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( ~ S 788Q . ~ CONGRESSIONAL RECORD -SFNA TE May 19;: 79'78 -.M ~ .. ' .. . . . .. tess thee rightt of thee membersof~ the af ad(atlonal'fundsl needed was not tnowna report't from theCbmptraller General Public Groups'.toPt'omote Obcervanceof'unta early ln: 1978. . andd theCommittee. oa.. pf ~U~~y., Ststes,. Ml.: E)mer Staats,. theHe)sinklAgreementinthe17.S.SR. $'rl°eauawdmmfstmuoa~udaotrecetvetn>s oapro fnformattoa uat11 dHSy 3: 1978.. PasCd "sunset"-1eglslatioa: At the.e to pursue their Iawlul.activities aad urg- Th e eaect off defeating conswerationn of': commitlt®e hearing an A'prll 19„ Mr. . 1ng: the Presidpntto continue to'.exPress:- the adattlonsl authorltatton womd beto~ Staats was asked.d to study' the various IInitedStatesopposition:to: theimprison- iurther delay construction, thereby addmg: Proposalsthat have beenn madee ta: hn, .' mentof Group, members.. . . to the total eeet of.compienag the:propect. ' Prove congressional aversight and to'.in.--~ and'puttu~g additloual pressae mnthe Ll- corporate their best features in aa pro-' .. F: brary of Congrese to: carry out the: miaslons... Mr. Staatswass asked too study S. . -. SE~hYTD': RESOLUTION 458-ORIOI--asstgnea too tt:hy tne:Coagreee: pas8l. -. 2, the Program Evaluation' Act. of 1977, . - NAL RESOLVPIONREPORTEDTO: The desired authoriza.tionn will not havem sponsored by Senator 39vs1xi; and PAY A.GRATIIITY': the egect.of'delaying the approprtatione: . - Prooass; 1t:wm need to be accommadsted ln a othe2s:'. S. 1244., theFederal Spenrling ' ~)19r:.' PELL, from the COmmittee: An supplementEl apprapriat9on. .... : , Contrai' Act af 1977, sponsored by SeIDa- -- .., Rules. end An.,,+*a=tration, reportedthe:- -This author)zation tss suffitfenety aman tor Bmsn:; the work done in this area by.followingoriglilak resolutk)n.whichwas': that:lt wiunotslgnlaeanty afrect tha can-the:.GAO~for. Senator Laalrv.; Pi.R.. 10421. - placed.aa theca[eudar:, , - gmetonal budget. Howevez.it will result:in. the' Legislative Oversight' Act' of 1978;,. a gas, 468. comptetton of a proJect which7sbaaly needed introduced in the House of Represeata- _Se+oived;.7'hetthe Secretary ot the senate- m o'TIBrto meet the changing and expand- ttves~ by'Representatlve. BB'rtza~ Drnerexhersbp Is auworlaedd and directed to Pay, ing''°poneibnluea of the Library of Con-- and others; and the resolution proposed .from:the.contingent.tund of:the senate,.to ~°.' ., _.. -_-bythestaSy working group on S.2- .. ..., Arthur a:.. lvckery wtdowe3' of ifaryyf. .. .. .. .. .. and. S. 1244 In tts: report, to the Rules. '.. Tucker, an: employee uf the 8enatee at: the -~AMENDlIwrS! BTTBhII'1'I'En. FOR '`Comalittee. . ttme.ofherdeath, s.eumequal to one yeara' :- - PRII4TI5,IG--A)so' echedilled . to testify on June g. - compensatton.at, the rate she wasrecefMng ' ',. _ ' .. wllli be wltnessess representing the A;FIr -'. by law abthe time of herdeath:r eatdd sum to -' T,AROR~ LAW . REFORM ACT OF' C'IOand the Americaa: Society for Pub-be cousidere¢ lnelusive nf' fuaerel ezpenees 197:g-HR: 8410 Ik Admtnistradon:n aaa sn otlier aucwanaee. . . - ; ' 7 - , The coauaitteew)ll then meet at' 10 ,. _ .. ~-..rQroaarrc:NOe. f9fT'SmmIIaB raaa. .~a.m:on: Wednesday. JUne-14, it1 roomSEN'ATE: RESOLSOTION 459-ORIGI- '- (Orderedd to be printed and to: lieon 301„ to consider commititeeaction: on the ~ MAL RESOLLITION REPORTEDTO thetab)e.)._. -_ ... . .......,. - proposals.0 ' -PAYA.GRATViTY-.. •bIa HATCH submlttedl.six amend- ._..,. . . .:.... ..::. -Mx.. PELL;, from the Committee on meats. lhtended to beDroDOSed~' by him . - ADDITIONA'L STATEMENTS ~-. . Rules and Adminiatratlon,reportedj the to the bi)I. (HR. 8410) to amend the Na- ,. imllowingorlgiust' zesalutioa.. which was tional Latior Relatiaas Act to strengthen ~~ pgO:RO~ ~ ~; f. ... " placed onthe,..calendar-.... _the:.remediea-andexpedtte:theproce- _,_.. ..,- . '..:-s. itts 459=. . _ .~ duresvadersuch a8t. ."... . .,.: . . ... 'rMr. EAGLEPON. D6t'. Presldent., the '.._.'"'. . - .- . . . . .. - ~ xeaorved-;:z7,at the secnets~y of the senate agony Al$o Moro suffered through hffi 54 -. . .. - , . days in eaptivtty ended with his tragic' - herebyfs authorized-andd dfreatedd to pay, ;NOTICES-OF 11p`arMGS death, but the horror andgl'ief of c1vi1- . Lrom:'thecontingentflindoftheSenate:..to , a9ecoxlar~n.aaoxreneau:errMOma..Ized~DOOPIeeVerywhCEe.at:thL5m08L.IE- - sa sthel.n~ emPlo}me o1 nesener,. the wtdew 8enate ofR at the lchards';. tlme amsner, .,a,cru.v..,no..oeaw: aovmixeesrr ..:'cent, most d~pl0able: act of terrorism . . bb h1a - .. .. `. . _ _. aeatn, a sum equal to-one yea.e~comp~ 02 Drtr• CH7LE5: Mr_Presidentr the Sub- continuesi " moa.atthe.rate.ne.waareemvingnytewat--committee:oa.FederaASpeadlagPr•sa- ~•'TheassassfnatlaaofAldo.Morowesan . the tlme of' hisdeath,s eaidd sum-c to., be con- tices:and.Open Government willbe hold- act of desperation..coaimltted by a fringe . -atderedtnclusllveoffvaerai' enxnsesands all ylg.an oversighthearingontheGovera- of socletywhoseonly'hope ])esfn.the. ' otherallowancee: - -..-. . ,. . menkia the SunshtneAct (Public Law violent disruptioa of civilization. Row- ' on' Wednesday:. June:7,1978, at `ever, theRed.Brigades':won.notiiing fiom. BENATE' RESOLUTION 460-ORi GI- 10~ a.m:, in" room. 3302.' Dirksen Office this barbarous act:..If:theysought sym- NAL "RESOLU'TIONREPORT[s'D BuiIdL51g. pattly from the oppressed whom-t2fey. WAIPII'1GCONGRESSIONAL B017G, °' Fur further informatton regarding the c)aimm to represent, they failed! If they. LT A= : _ hearin6plesse contacL Mr. Ronald A. soughA to.advance:thecauseof theirob- . - Chindo. chief counsel affi staS'dlrector sourepolitYcalldeology„they faiie(L Pub- . Mr,. PETL froPt the~Committ:eon ofthesubcommittee.t' ," - lie outrage at their brutal actlvities' Rules and Adminlstration, reported the shows that there Is no aonsensus.tor their .. following original resolutions which was . .`_ . ., ~'. , cause, '"referred to the Committee on the- s, Mr. RTBICOFF. Mr.. President, the - Onfortunately, thds d'oes not signal.the. Committeee on. Oovermmenta[ Af[atrs. Sudget: . ,_.. demiseolthe.RedBrlgadea.and.theirilk.. . . :g, a:a.4e0.., ~-. willl hold a business meeting on 3[onday, They are-stilI.at work nlltaly: tetxoriztng, ..Reselved,..thaepursuant to 8eatian 4oa(c)'May22„ 1978, to consider S':. 2460, the at random, wielding the:only'power theyofthe:congresetonalBudgetAct:of1974,.theCivllService: Reform Act of 1978. The--ae.n grasp. It does, however, signal a. .. p:rovieionc of Sectlon.4o'z(a). ofsuchACt are meeting will be he)dd at-• 10::30 a.m.in ~mg awareness that terrorism 1s a. watved wtth.reapect to:tae:conslderatton.of- room 3302,' IDirksen. SenateOfOce force to be defeated, and that we must'. & 3113', abtll toamendo the. Act of Oato-- Bullding,E.- .. _ . .,. '. be prepared t(4dea1 with lt on both ana--' ber 19;.19agi,autaonzmg conatructfon of:the- e sato, eeqi.memmesntxx, sasvsae. .xw •. Lbraryof'CongreesJames-Madison'llemorial . p~axeercrneev2emoN sxm '..c.vs:.ecT'os 1978 tlanel~ and an',InteRlatlanallBVe6. Eummhg. waivertn.nscaf. year1978 of Sec. tton 4o2 (a) >8 neceseary r.> anow for an ln- 0 ,~,~WSIS.7A'MS;.hlr,,,Pres)dent;.I wLsh ~President Leone01'~ Italy made this : . . compelling statement after he )earned.of " ere®e1a the fundingauthorfzation for con- toanaou:nce that the Senate: Committee ydo'Moro's death:: - - etruCtion of the btnlding_. . . -'-.. on Human Resources will hold Its first Aldo: Mom hasbeen: pitnesely and horrify- S. 8. 3t13 would laerease the authorization d9yof hearingson S. 2910.. the. 9doles. (hglyslaln.The.besst whotried to.covee the . . for construction fundss by: s10;000,000; from- cent' Health, Services, andPregnaney kidnapping wit:ha political and Ideological i123.000,000:toi138,000;Q00:The.amountpre- Preveatlon, and Care Act of 1978, on cioahfailed tolUten to the cry from the "viously authorized uinadequate to cover June,14„at 9:30 a.m.., )n'room 4232 of the whoie of manltind that this maa txe spared. - the coste of aeceasary changes 1n.the building Dirksen Senate:Office Building. Withhis death, barbarity neems to want not ` . resulting from Congreseional3ymandated es- . to k171 a nlan, but thfnking aad mteingence - pansion of.lte fuactions, conetruction' delaye, For-further tLformatHOn oathi6': mat- ~d nberty. Yetwhne thisdeatn appalle" and _' and ]n9atihn: . ter, please contact'Ms.. Patricia :13arkey dYatvrbs, itwill~neversucceed m:defeatmg:ua. CompIIaneew[th eection 4'02(a)of- theSt 224-0324.F... .:. ... . In that wsy. atraglo error has been com. -Cangresslonal Butlget. desof 1974 waa not "stnssrr, nzcnn~noa ' "~=" mltted by'these wretched beirs.of the most ' : poasltilebythaafay 25, 1977, deadline, be- GMr:.PELL. Mr. President, on Thursday, bsrbarona. assasslaa: that manhmd has - eauaetheArchtteet.of:the capttol~diduot.June8, at 10~ a.ae,tbe, Committee on kn'p°ra` (~'~~(~~~y~1~ become:awareoTtheimetequacyofthe:au-...Rules.'andAdhlinistration-willmeethlIn,otherwot'dYtRf,Y~1A14h R6vibtioryby - 301f th hid1 . thortrattoa, until late 1a.a977..7he: amoun; room• oeRusse)T..Buildingtoeatr the Red, Brgaeas Illusory, because -.

~. lkletv' 19"„ 1978 CCQNGItESSIONr1I. RECC7RII)=AAdTE ; .S 7801 nish province of'North S.areha,.a~broadl.~ nutrlt3onalilmpribationsof'the~~.foods~they~ centrall role, they will have to~~ strike out - new progxammatic directions: They rogram reduced consume tian d . uaa p e -based health. k4 s-thetncidenee of heart attack by 40per- ur h: MFoposes. a~ compre-~ will haveto maintain: thetraditional . cmt. henslveantismokmg mtiativeaimed athealth protection activities of State gov- ;'+: ~'- The incorporatfon of sound preventive reducmg the burden of smoking-related.. Xernment--sanitary protection, food- u4 i heaith practice is already having. a na- illbessm our seei - afetymonitoring, maintenance of. State ., .. .«+..,mIn. ,aA~i in this countrv. From ge er. Mr. President. theselabs, and so on-and..reach beyond them. I decline Is at least in part attributable: for.healthpromotlonr and disease.pre-.of newprograms inthe.area.of commu- 11 197otn 1975 death rates from stroke malorinitiativesformacoordihated-and. Theywillhave:toaddtotraditlonalpub- ~I dropped 18percent.. Expertss feel thisflexibles program. of, Federal supportliohealth. activitiesan innovativearray ~. ~Heart;~Lung;andBloodInstitutehas~~un-. ~.Nevertheless,.Iunderstandithatmany~ to, take.on.this~challenge.ifwe~give.them Education Campaign at: theNational dlseseand',disabilityamong'our peopl'e: I thihk Stategovernments.are ready ; '1973 the National HlighBloodi Preasuree bytheircanmzon aim: the prevention ofnutritionalf education, among others. to: improvedi health habits among Amer. ventlon.n activities ih thiseountry.s aicatibns, health education, occupational Seans:andto.themore:widespread!tk•eat=- Though ttleproposals cover a broad,healtnprotectSon, smokmgand, hyper- . ment of high blood pressure. Started in range of issues,..I feel they are unifled tension control; accident.protectfon, and infectious diseases some1'50 yearss ago., fortns;. First asas single piece of Iegisla-- ta theStates$5Smillion it. 1980, $150 In theearly1800's; longbefore: bacteriation: andsecond: aaa paekagee of! three . million in 1981', $175 millfom in 1982, . atage we reachedd in the investigation af-- Health Promotion Act. of. 1978 in. two , proposed formula' grant. woul'd allocate 'compllvhment. -. : some of:. these proposalaa but not.ail of: talentandt to bulld an infrastructtue for We now fmd.ourselves„Mr. President,. - them. Forthatr reason. I will.introduee: . prevention.activitfesat.the 9tateand.lo- at-a point in history very sihnilar toa, the. National Disease Preventton._and. cal.level. To provide this support, our ~-doubtedly contributed tothiso last ao- - of a'Lyeolleaguesmay wish to support . the resources they need. to attract new. • were di5covered, enterprisingg citiaenss bills. The firstbill-ih the latter package. .$200 million in..1983', and $200.mfllion.in prevented choleraa epidemics by Guavan- would'consist off tttle I and II... The see- 1984- Though. these figures may sound ': tiningconte.minatedg pumps.. SimllarlF,ond piece ofthepaelcagewould ineludesubstantial, they-amount too a mere- 50 at.theturnofthecenturp,publio.health titl'eIII.onI,P-Andthethirdpartofthe. centspercapitain.thesecond.year-less -espertss were- able, by' eradicating mos-package- would constst of title Iv;, the than the cost of aa pack-of cigarettes m quitos,. to preventt yellow fever long be- ~ anti-smokiag leglslation I welcome my manyareas-and rise to less than $1 fore they had isolated the. yellowfever colleaguesto Joih with me.ine cosponsor- per capitaa by' the fourthyear- And --vlrus or developed a vaccihe.. -'mgthe> total aet. orr an,yparts off thee that increeseiss contingent an matching .. - The-lesson iselear. We, . donot: have corresponding disease: prevention pack- in¢enttve contributions.faom the States. -. to-: understand every facet of a di5ease - age. - - ''Though~ we-attempt to. provide Staces -tocontrol-it. We.aowfiadw ourselves ca- Mr. President. I'would now like to. -maximum flexibility in. initiatingttteir pable of making huge: Inroads intiathe describee brle5ythecontents.of each of ownprograms,wealsoseekto.protectthe :prevalenceofourNadon'S:mostdevastat:-thetitlesofthislegtslation.- -1 Federal interest by providing for ac:- .g ing k1llers, even though our understand-Tltle. I of theNatlonal Disease Pre- countatillity in the useof Federal moneys. ~' 1ng.& of the causes?of'those,.dlseasese la-.in:- . vention . and Health- would provide. . Under thee proposed program,. States •complete.If.we selzethe ehance; we-may moneysandi authority for the secretary -would have-to•usetheirformulafunds- - be'e able: to accomplish.h with ehroniedis- -ta support:preventive'healthserviee.s. SA for progcams- aimed, at. combating one ease what weaceomplished-with infec- substantial,part of those funds would be - or.more of the five leading. causesof tious diseases_over the lastcentury. -'. - authorized'for the: support of formula death- within theirr boundaries.. They-• -T'heNattonaliDlsease Prevention andd grantstoStates.fortheestablishmentof .couldaise;.attheirowninitiative:,launch _.HealthPromoffion Act of.1978will: in health~ promotional programs within..programs7 aimedat:reducingtheburden myopinien,enabSeus-to.take.advantagetheirown.boundaries. .-ofillnessassuciated.with.one:ormoreof of: this. tremendous opportunit,v. It will II am~ convinced that ifdlsease:preven- 'theEve leading causee of d7sability reiaforceeaistinghealthpromotional'ae-tion programsaretawork„they must among their populations. Moneyscould tivlties atFederali State,.and Ioeal.levels.l be: based Erml,v_ in-.the communiti:es. of be used only forprogra.ms of primary or And it will.launch usmtonew programs Eimerlca- They-must mvolveState, and secondaryprevention. Stateswouldhave ~ that hold great. potentiai, promise. local govemmant,. labor andl Industry; _ to make Q•uantitativee statements of their ~.Theactham fourtitlea., -, votiuntary-groups, schoollsystems„physi'- -programs:goals..andwcullihaveto, build .. ~Flrst. Title L provides. grants for the _ eians;. hoapital§, health centers, and in- la an evabiation component. The formula _ supportof'preventive health services. dfviduals.in.their places, of work and tn grantwouldbesuthorized for 5 years In Thesem include formula..grants to the their homes. Health promotional pro-. ea+dertoprovlde.the:Statessufficienttlme States to assistt them inn destgning.g pror grams~ cannot workk if they are imposed . to get'their programs up'andl running to , gzamsaimed:atpreventingthefivelead-fzom: above. They must be nurtured at . ing causes of death and the five leadingtheg level of'thecommunity.: They must °. causesof di3abilitywithintheir. State makesense to people. seem relevant too b oundaries. The- grant program also,their needs. and.desires, and grow: in.theIncludespro7ect grantss to public andd direetlonswhich each" community prtvate: entites for thesupporte of health ehaoses. •- promottonaI. programsof proveweffec--- The. Federat Government has an Im- tlVenessand high.h natinnall prtority:, portentt role in supporting'sueh commu- F7mmpies are hypertensionn and, im-- nitq programs but tothe:extent Govern- ... munixationservioes. -ment provides coordination and guidance - Second: TitleII provideslorthe.crea-forcommunity-based prevention efforts., ~tibn of'a Prevention Resources program that help must.be odered at a ievel closer. which will. provid'e technica[i assistance tothepeople. I',.believe that Stat'ee gov- .. to: State and locail health promotion ernmeats working closely with local' gav- efforts, andd willl support research andd ernments are ideally situated to provide .-_d'ata collection necessary to perfectna-_ leadershipp and..coordinationd m the de- .. tional, State, and local.preventive health velopment of diseaseprevention andpro- activlties. - . motion programs in this country:. For Third: Titie. 1'II', amends the. Food, Drug, and Cosmetic Act for-the purpose .,.of: revibingfoodg labeling statutes.. The amendments would require nutritional labeling:ofall food (to the:extent prac- .. tieal)„ so that eonsumerss can bave, Im-. . -•proved.lnformationatiout.thehealthand. that reason,, thee act provides maJorr new resources to: these governmental entitiesbaseds prevention programss havee made for thepurposese of planning flexible, ac- auccessful~ use of'f the print andd electronic countable;, and locally responsivee pro--- media m motivating people to engagee in -grams~ of healthpromot'don and diseasee more.heafthy behavCoror to seekaccess prevention. .. : to preventive :aealth services. No pre-~ IS St t t ' a egovernmen a are to play thiss vention program w 1 ects the ase ' 594 reach.h their State. programm objectives. The first yearr of the program would, be -an obligatory planning- year for all -,-TheformulA. grant program has one unique feature, which deserves special mention. Thereiera separate set-aside allowing 10~0 celtts aperson per State for the developmentt of: a health communica- tions program: Thiss set-aside recognizes the unique potential of:themassmedia for informing;.the publioc of the health . consequences aftheir behavior. Xmer1:- cans currentlyspend on an average the equivalent- of 1 day a week watching television, , Thee average American willl havespent9 years of his life watching= television by the- age of 85. Growing numbers of experiments in communitv-

; S788'4' ., r~, ;-' ;, CONORESSIONAL RBCORA- 1VA~E May 19; 1978' I tua3lyall the ageiicies of the Puhlic.- spoken advocates ofpreventive-health forr andi 1nA meeting the costa of providing Health S_ervice.. and ma8ing' these ese bu- progrnm•4 on ourr committee, and hee has. (througli such states aad through 8?ants or . . ._ ..- _. .. a _.__.... . •.. _. . ..nMr1a n. M.M m1N6 .wv.•. ~-. ..._ .. lG6 .:aoua.. cuu w. wp..w.r... taoritles'. Of . -.-.ccnstitute a.maior ehallenge.,Properly roletheSt'atesmust: DlayfIItheforma• Polltlcsl.subdialeibaa or the Stetes,r other public entities, cr' private ea- .. 9taHed~ and euPDOnfed the ©fflee Of tioa aad administYatiaa of such preven-~ tlrties). Dreventfve health eervfcee.. -° , 'Health.Iaformatlon and Health Promo- tivehealthpxograms. .. ••(b) No grant shau be made under sub-! : ctfon, (a)~) unlese an application therefor - tion mi6ht aceompllsh thistaslc Certain- . ASr.. President,, it enaeted. II think.k the ee .. ly, the Secretary will need'some adminis- National Disease'.Preeentlon and ELealthh bell , beeasubmitted to. and.approved; by. the: _ ~ trativeentitywhlche sits. atopalTp thePromotlonActof 1978 wouldputlnplace- 36c1eL"y' Such an application shall be InHEW agetiaiea tb'.serve asliis'.[lght; arm p[oBramsthat promise toreduee8Ub- aach tbrm and be submltted in such manner: ae" the. Secretary..shan.y bgy regulatlon pn. -la~.forghig a'coordinatedAreventloa.Pro-- ata~ntial~ the burden of111neas among ecribe and ehan provide (otherthanla an.. $tam. -.-~J, : ' .. -. ; -: .. our Pe4ple:, Th19ik81slattort can ProYlda: apphcatton.fara. plannmg grant)-- . • i&d: _-At this titrle: L do'not i'ntend too pre- something whiclh:nati'onaihealth lnsur-°(1)~ for a'- detailed pfann of a ptngnm' judHe thesee management issues, But I ance. ImPOrtBnt.as-It is, oannot. Healtli designed to: reduoe; throv8h.the'.prlmary or.r e%pectatlon ..tnmiranre may-Improve..ollr access to, second az'yndaz'y preventloaaf cbu9atltre eondi-' wouldll7ceto, makeclearm y -:.thatthe'Depart'menti will came forth. Care:itmayyhelyeontainonatslit.may' tlons,themoreautyratesibroaeortnoreaf' Wlth concrete 8dmh11stratAVe DroPDea7H make onFhealth'eeJesystem more eqliit-- ine flve.leatl3ng cauaesof death latheState:: . . - 1oDde8Aa6 w(th.d19ea9e prevention and. "Abk- End lighten the: bultien of Cata' "(2) the amount af 8ederal. Btatal and other funds obllgatedby the State In 1ta .. health Promotion'as a natConsli priority. strophic medioat.ezpense: But it wiII not- iptMSt annual aecnunung perlod.for taepro- ..I also espect the'Department's.proposals- make us a healthier and Inorelong-lived.e vwan of each program, described ln paca. ' wllfdeal.with.thefuture off,the'0fficeof . PeOpleunlesgltls:comtiinedwittia.com- gnph• (I): a deecetptloa or thepreventtve Health.Itlformattan and HealthPromo- - prehensl4estl9tegy for: reducing death; health.eervlceg Provhled.bythe State m each. . tlon. . .:... , .-. ., ~.. _. - . ...antk dtsabillty_thron811 preventi'o1r. Our. each programm such.perlod„ theamount or -- • II wouldalso li'ke to: note, Mr: Presf- :nMghbors- in. Canada are aiready leala-- r A~ ~g needed eyr~ 8a .r hum dent, that the National.Disease. Preves-~ th13kssorL After thep enacted thelr prognm: tff taa statscomprehensive national health insurance. prepaees abansa m - t10n and Health' PromoUva A6t'of 1'97&& the Pravlston' of the.eervlcee.3a any encn, Pro- ..: eatendsL for 3yea:s sectlon 314(d) of the System. theY autckly discovered'that they gram, the Prloratfee of such plvpoeed~ PubiteHealth3erviceAct•.'Thig.Program'hadaolved.onlvenehalfof.theirhealth ehanges::tha.res.omtoreuchehangesc'and,Bl1DDO[ta.. CtlmPrehenSloe Dtlbllc'c health care~Drob1PA[:TheyWEDeabletotakeearetheamovnt.of 8ederaLfunde needed bFtha-r servlce•formnla arantato~ 8tatca..Wlitle Of peoDle oootrtheygot s1cY•. But they Stata m maweeuch changee: ... ,. .-'Imt strictly relevant tbcur . Drevellt(vehad.donenoLbingto.keeD them well.. .:: ~~) ~~'a eopttoa ot tha stata a da. _ . health serviceproDosalk, the 314(d) an-~. ~e C°^^ "e^• ara•nav:undertakfig;. throu ptlva~eantlrtm tya. Progxsm.deafsned m : reduoe.-_thoidtyis', iadireotS,y relevant ia' a. num-- a-natlonwidee8:ort in thee area of health ~' Dnman or eecondary prevention - M~oauaasaa, Lhaaurdea.of 1Dasee bet oi 1mDOrtaIIL way6 ..:. . . -Dremetlaan and disease D[CYCa61on•. Mi? aeeodaten with the flw lesding.. eavaae of .... .... Fhat, the'progFamprovides. general Presddeatt wecaa IeaPix.firom their ex- .morbtuty In,me er.ts:, . .. . .. :-:supportt for'State-heal.th departments, patience:' and froErt the smlllar experl.. •~~) ihathe da o~~t of aeaen4etate: snd .. ,.. and'.tiilss support~,has beea vital inn main-enaes of: the maag Weatera EnroDasn by tns-etata In lte : an8. petJOd for tEe'pro- - eoontri'es:wltli aattonal' health.fasuraace- latest anauLL s - tafaibzg: the:. intearttp aad: stI•ength of ..yrogrnm3:: We can-move now too folanl-. 91eIOM ot e.cu. Pragramm described la. parc- .~. ~esareasing o~le ln the: Provisloa- e~- _lataa national strategy Sorhealth~ pro=' ~m(e3er~.IcaedpluvlGea ny the 8taa m etach~ . nentflve-healRh: se[vicesr it is..essentiah._Inottoa:aaII.disee~aeprevention.C?ur.allll--~~p~,lasuchperlod:.the:amountof. m dahlldrea, mdahlldrea wLLl.lPve longer. : pyderal~ funda needed tit ehe . etate to, coa-. .. that. their inirastructure aad.theirL ca- ..drern, and ~ - esoh euch: ._Daatt9for mana8ement be maintained 8ud~hetterll'veeifcvedo: alavs proamng esscII ae.+laee m : andenhanced.. 7f6[::. President, the Subcommittee on-program: u thastatepraPosesmanges in the:.. -:. 8econd..iaany Ststegs use 314(dT itmds- Heaith andSCientifloResearch will hold p1O9len~ wfeecvtcm m snpeoehpmgrama. hearin8s- onthe:. National DL9CSBe- Pl'e-, •.ehs such prap?seA changee: tae. for provtdfngPreventiveseruicea' ot var-~ venttoar, and Heaith~ Piromation. AaE. of1eseDae''~ ~ohangee: aad, the amouat' louskind®. For that reason.. there.- are . 19788 on'.. MaY:24 and.25 and on. Juae7'. ot.7eees•at imm needed by tna State to, me,Ye suah Important areas of. overlaptietween.p the n x . mm~ .r. . .. .~ , eh.ages: . . , , ...01.tS1ese:eTlstiIIgfnnd3.andthepo9- -aad8.'711~Q~;° . (3) that Tho-plaoedexrl6ed ln para- uses . d18CU8810a OfOm'Sntl 4mok'ms lydtiative,: '~tis (i)q am~ (3),•~- . . a161e uses ofthe: formvla grant fo[Pre-. (A) eban1 6eaafae scomP'a•aheasive:prd-. - . ventive services proposed iu title:I of the -~of the propasad legislatlon- :... .. ....ventton ptogfam vhichatufza, to tbe ertena . -.bllL Wlu1e we do notfatend, fhese.new -.- bEr Phesldent.I askunanimous aon-. Pr'm'1ts~°'au~ relevant proreedaaai macl ~ moneys So substltlitefor existing pre-- . sent. that tl'~ bills lio- PI'lIDtsd In the': , p~°'' . ..~.: 'vent(on actlvlties,. it Isesaential.that', the -(e)) may..at the.optfon of the 9tatb, de- _. .. P[o8r'amaflmded v¢Iderr t3e9e- two~. . ~caaP. •-,:- - ..". .•' .. tcrltie aPr~'am' orPrograms that ara ~ eourcea.of:fum~Lss brclbselyooordYnated. --Tl'Ierebeineno~.obieatloa.thebdlLawere' .~a?setedtowatae aParacular ega gmup:. .. Ordered to bee prlnted iM'the ItLCOND4 . as. ..,. (e') aha11 aae forth quantitatively thecur- ` .. We . ProDase; M[C.:.Pra9ident. thaL.the, - .. ,. 7. ._ reatrelevant rates of mortaltty aad, where ": fOlloSFa:_ •-apyroprlate. of. mortlldtt _ - . _ -TIn the Brate: - . fundtng..suthorityfor314(d) tiemod ..fied slightly and lnereaaed. First ofall. Ha'.!t aT6cted 6P the Serate 6ad Rouee o '~" (n) shaLL set forth the 9uantlmtlve goeln "• we slr$geat 6' matChilII8..lncentiVe grant r txreductioaW1 the rel9venti ra[ee, or mor- ": , .&apresentai[oee'ol fhe Untted Smtea. altahtyaud..wharoeDRroprlate; olmoxbidltytn -. . . ~formula'wfiiahwllleacauragethe3tates. Amerres..ty C`mpreae aue+eaud, that tn1ss taestate;- -. . .: ` _ -.4oaddo their ftandstoFederalfunds..ia Act may be cited ae..the:^IDisease Freventfan: '•(g) shall 1~ve a eeparate health commu-.µ~ -the-suppm't of publlcc health act(5dtle6'.s end Health Promotlon Act of~ 1978'••. ,.. . nicattuaeM component 1nths r .~ .. wltliln Stategoveanmentsi- 8econdiwe:. Tr1ZLr= r-PONMahA , ANI) 'P1taiECi' P o8ram or pro '.: .. g+ama which shall include, butnot be limited r~ ...suggrstanincreaseiuthe3l't(d)'author- .. 6serm'a. FOR artEVSrnzvs >eFar2'S:. to,.adeearlptionofnowtaecommnmcatlone- , i'ty irom, $07 mlllloiln in 1978to $125 .- S&ItvICEB .. ..,. .-.'. :.- '. media, including the-electrontc medla,, wtul million In 1988,.$140 million in 1981 and - Saa: 1o1.:wthenever in thle tltle aa amend- ~>'dntnlzed to' eIIectaatethe purpoees of'the'. ' $1500 milionin 1982:. These: inereasess are faa~taor prravfemn~ne, retsrE "p 1~ alI toen - . intended to compensate for the faet that m a sect tlfym epeclLC lnetltuttomal .~ aDPropriat(onss levels under the 314(d) . eaaeshalr be considered too bemade to a.eec-tur1 st9CCOmhtethatg will be nee{wnstble .tlonor other'provillonofYhe Pubflc Heslth. PLSal'ag. through contractewlth`. euthoritylia9e~"been SHed' atthe $90 seyyfce Acy. .. _ ;. prfmate entitles: and Other means thee re- ~' mlllion SCvel aince 1971. - ~ - -qutrementb ofparagraph: (E); aad. - -_' raeMVta,cadNra ra9 P9avi2TTrvE SQw2B'. -.. Mr:.President,I~wouidHketocomme ndwouidHketocommen dtocommend (({) S1SalI Contabyeueh, otaer lafarmatlan. .I9Te; ttefe IIIa°~e Becretarg maf by regulation pre- . ` _ my colleague...Senator CnA'nrE; for the '. gm „ Iga .ECect[va Octaber I aaribe: • . leaddngrolehehasPlayedlaerel{3ng'our .faameadedbyadding;afteraecetoa314the.~ tor'sseuraucea:eatfe[actcryto theSec- - . . revislon of the, 314(d) antherity: and for fallowing'. nevrseotion and headtngg thereto: ~ --...his valD6ble=a4sPstance in helping .~yaesroaa osaxas m arexae noa raavenrna ~-°.rbh w[tbeproviaea ~the i~Uhayer s. ., ahaDeourpre8ram'.offormuPaBrantatP-.: - ... , . '•ffincrssnvxss .. -- ; .: .' grant'undersubsectton (a) 1>albe,prawlded } . , mamanaeranneletentwfththeStatbhealtS ~ .-8tates.forpreveIItlve"serVicee..$enator" "8ac.318. (a) 17ie:-Hecretar yahalrmate_ , . ~E.`SdHESha8 been one of the most out- . sranta tostates toaeetet them in planning Dfau m saeet.underseotton 18?4(c): ..Ji

c;. fS 7868: ~•. CONGRESSIONAL, RECORD -SENATE' May 19, 1978 of the popnlation of the IIotted States and :.•(H) the percentage per serving of pPtela,. Permttfed in any enclDeed area open- too the ~. the relationship between these:eletetlmmen/S fat:, angar:. atarch, and alcohol. m: term6of ': puhllb m.n any FEderal.l facllit7 or in any.. .of health and.the 1nGdenee and prevalence calorlcoontent,aadi stalrscayelevatnr,hallway;conveyance,walt., .. of preventable eausea 6f death and desa- "(C)thegramsper'serving'nf'.protein:.sat-- fngroom, reception room, conference room. '. _.bflltp;',and . ..... ....ucated fat, unmturatedd fat. eugar„ etarrb„ or hearing room.ih..anysuch.facLlity. ,(4)') the behavioral dete[mlaantsof:heaTtIIt alcohol, eGd1nID: chole9terol, and any other.. (D) Smokemahall be effeetfvely'separated ' ..of thePopulatfon of, the. United Stateas la- mg*•de^+s . ass the. 3ecret®ry by regulation from, non-smnkera. Ln any res4aurant , aafe« ' ' eluding. but notllmited to; emokhag, nutri- preocrlbea. .. _. ' • .. terie, anackbar, other dining. fAc111ty. recrea. '_ -ffional.and.dfetaryhablta,.erercise.andaico- -'"(2)'DDe Secretary is autlioriredl where: Slon.roomor.lbungeLn.anyPedemlifaclSty: "' ... hol eonmumptlbn, and thee relattonshipbe- appropr•iate, to.preocrlbe by regulation aeys- (c); Each Lastrumentslityx of the IImted. .. tween these determlaantaof healthand ttie--tem. of symbmis, figures, or other' devicea States shall uae reamnatlle eHorrs: that.t do: ...fnetdence, and prevalence- of pcerentable whhh wilC.eaatile eoneumera to readily oom-.not result.la excessive cost orr admliuistrative ~.. causasaf'deathand Nbabllity. ., ... -prebend tha nutrition Lnformation, requfi'edi' dtsrnptionA to. effectlvely separatethe vmrk- `..(b) Iapreparing the proflle: required by to be placed an labela by pacagraph. (1):.. places af lts.employeeawho, do not smoke ~ ~nubsectlon (a):. the Secretary!,., autlag. °(S) Tothee:tentttaacompllaacewlth, andlwho.wisti.tnbeso~separsiedifromthe: ; through the National Center for Health Sta- - t1iee requuementa of subparagraphs(1). and workpiace® of Its employeee..who: do amoke:. ~' . tPatSeas or its eqmvalent, shalP comply with (2) ' ia Lmpra.eticable,. theSeeretary ahalf.by (d)'InPlatming: designing. purchasing,. .. , all relevant provisions of' sectlona._ 3086 and tegutationn prescribe ezemptions- from such, leaam& or otherwlse.obralning,new fstc311t1es„ 308 of' the public Health Service Act. requirements.". . . .. ... ,,.. eech tMStrumeatalty of' the United Statea . 2TII3. DI-AMENDEIIENTS TO M?OD ehaP:to:-the maa]mum extent practitab)e:. .. , PHOUISICNSOP TRIBEID6ILAL P'OOD, SDC. 303:. Chapter IV Is amendedby adding- iMS°re the eHective separation of smoking ~. DRIIG.ADID~COSMEliC.ACT TO: POS'l1rRr after sectiDn 411 the following new aectlnn:' d nonrmoktngg emploAeea In such fat11- HEALTH PRIOMOTIOX iilea:- - . ' . Sae..301:. WIIenever'Ln thls ttt]w an emeud- . . "aa:~ ~~ a~'r~m'c snaosnio" aroxs-. " ' .. ment:Paenpt®edLattrms.c[anamendment gW_ 412 (s) Enoap~t~asMPtovided.Sn.sub-- SDa4a2lneveryarea.Ln:anyPedemlfa-. .toa.seotloaor.othes'Pro°ision•thereierenceo sectEon(b):no~Stata;or..pouacalaubdivisioa cilItywheresmaking.isprohihlted.midersec--.shallbeeooxederedto:bemadetoaaectionor' ofa3tatemaFeatabLaharcontinue,meHecG tiOn .401,.'No.Smoktng"slgnashallbeclearly otherpt'mdsion:of tho--PederaL POod,. Dnt& . andconsplcuously posted in anmoteat..num-aadCO®etlcAct. .p,-. -. . . a labalmgg requlremeati applloabletoaay ..bara.and ominence to - fmd wmch Ia,dlIIermt from or fa addition w. Pr . glvee notice m:.any. - xorammr urroawx¢mr uan-ormsox caast.at0. any labeling xeq„r e-.,t.applicatiletoanch. P&oun eateting or accupytng~ such areathsc. l l Moo1 m 1 pmb b tedlnauchares ag~ P -feadunder'aactaan-303. . .. . .; -Stc: 301.(a)~(S) Seerion401 isameaded by - ^(b) ppoa appltr•atfaa.n of a State ar a : atnkingoutthe.fourth.sentencetbm'eof.. ':politYcai~subdtv7ebn thereof, the Senretazy' See.403: (a)'The~ezecutivehee.d'.orchlef ' admtala4stive officer of - (3) '. Seetlon.4059(H) 1s.ameDaed to.zead.as,. -may„ by vegulatba'atter notfee and uppor-.eachanatr¢mental-f follows: . .... tuaityfoaan.oraLfieerlng;.ezemptfromuub-ityofttie.UnttedStatea•shallbereapanetble any. U it purports.~ia.Da..or ia repreamted. aeotton-(al,. vndersutlt.aondlwonase may 6eSor enfareiag' aecttona 401 and'4D2 m.y _ ssa.foodfbrwhlchew deSattton.andstandard.' pras:ribed! m:sedh regamtlon„alabelmg're-7ed"at eacint4lnwhtchauch,lnatrumental- ".:of.ltleniity'haYe been '-preacritied byy regula-- q¢tremeat o1: such State or political sub-. fry'maintafm of7cea.. .. .. .' . _: ttona.as provided byaection401•.unlesa (l),. ft. dlvlsfon It. the Sae2etary.det •,,,r^^" that the: (b) Hot later thar ninetydaysy after the. d t f - a e o enactmentof thiaPart,.the.eucntlve. .. oonformsto:sueh deitnitlon, and.etaadard: requirement ia zeqalredd by coampellinglocalg ' f and. (7) tte: latiel, bears.the: name of'the food! condlttona.andi ¢omPlianoe wlth it would natt bead.d or'dhie admmistrattve omcsr of each.. -specifiedinsuchdeIInltionand:s4endard.':':. .•ewee.eTOod.tobe-mviolatlomof:.rzeqnise-inetr®entaaty of', the IImted-Statesaha:l (b) (1)Sectlon 403(1)t Is amended to read ,meat.mtdersactian 403."_. pu'bLahia the Pedetal Register regulations, as follows:: _ . . .,:.. accvaocre ss.aucao- , . for" the enfercemeat'. ofsactldm 401. and 402 "(1)Dnless:2ta label-beara- Sac, 304. Section 201(f (1)') ie amended to.~uding: but hotIhaltedt to, apptoprtate '. ."(lLin.the ceae Gf foed whiCh L aUt sub- ) saacElona.for noaeomPliance w1tth euen a!c- ')ecY. to pstsgraph (8) of' ffida eecCton,the read as follows: "(1) articles tieed (A) for -tiOm COMParable tosaaotlone.forfellme to.o rammon.or uaaal nsme-(tray)~. ofahe food: food foc.man or otherantmals, and (B) sa. comPly nLth:an7 ather applicable.regulatton snd . ...... ~_.. .,.--_. _driniG for' rna6 or atbeL anlmala: iaciadmgeffeeting the healCh,. saieYy, or well:-bMng o0 "(2) In case Ytt ia fab[ecslef 4.'ota: two oi dffitllled epirib... vAnea, and maT6 bevatages,•• thee public or the work: force... - _ mDle.mgredieaTa- . :. . ......_- .., - .. ,...., O'DLCIIVlnA1Sl _.~ ,.;......~....DZ(ntQ.mNe ' .. "(A) the ce®aonorra¢sl neme of.eaeh : Snc• SOB. The e:mndmeata madebT 'sac- - 8as:. 46LFbm'Lbspurpoaesol WlapscL; .. each,ingredtenkm.tDCOrderof Sts-peedorat- . tlons302.-308; and'304•aDail apply wlth.m- ,.(a)) theterm "amuking" means.the amek-. .nanee: escept.that any sPiceaor'flavortngaspect:to.foodwmch,hlntmducedar.dellvered ,y8,o[paaeaaatonefaLghted..dgarattei.aigar:, which are not aotdd as-sueh anad be, deeig- Sor lntroduetion. into..interstate commerceor PtPe: awntamingg a tobacco pr<tlnct;aad, aatedseartffieiaisplcesorastmxiapYtessnd~ atterone:yearaSt,e<'thedate of the enacc.- (b) theterm"•eaecttvel se '. ' artiEetali 9avoringssor-ns.tmal. Havortags• as . meat of this title:. .... .. y _ Paratad" maaas the- caaemaYbe, without rmmtng..eart snea.. xa'rmcx2ma.so.axm.auwar sr 't•ra rIDa+D~permittad and Ln _ which smoking Iaot~ er.- mgredieat, unless the8ecrerat9 reqqh® by . .. . tsanacoa®etas+nx_. '' . mfYted in r manner which minimlzee, tn the. . ' regulstlan taat:the•comraon ornanal-nama -..8~308: (a)~ The:Secretarpof 8ealta..8d... ezkeaY ptactlcsble..LhardrllY.ot smoketYOm~ . of sa apfcaor [Ia9orlvg'De aa the'~1NIel farLae.veatlonr snd Weifateatlall nottfy . the' Ped-- the amoriag:area.lnto the nonsmo ' ptetpose of'f provlding•.•health imlaematiea~ toking. arsa. eonsumers.: . . ~. .' .: ~ esal'~'LZ'a~COmmlaeim of, eae:nutrltional.ln.. _ (e)) the term "lnatrlxmeatall'ty aL tDS. .. "($) adeeMratlo'aeftho-pcaeatsgenf-sayformatton'thac ]a'.requ4ed.te be.Placed on IIn1Y068iatsa"mearu-. . . , apeMae6 tngredteat Yother than e.spl4s ord feod ]abeb purauant to.sectlon 4'OSlgl.and (1) an ezeautlva agency,. u deftnad la: - flasating)' 1ftLS8eeRmrydetermfaee:bTreg- -~ mW the. Commisalbnn whlcli.. (iL: axYma.lOb-of.tltLb$ IInitedStateS~.COde: '.. nlatton that snea 3ageedleat hees algatIIcant an,y) ) of such Lnformationn shW ld berequired -, (2) tCeIImted Statee Poetai Servlce:'. ., . .besrhl(;aatheqvalStp.nutritton.acceptabil-.bytheComm7s5ionnndertllePedersl'ITada. (S) Ytie.Congreae:,- . _ .'.l'ty, ar- cast of'.suchfood, and .. .•: . . ommussion Act to beaDeluded In the ad-.. (4/ the courts of.the United States; and "(C) a. eymbol ea pteeeribed' D7 uLO SeDte- T~ffimg,of suchfood•' f . .,.... (5) ttlegevernmentsof theterrlturlea and. ...YarpDytegnisttna.toaigptfy'ttiePreeenceol (ti): The Chstrmaa of the Commisemn. PosaPSeSOaaob.the.IImtedStates:. . . an artisetal flsvor er color.: . . shall report annua¢y to. Congxeas on (1) any.-(d0 the tetm '1"ederal . fbdllty" meaea- -- mommrndattone msde to. the Commission. -(1) aay building• InatallhtlDn, . ot fae111tq . Tntae extent that eompRamewit9rahe re---by'the 9eeretery mider subsection (1). . (3) . - owned-by. theIImted States, eacepting, prl-q ofsnDP~4taPi>`4~)--iatmPraoti-Ln'those: aLtcstlana-where the CommLSaionn vareresldencl2a,.or: .-cebleor would. rnult: tn dwepttoa' or unlairaeeepted a recommendation, s deecripmn .. (2) any part of'f any other. Uulldltg. Lnstal',-e cea[petnio¢, the Sec[atary shall by ieg~sia-of_ anr actton: taken to Implement such rec- lation, or facility, which part lsawned or . t1o¢PresalDezaemptianaEVmanrh.raqahe-.n ommeadatSon; and-(3p in thosesttustlons: leased by the United Statsa•, ercepting'.pr1':- ^ Meate ~' '~~ 1 nt .. ojhere tne-Comml.w]om failedd to, accept. Ia, vae: residencies. nq (Q) :These~ondsente~eofaeeKoa40g(k)wha]eorm.part,.a.reeommendatLon,ade-- ... irre¢}~~i}{i~""'O+ - . Sr~ 405. 'ThtsPart shall take eIIec[ ainety ) 3ectioa408 ias.meaded byaddfag atter (c. ParagraPa(P)ehelDLlowlagnewparagxaPh:-PROGRAri15 DESIG"ED~TOyaafterthe.dateafenaetmentof'~thla.part. PROH2OTE HEALTB: THROIIGSi. SEIIOE-'-(q)li)~IfiSteafoodforDUmaaeaamtmP- INGn~,r,p ~ Puat HI-Sez'aat.rsaa¢tar os a Hcaa Pao-. . . .. . . .. a. T.- . . - Desnpuch.nnaittaa-lIIformation reiatmg' PacA-R.toarraom:orS4ounra,nrr'e"ssau..'Sq.408: (a) Subsection (b):'of'xection. ...-to the food as.:thei Seerctary byiagulatlon . . _' Pecn•rTSS -. .- -' .. - 5701 of:.the iaternal Revanue Cbde'of-196L j.. preserfbeas to'p[ovideo health Lnformattaa to '- sraxatcnoNa- oes®eesaNanr r>mm0e. (relatmg, too the rate of: taz on, cigarettes) ... .>consumata including at leaat thee foRowmg: r.~ . . .. . .. -'>m. CMWn(ftd to readd sa. ftlllown: . - . . ~ - (b) ClgaretDSS : sa481 (a)LftiddD td '(A) the totall number o calories anc..~xcepaa<proveIxt sueec«..,-- .. •. .. . . grame per.servtng,. . . ... . tlon. (b)', (c)~ and (d), emokfng shall not be"(1)1lsrosrrmx or sez.-There ebali be~ . 60'

c Mau 19."1978 - .>• - CONGRBSSIONAL 1RECOBD-SE1,`~LA'TE l _,; b :7869 lmpoeed,on everyelgarette manufactured Ih tb.e.Pederal Clgarette tebeling. and'Adhertfa. tlom and.d evaluatlona underr pargaraph arlhiported mto:the IInlted.Btates, regard- Ing Act (Pttbllc I.aw g9-02) Se amended to. (a).(7)s thare:ara.authorfaad.to. be sppropri- " ' (i tlie ffacayearendmg . R. '--leee'otwelght,whichcontams- .. readasfbllowe: ated i10,000',000 for ...•(A)i 1rom10 to.199 tonc unlta„ a healtli "Sse., 4(a).. It shall ba unlawful toe' any8eptember 30, 1980, 430j000:000 for the flecal -~rs: .. protectton tax of:80.0025: - . pataoato manufacture., Smport, or paekage: . yasr endmg'September 30.1981, and a10,000: +br{,..• «•(B), froml0 to,29.9 taalcumtv, a hesitlt for saleor dlstributlann wlth1n, the IIntted' 000 forthe:llecal,year ending September 30, c•:• . protectlontaaof.80.007b; 8t++heeanyclgat'ettea- * ,1983. . . (C) from 30 m39.9 toxic un3ts/ a health (1) If'.the package for which fails to bear (3) Pbr the purpose of making paymente r,qs.y . protectlon taa. of' $0.015; and .. thee tar' and: nicotine eoatent of such clga-- forgrante under. psragraph (a) (a), there , aGiL- "(D). 40 or meree tosle.unlta,. a.health Pro- rettee stated 1n m1l11grems, and areauthor3zed tbbe appropriated $10,000,000 be e 3 St' th § f hS h f 11 t 0 ° ) epac age or w C s s o: s . a . forthe asoal,yearendmg Septem8er 304 198 ( ,:1`;'_ , .. . tecUon tax ofS0i0S5._-. t f l t ol bwtng:eta emeID e: a10,000:000:for the Oscs1 year ending 9ep- . "(9) Daramnosr.orxoxtc mvtie:-Fbrths aaeof, tha Vrplxee of' subeectlon (b) (1) above, the "(A)~, CANCER MAYB.FSIILT FROM CIOA-, tember 30, 19g1„and 810,000,000:for the fiscal . D ., REPl'ESMO8IDIR7: esr endln tember g0,:1985:a'~at~-:: avmberof'toanunita'meansthesum~of- - 9 g'.SeP •• ('B):. CANCER OP T8E LIING9i 1t9OUTH.. . P.ex m~amm~. es He.anxa Hneas. Asae" '.. . ..•n..~ en.........lur nf, mfllemsms~ M'~ ,f.r': p~ - .. . . , _ ~u.L .m.a.,e.~.l mmi a..o,l vLl r.ww ..a ~y.y.m, Wira St[ca:IIrto Crasaal•rea or .. -: ~~. ..._......., u .v . u .u.~~_..., . HHITHSMOffi'IR3'. . .. . ~ ... . ~ ,....- ..._ ... :-geams of'aiootma'. which are aonta(ned m. ..l'u1: nr~+vi a+a6Aila. ytaa. Wtva. s~eranera Cosnrrox~.e AnDea ~ ~ 3bfOHING: ••.-t1 ~ -suchotgantte" -~ . ..: . . FROM CIO - - ~ ro Co~s M.xnraeream. Crc- =S: ' .- °G3) Daraxmaenoer or Tes uva~. ntcorare °(D)~ CIOA v.`+"v° SMOKIIfG~LdAY HORT~ ~ eyC1,r~ - . .._ .... .: -.. . . . YODR.~HEARTf . . . . °(A): Testing by Federal Trade Commis- ($)' EMPHYSEM.1 AND CHROITIC SRON-.'_ - gra. 410.. (a) The Secretary ofHealth: Edu- '. tl d W lf d L hall a4.an . e ars s roa ue , or.arrange . . elan.-The Fcderal TradeCommleslon: (here-' ~$' ~A~ ~~•TFROM CIGAB.EITEaa r ..laatterraiecradtoeathe'COmmlasioa')~shall SMOKIIiG:._:. - fmrLhecoaducf~ol.sstudyorrtudlas.of(1) _ ' the rel'stlve health: rlsks. eaeoclsted'Wlth 87T8 8M0ffiNGDDRIItC} P CIGAR " . . ) ( a ' from tlme m-ttme (but at Ieest.oacs eac lavelaof tar em°k1a6 cigarettes of°u}?lag.f PREOHANCY: MMY DAbfAGE TH6 IIHBORN oalendar year) determine Or cause to be determined the-Lar and nicotine content .CBD.Dt. = ' and.nicatme.nd.(2) tHe.hesithrlaks:aseod- -'•(G), YOD OWB' YOUR BODY SOME R8- . ated wttbM ataokmg ctgarattea ooutautiag any ' gssme per clgaratte) of (eslavlated Sn m178 - SPECI'-DONT S3iO8S: eubstsnua'cammonly' added toCommerCl9lty each brand of dgarettee manufactured ta manuteatured clgarattea. .. or, hnported':1ato the IImted Statee.. Thee aon- (H) SMOKERS COUGH IS A1F- EAHI.Y '-dltlmm,., methndai, andd proeedurees far eon-SKIN OFLUNO DAMAGE; (b)i Within two years of-.the date of enact- dveting' such daterminaCann. eha¢ 6ee pro- "(I)' yP YOD. MDST SMOHE: 219 aae maat of th1c.Part, the Seeretary'shall'repart t th C th lt f th d ' o e ongreses ee resu es o e etu y ~ mulgated bP the COmmisslon la. tegulatlona., ISOHTLY-TBIS MAY REDUCE THEM38H8, or Ieeued.by It.for purposes ofthia.paragraph. TOYODRHEALTH: studfea: candacted pursuani toanbsecnun , ~y 'Linttl sueh time se,.suc11 regulstlons.arearst -"'(J) DOlrr SMOKE CIQARST284 TO(e•) and anyreaommendatiooa.for legislative leened, theconditltons,e methods, and pro- THEEIPD-THISNiAYHSDDCW1'HE'Bd$H3'.i^pr.admlaisixatlvesctlo n. ceduresfor conducting such determinations TO'YO'CRHFiALTH.".. .. . ~i+~ miseton . - S.. 3118' .. . . db th Cc hall b h e m s e L oea aPDrove y . the (b) Thee ststementa requlred'by suhaeb- fm formal ~ tment which '. Be It enaeted by t8.eSenate and Hov.< oj dateofthe nace of are: thls m effeet aa 'aubsectlaa. L1nn (a) ahsll W:located m ecanepiwousBM~eatfaes oJ the IJnfredStates a/ - plece-on every ofgsrette Packsge end.sbsli America fn.Con9ress easembled:. '(B): Certification tbthe Se¢etary. Dur- appear in conspicuous aad legible type m' - 1ng,the last mlenaar Quarter, of each calendar aontraett bytypagjaphy, Iayout,I and color -aaoas.. m7a: amaaxra :o wcr .. . :. year: the Cbattman of'the Commisetan shr11 wlth other~prlnLed matter on thePackage. - 8carmRI. Thle Aat may' be cited, as the -_amRftyto theBeaetary'the tar and ni'catiae.(c) Clgaretts, shall: be packaged 1kt eale. "Pormulsa.nd Projectb.Granta for Preventlve content.of each brandof afgarettes.msnu-- or. Eintnbutlon.ln: suph a-manner so that Health 8ervicee: and. R,eaources for D7sease - - faatttredla'or lmported- mto-tlie United. each of tlYastatemeam zequlred' by Psra_ FrevenRion md Health Promotion Act; of .. - Btstea~ Suchcertmcattons ahsu.be used by.. graph.(a) (2) appeeeaon 10'percentum of a8_. 1948'• .. - _ ,~. . . . ~ the Secretary todetermineo the rate of tax: cigarette packagea . . .. .- T1TL8 L,-POR'MOGA -dND, . PRO,Ta'CT ' to be Smpoaed on algarattes. for the period. PaBT D-SersaussruaaiPr oT Paoaaaer .vo.': GR.ANTB~.FU$: PR.EPELTyiQ6 HEALTH b g!*•^g with the drst day.y of tha calandsr .. Da'lm.Sasasaro Artoao Csm.aaur eem SMoICH9',- .. . : yesr tib+~e;~~~ ~~~~~ afterr sucb: certtflcatton ls. .. ' .. '. made, and during suoh calendar year.. Sac.. 1'01. Whenever m this tttlee an amend~-. '. .. °(O). The: Commisslan aad'.theSBCretary-' .Sac.409. (e.) The.Seoretaryof Health, Fdu- mentla expressed m.termsof an'amendment shall Promulgatee reguSatlons.s forr tliepur-& catlan,.tud. Welfare, atter cansultatfan wlth to a section or other ProvteLm, the reference poses of teetlag;eertlfying, and haposing'g appropriate:publ6c and private entltle9„ahsll ahall' be considered Co' be madeto a. aectmn . . taxes under thia': subsectlon onn new' beande ' otsbllsh a comprehenslve program designed ~ A~ pruvLUon.of the Pubhe Health Sezv- .. ' Af~clgarntteamLroduoadforsale:•': .-to.detersmokmg.among.chihtrenandsdolCa- . ... (b) The amendments made bysubsectton cents:SUchaprogrsmsballInclude-".. roaarm.i'.oa.trrs roa.esavstartvs metza! - (a)') shall apply to elgaretteewhich the maa-. . (1)' the undertskingor aupport (through ufacturer or.importer of such cigarettes re-grants or contracts or.both~) of bmmedlos0 -^ See. 102.~ELeetlve October 1,.1879; tftleIII movEe. (Wlthln themeaning GI section 57012 and behavloralreseareh~deslgnedto increase fe smended' byaddingefter sectiop 314 the ` ,' .(k)ofsuch Code}wlthln 120.days;.after the>- vadarstandtng of thee biological and be- fuilowing9 new semlon and.heading:thereta: -dste of eaactment of thie part+--" .'. )lavloral determPnantaof' smoking among --,yasacur..: osnmra ro sr.axa. roa~ reavauaave l i d h f Th - e t (a) e Coutm ae on .sn t e S ary o .: ahlldren and! adolescents, tvith' special am- - - cre - the Tteaeuryor n1s delegate shall promm-phaels on children aged,l3' or balow: ~ •.~:'.. sravtccv ... - e'f01(b) of. LISe.Iatemal Beveaue Cadea1 ~~ g,i yn y33 or contracts orboth)r of demanstra~ fD to 9te.tes.to asefstthem m pisIl°1°g the emta..s of. for anQ 1a roatdm . meatm - p g . .. 2954 wit]nn. 00 dayn after ths dateof- Llla tfona and evaluations oftamprehenslve com- g, enactment at tbls.part-._.. . .. :' munity and..schaal:-baaed programs designed '~ntxecty~ arbothwltn Pubttlenealth: s~thorc .. Sac..409. There are authorized tobe.'ap- todeter~oktagamong:.chtidren,and.g.doles- lttee of:pollticai..subdtvlstona of the.staces, proprlated for the fiscal. yeats ending Sep- : ceats;'and. - . tember30, 1981, Beptembar:30,1982: Septem- (g)i granta, to: States: or politlcai aubdivl- other-publla e3tittas.. or prlvete entlMeal . ber 30, 1983;. and'~ 9eptember 30', 1984,o thoae: alons of.States to saslst them in meeting the Pr°vbatlve.aealth servicea amount!' determined by the 9eeretatY'of tneoosts of. operating comprehensive coolmuL secthvn r(a) ~aas an application Eheretor .. Treasury to, be equivalent to vhe: tases re- mty orr schaol-based~ pragtamss designed to hae been submitted to, e.nd' approved', by. the af` tha Iaternal ReveauedCOds eaofa 1954 (for deter smokmgamong ehlldten:. snd.d adole6. Secretaiy. Such an applleatlon.n shall bee m thepurpoeeofmaking.edditlonaf.paymeateeoata'. - -suchformandbeeubmlttedmeuchmsmer . to the States toasslst.them.ln meeting the (b). Wlthrespeet to.o graatn underparar esthe.Secretary.sha8 by regulation preeerfbe costs off provldingg preventive health sercieesgmPn' (a) (3)'.. tae Secretaryand each grant and shall provide (other than man applica- . a lloanL and Yacl la t t l lth Pp p u mus Camp yw Llan far s planalag gfant)- uader'seetfon.315,nt ttiePublic Health Serv- ' IcaAet: The: amount of payments kYo the' the provlsloaa afbubsectluna (ib), (a), (d):, "(1)r for a detailed plan of a program States shall be determffied, on aa perr capita (e), (f), (g), and. (h) o1f section 317. " designed m: reduce, through the prlmaryor basis provided that only those 5tstee who- (c)(1) : For thee purpose of makfngg pay; eaeondsry preventlon uf causat7ve condltione• ' are recelvblg,granta Ynder sectloR 335(1) (2p mentator taa undlrtaking ot 4upport of re- the mortality nste fbr one or moCeot the of'the: Public Health BertM1ce Act shall beaearchunderpazag<aph.(a) (',1)„thereare sn- IIva leading'esueea of death mn the State, . -' (2): the amount of Pederati, State, and . eligible to receive paymenteunder'thlseub-morized, to, be appropriated a10;000;000 for -sxilom ' . . the Oecsl year endmg..September 30, 19806 otherr funda ob11'gsted by the State m tta-. . • 000 for the tlscel yesr'w ending Sep latest'annuai eccounttngpiod fon P+ux C-CasrraaaS ar L.aat.ara roa. r'•=...+.•.+ $10,000...-ern the pr- .. ~sem. .. .. tember 30, 19B1„end 110,000:000 for the: flaral vleioa:. of esonn program described In pars- . , year endlag eeptember30,.1981 . __ gesph, (1): s-dearstptlon= of the preventive ' Bea• 408-(a) ffieeLCre one year aftar, ttle: (g): Por the puapoeeaf making payments . health eervhxe provided by the State in dateofenactmentof:thbparE,..Sectloa4.a( fmtheundertakmgessupporCafdemonatra•..aachiuab.p[agrsm ..laeuchperlotl:the - q (~p~~.~a,.vQM1/iFi~ VJ ..::~' .. " .-. .. _ . .. ._._..._. . ~. ..~17!'r.~~~~~.~'.. . /l

May 1s; Z9x8 .. CONGRESSIONAL R,ECORD'-SENA'TE s.7ss3 tlon program untL'we complete our re- deaths,lneluding 20 percent of- all can-rettes..inhale them more deepl,y,., hold, ..vision oL the Health Manpower Aet-. cer deaths-. Itt found that cigarettee the smoke . fn ttteir Imigs longer_ and ."' 'rllethlrtftitle:of:tlte.act.isa.proposal' what the National Disease Preventtoa bythey eontinued recommendation. of 1ts: mtd-pointL andshoul& be completed be nearJA lhcomprehensible: Shepcal!i- cigarettes tendto develop lung cancer ~.-. tp the end of thiacal'endar.Year_ ~~ for. dramatte: and flnm aetion... That iss and'd heart disease less freauently,, and lBteaeftgures.are so staggering astoIogQc data showing thatuserso£ ter ~ thei7nttedStates.That,reviewis.now at. i"eal,research and.its role insupportmg a ity_.It,noted thstl~S15~billion was spent~_ may not be altered through removal of natdonafl prerention progiam until l the~- in 1977 on smoking-related.9llness, near-.- tar and~nicot3ae. .. ..: ... -.. . . ~- ,..,., sulicommfttee.e completes Its review of: 1F~ 30 petcentt of~f totaI, personal health. -. Whlle.recogniahig~these uncertainties;. biomedical and behaviorall researelhh inn expendltures: ... -~ ~.. . .~ I am•• still impressed' bY' the~~e eptdemio- fll ' -~4 Wehave~deferreddealfagwfth'~bfomedi-~ lies,:and~maternai'~and.neonatal~mortal-~ ard.assoclated wlth~ these eonstituents~~ ~~ - ~;...3econd; it does not deall with thepo- -smokiagg caasex3U'.desths:perhour, onee smoke them closer to theend-.There is, tential contribution of- biomedical' re-'ifeath every 2mfimtes..It concluded that aigo growing evidence that othercon- ..sear7h to pedecting.our skillss forpre-ct$arette smoking ia a malor cause off stttuents of snmke, besld'e..tar ant nlco- Rventing disease andd promoting, bealth: low-birth wefghtinfants„ birth anoma- ttae may be.har^^ol, and that the:baz- `-" formodiflcattons.in the Food. Drug..and and.HealthPromotlon Actof-,1978'pro-the. American Cancer Soefety' that'con- A,n.ric.,, consumer has the informatfonn antismoldngg esmpaign composed ofthe: rettes low iu tar andd nieotine: It seemsheneeds to pian a healthydiet consiat-folllowingkey efements:. - :. too me;, therefore, that encouragingg the. '. Casmetie.Actafined at msm•ingthat:theg poses. SPeclfl¢atly, theact suggests: am _sumers.be encauraged to smokeciga- . lndfvidual neerlsands tastes., P1rsGAnmSorPederalimtfati7eaimed •O^s,•n+ptfon of. "less hazardoua"ciea- his ~ 'c: ent with _ . : .We expect ttiat manir Statess will Provide at . the prevention off smok4ig_ among.g rettea is. a. ressanablee and viable short- . urtfthihfldStfltfAmer thte6y For thelonae term we .~':-natritfoaeducatfonaspaoercom-.. cren-..eveny-veperceao-erm sa.. . _. +~'-4"'-- prehensibe prevention plans. But- such. oans etartsmoAing tieforettieage~ of need to raPidlyfucrease ourknowCedge•. education is of littlebeneflt if.consnm-. 2L Saroking. amon8 teenage- girls, has of the health.rlsks assoiyatedwith amok- . a'`;'' ,eeaeannotiearattienutritSonal'.contentreachedeptdemicPraWrttOna.ThePer- ingcigarettesloa¢iatarand.nicotine. ofithefoodstheY commonlFPurchase. -centageofe smoltuig has doubled since.It is for that reasdn: that we ask the r•cai:.Z,. .. The Natfonal DL4ease. Prevention..and . I98& .. ... -- ._ -> BecrctarS to.lannch. an Intensive Inves- HealthPromotion.Actproposesthatcur-Seconit.Zheibstttutioa.ofa,revolving: tigattoa oftheIawtar and nlcatine._ ~-ren4foodlawbemodi+e.+torequfrethat Iabeltcteplace..thecurrentwarmmn4onl strategy and to report back within. 2 •all~foods.td.theestentfeasible,.display..cigarettepaclmges-Theactwonld.spell~ yearsWtheCo . theirrvntent of certain maior nutritionall. outI0. new labe]a one of which would~ Scliss elementx.,These would.fnclude,at.a:mfh-haveto.be afHsad.on-a.random.basls to.theNational Disease Prevention ana imum. protefn, sugar, carbohydrates,.fat each cigarette paclage. 7R1e rationale.. Health.Promotfan Act.of I978,, SIr..Prea- (in.*.niro cholesterol and saturated: basedone=perfenceinWesternEUropean ident, L would like to~ make one impor- .. TuAeti anA eslk. Thia information.would corm'FaiACi6that':more'informatlon:call tant nointconeerfdng the admi1115tr8-. ~ have to, be displaYedd in easiiF~ under- beconveyed if the labelws change . andd tfon off tms~ faw: 'iwo years~s agv; u.e atandabl'e:grapform,and:labeLswould , that~.eansumerrwill~noticethem.~more. ~ConBrrss enacted Publie~.Imw 94-317,,. aIDegatforL Thoogh.the tobaccomdustry.._tu-uapoliuted mdoor_air. The: Federall Weare.notrepealfng.Pabliclyaw94-317 theafngl'e greatest preventatile.threat to~ beProtected. ag,ainstn the isritatloan and'ventionpol'keY. -_ '.. . ... .. .. .: our.Nation's.health-Iwill'notelaborate..Potentlal.barm.asaociated.withe~iosure. ' I.hopethelawyrearepropostngtodaP onn thesdentdfic underpSnnings:oftbis-n too cigarette smoke- Theyhavea right will end that situation once and fur alt. ..donotthink2eaaggerste,.Mr.Prestdent, children.. . -._. . ..-.... .' -:;. tendedrote;andtheFederalGwernment whenTsaFthat.cigarette-: smoklhir is. Secand_ nonsmokers.have a right tocontinuea to.Iack any meanmgtnlpi,:- ~flgtloIv o8 ourbfilL Mr. President,, thehabit'e is imtiated, we propose target- tton and HealthPromotluaz , has never f contains our antismoking proposaLs.I mg. on preventing' Smoking'amongg been permittedd to function in itam- the groundwork-. for whatt we are taday' Flrst,our primary publlb. policy ohlec- - Congrese hass never allocsted, more than Droposmg,, and I commend h1m forr his tive mnst betoprevent smoking. Since-'asmall fraction of what was authorized. ~}({~at„ rNe -.~ - - deterrence Is most easillr achieved before Asa result,t the Office,of Health' Informa- ' aiycosponsorship-His'worklaidmnet.o£restis as tlie.follownig.basic princtple: istratlon has never reqnested:, and.d the ., theFoodAmendmentsActof 1978. whfch....thebases for these Proposals, Mr. Pres1- Ia,er 94-317...Themoneysauthorized'.un- .';. was.Introduced liySenator Rrcorrwithv deat. 'Yhe act'santi9moltlng-, Initiativee dertheIawwere.paltry, and the admfn- : I)rvg Adtriinlstrationn authority over thee cigarettes in Praliortion totheir tar: and•HSic! -laheltn8ofafcoholicbeverages. .. nfcotlnecontent;decreasirigtliecurrent ThenewO'IDeewaafntendedtoserveas. ' I:shouldpatlntout,194t.President.that: Fedesaltaa.forelgarettesverylowtntarl afocal.pofnt:forhealthPromottonalac- these_foodlabelitigproposalsareinmany_ -andnkwtine: and increa4ingthe taa.for ttvities:m the Federal Government. IIn- ..respects:.merely amodlfieatonand.ea-a thosevershighci'nthesecoastituents_.-.e fortunateix, a series of' problemsm has. - tenslon•:of ceatain, provlsions ofS. 254% . -.. . t: willl make just aa few-w pofnfs aboutt frustrated the imp>ementationn of Public , well ass thee qiiantTtyfn- gsanvss of eaci>: In: Intastatee transportation set aside- eral authority' to, msGttutemany of tbe eonstltuent contained in such asetving. - armswhere: nonsmokers ee.n avoides- programs we aremlW'Proposing. It also The act. also - proposes cartaia minor posure to cigarette smoke if theychose: created an OIDcee of I{calth Information modtflcatlonsiningredfentsIabefingptro-. Pourth: Theinstitutionof-a.Federal'and Health Promotion fm.the,Office off andwould give the Food and health Protectian taa which would'taatheAssistant BecretarT of Health in vistons ;. eaeh:ofthese.element'seontributestothe 'Yhird: A.reqimement fen: Federal lawmationw andHealthPromotiorr Aet of ; totall calories iaan average serving; as thataliPederatbuildingsandallcarriers1976. That law gave the SecretaryGen- `-- have todlsplaF~ the~~. Percentage~e which if~theircontent varies: ~ ----~ the National Conamaer~ Health Infor- . -mnttnuee--against alll the.evidence--to -Govemmentt shouldd make sure that:. because its mandate to~ the.. Secretary n -1 :. thtssuHfect was conduoted.d bytheablV-meffectivey the. Federal Govern- However, that feavesunclear the fate of '-Amerleaa Cancer Society's National.-ment has everyrlght to decrease: thee the. Office of Health Information and .- The most recenti sclentittc review of Ing' wool@ be Inappropriate and-prob- tion and HealthPramotion Act of~ 1978: argue the safetyof cigarette smoking, withfn.lts lurvsdic_tion, this right 1ss pro- provides an.n approBriatee prasmnin, Sor few;if any,: self-respectiag•scientistsr ortccted- - -- much of what: we Iiopeto accomplish phvsiciansinthiscountryagree. . 7'hirdlthough.banningcigarettesmok- throughthe.National DiseasePreven- :. vaareL.ted in 1977 to.m.orethan_320,00o aumers may smoke- more of tiiese ciga- Oa'c pmpeeed propaa.tawltp,ap,s3r Commt unn on. SmokingJ and puYlic heaSth haracds of smokmgbyusmgtasHealth Promotion. .. ,-. :.. Polir,y. which reported ht.Januarp 1978. . Inceatives too encourage smokers too use. Mr.. Prayfdent, we have specifScally~ '..-.'Fhe Commission found that "cfgarette, eigaretteslessiikeZytoharmttlelrhealth.s avoldedaddreeamgtheadminlstrativels. ; smoking remains the, ]argest.t singleLamawazetlnGthereissomedtspute snesrel'evantto.emttvganatlonatpre- nnnecesaMyr andpreventatilecauseofoverwhetherlow!tarand.nlcotinecig- ventfoaprvgrans eothattheSecretary .. 1Bhess and early deathi'•. The Commfs- -aretLeas aret'wly lessharmfuL Some might enfoymeidmmn fle=ibility ih ap- .R slau concinned t}ate!¢arette. smokiag'laborator9 eridence Indicates that con- proachingtLedt®m ttprrobtemoinvolved.

S787q ~" CONGRESSIONAL RECORD-SENA'TM - May 19, 19 78. ~ amolmt of Federal funds needed bythe State- Statee with an. approved applicattbn und'erwith thisseeEtbn as:the amount apperopt3ated' ; ~ to continue provlding. auch egvtwm saah -subseetlon. (b)) to determine If the prugram-under subaectioa (1) bean to the amount ', sudEprogram:'.Iftne.State.Propoees cbaages' or erogramss are operatlag, effectlvelytoy needed too make grsnta'.ln aecordance wttp in the Provfston.of'.the aervtoea.maay such.. e.ehteve their atated puryoses., and It't thethlssaetionfor.aueh.8sca1 yearto.all States. _ . :: program,. the ytlorltieaof suda. Ptbposed Statecompaed with the saeurancee'.provitled"(e) Eachh grant under sobsectloa. (a) -" changes;, the neasonsM for such ehangea, and,: - with the application. The Secretarp ghall. yhall be made for tvats for preventive healthh the amount of:Federal funds needed bythenoty approve an application submitted underservlces Sn theone-year'period beginning on ~' State to makesachchaniges: . .. subsectien.. (b)unlese the Secretary deter- the fle'stt day of the&ste monthh beglnnlag .~ -"(3)) foi, at the optloa,of the. State, s de.-minev'-. . .. . after the mouth Ia.whlch'the:graatte made:. '. tatled plan of a: programdestgaed to reduce„ .. °(A) that the program or. progranm. are. Paymeatss under such grants may' be made. -- thxevghe the pdmaryor'secoadhryprevea-operatmge8ectivelyto aohleaethelr stated! m advance onn thee basis of estimates or by ttoan of causative conditions, the burdenn of' pur . ... . Sllnese e.tmnclated wlth the aveIeaGL'ag.causes ~ g1 ~ that the State prlor _ a thee way of relmbutsement, wteh necessary . . . ed. ~ assur_~)ustmenta aa eccouatt of underpayments of morbltlf .~ ty in.the 9tate; ~~ 'provided.wlth, a Dp overpaymeate. aad In.. suca. Instatlmeate ` .'(#)) the amount of Pedetal. State, and- _mittad under subaecaon. (tl) , and aa3. on eachh terms'sad' conditions us the. ~. ~'otller funds obligated bp the. Srab'mIta '•(C) that he.la.amurad that theStare. wIIl.. SeoretsrYy ande: necessary ta..earrpout the•'. - lateetsaaval accouatiag Perlod'forthe.pro-eomply with the easursnceaProvlded-w1thpurpasea of such grants. .. .1' .....Ia;. vision ofeaeh, program dticrlbed in Para- LheaPpllratloaundercoavlderatlon: .. '°(e) The Secretary. at the request of graph (3)y; a deecrlptlon_of the preventlqe ` "(O) W,baaever the SeevetarY:,after rea:wn-' State which Ssa recipient of a grant under '. health serrieees provided by theStata In each able notice and'' opportunity tor:a ]veacmg te, subaectlon (a).,, may reduce the amount of. ,_ . snd1. ProgramIn anah- pmod: the. atnouat the.State, Hadswlthsespcot tnfunds:pald to. auah gre.nt by-- . --of Fedetall funds nEadM bythe. Seatetb . it under a: grarlt-undes subsection (a),.that', - ••(1) thefaire market vaSue:of anpenPpuea. ~' aontSnue prondtng,audrxxYfum bi eaeh the program or programs arer-mot.operating-:or eqmpment.PUtmsIIed theState, and. . - ,..sueh.pcvgc®m:h if the Statepmpoeas..changes effactively toachleveo their stated Purposes". "(a)the) smovat of the Pay, allowances,. .. in the provision of'f the servlem. fan any ettch ' ar that tCere is faHUrbto, comply eubstan-- and.travel' expenses of aay omeer ord emPtoyee . : program,-the prlorities.s of aueflh proposed tiellpwlth, assurances provSded ander sub- of-the aovernmenE. whea detaIIed' to the . ehanges:..tho-reasuns.foreuub.aLSngea:s.ntl, sactlna(b} with respectto.tlfe reoelpti of' Stateandthe.amouat.of'anyothercosts.fn-.. ' t+he emount of', Federalftmde needed bythe auchgrant, theSacretary shall notGfT the curred 1h- connection wf.ththe_ detalt of. . State to make.e such..ehsbgea; , -Smtethat furCharpayments - willt not be, auch e[6cer or. emPloyee., (5)that the: Pians. dascrlhad. Sa- para- made:o.1t'undersuch gran9(or In hffis db- wDen the, f,•^^/-_~"leg ofauch euppllea, . or. . ,.geaphe(l)'.and(9)- : _.metloa tllatftn•ther.paymente.wlllt be re-...equlpmentor the detall.of such:.an omean ... (A) sliall dasetlbe. a..MT~r,T *~~e* pro-- dttead), nntlLbe:ls.satllsIIed thsuthapreqramt or employee Se'.far the convemance-ol and at' ..: ventloa Program.wlti:ch utlllaea, to.theez-.o or.prograuu will operate eHectlveiFor theretherequestof.euchStateandfortbepurpose- ,-e tentpractlrable.aRrelevsntprofeeafonsi.dls- yillimlanger.besuohafauure.IIntllhetsao . of.pl8amagp r esrryingout a.program with. ' dpllnes: - . .. . _: ._ satisfled. the Scrzetary aWll malce, no psy- respect toahlcho the State grant undersub-.. . (8), may, atrtheopLione of the State:, de- ment. or: in htsdlsetetios reduce Peyments eecttaa (a): la made_.'Eae amountt by whlch. }..;ecribeaProgrsm'ocprogramsthetare.tar-'tothe.Stste.fromsuchgrante anFSUCh.grsat'1sso~reducedshal~l.beavall-. .. geteditoward a Par.tlcvinrr age group: .. .. able.e for payment by the Secretary of' the . . `(C)shall set fotth quantltatively the "(d):ClJTha. total emounL.t oC grautss n-. eoeta mcuaed in n...,i_ F er.,s the eupplleeor. ' eurrent relevantratesof mortality and: where oelved.d bya. State undersubseotton (a) to equlpment, ur.ln detailing the peraonnel',n oa. - appropriate, ofmormdlty, tb-the Sffite: aavat, States-in plaanLtg" for preventive which tbe.reductlon of euoh, .. . "(DY, shall seE~forth.the quantitative goals healthseralcee'for the.Lseal year.ending Sep- and:aUCh smovat sISBLL betl Mtae yeTtof. .forreduction.inthelelevantzatee-ofmorta4.tember39,.1980sball.be, determinedbyithe thegrantand.abalUbedeemed'tohave.beea ,, ity affi,. wlieree approprlsfe;-oLmarbldltg in. Secretary; errepc:that it may hot beles thaa -psm tq the. Stata. ` - ,. _ rifesLafe: the.product.oi~aao and thepapulatJoaof.the . _ • . -; - '('S)ahall) have a- sepamts. Leslth-com- . Stete:. _ . __ . .. . - _ . ,. ~"(g)(1) ) .. unde'r sobseettoa, (a) snaLLAkeet_ munlcatlans ccmponent in ttie.prageamor . "(a)Thetotal amovat.of gtautsrecelveµ Fmt p' ..pcogtame whirhshall lhdude, butt not be by a: State under subsection. (a) to aaust recortls as the Secretergehallby xegulation ... limited to, a description of.bow the com- States.m.provldmgpreventlve.healtaaervlcea Prescram,lncllmmg.tycord3wh:ich.fullydL- . :' mumcatlons: medls, indudmg the. eledromc for any asral year sliall be determined by, the cloee' =ae amount and dlaposttion by such. 9tate:of the proceedbof euch gtant,, tbe.total.. .....medls.w111.beutlllsedto.eEeatu8tet1ltrpur--Secretary.excePtthaEat-' . :..yoeeeotthepsogysms:, -.. :. . . . . •~(A),maynateaceedttle.lemtero[- . ... cost oi the undart•k~^^..ut conne¢tlon wlth'(F) ahall idantify a spaclHc lnstituttoaal "jl) the product of.8.75and.ttie population ef t~by~~ ~E was mede' and the:amount~ ~~ Rortlon eatity Inn thwr8tete that . at will bereePomllile of the,State, or - . . , ot the oosE of: th9 undertak-. ' for enoamp't~...=e~ ^~~ througllh matzaera- with - .. : . ` . ' . ~"- - ~g supplied bFOther . aourcee, sad auch other "(h) in '. . thee case af tha. Eeaal-year ending records as willl fadllYate an effective andlt. privata eatltles andi other means the- re- . _.SePEamber30.1083.5-perceat af'the amaunt "(a). The Secretary atW the Camptrallerr qulramtntes of P%ragraPn' (E);; and. . ~ of, State aod_lbcal espendtpuee, for preven- Cexn} of.thaIIatted Statea,, or any of tllalr.. .-...' •(C1)) ahall rnntain.suChn other tnfcema-- tlre. health servloaT. nupportathy grants -duly' antlwrf2ed~ repre6cntatUea, sas11 have . tloa, aa.EneSecretarymaF6yzagulatlonpre- nnder subsecttoa (a), witaln the Stata. 1a . accereler.tae'parPosaof:andlt.and'.essto+=d- '-sentla:: .. .. .. the, Stata's, Sacal year which endad.. oa or f1oan manp baalo,:. documenrs. Papen: aad. - -.(8): for emuranaea.sat7stsntorT to, the'beforeJuly1.1981:.anthe-case.ofthe8anl .racardeol'each.Statewhlbhlsaredpientof', .. ' Secretary that thepreventlve health serv- : year endingSeptember. 30.'.1983,.7+/i percent a grant under_subeectlon. (a), that', are per- .- icea mhiohmtll be provtderl wlthfuads ua- nf taee amount af sueh eapendlturess ln the tlneut to.auchgr.nt, - der a grant under subsection (a): wtlli be pro- State:'s.fisral year wlilch.eaGed. ea er, before ..•. "(h) dll Information obtained about any . vtded.m a.manneroonolatent with theSte.te ?ulY' 1, 1082; and, mthe caseof the fiscal ..IadlvlduaL.under any Prograbtthat 14 betng, .. - Ilealthptan.m.ef[ectuaelerseettoa.1534(c):: year.endivg.9eptembet30,1989, 10:pereeat oyrrtedout.wlthageant:made.undersubsec- -(7). for assurances satlsfactory to tae of the amount of sueb, espendlturess m the . tfon. (a) 9ha11 not. wtthout such mdlvtdtul's ~-Secetary'that'the, Statewlll Proalde for -State's9seal yearwhlch ended on.ex-befora couaent, be disclosedi ercept: that. (1) auch. .. enoh,LSeaI:control and fund accounting pro- JulE 11 1983; and - - lnfotmstiun maT bedlsclased. without such - ceduree ae: the SecretarYby regulation pre- "(8)~ may nott be lesa thaa~ theproduct aonsent iftheplsclueure SS necessarytopro- . " 'acribestoav.suretheproperdlsburaemaatof off.50iand,the•populatlon'of't1leState-. vtdaservim tu9uehindisldual.orls.required . ' and accounting for funds zeceived under '.(3)'. TheLtotarr amount'i of grantereoelved by a law of a State-or political subdivlslon, . .. . grantsunder subseotion (a): by-a. State'e under snbsection'. (a) to aseist of a.State,. and (2) Snformatlon: derived from . . "(8) for assurancea satlSfHetoryto theStetes.In-meetingthe eoate of operating, the any such.program may bedlsclosed- Seeret.arythat the State 9P111 IDakesuob. re, health commumcaLlons Component Of their "(A} m' summary. etatlstlcal, or other ports (in suchh form andcontalning such preventive:.health services programs.foneay ..fbrm,.or . .. ' Sn:tormatlonn ass the~ Secretary may.byreg- 9acal.yaaishall.be determined! by tSeSecre- "(g) for clihlcal or research purposee,. ul'atien preaerlbe)as:the Secretary may rea, tary:.esceptl that it may not be Iesa.than.s the but oaly tf fndlvldually ldeatdIIable taonel .'amaahly reqvueaad..lieepsuch records and product af'.IL10, and.the population of the pe , . aHord.such-ateess ttheeto.as.the Se¢etarp -State:.. ._datacfanysuchlndtvldualla..notdlscloeed.. map 8ndd necessarp. W assure the maect- p7otwlthstaadlag' paragraphs (1/. (z), end "(d)NotmngIn this eection-ehall:limit or ... a9seof, aad to verlfP., suc11h reporv:: "(3). 1f forr anyy aseal: year2he' amount ap- otheratse rastrMttne use.of fuadswhlchare~ ' "(9) Sor aesurancea: satisfactory to the proprlated' fortLat fiscal yearr under eub- ~nted t¢ a 3tate ar to an ageacp or a poIIL--. Secretary thattheState wI1L'L aomply wltn -section (1)) is leae than the amouat:aeeded ..~~ ~bdlvlsWn.of a-State. under pmm. . .. any ather condltionsimposed bT th1s. see- - to make grantsfor that fiscal year In aceald- - of Federal law (other than this'.sectton)s and - .tloawlth.respeet'.to.gCantt:and . - ancawlthsuehparagr9pastoalf3tstes',the whibh.ailavailableforthecanductof'.pL'e- °(10)~ for suchother Snfotnmtlow aa the -'tbtai amount of grants 1bi that fiscal year ventive health service programa from befng' Secretary may t/yreguffitloa preecrlbe: -. ..fora Stateshali...avt.beleee:than.auamount uaeC...in connectionn with progxamsassl8ted, . .•Le):(1) The. 9ectetaryrshall, xMear'an- whlch, bearethe:enme:tstib, tothe amounts throughgrantsundersubeactlon (a).. . ....nms a..: ...«,.w... w~ce„ w. ....w dwtwn.an.a' in+ c..eh 41ub. Sb_ aerrrdance "S3A The. Secretary lhall anbmlttot the - vapvabV;fr

S 7$74 `' CO3~IGRESSTONAL R~CS7~17'-S'~NATB May 19; 19~'8 tiee,..each'.lnstrtmentality of the~~IInitetl. .,: -(8) 10'. tnnea the number~ at.~the m1111~ AND THBOAT MAY R.FSUY.T E4lOM' Cif3- Y:, States shelh to. tae maamum.. estent prao-. ' grama of ~'nlooEme~' wmch arQ. oontamed in AR.ErTE SMOB:eN(3: ~ .. ttcable, insure the~ eIIectlve, separation of~ such'ctgarette.. .. ~~ ^(C) HEABT DISEASE~ MAY RFBIILT~ .. .. ~~ smokbagandnon-smokmg~~.employeeslneuch'. "(3) Da•rsaatulszlox' ar .Feonwa 'IIaesa ~~FBAMCIOAF.'FIi1'E.SbfOB~Nq; :. ... . '+; -'. faeflMfes.. ' - ~~ .Coa[Mraerax..-The: Federal 1iYade Commis- ~"(D) CIGARE7-TE S1;fO81NG b1AY 8@RT~~' • "tm: suoaarc^ smrm -~ - -' "'' ataa (herelnsfter referred to as the 'COm- YO17R IDr1RT.. - ~~ '1: ~~~~ 9ac.~9 In~ev ~ mise]om °' - ery aia8: la:anyFOderel feelltty. least onee eaoh~ alom~ e ta~. t1me. Cbut at "(E) E~HYSESIA AND CHftONDC B80N ~:ti _.~. where emoring; le prohtblted natler section. . yesr) aatermme or ~ C17M'IB~~ MAF: B.ESIILT PROEC CIGAF9fTE; t. ~ 401.. "NO'Smokmg" edgns~ahalt:he dearly'aaa osuee.to be,detetauned.ilia tar aad mcotma. BATOSIIPG: ~ ~. eonspicuously~ p~ m.. sumclent numbers ~tent. (calculatea. in mllllgrama. per eiga-~ "(F) CIGAFk:TTE SMOE3N0' DIIRLYG~ ~' ' and. prominenee.to.. glve notloe~to aay petson' rette)'. of~~ each brand. of: clgarestes maaufae- PB.EGNANCY 3QAY DAbti1G8 THE ONBOICN ., ~ entermg~. ar occupying auch area that emok- . tured, ln or imported,mto. the:IInited Statee., CHII;D:~.. .- '~`~: - fag~.1a prohlb_ited insuch~area. _ ~~ Theeondltfons: methods,.aad procedures for~ -~ "(G) YOII~ OWE YOIIR BODY SOME R8 ~~. .. ~a~r. '".~ ~~. conduct'!ng such determinatlone. shall be SFECT-DONT S82OEE: . 1~ ~ ~promulgated by~the Commisaon Ih.regula- "(H) SMOEEe:'S'~. COAOH I9. AN EA$LY ~ -.. •~ ~ Ssc.' 4: (a) The~ eseautive head or ehief. . ttona fseued by lt_f~ purpoees'. of this pazs- SIGN OF LIING DAMAGB: - - .,'::n ~ WmlTdetiatl9eOmCerofeachlnetrualeatallty~ 6rapb. IIntll euca time~ae euch regulatlane: "(I) II+ YOII M17ST SMOE$', rNRar.e'. '. ~ ofthe.Omted~.Sratee:shall.beresponslble~for ara~flrat.lseued„thecondittons;,mettiode~,and~ LIGHTLY-'1~ISMr1YR1~IICE'DHERIgES~ ~ . eaforeing sectlons 2~and S m~ any Federal... praeedurea for oonducting euoh determlm- TO~~FOUB. HEALTH:. , ~.+°`.. . factlityin'whteh~suoh~instrumentaatymam-. tdone..shallbe.those~approved~.by~theCam- ~ . . . . talm'.omoes. . . .. ~ ~ - mfesioa forfbrmat tebtmg which are In.el- ' ~~(~) DONTSE¢OB.ECIGARE3TF9TOT88. ~~. (b)''. Not later~~ than nlhety days'. after'the~ fect. on the date of' the enactment of'this . ENI~T'HSli MnY B,EDIICE TEE RSSB:8 TO - _ - dbte of enactment of~ th13.. Act, the~~ e&ecntive~~ 9ubsectioni. ~ - ~ ~ ~. .: YOIIR HEALTB.". .. -. . ~ .,. ., head or e111ef~admianlstrative~amcerof each~ "(B) Caaxaaearmx ro~ r~ Sacaeaear.-~ ~(b)'Theetatementsrequtred''bysubsactlan: ~~ ` lnstntmentalitF of the IImted States ehall~ Duriag the last. calender 9uarter. of each •(a)~. ehall. be located. bs a conspicuous~Plhee~ - ~ publlsh 1h the ~~ Federal Itegfster tegulatlons calentlar. year„ the ~ Chaltman -Of the Com- on every clgarette ~package and ehali appear~. - ~~~"' for tbe~enfbtcement of sections 2 and.3~~ in- mis:sion shall certify to the Seeretary the~ tar m coaspleuous. and.leg(ble type in eontrast ' eluding butnutlbnltedto~,aPBropriatesaau- snd.nfcotCae eamtent:of each.brand of ciga- by typograpb: layout, and eolor wLth other. .~' tfona. for noncompllaace of auch. sectlons~ rEttea manufactureri m~ or. imported'i mto~.. tnr~ Prlnted matter'on the package.: -. .. . . eomparable to~~ ennetions'. for failure. to com- IInited~ States: Such~ cerd4eatibna. shaB. be `(C). Cigprettea soall be packsged'for ssle. -. ply with any otHer apPllcebleregulatton. af- ~ed' by the 3ecretary tu~determine~ the rate or d'latllbuuon m each a manaer so~.that each~ . fect3ng the health,. safety, or~ well-being~.of~ of ta>:~. to~3e imposeed'~ on cigarettee for•the of the etatemenre requlred by~Paragraph (a)'. :. thepublla~orthe'~workforee. -:'-~ponod beginalhg wlth the ffi~st day of'~. U1e (2) appesls oa.10. Percent ot. all cigarette ~ .. ~ ~ '-oessxrtmxs.~ ' calendm•~yearbeglaningafter each certlf(ca_ p~ka8'~!. .. . . ~ Ser; S. Fur the Purposea~ oL thls Aat:. ~ ttoa Ls'matle, and durmg'sueh~ ealeadar yeer. vresanxrsrxr. o~paoeea'se~ ro~eata eYOa:aro. .(a')~. the term "amoklag"~.means the~emok. .~~(C)~ Tae Commission and'~. the Secrete:ry : raroxo ~a.u.aanv axo'.noarscrars~ .. ~' `lag ur posseasloa~of a ughtea clgsrette,.. e1k~ shau promulgate regulatlbns:~for the pur- Erc. 10!. (a) The•Bebretary ee'~ Health, Etlu-.. '. or pipe. oontalnl,ng a~ tobaoco~ produet;: and~ ~ea uadert~thgg~~ evbc e~ectf~omg on now brsndn`catloa. sad Walfare. a[tar~conaultatloa wlth' .. (b) the term "ef/ectlvelyseparatedl' means~ m, clgarettea mtroduceeioe sale: ". ~ aPpropriate publle and private entltiee, ehail'~. .. the separation of.. areas m~ whleh smaking L. -~ eetabaeh a' compreheastve: prognm.. desi(~ed. .. - permltted andin.which smoking:)e~not Per- (b)~~ The~~amendments made'~by subsection to deter emokmg. among~~ chiltlren and.ado- . raitt<d in a IDsaner whlch '^~~~m~°"; to.the (sy sha11 apply-to clgarettes whloh the raaII- gy,.eats. Such:aprogr'.nt'. shall mclude--.. . .. satent pract6cabte; t11e~ drtft at smak. fram -.ufeoturer~or importer of'eueh. clgarettes~re- 1 g .. pport. (thruugh' ~-: . the smukm ~.. ares lnte~ the. nonamokmg arr'a'•, wes (wlthm: the~ meaning oI'~ eectlon 5702 -()'. the~ underLa?^ or au g gnu2e. or aontracte~~ ~ both) ot blomadl¢a['~. ~ . ~(c)" the~ term~. "SVSttumentauty' oL Laa ~(k) of'eneh~. Cadel wlthla I20 daya attar tne ~ and'bebanloraLresearch daetgned tb~mcre.ee'. ~~'IInited'States" narans- . . ... . ... ~.dateafenectmentof.thlsAet. ~ '-- ~.~ understandmg. of' the blologtcal and~ be- ~~~ (1)~ an erecutive agency; as~deaned ln sac*- ~(c): The:CommLSion and the 9eeretaayof havlosal- determmante of amokiag among ~ tton10Sof'tttle:S,IInitedStateaCode::~ . -.-~theTleaet¢y er'hfs delegateehaB.PtOmul- ehIIdrenanaadoleacanta,wlthepeeialempha- .:._'(9)~ the TTnited~ States Pnstsl Sentce:. `: gate-regulatioas for the purpoees of eeetlon ~ e~ anehltdren agad 1ZOr~below: ~ . . , (8j.. ~e ~~: . . . ._ 8701(bD.- of the. Internal 8evenue Cotle~. oe ~ . .~.: (4). the~ courts of tlie IInlted States: and 1964: wlthm 60: dsya after.. the~~ data of-the.- '~ (2)'~the andertakmg or eupport. (through . (6). the governmente~.of the terrltortes and enectment of tlilBACt, - ~ -. -:.~graa or'euatraete or both) nf demonetta- ~. poeeeeelona af tlie.elmted'S~atm: .~~.- ''. - Sxc. 8. There are autharized tu be apPro- tlona:aad avaNrattoos ef oomprehennve enm- -~ ~ Id) tae term.,•Fedetal Saclllty" meane.-~ .. prlsted fos the 9xs{ years eatling Septem. '_ munlty and scaool-besed programa: dbl~ed . ber 30. 1981', September 30, 1989, SeDtem- --to. deter smoldng amoag~: children aad' ado- '~ ~(1)~ aay building; tnstallattan. er~factlitg ber 30;.1983~: and tember~ 30, 1984:.tb0ee. ~ecaatq-and' ~ - . . ,~ ovaed by the~IInlted States\ euePtmg'prl+ ..amounts determtn~ by tbe Secretary of the -~ (3)'. granta te'~ Statee or politlcal'subdrai- . . 'tate reeldencles,. or, . . -. . _ . .. (2)'~~ any part of any otherbu0.dltrtg.~ lnstal'- Tresaury to be. equlsaleat to the tasee~ re. . afone of Sta.tea ta aaalst thetn ih~~ meeting~. tlle - -:~Iatton., or 1aeBity, w91ch.. part lg.. owned. or ~oeived~ns tae'lYeesuryundersect1oa67ol(b) aoatn~of oparaCngcomPrebeasloeeommunity ~ leeeed try the IInlted States: ezcepting prlvate.. ~ theSnternai:Reveaue Code oY'~ 1g64 for the or actiool-baeed' Programa'. des/gned. to tleter .... ~ re941enofe9.. .. .-.. . Aur'Pae6 of: maklYlg addltional~ PaymeMa~to .emokiag amOng~,caLdzen aaa adbleateniL~ ~ , . . . ~~~~~ _ ... .~ the Statea~~ to~ aelsf~ them~ Ia meetang tbw (b)'. Wlth~ reepect to granu under pera- ~- ~ seTvfees grapa~.(a)(3)..theSacretsryandeaehgraat . -~~ Src.8.7La .ceete~oLproviding~preventlvehealth ptnvlidona.ofttilsACt.slialltake undersect1on316~~ofthePubllc.HeelLh.Serv- applicrat aad reciPient must oomply with .,. ~eIIectninetydaysafterthe:dateofenactment. ioe-Act- The~amount of~ payments~ta tae~ tGe proalelons~ot~.subieetlons (b), (~), (d). . - . ~' ~ ~. - - . - ~.. States.shal3 be determmed. on. a~ per- caplta - (e). 4t)!, (g)I. and (h)~ of eeatlon 317_ ~ ~ - iersasnafma'e oa e IDur,rs.reas®crmx :~ tiasls. provided~that only thoae~. etatee who :(a). (1) Fnr the pvrpoae~of makiag pay- - Sec..7:(a)~.SUbsectlon(b)'~of.sectlora670L. arerearlvmg~grantsundersectien316(1)(2)~, rnents.for~theundermkiag.oreupportof'.re- ... ae~the~InternslRevenue~,Codeof:1964 (relat-. of tl1e. Public Health~ Servlce Act shall be seareh under paragraph (a)(1).-tbere are 1mg~- to~ the~~ rate of tax on cigarettee) ie~- ellgihle to receive payrtnents under ttiJs sub~ sutbarized to-be aPpluupl'iated e10,000,000'~far - . ~emendedto~~readasfollbws:. : ~.section:: . .. - ... .. - . . ~the IIeeal yearepdtng`. September 30i 1980, . "(b)~ Clgarette8.- '.: . ~' ~~ ~~- ~~~ Oaerroasar~a6am.nra aoa oroeatrre rneaeeas~ ~p0.000:000:forthellaeal year ending Septem- . ~ '(1) ~ Iameaarox. or Twmm-There shah be~ ~ gyp, 9.. (sh ffiectlve. one year atter the date ' ber 30; 1981, and 810,000,000 fbr tbe Oscsi .. lmposeaoa~every'cigarette'manufactured.ia~ uf enactment of this~Act,. Seetion 4~of the-~ Yearending9eptember30„1982. . ~~ . ~ or'haportea'.)nto the~..Unlted,States, regard~- ~ F~yeral Cigarette Labeting and. Adv'ertismg. .~ (9): For the-Purpoae~of mskmg Psyments ~ lem~ of wefght„whlah contBaLs-~- ~ Act (Pub19e Law~ 89~2) ls~ amended to. read far the. ~a~»'L +ng or support of aemonstra- - "(A):trom~10tu19.9:tosicumts,a,health. v~foLLbwa:,. . . ... -. -tlbneandevaluatlons~underparagraph(a) .- peotection tas Of 80.002.~ -- - ~ "Sm 4(a).. It. sha11: be unlawfut for any ('). tbere are-authorlmd to be~approprlated (B)•from..a0 to.29:9.toale-unite, a~~health~ #~on to maaufacture. import( ar package~ i10,000~,000'~forthe~OScalyearendtngSeptem- protectioa tar of 80:0078: for. sale: or dlstnbution witala. the IInited.' ber 30; 1980) e10.000,000 mr the IIscal year . (C)~ from..30 to:39!O:toz16 unlts, a.health.'StetesanyclgareY-" eading September 30• 1981~,. and.810,000,000 protectlontac~off0'.016: and ~~ . "(1)'~. it the package. forwtich falla to~bear' for the~.ascal.yearending September 30~ 19g2. (D)~ 40 or more taric~umta a~heaith ro-~ - P '~ ' - the~tar and nlcotnae eontent of:such ciga.~ (3) For the purpose~of~making payments teatioa taz of ~g0.026. _ . . ~ rettes stated In m~nre.a.,,. ' .. "(2)i DwnamaxroF zoan'.~~vxrte.-For the ~ 2): lltthe ao ~ _ for 6rehts uader pa*agraph (s) (3~). tb0re ue ( P kage~forwalch.falU~to:bmr suthorized. to be aPP'rapriatea. fI0~000A00 '~ psayoe~~of aubaertlon (b).(I) abova..the- one~.of:tliefbllowmgerstemente:':. . ~YOrtheLacal~year~enalbgSeptem4er30,1980( ~: numbar of 'Walc uafta' meoae Llle.aum.ot~. •(A): CANOER:MiAY RESIILT FB,OM. CIG- i10~'.000.000 tor Lhe.Eacel' year eatllag 9eDtem~. ' '(A), tha~number ~of +*fnl~^'~ a!: `tarr: ABSPDE SMO~70: • ber 30: 1981i. and' 710.000:0g0.for the~ becal plln .. . . . -. -' . .. Y . ..-;.,~~ ` , ,!'GB)I CANCE6' OF 1ffiE-LIINOS,.IgiD'G'I$_ Yearending'.September30,-I984.-.,.~.- -;;., . .... .. - .. I . . .. .. . . . . v.. - .

lY1ay 19, 1978 Cc7NUM5LVivn>L . Presldent forsubmisslan tothe:Congresa on. '"(1) for sa detailed plan of th support ~prcve~n heg th'servlces [ntheone-yesr : January 1, 1981. and4 on Janusry 1 off each Sor which the appllcaat fs seeking month be ~' after tHe~mo¢th 1'n which succeeding year a report on'tbe eztent.of the, nnder subaecnon (s):;ginnm6 problems presentedd bythe'.dlseasasaad coa-other) fnnthe ds.ob geted bytLee pricantm tts grantsmay be made In advan e on the Deala - dltGons:referrad to' 1n parsgcaphs. (1) and (3) . lstest'.a¢nual acco~mting period.for the pro- of esqmates or by the wayof reimburaement, of eulYSectloa. (D); on the amount. off fundas vnionn of each proglsm.m referradd to In per6+ with necessary adJuatlmeats on account of . obligated Vader greatc,vader suboectlba (a). -...,«.M.gr%Ph(~l); a description of thee prewentlve naderpayme¢te or evenpaymenie; and 1¢ such States.ia operatmg programs te:.pravent the. euch program lasueh pertod the amou¢t of tlom se theSeecetary i<ndknece.saryao carry lt~, yseases:and.condlttonsrefermdto.in.P~ Federal funds needed by'the appli®nt tb outtllepurpesee.of'such.grents. graphs, (1) and (9) of subsection (b): audi opatthue.pro.idffig such services in.n each '"(a). 4'heSecretary,.. at thetequest of' a `~ 'on.the effective¢ess of'.the programa assllst®dl suoh program; if tbe'e applicant proposm tecepient of a gnnt't undez subsectlon (a), .,,,.... s..r~ nntlar subsection (s) m Pre- chances. tn the erovtrtan of theseraleee in mav redueee the amount of euchRrant by- .g venting such.diseasesaaa connmamn.. - - any anen program, rae pnorates. or sucn .--l+./taa..aeu. meracv vnwe v. s,+r =uve••~- tt e ' ' v andd other preven faragi'aphs(1) proposed ehanges; thereasons forsuc¢ (mctuding~ vaceines -^(k).(1) For ptu'poses: op-.: . and (3)) of subsection.(b:), theterm'prtmat9' changes; and, tliee amouat-of Federal.frmds agents)) or equipment furnished the grant preaentmn.a of causative- conditlens" means needed. by the applicant_ tomake such reefpient, and . ;. the preventioa of'thedevelopment, ofthe -ahyangesp. '- (2p the amount. of the pay,, allowe.nces, conditlons 1hn hesCthy' mN.Mdusla. ''(3)'. for.assurances satisfactary to the Sec-- and travelienpenses of any officer or employee ''•(2)For putposes of paragraphs (1)'and retar3' that thee preveatlte', health services of the. Cievernment when detalledd to the ofsubseetlon. (b)'..'secoadsay Preventlon which'. will be ptnvldedi with funds under a grant.recipientl and the amount.of any other tlo lth the detail i t m d tn t tl b t ded coe s eurre a connac n w . un er su vrtlll be prov seo " off causattve: eondlttons• meaas +Ae early de- gran lon. (a). '' teetfoaof the ceaditfoaem asymPmmatLe ' inamannerconetetent_wlth,theStateDealth o[suebo®eeroremployee, - _ plan in.effect under sectlon.1524(c) end.m- 'wheu the'e furnishingg of' such, supplies Or . 1adlaldu616.:.. . ' ~ .-thoe9rsees wDere: the.applleaat is a State. ul ment or the detall, ef such an officer tEe(Stecmr'StstaaendflocaleaPh (d)~(1)(Bo)i. _tbat auchservicee.wlli be provlded, where ~ ePloyee le'.for the coaventenee.ot and - pnveative.healtli seMces'mes~m es~peadi-gppro~u" m' a. manner, consistent'wlt¢ stthoxequeetoOsueDgrantreelptentandfCr tutas by Stated and lacal. Public health au- any Plans in aSecE under Pa'ae+'p--~`(b) (1) the purposeof'' carrying ont arprognm with a¢d(b)(3).ofsection:315; respect.towhlchthe.grs.nt'undersubsectlan thorttles.Sor prehalt~a (s),.~ . 1•(4) fbr sasuraneessatfsfaotnry.to the Sec. (a) ie:made, The amount'.by which any such - ported byg~~ emder but tretary thatt theapplice.nte wtIl provide Ibr grant is so.reduced shall be available for - emludesezpendituree by such authorttlesT-. such.fixsI:control'and Iundsecountlhg Wo• the Secrotary of,the ceata 1'ncurrel . xg 1~sw sas~e eo~adltlan to tlle.raceipt-0f'FBtd- ~°resas. the Secretary by regulation pre- en furnishing the supplies ore9uipment, to . ' eeribee.to as®urethe properdivbursement of or 1¢detaflingthe personnel, oa whicch.Ehe eral IIhancial,asslstanw, or and aceounting for f1mCe's received under 8)) for operating mpatlent care fae111tiee: ~~ty. under subsectten (a)',; trodneLlo¢of such grant bbaeed, and such "( construction,. or me¢tall health programa.. _-(gl, tor assura¢ees. satLVfacto to tlle 36c. ~~t shall be deemed ea part. of the grant ^(4)For purposes of'subsectton~ (d).. poPu^ retarythatthe ~ and shsll be deemed. toaavR lleeapakl, m ~ latilons shall be: deteemt¢ed.ond the basis ot' applicant will make such re. the great recipient. .. .p porte. (in such Imm and containing such ln- . '(I) (1) Hb.ch tectpieat' of a granE. a¢der - the latest figures sveliablairom the I1eParc- formation as. thu Seeretazymay byregnia- sobeeatioa(s) eDallkeep such.recorde estlle meat.ol commerca. '•tiea pr'seetaeY ea the. Secretary msyresson- .Secretar.y.y shall by regulation preecrtbq, la- ,. °(I) (1) Fdr thee purpose '.. of maklog' pay- abty raqofre, sad'd keep such reoordss and af- _cluoing eeeorda which tully' dlee{ose Zne 'meatss under grants uader this sactian..to ea- ford such accese.thereto ass the 8eoretary may amov¢t and disposition tiy such rectpleat'el - .. elst StaOes m..plaaningforpreventlve.heaith' -gnd necessary too saure the correctnese.. of, the proceeds of'such granC, the total~ corG of .earalces... there are authorl8ed to beaPpm-'andtovertty; such.repnrts-.' Ebe undentaking. mconnectlon.withn whlbh -. . prfatsd E55A00.OO0:.Sen the 9aea1 yearendinj ••(6) '. for aseuraaaee satisfactoryte.the Sea- adcp, grent waes made, andd the smouafr of September30,1980.. -.. .•: . -ratarYthat4.theappliemt.mlllicomBlywlth ,jLat.portfonofthe.costaf.theuadertsHng ... ."(2)'Pbr. the punpose.. of: msking: Paynients.s sny otfter eondltlons,'impoeed 7y thias seetion supplied by other soureee;, andd such athec nndergrantB under thia: seCtion too ass7st ..with2eepecttogrants;andi . ' records as.will- facilirhte sn.e3ectlveaudi9:. .. Statastnmeetingthe.costs.ofprovidingpce'. . (7).foreuehothnrl:nfocrostienae.We9w- - '(2), Tlie-Seoretary and.theCOmptroaa• vxative health serelees.: there aree authorized xetary may: by regulation proecrlbe. . . Qeneral of the United . Statee, or any of their to.besppraprlsted i168,000,g00 fnr the BaeaL.(e)'(1) 1he Seeretat9 shall revlevr saan- duly awtnoalzedd mPreeentatrvos= shall'. Dnve` .. maar ending September 30,1981, d175,000,000~ elly theactlvStlea'undertaken byeachrecip!- stoees Ior the purpose of audltt and' eam4- ~ fortbe:asealyearaading5eptember30,.1982'. oncofa.grantundersubsectian.(s) tode-'nattonto'.anybooks,-da.•^~^•^«-,.papars,.aad - y200,000,000for the. Dseal yea[r ending' Sep_ trsmtne IL thee program aselsted. by enehh a- records of, the recipient mgraa4under sub- tember30, 1288, andS400,000A0ofm tDe-¢aml granE: i6.operating effsilvaIy to achleve: 1t6 _eot,on (sk that:arePertlaa¢t tpeutli.grante. .. year aatnng Se.ptembecSO. 1994... ...... ...atstedi pucposes-and..lf tliee grant recipient .(g.)yL 1Mormatlon oltbined about any: ... "(3ypor eha puxposeof makmg:additannsl_ complled with the assurances provided wleh tadlvtdusia under any Drogeamm tlmtt is betng. psymantg undar grsara undsr" thlss aection the appitcatlon: 77se. Secietary'shalT not ap- caraYed out wlth a grant made:under subeee- . 'to:eeefat steiram.meating Lhe.oae~ o[ op- p+'ove.an appacatlon'submitted,under sub- tlon(a) shall not, vXthout.sucii mdlYldiWB- sectlon(b):unlesethe.Secretarydotermines-N consent beerao,..n - ersting' the-heLLth cdmMunlcattona o001- ., except ttlaE. 4I) euaD .. ponent off their preventive health services "WLhatW the pmgram, fa operattng9 esec- . tnfonmatfon may be. e~^l.,sed 'without aueh ' ~.programs, thece areauthorized, to, be. ap- , idaelyy to achleve..its stated purposes. I ~~ consent If'the dsecioeure ta:nacesearY to pre- - propriated:625,000,0e0-fortheflscalyear.'and -.°M' .that:theapplicantcomplled.withm- videisarvaxto:aueh.mdiv7dualorlk:eequtred -. ing September 3o,1991;.736900;OOd for the sura_ras, previdedwlth a prlcr application by a l.w of a Stste~ or polltiwf snbdtvtam¢. .. Ifseaiyear ending September 30i-1982 648,- undersubsectlon (b),and. . . . of' a.State., and (2)) information derlved, ' . . .000,000fatthe¢scai.year'entling9eptwmber ..l(CFtAat:he.ls~suredthat':theapplicant fzomanysuchprogrammaybe.dfeclcaed- ' ~ -- . .. ) tnsummary oe btaei (+ti) 983d E859000e0 foahn4eea19oar 30. 1, an,.r..veompy weaeauranceB provide. statistical,r Alllith tlld ending", September 30,. 1984:"- ~ •. ... . _with:.L¢e application vade~bmideratioa. ..form, or ... aoascrc..xrsssoasa¢vi¢arivsffiecxs. .'. "(2) -Whenever the. Semetary„ after fea- '. ••(B)'i forcllnAcal or reseamh', purpose~ ' . / ,. savrms - ..wnable. notice and•opportunity.d tara heu- but only ifindl<ddnally identlLableperaonal . 19799 sea mgto a geantrectplent, finds wlth respect to - data.o[ anysucD Individual tsnot.dlaelosed., (e.) E6ectlceOatoberl 8u:10g , .. - tioa 317 and the. Deedlhg thereto are funds:pamtosuchrecipient,thattIIe.pro-. "(h)~Nothing'mthissectlon.sha¢'llmitoe'amended torea.d 8e follows: ' BF'am is not opetatmg'ef(ectltvely toaehieve otherwise restrict the use, of' fuadn whlca. 'Sxoosca cserru rosssmamlziv: ar+srs' =a stated purposes or that there Is afallvre are grantedi to a State or to an.n agency or- a too tomply su¢atanitallF Weth aeauraneee pre- political subdit+i5loni of' a. State under pro- affiv[C62aooss.mms.vlded'. undec subeection-(b) with respect ec vWnos of: Federal law (ather than this. sec- °SaC. 317: (&) Tlie: Secretary maF make . ttioreoeipt of such grant,the Secretary shalll tton)~ and which are available for the gs7ntato States; pout1cal subdtvisiona: of notlfythegrant.reclpient.that Iurther pay- conduct of preventive Deaith service.pro-Stater. ather publlc.entittes, o[ priYate e¢. mentss will not be madeto Stt under suoh. $ramefronti being used in ccnneetion wlth. tttlesto asust them in meetmg.g the:castae of g,gnt, (or in hia-: discretion that.Iurther pay- programs assisted througDgrants under sub- providing preveativee health earvieee pm-- menta wll1l be reduced), unt11 he Issatis8ed section (a)'- gramsas set forth in.subeeot,ion ())L that the program wiil.operate.effectivelyor "(t) The Secretary shall submit to the-"(b)',.No-gpant mayy be made under subeec- there will: no longerr be such a-faLLute: IIatll Frestden4fcr submissionn tu the Congress, oan tEbn (s/ unlessan applleatlon' theretor bae •]heJe.so.satisfled, the'Secretary shall make no -Jaauary 1„ 1981,. andi on. January 1 of each been submitted to,, and'd approved by the payment or,, mn hU: dlscretlon,., reduce pay- succeedingyeQ a repdrt-oathe.estent of.the~ " Secretary. Suchh an application shall'bel ln meats to the grant recipient, prablems.presented by nsee diseeees.and con-euchform and be submitted 1n.eueh manasr "(d)~ 171e0 amount of agrantunder sub- dltfons referred.to-in subsection (J); on the'..ss.theSecretaryshallbyregnlaticmpreacr/be sectlon(a):shall'bedetermiaedbytheSebte- emeuntoC~fundkobllgatedundergesntsun-andsDallprovldo-. ..aary,Eac&s7[cilgraatsasll.bemedefbscosb dersubsectlan(a)~1'athe.prcedmgLanl. 03603604 .

Dday, 19,; 1978 C CONGRESSIONAL RECIJRD -SEftATE : 5 786'a - '1`%'(7)for assur~ancea..sattsfactory to.o the..tlacal'yeasvhichendidonor-tlefore July16 -alduaS'a eement„beNacloaed'.:e:raptl that 8eaefary t1YaL tDS Siata w1tS provide for sueh1983: and ... . ... ...' ( I) auch lntarmatien may be disclosed wlth- nYCU soatrol and' fttnd aecnunriag Pra .".(B}y may aot be lees than the product of out such eoosant 11 .. the dfaelosare Is neeee- -5pdueea:as the Seeretary byregulatlon pre- 3:50 and the population of the.Stata - esry to~ Provldeserateeto, such mdlvtduai.or `•srribes.toasnuretheproperdisbursement.of "I3).'1'hetotalamnuntofgxantsreceived Is.reQufredbyalawofs.State.orpolltloal asn,•: .nd aceountingg for funds received.d underr bg a. Stateunder suDsectton. (a)l toasaist subdivision ef a. State, and: (2), Snfortmtton t"<-• grantsunder.suL.eatlon.(a)G . - Siateam meatingthecnslacf operattng the derlved'from anysuehl program..may. be dls- •., :. ••(8)forasauraacesaatlsfactorytot.heSec- bealth.¢ummnnic9tfun8componentof their closed- ._ . . ,. . ' •' .-aetarythattheStste.wili makesuch, reportss preventive.health servlees programa for any (A). )n. aunneler,T rtat/ktfcal, or other Sam suN'a form and aontalaingeudL lnfo=- flacsiyear shallbe'.determined.bythe.Secre- form, or . :.matloa as the S.ecretary tosy byy regulation iary.exeapt.that Stmaynot.be Tess than the °(B) for atlnncal orreseamh.purposes, prescriDe) as the Sacretarymsy reaeonaDiiy product of8,10. snd the papulation of the but only if individually Sdentffiable.personsl require. andl teep...suchreomds, and afford Stwia_ data of' any aual! lndiv(dna! 1snot disclosed. enahaneeas.thereto.aatheSecretarytnaYand NotwlLDataedin8Paragralba (1)... (2), and. I '(1)'Nothing.ln.thlasesttonshall.lilnlt.or neoaesary toassuie the correctness of., andi (8), if.for aay fliaal year theamount appro- otherwise restrlct phee tae off funda wDich to verify; such nporte; .' _ -. prlated for tbaL' flseal year under eubsec- are granted . to a Stateoe'ta aa agency Or a "(9) for. aseuraacea satisfactory too thee tlbn (A)I .le. iesa.than-the amount needed to poLLtieal suhdlvlafonl of a..State under pro- Secbterythatthe.State.wtil.compiywitbany matag,rsntafor that.Lec6lyear:la aacord., laIa1onSof YedeaC faw . (otlfes than this saC- othereondltlonslmposedbythlsseotloawith sace vlth.suohparagrapba tn. sB. Statee: tion), and.whlchareavnlablefor the con- jeepect.to gtants7: and-. . - the total amouat of'graata foer that fiscal ductt of preventive heelth serrlce programa .•(10) forr suchh other Information, as the, year for.r a Statee shall nottb less than an ftamm bemg. uaed. 1na co®ecConn with pro- Secretary tnay byy regl11at1on preeCilbe:. dnlUUat whiah tiea[Sn the same ratloo to the glame. aJSIBted . tyoag4 pa.nta. under sub- ~.. -(el'..('1'') The Secretary ahatil revieww aa-- amounta determtned for such State~.e i'n ac- eectloti (a):, ~. . .. ,... ~.-. ~ avally the~~ activlttes.s undertaken byrr eaehh aordance~ w1tD. thla section a€ the amouat •'(IY. •rhe~ Seeeretsy ahall eubmit to the State wlth aa approved application underapproprlatad.uader subeectton (1) bee.n to i+revldentfoesnbmlealea tothe.Congresa,on - subsection (8) to determineif the pzagram.. tne atwonntneeded tomaEa gcaata. ffi se. January y. 1981, snQoa January tL of each Or . programa aree operating' effectively ta' oordance with this aeoslon.forauchfiseal- succeemngyearareparcoathe.extentof'the achieve thetr:stated purposes, and..If-the.yeaetsafiStsw:. ' . . . . . problemepe®ntedbytaedleeasesandcon- c:. Stata somplled wltlt, t5e.aseurancaspra--.. "(a), ffia1t-gtant under subsectton (a). .dltfonseefersedti"ihrpaes8rsphs(1).and'(3) -vlded wtth the applicatlon.,The Searersryshallbemadeforeostafor.preventSveheallth of subsection (b); on theamotmt of funda . '.shsilnot.aPprove.an.appl(catfunsubmltted'. servleea..lntheone-yeerperiodbeglnntng obllgatedundergrnnteundersubsectlon(a) -' . under. mtbaeet]oa (b) unleaa the Seecetary' _ on the flrsf.' dsyof the first monthh begin- ,bn the: preeedhrg, flacaF year teW aselat the .. ..determhsca-....- ning otter the month. tn whtcn thegtant Statee in operntmg pto8mma to' prevent the .. .^(A), that the programor. p=ograms are,. le mads_ Pa.ymenta undersuchr g5%nts ouy - dieeeses andcuntlftions referred to in pars- - opeestGng.eSectively- tio.aahlevetheirstat:edo be medein.advanee,.. ae the basis ofestl- g=pha (1)'.'end (3) of snbsectton fb}:: and purponC9mates. ar by the.wayofreimbursement,e with on the eSeetiaenea of the rnms asaisted ro g . "(B) thatthe.Stete..com Ifed wltri.assur-h n~T>~nta.on account of under- p .'aneesprovldedwitb.a.prlorPapplicatlbn.sz<b. paPments oravetpaymentaw and. m such Sh.. ~ndy.,~n ~,ryaea=es and eoadittoru, ~e eitted.under subsection (D)„aad.; . : stalbnenta-andon such tkrma sad condl:- ••(C)that he ls.assured that the.State:wilt ' tionss as theSeeretary IInds necessary to... anQ (3i1 of'anDeaetim (ti , the paragraphs 'prf~ ly wit3 the sesurancesrovtfled wlth ~~euttheparpoeea..afauch3rants. LLapa IleaLlon under consideratioa, •. (f) 7Ee Secmtary;, at the reqvest of" a' msry Premeatbn of' osassttve" coadltlons' . •`(2PpVRhenever.theSecretary,afterrea.son• StatewhichIeareciplento[agtanEunder meena:thepreoentoa..oftEedevclopmeatof -~able notice and opportumtyforn.hearingtoy eubsectim (a).may reducee theamount of the condltloaa in healthy Individuals. ., orPm4ossofParagnPhs(1) and ... "(2J'1^ - h tD . .. .. .. grrn y- : •-theState,IIndswithrespeettofUnds':paldto suc tt under a grant,undkr subaeotion(s) tDat '-Ilry~ 7De ffitr market value off anA: sup- (31 of sat:eeation (Dl:'seoendary Prereatlba •. thepraagfsam.oe programs are net'o pltes.ar eq1taimieaL+furnSshed theState. bad ot canSattPe'condtttons• meamthe eariy de- aIIeetlvelP toecDleratheir stated pu or. .°(2) thee amaunt- of the.e paY, allawanees,, tectian of the' aeaditlcmIn asymptumatln tDae there 1sr s faaure. to...complysuDetea- and travell erpenees of'aaF oIDaeror em- Individuala - . .. LfaBy with.asurancesh p3'ovtded. under.r auMp)oyee of ttieCovernment, when detailed to '~••(3) H'or.pttrPOSeaofparegraph (d),(1) (IL), 'seaiton. (D} wICD, respect fotaereca/ t of. the3tateandtheamountaf.anyethereosrs the term'Stateaad.IoaaL erpenElturesfor eueh gtant, the: S p -i^^"•"^'t: Iu: connection w1tL the detail of preventirehealttie services' means expendt.- ecfetary sball', notify the auoh omcer oi empmyae... -. ... '.. -: Stste LDat further payments will not be mada tnres by State and torBI. PuDllc health Gu- " tb tt under." suehh grant-(orm hla dlserettoa whesr tDe' fua^k^ .,^aof suoheuppaes or thorttlea forr preventi:eheatth servlces sup- thatftlether.payamentawAL'.beredtveed).un. equipmenaarthadetall.of'suchanofeeeror ported.byganteundersabsecnoa(a) but ... ta he ls eatisded that the pmgam arr peo-: emPloypo- la fnethe conveniencee of. nndd at excludes erpendltures by suehl anthodtlsa.- ~ grame'.w(ll.operate effectlveiy or therawlll, tha requast of.snch 8tate, and for the pur- .. ••W . speclflcallyrequfred bylelderaletatv- '.aoloagtrbesucha..Iafiure::IIntllheIaso-'poeesof:planning.orcurytngoutapragram tory law ae a eondttton to the.recelptof ~,-...eaLtadedl.theSect•etaryshatL.msldeno 'dth, reepeettn-wDich.theStateg,rantunder?ede.al8nanelaTaslstanee:or . . . _w'.. tnmtor, Ialiis dlecretion;.reducepaymente °mb"WOU, (Rl lamade. Thee amount bY •°(H) for operatiag~invsttent~carnfac111- ~' tathe8tate:from~such.grant. .. wD1a.b.aqysu=hnarm r'lssoreducedshsRbe tfes, constructioa, armentsfhenl'tlf pro- - - - Payment by the Secretary of grams. . _ .- .. , - , :, .:_ . .,.' . "(d)'(1) The tota4amotmt of avWlahla foc esived '®Stace under subsectioa~~ ~, tDe, coste mrnaed lnn furnlthingthe sup- .. (4)' Por Pa>rP~eea~Lsubeectlon(d)y. ~ bT (aY to-.ph~m_~~~nt.ortn detallla the pert ulattons shaR be. determined an the beeP aesiet Sbtee fn. Plannin8 me Preaantiva. s . such aaaltheavtaeaforthe escdN.l earendih 9e ~, aa mhicD the reduction of grant ot thelatestSgnren.efal7sWefMm the De- ~: SemberSOt 1986sDa11 be aeLSrmineQ by the LS ' bal anttsucG aatouffishati be deemed py=tinent of Commeras ...,.: .:,1 ' ' BeeteLoy, Claepti.tbatftmaynotbe lasthan an , pact of the gFant anII sDaLL be: daemed'to- ~(Iki1} Pet fbs purn®e o[' msRfng Pay^ -thepxodneLet/30-andthe.popalatloao[, hav'eheenPaldtatDeStaie. ,_.. . ......mente.andergrantevndRqllasactton,toae- •• ' - (L)BacIIStsta!xhichtsa.Peclp/entoL a1aLStateslhphunmg'forpreeenttvehenkh (g) ...t11e3oate_ .•1 .. ,.- -. . . . . ... "(2) The totall amount of.' grants received f gtantuades srbeeetlbn (s}. shaB~ keep'. such serviata taeie are anthorfaed ta.be appropri- hg aState under subeection (a)~ tu ssalat, recordaas:tha3ecretary shall by regulation e.tYd 885,000Ad0~ ~for the t/scsl year ending Siates in providing prevenuve Deatth~ aerw-P=~bn including recordawD16h fully ~- SeptemDer30, I9&D. . . . -. .:. ~ s -kes for any /tacaL,yearsDallbe determined close the amount and dfsposltion bP aueh . (2.': For the - Statsofthe,.proceedaofsuah t ttatotsl ) FntTPaseofmsYingpaymecte ~n bytheSeetnttDttt ..erry,.eacePa.r . under Brantw nader th1Sl eection to: sas7st . caat of the:nn3anlaking Sn connecttba.with ."(A)'. maX nat eaceedthe leseer of-- whlch sueh.wautvnamade,aad the amount Staten ia meetbt4 tae eaetr of providing `^(t)thepraduutaf8:75anGtbepupulatian ofthstportlonofthecostoftheundertak!ng P"e°ant've Deatth aerr~as:, there are nn-- ' M.the Stat>, ur - . supptledl blret7ler soorcealand euch attier thor3zad taW be eppreprlatad. $I50:000.000foF •'(l1)fa the caee.ofthe nwl', yearendiogre[orda a4.wt11 fac111tate an eaectlve audtt tbe ag`'al year mtllag; September 306 1985, September30:1982,..5perceatof'theamount:°(2).TheSe¢etaryandthe.COmptroller $17SAOR000'fortheflal vearendlhgSeP- of State sadd localerpendlturea for preven-_CM.ral of the tTaited States, or any of their tembee 30, . 1983, e700:000:000 for tb& 05<al LtVe healthservlces aupported' Dpgraats duly antborlrsd represeatatives, shallbave 'yeat' end)ngSmtember 30.. 1983, and a200.- under snbsectlea (a) witmn the State in the aceese for the pueposee of audit and esamF 00O.OOOioc tDe-elesk.year Mding. September __State'B Lseal yearwhlcD caded on' or before, nation to nny boo8n, doenments, papers, and 30:1984: " - . ... Jnly-1,. 1981;: inn tlle' eme of the 9scaI'l year records of each State-. which is a rsGpfent.of -°(S) Yor tLepurposeaf mnting additional aadfng September 30, I983, 7*g' percent of the a grant tmder sutieectioa (A)" that are . pert[- Wymeeta tmdec grant aader tDfe seetion amotmtofaaaherpenditnres.inaheStates•nenttosuch.grant, -. .to.aesletStatesiasoeetlngthecosteofop- flo* year vhfen ended'on or beforeSvly 1,. •(h) All mformatioal obtalned about any ersemg thm heaNtb e®mmteattonscompo. - 1882• and, Inn theesse of'.the f/ecal.year end+ 1adlsldnaYnnderanY program that Is being nent ffi1LC1r peeeeatYee hesith sRVibes pro- ~ mg September 30:1984', 10'peraent of' theearrled'aut wltha a grant made under sub- krama; thas sa antharlseQto be Appro- ' amount of eactreapentlitures Ian theStata'e section (s)l ehall not„ wlthoua sncD. Indt- printed $28;000,008 fer the fiscal year ending - • . .59~- Q36~3l