Public Law 80–481

Title IV of such Act is further amended by inserting “Part A—National Cancer Institute” between the heading of such title IV and the heading of section 401, and by adding immediately after section 406 the following new part:

58 Stat. 708.

42 U. S. C. § 286.

“Part B— National Heart Institute

“establishment of institute

“Sec. 411.

There is hereby established in the Public Health Service a National Heart Institute (hereafter in this part referred to as the ‘Institute’).

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“heart disease research and training

“Sec. 412.

In carrying out the purposes of section 301 with respect

68 Stat. 691.

42 U. S. C. § 241.

Post, pp. 467, 468, 601, 1017.

to heart diseases the Surgeon General, through the Institute and in cooperation with the National Advisory Heart Council (hereinafter in this part referred to as the ‘Council’), shall—

“(a)“(a)

conduct, assist, and foster researches, investigations,

Fostering of researches, etc.

experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of heart diseases;

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“(b)“(b)

promote the coordination of research and control

Coordination of programs.

programs conducted by the Institute, and similar programs conducted by other agencies, organizations, and individuals;

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“(c)“(c)

make available research facilities of the Service to appropriate public authorities, and to health officials and scientists engaged in special studies related to the purposes of this part;

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“(d)“(d)

make grants-in-aid to universities, hospitals, laboratories,

Grants-in-aid.

and other public or private agencies and institutions, and to individuals for such research projects relating to heart diseases as are recommended by the Council, including grants to such agencies and institutions for the construction, acquisition, leasing, equipment, and maintenance of such hospital, clinic, laboratory, and related facilities, and for the care of such patients therein, as are necessary for such research;

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“(e)“(e)

establish an information center on research, prevention,

Information center.

diagnosis, and treatment of heart diseases, and collect and make available, through publications and other appropriate means, information as to, and the practical application of, research and other activities carried on pursuant to this part;

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“(f)“(f)

secure from time to time, and for such periods as he deems

Assistance of heart experts.

advisable, the assistance and advice of persons from the United States or abroad who are experts in the field of heart diseases;

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“(g)“(g)

in accordance with regulations and from funds appropriated

Research fellowships.

or donated for the purpose (1) establish and maintain research fellowships in the Institute and elsewhere with such stipends and allowances (including travel and subsistence expenses) as he may deem necessary to train research workers and procure the assistance of the most brilliant and promising research fellows from the United States and abroad, and, in addition, provide for such fellowships through grants, upon recommendation of the Council, to public and other nonprofit institutions; and (2) provide training and instruction and establish

Traineeships.

and maintain traineeships, in the Institute and elsewhere in matters relating to the diagnosis, prevention, and treatment of heart diseases with such stipends and allowances (including travel and subsistence expenses) for trainees as he may deem necessary, the number of persons receiving such training and instruction, and the number of persons holding such traineeships, to be fixed by the Council, and, in addition, provide for such training, instruction, and traineeships through grants, upon recommendation of the Council, to public and other nonprofit institutions.

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“administration

“Sec. 413.

(a)(a)

In carrying out the provisions of section 412 all

58 Stat. 691.

42 U. S. C. § 241.

Post, pp. 467, 468, 601, 1017.

appropriate provisions of section 301 shall be applicable to the authority of the Surgeon General, and grants-in-aid for heart disease research and training projects shall be made only after review and recommendation of the Council made pursuant to section 414.

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“(b) Acceptance of conditional gifts.68 Stat. 709.42 U. S. C. § 219.

The Surgeon General shall recommend to the Administrator acceptance of conditional gifts, pursuant to section 501, for study, investigation, or research into the cause, prevention, or methods or diagnosis or treatment of heart diseases, or for the acquisition of grounds or for the erection, equipment, or maintenance of premises, buildings, or equipment of the Institute. Donations of $50,000 or over for carrying out the purposes of this part may be acknowledged by the establishment within the Institute of suitable memorials to the donors.

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“functions of the council

“Sec. 414.

The Council is authorized to—

“(a) Review of research projects.

review research projects or programs submitted to or initiated by it relating to the study of the cause, prevention, or methods of diagnosis or treatment of heart diseases, and certify approval to the Surgeon General, for prosecution under section 412, any such projects which it believes show promise of making valuable contributions to human knowledge with respect to the cause, prevention, or methods of diagnosis or treatment of heart diseases;

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“(b) Review of applications for grants-in-aid.

review applications from any university, hospital, laboratory, or other institution or agency, whether public or private, or from individuals, for grants-in-aid for research projects relating to heart diseases, and certify to the Surgeon General its approval of grants-in-aid in the cases of such projects which show promise of making valuable contributions to human knowledge with respect to the cause, prevention, or methods of diagnosis or treatment of heart disease;

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“(c)“(c)

review applications from any public or other nonprofit institution for grants-in-aid for training, instruction, and traineeships in matters relating to the diagnosis, prevention, and treatment of heart diseases, and certify to the Surgeon General its approval of such applications for grants-in-aid as it determines will best carry out the purposes of this Act;

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“(d) Collection and dissemination of information.

collect information as to studies which are being carried on in the United States or any other country as to the cause, prevention, or methods of diagnosis or treatment of heart diseases, by correspondence or by personal investigation of such studies, and with the approval of the Surgeon General make available such information through appropriate publications for the benefit of health and welfare agencies and organizations (public or private), physicians, or any other scientists, and for the information of the general public;

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“(e)“(e)

recommend to the Surgeon General for acceptance conditional

Recommendations.

58 Stat. 709.

42 U. S. C. § 219.

gifts pursuant to section 501 for carrying out the purposes of this part; and

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“(f)“(f)

advise, consult with, and make recommendations to the Surgeon General with respect to carrying out the provisions of this part.

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“other authority with respect to heart diseases

“Sec. 415.

This part shall not be construed as superseding or limiting (a) the functions or authority of the Surgeon General or the Service, or of any other officer or agency of the United States, relating to the study of the causes, prevention, or methods of diagnosis or treatment of heart diseases; or (b) the expedinture of money therefor.”

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Section 217 of such Act is amended by adding at the

68 Stat. 691.

42 U. S. C. § 218.

Post, p. 600.

end thereof the following new subsection:

“(f)“(f)

The National Advisory Heart Council shall consist of the

Members.

Surgeon General or his representative, the chief medical officer of the Veterans’ Administration or his representative, the Surgeon General of the Army or his representative, the Surgeon General of the Navy or his representative, who shall be ex officio members, and twelve members appointed without regard to the civil-service laws by the Surgeon General with the approval of the Administrator. The twelve appointed members shall be leaders in the fields of fundamental sciences, medical sciences, education, or public affairs, and six of such twelve shall be selected from leading medical or scientific authorities who are outstanding in the study, diagnosis, or treatment of heart diseases. Each

Term of office.

appointed member of the Council shall hold office for a term of four years, except that any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term, and except that, of the members first appointed, three shall hold office for a term of three years, three shall hold office for a term of two years, and three shall hold office for a term of one year, as designated by the Surgeon General at the time of appointment. None of such twelve members shall be eligible for reappointment until a year has elapsed since the end of his preceding term. Every two years the Council shall elect one member to act as Chairman for the succeeding two-year period.”

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58 Stat. 691.

42 U. S. C. § 218 (b).

Post, p. 600.

Subsection (b) of section 217 of such Act is amended to read as follows:

“(b)“(b)

The National Advisory Health Council shall advise, consult with, and make recommendations to the Surgeon General on matters relating to health activities and functions of the Service. The Surgeon General is authorized

National Advisory Health Council.

to utilize the services of any member or members of the Council and, where appropriate, any member or members of the National Advisory Cancer Council, the National Advisory Mental Health Council, or the National Advisory Heart Council, in connection with matters related to the work of the Service, for such periods, in addition to conference periods, as he may determine.”

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The heading of section 217 of such Act is amended to read as

Post, p. 600.

follows: “national advisory health, cancer, heart, and mental health councils”.

subsection (e) of section 208 of such Act is amended to read

58 Stat. 686.

42 U.S. C. § 210(e).

Ante, p. 40; post, p. 601.

Compensation of members.

as follows:

“(e)“(e)

Members of the National Advisory Health Council, members of the National Advisory Mental Health Council, members of the National Advisory Cancer Council, and members of the National Advisory Heart Council other than ex officio members, while attending conferences or meetings of their respective Councils or while otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Administrator, but not exceeding $50 per diem, and shall also be entitled to receive an allowance for actual and necessary traveling and subsistence expenses while so serving away from their places of residence.”

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Paragraph (d) of section 301 of such Act is amended to read

58 Stat. 691.

42 U. S. C. § 241(d).

Post, pp. 601, 1017.

Grants-in-aid to institutions and Individuals.

as follows:

“(d)“(d)

Make grants-in-aid to universities, hospitals, laboratories, and other public or private institutions, and to individuals for such research projects as are recommended by the Natonal Advisory Health Council, or, with respect to cancer, recommended by the National Advisory Cancer Council, or, with respect to mental health, recommended by the National Advisory Mental Health Council, or, with respect to heart diseases, recommended by the National Advisory Heart Council;”.

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Section 314 of such Act is amended by redesignating subsections (e) to (j), inclusive, as subsections (f), (g), (h), (i), (j), and (k), respectively, and by inserting after subsection (d) the following new subsection:

“(e) Organized community programs.Ants, p. 465.

To enable the Surgeon General to carry out the purposes of part B of title IV and to assist, through grants, States, counties, health districts, and other political subdivisions of the State, and public and nonprofit agencies, institutions, and other organizations, in establishing and maintaining organized community programs of heart disease control, including grants for demonstrations and the training of personnel, there is hereby authorized to be appropriated for each fiscal

Determination of State allotments.

year such sums as may be necessary for such purposes. For each fiscal year, the Surgeon General, with the approval of the Administrator, shall determine the total sum from the appropriation under this subsection which shall be available for allotment among the several States, and shall, in accordance with regulations, from time to time make allotments from such sum to the several States on the basis of (1) the population and (2) the financial need of the respective States. Upon making such allotments the Surgeon General shall notify the Secretary of the Treasury of the amounts thereof.”

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The subsection of such section 314 herein redesignated as subsection

58 Stat. 604.

42 U. S. C. § 246(g).

Ante, p. 468.

Local contributions.

(h) is amended to read as follows:

“(h)“(h)

Money so paid from allotments under subsections (a), (b), (c), and (e), shall be paid upon the condition that there shall be spent in such State for the same general purpose from funds of such State and its political subdivisions (or in the case of payments to a political subdivision or to an agency, institution or other organization under circumstances specified in subsection (f) (1), from funds of such political subdivision or organization), an amount determined in accordance with regulations.”

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The subsection of such section 314 herein redesignated as subsection

58 Stat. 605.

42 U.S. C. § 246 (h).

Ante, p. 468.

Failure to comply with requirements.

(i) is amended to read as follows:

“(i)“(i)

Whenever the Surgeon General, after reasonable notice and opportunity for hearing to the health authority or, where appropriate, the mental health authority of the State (or, in the case of payments to any political subdivision or any agency, institution, or other organization under the circumstances specified in subsection (f) (1), such subdivision or organization) finds that, with respect to money paid to the State, subdivision, or organization out of appropriations under subsection (a), or subsection (b), or subsection (c), or subsection (e), as the case may be, there is a failure to comply substantially with either—

“(1)“(1)

the provisions of this section;

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“(2)“(2)

the plan submitted under subsection (g); or

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“(3)“(3)

the regulations;

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the Surgeon General shall notify such State health authority or mental health authority, political subdivision, or organization that further payments will not be made to the State subdivision, or organization from appropriations under such subsection (or in his discretion that further payments will not be made to the State, subdivision, or organization from such appropriations for activities in which there is such failure), until he is satisfied that there will no longer be any such failure. Until he is so satisfied the Surgeon General shall make no further certification for payment to such State, subdivision, or organization from appropriations under such subsection, or shall limit payment to activities in which there is no such failure.”

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Section 2 of the Public Health Service Act, as amended, is amended

60 Stat. 421.

42 U. S. C. § 201 (1), (m).

Post, p. 601.

by striking out the word “and” at the end of paragraph (1), by striking out the period at the end of paragraph (m) and inserting in lieu thereof “; and”, and by inserting after paragraph (m) the following new paragraph:

“(n)“(n)

The term ‘heart diseases’ means diseases of the heart and

“Heart diseases.”

circulation.”

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The term “National Institute of Health”, wherever appearing

“National Institute of Health.”

in the Public Health Service Act, is hereby changed to “National Institutes of Health”.

The word “title”, wherever appearing in sections 403, 404, and

58 Stat. 707, 708.

42 U. S. C. §§283, 284, 286.

406 of the Public Health Service Act, is hereby changed to “part”.