[House Report 108-13]
[From the U.S. Government Publishing Office]
108th Congress Report
HOUSE OF REPRESENTATIVES
1st Session 108-13
======================================================================
AUTOMATIC DEFIBRILLATION IN ADAM'S MEMORY ACT
_______
February 13, 2003.--Committed to the Committee of the Whole House on
the State of the Union and ordered to be printed
_______
Mr. Tauzin, from the Committee on Energy and Commerce, submitted the
following
R E P O R T
[To accompany H.R. 389]
[Including cost estimate of the Congressional Budget Office]
The Committee on Energy and Commerce, to whom was referred
the bill (H.R. 389) to authorize the use of certain grant funds
to establish an information clearinghouse that provides
information to increase public access to defibrillation in
schools, having considered the same, report favorably thereon
without amendment and recommend that the bill do pass.
CONTENTS
Page
Purpose and Summary.............................................. 1
Background and Need for Legislation.............................. 2
Hearings......................................................... 2
Committee Consideration.......................................... 2
Committee Votes.................................................. 2
Committee Oversight Findings..................................... 2
Statement of General Performance Goals and Objectives............ 2
New Budget Authority, Entitlement Authority, and Tax Expenditures 2
Committee Cost Estimate.......................................... 3
Congressional Budget Office Estimate............................. 3
Federal Mandates Statement....................................... 4
Advisory Committee Statement..................................... 4
Constitutional Authority Statement............................... 4
Applicability to Legislative Branch.............................. 4
Section-by-Section Analysis of the Legislation................... 4
Changes in Existing Law Made by the Bill, as Reported............ 4
Purpose and Summary
H.R. 389 authorizes state public access defibrillation
grants to be used to establish information clearinghouses to
increase public access to defibrillation in schools.
Background and Need for Legislation
Automatic external defibrillators (AEDs) are widely used by
emergency personnel and health professionals to assist
individuals suffering from sudden cardiac arrest. The use of
AEDs has proven effective to save lives when following the
``chain of survival plan'' developed by the American Heart
Association, which includes an immediate call to 911, early CPR
and defibrillation, and early advanced life support.
The Public Health Security and Bioterrorism Response Act
(107-188) included a provision that authorizes the Secretary of
the Department of Health and Human Services to award grants to
states, political subdivisions of states, Indian tribes, and
tribal organizations to develop and implement public access
defibrillation programs. Because many schools also serve as
community meeting places, several communities are considering
placing AEDs in schools. In order to assist schools interested
in installing AEDs, H.R. 389 clarifies that the public access
defibrillation program grant dollars authorized by P.L. 107-188
may also be used to establish information clearinghouses to
assist in those efforts.
Hearings
The Committee on Energy and Commerce has not held hearings
on the legislation.
Committee Consideration
On Wednesday, January 29, 2003, the Full Committee on
Energy and Commerce met in open markup session and ordered H.R.
389 favorably reported to the House, without amendment, by a
voice vote, a quorum being present.
Committee Votes
There were no record votes taken in connection with
ordering H.R. 389 reported. A motion by Mr. Tauzin to order
H.R. 389 reported to the House, without amendment, was agreed
to by a voice vote.
Committee Oversight Findings
Pursuant to clause 3(c)(1) of rule XIII of the Rules of the
House of Representatives, the Committee has not held oversight
or legislative hearings on this legislation.
Statement of General Performance Goals and Objectives
The goal of H.R. 389 is to permit states to use public
access defibrillation grants to establish information
clearinghouses to increase public access to defibrillation in
schools.
New Budget Authority, Entitlement Authority, and Tax Expenditures
In compliance with clause 3(c)(2) of rule XIII of the Rules
of the House of Representatives, the Committee finds that H.R.
389, the Automatic Defibrillation in Adam's Memory Act, would
result in no new or increased budget authority, entitlement
authority, or tax expenditures or revenues.
Committee Cost Estimate
The Committee adopts as its own the cost estimate prepared
by the Director of the Congressional Budget Office pursuant to
section 402 of the Congressional Budget Act of 1974.
Congressional Budget Office Estimate
Pursuant to clause 3(c)(3) of rule XIII of the Rules of the
House of Representatives, the following is the cost estimate
provided by the Congressional Budget Office pursuant to section
402 of the Congressional Budget Act of 1974:
U.S. Congress,
Congressional Budget Office,
Washington, DC, February 11, 2003.
Hon. W. J. ``Billy'' Tauzin,
Chairman, Committee on Energy and Commerce,
House of Representatives, Washington, DC.
Dear Mr. Chairman: The Congressional Budget Office has
prepared the enclosed cost estimate for H.R. 389, the Automatic
Defibrillation in Adam's Memory Act.
If you wish further details on this estimate, we will be
pleased to provide them. The CBO staff contact is Alexis
Ahlstrom.
Sincerely,
Douglas Holtz-Eakin,
Director.
Enclosure.
H.R. 389--Automatic Defibrillation in Adam's Memory Act
H.R. 389 would amend the Public Health Service Act to allow
funds appropriated under section 312 to be spent to establish
an information clearinghouse to increase access to
defibrillation in schools. Under current law, section 312
authorizes the appropriation of $25 million in 2003 and such
sums as may be necessary from 2004 through 2006 for grants to
states and tribal organizations to develop and implement public
access defibrillation programs. H.R. 389 would create an
additional use of the grant money authorized under section 312,
but it would not increase the authorization level for grants
under that section. Therefore, CBO estimates that the bill
would not affect discretionary spending. Enacting H.R. 389 also
would not affect direct spending or receipts.
This legislation contains no intergovernmental or private-
sector mandates as defined in the Unfunded Mandates Reform Act
and would impose no costs on state, local, or tribal
governments.
The CBO staff contact for this estimate is Alexis Ahlstrom.
This estimate was approved by Peter H. Fontaine, Deputy
Assistant Director for Budget Analysis.
Federal Mandates Statement
The Committee adopts as its own the estimate of Federal
mandates prepared by the Director of the Congressional Budget
Office pursuant to section 423 of the Unfunded Mandates Reform
Act.
Advisory Committee Statement
No advisory committees within the meaning of section 5(b)
of the Federal Advisory Committee Act were created by this
legislation.
Constitutional Authority Statement
Pursuant to clause 3(d)(1) of Rule XIII of the Rules of the
House of Representatives, the Committee finds that the
Constitutional authority for this legislation is provided in
Article I, section 8, clause 3, which grants Congress the power
to regulate commerce with foreign nations, among the several
States, and with the Indian tribes.
Applicability to Legislative Branch
The Committee finds that the legislation does not relate to
the terms and conditions of employment or access to public
services or accommodations within the meaning of section
102(b)(3) of the Congressional Accountability Act.
Section-by-Section Analysis of the Legislation
Section 1. Short title
Section 1 establishes the short title as the ``Automatic
Defibrillation in Adam's Memory Act.''
Section 2. Amendment to the Public Health Service Act
Section 2 clarifies that public access defibrillation
grants to states authorized by the Public Health Security and
Bioterrorism Response Act (P.L. 107-188) may be used to
establish information clearinghouses to increase public access
to defibrillation in schools.
Changes in Existing Law Made by the Bill, as Reported
In compliance with clause 3(e) of rule XIII of the Rules of
the House of Representatives, changes in existing law made by
the bill, as reported, are shown as follows (existing law
proposed to be omitted is enclosed in black brackets, new
matter is printed in italic, existing law in which no change is
proposed is shown in roman):
SECTION 312 OF THE PUBLIC HEALTH SERVICE ACT
SEC. 312. PUBLIC ACCESS DEFIBRILLATION PROGRAMS.
(a) * * *
* * * * * * *
(c) Use of Funds.--A State, political subdivision of a State,
Indian tribe, or tribal organization that receives a grant
under subsection (a) may use funds received through such grant
to--
(1) * * *
* * * * * * *
(5) produce materials to encourage private companies,
including small businesses, to purchase automated
external defibrillators; [and]
(6) establish an information clearinghouse that
provides information to increase public access to
defibrillation in schools; and
[(6)] (7) further develop strategies to improve
access to automated external defibrillators in public
places.
* * * * * * *