The National Academies of Sciences, Engineering and Medicine
Office of Congressional and government Affairs
At A Glance
Public Law
: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2002
: 107-116
Session: 107th Congress (First Session)

The following are excerpts, highlighted in red, from the final legislation and/or conference report which contain National Academies' studies. (Pound signs [##] between passages denote the deletion of unrelated text.)

Conference Committee
--- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ---




The conference agreement includes $4,293,151,000 for disease control, research, and training instead of $4,077,060,000 as proposed by the House and $4,418,910,000 as proposed by the Senate.


The conferees include the following amounts for the following projects and activities in fiscal year 2002:

Within the total for breast and cervical cancer, $50,000 is for SHAREing & CAREing, Inc., Astoria, New York for an outreach, education and breast cancer screening program; $150,000 is for a breast cancer demonstration project at the Healthcare Association of New York State; and $250,000 is for the Swope Parkway Health Center Breast and Cervical

Cancers Demonstration and Outreach project in Kansas City, Missouri.

Within the total for comprehensive cancer control, $250,000 is for the Rhode Island Cancer Council in Pawtucket, Rhode Island for public education and professional outreach; $440,000 is for the University of Texas M.D. Anderson Cancer Center in Houston, Texas for a comprehensive cancer control program to address minority and medically underserved populations; and $500,000 is for the St. Mary´s Medical Center Comprehensive Cancer Care Center in Long Beach, California.

Within the total provided for prostate cancer, $290,000 is for the M.D. Anderson Cancer Center in Houston, Texas for satellite prostate cancer testing centers to carry out programs of prevention, education and testing related to prostate cancer.

Within the total provided for community health promotion, $2,800,000 is to develop a model project to test the efficacy of glaucoma screening using mobile units. The conferees further suggest the program establish protocols to conduct outreach, identify staffing needs, provide patient education regarding glaucoma management, address other eye conditions, and make appropriate referrals to eye care professionals.

Within the total provided for community health promotion, $1,200,000 is for the Mind-Body Medical Institute in Boston, Massachusetts to continue practice-based assessments, identification, and study of promising and heavily used mind/body practices.

Within the total provided for community health promotion, $225,000 is for the Roger Williams Medical Center Healthlink in Providence, Rhode Island for a disease prevention initiative for senior retirees; $250,000 is for Valley Children´s Hospital in California for a mobile asthma care program to reduce the incidence of asthma in the region and reduce the related costs of hospital-based treatment; $300,000 is for Pikeville College, School of Osteopathic Medicine to conduct epidemiological studies in the Appalachian Region of Southeastern Kentucky; $500,000 is for Community Health Centers in Hawaii for a childhood rural asthma project; $500,000 is for the State of Alaska for a program to reduce high anemia rates of children in the Yukon Delta and the Bristol Bay region; and $1,000,000 is for the University of Texas, Dallas for the Southwestern Medical Center, National Multiple Sclerosis Training Center.

Within the total for diabetes prevention, $100,000 is a diabetes care program at the Clinica Monsenor Oscar A. Romero in Los Angeles, California; $250,000 is for a diabetes and diabetic retinopathy demonstration at the Oklahoma Center for the Advancement of Science and Technology in Oklahoma City, Oklahoma; $440,000 is for the University of

Arizona in Tucson for a Border Health Initiative; $500,000 is for the Texas Tech University Center for Diabetes Prevention and Control; and $1,600,000 is for the Standing Rock Sioux Tribe and Cheyenne Sioux Tribe for the Dakota Plains Diabetes Center.

Within the total provided for heart disease and stroke, $4,500,000 is for the Paul Coverdell National Acute Stroke Registry.

Within the total for heart disease and stroke, $130,000 is for the Wausau Health Foundation in Wausau, Wisconsin, for a school-based program to increase awareness of cardiovascular disease and the importance of prevention and to document prevalence of cardiovascular disease in youth; $200,000 is for a Cardiac Outreach program at HealthReach NY in Flushing, New York; and $440,000 is for the Stroke Belt Research and Intervention Network at the University of Alabama, Birmingham.

Within the total provided for nutrition and physical activity, $5,000,000 is for efforts to eliminate micronutrient malnutrition and $475,000 is for a study by the Institute of Medicine on childhood obesity as described in the Senate report.

Within the total for nutrition and physical activity, $125,000 is for the Village of Park Forest, Illinois Health Department, for preventive health education and screening projects in fields such as nutrition, chronic illness, food safety, health screening, and hygiene, and nutrition education for school children; $200,000 is for the Great South Bay YMCA in Bay Shore, New York, for its Fit Kids education and health promotion program; $500,000 is for the State of Alaska Department of Health and Social Services for an Obesity Prevention and Control program; and $2,000,000 is for West Virginia University to establish the Center on Obesity.

Within the total for prevention centers, $250,000 is for the Kansas City Area Life Sciences Institute to support infectious disease, cancer and cardiovascular disease, and prevention research at the Kansas City Proteomics Consortium.

Within the total for safe motherhood, $2,650,000 is for the Lawton and Rhea Chiles Center for Healthy Mothers and Babies in Tampa, Florida, of which $1,500,000 is for training paraprofessionals in the health-care field.

Within the total for school health, $225,000 is for the School of Optometry at the University of Missouri, St. Louis for a program of mobile vision screenings for school children.




The conference agreement includes $347,554,000 for general departmental management instead of $338,887,000 as proposed by the House and $422,212,000 as proposed by the Senate. In addition, the agreement provides $21,552,000 in program evaluation funds as proposed by the House. The Senate did not provide for evaluation funds in this account.

Within the total provided, $4,000,000 is for the United States-Mexico Border Health Commission as proposed by the Senate. The House did not specify an amount for the Commission.

The conference agreement includes $500,000 for the National Academy of Sciences and Institute of Medicine (NAS/IOM) to develop a cost-effective strategy for reducing and preventing underage drinking. The House had included funds for a similar purpose within the appropriation for the Substance Abuse and Mental Health Services Administration, while the Senate bill included funds for this purpose in this account.

To help develop a cost-effective strategy for reducing and preventing underage drinking, the NAS/IOM shall review existing Federal, State and non-governmental programs, including media-based programs, designed to change the attitudes and health behaviors of youth. Based on its review, the NAS/IOM shall produce a strategy designed to prevent and reduce underage drinking including: an outline and implementation strategy, message points that will be effective in changing the attitudes and health behaviors of youth concerning underage drinking, target audience identification, goals and objectives of the campaign, and the estimated costs of development and implementation. The review and

recommendations of the NAS/IOM shall be reported to the Committees on Appropriations of the Congress, the Secretary of Health and Human Services, the Secretary of Education, and the U.S. Attorney General no later than nine months after the date of enactment of this Act.

The conferees have heard concerns from state and local health departments and community-based organizations about the lack of availability of rapid HIV tests to identify individuals with HIV disease. Rapid HIV tests are needed for increasing the number of HIV-infected individuals who know they are infected; for screening pregnant women in labor to prevent transmission to their infants; for screening potential recipients of smallpox or other live-virus vaccines against potential agents of bioterrorism; and for emergency screening of blood transfusions in the event of large-scale terrorist attack. The conferees strongly encourage the Secretary to expedite approval and make available simple, rapid HIV diagnostic tests for use by a variety of health and community-based personnel.


Senate Appropriations
--- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ---




Appropriations, 2001

Budget estimate, 2002

Committee recommendation

For the Centers for Disease Control and Prevention [CDC], the Committee provides $4,418,910,000 which is $300,591,000 above the fiscal year 2001 level and $413,402,000 above the budget request.


Nutrition, Physical Activity and Obesity.-Physical inactivity and unhealthy diet patterns account for at least 300,000 preventable deaths each year among Americans and increase the risk for many chronic diseases. Most Americans do not engage in recommended behaviors for healthy eating and physical activity. More than 60 percent of adults do not engage in levels of physical activity necessary to provide health benefits, and daily participation in high school physical education has dropped from 42 percent to 27 percent in the last 6 years. Obesity has reached epidemic proportions. In the past 15 years, the prevalence of obesity has increased by over 50 percent among adults and 100 percent in children and adolescents. The cost of diseases associated with obesity is almost $100,000,000,000 per year.

The Committee is concerned about the alarming increase in childhood obesity and has provided $950,000 to CDC to fund a study by the Institute of Medicine to assess the nature of childhood obesity in the United States and develop an action plan to decrease its prevalence that focuses on prevention. The study should assess the primary factors responsible for the increasing prevalence of childhood obesity and identify the most promising methods for prevention.

The Committee is aware of the report of the Evaluation Group on the national 5-A-Day for Better Health Program and the findings that eating fruits and vegetables reduces the risk of cancer, cardiovascular, and other diseases. Given these findings, the Committee urges the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute

(NCI) to jointly develop a comprehensive plan to strengthen and expand the 5-A-Day program. The plan should address the policy, environmental changes, communications, State and community programs, research and evaluation, and surveillance and program channels such as mass media, restaurants, supermarkets, schools, and faith organizations. The plan should also address how best to use already-developed technologies to promote healthy eating.

The Committee is aware that Alaska ranks in the top five in the Nation in its proportion of people who are obese. The agency is encouraged to give consideration to a pilot program proposed by the State of Alaska to prevent and control obesity through the promotion of increased physical activity and improved nutrition.

The Committee is aware of the Children´s Health Life Skills Initiative at the University of North Carolina at Greensboro, which is a multi-university effort to address obesity and chronic disease among children.