,,ii #aac? ,,congress #b;d ,session ,s4 #bech ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #bf1 #bjad ,mr4 ,kirk 7= himself & ,ms4 ,hirono7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to revise & ext5d ! program = viral hepatitis surveillance1 education1 & te/+ 9 ord] to prev5t dea?s f *ronic liv] disease & liv] canc]1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,viral ,hepatitis ,te/+ ,act ( #bjad4 #b4 ,revision & ext5sion ( hepatitis surveillance1 education1 & te/+ program 7a7 ,9 g5]al ,section #cag,n ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7 is am5d$-- 7#a7 by am5d+ ! section head+ to read z foll[s3 ,surveillance1 education1 te/+1 & l9kage to c>e reg>d+ hepatitis virus2 7#b7 by r$esignat+ subsections 7b7 & 7c7 z subsections 7d7 & 7e71 respectively2 & 7#c7 by /rik+ subsection 7a7 & ins]t+ ! foll[+3 7a7 ,9 g5]al ,! ,secret>y %all1 9 accordance ) ?is section1 c>ry out surveillance1 education1 & te/+ programs ) respect to hepatitis ,b & hepatitis ,c virus infections 7ref]r$ to 9 ?is section z ,,hbv & ,,hcv1 respectively74 ,! ,secret>y may c>ry out su* programs directly & ?r\gh grants to public & nonpr(it private entities1 includ+ ,/ates1 political subdivisions ( ,/ates1 t]ritories1 ,indian tribes1 & public-private p>tn]%ips4 7b7 ,national sy/em ,9 c>ry+ out subsection 7a71 ! ,secret>y %all1 9 consultation ) ,/ates & o!r public or nonpr(it private entities & public-private p>tn]%ips describ$ 9 subsection 7d71 e/abli% a national sy/em ) respect to ,,hbv & ,,hcv ) ! foll[+ goals3 7#a7 ,to det]m9e ! incid5ce & preval5ce ( su* infections1 includ+ provid+ = ! report+ ( acute & *ronic cases4 7#b7 ,) respect to ! population ( individuals :o h su* an infection1 to c>ry out te/+ programs to increase ! numb] ( individuals :o are aw>e ( _! infection to #ej p]c5t by ,decemb] #ca1 #bjad1 & to #ge p]c5t by ,decemb] #ca1 #bjaf4 7#c7 ,to develop & dissem9ate public in=mation & education programs = ! detection & control ( su* infections4 7#d7 ,to improve ! education1 tra9+1 & skills ( heal? pr(essionals 9 ! detection1 control1 & c>e & treatm5t1 ( su* infections4 7#e7 ,to provide appropriate ref]rals = c\nsel+ & m$ical c>e & treatm5t ( infect$ individuals & to ensure1 to ! ext5t practicable1 ! provision ( appropriate foll[-up s]vices4 7c7 ,high-,risk populations2 *ronic cases 7#a7 ,9 g5]al ,! ,secret>y %all det]m9e ! populations t1 = purposes ( ?is section1 are consid]$ at high-risk = ,,hbv or ,,hcv4 ,! ,secret>y %all include ! foll[+ among ^? consid]$ at high-risk3 7,a7 ,= ,,hbv1 individuals born 9 c\ntries 9 :i* #b p]c5t or m ( ! population has ,,hbv or :o are a "p ( a high-risk category z id5tifi$ by ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,= ,,hcv1 individuals born betwe5 #aide & #aife or :o are a "p ( a high-risk category z id5tifi$ by ! ,c5t]s = ,disease ,control & ,prev5tion4 7,c7 ,^? :o h be5 expos$ to ! blood ( infect$ individuals or ( high-risk individuals or :o are family memb]s ( su* individuals4 7#b7 ,priority 9 programs ,9 provid+ = programs "u ?is section1 ! ,secret>y %all give priority-- 7,a7 to e>ly diagnosis ( *ronic cases ( ,,hbv or ,,hcv 9 high-risk populations "u p>agraph 7#a72 & 7,b7 to education1 & ref]rals = c\nsel+ & m$ical c>e & treatm5t1 = individuals diagnos$ "u subp>agraph 7,a7 9 ord] to-- 7i7 r$uce _! risk ( dy+ f end-/age liv] disease & liv] canc]1 & ( transmitt+ ! infection to o!rs2 7ii7 det]m9e ! appropriat5ess = treatm5t to r$uce ! risk ( progression to cirrhosis & liv] canc]2 7iii7 receive ongo+ m$ical managem5t1 includ+ regul> monitor+ ( liv] function & scre5+s = liv] canc]2 7iv7 receive1 z appropriate1 drug1 alcohol abuse1 & m5tal heal? treatm5t2 7v7 9 ! case ( wom5 ( *ildbe>+ age1 receive education on h[ to prev5t ,,hbv p]9atal infection1 & to alleviate fe>s associat$ ) pregnancy or rais+ a family2 & 7vi7 receive su* o!r s]vices z ! ,secret>y det]m9es to be appropriate4 7#c7 ,cultural context ,9 provid+ = s]vices pursuant to p>agraph 7#b7 = individuals :o are diagnos$ "u subp>agraph 7,a7 ( su* p>agraph1 ! ,secret>y %all seek to ensure t ! s]vices are provid$ 9 a culturally & l+ui/ically appropriate mann]4 7d7 ,public-,private p>tn]%ips 7#a7 ,9 g5]al ,9 c>ry+ out ?is section1 & n lat] ?an #fj days aft] ! date ( ! enactm5t ( ! ,viral ,hepatitis ,te/+ ,act ( #bjad1 ! ,secret>y %all1 9 consultation ) ! ,assi/ant ,secret>y = ,heal?1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ,m9ority ,heal?1 ! ,indian ,heal? ,s]vice1 o!r relevant ag5cies1 & non-gov]nm5t /akehold] entities1 e/abli% & support public-private p>tn]%ips t facilitate ! surveillance1 education1 scre5+1 te/+1 & l9kage to c>e programs au?oriz$ by ?is section4 7#b7 ,duties ,public-private p>tn]%ips e/abli%$ or support$ "u p>agraph 7#a7 %all-- 7,a7 focus prim>ily on ! surveillance1 education1 scre5+1 te/+1 & l9kage to c>e programs au?oriz$ by ?is section2 7,b7 g5]ate res\rces1 9 addition to ! funds made available pursuant to subsection 7f71 to c>ry out ! surveillance1 education1 scre5+1 te/+1 & l9kage to c>e programs au?oriz$ 9 ?is section by lev]ag+ ,f$]al fund+ ) non-,f$]al fund+ & support2 7,c7 all[ = inve/m5ts 9 su* programs ( f9ancial or 9-k9d res\rces by ea* ( ! p>tn]s involv$ 9 ! p>tn]%ip2 7,d7 include corporate & indu/ry entities1 academic in/itutions1 public & non-pr(it organizations1 community & fai?-bas$ organizations1 f\ndations1 & o!r gov]nm5tal & non-gov]nm5tal organizations2 & 7,e7 advance ! core goals ( ea* ( ! p>tn]s ( ! p>tn]%ip z det]m9$ by ! ,secret>y 9 developm5t ( ! p>tn]%ip4 7#c7 ,annual reports ,! ,secret>y %all provide to ! ,congress an annual report on ! public-private p>tn]%ips e/abli%$ "u ?is subsection4 ,ea* su* report %all include-- 7,a7 ! numb] ( public-private p>tn]%ips e/abli%$2 7,b7 specific & quantifiable in=mation on ! surveillance1 education1 scre5+1 te/+1 & l9kage to c>e activities conduct$ z well z ! outcomes a*iev$ ?r\gh ea* ( ! public-private p>tn]%ips2 7,c7 ! am\nt ( ,f$]al fund+ or res\rces d$icat$ to ! public-private p>tn]%ips2 7,d7 ! am\nt ( non-,f$]al fund+ or res\rces lev]ag$ ?r\gh ! public-private p>tn]%ips2 & 7,e7 a plan = ! foll[+ ye> t outl9es future activities4 7#d7 ,limitation ,no m ?an #be p]c5t ( ! funds made available to c>ry out ?is section may be us$ = public-private p>tn]%ips e/abli%$ or support$ "u ?is subsection4 7#e7 ,l9kage to c>e ,= purposes ( ?is section1 ! t]m l9kage to c>e means1 ) respect to an individual ) a diagnosis ( ,,hbv or ,,hcv1 ! ref]ral ( su* individual to cl9ical c>e = a ?or\gh evaluation ( _! cl9ical /atus to det]m9e ! ne$ = treatm5t1 vacc9ation = ,,hbv1 or o!r !rapy4 7e7 ,ag5cy = heal?c>e rese>* & quality ,,hbv & ,,hcv guidel9es ,due to ! rapidly evolv+ /&>d ( c>e associat$ ) diagnos+ & treat+ viral hepatitis infection1 ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality %all conv5e ! ,prev5tive ,s]vices ,task ,=ce "u section #iae7;a7 to review its recomm5dation = scre5+ = ,,hbv & ,,hcv infection e #c ye>s4 7f7 ,fund+ 7#a7 ,9 g5]al ,9 addition to any am\nts o!rwise au?oriz$ by ?is ,act1 !re are au?oriz$ to be appropriat$ to c>ry out ?is section-- 7,a7 #be1jjj1jjj = fiscal ye> #bjad2 7,b7 #ce1jjj1jjj = fiscal ye> #bjae2 & 7,c7 #bj1jjj1jjj = fiscal ye> #bjaf4 7#b7 ,grants ,( ! am\nts appropriat$ pursuant to p>agraph 7#a7 = a fiscal ye>1 ! ,secret>y %all res]ve n less ?an #hj p]c5t = mak+ grants "u subsection 7a74 7#c7 ,s\rce ( funds ,! funds made available to c>ry out ?is section %all be d]iv$ exclusively f ! funds appropriat$ or o!rwise made available = plann+ & evaluation "u ?is ,act4 4 7b7 ,sav+s ,provision ,! am5dm5ts made by ?is section %all n be con/ru$ to require t]m9ation ( any program or activity c>ri$ out by ! ,secret>y ( ,heal? & ,human ,s]vices "u section #cag,n ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ae7 z 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act4