Heart Diseases. Hearings ... on H.R. 5159, 3059, 3464, 3762, & 5087

(c) The Surgeon General is authorized to utilize the services of any member or members of the Council in connection with matters related to the work of the Service for such periods, in addition to conference periods, as he may determine to be necessary.

(d) Each appointed member of the Council, while attending conferences or meetings of the Council or while otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Administrator, but not exceeding $50 per day, and shall also be entitled to receive an allowance for actual and necessary traveling and subsistence expenses while so serving away from his place of residence.

FUNCTIONS OF THE COUNCIL

SEC. 5. The Council is authorized to

(a) review research projects or programs submitted to or initiated by it relating to the study of the cause, prevention, or methods of diagnosis or treatment of heart diseases, and recommend to the Surgeon General, for prosecution under this Act, any such projects which it believes show promise of making valuable contributions to human knowlege with respect to the cause, prevention, or methods of diagnosis or treatment of heart diseases;

(b) review applications from any university, hospital, laboratory, or other institution or agency, whether public or private, or from individuals, for grantsin-aid for research and demonstration projects relating to heart diseases, and certify to the Surgeon General its approval of grants-in-aid in the cases of such projects which show promise of making valuable contributions to human knowledge with respect to the cause, prevention, or methods of diagnosis or treatment of heart disease;

(c) review applications from any public or other nonprofit institution for grants-in-aid for training and instruction in matters relating to the diagnosis, prevention, and treatment of heart diseases, and certify to the Surgeon General its approval of such applications for grants-in-aid as it determines will best carry out the purposes of this Act;

(d) collect information as to studies which are being carried on in the United States or any other country as to the cause, prevention, or methods of diagnosis or treatment of heart diseases, by correspondence or by personal investigation of such studies, and with the approval of the Surgeon General make available such information through appropriate publications for the benefit of health and welfare agencies and organizations (public or private), physicians, or any other scientists, and for the information of the general public;

(e) recommend to the Surgeon General for acceptance conditional gifts pursuant to section 501 of the Public Health Service Act for carrying out the purposes of this Act; and

(f) advise, consult with, and make recommendations to the Surgeon General with respect to carrying out the provisions of this Act.

GIFTS

SEC. 6. The Surgeon General shall recommend to the Administrator acceptance of conditional gifts, pursuant to section 501 of the Public Health Service Act, for study, investigation, or research into the cause, prevention, or methods of diagnosis or treatment of heart diseases, or for the acquisition of grounds or for the erection, equipment, or maintenance of premises, buildings, or equipment of the Institute. Donations of $50,000 or over for carrying out the purposes of this Act may be acknowledged by the establishment within the Institute of suitable memorials to the donors.

GRANTS TO STATES

SEC. 7. (a) The Surgeon General is authorized to make grants-in-aid, as provided in this section, to States, counties, health districts, and other political subdivisions of the States for the establishment and maintenance of programs of prevention, treatment, and control of heart diseases, including the provision of appropriate facilities for care and treatment and including the training of personnel for State and local health work.

(b) For each fiscal year, the Surgeon General, with the approval of the Administrator, shall determine the total sum for the appropriation under section 8 (a) which shall be available for allotment among the several States under this

section. He shall, in accordance with regulations prescribed by him with the approval of the Administrator, from time to time make allotments from such sum to the several States on the basis of (1) the population, (2) the extent of the heart-disease problem, and (3) the financial need of the respective States. Upon making such allotments, the Surgeon General shall notify the Secretary of the Treasury of the amounts thereof.

(c) The Surgeon General shall from time to time certify to the Secretary of the Treasury the amounts to be paid to each State from the allotments to such State, reduced or increased, as the case may be, by the amount by which he finds that estimates of required expenditures with respect to any prior period were greater or less than the actual expenditures for such period. Upon receipt of such certification, the Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, pay in accordance with such certification. (d) The money so paid to any State shall be expended solely in carrying out the purposes for which the grant is made and in accordance with plans presented by the health authority of such State and approved by the Surgeon General. The Surgeon General shall not approve any such plans unless it provides for expenditure thereunder, from funds of the State or from funds of the State and its political subdivisions, of such amounts as may be determined in accordance with regulations prescribed by the Surgeon General with the approval of the Administrator.

(e) Whenever the Surgeon General, after reasonable notice and opportunity for hearing to the health authority of the State, finds that there is a failure to comply substantially with either

(1) the provisions of this section;

(2) the plan submitted under subsection (d); or

(3) the regulations prescribed with respect to grants under this section; the Surgeon General shall notify such State health authority either that further payments will not be made to the State under this section (or in his discretion that further payments will not be made to the State under this section for activities in which there is such failure), until he is satisfied that there will no longer be any such failure. Until he is so satisfied the Surgeon General shall make no further certification for payment to such State under this section, or shall limit payments to activities in which there is no such failure.

(f) All regulations and amendments thereto with respect to grants to States under this section shall be made after consultation with a conference of the State health authorities. Insofar as practicable, the Surgeon General shall obtain the agreement of the State health authorities prior to the issuance of any such regulations or amendments.

APPROPRIATIONS AND BUILDINGS

SEC. 8. (a) There are hereby authorized to be appropriated for each fiscal year such sums as the Congress may determine to be necessary to carry out the provisions of this Act.

(b) There is also authorized to be appropriated a sum not to exceed $2,000,000 for the erection and equipment, for the use of the Institute in carrying out the provisions of this Act, of suitable and adequate laboratory and clinical research buildings and facilities, including necessary living quarters for personnel. The Federal Works Administrator is authorized to acquire, by purchase, condemnation, donation, or otherwise, a suitable and adequate site or sites, selected on the advice of the Surgeon General, in or near the District of Columbia for such buildings and facilities, and to erect thereon, furnish, and equip such buildings and facilities when funds are made available. The amount authorized to be appropriated in this subsection shall include the cost of preparation of drawings and specifications, supervision of construction, and other administrative expenses incident to the work: Provided, That the Federal Works Agency shall prepare the plans and specifications, make all necessary contracts, and supervise construction.

GENERAL PROVISIONS

SEC. 9. (a) So much of the funds appropriated pursuant to section 8 (a) for a fiscal year as are allocated by the Surgeon General during such year for grants-in-aid under section 3 for research and training (including construction in connection therewith) shall remain available for such purposes until the end of the fifth fiscal year following such year.

(b) This Act shall not be construed as superseding or limiting (1) the functions, under any other Act, of the Surgeon General or the Service, or of any other officer or agency of the United States, relating to the study of the causes, prevention, or methods of diagnosis or treatment of heart diseases; or (2) the expenditure of money therefor.

(c) The Surgeon General shall perform his functions under this Act under the supervision and direction of the Administrator. The Surgeon General with the approval of the Administrator is authorized to make such rules and regulations as may be necessary to carry out the provisions of this Act.

(d) As used in this Act, the term "State" means a State or the District of Columbia, Hawaii, Alaska, Puerto Rico, or the Virgin Islands.

(e) The Surgeon General shall include in the report for submission to the Congress at the beginning of each regular session a full report of the administration of the Act, including a detailed statement of receipts and disbursements.

[H. R. 5087, 80th Cong., 2d sess.]

A BILL To provide for research and control relating to diseases of the heart and circulation

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the “National Heart Act."

PURPOSE

SEC. 2. For the purpose of improving the health of the people of the United States through the conduct of researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of diseases of the heart and circulation (hereafter in this Act referred to as "heart diseases"); assisting and fostering such researches and activities by public and private agencies, and promoting the coordination of all such researches and activities and the useful application of their results; training research workers; training undergraduate and postgraduate personnel in matters relating to heart diseases; and developing, and assisting States and other agencies in the use of, the most effective methods of prevention, diagnosis, and treatment of heart diseases; there is hereby established in the Public Health Service (hereafter in this Act referred to as the "Service"), a National Heart Institute (hereafter in this Act referred to as the "Institute”).

FUNCTIONS

SEC. 3. In carrying out the purposes of this Act, the Surgeon General of the Service (hereafter in this Act referred to as the "Surgeon General") is authorized to

(a) conduct, assist, and foster researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of heart diseases;

(b) promote the coordination of research and control programs conducted by the Institute, and similar programs conducted by other agencies, organizations, and individuals;

(c) make available research facilities of the Service to appropriate public authorities, and to health officials and scientists engaged in special studies related to the purposes of this Act;

(d) make grants-in-aid to universities, hospitals, laboratories, and other public or private agencies and institutions, and to individuals for research, education, and control (service programs for prevention, diagnosis, and treatment utilizing current medical methods) projects and programs, including grants to such agencies and institutions for the construction, acquisition, leasing, and equipment of hospital, clinic, laboratory, and related facilities necessary for such research, education, and control;

(e) establish an information center on research, prevention, diagnosis, and treatment of heart diseases, and collect and make available, through publications and other appropriate means, information as to, and the practical application of, research and other activities carried on pursuant to this Act; (f) secure from time to time, and for such periods as he deems advisable, the assistance and advice of persons from the United States or abroad who are experts in the field of heart diseases;

(g) (1) establish and maintain from funds appropriated or donated for the purpose, research fellowships in the Institute and elsewhere with such stipends and allowances (including travel and subsistence expenses) as he may deem necessary to train research workers and procure the assistance of the most brilliant and promising research fellows from the United States and abroad; and (2), in addition, provide such training and instruction, and demonstrations, through grants to public and other nonprofit institutions; (h) (1) establish and maintain from funds appropriated or donated for the purpose of traineeships, in the Institute and elsewhere in matters relating to the diagnosis, prevention, and treatment of heart diseases with such stipends and allowances (including travel and subsistence expenses) as he may deem necessary to train persons found by him to have proper qualifications; and (2), in addition, provide such training and instructions, and demonstrations, through grants to public and other nonprofit institutions;

(i) for purposes of study, admit and treat at the Institute voluntary patients suffering from heart diseases, whether or not otherwise eligible for such treatment by the Service;

(j) adopt, upon recommendation of the National Heart Council (hereafter in this Act referred to as the "Council"), such additional means as he deems necessary or appropriate to carry out the purposes of this Act.

NATIONAL HEART COUNCIL

SEC. 4. (a) There is hereby created a National Heart Council, to consist of the Surgeon General or his representative, the chief medical officer of the Veterans' Administration or his representative, the Surgeon General of the Army or his representative, the Surgeon General of the Navy or his representative, and twelve members appointed without regard to the civil-service laws by the Surgeon General with the approval of the Federal Security Administrator (hereafter in this Act referred to as the "Administrator"). The twelve appointed members shall be leaders in the fields of fundamental sciences, medical sciences, education, or public affairs.

(b) Each appointed member of the Council shall hold office for a term of four years, except that any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term, and except that, of the members first appointed, three shall hold office for a term of three years, three shall hold office for a term of two years, and three shall hold office for a term of one year, as designated by the Surgeon General. None of such twelve members shall be eligible for reappointment until a year has elapsed since the end of his preceding term. Every two years the Council shall elect one member to act as chairman for the succeeding two-year period.

(d) Each appointed member of the Council, while attending conferences or meetings of the Council or while otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Administrator, but not exceeding $75 per day, and shall also be entitled to receive an allowance for actual and necessary traveling and subsistence expenses while so serving away from his place of residence.

(e) The Council will meet from time to time to (1) advise the Surgeon General on the conduct of the program of the National Heart Institute and (2) to review and make recommendations regarding requests for grants-in-aid for research, education, and control.

CONTROL GRANTS

SEC. 5. (a) The Surgeon General is authorized to make grants-in-aid, as provided in this section, to States, counties, health districts, and other political subdivisions of the States and to public and nonprofit institutions for the establishment and maintenance of programs of prevention, treatment, and control of heart diseases, including the provision of appropriate facilities for care and treatment and including the training of personnel.

(b) For each fiscal year, the Surgeon General, with the approval of the Administrator, shall determine the total sum from the appropriation under section

7 (a) which shall be available for allotment among the several States and other institutions under this section.

(c) The Surgeon General shall from time to time certify to the Secretary of the Treasury the amounts to be paid to each State from the allotments to such State, reduced or increased, as the case may be, by the amount by which he finds that estimates of required expenditures with respect to any prior period where greater or less than the actual expenditures for such period. Upon receipt of such certification, the Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, pay in accordance with such certification. (d) The money so paid to any State shall be expended solely in carrying out the purposes for which the grant is made and in accordance with plans presented by the health authority of such State and approved by the Surgeon General. (e) Requests for grants-in-aid for control, including education, for projects and programs not in State health agencies will be submitted, reviewed, and paid in manner similar to that established for research grants-in-aid.

GIFTS

APPROPRIATIONS AND BUILDINGS

SEC. 7. (a) There is hereby authorized to be appropriated such sums as may be necessary to carry out the provisions of this Act: Provided, That any funds made available for the construction of the Institute shall be available for the erection and equipment, for the use of the Institute in carrying out the provisions of this Act, of cuitable and adequate laboratory and clinical research buildings and facilities, including necessary living quarters for personnel. This shall be in addition to such sums as may be or have been appropriated for construction of research facilities in Bethesda, Maryland. The Federal Works Administrator is authorized to acquire, by purchase, condemnation, donation, or otherwise, a suitable and adequate site or sites, selected on the advice of the Surgeon General, in or near the District of Columbia for such buildings and facilities, and to erect thereon, furnish, and equip such buildings and facilities when funds are made available. The amount authorized to be appropriated in this subsection shall include the cost of preparation of drawings and specifications, supervision of construction, and other administrative expenses incident to the work: Provided, That the Federal Works Agency shall prepare the plans and specifications on recommendation of the Surgeon General, make all necessary contracts, and supervise construction.

(b) Appropriations to carry out the purposes of this title may be expended in the District of Columbia for personal services, stenographic recording and translating services, by contract if deemed necessary, without regard to section 3709 of the Revised Statutes; traveling expenses (including the expenses of attendance at meetings when specifically authorized by the Surgeon General); rental, supplies and equipment, purchase and exchange of medical books, books of reference, directories, periodicals, newspapers, and press clippings; purchase, operation, and maintenance of motor-propelled passenger-carrying vehicles; printing and binding (in addition to that otherwise provided by law); and for all other necessary expenses in carrying out the provisions of this title.

GENERAL PROVISIONS

SEC. 8. (a) This Act shall not be construed as superseding or limiting (1) the functions, under any other Act, of the Surgeon General or the Service, or of any other officer or agency of the United States, relating to the study of the causes, prevention, or methods of diagnosis or treatment of heart diseases; or (2) the expenditure of money therefor.

(b) The Surgeon General shall perform his functions under this Act under the supervision and direction of the Administrator. The Surgeon General with the

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