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19876

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(1) DECLARATION OF AIDS AS A NATIONAL PUBLIC HEALTH EMERGENCY

(a) Directs the Secretary of Health and Human Services to declare AIDS a public health emergency, and increases authorization for the Public Health Emergency Fund from $30 million to $60 million.

(b) Requires the Secretary to prepare an annual report on DHHS AIDS activities and expenditures.

(c) Creates a dedicated AIDS treatment rapid evaluation facility at the Clinical Center of the National Institutes of Health.

(d) Provides for the hiring of up to 690 additional employees at CDC, NIH, and FDA to expand and expedite AIDS prevention and research efforts. Authorizes $100 million for FY88 for the clinical unit and the additional employees.

(e) Reduces time period for review and award of Federal research and prevention grants and contracts.

(f) Expedites "AIDS priority" requests for personnel and facili

ties.

(g) Provides for technical assistance to State and local governments and public and nonprofit private entities carrying out AIDS activities.

(h) Provides for an inquiry into the usefulness of creating consortia of businesses and institutions researching AIDS vaccines and drugs.

(i) Provides for an emergency information program directed at health and public safety workers.

(2) INTERNATIONAL EFFORTS

(a) Authorizes grants and technical assistance for international efforts to prevent and cure AIDS.

(b) Creates an International AIDS Research Data Bank at the National Library of Medicine.

(c) Authorizes $50 million for FY88 for these activities.

(3) NATIONAL INFORMATION PROGRAM

(a) Provides for the annual preparation of a comprehensive plan for a National AIDS Information Program.

(b) Creates a national information clearinghouse at CDC with development of model educational materials and methods.

(c) Provides support to national organizations for educational program development and to local government and community organizations for model prevention efforts.

(d) Provides support to public and private entities for public service announcements and paid advertising messages on AIDS.

(e) Expands AIDS information hotlines for the public and creates dedicated hotline for health workers.

(f) Authorizes $115 million for FY88 for the these activities.

(4) STATE INFORMATION AND PREVENTION PROGRAMS

(a) Channels funds directly to States for information and prevention programs for high-risk groups, health and safety professionals, and the general public. Requires pass through of funds to local governments and community organizations in high incidence areas.

UNIVERSITY

RARIES

Funds will be allotted to the States based on population and on the number of AIDS cases.

(b) Provides for training and technical assistance to States for planning, developing, and operating these programs.

(c) Requires the States to submit an annual report on activities conducted with these funds.

(d) Outlines auditing and accountability responsibilities of the States in the use of their allotments, and provides for evaluations of services and activities.

(e) Establishes criminal penalties for false statements in connection with payments from the allotments.

(f) Authorizes $150 million for FY88 for these activities.

(5) FELLOWSHIPS AND TRAINING

(a) Establishes special training programs for health professionals through CDC for epidemiology, surveillance, testing, and counseling, education, information, laboratory analysis, and risk reduction activities.

(b) Authorizes $4 million for FY88 for continuing medical education on AIDS through national organizations representing health care workers.

(c) Authorizes $11 million for FY88 for training for faculty at schools for health professionals. These awards will emphasize training and curriculum development in the care and treatment of people with AIDS, especially for minority AIDS patients and minority health professionals.

(6) STATE SERVICE PROGRAMS FOR CARE AND TREATMENT

(a) Provides funds to States to pay for home health care including case management, coordination and referral, respite and day care, outpatient mental health, and drug abuse treatment services. Priority is to be given to activities serving minorities and populations at high risk of contracting AIDS.

(b) Directs the States to establish a State AIDS Council to monitor, review, and evaluate services for AIDS patients.

(c) Provides for training and technical assistance to States for planning, developing, and operating these programs.

(d) Outlines auditing and accountability responsibilities of the States in the use of their allotments, and provides for evaluations of services and activities.

(e) Establishes criminal penalties for false statements in connection with payments from the allotments.

(f) Authorizes $100 million for FY88 for these activities.

(7) NATIONAL RESEARCH PROGRAM ON AIDS

(a) Establishes the National Research Program on AIDS in the National Institute of Allergy and Infectious Diseases (NIAID). The Program expands and accelerates efforts to find a vaccine and cure by coordinating basic and clinical research on AIDS and through demonstration, education, and other programs for health professionals. Provides for projects to promote cooperation between Federal, State, local, and private agencies in research on the diagnosis, prevention, and treatment of AIDS.

(b) Provides special authorities to combat AIDS to the Director of NIAID equivalent to those of the National Cancer Institute Director. These include authorities concering funding allocation, clinical trials, drug development, foreign research support, training programs, industrial research, facilities operation, and contracting authority.

(c) Creates an AIDS Advisory Board of seven members, including four scientists and three members of the general public. Its duties are to evaluate and make recommendations on the implementation of the Program, and to maintain liaison with other advisory bodies to Federal agencies involved with AIDS. The Advisory Board will terminate on September 30, 1992.

(d) Provides support for national AIDS research centers to carry on research, clinical training, continuing education, and public information programs.

(e) Provides for the position of an Associate Director for Prevention to coordinate and promote the Institute's programs for the prevention of infectious diseases, including AIDS.

(f) Provides for a virus and serum bank in which all human immuno-deficiency virus serotypes and serum are available to qualified investigators and organizations.

(g) Provides for National Research Service Awards for the training of individuals to participate in national research efforts on AIDS.

(h) Expands National Institute on Drug Abuse research and demonstration programs to reduce transmission of infection among intravenous drug users. Sets aside $25 million for such projects beginning with FY88.

II. BACKGROUND AND NEED FOR LEGISLATION

Acquired Immunodeficiency Syndrome (AIDS) is considered by many medical experts to be the gravest public health threat of this century. As of July 6, 1987, an estimated 38,160 Americans have been identified as having AIDS, and 21,915 of these individuals are known to have died of complications associated with this new disease. The actual number of AIDS cases in the U.S. is higher, perhaps much higher, than the official CDC statistics. CDC estimates that 20% of AIDS cases are not being reported. In addition, not all cases reported to CDC meet its strict definition of AIDS, and therefore are not counted in CDC AIDS statistics.

The Public Health Service (PHS) predicts that by the end of 1991, the total number of AIDS cases in this country will reach 270,000, and the cumulative number of deaths is projected at 179,000. By 1991, AIDS will be one of the top 10 causes of death in the U.S. CDC estimates that between 1 and 1.5 million Americans are infected with the virus that causes AIDS. Officials believe that in 1991 this figure may be as high as 5 million. The risk of developing this generally fatal disease increases with each year that passes following infection. It is thought that at least 30 to 50 percent of those exposed to the virus will develop AIDS within 5 to 10 years. However, a study by West German scientists indicated that 75 percent of infected individuals will die of AIDS within 7 years.