the General Schedule for each day (including traveltime) they are engaged in the performance of their duties as members of the Advisory Board. "(d) The term of office of an appointed member of the Advisory Board is four years. Any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term. A member may serve after the expiration of the member's term until a successor has taken office. If a vacancy occurs in the Advisory Board, the Secretary shall make an appointment to fill the vacancy not later than 90 days after the date the vacancy occurred. "(e) The members of the Advisory Board shall select a chairman from among the appointed members. "(f) The Secretary shall, after consultation with and consideration of the recommendations of the Advisory Board, provide the Advisory Board with an executive director and one other professional staff member. In addition, the Secretary shall, after consultation with and consideration of the recommendations of the Advisory Board, provide the Advisory Board with such additional professional staff members, such clerical staff members, and (through contracts or other arrangements) with such administrative support services and facilities, such information, and such services of consultants, as the Secretary determines are necessary for the Advisory Board to carry out its functions. "(g) The Advisory Board shall meet at the call of the chairman or upon request of the Director of the Institute, but not less often than four times a year. "(h) The Advisory Board shall— "(1) review and evaluate the implementation of the plan prepared under section 436(a) and periodically update the plan to ensure its continuing relevance; "(2) for the purpose of assuring the most effective use and organization of resources respecting arthritis, musculoskeletal diseases and skin diseases, advise and make recommendations to the Congress, the Secretary, the Director of NIH, the Director of the Institute, and the heads of other appropriate Federal agencies for the implementation and revision of such plan; and "(3) maintain liaison with other advisory bodies for Federal agencies involved in the implementation of such plan, the inter-

99 STAT. 853

Government organization and employees,

5 USC 5332.

Ante, p. 848.

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Author:James Sheridan Knowles

Poetry

 * The Welch Harper (1796)
 * Fugitive Pieces (1810)
 * Leo, or the Gipsy (1810)
 * Brian Boroihme, or the Maid of Erin (1811)
 * A Masque on the Death of Sir Walter Scott (1832)
 * The Bridal (1837)
 * True unto Death (1863)
 * "Song to Maria" (1829)

Prose

 * George Lovell (1846)
 * Fortescue (1847)
 * The Rock of Rome, or the Arch Heresy (1849)
 * The Idol Demolished by its own Priest (1851)
 * The Gospel attributed to Matthew is the Record of the whole original Apostlehood (1855)

Plays

 * Caius Gracchus (1815)
 * Virginius (1820)
 * William Tell (1825)
 * "Tell's Speech"
 * Alfred the Great, or the Patriot King (1831)
 * The Hunchback (1832)
 * The Wife, a Tale of Mantua (1833)
 * The Beggar of Bethnal Green (1834)
 * The Daughter (1837)
 * The Love Chase (1837)
 * Woman's Wit (1838)
 * The Maid of Mariendorpt (1838)
 * Love (1839)
 * John of Procida, or the Bridals of Messina (1840)
 * Old Maids (1841)
 * The Rose of Arragon (1842)
 * The Secretary (1843)

title: Author:James Sheridan Knowles


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Page:United States Statutes at Large Volume 99 Part 1.djvu/876

 99 STAT. 854 Ante, p. 849.

Report.

Education.

Ante, p. 848. Ante, p. 820.

PUBLIC LAW 99-158-NOV. 20, 1985 agency coordinating committees for such diseases established Under section 439, and with key non-Federal entities involved in activities affecting the control of such diseases. data. Such subcommittees may be composed of Advisory Board members and nonmember consultants with expertise in the particular area addressed by such subcommittees. The subcommittees may hold such meetings as are necessary to enable them to carry out their activities. "(j) The Advisory Board shall prepare an annual report for the Secretary which— "(1) describes the Advisory Board's activities in the fiscal year for which the report is made; "(2) describes and evaluates the progress made in such fiscal year in research, treatment, education, and training with respect to arthritis, musculoskeletal diseases, and skin diseases; "(3) summarizes and analyzes expenditures made by the Federal Government for activities respecting such diseases in such fiscal year for which the report is made; and "(4) contains the Advisory Board's recommendations (if any) for changes in the plan prepared under section 436(a). "(k) The National Arthritis Advisory Board in existence on the date of enactment of the Health Research Extension Act of 1985 shall terminate upon the appointment of a successor Board under subsection (a). The Secretary shall make appointments to the Advisory Board established under subsection (a) before the expiration of 90 days after such date. The member of the Board in existence on such date ma^ be appointed, in accordance with subsections (b) and (d), to the Advisory Board established under subsection (a). "Subpart 5—National Institute on Aging "PURPOSE OP THE INSTITUTE
 * (i) In carrying out its functions, the Ad\^sorv Board may establish subcommittees, convene workshops and conferences, and collect

42 USC 286e.

"SEC. 443. The general purpose of the National Institute on Aging (hereafter in this subpart referred to as the 'Institute') is the conduct and support of biomedical, social, and behavioral research, training, health information dissemination, and other programs with respect to the aging process and the diseases and other special problems and needs of the aged. "SPECIAL FUNCTIONS

Education. 42 USC 285e-i.

Public information.

"SEC. 444. (a) In carrying out the training responsibilities under this Act or any other Act for health and allied health professions personnel, the Secretary shall take appropriate steps to insure the education and training of adequate numbers of allied health, nursing, and paramedical personnel in the field of health care for the aged. "(b) The Director of the Institute shall conduct scientific studies to measure the impact on the biological, medical, social, and psychological aspects of aging of programs and activities assisted or conducted by the Department of Health and Human Services. "(c) The Director of the Institute shall carry out public information and education programs designed to disseminate as widely as possible the findings of research sponsored by the Institute, other

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Page:United States Statutes at Large Volume 99 Part 1.djvu/877

 PUBLIC LAW 99-158-NOV. 20, 1985 relevant aging research and studies, and other information about the process of aging which may assist elderly and near-elderly persons in dealing with, and all Americans in understanding, the problems and processes associated with growing older. "(d) The Director of the Institute shall make grants to public and private nonprofit institutions to conduct research relating to Alzheimer's Disease.

99 STAT. 855

Grants.

"ALZHEIMER'S DISEASE CENTERS

"SEC. -445. (a)(1) The Director of the Institute may enter into cooperative agreements with and make grants to public or private nonprofit entities to pay all or part of the cost of planning, establishing, or strengthening, and providing basic operating support for centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention, and treatment methods for Alzheimer's Disease. "(2) A cooperative agreement or grant under paragraph (1) shall be entered into in accordance with policies established by the Director of NIH and after consultation with the Institute's advisory council. "(b) Federal payments made under a cooperative agreement or grant under subsection (a) may be used for— "(1) construction (notwithstanding any limitation under section 496); "(2) staffing and other basic operating costs, including such patient care costs as are required for research; "(3) training, including training for allied health professionals; and "(4) demonstration purposes. As used in this subsection, the term 'construction' does not include the acquisition of land, and the term 'training' does not include research training for which National Research Service Awards may be provided under section 487. "(c) Support of a center under subsection (a) may be for a period of not to exceed five years. Such period may be extended by the Director for additional periods of not more than five years each if the operations of such center have been reviewed by an appropriate technical and scientific peer review group established by the Director and if such group has recommended to the Director that such period should be extended.

Contracts. Grants. 42 USC 285e-2.

Post, p. 877.

Post, p.

"Subpart 6—National Institute of Allergy and Infectious Diseases "PURPOSE OP THE INSTITUTE

"SEC. 446. The general purpose of the National Institute of Allergy and Infectious Diseases is the conduct and support of research, training, health information dissemination, and other programs with respect to allergic and immunologic diseases and disorders and infectious diseases.

42 USC 285f.

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Page:United States Statutes at Large Volume 99 Part 1.djvu/878

 99 STAT. 856

PUBLIC LAW 99-158—NOV. 20, 1985 "Subpart 7—National Institute of Child Health and Human Development "PURPOSE OF THE INSTITUTE

42 USC 285g.

"SEC. 448. The general purpose of the National Institute of Child Health and Human Development (hereafter in this subpart referred to as the 'Institute') is the conduct and support of research, training, health information dissemination, and other programs with respect to maternal health, child health, mental retardation, human growth and development, including prenatal development, population research, and special health problems and requirements of mothers and children. "SUDDEN INFANT DEATH SYNDROME

42 USC 285g-i.

"SEC. 449. The Director of the Institute shall conduct and support research which specifically relates to sudden infant death syndrome. "MENTAL RETARDATION RESEARCH

42 USC 285g-2.

"SEC. 450. The Director of the Institute shall conduct and support research and related activities into the causes, prevention, and treatment of mental retardation. "ASSOCIATE DIRECTOR FOR PREVENTION

42 USC 285g-3.

Ante, p. 831.

"SEC. 451. (a) There shall be in the Institute an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of health problems of mothers and children. The Associate Director shall be appointed by the Director of the Institute from individuals who because of their professional training or experience are experts in public health or preventive medicine. "0?) The Associate Director for Prevention shall prepare for inclusion in the biennial report made under section 407 a description of the prevention activities of the Institute, including a description of the staff and resources allocated to those activities. "Subpart 8—National Institute of Dental Research "PURPOSE OF THE INSTITUTE

42 USC 285h.

"SEC. 453. The general purpose of the National Institute of Research is the conduct and support of research, training, information dissemination, and other programs with respect cause, prevention, and methods of diagnosis and treatment of and oral diseases and conditions.

Dental health to the dental

"Subpart 9—National Eye Institute "PURPOSE OF THE INSTITUTE

Blind persons. 42 USC 285i.

"SEC. 455. The general purpose of the National Eye Institute (hereafter in this subpart referred to as the Institute') is the conduct and support of research, training, health information dissemination, and other programs with respect to blinding eye diseases, visual disorders, mechanisms of visual function, preservation of sight, and the special health problems and requirements of the

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Page:United States Statutes at Large Volume 99 Part 1.djvu/879

 PUBLIC LAW 99-158—NOV. 20, 1985 blind. The Director of the Institute may carry out a program of grants for public and private nonprofit vision research facilities.

99 STAT. 857 Grants.

"Subpart 10—National Institute of Neurological and Communicative Disorders and Stroke "PURPOSE OF THE INSTITUTE

"SEC. 457. The general purpose of the National Institute of Neurological and Communicative Disorders and Stroke (hereafter in this subpart referred to as the 'Institute') is the conduct and support of research, training, health information dissemination, and other programs with respect to neurological disease and disorder, stroke, and disorders of human communication.

42 USC 285j.

"SPINAL CORD REGENERATION RESEARCH

"SEC. 458. The Director of the Institute shall conduct and support research into spinal cord regeneration.

42 USC 285j-i.

"BIOENGINEERING RESEARCH

"SEC. 459. The Director of the Institute shall make grants or enter into contracts for research on the means to overcome paralysis of the extremities through electrical stimulation and the use of computers.

Grants. ^S^\^%p-- « ^°^ 285j-2.

"Subpart 11—National Institute of General Medical Sciences "PURPOSE OF THE INSTITUTE

"SEC. 461. The general purpose of the National Institute of General Medical Sciences is the conduct and support of research, training, and, as appropriate, health information dissemination, and other programs with respect to general or basic medical sciences and related natural or behavioral sciences which have significance for two or more other national research institutes or are outside the general area of responsibility of any other national research institute.

42 USC 285k.

"Subpart 12—National Institute of Environmental Health Sciences "PURPOSE OF THE INSTITUTE

"SEC. 463. The general purpose of the National Institute of Environmental Health Sciences is the conduct and support of research, training, health information dissemination, and other programs with respect to factors in the environment that affect human health, directly or indirectly.

42 USC 285/.

"PART D—NATIONAL LIBRARY OF MEDICINE

"Subpart 1—General Provisions "PURPOSE, ESTABLISHMENT, AND FUNCTIONS OF THE NATIONAL LIBRARY OF MEDICINE

"SEC. 465, (a) In order to assist the advancement of medical and related sciences and to aid the dissemination and exchange of

42 USC 286.

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Page:United States Statutes at Large Volume 99 Part 1.djvu/880

 99 STAT. 858

Post, p. 862.

Gifts and property. 42 USC aooaa.

Post, p. 859.

PUBLIC LAW 99-158-NOV. 20, 1985 scientific and other information important to the progress of medicine and to the public health, there is established the National Library of Medicine (hereafter in this part referred to as the 'Library'). "(b) The Secretary, through the Library and subject to subsection (d),shall"(1) acquire and preserve books, periodicals, prints, films, recordings, and other library materials pertinent to medicine; "(2) organize the materials specified in paragraph (1) by appropriate cataloging, indexing, and bibliographical listings; (3) publish and disseminate the catalogs, indexes, and bibliographies referred to in paragraph (2); "(4) make available, through loans, photographic or other copying procedures, or otherwise, such materials in the Library as the Secretary determines appropriate; "(5) provide reference and research assistance; and "(6) engage in such other activities as the Secretary determines appropriate and as the Library's resources permit. "(c) The Secretary may exchange, destroy, or otherwise dispose of any books, periodicals, films, and other library materials not needed for the permanent use of the Library. "(d)(lj The Secretary may, after obtaining the advice and recommendations of the Board of Regents, prescribe rules under which the Library will— "(A) provide copies of its publications or materials, "(B) will make available its facilities for research, or "(C) will make available its bibliographic, reference, or other services, to public and private entities and individuals. (2) Rules prescribed under paragraph (1) may provide for making available such publications, materials, facilities, or services— "(A) without charge as a public service, "(B) upon a loan, exchange, or charge basis, or "(C) in appropriate circumstances, under contract arrangements made with a public or other nonprofit entity. "(e) Whenever the Secretary, with the advice of the Board of Regents, determines that— "(1) in any geographic area of the United States there is no regional medical library adequate to serve such area; "(2) under criteria prescribed for the administration of section 475, there is a need for a regional medical library to serve such area; and "(3) because there is no medical library located in such area which, with financial assistance under section 475, can feasibly be developed into a regional medical library adequate to serve such area, the Secretary may establish, as a branch of the Library, a regional medical library to serve the needs of such area. "(f) Section 2101 shall be applicable to the acceptance and administration of gifts made for the benefit of the Library or for carrying out any of its functions, and the Board of Regents shall make recommendations to the Secretary relating to establishment within the Library of suitable memorials to the donors. "(g) For purposes of this part, the terms 'medicine' and 'medical', except when used in section 466, include preventive and therapeutic medicine, dentistry, pharmacy, hospitalization, nursing, public

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