PlainBillCongress, translated.Legislation. Context. Public interest.Became Public Law No: 103-43.
Congressional Research Service
Version 36 · Passed House amended · Mar 11, 1993
TABLE OF CONTENTS: Title I: General Provisions Regarding Title IV of Public Health Service Act Title II: National Institutes of Health In General Title III: General Provisions Respecting National Research Institutes Title IV: National Cancer Institute Title V: National Heart, Lung, and Blood Institute Title VI: National Institute on Diabetes and Digestive and Kidney Diseases Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases Title VIII: National Institute on Aging Title IX: National Institute of Allergy and Infectious Diseases Title X: National Institute of Child Health and Human Development Title XI: National Eye Institute Title XII: National Institute of Neurological Disorders and Stroke Title XIII: National Institute of Environmental Health Sciences Title XIV: National Library of Medicine Title XV: Other Agencies of National Institutes of Health Title XVI: Awards and Training Title XVII: National Foundation for Biomedical Research Title XVIII: Research With Respect to Acquired Immune Deficiency Syndrome Title XIX: Studies Title XX: Miscellaneous Provisions Title XXI: Effective Dates National Institutes of Health Revitalization Act of 1993 - Title I: General Provisions Regarding title IV of Public Health Service Act - (Sec. 101) Amends the Public Health Service Act to condition research funding on human subject review and scientific and technical peer review. Prohibits withholding funding on ethical grounds unless an ethics advisory board so recommends. (Sec. 111) Authorizes and regulates research on human fetal tissue transplantation without regard to whether the tissue is obtained after a spontaneous or induced abortion or a stillbirth, in accordance with State law. (Sec. 112) Imposes criminal penalties for: (1) transferring such tissue for valuable consideration affecting interstate commerce; or (2) soliciting or receiving a directed donation. (Sec. 121) Removes provisions regarding: (1) biomedical ethics; (2) waiver of a risk standard; and (3) the construction of title IV (National Research Institutes) of the Public Health Service Act. Declares ineffective an Executive Order relating to a fetal tissue bank and a Federal regulation relating to ethical advisory boards. (Sec. 131) Requires inclusion of women and minorities as subjects in each clinical research project under such title IV. (Sec. 141) Establishes: (1) the Office of Research on Women's Health; (2) the Coordinating Committee on Research on Women's Health; and (3) the Advisory Committee on Research on Women's Health. Mandates: (1) study of the representation of women among senior physicians and scientists of the national research institutes (NRIs) and among those conducting supported research; and (2) as appropriate, activities to increase that representation. Establishes a data system for the collection, analysis, and dissemination of information regarding research on women's health. (Sec. 151) Establishes the Office of Research on Minority Health. (Sec. 161) Establishes the Office of Research Integrity. Requires grant, contract, or cooperative agreement applicants to have a process to review and report allegations of research misconduct. Establishes the Commission on Research Integrity. Provides for employee whistle blower protection. Mandates measures against financial conflicts of interest. Title II: National Institutes of Health in General - (Sec. 201) Modifies the duties of the National Institute of Health's (NIH's) Associate Director for Prevention. (Sec. 202) Establishes a program to enhance competitiveness in States receiving little funding from the NRIs. (Sec. 203) Establishes the Office of Behavioral Research to coordinate NIH-conducted or NIH-supported research on the relationship between human behavior and medical conditions, including teen pregnancy, infant mortality, violent behavior, suicide, and homelessness. (Sec. 204) Mandates activities, consistent with the global Children's Vaccine Initiative, to develop vaccines. Authorizes appropriations. (Sec. 205) Requires a plan regarding the use of animals in research. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. (Sec. 206) Authorizes activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. (Sec. 207) Regulates surveys of human sexual behavior conducted or supported through NIH. (Sec. 208) Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. (Sec. 209) Establishes the Office of Alternative Medicine to evaluate alternative medicine treatment modalities, including acupuncture and Oriental medicine, homeopathic medicine, and physical manipulation therapies. Requires the Office to establish an information clearinghouse and support research training. (Sec. 210) Modifies NRI advisory council terms of office. Requires that at least half of NIH health education materials not exceed functional literacy. Authorizes a day care service for NIH employees. Title III: General Provisions Respecting National Research Institutes - (Sec. 301) Requires that the Secretary of Health and Human Services receive directly all funds appropriated for the Institute. Removes provisions authorizing the National Cancer Institute to directly receive such funds. Modifies requirements regarding the establishment of technical and scientific peer review groups. (Sec. 302) Requires expansion of research on osteoporosis, Paget's disease, and related bone disorders. Establishes a clearinghouse. Authorizes appropriations. (Sec. 303) Establishes a program of trauma research. Mandates a program plan and authorizes program grants. Establishes the Trauma Research Interagency Coordinating Committee. Title IV: National Cancer Institute - (Sec. 401) Requires conducting and supporting (and, in some cases, expanding) National Cancer Institute (NCI) activities on breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Mandates operation of research and demonstration centers. Authorizes appropriations. Removes authorizations of appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). (Sec. 404) Mandates a study on biological markers of environmental and other risk factors contributing to the incidence of breast cancer in specified geographic areas. Earmarks funds. Title V: National Heart, Lung, and Blood Institute - (Sec. 501) Requires NHLBI to conduct intramural training and education. Authorizes centers on cardiovascular diseases in children. Establishes the National Center on Sleep Disorders. Authorizes appropriations for NHLBI. Title VI: National Institute on Diabetes and Digestive and Kidney Diseases - (Sec. 601) Establishes a program of research, training, health information dissemination, and other activities on nutritional disorders, including obesity. Mandates, subject to appropriations, the development or expansion of research and training centers. Title VII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - (Sec. 701) Establishes a children's arthritis and musculoskeletal disease center. Renames the National Arthritis Advisory Board as the National Arthritis and Musculoskeletal and Skin Diseases Advisory Board and modifies its composition. Title VIII: National Institute on Aging - (Sec. 802) Mandates research into the aging processes of women. Authorizes appropriations for the National Institute on Aging. Title IX: National Institute of Allergy and Infectious Diseases - (Sec. 901) Includes tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. (Sec. 902) Authorizes grants or contracts for centers for research on chronic fatigue syndrome. Establishes an extramural study section. Title X: National Institute of Child Health and Human Development - (Sec. 1001) Mandates grants or contracts for centers on contraception and infertility. Authorizes appropriations. (Sec. 1002) Establishes programs of: (1) agreements with health professionals to conduct research on contraception or infertility in return for educational loan repayment; and (2) obstetrics and gynecology intramural laboratory and clinical research. (Sec. 1021) Mandates child health research center support. (Sec. 1031) Mandates a longitudinal, large-scale study on the well-being of U.S. adolescents. Title XI: National Eye Institute - (Sec. 1101) Authorizes grants for diabetic eye care clinical research centers. Title XII: National Institute of Neurological Disorders and Stroke - (Sec. 1201) Mandates research on multiple sclerosis. Title XIII: National Institute of Environmental Health Sciences - (Sec. 1301) Establishes the Applied Toxicological Research and Testing Program. (Sec. 1302) Mandates a study on biological markers of environmental and other risk factors contributing to the incidence of breast and prostate cancer in specified counties in the State of New York. Earmarks funds. Title XIV: National Library of Medicine - (Sec. 1401) Increases the limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine. Mandates grants for new educational technologies research. Establishes the National Information Center on Health Services Research and Health Care Technology. Title XV: Other Agencies of National Institutes of Health - (Sec. 1502) Authorizes grants to alter or construct research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities. Authorizes appropriations. Reserves funds to construct or improve regional primate research centers. (Sec.1511) Redesignates the National Center for Nursing Research as the National Institute for Nursing Research. (Sec. 1512) Mandates a study on whether and to what extent there is a need for more nurses in hospitals and nursing homes. (Sec. 1521) Makes the National Center for Human Genome Research an NIH agency. Includes in Center purposes the mapping and sequencing of individual genes and the reviewing and funding of proposals to address the ethical and legal issues associated with the genome project. Authorizes the conducting and support of research training. Title XVI: Awards and Training - (Sec. 1601) Provides for research recruitment and training for women and individuals from disadvantaged backgrounds. (Sec. 1611) Mandates programs involving the Government repaying the educational loans of health professionals in return for the professionals, as NIH employees, conducting: (1) research regarding acquired immune deficiency syndrome; or (2) general research. Limits the programs to professionals who have a substantial amount of loans relative to income. Authorizes appropriations. (Sec. 1631) Authorizes, for individuals from disadvantaged backgrounds, programs of: (1) undergraduate scholarships in return for service as NIH employees; and (2) loan repayments in return for conducting clinical research as NIH employees. (Sec. 1641) Authorizes appropriations related to National Research Service Awards, modifying set-aside requirements. Title XVII: National Foundation for Biomedical Research - (Sec. 1701) Mandates the convening, by a specified date, of a meeting to appoint the Board of the National Foundation for Biomedical Research. Adds references to the Stevenson-Wydler Technology Innovation Act of 1980. Authorizes appropriations. Title XVIII: Research with Respect to Acquired Immune Deficiency Syndrome - (Sec. 1801) Establishes the Office of AIDS Research and a related advisory council. Mandates a comprehensive AIDS activities plan. Requires that the Office's budget for carrying out the plan be submitted directly to the President. Authorizes appropriations to carry out the plan. Requires that the NIH Director receive directly all funds available for NIH AIDS activities. Centers AIDS research responsibility on the Office's Director (currently, on the Secretary, acting through the NIH Director). (Sec. 1802) Establishes a fund for conducting or supporting AIDS activities not provided for in any appropriations Act passed by the House of Representatives. Regulates fund use. Authorizes appropriations. (Sec. 1811) Modifies the duties of: (1) the AIDS Clinical Research Review Committee; and (2) the acquired immune deficiency syndrome (AIDS) clinical evaluation units at the National Cancer Institute and National Institute of Allergy and Infectious Diseases. Modifies international AIDS efforts support requirements. Authorizes appropriations for each fiscal year. Requires that model protocols for clinical AIDS care include treatment and prevention for women. Authorizes appropriations. Requires the AIDS epidemiological data base to include information on the natural history of AIDS infection. Authorizes appropriations for each fiscal year. Authorizes appropriations for each fiscal year for fellowship and training programs relating to AIDS. Title XIX: Studies - (Sec. 1901) Mandates studies regarding AIDS on: (1) third-party payment for health services incident to participation as subjects in clinical trials; and (2) coordination and efficiency of NIH's AIDS advisory committees. Requires a plan for the inclusion in NIH human immunodeficiency virus vaccine studies of women, infants, and children infected with the HIV. Authorizes appropriations. (Sec. 1902) Requires studies on malnutrition and the elderly, including regarding whether: (1) Federal subsidies are reduced because of increased independence resulting from improved nutrition; and (2) screening and intervention are cost-effective approaches to improving health status. Establishes an advisory panel. (Sec. 1903) Mandates reports or studies on: (1) NIH research on chronic fatigue syndrome; (2) the appropriateness and impact of NIH assuming responsibility for all Federal research relating to medical countermeasures against biowarfare agents; (3) NIH support staff retention, recruitment, vacancy, and turnover rates; (4) NIH procurement; (5) the incidence of chronic pain and the effect of such pain on U.S. health care costs; and (6) back injuries. Title XX: Miscellaneous Provisions - (Sec. 2001) Redesignates the Senior Biomedical Research Service as the Silvio O. Conte Senior Biomedical Research Service and increases the limit on the number of its members. (Sec. 2002) Mandates a master plan to replace or refurbish NIH infrastructure. (Sec. 2003) Authorizes appropriations (currently, authorizes the use of funds) to carry out cancer registries provisions. (Sec. 2004) Requires recipients of a grant or contract under this Act to agree that substantially all goods or services acquired with such assistance will be produced in the United States. Title XXI: Effective Date - (Sec. 2101) Sets forth the effective date of this Act and its amendments. (Sec. 2005 (sic)) Prohibits Project Aries, administered by the University of Washington at Seattle, from receiving any funding from any NIH agency other than under awards made before a specified fiscal year.
People & committees
Sen. Kennedy, Edward M. [D-MA] · D–MA
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Became Public Law No: 103-43.
Became Public Law No: 103-43.
Signed by President.
Signed by President.
Presented to President.
Presented to President.
Senate agreed to conference report by Voice Vote. (consideration: CR S6882)
Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.(consideration: CR S6882)
Message on Senate action sent to the House.
Conference papers: message on House action held at the desk in Senate.
On agreeing to the conference report Agreed to by the Yeas and Nays: 290 - 130 (Roll no. 178). (consideration: CR H2730-2742)
House roll call 178 · Individual votesMotions to reconsider laid on the table Agreed to without objection.
Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 290 - 130 (Roll no. 178).(consideration: CR H2730-2742)
House roll call 178 · Individual votesThe previous question was ordered without objection.
DEBATE - Pursuant to the provisions of H. Res. 179, the House proceeded with one hour of general debate on the conference report.
Mr. Waxman brought up conference report H. Rept. 103-100 for consideration under the provisions of H. Res. 179.
Rule H. Res. 179 passed House.
Rules Committee Resolution H. Res. 179 Reported to House. Rule provides for consideration of the conference report to S. 1. All points of order against the conference report and against its consideration are waived.
Conference report H. Rept. 103-100 filed. (text of conference report: CR H2620-2649)
Conference report filed: Conference report H. Rept. 103-100 filed.(text of conference report: CR H2620-2649)
Conference papers: Senate report and managers' statement held at the desk in Senate.
Conferees agreed to file conference report.
Conference committee actions: Conferees agreed to file conference report.
Conference held.
Conference committee actions: Conference held.
Message on Senate action sent to the House.
Senate agreed to request for conference. Appointed conferees. Kennedy; Simon; Metzenbaum; Kassebaum; Jeffords. (consideration: CR S2886)
Senate disagreed to the House amendment by Voice Vote.
Resolving differences -- Senate actions: Senate disagreed to the House amendment by Voice Vote.
Message on House action received in Senate and at desk: House amendment to Senate bill and House requests a conference.
The Speaker appointed additional conferees - from the Committee on the Judiciary for consideration of sec. 2011 of the Senate bill, and modifications committed to conference: Brooks, Mazzoli, and McCollum.
The Speaker appointed additional conferees - from the Committee on Education and Labor for consideration of sec. 2013 of the Senate bill, and modifications committed to conference: Ford (MI), Martinez, and Goodling.
The Speaker appointed conferees - from the Committee on Energy and Commerce for consideration of the Senate bill, and the House amendment, and modifications committed to conference: Dingell, Waxman, Wyden, Moorhead, and Bliley.
Motion to reconsider laid on the table Agreed to without objection.
On motion that the House instruct conferees Agreed to by the Yeas and Nays: 356 - 58 (Roll no. 70).
House roll call 70 · Individual votesThe previous question was ordered without objection.
DEBATE - The House proceeded with one hour of debate on the Bliley motion to instruct conferees on the part of the House to agree to section 2011 of the Senate bill, relating to preventing the admission into the United States of aliens infected with the HIV virus.
Mr. Bliley moved that the House instruct conferees. (consideration: CR H1210)
Motion to reconsider laid on the table Agreed to without objection.
On motion that the House insist upon its amendment, and request a conference Agreed to without objection. (consideration: CR H1203)
Mr. Waxman asked unanimous consent that the House insist upon its amendment, and request a conference.
Motion to reconsider laid on the table Agreed to without objection.
The Clerk was authorized to correct section numbers, punctuation, and cross references, and to make other necessary technical and conforming corrections in the engrossment of S. 1.
A similar measure H.R. 4 was laid on the table without objection.
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed without objection.
Passed/agreed to in House: On passage Passed without objection.
The House struck all after the enacting clause and inserted in lieu thereof the provisions of a similar measure H.R. 4. Agreed to without objection.
Considered under the provisions of rule H. Res. 119. (consideration: CR H1184-1203)
Held at the desk.
Message on Senate action sent to the House.
Received in the House.
Passed Senate with amendments by Yea-Nay Vote. 93-4. Record Vote No: 15.
Senate roll call 15 · Individual votesPassed/agreed to in Senate: Passed Senate with amendments by Yea-Nay Vote. 93-4. Record Vote No: 15.
Senate roll call 15 · Individual votesThe committee substitute as modified, as amended agreed to by Voice Vote.
Considered by Senate. (consideration: CR S1761-1850)
Considered by Senate. (consideration: CR S1691-1729)
The committee substitute was modified.
Measure laid before Senate by unanimous consent. (consideration: CR S1525-1586)
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 103-2.
Placed on Senate Legislative Calendar under General Orders. Calendar No. 2.
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 103-2.
Committee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.
Read twice and referred to the Committee on Labor and Human Resources.
Sponsor introductory remarks on measure. (CR S195-196)
Introduced in Senate
Primary sources
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