Page:United States Statutes at Large Volume 107 Part 1.djvu/227

 PUBLIC LAW 103-43—JUNE 10, 1993 107 STAT. 201 Services shall prepare and submit to the Committee on Energy and Commerce of the House of Representatives, and the Committee on Labor and Human Resources of the Senate, a report concerning the plan developed under paragraph (1). (3) IMPLEMENTATION. —Not later than 12 months after the date of the enactment of this Act, the Secretary of Health and Human Services shall implement the plan developed under paragraph (1), including measures for the full participation of other Federal agencies currently conducting HIV vaccine studies. (4) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this subsection, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 1994 through 1996. SEC. 1902. MALNUTRITION IN THE ELDERLY. 42 USC 285e (a) STUDY. - ""*"• (1) IN GENERAL.— The Secretary of Health and Human Services (referred to in this section as the "Secretar/'), acting through the National Institute on Aging, coordinating with the Agency for Health Care PoUcy and Research and, to the degree possible, in consultation with the head of the National Nutrition Monitoring and Related Research Program established by section 5311(a) of Public Law 101-445 (7 U.S.C. 5301 et seq.), shall conduct a 3-year nutrition screening and intervention activities study of the elderly. (2) EFFICACY AND COST-EFFECTIVENESS OF NUTRITION SCREENING AND INTERVENTION ACTIVITIES.— In conducting the study, the Secretary shall determine the efficacy and costeffectiveness of nutrition screening and intervention activities conducted in the elderly health and long-term care continuxma, and of a program that would institutionalize nutrition screening and intervention activities. In evaluating such a program, the Secretary shall determine— (A) if health or quality of Ufe is measurably improved for elderly individuals who receive routine nutritional screening and treatment; (B) if federally subsidized home or institutional care is reduced because of increased independence of elderly individuals resulting from improved nutritional status; (C) if a multidisciplinary approach to nutritional care is effective in addressing the nutritional needs of elderly individuals; and (D) if reimbursement for nutrition screening and intervention activities is a cost-effective approach to improving the health status of elderly individusJs. (3) POPULATIONS.—The populations of elderly individuals in which the study will be conducted shall include populations of elderly individuals who are— (A) living independently, including— (i) individuals who receive home and community- based services or family support; (ii) individuals who do not receive additional services and support; (iii) individuals with low incomes; and (iv) individuals who are minorities;

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