Coordinated Environmental Health Network Act of 2005
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Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
July 21, 2005
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Introduced in Senate
July 21, 2005
Sponsor introductory remarks on measure. (CR S8667-8868)
July 21, 2005
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
July 21, 2005
Floor Debate
10 membersWhat members said about S. 1442 on the floor




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Floor Debate
10 membersWhat members said about S. 1442 on the floor
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Bill Text
Latest available legislative text
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 1442 Introduced in Senate (IS)]
109th CONGRESS
1st Session
S. 1442
To amend the Public Health Service Act to establish a Coordinated
Environmental Health Network, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
July 21, 2005
Mrs. Clinton (for herself, Mr. Chafee, and Mr. Reid) introduced the
following bill; which was read twice and referred to the Committee on
Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to establish a Coordinated
Environmental Health Network, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Coordinated Environmental Health
Network Act of 2005''.
SEC. 2. FINDINGS AND PURPOSE.
(a) Findings.--Congress finds that--
(1) according to the Centers for Disease Control and
Prevention, approximately 7 out of every 10 deaths in the
United States are attributable to chronic diseases;
(2) with 90,000,000 people suffering from chronic diseases
each year, and over $750,000,000,000 in health care costs as a
result, the national cost of chronic disease is extremely high
and must be appropriately addressed;
(3) the rates of many chronic diseases, including asthma,
some birth defects, cancers, and autism, appear to be
increasing;
(4) there is a growing amount of evidence that
environmental factors are strongly linked with specific chronic
disease;
(5) a major gap in critical knowledge exists regarding the
prevalence and incidence of chronic diseases;
(6) States, local communities, territories, and Indian
tribes need assistance with public health efforts that would
lead to prevention of chronic disease, including the
establishment and maintenance of necessary infrastructure for
disease and environmental hazard exposure surveillance; and
(7) a Coordinated Environmental Health Network will help
target resources to areas of chronic disease prevention most in
need.
(b) Purposes.--It is the purpose of this Act to--
(1) develop, operate, and maintain a Coordinated
Environmental Health Network, State Environmental Health
Networks, and rapid response capabilities so that the Federal
Government, States, local governments, territories, and Indian
tribes can more effectively monitor, investigate, respond to,
research, and prevent increases in the incidence and prevalence
of certain chronic diseases and relevant environmental and
other risk factors;
(2) provide information collected through the Coordinated
and State Environmental Health Networks to government agencies,
public health practitioners and researchers, policy makers, and
the public;
(3) expand and coordinate among existing surveillance and
data collection systems and other infrastructure for chronic
diseases and relevant environmental, and other risk factors,
including those relevant to bioterrorism;
(4) improve coordination between the areas of public
health, environmental protection, and chemical, radiological
and biological terrorism;
(5) provide necessary support to ensure the availability of
a sufficient number of well-trained environmental health and
public health personnel to participate and provide leadership
in the development and maintenance of the Coordinated and State
Environmental Health Networks; and
(6) encourage coordination between researchers and Federal,
State, and local entities, including the National Institutes of
Health, for genetic studies on diseases associated with
environmental factors with an emphasis on finding genetic risk
factors and mutations associated with such diseases.
SEC. 3. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by
adding at the end the following:
``TITLE XXIX--COORDINATED ENVIRONMENTAL HEALTH NETWORK
``SEC. 2900. DEFINITIONS.
``In this title:
``(1) Administrators.--The term `Administrators' means the
Director of the Centers for Disease Control and Prevention
Coordinating Center for Environmental Health, Injury
Prevention, and Occupational Health, and the Administrator of
the Environmental Protection Agency.
``(2) Committee.--The term `Committee' means the Advisory
Committee established under section 2901(d).
``(3) Director.--The term `Director' means the Director of
the Centers for Disease Control and Prevention.
``(4) Medical privacy regulations.--The term `medical
privacy regulations' means the regulations promulgated under
section 264(c) of the Health Insurance Portability and
Accountability Act of 1996.
``(5) Coordinated network.--The term `Coordinated Network'
means the Coordinated Environmental Health Network established
under section 2901(a).
``(6) Priority chronic condition.--The term `priority
chronic condition' means a condition to be tracked in the
Coordinated Network and the State Networks, including birth
defects, developmental disabilities (such as cerebral palsy,
autism, and mental retardation), asthma and chronic respiratory
diseases, neurological diseases (such as Parkinson's disease,
multiple sclerosis, Alzheimer's disease, and amyotrophic
lateral sclerosis), autoimmune diseases (such as lupus),
cancer, juvenile diabetes, and such other priority chronic
conditions as the Secretary may specify.
``(7) State network.--The term `State Network' means a
State Environmental Health Network established under section
2901(b).
``(8) State.--The term `State' means a State, territory, or
Indian tribe that is eligible to receive a health tracking
grant under section 2901(b).
``SEC. 2901. ESTABLISHMENT OF COORDINATED AND STATE ENVIRONMENTAL
HEALTH NETWORKS.
``(a) Coordinated Environmental Health Network.--
``(1) Establishment.--Not later than 36 months after the
date of the enactment of this title, the Secretary, acting
through the Director and in consultation with the
Administrators, State and local health departments, and the
Committee, shall establish and operate a Coordinated
Environmental Health Network. In establishing and operating the
Coordinated Network, the Secretary shall--
``(A) identify, build upon, expand, and coordinate
among existing data and surveillance systems, surveys,
registries, and other Federal public health and
environmental infrastructure wherever possible,
including--
``(i) the National Electronic Disease
Surveillance System;
``(ii) State birth defects surveillance
systems as supported under section 317C;
``(iii) State cancer registries as
supported under part M of title III;
``(iv) State asthma surveillance systems as
supported under section 317I;
``(v) the National Health and Nutrition
Examination Survey;
``(vi) the Behavioral Risk Factor
Surveillance System;
``(vii) the Hazardous Substance Release/
Health Effects Database;
``(viii) the Hazardous Substances Emergency
Events Surveillance System;
``(ix) the National Exposure Registry;
``(x) the Health Alert Network; and
``(xi) the State vital statistics systems
as supported under section 306;
``(B) provide for public access to an electronic
national database that accepts data from the State
Networks on the incidence and prevalence of priority
chronic conditions and relevant environmental and other
factors, in a manner which protects personal privacy
consistent with the medical privacy regulations;
``(C) not later than 36 months after the date of
the enactment of this title, and annually thereafter,
prepare and publish, in accordance with paragraph (2),
a Coordinated Environmental Health Network Report to
provide the public with the findings of the Coordinated
Network;
``(D) operate and maintain a National Environmental
Health Rapid Response Service within the Epidemic
Intelligence Service to carry out the activities
described in paragraph (3);
``(E) provide for the establishment of State
Networks, and coordinate the State Networks as provided
for under subsection (b);
``(F) provide technical assistance to support the
State Networks, including providing--
``(i) training for environmental health
investigators appointed or hired under
subsection (b)(3)(D);
``(ii) technical assistance as needed to
States to build necessary capacity and
infrastructure for the establishment of a State
Network, including a computerized data
collection, reporting, and processing system,
and additional assistance identified by the
States under subsection (b)(5)(C) as necessary
for infrastructure development; and
``(iii) such other technical assistance as
the Secretary, in consultation with the
Administrators, determines to be necessary;
``(G) not later than 12 months after the date of
the enactment of this title, acting through the
Director and consulting with the Administrators, the
Surgeon General, the Director of the National
Institutes of Health, and States, develop minimum
standards and procedures in accordance with paragraph
(4) for data collection and reporting for the State
Networks, to be updated not less than annually
thereafter; and
``(H) in developing the minimum standards and
procedures under subparagraph (G), include mechanisms
for allowing the States to set priorities, and allocate
resources accordingly, among the factors described in
subparagraphs (A), (B), and (C) of paragraph (4).
``(2) Coordinated environmental health network report.--
Each Coordinated Environmental Health Network Report prepared
under paragraph (1)(C) shall include--
``(A) a statement of the activities carried out
under this title;
``(B) an analysis of the incidence, prevalence, and
trends of priority chronic conditions and potentially
relevant environmental and other factors by State and
census tract (or other political or administrative
subdivision determined appropriate by the Secretary in
consultation with the Administrator of the
Environmental Protection Agency) for the calendar year
preceding the year for which the report is prepared;
``(C) the identification of gaps in the data of the
Coordinated Network, including diseases of concern and
environmental exposures not tracked;
``(D) recommendations regarding high risk
populations, public health concerns, response and
prevention strategies, and additional tracking needs;
and
``(E) to the extent possible, a list of genetic
risk factors that have been shown to be associated with
these priority chronic conditions and recommendations
to promote voluntary genetic testing of populations
exposed to specific environmental factors linked to
these priority conditions.
``(3) National environmental health rapid response
service.--The National Environmental Health Rapid Response
Service operated under paragraph (1)(D) shall--
``(A) work with environmental health investigators
appointed or hired under subsection (b)(3)(D) to
develop and implement strategies, protocols, and
guidelines for the coordinated, rapid responses to
actual and perceived higher than expected incidence and
prevalence rates of priority chronic conditions and to
acute and potential environmental hazards and
exposures;
``(B) conduct investigations into higher than
expected incidence and prevalence rates of priority
chronic conditions or environmental exposures after an
individual requests, through a process established by
the Secretary, the intervention of the Service;
``(C) coordinate activities carried out under this
title with activities carried out under sections 319
through 319G;
``(D) coordinate activities carried out under this
title with the Administrators, the Surgeon General, and
the Director of the National Institutes of Health; and
``(E) determine the necessity of, and coordinate
the development of voluntary genetic studies with the
National Institutes of Health for individuals who have
experienced environmental exposures associated with
these priority chronic conditions.
``(4) Data collection and reporting by state networks.--The
minimum standards and procedures referred to in paragraph
(1)(G) shall include--
``(A) a list and definitions of the priority
chronic conditions to be tracked through the State
Networks;
``(B) a list and definitions of relevant
environmental exposures of concern to be tracked, to
the extent practicable, through the State Networks,
including--
``(i) hazardous air pollutants (as defined
in section 302(g) of the Clean Air Act);
``(ii) air pollutants for which national
primary ambient air quality standards have been
promulgated under section 109 of the Clean Air
Act;
``(iii) pollutants or contaminants (as
defined in section 101 of the Comprehensive
Environmental Response, Compensation, and
Liability Act of 1980);
``(iv) toxic chemicals (as described in
section 313 of the Emergency Planning and
Community Right-to-Know Act of 1986);
``(v) substances reported under the Toxic
Substances Control Act Inventory Update Rule as
provided for in part 710 of title 40, Code of
Federal Regulations, or successor regulations;
``(vi) pesticides (as defined in section
2(u) of the Federal Insecticide, Fungicide, and
Rodenticide Act); and
``(vii) such other potentially relevant
environmental factors as the Secretary may
specify;
``(C) a list and definitions of potentially
relevant behavioral, socioeconomic, demographic, and
genetic factors know to be associated with these
priority chronic conditions and other risk factors,
including race, ethnic status, gender, age, occupation,
and primary language, to be tracked through the State
Networks;
``(D) procedures for the complete and timely
collection and reporting of data to the Coordinated
Network by census tract, or other political subdivision
determined appropriate by the Secretary, in
consultation with the Administrator of the
Environmental Protection Agency, regarding the factors
described in subparagraphs (A), (B), and (C);
``(E) procedures for making data available to the
public and researchers, and for reporting to the
Coordinated Network, while protecting the
confidentiality of all personal data reported, in
accordance with medical privacy regulations;
``(F) standards and procedures for the
establishment and maintenance of at least 7 regional
biomonitoring laboratories, including providing for an
equitable geographic distribution, by entering into
cooperative agreements with States, groups of States,
and academic institutions or consortia of academic
institutions, in order to expand the scope and amount
of biomonitoring data collected by the Centers for
Disease Control and Prevention as described in section
2904;
``(G) criteria for the environmental health
investigators as required under subsection (b)(3)(D);
``(H) procedures for record and data maintenance
and verification; and
``(I) a framework for coordinating genetic studies
on these priority chronic conditions associated with
environmental factors including privacy protections,
informed consent, and contact information for patients
wishing to enroll in clinical trials.
``(b) State Environmental Health Networks.--
``(1) Grants.--Not later than 24 months after the date of
the enactment of this title, the Secretary, acting through the
Director, in consultation with the Administrators, and taking
into consideration the findings of the Committee, shall award
grants to States, local governments, territories, and Indian
tribes for the establishment, maintenance, and operation of
State Environmental Health Networks in accordance with the
minimum standards and procedures established by the Secretary
under subsection (a)(4).
``(2) Specialized assistance.--The Coordinated Network
shall provide specialized assistance to grantees in the
establishment, maintenance, and operation of State Networks.
``(3) Requirements.--A State, local government, territory,
or Indian tribe receiving a grant under this subsection shall
use the grant--
``(A) to establish an environmental health network
that will provide--
``(i) for the complete tracking of the
incidence, prevalence, and trends of priority
chronic conditions and potentially relevant
environmental and other factors as set forth in
subsection (a), as well as any additional
priority chronic conditions and potentially
related environmental exposures of concern to
that State, local government, territory, or
Indian tribe;
``(ii) for identification of priority
chronic conditions and potentially relevant
environmental, genetic, and other factors that
disproportionately impact low income and
minority communities;
``(iii) for the protection of the
confidentiality of all personal data reported,
in accordance with the medical privacy
regulations;
``(iv) a means by which confidential data
may, in accordance with Federal and State law,
be disclosed to researchers for the purposes of
public health research;
``(v) the fullest possible public access to
data collected by the State Network or through
the Coordinated Network, while ensuring that
individual privacy is protected in accordance
with subsection (a)(1)(B); and
``(vi) for the collection of exposure data
through biomonitoring and other methods,
including the entering into of cooperative
agreements with the Coordinated Network in the
establishment of the regional biomonitoring
laboratories as described in section 2904;
``(B) to develop a publicly available plan for
establishing the State Network in order to meet minimum
standards and procedures as developed by the
Coordinated Network under subsection (a)(4), including
the State's priorities within the minimum standards, a
timeline by which all the standards will be met, and a
plan for coordinating and expanding existing data and
surveillance systems within the State including any
pilot projects established through the Centers for
Disease Control and Prevention prior to the date of the
enactment of this title;
``(C) to appoint a lead environmental health
department or agency that will be responsible for the
development, operation, and maintenance of the State
Network, and ensure the appropriate coordination among
State and local agencies regarding the development,
operation, and maintenance of the State Network;
``(D) to appoint or hire an environmental health
investigator who meets criteria established by the
Secretary under subsection (a)(4)(G) and who will
coordinate the development and maintenance of the rapid
response protocol established under subparagraph (E);
``(E) to establish a rapid response protocol,
coordinated by the grantee's environmental health
investigator, in order to respond in a timely manner to
actual and perceived incidence and prevalence rates of
priority chronic diseases that are higher than
expected, acute and potential environmental hazards and
exposures, and other environmental health concerns,
including warning the public when emergent public
health concerns are detected through the State Network,
and concerns regarding vulnerable subpopulations and
disproportionately impacted subpopulations;
``(F) to establish an advisory committee to ensure
local community input to the State Network; and
``(G) to recruit and train public health officials
to continue to expand the State Network.
``(4) Limitation.--A State, local government, territory, or
Indian tribe that receives a grant under this section may not
use more than 10 percent of the funds made available through
the grant for administrative costs.
``(5) Application.--To seek a grant under this section, a
State, local government, territory, or Indian tribe shall
submit to the Secretary an application at such time, in such
form and manner, and accompanied by such information as the
Secretary may specify. The Secretary may not approve an
application for a grant under this subsection unless the
application--
``(A) contains assurances that the State, local
government, territory, or tribe will--
``(i) use the grant only in compliance with
the requirements of this title; and
``(ii) establish such fiscal control and
fund accounting procedures as may be necessary
to ensure the proper disbursement and
accounting of Federal funds paid to the State,
local government, territory, or tribe under the
grant;
``(B) contains the assurance that the State, local
government, territory, or tribe will establish a State
Network as required by this subsection; and
``(C) contains assurances that if the State, local
government, territory, or tribe is unable to meet all
of the requirements described in this subsection within
the prescribed time period, the State, local
government, territory, or tribe will use grant funds to
increase the public health infrastructure of the State,
local government, territory, or tribe, acting in
cooperation with the Coordinated Network, in order to
implement and maintain a State Network within 24 months
of the receipt of such grant.
``(c) Pilot Projects.--
``(1) In general.--Beginning in fiscal year 2006, a State,
local government, territory, or Indian tribe may apply for a
grant under this subsection to implement a pilot project that
is approved by the Secretary, acting through the Director and
in consultation with the Administrators and the Committee.
``(2) Activities.--A State, local government, territory, or
Indian tribe shall use amounts received under a grant under
this subsection to carry out a pilot project designed to
develop State Network enhancements and to develop programs to
address specific local and regional concerns, including--
``(A) the expansion of the State Network to include
additional chronic diseases or environmental exposures;
``(B) the conduct of investigations of local
concerns of increased incidence or prevalence of
priority chronic conditions and environmental
exposures; and
``(C) the carrying out of other activities as
determined to be a priority by the State or consortium
of regional States, local government, territory, or
tribe and the Secretary.
``(3) Results.--The Secretary may consider the results of
the pilot projects under this subsection for inclusion into the
Coordinated Network.
``(d) Advisory Committee.--
``(1) Establishment.--Not later than 3 months after the
date of the enactment of this title, the Secretary acting
jointly with the Administrators, shall establish an Advisory
Committee in accordance with the Federal Advisory Committee
Act.
``(2) Composition.--The Advisory Committee shall be
composed of 16 members to be appointed by the Secretary. Each
member of the Advisory Committee shall serve a 3-year term,
except that the Secretary may appoint the initial members of
the Advisory Committee for lesser terms in order to comply with
the following sentence. In appointing the members of the
Advisory Committee, the Secretary shall ensure that the terms
of 5 or 6 members expire each year. The Advisory Committee
shall include at least 9 members that have experience in the
areas of--
``(A) public health;
``(B) the environment, especially toxic chemicals
and human exposure;
``(C) epidemiology;
``(D) biomonitoring and other relevant exposure
technologies; and
``(E) human disease genetics.
``(3) Reporting.--The Advisory Committee shall not later
than 12 months after the date of the enactment of this title,
and at least once every 12 months thereafter, report to
Congress on the progress of the Coordinated Network.
``(4) Hearings.--The Advisory Committee shall hold such
hearings, sit and act at such times and places, take such
testimony, and receive such evidence as the Committee considers
appropriate to carry out the objectives of the Coordinated
Network.
``(5) Duties.--The Advisory Committee shall--
``(A) review and provide input for the Coordinated
Environmental Health Network Report prior to
publication, and make recommendations as to the
progress of the Coordinated Network, including
identifying information gaps in the network;
``(B) assist in developing the minimum standards
and procedures for the State Networks under subsection
(a)(4); and
``(C) provide ongoing public input to the
Coordinated Network.
``(e) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $100,000,000 for fiscal year
2006 and such sums as may be necessary for each of fiscal years 2007
through 2010.
``SEC. 2902. INCREASING PUBLIC HEALTH PERSONNEL CAPACITY.
``(a) Schools or Programs of Public Health Centers of Excellence.--
``(1) Grants.--Beginning in fiscal year 2006, the Secretary
may award grants to at least 5 accredited schools or programs
of public health for the establishment, maintenance, and
operation of Centers of Excellence for research and
demonstration with respect to chronic conditions and relevant
environmental factors.
``(2) Activities.--A Center of Excellence established or
operated under paragraph (1) shall undertake research and
development projects in at least 1 of the following areas:
``(A) Investigating causal connections between
chronic conditions and environmental factors.
``(B) Increasing the understanding of the causes of
higher than expected incidence and prevalence rates of
priority chronic conditions and developing more
effective intervention methods for when such elevated
rates occur.
``(C) Identifying additional chronic conditions and
environmental factors that could be tracked by the
Coordinated Network.
``(D) Improving translation of Coordinated Network
tracking results into effective prevention activities.
``(E) Improving the training of public health
workforce in environmental epidemiology.
``(F) Establishing links to the Coordinated Network
and the State Networks to identify associations that
warrant further study.
``(3) Requirements for centers of excellence.--To be
eligible to receive a grant under paragraph (1), a school or
program of public health shall provide assurances that the
school or program--
``(A) meets the minimum requirements as established
by the Secretary in consultation with the Director;
``(B) maintains privacy for public health
information if appropriate to the project; and
``(C) makes public information regarding the
findings and results of the programs.
``(4) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $5,000,000 for
each of fiscal years 2006 through 2010.
``(b) John H. Chafee Public Health Scholar Program.--
``(1) In general.--The Secretary shall award scholarships,
to be known as John H. Chafee Public Health Scholarships, to
eligible students who are enrolled in an accredited school of
public health or medicine. The Secretary shall determine both
the criteria and eligibility requirements for such
scholarships, after consultation with the Committee.
``(2) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $2,500,000 for
each of fiscal years 2006 through 2010.
``(c) Applied Epidemiology Fellowship Programs.--
``(1) In general.--Beginning in fiscal year 2006, the
Secretary, acting through the Director, shall enter into a
cooperative agreement with the Council of State and Territorial
Epidemiologists to train and place, in State and local health
departments, applied epidemiology fellows to enhance State and
local epidemiology capacity in the areas of environmental
health, chronic disease, and birth defects and development
disabilities.
``(2) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $2,500,000 for
fiscal year 2006, and such sums as may be necessary in each of
fiscal years 2007 through 2010.
``SEC. 2903. GENERAL PROVISIONS.
``(a) Internal Monitoring and Coordination Regarding CDC.--The
Secretary, acting through the Director, shall place primary
responsibility for the coordination of the programs established under
this title in the Office of the Director. The officers or employees of
the Centers for Disease Control and Prevention who are assigned
responsibility for monitoring and coordinating the activities carried
out under this title by the Director shall include officers or
employees within the Office of the Director.
``(b) Funding Through Appropriations Account for Public Health
Improvement.--All authorizations of appropriations established in this
title are authorizations exclusively for appropriations to the account
that, among appropriations accounts for the Centers for Disease Control
and Prevention, is designated `Public Health Improvement'.
``(c) Date Certain for Obligation of Appropriations.--With respect
to the process of receiving applications for and making awards of
grants, cooperative agreements, and contracts under this title, the
Secretary, acting through the Director, shall to the extent practicable
design the process to ensure that amounts appropriated under this title
for such awards for a fiscal year are obligated not later than the
beginning of the fourth quarter of the fiscal year, subject to
compliance with section 1512 of title 31, United States Code (relating
to deficiency or supplemental appropriations), and other applicable law
regarding appropriations accounting.
``(d) Coordination With Agency for Toxic Substances and Disease
Registry.--In carrying out this title, the Secretary, acting through
the Director, shall coordinate activities and responses with the Agency
for Toxic Substances and Disease Registry.
``(e) Coordination With Existing Pilot Projects Through CDC.--The
Secretary shall integrate the enactment of this title with all
environmental health tracking pilot projects funded prior to the date
of enactment of this title.
``SEC. 2904. EXPANSION OF BIOMONITORING CAPABILITIES AND DATA
COLLECTION.
``(a) In General.--The Secretary shall expand the scope and amount
of biomonitoring data collected by the Centers for Disease Control and
Prevention, including the collection of biomonitoring data through the
National Health and Nutrition Examination Survey, so that such
biomonitoring data will provide robust information, by census tract or
other political or administrative subdivision determined appropriate by
the Secretary, on a range of environmental exposures, including
prenatal exposures.
``(b) Increasing Regional Laboratory Capacity.--The Secretary,
acting through the Director of the Centers for Disease Control and
Prevention, shall enter into cooperative agreements with States, groups
of States, academic institutions, or consortia of academic institutions
to establish and operate at least 7 regional biomonitoring laboratories
to support the purposes of this title.
``(c) Geographical Distribution.--In entering into cooperative
agreements under this section, the Secretary shall provide for an
equitable geographical distribution of regional biomonitoring
laboratories.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $50,000,000 for fiscal year
2006, and such sums as may be necessary for each of fiscal years 2007
through 2010.''.
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