scientific research with respect to the cause and cure of cancer, rheumatic fever, Bright's disease, diabetes, diseases of the heart and circulation, and other major diseases of mankind, and to investigate the cause and spread of contagious or infectious diseases, including malaria, and to make recommendations with respect thereto.

SEC. 3. The powers and duties of the Agency shall be exercised by a governing board (hereinafter called the "Board") of five to be nominated by the President, with the advice and consent of the Senate, and the President shall fix their terms of office, not to exceed five years. One of the members so appointed shall be the Surgeon General of the United States Public Health Service, and the members of the Board shall serve without compensation, but shall be allowed actual and necessary traveling expenses, and the expenses of subsistence when engaged, away from home, in the duties of their offices.

SEC. 4. (a) The Board shall appoint, and prescribe the term, powers, and duties of a Director of the Agency who shall be the principal executive officer of the Agency. The Director may appoint two Deputy Directors. The Director shall receive compensation at the rate of $18,000 per annum, and the Deputy Directors shall receive compensation at the rate of $12,000 per annum.

(b) The Board shall, except as herein otherwise provided, determine the organization of the Agency and employ and establish such offices and scientific personnel it deems expedient. The Board may assign to persons, officers, and committees within the Agency such powers and duties as it may deem expedient.

SEC. 5. The Agency is empowered to do all things necessary to carry out the provisions of this Act, and without being limited hereby, the Agency is specifically authorized

(a) to prescribe such rules and regulations as it deems necessary governing the manner of its operations and its organization and personnel;

(b) to enter into contracts to facilitate the performance of its functions; (c) to acquire by purchase or gift, hold, and dispose of a suitable building for administration of this Act, and for scientific investigation, together with needed equipment therefor;

(d) to receive and use funds donated by others: Provided, That such funds are donated without restriction;

(e) to publish medical scientific and technical information;

(f) to accept and utilize the services of voluntary personnel, and to pay the actual and necessary traveling and subsistence expenses of such personnel incurred in the course of such services.

SEC. 6. To enable the Agency to organize, and to commence to carry out its powers and duties, there is hereby authorized to be appropriated the sum of $5,000,000. Appropriations shall be made annually in amounts authorized by the Congress.

SEC. 7. An annual report shall be made to the President and the Congress at the end of each year.

[H. R. 3762, 80th Cong., 1st sess.]

A BILL To provide for research relating to diseases of the heart and circulation and to aid in the development of more effective methods of prevention, diagnosis, and treatment of such diseases, and for other purposes

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "National Heart Disease Act."

PURPOSE

SEC. 2. For the purpose of improving the health of the people of the United States through the conduct of researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of diseases of the heart and circulation (hereafter in this Act referred to as "heart diseases); assisting and fostering such researches and activities by public and private agencies, and promoting the coordinaation of all such researches and activities and the useful application of their results; training personnel in matters relating to heart diseases; and developing, and assisting States in the use of, the most effective methods of prevention, diagnosis, and treatment of heart diseases; there is hereby established in the Public Health Service (hereafter in this Act referred to as the "Service"), a division of the National Insti

tute of Health to be known as the National Heart Disease Institute (hereafter in this Act referred to as the "Institute").

SEC. 3. In carrying out the purposes of this Act, the Surgeon General of the Service (hereafter in this Act referred to as the "Surgeon General") is authorized, through the Institute, to—

(a) conduct, assist, and foster researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of heart diseases;

(b) promote the coordination of researches conducted by the Institute, and similar researches conducted by other agencies, organizations, and individuals; (c) make available research facilities of the Service to appropriate public authorities, and to health officials and scientists engaged in special studies related to the purposes of this Act;

(d) make grants-in-aid to universities, hospitals, laboratories, and other public or private institutions, and to individuals for such research projects as are recommended by the National Heart Disase Council (hereafter in this Act referred to as the "Council"), including grants to such institutions for the construction, acquisition, leasing, and equipment of hospital, clinic, laboratory, and related facilities necessary for such research;

(e) collect and make available, through publications and other appropriate means, information as to, and the practical application of, research and other activities carried on pursuant to this Act;

(f) secure from time to time, and for such periods as he deems advisable, the assistance and advice of persons from the United States or abroad who are experts in the field of heart diseases;

(g) establish and maintain, from funds appropriated or donated for the purpose, fellowships in the Institute with such stipends and allowances (including travel and subsistence expenses) as he may deem necessary to procure the assistance of the most brilliant and promising research fellows from the United States and abroad;

(h) (1) provide training and instruction in matters relating to the diagnosis, prevention, and treatment of heart diseases to persons found by him to have proper qualifications, and fix and pay to any of such persons as he may designate a per diem allowance during such training and instruction of not to exceed $10, the number of such persons receiving such training and instruction to be fixed by the Council; and (2) provide such training and instruction, and demonstrations, through grants, upon recommendation of the Council, to public and other nonprofit institutions, including grants to such institutions for the construction, acquisition, leasing, and equipment of hospital, clinic, laboratory, and related facilities necessary for such training and instruction;

(i) for purposes of study, admit and treat at the Institute voluntary patients suffering from heart diseases, whether or not otherwise eligible for such treatment by the Service;

(j) adopt, upon recommendation of the Council, such additional means as he deems necessary or appropriate to carry out the purposes of this Act.

NATIONAL HEART DISEASE COUNCIL

SEC. 4. (a) There is hereby created a National Heart Disease Council, to consist of the Surgeon General or his representative, the chief medical officer of the Veterans' Administration or his representative, the Surgeon General of the Army or his representative, the Surgeon General of the Navy or his representative, and twelve members appointed without regard to the civil-service laws by the Surgeon General with the approval of the Federal Security Administrator thereafter in this Act referred to as the "Administrator"). The twelve appointed members shall be outstanding persons who have had wide experience and have demonstrated competence in scientific matters, and six of such twelve shall be selected from leading medical or scientific authorities who are outstanding in the study, diagnosis, or treatment of heart diseases.

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

(c) The Surgeon General is authorized to utilize the services of any member or members of the Council in connection with matters related to the work of the Service for such periods, in addition to conference periods, as he may determine to be necessary.

(d) Each appointed member of the Council, while attending conferences or meetings of the Council or while otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Administrator, but not exceeding $50 per day, and shall also be entitled to receive an allowance for actual and necessary traveling and subsistence expenses while so serving away from his place of residence.

FUNCTIONS OF THE COUNCIL

SEC. 5. The Council is authorized to

(a) review research projects or programs submitted to or initiated by it relating to the study of the cause, prevention, or methods of diagnosis or treatment of heart diseases, and recommend to the Surgeon General, for prosecution under this Act, any such projects which it believes show promise of making valuable contributions to human knowlege with respect to the cause, prevention, or methods of diagnosis or treatment of heart diseases;

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

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

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

(e) recommend to the Surgeon General for acceptance conditional gifts pursuant to section 501 of the Public Health Service Act for carrying out the purposes of this Act; and

(f) advise, consult with, and make recommendations to the Surgeon General with respect to carrying out the provisions of this Act.

GIFTS

SEC. 6. The Surgeon General shall recommend to the Administrator acceptance of conditional gifts, pursuant to section 501 of the Public Health Service Act, for study, investigation, or research into the cause, prevention, or methods of diagnosis or treatment of heart diseases, or for the acquisition of grounds or for the erection, equipment, or maintenance of premises, buildings, or equipment of the Institute. Donations of $50,000 or over for carrying out the purposes of this Act may be acknowledged by the establishment within the Institute of suitable memorials to the donors.

GRANTS TO STATES

SEC. 7. (a) The Surgeon General is authorized to make grants-in-aid, as provided in this section, to States, counties, health districts, and other political subdivisions of the States for the establishment and maintenance of programs of prevention, treatment, and control of heart diseases, including the provision of appropriate facilities for care and treatment and including the training of personnel for State and local health work.

(b) For each fiscal year, the Surgeon General, with the approval of the Administrator, shall determine the total sum for the appropriation under section 8 (a) which shall be available for allotment among the several States under this

section. He shall, in accordance with regulations prescribed by him with the approval of the Administrator, from time to time make allotments from such sum to the several States on the basis of (1) the population, (2) the extent of the heart-disease problem, and (3) the financial need of the respective States. Upon making such allotments, the Surgeon General shall notify the Secretary of the Treasury of the amounts thereof.

(c) The Surgeon General shall from time to time certify to the Secretary of the Treasury the amounts to be paid to each State from the allotments to such State, reduced or increased, as the case may be, by the amount by which he finds that estimates of required expenditures with respect to any prior period were greater or less than the actual expenditures for such period. Upon receipt of such certification, the Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, pay in accordance with such certification. (d) The money so paid to any State shall be expended solely in carrying out the purposes for which the grant is made and in accordance with plans presented by the health authority of such State and approved by the Surgeon General. The Surgeon General shall not approve any such plans unless it provides for expenditure thereunder, from funds of the State or from funds of the State and its political subdivisions, of such amounts as may be determined in accordance with regulations prescribed by the Surgeon General with the approval of the Administrator.

(e) Whenever the Surgeon General, after reasonable notice and opportunity for hearing to the health authority of the State, finds that there is a failure to comply substantially with either

(1) the provisions of this section;

(2) the plan submitted under subsection (d); or

(3) the regulations prescribed with respect to grants under this section; the Surgeon General shall notify such State health authority either that further payments will not be made to the State under this section (or in his discretion that further payments will not be made to the State under this section for activities in which there is such failure), until he is satisfied that there will no longer be any such failure. Until he is so satisfied the Surgeon General shall make no further certification for payment to such State under this section, or shall limit payments to activities in which there is no such failure.

(f) All regulations and amendments thereto with respect to grants to States under this section shall be made after consultation with a conference of the State health authorities. Insofar as practicable, the Surgeon General shall obtain the agreement of the State health authorities prior to the issuance of any such regulations or amendments.

APPROPRIATIONS AND BUILDINGS

SEC. 8. (a) There are hereby authorized to be appropriated for each fiscal year such sums as the Congress may determine to be necessary to carry out the provisions of this Act.

(b) There is also authorized to be appropriated a sum not to exceed $2,000,000 for the erection and equipment, for the use of the Institute in carrying out the provisions of this Act, of suitable and adequate laboratory and clinical research buildings and facilities, including necessary living quarters for personnel. The Federal Works Administrator is authorized to acquire, by purchase, condemnation, donation, or otherwise, a suitable and adequate site or sites, selected on the advice of the Surgeon General, in or near the District of Columbia for such buildings and facilities, and to erect thereon, furnish, and equip such buildings and facilities when funds are made available. The amount authorized to be appropriated in this subsection shall include the cost of preparation of drawings and specifications, supervision of construction, and other administrative expenses incident to the work: Provided, That the Federal Works Agency shall prepare the plans and specifications, make all necessary contracts, and supervise construction:

GENERAL PROVISIONS

SEC. 9. (a) So much of the funds appropriated pursuant to section 8 (a) for a fiscal year as are allocated by the Surgeon General during such year for grants-in-aid under section 3 for research and training (including construction in connection therewith) shall remain available for such purposes until the end of the fifth fiscal year following such year.

(b) This Act shall not be construed as superseding or limiting (1) the functions, under any other Act, of the Surgeon General or the Service, or of any other officer or agency of the United States, relating to the study of the causes, prevention, or methods of diagnosis or treatment of heart diseases; or (2) the expenditure of money therefor.

(c) The Surgeon General shall perform his functions under this Act under the supervision and direction of the Administrator. The Surgeon General with the approval of the Administrator is authorized to make such rules and regulations as may be necessary to carry out the provisions of this Act.

(d) As used in this Act, the term "State" means a State or the District of Columbia, Hawaii, Alaska, Puerto Rico, or the Virgin Islands.

(e) The Surgeon General shall include in the report for submission to the Congress at the beginning of each regular session a full report of the administration of the Act, including a detailed statement of receipts and disbursements.

[H. R. 5087, 80th Cong., 2d sess.]

A BILL To provide for research and control relating to diseases of the heart and circulation

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "National Heart Act."

PURPOSE

SEC. 2. For the purpose of improving the health of the people of the United States through the conduct of researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of diseases of the heart and circulation (hereafter in this Act referred to as "heart diseases"); assisting and fostering such researches and activities by public and private agencies, and promoting the coordination of all such researches and activities and the useful application of their results; training research workers; training undergraduate and postgraduate personnel in matters relating to heart diseases; and developing, and assisting States and other agencies in the use of, the most effective methods of prevention, diagnosis, and treatment of heart diseases; there is hereby established in the Public Health Service (hereafter in this Act referred to as the "Service"), a National Heart Institute (hereafter in this Act referred to as the "Institute").

FUNCTIONS

SEC. 3. In carrying out the purposes of this Act, the Surgeon General of the Service (hereafter in this Act referred to as the "Surgeon General") is authorized to

(a) conduct, assist, and foster researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of heart diseases;

(b) promote the coordination of research and control programs conducted by the Institute, and similar programs conducted by other agencies, organizations, and individuals;

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

(d) make grants-in-aid to universities, hospitals, laboratories, and other public or private agencies and institutions, and to individuals for research, education, and control (service programs for prevention, diagnosis, and treatment utilizing current medical methods) projects and programs, including grants to such agencies and institutions for the construction, acquisition, leasing, and equipment of hospital, clinic, laboratory, and related facilities necessary for such research, education, and control;

(e) establish an information center on research, prevention, diagnosis, and treatment of heart diseases, and collect and make available, through publications and other appropriate means, information as to, and the practical application of, research and other activities carried on pursuant to this Act; (f) secure from time to time, and for such periods as he deems advisable, the assistance and advice of persons from the United States or abroad who are experts in the field of heart diseases;