Legislative Chronology

This legislative chronology is limited to enactments that had a major influence upon the Marine Hospital Service as it evolved into the PHS, to legislation leading to the establishment of the National Institutes of Health, and to specific NIH legislation with the exception of appropriations bills, unless such bills provided significant new authorities for or restrictions on NIH components.

July 16, 1798 --"An Act for the relief of sick and disabled Seamen" established the Marine Hospital Service for merchant seamen. The Marine Hospital Service--forerunner of the present-day PHS--became a component of the Treasury Department. A monthly hospital tax of 20 cents was deducted from the pay of merchant seamen in the first prepaid medical care plan in the United States. (1 Stat. L. 605.)
March 2, 1799 --An amending act to the legislation of 1798 extended Marine Hospital Service benefits to officers and men of the U.S. Navy. This arrangement continued until 1818 after which the Navy built its own hospitals. However, the deduction of 20 cents per month from the pay of Navy and Marine Corps personnel continued until June 15, 1943. (1 Stat. L. 729.)
June 29, 1870--A bill to reorganize the Marine Hospital Service and establish a central controlling office in Washington, D.C., was enacted. This act also increased the amount of hospital tax paid by seamen from 20 cents to 40 cents per month, a tax which continued until 1884. (16 Stat. L. 169.) (After the seamen's hospital tax was abolished July 1, 1884, the cost of maintaining Marine hospitals was paid out of a tonnage tax until 1906. Since then medical care for merchant seamen and other beneficiaries of the service has been supported by direct congressional appropriations.)
March 3, 1875--An act was passed authorizing the admission of seamen from the Navy and other government services to Marine hospitals on a reimbursable basis.

The Surgeon General of the Marine Hospital Service was to be appointed by the President, by and with the advice and consent of the Senate. (18 Stat. L. 377.)

April 29, 1878 --The first Federal Quarantine Act "to prevent the introduction of contagious or infectious diseases into the United States" was passed. (20 Stat. L. 37.)
March 3, 1879 --The National Board of Health was created by law and given quarantine powers; first organized, comprehensive Federal medical research effort. (20 Stat. L. 484.)
January 4, 1889 --A bill to establish a commissioned officer corps in the Marine Hospital Service was passed. This law established a mobile corps subject to duty anywhere upon assignment, a policy that had been in effect since Dr. Woodworth assumed leadership of the Marine Hospital Service in 1871. (25 Stat. L. 639.)
March 27, 1890--Congress gave the Marine Hospital Service interstate quarantine authority. (26 Stat. L. 31).
February 15, 1893 --A new Quarantine Act was passed following outbreaks of cholera in Europe, strengthening the inadequate Quarantine Act of 1878 by giving the Federal Government the right of quarantine inspection. The act of March 3, 1879, was repealed. (27 Stat. L. 449.)
March 2, 1899 --The Marine Hospital Service was directed by Congress to investigate leprosy in the United States. (30 Stat. L. 976.)
March 3, 1901 --An appropriation of $35,000 was made for the Hygienic Laboratory building (first legislative mention of Hygienic Laboratory). Thus "investigations of contagious and infectious diseases and matters pertaining to public health" were given definite status in law. (31 Stat. L. 1086.)
July 1, 1902 --A bill to increase the efficiency and change the name of the Marine Hospital Service to Public Health and Marine Hospital Service was enacted. The law authorized the establishment of specified administrative divisions and, for the first time, designated a bureau of the Federal Government as an agency in which public health matters could be coordinated. (32 Stat. L. 712.)
--Another law, usually referred to as the Biologics Control Act, authorized the Public Health and Marine Hospital Service to regulate the transportation or sale for human use of viruses, serums, vaccines, antitoxins, and analogous products in interstate traffic or from any foreign country into the United States. (P.L. 57-244, 32 Stat. L. 728.)
August 14, 1912 --Under an act, the name Public Health and Marine Hospital Service was changed to Public Health Service. The legislation broadened the PHS research program to include "diseases of man" and contributing factors such as pollution of navigable streams, and information dissemination. (37 Stat. L. 309.)
July 9, 1918 --The Chamberlain-Kahn Act provided for the study of venereal diseases by the PHS. (40 Stat. L. 886.)
October 27, 1918 --A PHS reserve corps was established. The 1918 influenza pandemic emphasized the need for a reserve corps to meet such emergency situations. (40 Stat. L. 1017.)
January 19, 1929 --The Narcotics Control Act provided for construction of two hospitals for the care and treatment of drug addicts, and authorized creation of a Narcotics Division in the PHS Office of the Surgeon General. (P.L. 70-672, 45 Stat. L. 1085.)
April 9, 1930 --A law changed the name of the Advisory Board for the Hygienic Laboratory to the National Advisory Health Council. (P.L. 71-106, 46 Stat. L. 152.)
May 26, 1930 --The Ransdell Act reorganized, expanded, and redesignated the Hygienic Laboratory as the National Institute of Health. The act authorized $750,000 for the construction of two buildings for NIH and authorized a system of fellowships. (P.L. 71-251, 46 Stat. L. 379.)
June 14, 1930 --A law authorized creation of a separate Bureau of Narcotics in the Treasury Department to control trading in narcotic drugs and their use for therapeutic purposes. Also, the legislation redesignated the PHS Narcotics Division to the Division of Mental Hygiene, giving the Surgeon General authority to investigate abuse of narcotics and the causes, treatment, and prevention of mental and nervous diseases. (P.L. 71-357, 46 Stat. L. 585.)
August 14, 1935 --The Social Security Act was an event of major importance in the progress of public health in the United States. This act authorized health grants to the states on the principle that the most effective way to prevent the interstate spread of disease is to improve state and local public health programs. With this legislation, the PHS became adviser and practical assistant to state and local health services. (P.L. 74-271, 49 Stat. L. 634.)
August 5, 1937 --A law established the National Cancer Institute to conduct and support research relating to the cause, diagnosis, and treatment of cancer. The law authorized the Surgeon General to make grants-in-aid for research in the field of cancer, provide fellowships, train personnel, and assist the states in their efforts toward cancer prevention and control. (P.L. 75-244, 50 Stat. L. 559.)
April 3, 1939 --The Reorganization Act of 1939 transferred the PHS from the Treasury Department to the Federal Security Agency. (P.L. 76-19, 53 Stat. L. 561.)
July 1, 1944 --The PHS act consolidated and revised laws pertaining to the PHS and divided the service into the Office of the Surgeon General, Bureau of Medical Services, Bureau of State Services, and the National Institute of Health. The act gave the Surgeon General broad powers to conduct and support research into the diseases and disabilities of man, authorized projects and fellowships, and made the National Cancer Institute a division of NIH. The act also empowered the Surgeon General to treat at PHS medical facilities, for purposes of study, persons not otherwise eligible for such treatment. (P.L. 78-410, 58 Stat. L. 682.) Under this provision, the Clinical Center was later established. (Under this act, the Research Grants Office, January 1, 1946; the Experimental Biology and Medicine Institute and the National Microbiological Institute, November 1, 1948; and the Division of Research Services, January 1, 1956, were established.)
July 3, 1946 --The National Mental Health Act was designed to improve the mental health of U.S. citizens through research into the causes, diagnosis, and treatment of psychiatric disorders. It authorized the Surgeon General to support research, training, and assistance to state mental health programs. (P.L. 79-487, 60 Stat. L. 421.) (The National Institute of Mental Health was established under the authority of this law on April 15, 1949.)
August 13, 1946 --The Hospital Survey and Construction Act (Hill-Burton Act) authorized grants to the states for construction of hospitals and public health centers, for planning construction of additional facilities, and for surveying existing hospitals and other facilities. (P.L. 79-725, 60 Stat. L. 1040.)
July 8, 1947 --Under P.L. 80-165, research construction provisions of the Appropriations Act for FY 1948 provided funds "for the acquisition of a site, and the preparation of plans, specifications, and drawings, for additional research buildings and a 600-bed clinical research hospital and necessary accessory buildings related thereto to be used in general medical research...."
June 16, 1948 --The National Heart Act authorized the National Heart Institute to conduct, assist, and foster research; provide training; and assist the states in the prevention, diagnosis, and treatment of heart diseases. In addition, the act changed the name of National Institute of Health to National Institutes of Health. (P.L. 80-655, 62 Stat. L. 464.)
June 24, 1948 --The National Dental Research Act authorized the National Institute of Dental Research to conduct, assist, and foster dental research; provide training; and cooperate with the states in the prevention and control of dental diseases. (P.L. 80-755, 62 Stat. L. 598.)
August 15, 1950 --The Omnibus Medical Research Act authorized the Surgeon General to establish the National Institute of Neurological Diseases and Blindness, as well as additional institutes, to conduct and support research and research training relating to other diseases and groups of diseases. (P.L. 81-692, 64 Stat. L. 443.) (The National Institute of Arthritis and Metabolic Diseases and the National Institute of Neurological Diseases and Blindness were established under the authority of this act on November 22, 1950. Under this same act, the National Institute of Allergy and Infectious Diseases was established on December 29, 1955, replacing the National Microbiological Institute which was originally established November 1, 1948, under authority of section 202 of the PHS act.)
April 1, 1953 --Reorganization plan #1 assigned the PHS to the new Department of Health, Education, and Welfare.
July 28, 1955 --The Mental Health Study Act authorized the Surgeon General to award grants to nongovernmental organizations for partial support of a nationwide study and reevaluation of the problems of mental illness. Under this act, the Joint Committee on Mental Illness and Health was awarded grant support for 3 years. (P.L. 84-182, 69 Stat. L. 381.)
July 3, 1956 --The National Health Survey Act authorized the Surgeon General to survey sickness and disabilities in the United States on a sampling basis. (P.L. 84-652, 70 Stat. L. 489.)
July 28, 1956 --The Alaska Mental Health Enabling Act provided for territorial treatment facilities to eliminate the need to transport the mentally ill outside Alaska. It also authorized PHS grants to Alaska for its mental health program. (P.L. 84-830, 70 Stat. L. 709.)
July 30, 1956 --The Health Research Facilities Act of 1956 (Title VII of the PHS act) authorized a PHS program of Federal matching grants to public and nonprofit institutions for the construction of health research facilities. (P.L. 84-835, 70 Stat. L. 717.)
August 2, 1956 --The Health Amendments Act of 1956 authorized the Surgeon General to assist in increasing the number of adequately trained nurses and professional public health personnel. It also authorized PHS grants to support the development of improved methods of care and treatment of the mentally ill. (P.L. 84-911, 70 Stat. L. 923.)
August 3, 1956 --An amendment to Title III of the PHS act, the National Library of Medicine Act, placed the Armed Forces Medical Library under the PHS, and renamed it the National Library of Medicine. (P.L. 84-941.)
June 30, 1958 --The Mutual Security Act of 1958 amended P.L. 83-480, authorizing the President to enter into agreements with friendly nations to use foreign currencies accruing under title I for collection, translation, and dissemination of scientific information and to conduct research and support scientific activities overseas. (P.L. 85-477.)
July 12, 1960 --Congress passed the International Health Research Act. The law authorized the Surgeon General to establish and make grants for fellowships in the United States and participating foreign countries; make grants or loans of equipment and other materials to participating foreign countries for use by public or nonprofit institutions and agencies; participate in international health meetings, conferences, and other activities; and facilitate the interchange of research scientists and experts between the United States and participating foreign countries. (P.L. 86-610, 74 Stat. L. 364.)
September 15, 1960 --A law amended the PHS act to authorize grants-in-aid to universities, hospitals, laboratories, and other public and nonprofit institutions to strengthen their programs of research and research training in the sciences related to health. The act also authorized the use of funds appropriated for research or research training to be set aside by the Surgeon General in a special account for general research support grants. (P.L. 86-798, 74 Stat. L. 1053.)
October 17, 1962 --An act authorized the Surgeon General to establish the National Institute of General Medical Sciences and the National Institute of Child Health and Human Development. The latter was authorized to conduct and support research and training relating to maternal health; child health; human development, in particular the special health problems of mothers and children; and the basic sciences relating to the processes of human growth and development. The former was authorized to conduct and support research in the basic medical sciences and related behavioral sciences that have significance for two or more institutes, or which are outside the general area of responsibility of any other institute. (P.L. 87-838, 76 Stat. L. 1072.) (On January 30, 1963, the NICHD and the NIGMS were established under this act.)
September 24, 1963 --A law amended the Health Research Facilities Act of 1956 (Title VII to the PHS act) to allow grants for multipurpose facilities that would provide teaching space as well as essential research space. (P.L. 88-129, 77 Stat. L. 164.)
October 24, 1963 --The Maternal and Child Health and Mental Retardation Planning Amendments of 1963 amended the Social Security Act of 1935 by authorizing a five-point grant program of $265 million, over a 5-year period. Major provisions designed to prevent mental retardation included increased Federal grants for maternal and child health services and crippled children's service administered by the Children's Bureau; a new 5-year program of grants to the states for health care of expectant mothers who have, or are likely to have, conditions associated with childbearing which may lead to mental retardation; funds for research to improve maternal and child health and crippled children's services; and grants to the states to assist in developing plans for comprehensive state and community programs to combat mental retardation. (P.L. 88-156, 77 Stat. L. 273.)
October 31, 1963 --A companion measure to P.L. 88-156 was the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963. This act authorized a total of $329 million over 5 years for grants to assist in the construction of mental retardation research centers and community mental health centers, and to train teachers of mentally retarded and other handicapped children. (P.L. 88-164, 77 Stat. L. 282.)
August 18, 1964 --The Hospital and Medical Facilities Amendments of 1964 extended the Hospital Survey and Construction Act of 1946 (Hill-Burton Act) for 5 years with a total authorization of $1.4 billion. (P.L. 88-443, 78 Stat. L. 447.)
August 27, 1964 --Graduate Public Health Training Amendments of 1964 extended the authorization for public health traineeships and training grants to schools of public health, nursing, and engineering for 5 years, through June 30, 1969. (P.L. 88-497, 78 Stat. L. 613.)
September 19, 1964 --The Appropriations Act for 1965 included $10 million for establishment of a virus-leukemia program. (P.L. 88-605.)
August 4, 1965 --The Mental Retardation Facilities and Community Mental Health Centers Construction Act Amendments of 1965 provided monies through FY 1972 to help finance initial staffing of community mental health centers which were authorized in the original act; extended and increased appropriations authority for mental retardation education research and demonstration projects; and authorized increased annual funds through FY 1969 for training teachers of the handicapped young. (P.L. 89-105.)
August 9, 1965 --The Health Research Facilities Amendments of 1965 extended the program for construction of health research facilities for 3 years with $280 million authorized for that period in lieu of the previous $50 million annual appropriations authorizations. (P.L. 89-115.)
August 31, 1965 --A supplemental appropriations act resulting from recommendations of the President's Commission on Heart Disease, Cancer and Stroke provided an additional $20,250,000 (shared by NCI, NHI, NIGMS and NINDB) to intensify and expand support of research in the three major "killer" diseases. (P.L. 89-156.)
October 6, 1965 --The Heart Disease, Cancer and Stroke Amendments of 1965 provided for establishment of regional cooperative programs in research, training, continuing education and demonstration activities in patient care among medical schools, clinical research institutions and hospitals so that the latest treatment methods for the three diseases may be more widely available to patients. Under this act, the Division of Regional Medical Programs was created February 1, 1966. (P.L. 89-239.)
October 22, 1965 --The Medical Library Assistance Act was passed, authorizing NLM's extramural programs. (P.L. 89-291.)
August 3, 1968 --A law authorized the designation of a national center for biomedical communications as the Lister Hill National Center for Biomedical Communications. (P.L. 90-456.)
August 16, 1968 --An amendment to the PHS act authorized the secretary to establish a National Eye Institute and to rename NINDB the National Institute of Neurological Diseases. The new institute was formed from NINDB programs to conduct and support research for new treatment and cures, and training relating to blinding eye diseases and visual disorders. (P.L. 90-489.)
--The Health Manpower Act of 1968 extended and expanded the following five health laws then in effect: Health Professions Educational Assistance Act of 1963, as amended; Nurse Training Act of 1964, as amended; Allied Health Professions Personnel Training Act of 1966; Health Research Facilities Act of 1956, as amended; and Public Health Service Act of 1944, as amended. The measure provided a 2-year extension, through FY 1971, of the above legislation except for the Allied Health Professions Act, extended only through FY 1970. (P.L. 90-490.)
October 24, 1968 --The President signed legislation further amending the name of NIND to National Institute of Neurological Diseases and Stroke. (P.L. 90-639.)
March 12, 1970 --An amendment to the PHS act extended and made coterminous through June 30, 1973, the authority to make formula grants to schools of public health, project grants for graduate training in public health, and traineeships for professional public health personnel. (P.L. 91-208, 84 Stat. 52.)
March 13, 1970 --The Medical Library Assistance Extension Act of 1970 amended the PHS act to improve and extend the provisions relating to assistance to medical libraries and related instrumentalities for 3 years through June 30, 1973. (P.L. 91-212, 84 Stat. 63.)
October 30, 1970 --The PHS act was amended to provide: 1) extension of research contract authority in areas of public health through June 30, 1974; 2) authorization of mission-related clinical training (as well as research training) by the NIGMS; 3) clari-fication of terms in the regulation of biological products; 4) clarifying and technical directives relating to appointment, compensation and functions of advisory councils and committees, and 5) extension of statutory authority for regional medical programs, comprehensive medical planning, and health services research and development. (P.L. 91-515.)
November 2, 1970 --The Health Training Improvement Act of 1970 extended and amended allied health professions training authority (which expired June 30, 1970) and established eligibility of new health professions educational assistance schools for "start-up" grants. (P.L. 91-519.)
December 24, 1970 --The Congress enacted the Family Planning Services and Population Research Act of 1970 to expand, improve and better coordinate family planning services and population research activities of the Federal Government. (P.L. 91-572.)
May 22, 1971 --Congress passed into law the Supplemental Appropriations Bill, which included $100 million for cancer research. This appropriation was made in response to the President's State of the Union address, in which he called for "an intensive campaign to find a cure for cancer." The appropriation includes authority under grants and contracts, as well as direct construction authority for NCI. (P.L. 92-18.)
July 9, 1971 --A law amended the Public Health Service Act to provide for extension of student loan scholarship programs for up to four fiscal years. (P.L. 92-52.)
November 18, 1971 --The President signed the Comprehensive Health Manpower Training Act of 1971 to provide increased manpower in the health professions, and the Nurse Training Act of 1971 to provide training for increased numbers of nurses. (P.L. 92-157, P.L. 92-158.)
December 23, 1971 --The National Cancer Act of 1971 enlarged the authorities of NCI and NIH in order to advance the national effort against cancer. The authority of the director, NCI, was expanded, a National Cancer Advisory Board was established, and appropriations in excess of $400 million were authorized for 1972, with further increases in subsequent years. (P.L. 92-218.)
May 16, 1972 --The National Sickle Cell Anemia Control Act of 1972 became law and established a national program for diagnosis and treatment of, and counseling and research in, sickle cell disease. (P.L. 92-294.)
May 19, 1972 --The need for further support of research and training in the field of digestive diseases was emphasized by adding a new section 434 to the PHS act and renaming NIAMD the National Institute of Arthritis, Metabolism, and Digestive Diseases. (P.L. 92-305.)
August 29, 1972 --The National Cooley's Anemia Control Act authorized over $9 million for 3 years for research in the diagnosis and treatment of Cooley's anemia, and for counseling and public information programs. (P.L. 92-414.)
September 19, 1972 --The National Heart, Blood Vessel, Lung, and Blood Act expanded the authorities of the National Heart and Lung Institute to augment the national effort against heart, lung, and blood diseases. Appropriations of $375 million for 1973 were authorized with further increases in subsequent years. (P.L. 92-423.)
October 25, 1972 --The National Advisory Commission on Multiple Sclerosis Act established a commission charged to determine the most productive avenue of researching possible causes and cures of MS, and make specific recommendations for the maximum utilization of national resources directed toward MS. (P.L. 92-563.)
June 18, 1973 --The Health Programs Extension Act of 1973 extended the medical library assistance programs of NLM (with the exception of the construction program) for 1 year. Population research and family planning activities were also extended through FY 1974, along with other Federal health programs. (P.L. 93-45.)
November 16, 1973--The Emergency Medical Services System Act of 1973 amended the PHS act to provide assistance and encouragement for the development of comprehensive area emergency medical services systems, including grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. (P.L. 93-154.)
April 22, 1974 --The Sudden Infant Death Syndrome Act of 1974 amended the PHS act to authorize specific and general research on the sudden infant death syndrome through the NICHD. The collection, analysis, and public dissemination of information and data and the support of counseling programs were also authorized. The act did not authorize specific funds for research, but did authorize appropriations of $9 million over a 3-year period for the other programs. (P.L. 93-270.)
May 31, 1974 --The Research on Aging Act of 1974 established a National Institute on Aging. The act authorized the NIA to conduct and support biomedical, social, and behavioral research and training related to the aging process and the diseases and other special problems and needs of the aged. (P.L. 93-296.)
June 22, 1974 --The Energy Supply and Coordination Act directed the secretary through NIEHS to study the effects of chronic exposure to sulfur oxides, and authorized $3.5 million for that purpose. (P.L. 93-319.)
July 12, 1974 --The National Research Act of 1974 amended the PHS act by repealing existing research training and fellowship authorities and consolidating such authorities in the national research service awards authority. The NRSA's (both individual and institutional grants) are restricted on the basis of subject area shortages and would involve service obligations and payback provisions. The act established a temporary National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research within the department to make a comprehensive investigation of the ethical principles involved in biomedical and behavioral research (including psychosurgery and living fetus research), and to develop ethical guidelines for conducting such research. Also, a permanent National Advisory Council for the Protection of Subjects of Biomedical and Behavioral Research was to be established. (P.L. 93-348.)
July 23, 1974 --The National Cancer Act Amendments of 1974 authorized $2.565 billion over a 3-year period to extend and improve the National Cancer Program as well as $210.5 million over 3 years for cancer control programs. The act also: 1) established the President's Biomedical Research Panel to make a comprehensive investigation of Federal biomedical and behavioral research; 2) extended indefinitely the research contract authority of section 301(h) of the PHS act; 3) provided that the director, NIH, shall be appointed by the President by and with the advice of the Senate; and 4) required peer review of NIH and ADAMHA grant applications and contract projects. (P.L. 93-352.)
--The Health Services Research, Health Statistics, and Medical Libraries Act of 1974 extended and amended NLM program authorities ($37.5 million over a 2-year period). The act also extended the FIC's authority to engage in international cooperative efforts in health. (P.L. 93-353.)
--The National Diabetes Mellitus Research and Education Act provided for regional research and training centers ($40 million authorized over a 3-year period), a long-range plan prepared by a National Commission on Diabetes, expanded research and training programs, a Diabetes Mellitus Coordinating Committee, and an associate director for diabetes in the National Institute of Arthritis, Metabolism, and Digestive Diseases. (P.L. 93-354.)
October 29, 1974 --The Federal Fire Prevention and Control Act authorized $5 million and $8 million for fiscal years 1975-76 for establishment of 25 research and treatment centers, 25 burn units, and 90 burn programs by NIH. (P.L. 93-498.)
January 4, 1975 --The National Arthritis Act established a National Commission on Arthritis and Related Musculoskeletal Diseases, authorized $2 million to develop a long-range plan involving research, training, services and data systems; established an associate director for arthritis in NIAMDD; and provided 3-year authorizations for arthritis screening, detection, prevention, and referral projects and for arthritis research and demonstration centers. (P.L. 93-640.)
July 29, 1975 --A law extended and amended authorities of Title X relating to family planning and population research and made Title X sole authority for all departmental extramural, collaborative, and intramural research in "biomedical, contraceptive development, behavioral, and program implementation fields related to family planning and population;" and created two temporary national commissions for the control of epilepsy and Huntington's disease. (P.L. 94-63.)
April 22, 1976 --The Health Research and Health Services Amendments 1) extended authorization through FY 1977 and amended provisions governing the programs of the National Heart and Lung Institute, placed increased emphasis on blood-related research, and changed the institute's name to the National Heart, Lung, and Blood Institute; 2) mandated studies by the President's Biomedical Research Panel and the National Commission for the Protection of Human Subjects of the implications of public disclosure of information contained in grant applications and contract proposals; 3) authorized broad-based genetic diseases research under section 301 of the PHS act, and provided for programs of counseling, testing, and information dissemination about genetically transmitted diseases; and 4) extended authorization through FY 1977 for national research service awards for NIH and ADAMHA. The act prohibited consideration of political affiliation in making appointments to health advisory committees. (P.L. 94-278.)
October 19, 1976 --The 1976 Arthritis, Diabetes, and Digestive Diseases Amendments 1) provided for an arthritis data system; 2) emphasized public information and encouragement of proper treatment for arthritis; 3) established a National Arthritis Advisory Board; 4) provided for a National Diabetes Board; and 5) established a National Commission on Digestive Diseases to develop a long-range plan for research. (P.L. 94-562.)
October 21, 1976 --The Emergency Medical Services Amendments of 1976 extended the National Commission on Arthritis; extended the Commission for the Protection of Human Subjects of Biomedical and Behavioral Research; and authorized research and demonstration programs on burn injuries under Title XII of the PHS act. (P.L. 94-573.)
August 1, 1977 --Health Planning and Health Services Research and Statistics Extension, Biomedical Research Extension, and Health Services Extension Acts of 1977 continued the following programs through September 30, 1978: the Medical Library Assistance Program; cancer research and control programs; heart, blood vessel, lung and blood disease research, prevention and control programs; national research service awards; population research and voluntary family planning programs; and sudden infant death syndrome information and counseling programs. It also extended various health service programs. (P.L. 95-83.)
August 7, 1977 --The Clean Air Act Amendments established a coordinating committee to review and comment on plans, execution, and results of research relating to the stratosphere. NCI and NIEHS are members. It also established a Task Force on Environmental Cancer and Heart and Lung Disease, with NCI, NHLBI, and NIEHS among the members. (P.L. 95-95.)
September 29, 1977 --The Food and Agriculture Act of 1977 designated the Department of Agriculture as the lead agency of the Federal Government for agricultural research (except with respect to the biomedical aspects of human nutrition concerned with diagnosis or treatment of disease). The act also required establishment of procedures for coordinating nutrition research in areas of mutual interest between DHEW and Department of Agriculture. (P.L. 95-113.)
November 9, 1977 --The Federal Mine Safety and Health Amendments of 1977 gave the HEW secretary authority to appoint an advisory committee on coal or other mine health research. One member of this committee is to be the director of the NIH or delegate. (P.L. 95-164.)
November 23, 1977 --The Saccharin Study and Labeling Act extended the Commission for the Protection of Human Subjects until November 1, 1978. (P.L. 95-203.)
November 9, 1978 --The Family Planning, Population Research and SIDS Amendments authorized a 3-year extension for the aforementioned programs through FY 1981. This was the only authority for population research programs in NICHD, the Center for Population Research. (P.L. 95-613.)
--Amendments to the Community Mental Health Centers Act authorized a 3-year extension for NLM programs, and NRSA's expiring September 30, 1981, and a 2-year extension for each of the following: Community Mental Health Centers, NHLBI, and NCI. This legislation also authorized the secretary, HEW, to: 1) conduct studies and tests of substances for carcinogenicity, teratogenicity, mutagenicity and other harmful biological effects; 2) establish and conduct a comprehensive research program on the biological effects of low-level radiation; 3) conduct and support research and studies on human nutrition; and 4) publish an annual report which lists all substances known to be carcinogenic and to which a significant number of Americans are exposed. (P.L. 95-622.)
--Other important provisions of this act included the authority given to the director of NIH to appoint 200 experts and consultants for the use of NIH components other than NCI and NHLBI and the establishment of the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research.
--The Health Services Research, Health Statistics, and Health Care Technology Act of 1978 (P.L. 95-623) established in the Office of the Assistant Secretary for Health, the National Center for Health Care Technology, and reauthorized for 3 years the National Center for Health Statistics and the National Center for Health Services Research.
--The legislation also established the National Council on Health Care Technology on which the director, NIH, serves as an ex officio member. The director, NIH, is required annually to submit to the center a listing of all technologies under development which appear likely to be used in the practice of medicine.
--NLM is required to disseminate, publish, and make available all standards, norms, and criteria developed by the council concerning the use of particular health care technologies. (P.L. 95-623.)
October 17, 1979 --The Department of Education Organization Act established a Department of Education and renamed the DHEW the Department of Health and Human Services. (P.L. 96-88.)
December 12, 1979 --The Emergency Medical Services Systems Amendments and Sudden Infant Death Syndrome Amendments of 1979 required the NICHD to assure that "adequate amounts" of its appropriated dollars are used for research into identification of infants at risk of SIDS and for prevention of SIDS. In addition, the NICHD is required to provide information on expenditure of funds for these purposes, the number of SIDS grant applications received and approved, the latest research findings on SIDS, and estimate of needs for funds in succeeding years. (P.L. 96-142.)
December 29, 1979 --Public Law 96-167 extended the tax exemption for NRSA's for 1 year.

Public Law 96-171 required that the NIH director, in consultation with the secretary of transportation, conduct a study to determine the effect of aging on the ability of individuals to perform the duties of pilots. The report on the study was to be submitted to Congress within 1 year after enactment.

September 26, 1980 --P.L. 96-359 requires the HHS secretary to conduct a study to determine the long-term effects of hypochloremic metabolic ankylosis resulting from chloride-deficient formulas. The responsibility for the study was assigned to NICHD.
December 12, 1980 --P.L. 96-517 revised the patent and trademark laws and in particular awarded title to the patent rights for inventions made with Federal assistance to nonprofit organizations and small businesses.

The Clinical Center was redesignated as the Warren Grant Magnuson Clinical Center of NIH. (P.L. 96-518.)

December 17, 1980 --P.L. 96-538 reauthorized for 2 years programs for NHLBI and NCI; changed the name of the NIAMDD to the National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, extensively revised its authorities, and reauthorized its programs for 3 years; and required the NINCDS to conduct a study and submit a report on spinal cord regeneration and other neurological research.

P.L. 96-541 extended for 1 year the tax exemption on NRSA's.

August 13, 1981 --P.L. 97-35, the Omnibus Budget Reconciliation Act of 1981, reauthorized NRSA's for 2 years through FY 1983, reauthorized the Medical Libraries Assistance program for 1 year, and repealed the prohibition in Title X against using other PHS authority to fund population research, thus eliminating the need for reauthorizations for this program located in the NICHD.
July 22, 1982 --The Small Business Innovation Development Act of 1982 requires that each Federal agency with an annual research and development budget exceeding $100 million set aside a certain portion of its extramural R&D budget for a Small Business Innovation Research (SBIR) program as follows: 0.2 percent in FY 1983; 0.6 percent in FY 1984; 1.0 percent in FY 1985; and 1.25 percent in FY 1986 and all subsequent years. (P.L. 97-219.)
September 3, 1982 --The Tax Equity and Fiscal Responsibility Act of 1982 included among its provisions an extension of the partial exclusion of NRSA's from taxable gross income. This extension will expire at the end of calendar year 1983; during this time, the Treasury Department will complete a study of the taxability of NRSA's and other government educational grants which, like NRSA's, have payback or service requirements. (P.L. 97-248.)
January 4, 1983 --The Orphan Drug Act made changes in the law to encourage development and marketing of orphan drugs (drugs for rare diseases or conditions which are not economically feasible for private industry to develop and market). The act included a requirement to prepare radioepidemiological tables relating radiation-related cancer to specific radiation doses, and a report on the risks of thyroid cancer associated with doses of I131. These responsibilities were assigned to NIH and NCI respectively. The act further provided that NHLBI help develop and support not less than 10 comprehensive sickle cell centers. (P.L. 97-414.)
July 30, 1983 --The supplemental appropriations for FY 1983 provided funds for PHS AIDS activities, $9.375 million of which was earmarked for NIH. This marked the first time the Congress directly appropriated money for AIDS research for NIH. The supplemental also provided $5.9 million for NLM and development of a Biomedical Information Communication Center in Portland, Oreg. (P.L. 98-63.).
October 1 and --
November 17, 1983
Continuing resolutions supported unauthorized NIH programs including NRSA and Medical Library Assistance. (P.L. 98-107 and P.L. 98-151.)
May 24, 1984 --P.L. 98-297 designated the convent and surrounding land as the Mary Woodard Lasker Center for Health Research and Education.
October 12 and --
November 8, 1984
Appropriations legislation reauthorized NRSA's, provided construction funds for NIH, and medical library funding. (P.L. 98-473, P.L. 98-619.)
October 19, 1984 --The National Organ Transplant Act authorized the secretary to establish a Task Force on Organ Procurement and Transplantation to examine relevant issues and report to the Congress within 12 months. Its membership included the director, NIH, ex officio. OMAR will sponsor the required conference on bone marrow transplantation. (P.L. 98-507.)
October 24, 1984 --The Veterans' Dioxin and Radiation Exposure Compensation Standards Act required the director, NIH, to conduct a study of devices and techniques for determining previous radiation exposure and submit a report; to enter into an interagency agreement with the VA administrator to identify agencies capable of furnishing such services; and to provide an independent expert who could prepare radiation dose estimates for use by VA administrator in adjudicating claims. (P.L. 98-542.)
October 30, 1984 --The Health Promotion and Disease Prevention Amendments of 1984 amended the PHS act to extend provisions relating to health promotion and disease prevention and to establish centers for research and demonstration in those areas. It required that the director, NIH, be consulted as to procedures for peer review of applications; that NCHSR cooperate with NIH in its responsibilities pertaining to health care technologies; and that the director, NIH, serve on the newly established National Advisory Council on Health Care Technology Assessment. (P.L. 98-551.)
--The Human Services Reauthorization Act, Title V, ordered the secretary, through NCI, to establish or support at least one facility for cancer screening and research in St. George, Utah, to be affiliated with a health science center and accessible to most residents of the areas that received greatest fallout from Nevada nuclear tests. (P.L. 98-558.)
August 15, 1985 --The Orphan Drug Act was amended, establishing a 20-member National Commission on Orphan Diseases, to be appointed by the secretary (including NIH representative), to assess the activities of NIH and other entities in connection with research and dissemination of knowledge related to rare diseases. NIH was required to allocate to the commission $1 million from its FY 1986 appropriation. (P.L. 99-91.)
November 20, 1985 --The Health Research Extension Act of 1985 reauthorized NIH programs for 3 years; established the National Institute ofArthritis and Musculoskeletal and Skin Diseases, renaming the remaining component the National Institute of Diabetes and Digestive and Kidney Diseases; created a new National Center for Nursing Research; established positions of associate director for prevention in OD, NCI, NHLBI, and NICHD; and required the development of guidelines for the care and use of laboratory animals. Additional provisions included establishment of committees to develop a plan for research into methods that reduce animal use or animal pain, to study research on lupus erythematosus, to study the NRSA program, to plan and develop Federal initiatives in spinal cord injury research, to study personnel for health needs of the elderly through the year 2020, to review research activities in learning disabilities, and to review the research programs of NIDDK. The act also established NIH and all of its ICD's in law and consolidated and made uniform many authorities and responsibilities of institute directors and advisory councils. (P.L. 99-158.)
December 12, 1985 --Under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings), aimed at reducing the Federal deficit to zero within 5 years, starting in FY 1986, budget authority was reduced in accordance with the deficit targets. For NIH this reduction amounted to $236 million. The revised total NIH appropriation after "sequestration" became $5.3 billion, 4.3 percent below the original FY 1986 appropriation. The mandated across-the-board reduction was applied again to the total amount appropriated to each NIH institute, to each research mechanism, and to each identified program, project, or activity. (P.L. 99-177.)
--In the FY 1986 Labor-HHS-Education Appropriation bill, the number of new and competing renewal research project grants to be supported by NIH (6,100) was specified in law for the first time. The act, which included $5.498 billion for NIH, provided that $4.5 million of this amount be transferred to the departmental management account for construction of the Mary Babb Randolph Cancer Center in West Virginia and that $70 million for AIDS research be added to the account of the Office of the Director. (P.L . 99-178.)
December 23, 1985 --The Food Security Act, title XVII, subtitle F, amended the Animal Welfare Act, requiring the secretary of agriculture to promulgate standards including exercise of dogs and consideration of the psychological well-being of primates, minimization of pain and distress, use of anesthetics, and consideration of alternatives; formation of an institutional animal committee at each research facility; and provision of annual training for those involved in animal care and treatment. An information service was established at the National Agricultural Library, in cooperation with NLM. Title XIV, subtitle B, required an assessment of existing scientific literature relating to dietary cholesterol and calcium to be conducted by the secretaries of agriculture and HHS. (P.L. 99-198.)
December 28, 1985 --P.L. 99-231 designated 1986 as the "Sesquicentennial Year of the National Library of Medicine."
July 2, 1986 --The Urgent Supplemental Appropriations Act provided an additional $6 million for NCI cancer research and demonstration centers and specified that funds for the Clinical Center should be available for payment of nurses at rates of pay authorized for VA nurses. (P.L. 99-349.)
October 6, 1986 --P.L. 99-443 amended the Small Business Act to extend by 5 years the Small Business Innovation Research Program.
October 16, 1986 --P.L. 99-489 designated the period from October 1, 1986, through September 30, 1987, as "National Institutes of Health Centennial Year" and requested the President to issue a proclamation calling upon the people of the United States to observe the year with appropriate ceremonies and activities.
October 18, 1986 --P.L. 99-500 and P.L. 99-591 (October 31, corrected version), making continuing appropriations for FY 1987, included $6.18 billion for NIH, a requirement to support 6,200 research project grants, funding for 10,700 research trainees and 559 centers; and $247.7 million in AIDS money for components.
October 20, 1986 --The Federal Technology Transfer Act amended the Stevenson-Wydler Technology Innovation Act of 1980, authorizing directors of government-operated Federal laboratories to enter into collaborative R&D agreements with other government agencies, universities, and private organizations; established a Federal Laboratory Consortium in the National Bureau of Standards; and mandated that royalties received by a Federal agency be shared with the inventor. (P.L. 99-502.)
November 14, 1986 --Title IX, the Alzheimer's Disease and Related Dementias Services Research Act, of P.L. 99-660 established an interagency council and an advisory panel on Alzheimer's disease (AD). It authorized the director, NIA, to make awards for distinguished research on AD, to plan for and conduct research, to establish an AD clearinghouse, to make a grant to or enter into a contract with a national organization representing Alzheimer's patients, to establish an information system and national toll-free telephone line, and to provide information to caregivers of Alzheimer's patients and to safety and transportation personnel. Title III--Vaccine Compensation--named the director, NIH, as an ex officio member of the newly established Advisory Commission on Childhood Vaccines.
July 11, 1987 --The FY 1987 Supplemental Appropriations bill, P.L. 100-71, allocated funds to NIA for clinical trials, to NCNR and HRSA for studies related to the nurse shortage and nurse retention, and to OD/NIH for costs associated with pay raises and the new Federal Employees Retirement System.
September 29, 1987 --The Balanced Budget and Emergency Deficit Control Reaffirmation Act of 1987 ("Gramm-Rudman-Hollings II") adjusted the original deficit target reduction in FY 1988 appropriations, including Labor-HHS-Education. (P.L. 100-119.)
October 8, 1987--P.L. 100-126 designated October 1, 1987, as "National Medical Research Day," acknowledging 100 years of contributions by NIH and other federally supported research institutions to improving the health and well-being of Americans and all humankind.
November 29, 1987 --The Older Americans Act Amendments, Title III--Alzheimer's Disease Research, authorized the director, NIA, to provide for conduct of clinical trials on therapeutic agents for Alzheimer's disease recommended for further analysis by NIA and FDA. It also authorized the President to call a White House Conference on Aging in 1991. (P.L. 100-175.)
December 22, 1987 --P.L. 100-202, making further continuing appropriations for the fiscal year ending September 30, 1988, provided $6.667 billion to NIH, including $448 million to be allocated among the institutes for AIDS. It also restricted forward or multiyear funding, required expeditious testing of experimental drugs for AIDS, and included $3.8 million for a National Center on Biotechnology Information within NLM.
September 20, 1988 --The Labor-HHS-Education Appropriations Act, 1989, provided $7,152,207,000 for NIH (which included a 1.2 percent across-the-board reduction and a $6.8 million reduction for procurement reform). Of the amount appropriated for NINCDS, up to $96,100,000 was to go to the new National Institute on Deafness and Other Communication Disorders, following enactment of authorizing legislation. The pay rate for NIH nurses and allied health specialists having direct patient care responsibilities was equated to that of nurses at the Veterans Administration. Fifteen million dollars was appropriated to develop specifications and design for a consolidated office building at NIH, $14 million for the new Building 49, and $5 million for renovation of AIDS facilities. In addition, a biotechnology training program was established, as well as human genome and biotechnology panels.
--Funds were authorized to support no less than 13,252 FTEs, including an additional 200 for AIDS and 150 for non-AIDS. Funding was also authorized for new magnetic resonance imaging equipment at the cardiac energetic laboratory and for a National Bone Marrow Registry at NHLBI; $8.7 million was earmarked for AIDS clinical trials. Building 31 was renamed the Claude Denson Pepper Building. (P.L. 100-436.)
September 22, 1988 --The Treasury, Postal Service and General Government Appropriations Act, 1989, provided that no Federal agency could receive funds appropriated for FY 1989 unless it had in place a written policy ensuring that its workplaces were free from illegal use, possession, or distribution of controlled substances. This restriction also applied to grant recipients, contractors, and parties to other agreements. (Subsequent legislation required implementation of this law in January 1989.) (P.L . 100-440.)
September 29, 1988 --The National Defense Authorization Act, FY 1989, provided a special pay retention bonus for medical officers below grade O-7 who met certain criteria. Although officers of the commissioned corps were not specifically mentioned, 42 U.S.C. 210(a) states that they shall receive special pay received by commissioned medical and dental officers of the Armed Forces. (P.L. 100-456.)
October 4, 1988 --P.L. 100-471 amended the PHS act to authorize the secretary, HHS, to make grants to the states to provide drugs determined to prolong the life of individuals suffering from AIDS; $15 million was authorized to be appropriated through March 31, 1989. (Funds appropriated for FY 1989 were transferred from NIH and other PHS agencies to pay for this program, according to transfer authority contained in P.L. 100-436.)
October 28, 1988 --The National Deafness and Other Communication Disorders Act of 1988 established that institute at NIH and renamed NINCDS the National Institute of Neurological Disorders and Stroke. The legislation included a program, a data system and information clearinghouse, centers, and an advisory board, as well as a Deafness and Other Communication Disorders Interagency Coordinating Committee, to be chaired by the director of NIH or designee. (P.L. 100-553.)
November 4, 1988 --Title I of the Health Omnibus Programs Extension of 1988 (HOPE), the National Institute on Deafness and Other Communication Disorders and Health Research Extension Act of 1988, established the NIDCD and reauthorized expiring programs of NIH for 2 years. Since the new institute had already been established by P.L. 100-553, the provision in this bill is not valid. (P.L. 100-607)
--A National Center for Biotechnology Information was established in the National Library of Medicine; the provision for VA pay for nurses and allied health professionals was reiterated; NCI, NHLBI, and NRSA programs were reauthorized; responsibility for the primary care training program was shifted to HRSA; the Interagency Technical Committee was abolished; the Alzheimer's disease provisions of P.L. 99-660 were shifted to the NIA section of the PHS act; the moratorium on fetal research was extended through November 4, 1990; funds were appropriated for the Biomedical Ethics Advisory Board and a report specified; the secretary was directed to consult with the director, NIH, on establishment of a National Commission on Sleep Disorders, which would include among the ex officio members the directors of NINCDS, NHLBI, NIMH, NIA, and NICHD, with a report and a plan required. Finally, the bill extended confidentiality provisions to subjects of all biomedical, behavioral, clinical, or other research, including research on mental health.
--Title II, "Programs with Respect to Acquired Immune Deficiency Syndrome," laid the foundation for a Federal policy on AIDS. In addition to provisions for AIDS research, the bill included provisions for information dissemination, education, prevention, anonymous testing, and establishment of a National Commission on AIDS. The review process for AIDS-related grants was expedited, provision was made for priority requests for personnel and administrative support, a clinical research review committee was established within NIAID, the AIDS outpatient capacity at the Clinical Center was doubled, community-based clinical trials were mandated, awards for international clinical research were authorized, research centers were supported, and information services were expanded. An Office of AIDS Research was established within OD. Title VI, the Health Professions Reauthorization Act of 1988, established a loan repayment program for scientists who agree to conduct AIDS research while employed at NIH. (P.L. 100-607.)
November 21, 1989--Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 1990, provided for the purchase of an advanced design supercomputer and named four NIH buildings for members of Congress. (P. L. 101-166)
November 29, 1989 --An act to provide for the construction of biomedical facilities in order to ensure a continued supply of specialized strains of mice essential to biomedical research in the United States, and for other purposes, provided authority to make construction grants for this purpose. (P.L. 100-190)
August 18, 1990 --Ryan White Comprehensive AIDS Resources Emergency Act of 1990, authorized NIH to make demonstration grants to community health centers and other entities providing primary health care and servicing a significant number of pediatric patients and pregnant women with HIV disease. Awardees were to provide clinical data to NIH for evaluation. (P.L. 101-381)
November 5, 1990 --Omnibus Budget Reconciliation Act of Response, Compensation, and Liability Act of 1980 (under which NIEHS operates some programs) and called on the secretary, with NCI, to review periodically the appropriate frequency for performing screening mammography.
--Treasury, Postal Service and General Government Appropriations Act, 1991, established the PHS senior biomedical research service. (P.L. 101-509)
--Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 1991, provided for the first time, a 1 percent NIH director's transfer authority for high-priority activities and capped the NIH contribution for salaries for individuals receiving extramural funding. (P.L. 101-517)
November 15, 1990 --Clean Air Act Amend-ments of 1990, required NIEHS to conduct a study of mercury exposure; to be available, with NCI, for membership on a panel for the Mickey Leland Urban Air Toxics Research Center and an interagency task force on air pollution; and authorized an NIEHS program of basic research on human health risks from air pollutants. (P.L. 101-549)
--Home Health Care and Alzheimer's Disease Amendments of 1990, broadened the authority for Alzheimer's disease research centers and authorized Claude D. Pepper Older Americans Independence Centers grants. (P.L. 101-557)
November 16, 1990 --The NIH Amendments of 1990, had two purposes: it authorized a nonprofit organization the National Foundation for Biomedical Research (membership amended by P.L. 102-170) and created NICHD's National Center for Medical Rehabilitation Research. (P.L. 101-613)
--Hazardous Materials Transportation Uniform Safety Act of 1990, authorized NIEHS to provide grants for the training and education of workers who are or may be engaged in activities related to hazardous waste removal, containment or emergency response. (P.L. 101-615)
--Transplant Amendments of 1990, reauthorized and amended the PHS act as it concerns the National Bone Marrow Donor Registry in the NHLBI and called for the establishment of national standards and procedures. (P.L. 101-616)
August 14, 1991 --Terry Beirn Community Based AIDS Research Initiative Act of 1991, authorized this initiative in the PHS act and NIAID. (P.L. 102-96)
November 26, 1991 --Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 1992, established NCI's Matsunaga-Conte Prostate Cancer Research Center, a women's health study, and provided authority to transfer funds to emergency activities. (P.L. 102-170)
December 9, 1991 --The High Performance Computing Act of 1991, authorized Federal agencies such as NIH to allow recipients of research grant funds to pay for computer networking expenses. (P.L. 102-194)
February 4, 1992 --The American Technology Preeminence Act of 1991 gave authority to the directors of Federal laboratories (NIH) to give research equipment that is excess to the needs of the laboratory to an educational institution or nonprofit organization for the conduct of technical and scientific education and research activities (P.L. 102-245)
July 10, 1992 --The Alcohol, Drug Abuse, and Mental Health (ADAMHA) Reorganization Act, amended by the PHS act to provide for the incorporation of the three ADAMHA research institutes--NIMH, NIAAA, and NIDA--into the NIH as of October 1, 1992. A new PHS act section 409 was added and defined "health services research" as research endeavors that study the impact of organization, financing, and management of health services of the quality, cost, access to and outcomes of care. This is an entirely new programmatic undertaking for NIH and these three new institutes. Of particular interest are provisions that authorize a bypass budget for these three institutes for FY 1994 and 1995. (P.L. 102-321)
October 13, 1992 --The DES Education and Research Amendments of 1992, require the director, NIH, to establish a program for the conduct and support of research and training, dissemination of health information, and other programs with respect to the diagnosis and treatment of conditions associated with exposure to DES. (P.L. 102-409)

--The Agency for Health Care Policy and Research Reauthorization Act of 1992, requires that the NLM establish an information center on health service research, and on selected technology assessments and clinical practice guidelines produced by AHCPR and other public and private sources. The AHCPR administrator, in consultation with the NLM director, is required to develop and publish criteria for the inclusion of practice guidelines and technology assessments in the information center database. (P.L. 102-410)
October 24, 1992 --The Cancer Registries Act requires the establishment of a national program of cancer registries, with the overall goal being the assurance of minimal standards for quality and completeness of (cancer) case information. Provisions also require the DHHS secretary, acting through the NCI director, to conduct a study for the purpose of determining the factors contributing to the fact that breast cancer mortality rates in 9 states and the District of Columbia are elevated compared to rates in the other 43 states. (P.L. 102-515)

--The Energy Policy Act of 1992 authorizes electric and magnetic fields research and public information activities by the NIEHS director. (P.L. 102-486)
October 26, 1992 --The Preventive Health Amendments of 1992 provide authorities regarding the coordination of Federal programs related to preventable cases of infertility arising as a result of sexually trans-mitted diseases; also delineates coordination between the director, CDC, and director, NIH. (P.L. 102-531)
October 28, 1992 --The Small Business Innovation Research and Development and Enhancement Act of 1992 reauthorizes the SBIR program through September 30, 2000, and increases set aside percentages for each Federal agency with an extramural budget for research and development in excess of $100 million in FY 1992 (1.25 percent) upward to 2.5 percent by 1997 and onward. Legislation also requires enhancement of agency outreach efforts to increase participation of women-owned and socially and economically disadvantaged small business concerns, and tracking of awards to document their participation in the program. (P.L. 102-564)
--The Housing and Community Development Act of 1992 requires the secretary, HHS, acting through the director, CDC, and director, NIEHS, to jointly conduct a study of the sources of lead exposure in children who have elevated blood lead levels (or other indicators of elevated lead body burden) as defined by the director, CDC. (P.L. 102-550)
November 4, 1992 --The National Aeronautics and Space Administration (NASA) Authorization Act includes provisions offered as an amendment requiring NIH and NASA to jointly establish a working group, with equal representation from NASA and NIH, to coordinate biomedical research activities in areas where microgravity environment may contribute to significant progress in the understanding and treatment of diseases and other medical conditions; establishment of a joint program of biomedical research grants in the above described areas, where such research requires access to a microgravity environment, and annual issuance of joint research opportunity announcements; creation of a joint program of graduate research fellowships in biomedical research; and establishment and submission of a plan for the "conduct of joint biomedical research activities by the republics of the former Soviet Union and the United States." (P.L. 102-588)
June 10, 1993 --The NIH Revitalization Act of 1993 reauthorized certain expiring authorities of the NIH; mandated establishment of the Office of Research Integrity in DHHS; lifted the moratorium on human fetal tissue transplantation research; mandated inclusion of women and minorities in clinical research protocols; created in statute the Office of Alternative Medicine, the Office of Research on Women's Health, the Office of Research on Minority Health, the Office of Biobehavioral and Social Sciences Research, and the National Center for Human Genome Research; mandated establishment of an intramural laboratory and clinical research program on obstetrics and gynecology within NICHD and the National Center on Sleep Disorders Research in NHLBI; codified in statute the establishment of the Office of AIDS Research, and strengthened and expanded its authorities, including authorizing OAR receipt of all appropriated AIDS funds for distribution to the ICDs; authorized the establishment of an NIH director's discretionary fund; provided the director, NIH, with extramural construction authority; required from extramural construction funds a $5 million set aside for Centers of Excellence; mandated establishment of the IDeA program; required the NCI to conduct the Long Island breast cancer study; authorized establishment of scholarship and loan repayment programs for individuals from disadvantaged backgrounds; changed the designation from center to institute for NINR and from division to center for the Division of Blood Resources, NHLBI; and provided other new NIH authorities and directives. (P.L. 103-43)
August 3, 1993 --The Government Performance and Results Act of 1993 seeks to curb fraud, wast and mismanagement in the operation of the Federal Government by establishing performance standards. (P.L. 103-62)
December 14, 1993 --The Preventive Health Amendments of 1993 required the director, NIAID, to conduct or support research and research training regarding the cause, early detection, prevention and treatment of tuberculosis, and authorized to be appropriated $50 million for FY 1994 and such sums as necessary for FYs 1995-98. (P.L. 103-183)
September 30, 1994 --The Department of Labor, HHS, and Education Appropriations Act , 1995, provided for the first time a consolidated appropriation for NIH AIDS research to the Office of AIDS Research. (P.L. 103-333)
October 25, 1994 --The Dietary Supplement Health and Education Act of 1993 mandated establihsment of an Office of Dietary Supplements within NIH to conduct and coordinate NIH research relating to dietary supplements and the extent to which their use reduces the risk of certain diseases. (P.L. 103-417)
May 22, 1995 --The Paperwork Reduction Act of 1995 amends the U.S. Code to reduce by 5 percent the Federal paperwork burdens imposed on individuals, small businesses, state and local governments, education and nonprofit institutions and Federal contractors; also had the effect of establishing in statute the NIH Office of Information Resources Management. (P.L. 104-13)
November 1, 1995 --The Biotechnology Process Patents Protection Act of 1995 strengthens patent protection and clarifies the circumstances under which a patent using biotechnological processes can be issued; allows U.S. researchers to enforce their patents claiming a certain starting material against the unfair importation of products made overseas using such material; and stops international theft of intellectual property; and makes U.S. patent law consistent with that of the Europeans and the Japanese. (P.L. 104-41)
January 26, 1996 --The Balanced Budget Downpayment Act I, a continuing resolution, contained an amendment prohibiting the use of NIH funds for human embryo research; and cited NIH's FY 1996 funding in P.L. 104-91, such that the prohibition would continue for the duration of the FY 1996 funding year. (P.L. 104-99)
March 7, 1996 --The National Technolgy Transfer and Advancement act of 1995 amended the Stevenson-Wydler Technology Innovation Act of 1980 with respect to reinvention made under Cooperative Research and Development Agreements; addressed the assignment of intellectual property rights and the use and deregulation of royalty income. (P.L. 104-113).
April 24, 1996 --The Antiterrorism and Effective Death Penalty Act of 1996 required that the Secretary, HHS, establish safety procedures for use of biological agents, training in handling and proper laboratory containment, safeguards to prevent their use for criminal purposes, and procedures to protect the public safety. The act provided, however, that the Secretary must ensure availability of biological agents for research purposes. (P.L. 104-132)
May 20, 1996 --The Ryan White CARE Reauthorization Act revised and extended authorization of the 1990 act, which provided for care and services for persons living with HIV/AIDS. Title IV provisions require the administrator, HRSA, to consult with the director, NIH, in carrying out a grants program to provide health care and opportunities for women, infants, children, and youth to participate as voluntary subjects of clinical research on HIV disease that is of potential benefit to them. (P.L. 104-146).
July 29, 1996 --The Traumatic Brain Injury Act amended the PHS Act to provide for the conduct of expanded studies and establishment of innovative programs with respect to traumatic brain injury. The act authorizes the Secretary, acting through the director, NIH, to award grants or contracts for the conduct of basic and applied research regarding traumatic brain injury. (P.L. 104-166)
October 2, 1996 --The Electronic Freedom of Information Act established the right of the public to obtain access to Agency records, including electronically stored documents, and requires Federal agencies to make available certain Agency information to the public for inspection and copying. (P.L. 104-231)
October 18, 1996 --The General Accounting Office Management Reform Act amended the PHS Act to limit the amount NIH may obligate for administrative expenses each fiscal year and repealed a requirement that the U.S. Comptroller General conduct, audit, and report to the Congress regarding the National Foundation for Biomedical Research. (P.L. 104-316)
August 6, 1997 --The Safe Drinking Water Act amendments reauthorized the Safe Drinking Water Act, toughened standards and required the Environmental Protection Agency to consult with NIH and the CDC in announcing an interim national primary drinking water regulation for a contaminant in the case of an urgent threat to public health. (P.L. 104-182)