APPENDIX A

Cancer Registries Amendment Act, 1992

Senate Appropriations Subcommittee
Report for NIH, fiscal year 1993

(Abbreviated Versions)


Cancer Registries Amendment Act, PL 102-515
Abbreviated version of the final bill


S.3312
Public Law: 102-515 (10/24/92)

SUMMARY:

Cancer Registries Amendment Act - Amends the Public Health Service Act to authorize grants or contracts to operate population-based, statewide cancer registries in order to collect certain data for each form of in-situ and invasive cancer except basal cell and squamous cell carcinoma of the skin.

Authorizes grants for planning the registries. Authorizes the Secretary of Health and Human Services, directly or through grants and contracts, or both, to provide technical assistance to the States in the establishment and operation of statewide registries.

Mandates a study on factors contributing to elevated rates of breast cancer mortality in Connecticut, Delaware, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont, and the District of Columbia.

Authorizes the Secretary to use a specified amount of funds to carry out this Act.

SEC. 399K. STUDY IN CERTAIN STATES TO DETERMINE THE FACTORS
CONTRIBUTING TO THE ELEVATED BREAST CANCER MORTALITY RATES.

(a) IN GENERAL- Subject to subsections (c) and (d), the Secretary, acting through the Director of the National Cancer Institute, shall conduct a study for the purpose of determining the factors contributing to the fact that breast cancer mortality rates in the States specified in subsection (b) are elevated compared to rates in other States.

(b) RELEVANT STATES- The States referred to in subsection (a) are Connecticut, Delaware, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont, and the District of Columbia.

(c) COOPERATION OF STATE- The Secretary may conduct the study required in subsection (a) in a State only if the State agrees to cooperate with the Secretary in the conduct of the study, including providing information from any registry operated by the State pursuant to section 399H(a).

(d) PLANNING, COMMENCEMENT, AND DURATION- The Secretary shall, during each of the fiscal years 1993 and 1994, develop a plan for conducting the study required in subsection (a). The study shall be initiated by the Secretary not later than fiscal year 1994, and the collection of data under the study may continue through fiscal year 1998.

(e) REPORT- Not later than September 30, 1999, the Secretary shall complete the study required in subsection (a) and submit to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Labor and Human Resources of the Senate, a report describing the findings and recommendations made as a result of the study.

SEC. 399L. AUTHORIZATION OF APPROPRIATIONS.

(a) REGISTRIES- For the purpose of carrying out this part, the Secretary may use $30,000,000 for each of the fiscal years 1993 through 1997. Out of any amounts used for any such fiscal year, the Secretary may obligate not more than 25 percent for carrying out section 399I, and not more than 10 percent may be expended for assessing the accuracy, completeness and quality of data collected, and not more than 10 percent of which is to be expended under subsection 399J.

(b) BREAST CANCER STUDY- Of the amounts appropriated for the National Cancer Institute under subpart 1 of part C of title IV for any fiscal year in which the study required in section 399K is being carried out, the Secretary shall expend not less than $1,000,000 for the study.

Senate Appropriations Subcommittee Report for NIH, FY 1993


National Institutes of Health Revitalization Act of 1993


The Senate Appropriations Committee, in its report accompanying the fiscal year 1993 budget for the Department of Health and Human Services, stated:

"The Committee is concerned by the high breast cancer mortality rates in the northeastern and mid-Atlantic regions of the country and direct the National Cancer Institute to conduct a study with update for 4 succeeding years for the purpose of determining the factors contributing to the high breast cancer mortality rates in Connecticut, Delaware, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont, and the District of Columbia. NCI is directed to develop a plan for conducting the study and shall provide a copy of such plan to the House and Senate Committees on Appropriations and to the Committee on Labor and Human Resources of the Senate by July 1, 1993. The Committee expects that $1,000,000 will be made available for fiscal year 1993 for this study."