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FOR IMMEDIATE RELEASE

Children's Health Act of 2000 Passes House and Senate

Awaiting Signature by President Clinton to Become Law

FOR IMMEDIATE RELEASE -- 9/27

CHILDREN'S HEALTH BILL PASSES SENATE AND HOUSE:  FRAGILE X RESEARCH TO BE EXPANDED, INTENSIFIED AND COORDINATED BY THE NICHD
Today the U.S. Senate (9/22)  and House of Representatives (9/27) passed the Children's Health Act of 2000, which provides research and other funding for diseases and conditions afflicting millions of children.  One provision of this bill directs the National Institute of Child Health and Human Development (NICHD) to "expand, intensify, and coordinate the activities of the Institute with respect to research on ... fragile X", the most common cause of inherited mental retardation.   In addition, it requires the Director of the Institute to "make grants ... for the development and operation of [at least 3] centers
to conduct research for ... improving the diagnosis and treatment of, and finding the cure for, fragile X"

In a separate section dealing with pediatric research, including Fragile X research, the Secretary of Health, Education and Welfare is required to enter into agreements with "qualified health professionals who agree to
conduct pediatric research in consideration of the Federal government agreeing to repay, for each year of such service, not more than $35, 000 of the principal and interest of the educational loans of such professionals".

Katie Clapp, President of FRAXA Research Foundation and Jeffrey Cohen, President of the National Fragile X Foundation, both Fragile X parents, each extolled the passage of this legislation.  Clapp said, "We appreciate, more than we can say, the sponsorship, leadership, and hard work of Senators Bill Frist R.TN) and Edward Kennedy (D.MA) and their staffs---along with so many others.  They listened to the thousands of Fragile X parents, families, and friends throughout the United States. We appreciate, as well, the bipartisan statesmanship and help of Senators Chuck Hagel (R.NE) and John Edwards D.NC) that tells us in the Fragile X community that when children's health is concerned, the system does indeed work for the children, our nation's most precious resource."
Cohen said, "We have every confidence that the House of Representatives, which passed its version of this legislation on May 9 by 419 to 2 will now pass the agreed version and send it to the President for signature into law this year.  This is just the beginning.  Fragile X is finally being recognized.  It affects up to 900,000 Americans.  One of every 267 women is a carrier.  This single gene deficiency must be cured -- and it will be. Also, Fragile X research benefits research into many other genetic
diseases."

TEXT FOLLOWS:
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 TITLE II-RESEARCH AND DEVELOPMENT REGARDING  FRAGILE X SEC. 201. NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT; RESEARCH ON FRAGILE X
     Subpart 7 of part C of title IV of the Public Health
Service Act is amended by adding at the end the following section:
FRAGILE X
     "SEC. 452E. (a) EXPANSION AND COORDINATION OF RESEARCH
ACTIVITIES.-The Director of the Institute, after consultation with the advisory council for the Institute, shall expand, intensify, and coordinate the activities of the Institute with respect to research on the disease
known as Fragile X
[Page S9051]
     "(b) RESEARCH CENTERS.-
         "(1) IN GENERAL.-The Director of the Institute shall make grants or enter into contracts for the development and operation of centers to conduct research for the purposes of improving the diagnosis and treatment of, and finding the cure for, fragile X

         "(2) NUMBER OF CENTERS.-
             "(A) IN GENERAL.-In carrying out paragraph (1), the Director of the Institute shall, to the extent that amounts are appropriated, and subject to subparagraph (B), provide for the establishment of at least three
fragile X research centers.

             "(B) PEER REVIEW REQUIREMENT.-The Director of the Institute shall make a grant to, or enter into a contract with, an entity for purposes of establishing a center under paragraph (1) only if the grant or contract has been recommended after technical and scientific peer review required by regulations under section 492.

         "(3) ACTIVITIES.-The Director of the Institute, with the assistance of centers established under paragraph (1), shall conduct and support basic and biomedical research into the detection and treatment of fragile X.

         "(4) COORDINATION AMONG CENTERS.-The Director of the Institute shall, as appropriate, provide for the coordination of the activities of the centers assisted under this section, including providing for the exchange of
information among the centers.

         "(5) CERTAIN ADMINISTRATIVE REQUIREMENTS.-Each center assisted under paragraph (1) shall use the facilities of a single institution, or be formed from a consortium of cooperating institutions, meeting such
requirements as may be prescribed by the Director of the Institute.

         "(6) DURATION OF SUPPORT.-Support may be provided to a center under paragraph (1) for a period not exceeding 5 years. Such period may be extended for one or more additional periods, each of which may not exceed 5 years, if the operations of such center have been reviewed by an appropriate technical and scientific peer review group established by the Director and if such group has recommended to the Director that such period be extended.

         "(7) AUTHORIZATION OF APPROPRIATIONS.-For the purpose of carrying out this subsection, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 2001 through 2005.".

TITLE X-PEDIATRIC RESEARCH INITIATIVE
SEC. 1001. ESTABLISHMENT OF PEDIATRIC RESEARCH INITIATIVE.
     Part B of title IV of the Public Health Service Act, as amended by section 101 of this Act, is amended by adding at the end the following:
"PEDIATRIC RESEARCH INITIATIVE
     "SEC. 409D. (a) ESTABLISHMENT.-The Secretary shall establish within the Office of the Director of NIH a Pediatric Research Initiative (referred to in this section as the `Initiative´) to conduct and support research that is directly related to diseases, disorders, and other conditionsin children. The Initiative shall be headed by the Director of NIH.
     "(b) PURPOSE.-The purpose of the Initiative is to provide funds to enable the Director of NIH-
         "(1) to increase support for pediatric biomedical research within the National Institutes of Health to realize the expanding opportunities for advancement in scientific investigations and care for children;

         "(2) to enhance collaborative efforts among the Institutes to conduct and support multidisciplinary research in the areas that the Director deems most promising; and

         "(3) in coordination with the Food and Drug Administration, to increase the development of adequate pediatric clinical trials and pediatric use information to promote the safer and more effective use of prescription
drugs in the pediatric population.
     "(c) DUTIES.-In carrying out subsection (b), the Director of NIH shall-
         "(1) consult with the Director of the National Institute of Child Health and Human Development and the other national research institutes, in considering their requests for new or expanded pediatric research efforts, and consult with the Administrator of the Health Resources and Services Administration and other advisors as the Director determines to be appropriate;

         "(2) have broad discretion in the allocation of any Initiative assistance among the Institutes, among types of grants, and between basic and clinical research so long as the assistance is directly related to the illnesses and conditions of children; and

         "(3) be responsible for the oversight of any newly appropriated Initiative funds and annually report to Congress and the public on the extent of the total funds obligated to conduct or support pediatric research
across the National Institutes of Health, including the specific support and research awards allocated through the Initiative.
     "(d) AUTHORIZATION.-For the purpose of carrying out this section, there are authorized to be appropriated $50,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years 2002 through 2005.
     "(e) TRANSFER OF FUNDS.-The Director of NIH may transfer amounts appropriated under this section to any of the Institutes for a fiscal year to carry out the purposes of the Initiative under this section.".
SEC. 1002. INVESTMENT IN TOMORROW´S PEDIATRIC RESEARCHERS.
     (a) IN GENERAL.-Subpart 7 of part C of title IV of the
Public Health Service Act, as amended by section 921 of this Act, is amended by adding at the end the following:
"INVESTMENT IN TOMORROW´S PEDIATRIC RESEARCHERS
     "SEC. 452G. (a) ENHANCED SUPPORT.-In order to ensure the future supply of researchers dedicated to the care and research needs of children, the Director of the Institute, after consultation with the Administrator of the Health Resources and Services Administration, shall support activities to provide for-
         "(1) an increase in the number and size of institutional training grants to institutions supporting pediatric training; and

         "(2) an increase in the number of career development awards for health professionals who intend to build careers in pediatric basic and clinical research.
     "(b) AUTHORIZATION.-For the purpose of carrying out subsection (a), there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 2001 through 2005.".
     (b) PEDIATRIC RESEARCH LOAN REPAYMENT PROGRAM.-Part G of title IV of the Public Health Service Act (42 U.S.C. 288 et seq.) is amended by inserting after section 487E the following section:
"PEDIATRIC RESEARCH LOAN REPAYMENT PROGRAM
     "SEC. 487F. (a) IN GENERAL.-The Secretary, in consultation with the Director of NIH, may establish a pediatric research loan repayment program. Through such program-
         "(1) the Secretary shall enter into contracts with qualified health professionals under which such professionals will agree to conduct pediatric research, in consideration of the Federal government agreeing to
repay, for each year of such service, not more than $35,000 of the principal and interest of the educational loans of such professionals; and [Page S9056]

         "(2) the Secretary shall, for the purpose of providing reimbursements for tax liability resulting from payments made under paragraph (1) on behalf of an individual, make payments, in addition to payments under such paragraph, to the individual in an amount equal to 39 percent of the total amount of loan repayments made for the taxable year involved.
     "(b) APPLICATION OF OTHER PROVISIONS.-The provisions of sections 338B, 338C, and 338E shall, except as inconsistent with paragraph (1), apply to the program established under such paragraph to the same extent and in the same manner as such provisions apply to the National Health Service Corps Loan Repayment Program established under subpart III of part D of title III.
     "(c) FUNDING.-
         "(1) IN GENERAL.-For the purpose of carrying out this section with respect to a national research institute, the Secretary may reserve, from amounts appropriated for such institute for the fiscal year involved, such amounts as the Secretary determines to be appropriate.

         "(2) AVAILABILITY OF FUNDS.-Amounts made available to carry out this section shall remain available until the expiration of the second fiscal year beginning after the fiscal year for which such amounts were made
available.".

For More Information Contact:

FRAGILE X ASSOCIATION OF SOUTHERN CALIFORNIA
P.O. BOX 6924, BURBANK, CA 91510-6924
Tel: 818-754-4227
FAX: 310 276-9251
Internet: Info@fraxsocal.org

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