Title 42 — The Public Health and Welfare
Chapter 6A — Public Health Service
§ 300u. General authority of Secretary
Statutory text
Development, support, and implementation of programs, activities, etc.
The Secretary shall—
formulate national goals, and a strategy to achieve such goals, with respect to health information and health promotion, preventive health services, and education in the appropriate use of health care;
analyze the necessary and available resources for implementing the goals and strategy formulated pursuant to paragraph (1), and recommend appropriate educational and quality assurance policies for the needed manpower resources identified by such analysis;
undertake and support necessary activities and programs to—
incorporate appropriate health education components into our society, especially into all aspects of education and health care,
increase the application and use of health knowledge, skills, and practices by the general population in its patterns of daily living, and
establish systematic processes for the exploration, development, demonstration, and evaluation of innovative health promotion concepts;
undertake and support research and demonstrations respecting health information and health promotion, preventive health services, and education in the appropriate use of health care;
undertake and support appropriate training in, and undertake and support appropriate training in the operation of programs concerned with, health information and health promotion, preventive health services, and education in the appropriate use of health care;
undertake and support, through improved planning and implementation of tested models and evaluation of results, effective and efficient programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care;
develop model programs through which employers in the public sector, and employers that are small businesses (as defined in section 632 of title 15), can provide for their employees a program to promote healthy behaviors and to discourage participation in unhealthy behaviors;
provide technical assistance to public and private employers in implementing such programs (including private employers that are not small businesses and that will implement programs other than the programs developed by the Secretary pursuant to subparagraph (A)); and
in providing such technical assistance, give preference to small businesses;
foster the exchange of information respecting, and foster cooperation in the conduct of, research, demonstration, and training programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care;
provide technical assistance in the programs referred to in paragraph (8);
use such other authorities for programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care as are available and coordinate such use with programs conducted under this subchapter; and
establish in the Office of the Assistant Secretary for Health an Office of Disease Prevention and Health Promotion, which shall—
coordinate all activities within the Department which relate to disease prevention, health promotion, preventive health services, and health information and education with respect to the appropriate use of health care;
coordinate such activities with similar activities in the private sector;
establish a national information clearinghouse to facilitate the exchange of information concerning matters relating to health information and health promotion, preventive health services (which may include information concerning models and standards for insurance coverage of such services), and education in the appropriate use of health care, to facilitate access to such information, and to assist in the analysis of issues and problems relating to such matters; and
support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, and physical fitness and sports medicine.
The Secretary shall appoint a Director for the Office of Disease Prevention and Health Promotion established pursuant to paragraph (11) of this subsection. The Secretary shall administer this subchapter in cooperation with health care providers, educators, voluntary organizations, businesses, and State and local health agencies in order to encourage the dissemination of health information and health promotion activities.
Authorization of appropriations
For the purpose of carrying out this section and sections 300u–1 through 300u–4 of this title, there are authorized to be appropriated $10,000,000 for fiscal year 1992, and such sums as may be necessary for each of the fiscal years 1993 through 2002.
Application; submission and approval as prerequisite; form and content
No grant may be made or contract entered into under this subchapter unless an application therefor has been submitted to and approved by the Secretary. Such an application shall be submitted in such form and manner and contain such information as the Secretary may prescribe. Contracts may be entered into under this subchapter without regard to section 3324(a) and (b) of title 31 and section 6101 of title 41.
Legislative history
Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.
National Consumer Health Information and Health Promotion Act of 1976
Pub. L. 94–317 title I § 102 · 90 Stat. 695
Enacted · 42 U.S.C. § 300u
July 1, 1944, ch. 373, title XVII, § 1701, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 695
Source evidence
Code source credit
July 1, 1944, ch. 373, title XVII, § 1701, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 695Enacted provision · exact public law section
Sec. 102. amendment to public health service act The Public Health Service Act is amended by adding at the end thereof the following new title: “TITLE XVII— HEALTH INFORMATION AND HEALTH PROMOTION “Sec. 1701. “general authority (a) The Secretary shall— 42 USC 300u. “(1) formulate national goals, and a strategy to achieve such goals, with respect to health information and health promotion, preventive health services, and education in the appropriate use of health care; “(2) analyze the necessary and available resources for implementing the goals and strategy formulated pursuant to paragraph (1), and recommend appropriate educational and quality assurance policies for the needed manpower resources identified by such analysis; “(3) undertake and support necessary activities and programs to— “(A) incorporate appropriate health education components into our society, especially into all aspects of education and healthcare, “(B) increase the application and use of health knowledge, skills, and practices by the general population in its patterns of daily living, and “(C) establish systematic processes for the exploration, development, demonstration, and evaluation of innovative health promotion concepts; “(4) undertake and support research and demonstrations respecting health information and health promotion, preventive health services, and education in the appropriate use of health care; “(5) undertake and support appropriate training in, and undertake and support, appropriate training in the operation of programs concerned with, health information and health promotion, preventive health services, and education in the appropriate use of health care; “(6) undertake and support, through improved planning and implementation of tested models and evaluation of results, effective and efficient programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care; “(7) foster the exchange of information respecting, and foster cooperation in the conduct of, research, demonstration, and training programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care; “(8) provide technical assistance in the programs referred to in paragraph (7); and “(9) use such other authorities for programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care as are available and coordinate such use with programs conducted under this title. Administration. 42 USC 300k–2. The Secretary shall administer this title in a manner consistent with the national health priorities set forth in section 1502 and with health planning and resource development activities undertaken under titles 42 USC 300k–1, 300o. Appropriation authorization. XV and XVI. “(b) For payments under grants and contracts under this title there are authorized to be appropriated $7,000,000 for the fiscal year ending September 30, 1977, $10,000,000 for the fiscal year ending September 30, 1978, and $14,000,000 for the fiscal year ending September 30, 1979. “(c) No grunt may be made or contract entered into under this title unless an application therefor has been submitted to and approved by the Secretary. Such an application shall be submitted in such form and manner and contain such information as the Secretary may prescribe. Contracts may be entered into under this title without regard to sections 3648 and 3709 of the Revised Statutes (31 U.S.C. 529; 41 U.S.C. 5). “Sec. 1702. “research programs (a) The Secretary is authorized to conduct and support by grant or contract (and encourage others to support) research in health information and health promotion, preventive health services, and education in the appropriate use of health care. Applications for grants and contracts under this section shall be subject to appropriate peer review. The Secretary shall also— “(1) provide consultation and technical assistance to persons who need help in preparing research proposals or in actually conducting research; “(2) determine the best methods of disseminating information concerning personal health behavior, preventive health services and the appropriate use of health care and of affecting behavior so that such information is applied to maintain and improve health, and prevent disease, reduce its risk, or modify its course or severity; “(3) determine and study environmental, occupational, social, and behavioral factors winch affect and determine health and ascertain those programs and areas for which educational and preventive measures could be implemented to improve health as it is affected by such factors; “(4) develop (A) methods by which the cost and effectiveness of activities respecting health information and health promotion, preventive health services, and education in the appropriate use of health care, can be measured, including methods for evaluating the effectiveness of various settings for such activities and the various types of persons engaged in such activities, (B) methods for reimbursement or payment for such activities, and (C) models and standards for the conduct of such activities, including models and standards for the education, by providers of institutional health services, of individuals receiving such services respecting the nature of the institutional health services provided the individuals and the symptoms, signs, or diagnoses which led to provision of such services; “(5) develop a method for assessing the cost and effectiveness of specific medical services and procedures under various conditions of use, including the assessment of the sensitivity and specificity of screening and diagnostic procedures; and “(6) enumerate and assess, using methods developed under paragraph (5), preventive health measures and services with respect to their cost and effectiveness under various conditions of use. “(b) The Secretary shall make a periodic survey of the needs, Survey. interest, attitudes, knowledge, and behavior of the American public regarding health and health care. The Secretary shall take into consideration the findings of such surveys and the findings of similar surveys conducted by national and community health education organizations, and other organizations and agencies for formulating policy respecting health information and health promotion, preventive health services, and education in the appropriate use of health care. “Sec. 1703. “community programs (a) The Secretary is authorized to conduct and support 42 USC 300u–2. by grant or contract (and encourage others to support) new and innovative programs in health information and health promotion, preventive health services, and education in the appropriate use of health care, and may specifically— “(1) support demonstration and training programs in such matters which programs (A) are in hospitals, ambulatory care settings, home care settings, schools, day care programs for children, and other appropriate settings representative of broad cross sections of the population, and include public education activities of voluntary health agencies, professional medical societies, and other private nonprofit health organizations, (B) focus on objectives that are measurable, and (C) emphasize the prevention or moderation of illness or accidents that appear controllable through individual knowledge and behavior; “(2) provide consultation and technical assistance to organizations that request help in planning, operating, or evaluating programs in such matters; “(3) develop health information and health promotion materials and teaching programs including (A) model curriculums for the training of educational and health professionals and para professionals in health education by medical, dental, and nursing schools, schools of public health, and other institutions engaged in training of educational or health professionals, (B) model curriculums to be used in elementary and secondary schools and institutions of higher learning, (C) materials and programs for the continuing education of health professionals and paraprofessionals in the health education of their patients, (D) materials for public service use by the printed and broadcast media, and (E) materials and programs to assist providers of health care in providing health education to their patients; and “(4) support demonstration and evaluation programs for individual and group self-help programs designed to assist the participant in using his individual capacities to deal with health problems, including programs concerned with obesity, hypertension, and diabetes. “(b) The Secretary is authorized to make grants to States and other public and nonprofit private entities to assist them in meeting the costs of demonstrating and evaluating programs which provide information respecting the costs and quality of health care or information respecting health insurance policies and prepaid health plans, or information respecting both. After the development of models pursuant to sections 1704(4) and 1704(5) for such information, no grant may be made under this subsection for a program unless the information to be provided under the program is provided in accordance with one of such models applicable, to the information. “(c) The Secretary is authorized to support by grant or contract (and to encourage others to support) private nonprofit entities working in health information and health promotion, preventive health services, and education in the appropriate use of health care. The amount of any grant or contract for a fiscal year beginning after September 30, 1978, for an entity may not exceed 25 per centum of the expenses of the entity for such fiscal year for health information and health promotion, preventive health services, and education in the appropriate use of health care. “Sec. 1704. “information programs The Secretary is authorized to conduct and support, by grant or contract (and encourage others to support) such activities as may be required to make information respecting health information and health promotion, preventive health services, and education in the appropriate use of health care available to the consumers of medical care, providers of such care, schools, and others who are or should be informed respecting such matters. Such activities may include at least the following: “(1) The publication of information, pamphlets, and other reports which are specially suited to interest and instruct the health consumer, which information, pamphlets, and other reports shall be updated annually, shall pertain to the individual’s ability to improve and safeguard his own health; shall include material, accompanied by suitable illustrations, on child care, family life and human development, disease prevention (particularly prevention of pulmonary disease, cardiovascular disease, and cancer), physical fitness, dental health, environmental health, nutrition, safety and accident prevention, drug abuse and alcoholism, mental health, management of chronic diseases (including diabetes and arthritis), and venereal diseases; and shall be designed to reach populations of different languages and of different social and economic backgrounds. “(2) Securing the cooperation of the communications media, providers of health care, schools, and others in activities designed to promote and encourage the use of health maintaining information and behavior. “(3) The study of health information and promotion in advertising and the making to concerned Federal agencies and others such recommendations respecting such advertising as are appropriate. “(4) The development of models and standards for the publication by States, insurance carriers, prepaid health plans, and others (except individual health practitioners) of information for use by the public respecting the cost and quality of health care, including information to enable the public to make comparisons of the cost and quality of health care. “(5) The development of models and standards for the publication by States, insurance carriers, prepaid health plans, and others of information for use by the public respecting health insurance policies and prepaid health plans, including information on the benefits provided by the various types of such policies and plans, the premium charges for such policies and plans, exclusions from coverage or eligibility for coverage, cost sharing requirements, and the ratio of the amounts paid as benefits to the amounts received as premiums and information to enable the public to make relevant comparisons of the costs and benefits of such policies and plans. “(6) Assess, with respect to the effectiveness, safety, cost, and required training for and conditions of use, of new aspects of health care, and new activities, programs, and services designed to improve human health and publish in readily understandable language for public and professional use such assessments and, in the case of controversial aspects of health care, activities, programs, or services, publish differing views or opinions respecting the effectiveness, safety, cost, and required training for and conditions of use, of such aspects of health care, activities, programs, or services. “Sec. 1705. “report and study (a) The Secretary shall, not later than two years after 42 USC 300u–4. the date of the enactment of this title and annually thereafter, submit to the President for transmittal to Congress a report on the status of health information and health promotion, preventive health services, and education in the appropriate use of health care. Each such report shall include— “(1) a statement of the activities carried out under this title since the last report and the extent to which each such activity achieves the purposes of this title; “(2) an assessment of the manpower resources needed to carry out programs relating to health information and health promotion, preventive health services, and education in the appropriate use of health care, and a statement describing the activities currently being carried out under this title designed to prepare teachers and other manpower for such programs; “(3) the goals and strategy formulated pursuant to section 1701(a)(1), the models and standards developed under this title, and the results of the study required by subsection (b) of this section; and “(4) such recommendations as the Secretary considers appropriate for legislation respecting health information and health promotion, preventive health services, and education in the appropriate use of health care, including recommendations for revisions to and extension of this title. “(b) The Secretary shall conduct a study of health education services and preventive health services to determine the coverage of such services under public and private health insurance programs, including the extent and nature of such coverage and the cost sharing requirements required by such programs for coverage of such services. “Sec. 1706. “office of health information and health promotion The Secretary shall establish within the Office of the Assistant Secretary for Health an Office of Health Information and Health Promotion which shall— “(1) coordinate all activities within the Department which relate to health information and health promotion, preventive health services, and education in the appropriate use of health care; “(2) coordinate its activities with similar activities of organizations in the private sector; and “(3) establish a national information clearinghouse to facilitate the exchange of information concerning matters relating to health information and health promotion, preventive health services, and education in the appropriate use of health care, to facilitate access to such information, and to assist in the analysis of issues and problems relating to such matters.”.Pub. L. 96–32 § 7(n) · 93 Stat. 82
Inserted · 42 U.S.C. § 300u(b)
Pub. L. 96–32 inserted “(other than grants and contracts under sections 300u–6, 300u–7, and 300u–8 of this title)” after “grants and contracts under this subchapter”
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 96–32 inserted “(other than grants and contracts under sections 300u–6, 300u–7, and 300u–8 of this title)” after “grants and contracts under this subchapter”.Enacted provision · exact public law section
(n) Section 1701(b) of the Public Health Service Act (42 U.S.C. 300u(b)) is amended by inserting “(other than grants and contracts under sections 1707, 1708, and 1709)” after “this title”. 42 USC 300u–6, 300u–7, 300u–8. Effective date. 42 USC 2689b note.Public Health Service Administrative Amendments of 1979
Pub. L. 96–76 title II § 209 · 93 Stat. 579
Inserted · 42 U.S.C. § 300u(b)
Pub. L. 96–76 inserted provisions authorizing appropriations for fiscal years ending Sept. 30, 1980, Sept. 30, 1981, and Sept. 30, 1982
Source evidence
Code amendment note
Subsec. (b). Pub. L. 96–76 inserted provisions authorizing appropriations for fiscal years ending Sept. 30, 1980, Sept. 30, 1981, and Sept. 30, 1982.Enacted provision · exact public law section
Sec. 209. Section 1701(b) (42 U.S.C. 300u(b)) is amended by striking out “and” after “1978,” and by inserting before the period a comma and the following: “$14,000,000 for the fiscal year ending September 30, 1980, $15,000,000 for the fiscal year ending September 30, 1981, and $16,000,000 for the fiscal year ending September 30, 1982”,Health Promotion and Disease Prevention Amendments of 1984
Pub. L. 98–551 § 2(a)(1) · 98 Stat. 2815
Struck and inserted · 42 U.S.C. § 300u(a)
Pub. L. 98–551, § 2(a)(1), added par. (10), and in provisions following par. (10) struck out “and with health planning and resource development activities undertaken under subchapters XIII and XIV of this chapter” after “section 300k–2 of this title” and inserted provisions for appointment of a Director for Office of Disease Prevention and Health Promotion and cooperation in administration of this subchapter
Source evidence
Code amendment note
Subsec. (a). Pub. L. 98–551, § 2(a)(1), added par. (10), and in provisions following par. (10) struck out “and with health planning and resource development activities undertaken under subchapters XIII and XIV of this chapter” after “section 300k–2 of this title” and inserted provisions for appointment of a Director for Office of Disease Prevention and Health Promotion and cooperation in administration of this subchapter.Enacted provision · exact public law section
(1) Section 1701(a) of the Public Health Service Act (42 U.S.C. 300u(a)) is amended— (A) by striking out “and” after the semicolon in paragraph (8); (B) by striking out the period at the end of paragraph (9) and inserting in lieu thereof a semicolon and “and”; (C) by inserting after paragraph (9) the following new paragraph: “(10) establish in the Office of the Assistant Secretary for Office of Disease Prevention and Health Promotion, establishment. Health an Office of Disease Prevention and Health Promotion, which shall— “(A) coordinate all activities within the Department which relate to disease prevention, health promotion, preventive health services, and health information and education with respect to the appropriate use of health care; “(B) coordinate such activities with similar activities in the private sector; “(C) establish a national information clearinghouse to facilitate the exchange of information concerning matters relating to health information and health promotion, preventive health services, and education in the appropriate use of health care, to facilitate access to such information, and to assist in the analysis of issues and problems relating to such matters; and “(D) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, and physical fitness and sports medicine.”; (D) by striking out “and with health planning and resource development activities undertaken under titles XV and XVI” in 42 USC 300k–1, 300q. the last sentence; and (E) by adding at the end thereof the following: “The Secretary shall appoint a Director for the Office of Disease Prevention and Health Promotion established pursuant to paragraph (10) of this subsection. The Secretary shall administer this title in cooperation with health care providers, educators, voluntary organizations, businesses, and State and local health agencies in order to encourage the dissemination of health information and health promotion activities.”.Health Promotion and Disease Prevention Amendments of 1984
Pub. L. 98–551 § 2(a)(2) · 98 Stat. 2815
Substituted · 42 U.S.C. § 300u(b)
Pub. L. 98–551, § 2(a)(2), substituted “To carry out this subchapter, there are authorized to be appropriated $9,000,000 for the fiscal year ending September 30, 1985, $9,500,000 for the fiscal year ending September 30, 1986, and $10,000,000 for the fiscal year ending September 30, 1987” for “For payments under grants and contracts under this subchapter (other than grants and contracts under sections 300u–6, 300u–7, and 300u–8 of this title) there are authorized to be appropriated $7,000,000 for the fiscal year ending September 30, 1977, $10,000,000 for the fiscal year ending September 30, 1978, $14,000,000 for the fiscal year ending September 30, 1979, $14,000,000 for the fiscal year ending September 30, 1980, $15,000,000 for the fiscal year ending September 30, 1981, and $16,000,000 for the fiscal year ending September 30, 1982.”
Source evidence
Code amendment note
Subsec. (b). Pub. L. 98–551, § 2(a)(2), substituted “To carry out this subchapter, there are authorized to be appropriated $9,000,000 for the fiscal year ending September 30, 1985, $9,500,000 for the fiscal year ending September 30, 1986, and $10,000,000 for the fiscal year ending September 30, 1987” for “For payments under grants and contracts under this subchapter (other than grants and contracts under sections 300u–6, 300u–7, and 300u–8 of this title) there are authorized to be appropriated $7,000,000 for the fiscal year ending September 30, 1977, $10,000,000 for the fiscal year ending September 30, 1978, $14,000,000 for the fiscal year ending September 30, 1979, $14,000,000 for the fiscal year ending September 30, 1980, $15,000,000 for the fiscal year ending September 30, 1981, and $16,000,000 for the fiscal year ending September 30, 1982.”Enacted provision · exact public law section
(2) Section 1701(b) of such Act is amended to read as follows: “(b) To carry out this title, there are authorized to be appropriated $9,000,000 for the fiscal year ending September 30, 1985, $9,500,000 for the fiscal year ending September 30, 1986, and $10,000,000 for the fiscal year ending September 30, 1987.”.Health Omnibus Programs Extension of 1988
Pub. L. 100–607 § 312(c)(2) · 102 Stat. 3048
Struck · 42 U.S.C. § 300u(a)
Pub. L. 100–607, § 312(c)(2), in concluding provisions, struck out “The Secretary shall administer this subchapter in a manner consistent with the national health priorities set forth in section 300k–2 of this title.” before “The Secretary shall appoint”
Substituted · 42 U.S.C. § 300u(a)
Pub. L. 100–607, § 312(c)(2), in concluding provisions, substituted “paragraph (11)” for “paragraph (10)”
Source evidence
Code amendment note
Subsec. (a). Pub. L. 100–607, § 312(c)(2), in concluding provisions, struck out “The Secretary shall administer this subchapter in a manner consistent with the national health priorities set forth in section 300k–2 of this title.” before “The Secretary shall appoint”, and substituted “paragraph (11)” for “paragraph (10)”.Enacted provision · exact public law section
(2) in the matter after and below paragraph (11)(D) (as so redesignated)— (A) by striking the first sentence; and (B) by striking “paragraph (10)” and inserting “paragraph (11)”.Health Omnibus Programs Extension of 1988
Pub. L. 100–607 § 312(b)(1) · 102 Stat. 3048
Added · 42 U.S.C. § 300u(a)(7); 42 U.S.C. § 300u(a)(8)
Pub. L. 100–607, § 312(b)(1), added par. (7)
Redesignated · 42 U.S.C. § 300u(a)(7); 42 U.S.C. § 300u(a)(8)
Pub. L. 100–607, § 312(b)(1), redesignated former par. (7) as (8). Former par. (8) redesignated (9)
Source evidence
Code amendment note
Subsec. (a)(7), (8). Pub. L. 100–607, § 312(b)(1), added par. (7) and redesignated former par. (7) as (8). Former par. (8) redesignated (9).Enacted provision · exact public law section
(1) Section 1701(a) of the Public Health Service Act (42 U.S.C. 300u(a)) is amended— (A) by redesignating paragraphs (7) through (10) as paragraphs (8) through (11), respectively; and (B) by inserting after paragraph (6) the following new paragraph: “(7) (A) develop model programs through which employers in Small business. the public sector, and employers that are small businesses (as defined in section 3 of the Small Business Act), can provide for their employees a program to promote healthy behaviors and to discourage participation in unhealthy behaviors; “(B) provide technical assistance to public and private employers in implementing such programs (including private employers that are not small businesses and that will implement programs other than the programs developed by the Secretary pursuant to subparagraph (A)); and “(C) in providing such technical assistance, give preference to small businesses;”.Health Omnibus Programs Extension of 1988
Pub. L. 100–607 § 312(c)(1) · 102 Stat. 3048
Substituted · 42 U.S.C. § 300u(a)(9)
Pub. L. 100–607, § 312(c)(1), substituted “paragraph (8)” for “paragraph (7)”
Source evidence
Code amendment note
Subsec. (a)(9). Pub. L. 100–607, § 312(c)(1), substituted “paragraph (8)” for “paragraph (7)”.Enacted provision · exact public law section
(1) in paragraph (9) (as redesignated by subsection (b)(1)(A) of this section), by striking “paragraph (7)” and inserting “paragraph (8)”; andHealth Omnibus Programs Extension of 1988
Pub. L. 100–607 § 312(b)(1)(A) · 102 Stat. 3048
Redesignated · 42 U.S.C. § 300u(a)(9)
Pub. L. 100–607, § 312(b)(1)(A), redesignated par. (8) as (9). Former par. (9) redesignated (10)
Target inherited from the preceding amendment note.
Source evidence
Code amendment note
Pub. L. 100–607, § 312(b)(1)(A), redesignated par. (8) as (9). Former par. (9) redesignated (10).Enacted provision · exact public law section
(A) by redesignating paragraphs (7) through (10) as paragraphs (8) through (11), respectively; andHealth Omnibus Programs Extension of 1988
Pub. L. 100–607 § 312(b)(1)(A) · 102 Stat. 3048
Redesignated · 42 U.S.C. § 300u(a)(10); 42 U.S.C. § 300u(a)(11)
Pub. L. 100–607, § 312(b)(1)(A), redesignated pars. (9) and (10) as (10) and (11), respectively
Source evidence
Code amendment note
Subsec. (a)(10), (11). Pub. L. 100–607, § 312(b)(1)(A), redesignated pars. (9) and (10) as (10) and (11), respectively.Enacted provision · exact public law section
(A) by redesignating paragraphs (7) through (10) as paragraphs (8) through (11), respectively; andHealth Omnibus Programs Extension of 1988
Pub. L. 100–607 § 312(a)(1) · 102 Stat. 3048
Substituted · 42 U.S.C. § 300u(b)
Pub. L. 100–607, § 312(a)(1), substituted “sections 300u through 300u–4 of this title” for “this subchapter”
Struck · 42 U.S.C. § 300u(b)
Pub. L. 100–607, § 312(a)(1), struck out “and” after “September 30, 1986,”
Inserted · 42 U.S.C. § 300u(b)
Pub. L. 100–607, § 312(a)(1), inserted “, and $10,000,000 for each of the fiscal years 1989 through 1991”
Source evidence
Code amendment note
Subsec. (b). Pub. L. 100–607, § 312(a)(1), substituted “sections 300u through 300u–4 of this title” for “this subchapter”, struck out “and” after “September 30, 1986,”, and inserted “, and $10,000,000 for each of the fiscal years 1989 through 1991”.Enacted provision · exact public law section
(1) in section 1701(b)— 42 USC 300u. (A) by striking “this title,” and inserting “sections 1701 through 1705,”; and (B) by striking “and” after “1986,” and inserting before the period the following: “, and $10,000,000 for each of the fiscal years 1989 through 1991”; andHealth Information, Health Promotion, and Vaccine Injury Compensation Amendments of 1991
Pub. L. 102–168 title I § 101 · 105 Stat. 1102
Amended · 42 U.S.C. § 300u(b)
Pub. L. 102–168 amended subsec. (b) generally. Prior to amendment, subsec. (b) read as follows: “To carry out sections 300u through 300u–4 of this title, there are authorized to be appropriated $9,000,000 for the fiscal year ending September 30, 1985, $9,500,000 for the fiscal year ending September 30, 1986, $10,000,000 for the fiscal year ending September 30, 1987, and $10,000,000 for each of the fiscal years 1989 through 1991.”
Source evidence
Code amendment note
Subsec. (b). Pub. L. 102–168 amended subsec. (b) generally. Prior to amendment, subsec. (b) read as follows: “To carry out sections 300u through 300u–4 of this title, there are authorized to be appropriated $9,000,000 for the fiscal year ending September 30, 1985, $9,500,000 for the fiscal year ending September 30, 1986, $10,000,000 for the fiscal year ending September 30, 1987, and $10,000,000 for each of the fiscal years 1989 through 1991.”Enacted provision · exact public law section
SEC. 101. AUTHORIZATION OF APPROPRIATIONS FOR GENERAL AUTHORITY. Section 1701(b) of the Public Health Service Act (42 U.S.C. 300u(b)) is amended to read as follows: “(b) For the purpose of carrying out this section and sections 1702 through 1705, there are authorized to be appropriated $10,000,000 for fiscal year 1992, and such sums as may be necessary for each of the fiscal years 1993 through 1996.”.Preventive Health Amendments of 1992
Pub. L. 102–531 title III § 311(b)(1) · 106 Stat. 3469
Substituted · 42 U.S.C. § 300u(a)(11)(C)
Pub. L. 102–531 substituted “preventive health services (which may include information concerning models and standards for insurance coverage of such services),” for “preventive health services,”
Source evidence
Code amendment note
Subsec. (a)(11)(C). Pub. L. 102–531 substituted “preventive health services (which may include information concerning models and standards for insurance coverage of such services),” for “preventive health services,”.Enacted provision · exact public law section
(1) General authority.— Section 1701(a)(11)C) of the Public Health Service Act (42 U.S.C. 300u(a)(11)C)) is amended by striking “preventive health services,” and inserting the fol-lowing: “preventive health services (which may include information concerning models and standards for insurance coverage of such services),”.Health Professions Education Partnerships Act of 1998
Pub. L. 105–392 title IV § 414 · 112 Stat. 3524
Substituted · 42 U.S.C. § 300u(b)
Pub. L. 105–392 substituted “2002” for “1996”
Source evidence
Code amendment note
Subsec. (b). Pub. L. 105–392 substituted “2002” for “1996”.Enacted provision · exact public law section
SEC. 414. HEALTH INFORMATION AND HEALTH PROMOTION. Section 1701(b) of the Public Health Service Act (42 U.S.C. 300u(b)) is amended by striking “through 1996” and inserting “through 2002”.
18 of 18 references resolved to an enrolled provision
Editorial Notes
Codification
In subsec. (c), “section 3324(a) and (b) of title 31 and section 6101 of title 41” substituted for “sections 3648 and 3709 of the Revised Statutes (31 U.S.C. 529; 41 U.S.C. 5)” on authority of Pub. L. 97–258, § 4(b), , 96 Stat. 1067, which Act enacted Title 31, Money and Finance, and Pub. L. 111–350, § 6(c), , 124 Stat. 3854, which Act enacted Title 41, Public Contracts.
Amendments1979–1998 · 6 rounds
1998
Subsec. (b). Pub. L. 105–392 substituted “2002” for “1996”.
1992
Subsec. (a)(11)(C). Pub. L. 102–531 substituted “preventive health services (which may include information concerning models and standards for insurance coverage of such services),” for “preventive health services,”.
1991
Subsec. (b). Pub. L. 102–168 amended subsec. (b) generally. Prior to amendment, subsec. (b) read as follows: “To carry out sections 300u through 300u–4 of this title, there are authorized to be appropriated $9,000,000 for the fiscal year ending , $9,500,000 for the fiscal year ending , $10,000,000 for the fiscal year ending , and $10,000,000 for each of the fiscal years 1989 through 1991.”
1988
Subsec. (a). Pub. L. 100–607, § 312(c)(2), in concluding provisions, struck out “The Secretary shall administer this subchapter in a manner consistent with the national health priorities set forth in section 300k–2 of this title.” before “The Secretary shall appoint”, and substituted “paragraph (11)” for “paragraph (10)”.
Subsec. (a)(7), (8). Pub. L. 100–607, § 312(b)(1), added par. (7) and redesignated former par. (7) as (8). Former par. (8) redesignated (9).
Subsec. (a)(9). Pub. L. 100–607, § 312(c)(1), substituted “paragraph (8)” for “paragraph (7)”.
Pub. L. 100–607, § 312(b)(1)(A), redesignated par. (8) as (9). Former par. (9) redesignated (10).
Subsec. (a)(10), (11). Pub. L. 100–607, § 312(b)(1)(A), redesignated pars. (9) and (10) as (10) and (11), respectively.
Subsec. (b). Pub. L. 100–607, § 312(a)(1), substituted “sections 300u through 300u–4 of this title” for “this subchapter”, struck out “and” after “,”, and inserted “, and $10,000,000 for each of the fiscal years 1989 through 1991”.
1984
Subsec. (a). Pub. L. 98–551, § 2(a)(1), added par. (10), and in provisions following par. (10) struck out “and with health planning and resource development activities undertaken under subchapters XIII and XIV of this chapter” after “section 300k–2 of this title” and inserted provisions for appointment of a Director for Office of Disease Prevention and Health Promotion and cooperation in administration of this subchapter.
Subsec. (b). Pub. L. 98–551, § 2(a)(2), substituted “To carry out this subchapter, there are authorized to be appropriated $9,000,000 for the fiscal year ending , $9,500,000 for the fiscal year ending , and $10,000,000 for the fiscal year ending ” for “For payments under grants and contracts under this subchapter (other than grants and contracts under sections 300u–6, 300u–7, and 300u–8 of this title) there are authorized to be appropriated $7,000,000 for the fiscal year ending , $10,000,000 for the fiscal year ending , $14,000,000 for the fiscal year ending , $14,000,000 for the fiscal year ending , $15,000,000 for the fiscal year ending , and $16,000,000 for the fiscal year ending .”
1979
Subsec. (b). Pub. L. 96–76 inserted provisions authorizing appropriations for fiscal years ending , , and .
Pub. L. 96–32 inserted “(other than grants and contracts under sections 300u–6, 300u–7, and 300u–8 of this title)” after “grants and contracts under this subchapter”.
Statutory Notes and Related Subsidiaries
Short Title
For short title of title I of Pub. L. 94–317, which enacted this subchapter as the “National Consumer Health Information and Health Promotion Act of 1976”, see section 101 of Pub. L. 94–317, set out as a Short Title of 1976 Amendments note under section 201 of this title.
Model Programs for Employee Health Promotion and Disease Prevention; Development Completion
Section 312(b)(2) of Pub. L. 100–607 required Secretary of Health and Human Services, not later than 18 months after , to complete development of model programs required in section 1701(a)(7)(A) of the Public Health Service Act (subsec. (a)(7)(A) of this section).
Executive Documents
Executive Order No. 12345
Ex. Ord. No. 12345, , 47 F.R. 5189, as amended by Ex. Ord. No. 12539, , 50 F.R. 49829; Ex. Ord. No. 12694, , 54 F.R. 42285; Ex. Ord. No. 12709, , 55 F.R. 13097; Ex. Ord. No. 13138, § 8, , 64 F.R. 53881, which provided for the Secretary of Health and Human Services to develop and coordinate a national program for physical fitness and sports, continued the President’s Council on Physical Fitness and Sports, and provided for termination of the Council on , was revoked by Ex. Ord. No. 13265, § 5(h), formerly § 5(c), , 67 F.R. 39842, as renumbered and amended by Ex. Ord. No. 14327, § 2(c), 90 F.R. 37995.
Ex. Ord. No. 13265. President’s Council on Sports, Fitness, and Nutrition, and the Reestablishment of the Presidential Fitness Test
Ex. Ord. No. 13265, , 67 F.R. 39841, as amended by Ex. Ord. No. 13545, , 75 F.R. 37283; Ex. Ord. No. 13824, , 83 F.R. 8923; Ex. Ord. No. 14048, § 7, , 86 F.R. 55467; Ex. Ord. No. 14327, , 90 F.R. 37933, provided:
By the authority vested in me as President by the Constitution and the laws of the United States of America, and to establish the President’s Council on Sports, Fitness, and Nutrition, and to reestablish the Presidential Fitness Test, it is hereby ordered:
Section 1. Purpose. As the United States prepares to celebrate its semiquincentennial anniversary in 2026, we must address the threat to the vitality and longevity of our country that is posed by America’s declining health and physical fitness. For far too long, the physical and mental health of the American people has been neglected. Rates of obesity, chronic disease, inactivity, and poor nutrition are at crisis levels, particularly among our children. These trends weaken our economy, military readiness, academic performance, and national morale. President Eisenhower recognized this issue when he created the President’s Council on Youth Fitness in response to reports on the poor state of youth fitness in America. As President-elect, John F. Kennedy famously published an essay titled “The Soft American,” which outlined the imperative for improved health in order to maintain a strong and vital America. During my first term, I renamed the council the “President’s Council on Sports, Fitness, and Nutrition” and directed the development of a National Youth Sports Strategy, among other activities.
My Administration has taken decisive action to reverse this health crisis. In the first month of my second term, I created the President’s Make America Healthy Again Commission to restore the urgency of improving the health of Americans. Now, we build further. To advance this commitment, I hereby reestablish the Presidential Fitness Test, which shall be administered by the Secretary of Health and Human Services with the support of the Secretary of Education.
With this order, I revitalize the President’s Council on Sports, Fitness, and Nutrition as a cornerstone of our national health renewal. In 2026, we will celebrate the 250th anniversary of our great Nation, honor the 70th anniversary of the original President’s Council on Youth Fitness, and showcase America’s continued global dominance in sports. Over the next 3 years, America will host the Ryder Cup, the President’s Cup, the FIFA World Cup, and the Olympic Games—the world’s premiere sporting competitions. These events will provide inspiration for all generations of Americans.
Sec. 2. Policy. It is the policy of my Administration to:
(a) prioritize and expand children’s participation in youth sports and active play;
(b) promote the physical, mental, and civic benefits of daily movement, exercise, and good nutrition; and
(c) engage every sector—public and private, civilian and military—in creating a national culture of strength, vitality, and excellence.
Sec. 3. President’s Council on Sports, Fitness, and Nutrition. (a) There is hereby established the President’s Council on Sports, Fitness, and Nutrition (Council).
(b) The Council shall consist of up to 30 members appointed by the President. Members shall serve for a term of 2 years, shall be eligible for reappointment, and may continue to serve after the expiration of their terms until the appointment of a successor. The President may designate one or more of the members as Chair or Vice Chair.
(c) The President shall designate an Executive Director of the Council who shall manage day-to-day operations; serve as a liaison to the President on matters and activities pertaining to the Council; and oversee engagement with executive departments and agencies, athletic institutions, and community partners.
Sec. 4. Functions of the Council. (a) The Council shall advise the President concerning progress made in carrying out the provisions of this order and shall recommend to the President actions to accelerate such progress.
(b) In advising the President pursuant to subsection (a) of this section, the Council shall recommend:
(i) strategies for reestablishing the Presidential Fitness Test, with any appropriate improvements, as the main assessment tool for a Presidential Fitness Award;
(ii) strategies for the development and promotion of Presidential challenges and school-based programs that reward excellence in physical education;
(iii) actions to expand opportunities at the global, national, State, and local levels for participation in sports and engagement in physical fitness;
(iv) bold and innovative fitness goals for American youth with the aim of fostering a new generation of healthy, active citizens;
(v) campaigns and events that elevate American sports, military readiness, and health traditions;
(vi) opportunities at the global, national, State, and local levels that expand participation in sports and emphasize the importance of an active lifestyle and good nutrition, which should include partnerships with professional athletes, sports organizations, player’s associations, influential figures, nonprofit organizations, and community groups to inspire all Americans, among other initiatives; and
(vii) strategies to address the growing national security threat posed by the increasing rates of childhood obesity, chronic diseases, and sedentary lifestyles, which threaten the future readiness of the United States workforce and military.
Sec. 5. Administration. (a) Each executive department and agency shall, to the extent permitted by law and subject to the availability of funds, furnish such information and assistance to the Council as it may request.
(b) Members of the Council shall serve without compensation but may receive travel reimbursement, including per diem in lieu of subsistence, as allowed under applicable law (5 U.S.C. 5701–5707), consistent with the availability of funds.
(c) The Department of Health and Human Services shall provide such funding and administrative and technical support as the Council may require, to the extent permitted by law and as authorized by existing appropriations.
(d) The Council may, with the approval of the President, establish subcommittees as appropriate to aid in its work.
(e) The seal prescribed by Executive Order 10830 of (Establishing a Seal for the President’s Council on Physical Fitness and Sports), as amended, shall be modified to reflect the name of the Council as established by this order.
(f) Insofar as the Federal Advisory Committee Act, as amended (5 U.S.C. 1001 et seq.) (the “Act”), may apply to the administration of any portion of this order, any functions of the President under the Act, except that of reporting to the Congress, shall be performed by the Secretary of Health and Human Services in accordance with the guidelines and procedures issued by the Administrator of General Services.
(g) In accordance with the Act, the Council shall terminate 2 years from the date of this order [], unless extended by the President.
(h) Executive Order 12345 of (Physical Fitness and Sports) [formerly set out above], as amended, is revoked.
Sec. 6. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:
(i) the authority granted by law to an executive department or agency, or the head thereof; or
(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.
(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.
(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.
[Ex. Ord. No. 14327, § 2(c), (d), which directed amendment of Ex. Ord. No. 13265, set out above, by adding sections 1 to 6 and striking former sections 1 to 5, was executed by striking former sections 1 to 6 to reflect the probable intent of the President.]
[Ex. Ord. No. 13824, § 2(c), (d), which directed amendment of Ex. Ord. No. 13265, set out above, by revising sections “1 through 5” and renumbering section 5 as 6 (with additional amendments), was executed by substituting sections 1 to 5 for former sections 1 to 4 and renumbering former section 5 as 6.]
[Ex. Ord. No. 13824, § 1, revoked Ex. Ord. No. 13545, which had amended Ex. Ord. No. 13265, set out above.]
Extension of Term of President’s Council on Sports, Fitness, and Nutrition
Term of President’s Council on Sports, Fitness, and Nutrition extended until , by Ex. Ord. No. 14354, , 90 F.R. 48145, set out as a note under section 1013 of Title 5, Government Organization and Employees.
Previous extensions of term of President’s Council on Sports, Fitness, and Nutrition (formerly President’s Council on Fitness, Sports, and Nutrition and President’s Council on Physical Fitness and Sports) were contained in the following prior Executive Orders:
Ex. Ord. No. 14109, , 88 F.R. 68447, extended term until .
Ex. Ord. No. 14048, , 86 F.R. 55465, extended term until .
Ex. Ord. No. 13889, , 84 F.R. 52743, extended term until .
Ex. Ord. No. 13811, , 82 F.R. 46363, extended term until .
Ex. Ord. No. 13708, , 80 F.R. 60271, extended term until .
Ex. Ord. No. 13652, , 78 F.R. 61817, extended term until .
Ex. Ord. No. 13585, , 76 F.R. 62281, extended term until .
Ex. Ord. No. 13511, , 74 F.R. 50909, extended term until .
Ex. Ord. No. 13446, , 72 F.R. 56175, extended term until .
Ex. Ord. No. 13385, , 70 F.R. 57989, extended term until .
Ex. Ord. No. 13316, , 68 F.R. 55255, extended term until .
Ex. Ord. No. 13225, , 66 F.R. 50291, extended term until .
Ex. Ord. No. 13138, , 64 F.R. 53879, extended term until .
Ex. Ord. No. 13062, , 62 F.R. 51755, extended term until .
Ex. Ord. No. 12974, , 60 F.R. 51875, extended term until .
Ex. Ord. No. 12869, , 58 F.R. 51751, extended term until .
Ex. Ord. No. 12774, , 56 F.R. 49835, extended term until .
Ex. Ord. No. 12692, , 54 F.R. 40627, extended term until .
Ex. Ord. No. 12610, , 52 F.R. 36901, extended term until .
Ex. Ord. No. 12534, , 50 F.R. 40319, extended term until .
Ex. Ord. No. 12489, , 49 F.R. 38927, extended term until .
Ex. Ord. No. 12399, , 48 F.R. 379, extended term until .
Ex. Ord. No. 13266. Activities To Promote Personal Fitness
Ex. Ord. No. 13266, , 67 F.R. 42467, provided:
By the authority vested in me as President by the Constitution and the laws of the United States of America, and in order to improve the efficiency and coordination of Federal policies related to personal fitness of the general public, it is hereby ordered as follows:
Section 1. Policy. This order is issued consistent with the following findings and principles:
(a) Growing scientific evidence indicates that an increasing number of Americans are suffering from negligible physical activity, poor dietary habits, insufficient utilization of preventive health screenings, and engaging in risky behaviors such as abuse of alcohol, tobacco, and drugs.
(b) Existing information on the importance of appropriate physical activity, diet, preventive health screenings, and avoiding harmful substances is often not received by the public, or, if received, is not acted on sufficiently.
(c) Individuals of all ages, locations, and levels of personal fitness can benefit from some level of appropriate physical activity, dietary guidance, preventive health screening, and making healthy choices.
(d) While personal fitness is an individual responsibility, the Federal Government may, within the authority and funds otherwise available, expand the opportunities for individuals to empower themselves to improve their general health. Such opportunities may include improving the flow of information about personal fitness, assisting in the utilization of that information, increasing the accessibility of resources for physical activity, and reducing barriers to achieving good personal fitness.
Sec. 2. Agency Responsibilities in Promoting Personal Fitness.
(a) The Secretaries of Agriculture, Education, Health and Human Services (HHS), Housing and Urban Development, Interior, Labor, Transportation, and Veterans Affairs, and the Director of the Office of National Drug Policy shall review and evaluate the policies, programs, and regulations of their respective departments and offices that in any way relate to the personal fitness of the general public. Based on that review, the Secretaries and the Director shall determine whether existing policies, programs, and regulations of their respective departments and offices should be modified or whether new policies or programs could be implemented. These new policies and programs shall be consistent with otherwise available authority and appropriated funds, and shall improve the Federal Government’s assistance of individuals, private organizations, and State and local governments to (i) increase physical activity; (ii) promote responsible dietary habits; (iii) increase utilization of preventive health screenings; and (iv) encourage healthy choices concerning alcohol, tobacco, drugs, and safety among the general public.
(b) Each department and office included in section 2(a) shall report to the President, through the Secretary of Health and Human Services, its proposed actions within 90 days of the date of this order.
(c) There shall be a Personal Fitness Interagency Working Group (Working Group), composed of the Secretaries or Director of the departments and office included in section 2(a) (or their designees) and chaired by the Secretary of HHS or his designee. In order to improve efficiency through information sharing and to eliminate waste and overlap, the Working Group shall work to ensure the cooperation of Federal agencies in coordinating Federal personal fitness activities. The Working Group shall meet subject to the call of the Chair, but not less than twice a year. The Department of Health and Human Services shall provide such administrative support to the Working Group as the Secretary of HHS deems necessary. Each member of the Working Group shall be a full-time or permanent part-time officer or employee of the Federal Government.
Sec. 3. General Provisions. This order is intended only to improve the internal management of the executive branch and it is not intended to, and does not, create any right, benefit, trust, or responsibility, substantive or procedural, enforceable at law or equity by a party against the United States, its departments, agencies or entities, its officers or employees, or any person.
George W. Bush.
Ex. Ord. No. 13335. Incentives for the Use of Health Information Technology and Establishing the Position of the National Health Information Technology Coordinator
Ex. Ord. No. 13335, , 69 F.R. 24059, provided:
By the authority vested in me as President by the Constitution and the laws of the United States of America, and to provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care, it is hereby ordered as follows:
Section 1. Establishment. (a) The Secretary of Health and Human Services (Secretary) shall establish within the Office of the Secretary the position of National Health Information Technology Coordinator.
(b) The National Health Information Technology Coordinator (National Coordinator), appointed by the Secretary in consultation with the President or his designee, will report directly to the Secretary.
(c) The Secretary shall provide the National Coordinator with appropriate staff, administrative support, and other resources to meet its responsibilities under this order.
(d) The Secretary shall ensure that the National Coordinator begins operations within 90 days of the date of this order.
Sec. 2. Policy. In fulfilling its responsibilities, the work of the National Coordinator shall be consistent with a vision of developing a nationwide interoperable health information technology infrastructure that:
(a) Ensures that appropriate information to guide medical decisions is available at the time and place of care;
(b) Improves health care quality, reduces medical errors, and advances the delivery of appropriate, evidence-based medical care;
(c) Reduces health care costs resulting from inefficiency, medical errors, inappropriate care, and incomplete information;
(d) Promotes a more effective marketplace, greater competition, and increased choice through the wider availability of accurate information on health care costs, quality, and outcomes;
(e) Improves the coordination of care and information among hospitals, laboratories, physician offices, and other ambulatory care providers through an effective infrastructure for the secure and authorized exchange of health care information; and
(f) Ensures that patients’ individually identifiable health information is secure and protected.
Sec. 3. Responsibilities of the National Health Information Technology Coordinator. (a) The National Coordinator shall, to the extent permitted by law, develop, maintain, and direct the implementation of a strategic plan to guide the nationwide implementation of interoperable health information technology in both the public and private health care sectors that will reduce medical errors, improve quality, and produce greater value for health care expenditures. The National Coordinator shall report to the Secretary regarding progress on the development and implementation of the strategic plan within 90 days after the National Coordinator begins operations and periodically thereafter. The plan shall:
(i) Advance the development, adoption, and implementation of health care information technology standards nationally through collaboration among public and private interests, and consistent with current efforts to set health information technology standards for use by the Federal Government;
(ii) Ensure that key technical, scientific, economic, and other issues affecting the public and private adoption of health information technology are addressed;
(iii) Evaluate evidence on the benefits and costs of interoperable health information technology and assess to whom these benefits and costs accrue;
(iv) Address privacy and security issues related to interoperable health information technology and recommend methods to ensure appropriate authorization, authentication, and encryption of data for transmission over the Internet;
(v) Not assume or rely upon additional Federal resources or spending to accomplish adoption of interoperable health information technology; and
(vi) Include measurable outcome goals.
(b) The National Coordinator shall:
(i) Serve as the Secretary’s principal advisor on the development, application, and use of health information technology, and direct the Department of Health and Human Service’s health information technology programs;
(ii) Ensure that health information technology policy and programs of the Department of Health and Human Services (HHS) are coordinated with those of relevant executive branch agencies (including Federal commissions) with a goal of avoiding duplication of efforts and of helping to ensure that each agency undertakes activities primarily within the areas of its greatest expertise and technical capability;
(iii) To the extent permitted by law, coordinate outreach and consultation by the relevant executive branch agencies (including Federal commissions) with public and private parties of interest, including consumers, providers, payers, and administrators; and
(iv) At the request of the Office of Management and Budget, provide comments and advice regarding specific Federal health information technology programs.
Sec. 4. Reports. To facilitate the development of interoperable health information technologies, the Secretary of Health and Human Services shall report to the President within 90 days of this order on options to provide incentives in HHS programs that will promote the adoption of interoperable health information technology. In addition, the following reports shall be submitted to the President through the Secretary:
(a) The Director of the Office of Personnel Management shall report within 90 days of this order on options to provide incentives in the Federal Employee Health Benefit Program that will promote the adoption of interoperable health information technology; and
(b) Within 90 days, the Secretary of Veterans Affairs and the Secretary of Defense shall jointly report on the approaches the Departments could take to work more actively with the private sector to make their health information systems available as an affordable option for providers in rural and medically underserved communities.
Sec. 5. Administration and Judicial Review. (a) The actions directed by this order shall be carried out subject to the availability of appropriations and to the extent permitted by law.
(b) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity against the United States, its agencies, its entities or instrumentalities, its officers or employees, or any other person.
George W. Bush.
Ex. Ord. No. 13410. Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs
Ex. Ord. No. 13410, , 71 F.R. 51089, provided:
By the authority vested in me as President by the Constitution and the laws of the United States, and in order to promote federally led efforts to implement more transparent and high-quality health care, it is hereby ordered as follows:
Section 1. Purpose. It is the purpose of this order to ensure that health care programs administered or sponsored by the Federal Government promote quality and efficient delivery of health care through the use of health information technology, transparency regarding health care quality and price, and better incentives for program beneficiaries, enrollees, and providers. It is the further purpose of this order to make relevant information available to these beneficiaries, enrollees, and providers in a readily useable manner and in collaboration with similar initiatives in the private sector and non-Federal public sector. Consistent with the purpose of improving the quality and efficiency of health care, the actions and steps taken by Federal Government agencies should not incur additional costs for the Federal Government.
Sec. 2. Definitions. For purposes of this order:
(a) “Agency” means an agency of the Federal Government that administers or sponsors a Federal health care program.
(b) “Federal health care program” means the Federal Employees Health Benefit Program, the Medicare program, programs operated directly by the Indian Health Service, the TRICARE program for the Department of Defense and other uniformed services, and the health care program operated by the Department of Veterans Affairs. For purposes of this order, “Federal health care program” does not include State operated or funded federally subsidized programs such as Medicaid, the State Children’s Health Insurance Program, or services provided to Department of Veterans’ Affairs beneficiaries under 38 U.S.C. 1703.
(c) “Interoperability” means the ability to communicate and exchange data accurately, effectively, securely, and consistently with different information technology systems, software applications, and networks in various settings, and exchange data such that clinical or operational purpose and meaning of the data are preserved and unaltered.
(d) “Recognized interoperability standards” means interoperability standards recognized by the Secretary of Health and Human Services (the “Secretary”), in accordance with guidance developed by the Secretary, as existing on the date of the implementation, acquisition, or upgrade of health information technology systems under subsections (1) or (2) of section 3(a) of this order.
Sec. 3. Directives for Agencies. Agencies shall perform the following functions:
(a) Health Information Technology.
(1) For Federal Agencies. As each agency implements, acquires, or upgrades health information technology systems used for the direct exchange of health information between agencies and with non-Federal entities, it shall utilize, where available, health information technology systems and products that meet recognized interoperability standards.
(2) For Contracting Purposes. Each agency shall require in contracts or agreements with health care providers, health plans, or health insurance issuers that as each provider, plan, or issuer implements, acquires, or upgrades health information technology systems, it shall utilize, where available, health information technology systems and products that meet recognized interoperability standards.
(b) Transparency of Quality Measurements.
(1) In General. Each agency shall implement programs measuring the quality of services supplied by health care providers to the beneficiaries or enrollees of a Federal health care program. Such programs shall be based upon standards established by multi-stakeholder entities identified by the Secretary or by another agency subject to this order. Each agency shall develop its quality measurements in collaboration with similar initiatives in the private and non-Federal public sectors.
(2) Facilitation. An agency satisfies the requirements of this subsection if it participates in the aggregation of claims and other appropriate data for the purposes of quality measurement. Such aggregation shall be based upon standards established by multi-stakeholder entities identified by the Secretary or by another agency subject to this order.
(c) Transparency of Pricing Information. Each agency shall make available (or provide for the availability) to the beneficiaries or enrollees of a Federal health care program (and, at the option of the agency, to the public) the prices that it, its health insurance issuers, or its health insurance plans pay for procedures to providers in the health care program with which the agency, issuer, or plan contracts. Each agency shall also, in collaboration with multi-stakeholder groups such as those described in subsection (b)(1), participate in the development of information regarding the overall costs of services for common episodes of care and the treatment of common chronic diseases.
(d) Promoting Quality and Efficiency of Care. Each agency shall develop and identify, for beneficiaries, enrollees, and providers, approaches that encourage and facilitate the provision and receipt of high-quality and efficient health care. Such approaches may include pay-for-performance models of reimbursement consistent with current law. An agency will satisfy the requirements of this subsection if it makes available to beneficiaries or enrollees consumer-directed health care insurance products.
Sec. 4. Implementation Date. Agencies shall comply with the requirements of this order by .
Sec. 5. Administration and Judicial Review.
(a) This order does not assume or rely upon additional Federal resources or spending to promote quality and efficient health care. Further, the actions directed by this order shall be carried out subject to the availability of appropriations and to the maximum extent permitted by law.
(b) This order shall be implemented in new contracts or new contract cycles as they may be renewed from time to time. Renegotiation outside of the normal contract cycle processes should be avoided.
(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.
George W. Bush.
Credits
1944–1998 · 8 acts
- 1944July 1, 1944, ch. 373, title XVII, § 1701, as added Pub. L. 94–317, title I, § 102, , 90 Stat. 695
- 1979amended Pub. L. 96–32, § 7(n), , 93 Stat. 85
- 1979Pub. L. 96–76, title II, § 209, , 93 Stat. 584
- 1984Pub. L. 98–551, § 2(a), , 98 Stat. 2815
- 1988Pub. L. 100–607, title III, § 312(a)(1), (b)(1), (c), , 102 Stat. 3113, 3114
- 1991Pub. L. 102–168, title I, § 101, , 105 Stat. 1102
- 1992Pub. L. 102–531, title III, § 311(b)(1), , 106 Stat. 3503
- 1998Pub. L. 105–392, title IV, § 414, , 112 Stat. 3590.
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(July 1, 1944, ch. 373, title XVII, § 1701, as added Pub. L. 94–317, title I, § 102, , 90 Stat. 695; amended Pub. L. 96–32, § 7(n), , 93 Stat. 85; Pub. L. 96–76, title II, § 209, , 93 Stat. 584; Pub. L. 98–551, § 2(a), , 98 Stat. 2815; Pub. L. 100–607, title III, § 312(a)(1), (b)(1), (c), , 102 Stat. 3113, 3114; Pub. L. 102–168, title I, § 101, , 105 Stat. 1102; Pub. L. 102–531, title III, § 311(b)(1), , 106 Stat. 3503; Pub. L. 105–392, title IV, § 414, , 112 Stat. 3590.)