
From the U.S. Code Online via GPO Access
[wais.access.gpo.gov]
[Laws in effect as of January 23, 2000]
[Document not affected by Public Laws enacted between
  January 23, 2000 and December 4, 2001]
[CITE: 42USC242k]

 
                 TITLE 42--THE PUBLIC HEALTH AND WELFARE
 
                    CHAPTER 6A--PUBLIC HEALTH SERVICE
 
                SUBCHAPTER II--GENERAL POWERS AND DUTIES
 
                   Part A--Research and Investigations
 
Sec. 242k. National Center for Health Statistics


(a) Establishment; appointment of Director; statistical and 
        epidemiological activities

    There is established in the Department of Health and Human Services 
the National Center for Health Statistics (hereinafter in this section 
referred to as the ``Center'') which shall be under the direction of a 
Director who shall be appointed by the Secretary. The Secretary, acting 
through the Center, shall conduct and support statistical and 
epidemiological activities for the purpose of improving the 
effectiveness, efficiency, and quality of health services in the United 
States.

(b) Duties

    In carrying out subsection (a) of this section, the Secretary, 
acting through the Center,
        (1) shall collect statistics on--
            (A) the extent and nature of illness and disability of the 
        population of the United States (or of any groupings of the 
        people included in the population), including life expectancy, 
        the incidence of various acute and chronic illnesses, and infant 
        and maternal morbidity and mortality,
            (B) the impact of illness and disability of the population 
        on the economy of the United States and on other aspects of the 
        well-being of its population (or of such groupings),
            (C) environmental, social, and other health hazards,
            (D) determinants of health,
            (E) health resources, including physicians, dentists, 
        nurses, and other health professionals by specialty and type of 
        practice and the supply of services by hospitals, extended care 
        facilities, home health agencies, and other health institutions,
            (F) utilization of health care, including utilization of (i) 
        ambulatory health services by specialties and types of practice 
        of the health professionals providing such services, and (ii) 
        services of hospitals, extended care facilities, home health 
        agencies, and other institutions,
            (G) health care costs and financing, including the trends in 
        health care prices and cost, the sources of payments for health 
        care services, and Federal, State, and local governmental 
        expenditures for health care services, and
            (H) family formation, growth, and dissolution;

        (2) shall undertake and support (by grant or contract) research, 
    demonstrations, and evaluations respecting new or improved methods 
    for obtaining current data on the matters referred to in paragraph 
    (1);
        (3) may undertake and support (by grant or contract) 
    epidemiological research, demonstrations, and evaluations on the 
    matters referred to in paragraph (1); and
        (4) may collect, furnish, tabulate, and analyze statistics, and 
    prepare studies, on matters referred to in paragraph (1) upon 
    request of public and nonprofit private entities under arrangements 
    under which the entities will pay the cost of the service provided.

Amounts appropriated to the Secretary from payments made under 
arrangements made under paragraph (4) shall be available to the 
Secretary for obligation until expended.

(c) Statistical and epidemiological compilations and surveys

    The Center shall furnish such special statistical and 
epidemiological compilations and surveys as the Committee on Labor and 
Human Resources and the Committee on Appropriations of the Senate and 
the Committee on Energy and Commerce and the Committee on Appropriations 
of the House of Representatives may request. Such statistical and 
epidemiological compilations and surveys shall not be made subject to 
the payment of the actual or estimated cost of the preparation of such 
compilations and surveys.

(d) Technical aid to States and localities

    To insure comparability and reliability of health statistics, the 
Secretary shall, through the Center, provide adequate technical 
assistance to assist State and local jurisdictions in the development of 
model laws dealing with issues of confidentiality and comparability of 
data.

(e) Cooperative Health Statistics System

    For the purpose of producing comparable and uniform health 
information and statistics, there is established the Cooperative Health 
Statistics System. The Secretary, acting through the Center, shall--
        (1) coordinate the activities of Federal agencies involved in 
    the design and implementation of the System;
        (2) undertake and support (by grant or contract) research, 
    development, demonstrations, and evaluations respecting the System;
        (3) make grants to and enter into contracts with State and local 
    health agencies to assist them in meeting the costs of data 
    collection and other activities carried out under the System; and
        (4) review the statistical activities of the Department of 
    Health and Human Services to assure that they are consistent with 
    the System.

States participating in the System shall designate a State agency to 
administer or be responsible for the administration of the statistical 
activities within the State under the System. The Secretary, acting 
through the Center, shall prescribe guidelines to assure that 
statistical activities within States participating in the system \1\ 
produce uniform and timely data and assure appropriate access to such 
data.
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    \1\ So in original. Probably should be capitalized.
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(f) Federal-State cooperation

    To assist in carrying out this section, the Secretary, acting 
through the Center, shall cooperate and consult with the Departments of 
Commerce and Labor and any other interested Federal departments or 
agencies and with State and local health departments and agencies. For 
such purpose he shall utilize insofar as possible the services or 
facilities of any agency of the Federal Government and, without regard 
to section 5 of title 41, of any appropriate State or other public 
agency, and may, without regard to such section, utilize the services or 
facilities of any private agency, organization, group, or individual, in 
accordance with written agreements between the head of such agency, 
organization, or group and the Secretary or between such individual and 
the Secretary. Payment, if any, for such services or facilities shall be 
made in such amounts as may be provided in such agreement.

(g) Collection of health data; data collection forms

    To secure uniformity in the registration and collection of 
mortality, morbidity, and other health data, the Secretary shall prepare 
and distribute suitable and necessary forms for the collection and 
compilation of such data.

(h) Registration area records

    (1) There shall be an annual collection of data from the records of 
births, deaths, marriages, and divorces in registration areas. The data 
shall be obtained only from and restricted to such records of the States 
and municipalities which the Secretary, in his discretion, determines 
possess records affording satisfactory data in necessary detail and 
form. The Secretary shall encourage States and registration areas to 
obtain detailed data on ethnic and racial populations, including 
subpopulations of Hispanics, Asian Americans, and Pacific Islanders with 
significant representation in the State or registration area. Each State 
or registration area shall be paid by the Secretary the Federal share of 
its reasonable costs (as determined by the Secretary) for collecting and 
transcribing (at the request of the Secretary and by whatever method 
authorized by him) its records for such data.
    (2) There shall be an annual collection of data from a statistically 
valid sample concerning the general health, illness, and disability 
status of the civilian noninstitutionalized population. Specific topics 
to be addressed under this paragraph, on an annual or periodic basis, 
shall include the incidence of illness and accidental injuries, 
prevalence of chronic diseases and impairments, disability, physician 
visits, hospitalizations, and the relationship between demographic and 
socioeconomic characteristics and health characteristics.

(i) Technical assistance in effective use of statistics

    The Center may provide to public and nonprofit private entities 
technical assistance in the effective use in such activities of 
statistics collected or compiled by the Center.

(j) Coordination of health statistical and epidemiological activities

    In carrying out the requirements of section 242b(c) of this title 
and paragraph (1) of subsection (e) of this section, the Secretary shall 
coordinate health statistical and epidemiological activities of the 
Department of Health and Human Services by--
        (1) establishing standardized means for the collection of health 
    information and statistics under laws administered by the Secretary;
        (2) developing, in consultation with the National Committee on 
    Vital and Health Statistics, and maintaining the minimum sets of 
    data needed on a continuing basis to fulfill the collection 
    requirements of subsection (b)(1) of this section;
        (3) after consultation with the National Committee on Vital and 
    Health Statistics, establishing standards to assure the quality of 
    health statistical and epidemiological data collection, processing, 
    and analysis;
        (4) in the case of proposed health data collections of the 
    Department which are required to be reviewed by the Director of the 
    Office of Management and Budget under section 3509 \2\ of title 44, 
    reviewing such proposed collections to determine whether they 
    conform with the minimum sets of data and the standards promulgated 
    pursuant to paragraphs (2) and (3), and if any such proposed 
    collection is found not to be in conformance, by taking such action 
    as may be necessary to assure that it will conform to such sets of 
    data and standards, and
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    \2\ See References in Text note below.
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        (5) periodically reviewing ongoing health data collections of 
    the Department, subject to review under such section 3509,\2\ to 
    determine if the collections are being conducted in accordance with 
    the minimum sets of data and the standards promulgated pursuant to 
    paragraphs (2) and (3) and, if any such collection is found not to 
    be in conformance, by taking such action as may be necessary to 
    assure that the collection will conform to such sets of data and 
    standards not later than the ninetieth day after the date of the 
    completion of the review of the collection.

(k) National Committee on Vital and Health Statistics; establishment; 
        membership; term of office; compensation; functions; 
        consultations of Secretary with Committee and professional 
        advisory groups

    (1) There is established in the Office of the Secretary a committee 
to be known as the National Committee on Vital and Health Statistics 
(hereinafter in this subsection referred to as the ``Committee'') which 
shall consist of 18 members.
    (2) The members of the Committee shall be appointed from among 
persons who have distinguished themselves in the fields of health 
statistics, electronic interchange of health care information, privacy 
and security of electronic information, population-based public health, 
purchasing or financing health care services, integrated computerized 
health information systems, health services research, consumer interests 
in health information, health data standards, epidemiology, and the 
provision of health services. Members of the Committee shall be 
appointed for terms of 4 years.
    (3) Of the members of the Committee--
        (A) 1 shall be appointed, not later than 60 days after August 
    21, 1996, by the Speaker of the House of Representatives after 
    consultation with the Minority Leader of the House of 
    Representatives;
        (B) 1 shall be appointed, not later than 60 days after August 
    21, 1996, by the President pro tempore of the Senate after 
    consultation with the Minority Leader of the Senate; and
        (C) 16 shall be appointed by the Secretary.

    (4) Members of the Committee shall be compensated in accordance with 
section 210(c) of this title.
    (5) The Committee--
        (A) shall assist and advise the Secretary--
            (i) to delineate statistical problems bearing on health and 
        health services which are of national or international interest;
            (ii) to stimulate studies of such problems by other 
        organizations and agencies whenever possible or to make 
        investigations of such problems through subcommittees;
            (iii) to determine, approve, and revise the terms, 
        definitions, classifications, and guidelines for assessing 
        health status and health services, their distribution and costs, 
        for use (I) within the Department of Health and Human Services, 
        (II) by all programs administered or funded by the Secretary, 
        including the Federal-State-local cooperative health statistics 
        system referred to in subsection (e) of this section, and (III) 
        to the extent possible as determined by the head of the agency 
        involved, by the Department of Veterans Affairs, the Department 
        of Defense, and other Federal agencies concerned with health and 
        health services;
            (iv) with respect to the design of and approval of health 
        statistical and health information systems concerned with the 
        collection, processing, and tabulation of health statistics 
        within the Department of Health and Human Services, with respect 
        to the Cooperative Health Statistics System established under 
        subsection (e) of this section, and with respect to the 
        standardized means for the collection of health information and 
        statistics to be established by the Secretary under subsection 
        (j)(1) of this section;
            (v) to review and comment on findings and proposals 
        developed by other organizations and agencies and to make 
        recommendations for their adoption or implementation by local, 
        State, national, or international agencies;
            (vi) to cooperate with national committees of other 
        countries and with the World Health Organization and other 
        national agencies in the studies of problems of mutual interest;
            (vii) to issue an annual report on the state of the Nation's 
        health, its health services, their costs and distributions, and 
        to make proposals for improvement of the Nation's health 
        statistics and health information systems; and
            (viii) in complying with the requirements imposed on the 
        Secretary under part C of title XI of the Social Security Act 
        [42 U.S.C. 1320d et seq.];

        (B) shall study the issues related to the adoption of uniform 
    data standards for patient medical record information and the 
    electronic exchange of such information;
        (C) shall report to the Secretary not later than 4 years after 
    August 21, 1996, recommendations and legislative proposals for such 
    standards and electronic exchange; and
        (D) shall be responsible generally for advising the Secretary 
    and the Congress on the status of the implementation of part C of 
    title XI of the Social Security Act [42 U.S.C. 1320d et seq.].

    (6) In carrying out health statistical activities under this part, 
the Secretary shall consult with, and seek the advice of, the Committee 
and other appropriate professional advisory groups.
    (7) Not later than 1 year after August 21, 1996, and annually 
thereafter, the Committee shall submit to the Congress, and make public, 
a report regarding the implementation of part C of title XI of the 
Social Security Act [42 U.S.C. 1320d et seq.]. Such report shall address 
the following subjects, to the extent that the Committee determines 
appropriate:
        (A) The extent to which persons required to comply with part C 
    of title XI of the Social Security Act are cooperating in 
    implementing the standards adopted under such part.
        (B) The extent to which such entities are meeting the security 
    standards adopted under such part and the types of penalties 
    assessed for noncompliance with such standards.
        (C) Whether the Federal and State Governments are receiving 
    information of sufficient quality to meet their responsibilities 
    under such part.
        (D) Any problems that exist with respect to implementation of 
    such part.
        (E) The extent to which timetables under such part are being 
    met.

(l) Data specific to particular ethnic and racial populations

    In carrying out this section, the Secretary, acting through the 
Center, shall collect and analyze adequate health data that is specific 
to particular ethnic and racial populations, including data collected 
under national health surveys. Activities carried out under this 
subsection shall be in addition to any activities carried out under 
subsection (m) of this section.

(m) Grants for assembly and analysis of data on ethnic and racial 
        populations

    (1) The Secretary, acting through the Center, may make grants to 
public and nonprofit private entities for--
        (A) the conduct of special surveys or studies on the health of 
    ethnic and racial populations or subpopulations;
        (B) analysis of data on ethnic and racial populations and 
    subpopulations; and
        (C) research on improving methods for developing statistics on 
    ethnic and racial populations and subpopulations.

    (2) The Secretary, acting through the Center, may provide technical 
assistance, standards, and methodologies to grantees supported by this 
subsection in order to maximize the data quality and comparability with 
other studies.
    (3) Provisions of section 242m(d) of this title do not apply to 
surveys or studies conducted by grantees under this subsection unless 
the Secretary, in accordance with regulations the Secretary may issue, 
determines that such provisions are necessary for the conduct of the 
survey or study and receives adequate assurance that the grantee will 
enforce such provisions.
    (4)(A) Subject to subparagraph (B), the Secretary, acting through 
the Center, shall collect data on Hispanics and major Hispanic 
subpopulation groups and American Indians, and for developing special 
area population studies on major Asian American and Pacific Islander 
populations.
    (B) The provisions of subparagraph (A) shall be effective with 
respect to a fiscal year only to the extent that funds are appropriated 
pursuant to paragraph (3) of subsection (n) of this section, and only if 
the amounts appropriated for such fiscal year pursuant to each of 
paragraphs (1) and (2) of subsection (n) of this section equal or exceed 
the amounts so appropriated for fiscal year 1997.

(n) Authorization of appropriations

    (1) For health statistical and epidemiological activities undertaken 
or supported under subsections (a) through (l) of this section, there 
are authorized to be appropriated such sums as may be necessary for each 
of the fiscal years 1991 through 2003.
    (2) For activities authorized in paragraphs (1) through (3) of 
subsection (m) of this section, there are authorized to be appropriated 
such sums as may be necessary for each of the fiscal years 1999 through 
2003. Of such amounts, the Secretary shall use not more than 10 percent 
for administration and for activities described in subsection (m)(2) of 
this section.
    (3) For activities authorized in subsection (m)(4) of this section, 
there are authorized to be appropriated $1,000,000 for fiscal year 1998, 
and such sums as may be necessary for each of the fiscal years 1999 
through 2002.

(July 1, 1944, ch. 373, title III, Sec. 306, as added Pub. L. 93-353, 
title I, Sec. 105, July 23, 1974, 88 Stat. 365; amended Pub. L. 95-623, 
Secs. 5, 8(a), Nov. 9, 1978, 92 Stat. 3445, 3453; Pub. L. 97-35, title 
IX, Sec. 920, Aug. 13, 1981, 95 Stat. 566; Pub. L. 97-414, Sec. 8(b), 
Jan. 4, 1983, 96 Stat. 2060; Pub. L. 100-177, title I, Secs. 104, 
105(a), Dec. 1, 1987, 101 Stat. 988; Pub. L. 101-239, title VI, 
Sec. 6103(e)(2), Dec. 19, 1989, 103 Stat. 2206; Pub. L. 101-527, 
Sec. 7(a), (b)(1), (c), Nov. 6, 1990, 104 Stat. 2327, 2328; Pub. L. 102-
54, Sec. 13(q)(1)(A)(i), June 13, 1991, 105 Stat. 278; Pub. L. 103-183, 
title V, Sec. 501(a), (d), Dec. 14, 1993, 107 Stat. 2237, 2238; Pub. L. 
104-191, title II, Sec. 263, Aug. 21, 1996, 110 Stat. 2031; Pub. L. 105-
340, title II, Sec. 201, Oct. 31, 1998, 112 Stat. 3193; Pub. L. 105-392, 
title II, Sec. 201(b), Nov. 13, 1998, 112 Stat. 3585.)

                       References in Text

    Section 3509 of title 44, referred to in subsec. (j)(4), (5), which 
required submission of certain plans and forms for collection of 
information to the Director of the Office of Management and Budget for 
approval, was omitted in the general amendment of chapter 35 of Title 
44, Public Printing and Documents, by Pub. L. 96-511, Sec. 2(a), Dec. 
11, 1980, 94 Stat. 2812. Pub. L. 104-13 subsequently enacted a new 
section 3509 of Title 44 relating to designation of a central collection 
agency. Provisions appearing in former section 3509 are contained in 
section 3507 of Title 44.
    The Social Security Act, referred to in subsec. (k)(5)(A)(viii), 
(D), (7), is act Aug. 14, 1935, ch. 531, 49 Stat. 620, as amended. Part 
C of title XI of the Act is classified generally to part C (Sec. 1320d 
et seq.) of subchapter XI of chapter 7 of this title. For complete 
classification of this Act to the Code, see section 1305 of this title 
and Tables.


                            Prior Provisions

    Provisions similar to those comprising subsec. (g) of this section 
were contained in section 313 of act July 1, 1944, ch. 373, title III, 
58 Stat. 693; Oct. 30, 1970, Pub. L. 91-516, title II, Sec. 282, 84 
Stat. 1308 (formerly classified to section 245 of this title), prior to 
repeal by Pub. L. 93-353, Sec. 102(a).
    Provisions similar to those comprising subsec. (h) of this section 
were contained in section 312a of act July 1, 1944, ch. 373, title III, 
as added Aug. 31, 1954, ch. 1158, Sec. 2, 68 Stat. 1025 (formerly 
classified to section 244a of this title), prior to repeal by Pub. L. 
93-353, Sec. 102(a).


                               Amendments

    1998--Subsec. (m)(4). Pub. L. 105-392, Sec. 201(b)(1), added par. 
(4).
    Subsec. (n)(1). Pub. L. 105-340, Sec. 201(1), and Pub. L. 105-392, 
Sec. 201(b)(2), amended par. (1) identically, substituting ``2003'' for 
``1998''.
    Subsec. (n)(2). Pub. L. 105-392, Sec. 201(b)(3)(A), in first 
sentence, substituted ``paragraphs (1) through (3) of subsection (m)'' 
for ``subsection (m)'' and substituted ``such sums as may be necessary 
for each of the fiscal years 1999 through 2003.'' for ``$5,000,000 for 
fiscal year 1991, $7,500,000 for fiscal year 1992, $10,000,000 for 
fiscal year 1993, and $10,000,000 for each of the fiscal years 1994 
through 2003.''
    Pub. L. 105-340, Sec. 201(2), substituted ``2003'' for ``1998''.
    Subsec. (n)(3). Pub. L. 105-392, Sec. 201(b)(3)(B), added par. (3).
    1996--Subsec. (k)(1). Pub. L. 104-191, Sec. 263(1), substituted 
``18'' for ``16''.
    Subsec. (k)(2). Pub. L. 104-191, Sec. 263(2), amended par. (2) 
generally. Prior to amendment, par. (2) read as follows: ``The members 
of the Committee shall be appointed by the Secretary from among persons 
who have distinguished themselves in the fields of health statistics, 
health planning, epidemiology, and the provision of health services. 
Members of the Committee shall be appointed for terms of 4 years.''
    Subsec. (k)(3), (4). Pub. L. 104-191, Sec. 263(3), added par. (3) 
and redesignated former par. (3) as (4). Former par. (4) redesignated 
(5).
    Subsec. (k)(5). Pub. L. 104-191, Sec. 263(4), amended par. (5) 
generally. Prior to amendment, par. (5) consisted of subpars. (A) to (G) 
relating to Committee functions in assisting and advising the Secretary.
    Pub. L. 104-191, Sec. 263(3), redesignated par. (4) as (5). Former 
par. (5) redesignated (6).
    Subsec. (k)(6). Pub. L. 104-191, Sec. 263(3), redesignated par. (5) 
as (6).
    Subsec. (k)(7). Pub. L. 104-191, Sec. 263(5), added par. (7).
    1993--Subsec. (c). Pub. L. 103-183, Sec. 501(a)(1), substituted 
``Committee on Labor and Human Resources'' for ``Committee on Human 
Resources''.
    Subsec. (g). Pub. L. 103-183, Sec. 501(a)(2), substituted ``data'' 
for ``data which shall be published as a part of the health reports 
published by the Secretary''.
    Subsec. (i). Pub. L. 103-183, Sec. 501(a)(3), struck out ``engaged 
in health planning activities'' after ``entities''.
    Subsec. (k)(2). Pub. L. 103-183, Sec. 501(a)(4), struck out subpar. 
(A) designation, substituted ``Members'' for ``Except as provided in 
subparagraph (B), members'', and struck out subpar. (B) which related to 
extensions of membership terms of members of National Committee on Vital 
and Health Statistics whose terms were to expire in calendar years 1988, 
1989, and 1990.
    Subsec. (l). Pub. L. 103-183, Sec. 501(a)(5)(A)-(C), redesignated 
subsec. (m) as (l), substituted ``subsection (m)'' for ``subsection 
(n)'', and struck out former subsec. (l) which related to development of 
plan for collection and coordination of statistical and epidemiological 
data on effects of environment on health and establishment of guidelines 
for compilation, analysis, and distribution of statistics and 
information necessary for coordinated determination of effects of 
conditions of employment and indoor and outdoor environmental conditions 
on public health.
    Subsec. (m). Pub. L. 103-183, Sec. 501(a)(5)(B), redesignated 
subsec. (n) as (m). Former subsec. (m) redesignated (l).
    Subsecs. (n), (o). Pub. L. 103-183, Sec. 501(a)(5)(B), (D), (d), 
redesignated subsec. (o) as (n), in par. (1) substituted ``(l)'' for 
``(m)'' and ``1998'' for ``1993'', and in par. (2) substituted ``(m)'' 
for ``(n)'', struck out ``and'' after ``1992,'', inserted ``, and 
$10,000,000 for each of the fiscal years 1994 through 1998'', and 
substituted ``(m)(2)'' for ``(n)(2)''. Former subsec. (n) redesignated 
(m).
    1991--Subsec. (k)(4)(C). Pub. L. 102-54 substituted ``Department of 
Veterans Affairs'' for ``Veterans' Administration''.
    1990--Subsec. (h). Pub. L. 101-527, Sec. 7(a), designated existing 
text as par. (1), inserted after second sentence ``The Secretary shall 
encourage States and registration areas to obtain detailed data on 
ethnic and racial populations, including subpopulations of Hispanics, 
Asian Americans, and Pacific Islanders with significant representation 
in the State or registration area.'', and added par. (2).
    Subsecs. (m) to (o). Pub. L. 101-527, Sec. 7(b)(1), (c), added 
subsecs. (m) and (n) and redesignated former subsec. (m) as (o) and 
amended it generally. Prior to amendment, subsec. (o) read as follows: 
``For health statistical and epidemiological activities undertaken or 
supported under this section, there are authorized to be appropriated 
$55,000,000 for fiscal year 1988 and such sums as may be necessary for 
each of the fiscal years 1989 and 1990.''
    1989--Subsec. (a). Pub. L. 101-239, Sec. 6103(e)(2)(A), inserted at 
end ``The Secretary, acting through the Center, shall conduct and 
support statistical and epidemiological activities for the purpose of 
improving the effectiveness, efficiency, and quality of health services 
in the United States.''
    Subsec. (b). Pub. L. 101-239, Sec. 6103(e)(2)(B), substituted 
``subsection (a) of this section'' for ``section 242b(a) of this 
title''.
    Subsec. (m). Pub. L. 101-239, Sec. 6103(e)(2)(C), added subsec. (m).
    1987--Subsec. (a). Pub. L. 100-177, Sec. 104, struck out ``and 
supervised by the Assistant Secretary for Health (or such other officer 
of the Department as may be designated by the Secretary as the principal 
adviser to him for health programs)''.
    Subsec. (k)(1). Pub. L. 100-177, Sec. 105(a)(1), substituted ``16 
members'' for ``fifteen members''.
    Subsec. (k)(2)(A). Pub. L. 100-177, Sec. 105(a)(2), substituted 
``terms of 4 years'' for ``terms of three years''.
    Subsec. (k)(2)(B). Pub. L. 100-177, Sec. 105(a)(3), added subpar. 
(B) and struck out former subpar. (B) which read as follows: ``Of the 
members first appointed--
        ``(i) five shall be appointed for terms of one year,
        ``(ii) five shall be appointed for terms of two years, and
        ``(iii) five shall be appointed for terms of three years,
as designated by the Secretary at the time of appointment. Any member 
appointed to fill a vacancy occurring prior to the expiration of the 
term for which his predecessor was appointed shall be appointed only for 
the remainder of such term. A member may serve after the expiration of 
his term until his successor has taken office.''
    1983--Subsec. (l)(2)(D). Pub. L. 97-414 redesignated subpar. (E) as 
(D) and struck out former subpar. (D) which provided that the Center 
would serve as a clearinghouse for statistics and information with 
respect to which guidelines had been established under subpar. (A).
    Subsec. (l)(2)(E) to (G). Pub. L. 97-414 redesignated subpars. (F) 
and (G) as (E) and (F), respectively. Former subpar. (E) redesignated 
(D).
    1981--Subsec. (a). Pub. L. 97-35, Sec. 920(d)(1), substituted 
``Health and Human Services'' for ``Health, Education, and Welfare''.
    Subsec. (c). Pub. L. 97-35, Sec. 920(d)(2), substituted ``Energy 
and'' for ``Interstate and Foreign''.
    Subsec. (e). Pub. L. 97-35, Sec. 920(a), (d)(1), in par. (3) 
inserted applicability to other activities, and in par. (4) substituted 
``Health and Human Services'' for ``Health, Education, and Welfare''.
    Subsecs. (j), (k)(4)(C), (D). Pub. L. 97-35, Sec. 920(d)(1), 
substituted ``Health and Human Services'' for ``Health, Education, and 
Welfare''.
    Subsec. (l)(2). Pub. L. 97-35, Sec. 920(b), (c), (d)(1), in subpar. 
(A) inserted reference to Office of Federal Statistical Policy and 
Standards, in subpar. (B)(v) substituted ``Health and Human Services'' 
for ``Health, Education, and Welfare'', and in subpar. (D) struck out 
provisions relating to assistance to executive departments.
    1978--Subsec. (b). Pub. L. 95-623, Sec. 5(a), struck out ``may'' 
after ``through the Center,'', substituted in pars. (1) and (2) ``shall 
collect'' and ``shall undertake'' for ``collect'' and ``undertake'', 
respectively, and added pars. (3) and (4) and provision for availability 
of certain appropriated funds from par. (4) payments until expended.
    Subsec. (c). Pub. L. 95-623, Sec. 5(b), substituted ``statistical 
and epidemiological compilations'' for ``statistical compilations'' in 
two places and ``Committee on Human Resources'' for ``Committee on Labor 
and Public Welfare'' of the Senate.
    Subsec. (e). Pub. L. 95-623, Sec. 5(c)(1), incorporated in 
introductory text prior cl. (1) provision requiring the Secretary to 
assist State and local health agencies and Federal agencies involved in 
health matters in the design and implementation of a cooperative system 
for producing comparable and uniform health information and statistics 
at the Federal, State, and local levels; enacted in pars. (1) and (2) 
provisions almost identical to prior cls. (2) and (3); enacted par. (3); 
struck out former cl. (4) provision for the Federal share of the data 
collection costs under the system; enacted in par. (4) provisions almost 
identical to former cl. (5); and required State designation of a State 
administrative agency to be responsible for the statistical activities 
within the State under the System and Federal guidelines for production 
of uniform and timely data and appropriate access to the data.
    Subsec. (f). Pub. L. 95-623, Sec. 5(d), substituted ``the Secretary, 
acting through the Center, shall cooperate and consult'' for ``the 
Secretary shall cooperate and consult''.
    Subsecs. (i), (j). Pub. L. 95-623, Sec. 5(f), added subsecs. (i) and 
(j). Former subsec. (i) redesignated (k).
    Subsec. (k). Pub. L. 95-623, Sec. 5(c)(2), (e), (f), struck from 
par. (1) ``United States'' before ``National Committee on Vital and 
Health Statistics''; authorized in par. (2)(A) the appointment of 
Committee members from distinguished persons in field of health 
planning; required the Committee to assist and advise the Secretary with 
respect to the Cooperative Health Statistics System and the standardized 
means for the collection of health information and statistics to be 
established by the Secretary; and redesignated such amended subsec. (i) 
as (k).
    Subsec. (l). Pub. L. 95-623, Sec. 8(a), added subsec. (l).

                         Change of Name

    Committee on Energy and Commerce of House of Representatives treated 
as referring to Committee on Commerce of House of Representatives by 
section 1(a) of Pub. L. 104-14, set out as a note preceding section 21 
of Title 2, The Congress.


                    Effective Date of 1990 Amendment

    Section 12 of Pub. L. 101-527 provided that: ``This Act and the 
amendments made by this Act [enacting sections 254c-1, 254t, 256a, 
294bb, 294cc, and 300u-6 of this title, amending this section and 
sections 242m, 254b, 254c, 294m, 294o, and 295g-2 of this title, 
enacting provisions set out as notes under sections 201 and 300u-6 of 
this title, and repealing provisions set out as a note under section 
292h of this title] shall take effect October 1, 1990, or upon the date 
of the enactment of this Act [Nov. 6, 1990], whichever occurs later.''


                    Effective Date of 1987 Amendment

    Section 105(b) of Pub. L. 100-177 provided that: ``The amendments 
made by this section [amending this section] shall become effective on 
January 1, 1988.''


 Money Received by Center From Reimbursements, Interagency Agreements, 
        and Sale of Data Tapes To Remain Available Until Expended

    Pub. L. 103-333, title II, Sept. 30, 1994, 108 Stat. 2550, provided 
in part: ``That for fiscal year 1995 and subsequent fiscal years amounts 
received by the National Center for Health Statistics from 
reimbursements and interagency agreements and the sale of data tapes may 
be credited to this appropriation and shall remain available until 
expended''.

                  Section Referred to in Other Sections

    This section is referred to in sections 242b, 242l, 242m, 242p, 
1320a, 1320d-1 of this title.
