Page:United States Statutes at Large Volume 100 Part 1.djvu/54

 100 STAT. 18

Education.

PUBLIC LAW 99-251—FEB. 27, 1986 (3) "disease prevention" means activities to prevent unnecessary illnesses, morbidity, disability, and medical treatment, including— (A) occupationally related examinations; (B) general health assessments; (C) biological monitoring; (D) immunizations, chemoprophylaxis, fitting respirators and hearing protectors, use of barrier creams, control of high blood pressure, control of sexually transmittable diseases, care to improve pregnancy outcome, control of toxic agents, control or elimination of hazards leading to accidental injuries, control of infectious agents, and other health intervention activities; and (E) referral to private physicians, dentists, and other licensed health professionals; (4) "secondary prevention" means— (A) activities to provide on-the-job emergency health and dental care and assistemce, and (B) rehabilitation or follow-up care after emergency care, to reduce morbidity, disability, lost productivity, and medical treatment. (b) IN GENERAL.—The Director of the Office of Personnel Management, in consultation with the Secretary of Health and Human Services, shall establish and carry out at least one demonstration project to determine— (1) the most effective (including cost-effective) means of— (A) furnishing health protection, health promotion, disease prevention, and secondary prevention services to Federal Government employees; (B) encouraging such employees to adopt good health habits; (C) reducing health risks to such employees, particularly the risks of heart disease, cancer, stroke, diabetes, anxiety, depression, and lifestyle-related accidents; (D) reducing medical expenses of such employees through health protection, health promotion, disease prevention, and secondary prevention activities; (E) enhancing employee productivity and reducing health related liability of the Federal Government through a comprehensive occupational health program; and (F) carrying out a program— (i) to train employees under the jurisdiction of a Federal Government agency to furnish health protection, health promotion, disease prevention, and secondary prevention services to employees of such agency; and (ii) to promote interagency agreements under which trained employees of an agency are available to furnish such services to employees of other Federal Government agencies, subject to reimbursement of the costs of the agency in making the trained employees available; and (2) the cost effectiveness of organizational structures and of social and educational programs which may be useful in achieving the objectives described in clause (1).

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