fumigation, disinfection, sanitation, pest extermination, destruction of animals or articles found to be so infected or contaminated as to be sources of dangerous infection to human beings, and other measures, as in his judgment may be necessary.

(b) Regulations prescribed under this section shall not provide for the apprehension, detention, or conditional release of individuals except for the purpose of preventing the introduction, transmission, or spread of such communicable diseases as may be specified from time to time in Executive orders of the President upon the recommendation of the National Advisory Health Council and the Surgeon General

(c) Except as provided in subsection (d), regulations prescribed under this section, insofar as they provide for the apprehension, detention, examination, or conditional release of individuals, shall be applicable only to individuals coming into a State or possession from a foreign country or a possession.

(d) On recommendation of the National Advisory Health Council, regulations prescribed under this section may provide for the apprehension and examination of any individual reasonably believed to be infected with a communicable disease in a communicable stage and (1) to be moving or about to move from a State to another State; or (2) to be a probable source of infection to individuals who, while infected with such disease in a communicable stage, will be moving from a State to another State. Such regulations may provide that if upon examination any such individual is found to be infected, he may be detained for such time and in such manner as may be reasonably

necessary.

(e) (1) There are hereby authorized to be appropriated $60,000,000 for the fiscal year ending June 30, 1970, $75,000,000 for the fiscal year ending June 30, 1971, and $75,000,000 for the fiscal year ending June 30, 1972, to enable the Secretary to make grants to States and, with the approval of the State health authority, to political subdivisions or instrumentalities of the States under this subsection. In the award of such grants the Secretary, in accordance with appropriate regulations, shall give consideration to the relative extent of the communicable disease and vaccination problems and to the levels of performance in preventing and_controlling diseases for which assistance is available under this subsection. Such grants may be used to pay that portion of the cost of communicable disease control or vaccination programs which is reasonably attributable to (A) purchase of vaccines or other agents needed to protect those portions of the population determined to be important to the control or prevention of such diseases and (B) salaries and related expenses of additional State and local health personnel needed for planning, organizational, promotional, epidemiologic, and other activities in connection with such programs, including studies to determine the communicable disease control and immunization needs of communities and the means of best meeting such needs and personnel and related expenses needed to maintain additional epidemiologic and laboratory surveillance occasioned by such programs. (2) For the purposes of this subsection

(A) a "communicable disease control or vaccination program" means a program which is designed and conducted so as to contribute to a nationwide effort against tuberculosis, venereal disease, rubella, measles, poliomyelitis, diphtheria, tetanus, whooping cough, or Rh disease, or

S. Rept. 91-478

any other disease which the Secretary finds represents a major public health problem in terms of high mortality, morbidity, disability, or epidemic potential and to be susceptible of practical elimination as a public health problem through immunization with vaccines or other preventive agents which may become available in the future, and

(B) the term "State" includes the Commonwealth of Puerto Rico. Guam, American Samoa, the Trust Territory of the Pacific Islands, the Virgin Islands, and the District of Columbia

(3) Payments under this subsection may be made in advance on the basis of estimates or by way of reimbursement. with necessary adjustments on account of underpayments, or overpayments. in such installments and on such terms and conditions as the Secretary finds necessary to carry out the purposes of this subsection.

(4) The Secretary, at the request of a recipient of a grant under this subsection, may reduce the money grant to such recipient by the fair market value of any supplies (including vaccines and other preventive agents) or equipment furnished to such recipient and by the amount of the pay, allowances, traveling expenses, and any other costs in connection with the detail of an officer or employee to the recipient when the furnishing of such supplies or equipment, or of the detail of such officer or employee (as the case may be), is for the convenience of and at the request of such recipient and for the purpose of carrying out the program with respect to which the grant under this subsection is made. The amount by which any such grant is so reduced shall be available for payment by the Secretary of the costs incurred in furnishing the supplies, equipment, or personal services on which the reduction of such grant is based, but such amount shall be deemed a part of the grant to such recipient and shall, for the purposes of paragraph (3) of the subsection, be deemed to have been paid to such agency.

(5) Nothing in this subsection shall limit or otherwise restrict the use of funds which are granted to a State or to a political subdivision of a State under other provisions of this act or other Federal law and which are available for the conduct of communicable disease control or vaccination programs from being used in connection with programs assisted through grants under this subsection.

(6) Under this subsection, the Secretary shall be required to submit an annual report on performance in preventing and controlling diseases covered by this subsection.

(7) Nothing in this subsection shall be construed to require any State or any political subdivision or instrumentality of a State to have a communicable disease control or vaccination program which would require any person who objects to such treatment to be treated, or to have any child or ward of his treated.

о

S. Rept. 91-478

Mr. MONTOYA, from the Committee on Appropriations,
submitted the following

REPORT

[To accompany H.R. 13763]

The Committee on Appropriations, to which was referred the bill (H.R. 13763) making appropriations for the legislative branch for the fiscal year ending June 30, 1970, and for other purposes, reports the same to the Senate with various amendments and presents herewith information relative to the changes made.

Amount of bill as passed House_-_

Amount of increase by Senate committee___

Amount of bill as reported to Senate.

Amount of appropriations, 1969

Budget estimates, 1970, as amended__.

The bill as reported to the Senate:
Under the estimates for 1970-

Over the appropriations for 1969_

Includes $59,631,260 in Senate items not considered by House.

$284, 524, 057

59, 536, 760

1344, 060, 817

311, 742, 499

372, 152, 949

28,092, 132

32, 318, 318

S. Rept. 479, 91-1- -1

GENERAL STATEMENT

This appropriation bill provides the funding to support the operations and functions of the legislative branch of Government. Included in this bill are approprition recommendations for fiscal year 1970 for the Senate, the House of Representatives, the Architect of the Capitol, Botanic Garden, Library of Congress, Government Printing Office, and the General Accounting Office.

The committee recommends a total appropriation of $344, 060, 817 in the bill, which is $59,536,760 above the House allowance, $28,092,132 under the estimates, and $32,318,318 above the appropriations for fiscal year 1969.

As has been the custom, the bill as passed by the House did not contain items pertaining to the Senate, the Senate Office Buildings, and the Senate garage. Likewise, the Senate committee did not consider those items pertaining exclusively to the House of Representative, although they are included in the bill as reported to the Senate. Of the total recommendations to the Senate, $104,770,985 represents House items not considered by the Senate committee and $59,631,260 represents recommendations for the Senate, including the Senate Office Buildings and garage, items not included in the Housepassed bill. In summary, then, exclusive of these Senate items, the bill is $94,500 under the House bill.

As with all other appropriation bills for fiscal year 1970, the personnel compensation increases effective July 1, 1969, are not included in the amounts recommended. The additional funds necessary to meet these costs will be considered with similar requests from all other agencies in the supplemental appropriation bill next year. Therefore, although the rates of compensation for the Senate positions herein are stated at the July 1 rates, the appropriations are funded at the pre-July rates.

In addition, personnel appropriations throughout the bill are less than the full-year requirement in view of the delayed enactment of the bill for fiscal year 1970.

A comparative table showing, by line item, the appropriations for fiscal year 1969, the budget estimates for fiscal year 1970, the House allowances, and the amounts recommended by the Senate committee is printed at the conclusion of this report.

Listed below are the activities funded in this bill which, by the nature of their operations, result in reimbursements to the U.S. Treasury. These revenue-producing activities are explained in more detail under the appropriation heads hereafter.