,,ii #aafth ,,congress #ast ,session ,s4 #aaii ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #aa1 #bjai,mrs4 ,murray 7for herself and ,mr4 ,burr7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to revise and extend the poison center network program4 #a4 ,short title ,this ,act may be cited as the ,poison ,center ,network ,enhancement ,act of #bjai4 #b4 ,national toll-free number ,section #abga of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d-#ga7 is amended-- 7#a7 in the section heading1 by inserting before the period the following3 and ,other ,communication ,capabilities2 7#b7 by striking subsection 7a7 and inserting the following3 7a7 ,in general ,the ,secretary-- 7#a7 shall provide coordination and assistance to poison control centers for the establishment and maintenance of a nationwide toll-free phone number1 to be used to access such centers2 and 7#b7 may provide coordination and assistance to poison control centers and consult with professional organizations for the establishment1 implementation1 and maintenance of other communication technologies to be used to access such centers4 2 7#c7 by redesignating subsection 7b7 as subsection 7c72 7#d7 by inserting after subsection 7a7 the following3 7b7 ,routing contacts with poison control centers ,not later than #ah months after the date of enactment of the ,poison ,center ,network ,enhancement ,act of #bjai1 the ,secretary shall coordinate with the ,chairman of the ,federal ,communications ,commission1 to the extent technically and economically feasible1 to ensure that communications with the national toll-free number are routed to the appropriate poison control center based on the physical location of the contact rather than the area code of the contact device4 2 and 7#e7 in subsection 7c71 as so redesignated-- 7,a7 by striking #bjae through #bjai and inserting #bjbj through #bjbd2 and 7,b7 by striking maintenance of the nationwide toll free phone number under subsection 7a7 and inserting establishment1 implementation1 and maintenance activities carried out under subsections 7a7 and 7b74 #c4 ,nationwide media campaign ,section #abgb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d-#gb7 is amended-- 7#a7 in the section heading1 by striking ,nationwide media campaign to promote and inserting ,promoting2 7#b7 in subsection 7a7-- 7,a7 by inserting and support outreach to after educate2 7,b7 by striking poison prevention and inserting poisoning and toxic exposure prevention2 and 7,c7 by striking established under and inserting and other available communication technologies established1 implemented1 or maintained under2 7#c7 in subsection 7b7-- 7,a7 in the matter preceding paragraph 7#a71 by striking nationwide poison prevention and inserting nationwide poisoning and toxic exposure prevention2 and 7,b7 in paragraph 7#a71 by striking poison prevention and poison control center and inserting poisoning and toxic exposure prevention awareness materials1 applicable public health emergency preparedness and response information1 and poison control center after distribution of2 7#d7 by striking subsection 7c72 7#e7 by redesignating subsection 7d7 as subsection 7c72 and 7#f7 in subsection 7c7 7as so redesignated71 by striking #bjae through #bjai and inserting #bjbj through #bjbd4 #d4 ,maintenance of program ,section #abgc of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d-#gc7 is amended-- 7#a7 in subsection 7a71 by inserting and toxic exposures after poisonings2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 by striking for poison and inserting for poisoning and toxic exposure2 and 7ii7 by striking and preparedness and inserting preparedness and response2 7,b7 in paragraph 7#c7-- 7i7 by striking ,united ,states and and inserting ,united ,states12 and 7ii7 by inserting before the semicolon the following3 1 and other government agencies as determined to be appropriate and nonduplicative by the ,secretary2 and 7,c7 in paragraph 7#h71 by striking calls and inserting contacts2 7#c7 in subsection 7d71 by striking paragraph 7#c7 and inserting the following3 7#c7 ,limitation ,in no case may the sum of the number of years for a waiver under this subsection exceed #e years4 ,notwithstanding any previous waivers1 in the case of a poison control center whose accreditation is affected by a public health emergency declared pursuant to section #cai1 the ,secretary may1 as the circumstances of the emergency reasonably require1 provide a waiver under paragraph 7#a7 or a renewal under paragraph 7#b7 for up to #b years4 2 7#d7 by striking subsection 7f7 and inserting the following3 7f7 ,maintenance of effort ,with respect to activities for which a grant is awarded under this section1 the ,secretary may require that poison control centers agree to maintain the expenditures of the center for such activities at a level that is not less than the level of expenditures maintained by the center for the fiscal year preceding the fiscal year for which the grant is received4 2 7#e7 ,in subsection 7g71 by striking #bjae through #bjai and inserting #bjbj through #bjbd2 and 7#f7 by adding at the end the following3 7h7 ,biennial report to ,congress ,not later than #b years after the date of enactment of the ,poison ,center ,network ,enhancement ,act of #bjai1 and every #b years thereafter1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and ,committee on ,energy and ,commerce of the ,house of ,representatives a report concerning the operations of1 and trends identified by1 the ,poison ,control ,network4 ,such report shall include-- 7#a7 descriptions of the activities carried out pursuant to sections #abga1 #abgb1 and #abgc1 and the alignment of such activities with the purposes provided under subsection 7a72 7#b7 a description of trends in volume of contacts to poison control centers2 7#c7 a description of trends in poisonings and toxic exposures reported to poison control centers1 as applicable and appropriate2 7#d7 an assessment of the impact of the public awareness campaign1 including any geographic variations2 7#e7 a description of barriers1 if any1 preventing poison control centers from achieving the purposes and programs under this section and sections #abga and #abgb2 7#f7 a description of the standards for accreditation described in subsection 7c71 including any variations in those standards1 and any efforts to create and maintain consistent standards across organizations that accredit poison control centers2 and 7#g7 the number of and reason for any waivers provided under subsection 7d74 4