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1 any books, documents, papers, and records of the recipient

2 of any such grant which are pertinent thereto.

3

"(c) In carrying out their functions under this section,

4 the Secretary and the Comptroller General shall take such 5 steps as are reasonably necessary to protect the integrity of 6 the doctor-patient relationship and the confidentiality of in7 formation disclosed during the course thereof."

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9

10

COOPERATIVE SYSTEM OF HEALTH INFORMATION AND

STATISTICS

SEC. 3. (a) (1) Clause (1) of subsection (a) of section 11 305 of the Public Health Service Act is amended by striking 12 out "and" before "(E)", and by inserting after the semi13 colon at the end of such clause: "(F) health care resources; 14 (G) environmental and social health hazards; and (H) fam15 ily formation, growth, and dissolution;".

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(2) Such subsection is further amended by adding at the 17 end thereof the following new sentence: "No disclosure of

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any

information obtained in accordance with this paragraph may be used for any purpose other than the statistical pur

poses for which it was supplied except pursuant to regulations 21 of the Secretary; nor may any such information be published 22 if the particular establishment or person supplying it is iden23 tifiable except with the consent of such establishment or

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(b) Section 305 is further amended by redesignating

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1 subsections (b), (c), and (d) as subsections (c), (d), and 2 (e), respectively, and by adding after subsection (a) the 3 following new subsection:

4 "(b) The Secretary is authorized, directly or by con

tract, to undertake research, development, demonstration, and evaluation, relating to the design and implementation of a

cooperative system for producing comparable and uniform health information and statistics at the Federal, State, and local levels."

SEC. 4. (a) Section 314 of the Public Health Service Act is amended by striking out subsections (a), (b), (c),

(d), (e), and (g).

(b) Such Act is further amended by

(1) striking out "(f)" at the beginning of that subsection of section 314 and inserting in lieu thereof "SEC. 314.";

(2) by redesignating paragraphs (1) through (9) of that subsection, and references thereto, as subsections

(a) through (i), respectively, of section 314;

(3) by redesignating subparagraphs (A) through (D) in the paragraph herein redesignated as subsection

(c), and references thereto, as paragraphs (1) through (4), respectively;

(4) by redesignating clauses (i) through (iv) in the subparagraph herein redesignated as paragraph (3)

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14

of subsection (c), and references thereto, and as sub

paragraphs (A) through (D), respectively;

(5) by redesignating subparagraphs (A) and (B)

of the paragraph herein redesignated as subsection (g),

and references thereto, as paragraphs (1) and (2),

respectively;

(6) by redesignating clauses (I) and (II) of the subparagraph herein redesignated as subparagraph (D) of subsection (c) of section 314, and references thereto, as clauses (i) and (ii), respectively, of such subparagraph (D).

(c) Section 304 of such Act is repealed.

EFFECTIVE DATE

SEC. 5. The amendments and repeals effected by sections

15 2 and 4 shall apply with respect to allotments or grants 16 made from appropriations for any fiscal year beginning after

17

June 30, 1970 and contracts entered into after such date.

[H.R. 17570, H.R. 16425, H.R. 17670, and H.R. 17932, 91st Cong., 2d sess., introduced by Mr. Jarman on May 11, 1970; Mr. Madden on March 11, 1970; Mr. Kuykendall on May 18, 1970; and Mr. Hechler on June 4, 1970, respectively, are identical as follows:]

A BILL

To amend title IX of the Public Health Service Act so as to extend and improve the existing program relating to education, research, training, and demonstrations in the fields of heart disease, cancer, stroke, and other major diseases and conditions, and for other purposes.

1

Be it enacted by the Senate and IIouse of Representa2 tives of the United States of America in Congress assembled, 3 That this Act may be cited as the "Heart Disease, Cancer,

4 Stroke, and Kidney Disease Amendments of 1970".

5

SEC. 2. (a) Section 900 (a) of the Public Health Serv6 ice Act is amended

2

1

2

3

5

6

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8

(1) by inserting "and contracts" immediately after

"grants";

(2) by striking out "related demonstrations" and inserting in lieu thereof "demonstrations";

(3) by striking out "related diseases" and inserting

in lieu thereof "kidney disease, and other major diseases and conditions".

(b) Section 900 (b) of such Act is amended by striking 9 out "diagnosis and treatment" and inserting in lieu thereof 10 prevention, diagnosis, treatment, and rehabilitation”.

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2 2 2 2

(c) Section 900 of such Act is further amended by

(1) striking out "and" at the end of subsection (b) thereof;

(2) redesignating subsection (c) thereof as subsection (d); and

(3) inserting after subsection (b) thereof a new subsection (c) which reads as follows:

"(c) to promote and foster regional linkages among health care institutions and providers so as to strengthen and improve primary care and the relationship between specialized and primary care; and".

(d) Section 900 (d) of such Act (as redesignated by 23 subsection (c) (2) of this section) is amended by striking

24

out "the health manpower and facilities to the Nation" and inserting in lieu thereof "the quality and enhance the ca