1622ceab19b8421cb582f3b76dfefb49335d00c892056b552940aed3436ad00a

shall have the following objectives:
(1) To support national reconciliation and reconstruction in accordance with
the requirements of the Peace Accords signed in Mexico on January 16, 1992,
and subsequent agreements related to the implementation of those accords
(the `Peace Accords').
(2) To support democratic practices, processes, and procedures, including
efforts to achieve increased social justice, respect for human rights,
and a firm commitment to political pluralism.
(3) To support economic growth, development and stability, working in close
consultation and coordination with multilateral development organizations,
especially the United Nations, and with non-governmental organizations
and associations with expertise in these areas.
(b) NON-LETHAL MILITARY ASSISTANCE- Of the funds appropriated by this Act
for the `Foreign Military Financing Program', not more than $11,000,000
may be made available for military assistance (which shall be available
only on a grant basis) for El Salvador, and such assistance shall be used
only for non-lethal items for maintenance, sustainment, restructuring, and
reduction and only in strict accordance with the newly defined mission of
the Salvadoran Armed Forces as embodied within the Salvadoran Peace Accords.
(c) DEMOBILIZATION AND TRANSITION FUND- Not less than $29,000,000 of the
funds appropriated by this Act for Foreign Military Financing assistance,
shall be transferred to the `Demobilization and Transition Fund' (the
`Fund') established by section 531(f) of the Foreign Operations, Export
Financing, and Related Programs Appropriations Act, 1991, and used only to
carry out the purposes of the Fund as specified in section 531(f)(3) of that
Act. Amounts transferred to the Fund shall remain available until expended.
(d) Limitations on the Provision of Military Assistance-
(1) PROHIBITION- Except as provided in this section, funds appropriated
by this Act may not be made available for Foreign Military Financing
assistance for El Salvador.
(2) IMET ASSISTANCE- Of the funds appropriated by this Act under the heading
`International Military Education and Training', not more than $1,400,000 may
be made available for El Salvador.  Of the amount allocated for El Salvador,
not less than 75 percent shall be made available for training military
and civilian personnel in administration and management, and in creating
and maintaining an effective military judicial system and military code
of conduct, including observance of internationally recognized human rights.
(e) Economic Assistance-
(1) IN GENERAL- Development Assistance and Economic Support Fund assistance
provided for El Salvador from funds appropriated by this Act--
(A) shall be implemented in coordination with United Nations reconstruction
and reconciliation programs;
(B) may be made available for voluntary contributions to United Nations
reconstruction and reconciliation programs for El Salvador.
(2) Economic support funds-
(A) Of the funds appropriated by this Act under the heading `Economic Support
Fund', not more than $150,000,000 may be made available for El Salvador.
(B) Of the Economic Support Funds allocated for El Salvador for fiscal
year 1993, $20,000,000 shall be withheld from expenditure until 15 days
after receipt by the Committees on Appropriations of a report from the
Secretary of State which describes and assesses the efforts being made
by the Government of El Salvador to collect on loans made by the Banco
Agricola Comercial which were the subject of indictments issued during 1991.
(f) Condition for Termination of all United States Assistance-
(1) PROHIBITION- Subject to paragraph (2), no United States assistance
may be furnished to El Salvador if the duly-elected head of Government of
El Salvador is deposed by military coup or decree, or in the event of an
unconstitutional interruption of the legitimate exercise of power by the
democratically elected government.
(2) REQUIREMENT FOR RESUMPTION OF ASSISTANCE- Assistance prohibited under
paragraph (1) may only be resumed pursuant to a law subsequently enacted
by the Congress.
(g) PRIOR NOTIFICATION- None of the funds appropriated by this Act shall
be obligated or expended for El Salvador except as provided through the
regular notification procedures of the Committees on Appropriations,
the Committee on Foreign Relations of the Senate, and the Committee on
Foreign Affairs of the House of Representatives: Provided, That this
subsection shall not apply to funds appropriated by this Act to carry out
the provisions of chapter 1 of part I of the Foreign Assistance Act of 1961.
( 102 ) Page 67, strike out all after line 9 over to and including line
15 on page 76  and insert:
ENVIRONMENT

78c8b85957e9ba010391d4d1d5b22c09e170830772d360390629afdebee9874e

economic growth must be predicated on the sustainable management of natural
resources.  The Secretary of the Treasury shall instruct the United States
Executive Director of each multilateral development bank (MDB) to continue
to promote vigorously the environmental and energy initiatives established
in section 533(a) of the Foreign Operations, Export Financing, and Related
Programs Appropriations Act, 1991 (Public Law 101-513).  The Secretary of the
Treasury, in cooperation with the Secretary of State, shall also undertake
direct, bilateral discussions with appropriate officials of the governments
of the member nations of the Organization for Economic Cooperation and
Development with a goal of building greater international support for
the environmental goals established in subsection (d) of this section.
The Secretary of the Treasury shall submit a report to the Committees
on Appropriations by May 1, 1993, which describes the progress of these
bilateral discussions.
(b)  The Secretary of the Treasury shall, not later than May 1, 1993, submit
a report to the Congress containing the same information as requested in
section 533(b) of Public Law 101-513.
(c)(1)  In furtherance of the policies contained in section 533(a) of
Public Law 101-513 and section 1308 of the International Development and
Finance Act of 1989 (Public Law 101-240), and as a basis for measuring more
effectively progress by the MDBs toward improved environmental performance,
the Secretary of the Treasury shall instruct the United States Executive
Directors of the MDBs to encourage each MDB to develop and implement action
plans in the areas of sustainable energy development, forest conservation,
forced displacement of populations, and environmental impact assessment.
Such action plans shall address, at a minimum, meeting the benchmarks
established in paragraph (2) for each area.  On May 1, 1993 and May 1,
1994, the Secretary of the Treasury shall submit a report to the Congress
describing in detail the progress being made by the MDBs in developing
and implementing such plans.
(2)  For the purposes of paragraph (1), benchmarks are as follows:
(A)  In the area of sustainable energy development--
(i)  all loans in the energy sector should be based on, or support
development of, `least-cost' integrated resource plans.  Such plans
shall include analyses of possible end-use energy efficiency measures and
nonconventional renewable energy options, and such plans shall reflect
the quantifiable environmental costs of proposed energy developments;
(ii)  a substantial portion of loans and grants in the energy, industry,
and transportation sectors shall be devoted to end-use energy efficiency
improvements and nonconventional renewable energy development; and
(iii)  all organizational units within the MDBs that maintain technical
expertise on energy shall create staff positions for an End-Use Efficiency
Coordinator and a Renewable Energy Coordinator, which positions shall be
staffed by individuals with professional experience in program design and
management and educational degrees in relevant technical disciplines.
(B)  In the area of forest conservation--
(i)  forestry loans should not directly or indirectly support commercial
logging in relatively undisturbed primary forests, nor should loans result
in any significant loss of tropical forests;
(ii)  forestry loans should not be disbursed until legal, economic, land
tenure, and other policy conditions needed to ensure sustainability are
in place;
(iii) loans should not support mineral, petroleum, or other industrial
development in, or construction or upgrading of roads through, relatively
undisturbed primary forests unless adequate safeguards and monitoring
systems, developed in consultation with local populations, are already in
place to prevent degradation of the surrounding forests;
(iv) loans should be consistent with and support the needs and rights of
indigenous peoples and other long-term forest inhabitants and should not
be made to countries which have shown an unwillingness to resolve fairly
the territorial claims of such people; and
(v) support for protection of biological diversity, in close consultation
with local communities, should be increased to account for a larger
proportion of MDB lending.
(C) In the area of forced displacement of populations--
(i) the World Bank, Inter-American Development Bank, and Asian Development
Bank should maintain a listing, available to the Secretary of the Treasury,
of all ongoing projects involving forced displacement of populations,
including the number of people displaced and a report on the status of
the implementation of their resettlement policy guidelines for each such
project, and obtain agreements with borrowers to ensure that all ongoing
projects involving forced displacement will be in full compliance with
their resettlement policy guidelines by mid-1993; and
(ii) the African Development Bank should adopt and implement policy
guidelines on forced displacement similar to such guidelines of the
other MDBs.
(D) In the area of procedures for environmental impact assessment (EIA)--
(i) each MDB should require that draft and final EIA reports be made
available to the public in borrowing and donor countries and that the public
be offered timely opportunities for comment on the EIA process, including
initial scoping sessions, review of EIA categories assigned to individual
projects, and opportunities to comment on draft and final EIA reports;
(ii) each MDB should apply EIA requirements to all sector and structural
adjustment loans;
(iii) each MDB should require that the EIA process include analyses of
the potential impacts of proposed projects on the global environment; and
(iv) each MDB should require the head of the appropriate environmental
unit, rather than project officers, determine the appropriate type of
environmental analysis required under the bank's EIA procedures.
(d) The Secretary of the Treasury shall instruct the United States Executive
Director to the International Monetary Fund (IMF) to promote regularly
and vigorously the following policy and staffing changes, through formal
initiatives before the Board and management of the IMF and through bilateral
discussions with other member nations:
(1) full compliance with section 594 of Public Law 101-167, and section
55 of the Bretton Woods Agreements Act, as amended;
(2) establishment of an independent audit department which includes poverty
and environmental experts, to systematically review the policy prescriptions
implemented by the IMF;
(3) promulgation of policies and procedures including consultation with
poverty and environmental experts in the formulation of Policy Framework
Paper (PFPs); and
(4) establishment of procedures for public access to PFPs and other
relevant information.
The Secretary of the Treasury shall submit a report to the Committees on
Appropriations by May 1, 1993, which describes the progress in implementing
these reforms.
(e) The Administrator of the Agency for International Development shall
instruct all Agency missions and bureaus to continue to implement all
elements of the `Global Warming Initiative' as defined in, and which
may continue under, the authorities of sections 533(c) (1) through (4)
of Public Law 101-513. The Initiative shall continue to emphasize the need
to reduce emissions of greenhouse gases through strategies consistent with
continued economic development, such as forest conservation, end-use energy
efficiency, least-cost energy planning, and renewable energy development. The
Administrator shall direct Agency mission directors to incorporate these
strategies in their country programs.
(f) Of the funds appropriated by this Act under the headings in title
II of this Act under `Agency for International Development', not less
than $650,000,000 shall be made available for environment and energy
activities, including funds earmarked under section 533 of this Act,
including the following--
(1) Not less than $20,000,000 of the aggregate of the funds appropriated
to carry out the provisions of sections 103 through 106 and chapter 10 of
part I of the Foreign Assistance Act of 1961 shall be made available for
biological diversity activities, of which: $5,000,000 shall be made available
for the Parks in Peril project pursuant to the authority of section 119(b)
of that Act, and pursuant to an agreement that ensures that such funds
will make up no more than 80 percent of the entire costs of the project;
$1,500,000 shall be for the National Science Foundation's international
biological diversity program; $750,000 shall be for the Neotropical Bird
Conservation Initiative of the National Fish and Wildlife Foundation;
up to $2,000,000 shall be for Project Noah;
(2) Not less than $15,000,000 of the funds appropriated for the Development
Assistance Fund and to carry out the provisions of chapter 10 of part I
of the Foreign Assistance Act of 1961 shall be made available to support
replicable renewable energy projects, and the Agency for International
Development shall initiate at least five significant new activities in
renewable energy during fiscal year 1993;
(3) Not less than $7,000,000 of the funds appropriated for the Development
Assistance Fund and to carry out the provisions of chapter 10 of part I of
the Foreign Assistance Act of 1961 shall be made available for assistance
in support of elephant conservation and preservation; and
(4) Not less than $25,000,000 of the funds appropriated for the Development
Assistance Fund shall be made available for the Office of Energy of the
Agency for International Development, of which up to $5,000,000 may be
made available for rural electrification in sub-Saharan Africa.
(g) Of the funds appropriated by this Act to carry out the provisions of
part I and chapter 4 of part II of the Foreign Assistance Act of 1961,
the Agency for International Development should, to the extent feasible
and inclusive of funds earmarked under subsection (f) of this section,
target assistance for the following activities:
(1) $50,000,000 for projects associated with the Global Environment Facility;
(2) a total of $10,000,000 for CORECT, the Environmental Technology Export
Council, and the International Fund for Renewable Energy Efficiency; and
(3) $55,000,000 for activities consistent with the Global Warming Initiative.
(h) Funds appropriated by this Act or any subsequent Act for the Development
Assistance Fund and the Development Fund for Africa may be used for
expenses (including related support costs) relating to the environment and
energy sectors, of individuals detailed to or employed by the Agency for
International Development, particularly those involved with the `Global
Warming Initiative' described in this subsection.
(i) Of the funds appropriated by this Act to carry out the provisions
of section 23 of the Arms Export Control Act, not less than $15,000,000
shall be made available to countries in Africa for programs which support
conservation and biological diversity.
( 103 ) Page 76, strike out all after line 15 over to and including line
7 on page 77 and insert:
MONTREAL PROTOCOL FACILITATION FUND
(INCLUDING TRANSFER OF FUNDS)

343fe5906eb6524865cf0814ef6d1e4748e4f9d417276656528e8182e07ac92d

Act for the Development Assistance Fund shall be used to support the
Interim Multilateral Fund for the Implementation of the Montreal Protocol
on Substances that Deplete the Ozone Layer: Provided, That these funds
shall be made available, after consultations with the Bureau of Oceans,
International Environment and Scientific Affairs of the Department of State
and the Environmental Protection Agency, to the United Nations Environment
Program in its role as Treasurer of the Interim Multilateral Fund: Provided
further, That the United States representative to the Executive Committee
that oversees the implementation of the Interim Multilateral Fund shall seek
assurances that none of these funds shall be contributed to any developing
country that is not a Party to the Protocol and operating under Article
5 of the Protocol.
( 104 ) Page 78, line 15, strike out  [Struck out->][ assistance to the
Afghan people ][<-Struck out]  and insert: and economic assistance for
Afghanistan
( 105 ) Page 78, line 16, after `law.' insert: In providing economic
assistance under this section, the President shall take into consideration
the objective of reducing narcotics production, trafficking, and abuse
within Afghanistan.
( 106 ) Page 80, line 8, after `Haiti,'insert: Ivory Coast,
( 107 ) Page 81, line 4, before `CHILD' insert: FAMILY PLANNING,
( 108 ) Page 81, line 6, after `for' insert: family planning,
( 109 ) Page 81, line 13, after `out' insert: family planning activities,
( 110 ) Page 84, line 3, strike out  [Struck out->][ subject to ][<-Struck
out]  and insert: notwithstanding
( 111 ) Page 86, line 11, after `552.' insert: (a)
( 112 ) Page 86, line 24, strike out  [Struck out->][ section ][<-Struck
out]  and insert: subsection
( 113 ) Page 87, line 6, strike out  [Struck out->][ section ][<-Struck out]
and insert: subsection
( 114 ) Page 87, after line 8 insert:
(b) In addition to the authority contained in subsection (a), the original
period of availability of funds appropriated by this Act and administered by
the Agency for International Development that are earmarked for particular
programs or activities by this or any other Act shall be extended for an
additional fiscal year if the Administrator of such agency determines and
reports promptly to the Committees on Appropriations that the termination
of assistance to a country or a significant change in circumstances
makes it unlikely that such earmarked funds can be obligated during the
original period of availability: Provided, That such earmarked funds that
are continued available for an additional fiscal year shall be obligated
only for the purpose of such earmark.
( 115 ) Page 89, lines 10 and 11, strike out  [Struck out->][ section 534
][<-Struck out]  and insert: sections 534 and 541
( 116 ) Page 91, strike out all after line 18 over to and including line
6 on page 94 and insert:
ASSISTANCE FOR CAMBODIA

47c5dd7a3e0a02cea8d83259096f677c96654dd606143fb3fa94bf1a6789f10b

Convention, the United States reaffirms that genocide is a crime under
international law which it undertakes to prevent and punish, and calls
upon the competent organs of the United Nations to take such action under
the Charter of the United Nations as they consider appropriate for the
prevention and suppression of acts of genocide in Cambodia.
(b) Humanitarian and Development Assistance for Cambodia-
(1)  ASSISTANCE- Except as provided in paragraph (2), not less than
$20,000,000 of the funds appropriated for fiscal year 1993 for development
assistance and economic support fund assistance shall be made available, only
through international relief agencies, United States private and voluntary
organizations, and United Nations agencies, for humanitarian and development
assistance exclusively for Cambodian civilians and in accordance with the
priority needs identified by the Agency for International Development's
Report to Congress on Cambodia's Humanitarian and Development Assistance
Priorities (transmitted pursuant to the Foreign Operations, Export Financing,
and Related Programs Appropriations Act, 1991), notwithstanding any other
provision of law.
(2) DEFINITION- For purposes of this section, the term `humanitarian
assistance' includes food, potable water, clothing, medicine, and other
humanitarian assistance, including training and equipment for the surveying
and removal of explosive mines, but such term does not include (A) the
provision of any weapons, weapon systems, or ammunition, or (B) the provision
to Cambodian military units of any other equipment, vehicles, or material.
(c) HUMANITARIAN ASSISTANCE TO CHILDREN- In addition to funds otherwise
available for such purposes under subsection (b), not less than $5,000,000
of the funds made available for fiscal year 1993 for development assistance
and economic support fund assistance shall be made available to provide
humanitarian assistance to children and war victims in Cambodia,
notwithstanding any other provision of law.
(d) TERMINATION OF ASSISTANCE- The President shall terminate assistance
under this section to any Cambodian organization that he determines is
cooperating, tactically or strategically, with the Khmer Rouge in their
military operations.
(e) ONSITE ASSESSMENT OF NEEDS FOR ASSISTANCE- Not later than 120 days
after the date of enactment of this Act, the President shall conduct an
onsite assessment on a multilateral basis in cooperation with the United
Nations, or on an independent basis, within Cambodia (including Phnom Penh)
to determine the requirements for the development of social economic and
social infrastructure and for the eradication of explosive mines.
(f) REPORT REGARDING THE KHMER ROUGE- Not later than May 1, 1993, the
President shall submit to the Speaker of the House of Representatives and
the President Pro Tempore of the Senate a report describing all violations
of the United Nations peace agreement by the Khmer Rouge since July 1,
1992, and United States responses to those violations.  Such report shall
be submitted in both classified and unclassified form.
(g) Applicability of Existing Law-
(1) TRADE RESTRICTIONS- Funds shall be made available under this section
notwithstanding any law or regulation prohibiting trade with Cambodia or
any national of Cambodia.
(2) REPROGRAMMING NOTIFICATIONS- Funds shall be made available under this
section subject to the provisions of section 522 of this Act.
(3) PROHIBITIONS- Any funds made available under this section shall be
subject to the prohibitions of section 531(e) of the Foreign Assistance
Act of 1961 and section 906 of the International Security and Development
Cooperation Act of 1985.
( 117 ) Page 95, strike out lines 1 to 10
( 118 ) Page 95, after line 10, insert:
ELIGIBILITY FOR ASSISTANCE

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contained in this or any other Act with respect to assistance for a country
shall not be construed to restrict assistance in support of programs of
nongovernmental organizations from funds appropriated by this Act to carry
out the provisions of chapters 1 and 10 of part I of the Foreign Assistance
Act of 1961: Provided, That the President shall take into consideration,
in any case in which a restriction on assistance would be applicable but for
this subsection, whether assistance in support of programs of nongovernmental
organizations is in the national interest of the United States: Provided
further, That before using the authority of this subsection to furnish
assistance in support of programs of nongovernmental organizations, the
President shall notify the Committees on Appropriations under the regular
notification procedures of those committees, including a description of the
program to be assisted, the assistance to be provided, and the reasons for
furnishing such assistance: Provided further, That nothing in this subsection
shall be construed to alter any existing statutory prohibitions against
abortion or involuntary sterilizations contained in this or any other Act.
(b) PUBLIC LAW 480- During fiscal year 1993, restrictions contained in
this or any other Act with respect to assistance for a country shall not be
construed to restrict assistance under the Agricultural Trade Development
and Assistance Act of 1954.
( 119 ) Page 95, after line 10, insert:
(c) EXCEPTION- This section shall not apply--
(1) with respect to section 554 of this Act or any comparable provision
of law prohibiting assistance to countries that support international
terrorism; or
(2) with respect to section 116 of the Foreign Assistance Act of 1961 or
any comparable provision of law prohibiting assistance to countries that
violate internationally recognized human rights.
( 120 ) Page 95, strike out lines 11 to 16
( 121 ) Page 95, after line 16, insert:
CONTRACTING FOR SERVICES

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appropriations for foreign operations, export financing, and related programs
for the Agency for International Development may be used by such agency
to contract with individuals for personal services in the United States:
Provided, That such individuals shall not be regarded as employees of the
United States Government for the purpose of any law administered by the
Office of Personnel Management.
( 122 ) Page 100, line 21, after `including' insert: endowments,
( 123 ) Page 100, line 22, strike out  [Struck out->][ may invest ][<-Struck
out]  and insert: which is a grantee or contractor of the Agency for
International Development may invest funds made available under this Act
or prior Acts or
( 124 ) Page 100, line 26, strike out all after `be' over to and including
`endowment,' in line 1 on page 101
( 125 ) Page 108, strike out lines 7 to 12
( 126 ) Page 108, after line 12 insert:
POW/MIA MILITARY DRAWDDOWN

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direct the drawdown, without reimbursement by the recipient, of defense
articles from the stocks of the Department of Defense, defense services
of the Department of Defense, and military education and training, of an
aggregate value not to exceed $15,000,000 in fiscal year 1993, as may be
necessary to carry out subsection (b).
(b) Such defense articles, services and training may be provided to Cambodia
and Laos, under subsection (a) as the President determines are necessary to
support efforts to locate and repatriate members of the United States Armed
Forces and civilians employed directly or indirectly by the United States
government who remain unaccounted for from the Vietnam War, and to ensure the
safety of United States Government personnel engaged in such cooperative
efforts and to support United States Department of Defense-sponsored
humanitarian projects associated with the POW/MIA efforts. Any aircraft
shall be provided under this section only to Laos and only on a lease or
loan basis, but may be provided at no cost notwithstanding section 61 of
the Arms Export Control Act and may be maintained with defense articles,
services and training provided under this section.
(c) The President shall, within sixty days of the end of any fiscal year
in which the authority of subsection (a) is exercised, submit a report to
the Congress which identifies the articles, services, and training drawn
down under this section.
(d) There are authorized to be appropriated to the President such sums
as may be necessary to reimburse the applicable appropriation, fund, or
account for defense articles, defense services, and military education
and training provided under this section.
( 127 ) Page 108, strike out all after line 21 over to and including line
15 on page 109 and insert:
KENYA

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under the headings `Economic Support Fund' and `Foreign Military Financing
Program' may be made available for Kenya unless the President determines,
and so certifies to the Congress, that the Government of Kenya--
(1) has released all political detainees and has ended the prosecution of
individuals for the peaceful expression of their political beliefs;
(2) has ceased the physical abuse or mistreatment of prisoners;
(3) has restored judicial independence;
(4) has taken significant steps toward respecting human rights and
fundamental freedoms, including the freedom of thought, conscience, belief,
expression, and the freedom to advocate the establishment of political
parties and organizations; and
(5) has set and published an elections schedule or timetable for the
holding of multi-party elections.
(b) CONGRESSIONAL NOTIFICATION- During fiscal year 1993, none of the funds
appropriated by this Act to carry out the provisions of chapters 1 and 10
of part I of the Foreign Assistance Act of 1961 shall be obligated for
Kenya unless the Committees on Appropriations are notified at least 15
days in advance in accordance with the regular notification procedures of
those Committees.
(c) DATE OF AVAILABILITY OF FUNDS- None of the funds appropriated by
this Act under the heading `Economic Support Fund' or `Foreign Military
Financing Program' may be obligated or expended for Kenya until 30 days
after the certification described in subsection (a) is made to the Congress.
( 128 ) Page 113, line 5, after `(a)' insert: USE OF ASSISTANCE-
( 129 ) Page 114, line 7, strike out all after `REQUIREMENT' down to and
including `(2)' in line 12 and insert: (1)
( 130 ) Page 114, line 22, strike out  [Struck out->][ (3) ][<-Struck out]
and insert: (2)
( 131 ) Page 116, line 5, after `585.' insert: (a)
( 132 ) Page 117, line 18, strike out all after `POLICY' down to and
including `House' in line 21 and insert: It is the sense of the Congress
( 133 ) Page 118, lines 10 and 11, strike out  [Struck out->][ six months
after the date of enactment of this Act ][<-Struck out]  and insert:
April 1, 1993
( 134 ) Page 118, line 19, strike out  [Struck out->][ agreement. ][<-Struck
out]  and insert: agreement.'.
( 135 ) Page 118, line 20, strike out  [Struck out->][ `(d) ][<-Struck out]
and insert: (b)
( 136 ) Page 118, lines 23 and 24, strike out  [Struck out->][ India and
Sri Lanka ][<-Struck out]  and insert: and India
( 137 ) Page 119, line 4, strike out  [Struck out->][ `(1) ][<-Struck out]
and insert: (1)
( 138 ) Page 119, line 8, strike out  [Struck out->][ `(2) ][<-Struck out]
and insert: (2)
( 139 ) Page 119, line 14, strike out  [Struck out->][ `(3) ][<-Struck out]
and insert: (3)
( 140 ) Page 119, line 19, strike out  [Struck out->][
perpetuity.'. ][<-Struck out]  and insert: perpetuity.
( 141 ) Page 120, line 24, strike out  [Struck out->][ $75,000,000 ][<-Struck
out]  and insert: $45,750,000
( 142 ) Page 121, line 15, after `Panama,' insert: and for programs to
improve penal institutions and the rehabilitation of offenders in Panama
(which programs may be conducted other than through multilateral or
regional institutions),
( 143 ) Page 122, strike out lines 3 to 12, and insert:
AUTHORITIES FOR THE PEACE CORPS, THE INTER-AMERICAN FOUNDATION AND THE
AFRICAN DEVELOPMENT FOUNDATION

0a0eccfe2a57addd3fe193c5fa5d2f18c8eb6a259b8a406bb2bdb02f828a8f41

any other Act, including provisions contained in prior Acts authorizing
or making appropriations for foreign operations, export financing, and
related programs, shall not be construed to prohibit activities authorized
by or conducted under the Peace Corps Act, the Inter-American Foundation
Act, or the African Development Foundation Act. The appropriate agency
shall promptly report to the Committees on Appropriations whenever it is
conducting activities or is proposing to conduct activities in a country
for which assistance is prohibited.
( 144 ) Page 122, after line 12 insert:
REPORT ON CREDIT PROGRAMS

cdd9c22951284fe10d0059aad68c97b5c40a031b1f829f7898b491c8c9d20986

of each credit program within the international affairs (Budget Function
150) account, calculating for loans, guarantees and insurance commitments
for each such credit program:  (1) the probability of repayment by each
country of existing United States international loans and the probability of
default by each country on existing United States international guarantees,
(2) subsidy estimates for each country and each such credit program, and
(3) risk assessments for each country within each such credit program
for fiscal year 1994.  The Secretaries of Treasury, State, Defense,
and Agriculture, and the Administrator of the Agency for International
Development, the Chairman of the Export-Import Bank, and the President of
the Overseas Private Investment Corporation shall provide the necessary
information to support these analyses.  This study shall be transmitted
to the Committees on Appropriations and the Committees on the Budget not
later than March 15, 1993.
( 145 ) Page 122, after line 12 insert:
OTHER ASSISTANCE FOR EASTERN EUROPE

70deaece47bdade4d046b87101e4dc3cbf3facd1fa5a47606f68c7aa4a034ae9

of the Polish currencies which are held by the United States as of the date
of the enactment of this Act which are derived from programs administered
by the Commodity Credit Corporation, or pursuant to the Agricultural Trade
Development and Assistance Act of 1954, section 416(b) of the Agricultural
Act of 1949, or the Food for Progress Act of 1985, shall be made available
for the Research Center on Jewish History and Culture of the Jagiellonian
University of Krakow, Poland:  Provided, That such currencies shall be
made available notwithstanding 31 U.S.C. 1306 and section 567 of this Act:
Provided further, That local currencies made available for the Jagiellonian
University by this section shall be made available only to the extent that
they do not diminish planned funding for the American Children's Hospital,
Krakow, Poland.
( 146 ) Page 122, after line 12 insert:
AGRICULTURAL AID TO THE NEW INDEPENDENT STATES OF THE FORMER SOVIET UNION

38c9e1fb94ae7f5bf971118953a317a1349d8ac9615a754fbcf3170195db7451

`Assistance for the New Independent States of the Former Soviet Union',
$50,000,000 shall be made available only for provision of United States
agricultural commodities to address the food and nutrition needs of the
people of the new independent states of the former Soviet Union: Provided,
That in providing assistance under this section, primary emphasis shall
be given to meeting the food and nutrition needs of children and pregnant
and post-partum women: Provided further, That funds made available for the
purposes of this section through other United States Government programs
involving the purchase of agricultural commodities may be used in lieu of an
equal amount of funds earmarked under this section, except that such funds
shall not exceed $20,000,000 of the funds made available under this section,
such purchases shall not include any commodities which are acquired through
price-support operations by the Commodity Credit Corporation, and such funds
may be provided under the authorities of this section: Provided further,
That the President may enter into agreements with the governments of the
new independent states and nongovernmental organizations to provide for the
sale of any part of the United States agricultural commodities in the new
independent states for local currencies: Provided further, That any such
local currencies shall be used in the new independent states to process,
transport, store, distribute or otherwise enhance the effectiveness of the
use of United States agricultural commodities provided under this section,
and to support agricultural and rural development activities.
( 147 ) Page 122, after line 12 insert:
STATE DEPARTMENT RESEARCH AND TRAINING PROGRAM

d2eecabcd4773e0e5538003c02062f13c5593e5cb7b658ae811c20b5faae5bf9

`Assistance for Eastern Europe and the Baltic States' and `Assistance
for Russia and Emerging Eurasian Democracies', not less than a total of
$5,000,000 shall be made available for Russian, Eurasian, and Eastern
European research and training under the Department of State's title VIII
program on Russian, Eurasian, and Eastern European research and training,
notwithstanding any other provision of law.
( 148 ) Page 122, after line 12 insert:
DEBT RESTRUCTURING

36c7e0e25633589e1aa5117ff79b8a8f4da375cbb57d714032dcef8c58bddba4

(22 U.S.C. 2151 et seq.) is amended by adding at the end the following
new chapter:
`Chapter 12--Enterprise for the Americas Initiative
`SEC. 499. REDUCTION OF CERTAIN DEBT.
`(a) AUTHORITY TO REDUCE DEBT- (1) The President may reduce the amount
owed to the United States (or any agency of the United States) that is
outstanding as of January 1, 1992, as a result of concessional loans made
to an eligible country by the United States under part I or chapter 4
of part II of the Foreign Assistance Act of 1961 (or predecessor foreign
economic assistance legislation).
`(2) The authorities of this section may be exercised only in such amounts or
to such extent as is specifically provided in advance by appropriations Acts.
`(3) Any debt reduction pursuant to this section shall be accomplished at
the direction of the Facility established pursuant to section 601 of the
Agricultural Trade Development and Assistance Act of 1954, as amended,
in a manner consistent with sections 604 (b) and (c) of that Act.
`(b) ELIGIBILITY FOR DEBT REDUCTION- (1) In addition to meeting the
requirements of section 603(a) of that Act, to be eligible for debt
reduction under this section a country must have a government that
is democratically elected, not repeatedly providing support for acts
of international terrorism, not failing to cooperate on international
narcotics control matters, and not engaging in a consistent pattern of
gross violations of internationally recognized human rights.
`(2) The President shall determine whether a country is eligible for debt
reduction under this section.
`(c) REPAYMENT OF PRINCIPAL- The principal amount of each new obligation
issue pursuant to subsection (a) shall be repaid in United States dollars
and deposited in the appropriate United States Government account.
`(d) INTEREST ON NEW OBLIGATIONS- Interest on each new obligation issued
pursuant to subsection (a) shall be paid consistent with section 606 of
that Act: Provided, That--
`(1) in addition to those set forth in section 612(a) of that Act, activities
eligible to receive assistance from a fund established consistent with
section 608 of that Act shall include child survival and other child
development activities;
`(2) in addition to those set forth in section 612(d) of that Act, entities
eligible for grants from such a fund shall include nongovernmental child
survival or child development organizations;
`(3) the administering body established consistent with section 607(c) of
that Act shall include at least one representative from a nongovernmental
organization with experience and expertise in child survival or child
development; and
`(4) the Board established under section 610 of that Act shall include at
least one representative from a nongovernmental organization with experience
and expertise in child survival or child development.
`(e) ANNUAL REPORT- The President shall prepare an annual report to
Congress on the implementation of this section in conjunction with the
report required under section 614 of that Act.'.
(b) MULTILATERAL INVESTMENT FUND- The Inter-American Development Bank Act
(22 U.S.C. 283-283z-8) is amended by adding at the end the following:
`SEC. 37. (a) The Secretary of the Treasury is authorized to contribute,
and to make payment of, $500,000,000 to the Multilateral Investment Fund
established pursuant to the agreements of February 11, 1992: Provided,
That such funds shall only be disbursed from the Fund to countries that
have governments that are democratically elected, that do not harbor or
sponsor international terrorists; that do not fail to cooperate in narcotics
matters; and that do not engage in a consistent pattern of gross violations
of internationally recognized human rights.
`(b) There is hereby authorized to be appropriated without fiscal year
limitation $500,000,000 for the contribution authorized in subsection (a).'.
( 149 ) Page 122, after line 12 insert:
CAPITAL PROJECT AND CASH PAYMENT ASSISTANCE

0c012f9e5005c1e23768bbd6c0d781c6c799f68a4b632d2d5f47a056e48d6d10

Act under the headings `Economic Support Fund', `Philippines Assistance',
`Assistance for Eastern Europe and the Baltic States', and `Assistance
for the New Independent States of the Former Soviet Union', an amount
substantially equal to 10 percent of the aggregate amount appropriated
under such headings shall be made available for developmentally-sound
and sustainable capital projects and investment activities as defined in
subsection (d).
(2) Funds made available under subsection (a)(1) for capital projects
in excess of $25,000,000 shall be subject to the regular notification
procedures of the Committees on Appropriations.
(b) Study of Cash Payment Assistance-
(1) SCOPE- The Comptroller General of the United States shall conduct a
study of cash payment assistance. Such study shall include the amounts of
assistance provided under this Act as cash payment assistance, the purpose
and recipients of cash payment assistance, the extent to which commodity
or capital financing were explored in lieu of such cash assistance
to achieve the purpose, an analysis of the purposes of cash payment
assistance, accountability for and monitoring of how such assistance is
used by recipients, the feasibility of separate accounting procedures for
countries that use cash payments for the purchase of United States goods
and services or the repayment of debt owed to the United States Government,
and the degree to which recipients of cash payment assistance are required to
and in fact use such assistance to purchase United States goods and services.
(2) REPORT- Not later than 6 months after the date of enactment of this Act,
the Comptroller General of the United States shall submit to the Congress a
report setting forth the findings of the study conducted under paragraph (1).
(c) EXPORT-IMPORT BANK `WAR CHEST' AUTHORITY- If the amounts appropriated
or otherwise provided by this Act for purposes of section 15(e)(1) of the
Export-Import Bank Act of 1945 are not totally used by the end of fiscal
year 1993, then, at the close of such fiscal year the Chairman of the
Export-Import Bank of the United States shall submit to the Congress a
report stating--
(1) the reasons for the Bank's decision not to use these funds for those
purposes; and
(2) the amount of sales or bids lost because of the Bank's decision not
to use these funds.
(b) DEFINITIONS- For purposes of this section--
(1) the term `capital projects and investment activities' may include
projects and activities involving (1) the construction, expansion, operation,
alteration of, or the acquisition of equipment for, a physical facility
or physical infrastructure, including related technical assistance,
training, engineering, and other services, (2) procurement of equipment,
including related technical assistance, training, and other assistance to
support sustained use of such equipment, (3) feasibility studies or similar
engineering and economic services, and (4) facilitation of United States
private investment in developmentally-sound and sustainable activities;
(2) the term `cash payment assistance' means foreign assistance made
through cash payments.
( 150 ) Page 122, after line 12 insert:
LIMITATIONS ON ASSISTANCE FOR PERU

59c66ca8a46badeab369f61a6c1ed9378dc1650b538c5378ba8acf0863d99f09

`Foreign Military Financing Program' may be made available for Peru unless
the President determines and so certifies to the Congress that constitutional
democracy has been restored in Peru, characterized by, among other things--
(1) having held free and fair elections;
(2) a representative and functioning legislature;
(3) an independent and effective judiciary; and
(4) restoration of individual rights, including freedom of speech, assembly,
and the press.
(b) In the event the President makes the determination and certification
required by subsection (a), no Foreign Military Financing assistance shall be
made available for Peru except through the regular notification procedures of
the Committees on Appropriations, the Committee on Foreign Relations of the
Senate, and the Committee on Foreign Affairs of the House of Representatives.
(c) In the event the President makes the determination under subsection
(a), assistance may be made available for Peru notwithstanding the funding
limitation on assistance for Peru under the heading `Economic Support Fund'.
( 151 ) Page 122, after line 12 insert:
FUNDING FOR MULTILATERAL DEVELOPMENT BANKS

63152a723cb02fc315744885bca60d73ca7cc819d8d9d45fb84ddeacc47b57fa

headings shall be reduced by 8.3 percent: `Contribution to the International
Bank for Reconstruction and Development' separately for the General
Capital Increase and the contribution to the Global Environment Facility,
`Contribution to the International Development Association', `Contribution to
the International Finance Corporation', `Contribution to the Inter-American
Development Bank' separately for the paid-in share portion of the increase
in capital stock and the Fund for Special Operations, `Contribution to
the Asian Development Bank', `Contribution to the Asian Development Fund',
`Contribution to the African Development Fund'.
( 152 ) Page 122, after line 12 insert:
PROJECT EDEN

a4cb2127b8b81f9b2774d5b360aa7d017644dec4a5ef3a666ee52b28618af30a

International Development, not less than $2,000,000 shall be made available
only for the establishment and administrative costs of the Middle East
Environmental Defense Network (Project EDEN).
( 153 ) Page 122, after line 12 insert:
PROCUREMENT REQUIREMENTS

65458afc17f6b662ee85d0f1df277c60d06ddf7b326fe6f974ed2563eff8a804

a9df26f36a5889fd07ae43d5ae56dde37035683fa2d943cb15f952479d45e935

of 1961 is amended by adding at the end thereof the following new section:
`SEC. 226. LOAN GUARANTEES TO ISRAEL PROGRAM.
`(a) IN GENERAL- Subject to the terms and conditions of this section,
during the period beginning October 1, 1992, and ending September 30,
1997, the President is authorized to issue guarantees against losses
incurred in connection with loans to Israel made as a result of Israel's
extraordinary humanitarian effort to resettle and absorb immigrants into
Israel from the republics of the former Soviet Union, Ethiopia and other
countries. In the event that less than the full amount authorized to be
issued under subsection (b) of this section is issued in such period,
the authority to issue the balance of such guarantees shall be available
in the fiscal year ending on September 30, 1998.
`(b) FISCAL YEAR LEVELS- The President is authorized to issue guarantees
in furtherance of the purposes of this section. Subject to subsection
(d), the total principal amount of guarantees which may be issued by the
President under this section shall be up to $10,000,000,000 which may be
issued as follows:
`(1) in fiscal year 1993, up to $2,000,000,000 may be issued on October 1,
1992 or thereafter;
`(2) subject to subsection (d), in fiscal years 1994 through 1997, up to
$2,000,000,000 in each fiscal year may be issued on October 1 or thereafter.
`(3) If less than the full amount of guarantees authorized to be made
available in a fiscal year pursuant to paragraphs (1) and (2) of this
subsection is issued to Israel during that fiscal year, the authority to
issue the balance of such guarantees shall extend to any subsequent fiscal
year ending on or before September 30, 1998.
`(4)(A) Not later than September 1 of each year during the period in which
the President is authorized to issue loan guarantees under subsection (a),
beginning in fiscal year 1993, the President shall notify the appropriate
congressional committees in writing of his intentions regarding the exercise
of that authority for the fiscal year beginning on October 1 of that year,
including a statement of the total principal amount of guarantees, if any,
that the  President proposes to issue for that fiscal year.
`(B) For purposes of this paragraph, the term `appropriate congressional
committees' means the Committee on Appropriations and the Committee on
Foreign Relations of the Senate and the Committee on Appropriations and
the Committee on Foreign Affairs of the House of Representatives.
`(c) USE OF GUARANTEES- Guarantees may be issued under this section only
to support activities in the geographic areas which were subject to the
administration of the Government of Israel before June 5, 1967.
`(d) LIMITATION ON GUARANTEE AMOUNT- The amount of authorized but unissued
guarantees that the President is authorized to issue as specified
in subsection (b) shall be reduced by an amount equal to the amount
extended or estimated to have been extended by the Government of Israel
during the previous year for activities which the President determines
are inconsistent with the objectives of this section or understandings
reached between the United States Government and the Government of Israel
regarding the implementation of the loan program. The President shall
submit a report to Congress no later than September 30 of each fiscal year
during the pendency of the program specifying the amount calculated under
this subsection  and that will be deducted from the amount of guarantees
authorized to be issued in the next fiscal year.
`(e) FEES-
`(1) Fees charged for the loan guarantee program under this section each
year shall be an aggregate annual  origination fee equal to the estimated
subsidy cost of the guarantees issued under this section  for that year,
calculated by the Office of Management  and Budget for the Federal Credit
Reform Act of 1990. This shall also include an amount  for the administrative
expenses of the Agency  for International Development in administering the
program under this section. All such fees shall be paid by the Government
of Israel to the Government of the United States. Funds made available for
Israel under chapter 4 of Part II of the Foreign  Assistance Act of 1961,
as amended, may be utilized by the Government of Israel to pay such fees to
the United States Government. No further appropriations of subsidy  cost
are needed for the loan guarantee authorized hereunder  for fiscal years
1993 and the four succeeding fiscal years.
`(2) The origination fee shall be payable to the United States Government
on a pro rata basis as each  guarantee for each loan or increment is issued.
`(f) AUTHORITY TO SUSPEND- Except as provided in subsections (l) and (m)
of this section, the President shall determine the terms and conditions
for issuing guarantees. If the President determines that these terms and
conditions have been breached, the President may suspend or terminate
the provision of all or part of the additional  loan guarantees not yet
issued under this section. Upon making such a determination to suspend  or
terminate  the provision  of loan guarantees, the President shall submit
to the Speaker of the House  of Representatives and the President Pro
Tempore of the Senate his determination to do so, including the basis for
such suspension  or termination.
`(g) PROCEDURES FOR SUSPENSION OR TERMINATION- Any suspension or termination
pursuant to subsection (f) shall be in accordance with the following
procedures:
`(1) Upon making a determination to suspend  or terminate the provision
of loan guarantees, the President shall submit  to the Speaker of the
House  of Representatives  and the President  Pro Tempore of the Senate
his determination to do so, including the basis for such suspension or
termination.
`(2) Such a suspension or termination shall cease to be effective if Congress
enacts, within 30 days of submission, a joint resolution authorizing the
assistance notwithstanding  the suspension.
`(3) Any such joint  resolution shall be considered  in the Senate in
accordance with the provisions of section  601(b) of the International
Security Assistance  and Arms  Export Control Act of 1976.
`(4) For the purpose of expediting the consideration and enactment of
joint resolutions under this subsection, a motion to proceed to the
consideration of any such joint resolution after it has been reported by
the appropriate committee shall be treated as highly privileged in the
House of Representatives.
`(5) In the event that the President suspends the provision of additional
loan guarantees under subsection (f) and Congress does not enact a joint
resolution pursuant to this subsection, the provision of additional loan
guarantees under the program established by this section may be resumed
only if the President determines and so reports to Congress that the
reasons for the suspension have been resolved or that the resumption is
otherwise in the national interest.
`(h) ECONOMIC CONTEXT- The effective absorption of immigrants into Israel
from the republics of the former Soviet Union and Ethiopia within the
private sector requires large investment and economic restructuring to
promote market efficiency and thereby contribute to productive employment
and sustainable growth. Congress recognizes that the Government of Israel
is developing an economic strategy designed to achieve these goals, and
that the Government of Israel intends to adopt a comprehensive, multi-year
economic strategy based on prudent macroeconomic policies and structural
reforms. Congress also recognizes that these policies are being designed
to reduce direct involvement of the government in the economic system
and to promote private enterprise, important prerequisites for economic
stability and sustainable growth.
`(i) CONSULTATIONS- It is the sense of the Congress that, as agreed between
the two Governments and in order to further the policies specified in
subsection (h), Israel and the United States should continue to engage
in consultations concerning economic and financial measures, including
structural and other reforms, that Israel should undertake during the
pendency of this program to enable its economy to absorb and resettle
immigrants and to accommodate the increased debt burden that will result
from loans guaranteed pursuant to this section. It is the sense of the
Congress that these consultations on economic measures should address
progress and plans in the areas of budget policies, privatization, trade
liberalization, financial and capital markets, labor markets, competition
policy, and deregulation.
`(j) GOODS AND SERVICES- During the pendency of the loan program authorized
under this section, it is anticipated that, in the context of the economic
reforms undertaken pursuant to subsections (h) and (i) of this section,
Israel's increased population due to its absorption of immigrants,
and the liberalization by the Government of Israel of its trade policy
with the United States, the amount of United States investment goods and
services purchased for use in or with respect to the country of Israel
will substantially increase.
`(k) REPORTS- The President shall report to Congress by December 31 of
each fiscal year until December 31, 1999, regarding the implementation of
this section.
`(l) APPLICABILITY OF FOREIGN ASSISTANCE ACT AUTHORITIES- Section 223
of the Foreign Assistance Act shall apply to guarantees issued under
subsection (a) in the same manner as such section applies to guarantees
issued under section 222, except that subsections (a), (e)(1), (g), and
(j) of section 223 shall not apply to such guarantees and except that,
to the extent section 223 is inconsistent with the Federal Credit Reform
Act of 1990, that Act shall apply. Loans shall be guaranteed under this
section without regard to sections 221, 222, and 238(c). Notwithstanding
section 223(f), the interest rate for loans guaranteed under this section
may include a reasonable fee to cover the costs and fees incurred by the
borrower in connection with this program or financing under this section
in the event the borrower elects not to finance such costs or fees out of
loan principal. Guarantees once issued hereunder shall be unconditional
and fully and freely transferable.
`(m) Terms and Conditions-
`(1) Each loan guarantee issued under this section shall guarantee 100
percent of the principal and interest payable on such loans.
`(2) The standard terms of any loan or increment guaranteed under this
section shall be 30 years with semiannual payments of interest only over
the first 10 years, and with semiannual payments of principal and interest
on a level payment basis, over the last 20 years thereof, except that the
guaranteed loan or any increments issued in a single transaction may include
obligations having different maturities, interest rates, and payment terms
if the aggregate scheduled debt service for all obligations issued in a
single transaction equals the debt service for a single loan or increment
of like amount having the standard terms described in this sentence. The
guarantor shall not have the right to accelerate any guaranteed loan or
increment or to pay any amounts in respect of the guarantees issued other
than in accordance with the original payment terms of the loan. For purposes
of determining the maximum principal amount of any loan or increment to
be guaranteed under this section, the principal amount of each such loan
or increment shall be--
`(A) in the case of any loan issued on a discount basis, the original
issue price (excluding any transaction costs) thereof; or
`(B) in the case of any loan issue on an interest-bearing basis, the stated
principal amount thereof.'.
( 170 ) Page 122, after line 17 insert:

3f5ecb780bb91f411ad4b23ff8fc864d2832d7e869e1cdf9bb009da59239641f

TITLE VI

-LOAN GUARANTEES TO ISRAEL

This title may be cited as the `Cancer Registries Amendment Act'.

e79134d63a2153b791a9a8f48e55e0d84e8bb3e448c3a5e0e3c161d30b5537f8

TITLE VII

-CANCER REGISTRIES

(a) FINDINGS- Congress finds that--
(1) cancer control efforts, including prevention and early detection,
are best addressed locally by State health departments that can identify
unique needs;
(2) cancer control programs and existing statewide population-based cancer
registries have identified cancer incidence and cancer mortality rates
that indicate the burden of cancer for Americans is substantial and varies
widely by geographic location and by ethnicity;
(3) statewide cancer incidence and cancer mortality data, can be used
to identify cancer trends, patterns, and variation for directing cancer
control intervention;
(4) the American Association of Central Cancer Registries (AACCR) cites
that of the 50 States, approximately 38 have established cancer registries,
many are not statewide and 10 have no cancer registry; and
(5) AACCR also cites that of the 50 States, 39 collect data on less than
100 percent of their population, and less than half have adequate resources
for insuring minimum standards for quality and for completeness of case
information.
(b) PURPOSE- It is the purpose of this title to establish a national
program of cancer registries.

c92712241a35dfb2108e0b33beae7aad6f8f096963c2f12de4dd40f59bad6279

Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) is
amended by adding at the end the following new part:
`Part M--National Program of Cancer Registries
`SEC. 399H. NATIONAL PROGRAM OF CANCER REGISTRIES.
`(a) IN GENERAL- The Secretary, acting through the Director of the Centers
for Disease Control, may make grants to States, or may make grants or
enter into contracts with academic or nonprofit organizations designated
by the State to operate the State's cancer registry in lieu of making a
grant directly to the State, to support the operation of population-based,
statewide cancer registries in order to collect, for each form of in-situ
and invasive cancer (with the exception of basal cell and squamous cell
carcinoma of the skin), data concerning--
`(1) demographic information about each case of cancer;
`(2) information on the industrial or occupational history of the individuals
with the cancers, to the extent such information is available from the
same record;
`(3) administrative information, including date of diagnosis and source
of information;
`(4) pathological data characterizing the cancer, including the cancer
site, stage of disease (pursuant to Staging Guide), incidence, and type
of treatment; and
`(5) other elements determined appropriate by the Secretary.
`(b) MATCHING FUNDS-
`(1) IN GENERAL- The Secretary may make a grant under subsection (a) only
if the State, or the academic or nonprofit private organization designated
by the State to operate the cancer registry of the State, involved agrees,
with respect to the costs of the program, to make available (directly or
through donations from public or private entities) non-Federal contributions
toward such costs in an amount that is not less than 25 percent of such
costs or $1 for every $3 of Federal funds provided in the grant.
`(2) DETERMINATION OF AMOUNT OF NON-FEDERAL CONTRIBUTION; MAINTENANCE
OF EFFORT-
`(A) Non-Federal contributions required in paragraph (1) may be in cash or
in kind, fairly evaluated, including plant, equipment, or services. Amounts
provided by the Federal Government, or services assisted or subsidized to
any significant extent by the Federal Government, may not be included in
determining the amount of such non-Federal contributions.
`(B) With respect to a State in which the purpose described in subsection
(a) is to be carried out, the Secretary, in making a determination of
the amount  of non-Federal contributions provided under paragraph (1),
may include only such contributions as are in excess of the amount of such
contributions made by the State toward the collection of data on cancer for
the fiscal year preceding the first year for which a grant under subsection
(a) is made with respect to the State.  The Secretary may decrease the
amount of non-Federal contributions that otherwise would have been required
by this subsection in those cases in which the State can demonstrate that
decreasing such amount is appropriate because of financial hardship.
`(c) ELIGIBILITY FOR GRANTS-
`(1) IN GENERAL- No grant shall be made by the Secretary under subsection
(a) unless an application has been submitted to, and approved by, the
Secretary. Such application shall be in such form, submitted in such
a manner, and be accompanied by such information, as the Secretary
may specify. No such application may be approved unless it contains
assurances that the applicant will use the funds provided only for the
purposes specified in the approved application and in accordance with the
requirements of this section, that the application will establish such
fiscal control and fund accounting procedures as may be necessary to assure
proper disbursement and accounting of Federal funds paid to the applicant
under subsection (a) of this section, and that the applicant will comply
with the peer review requirements under sections 491 and 492.
`(2) ASSURANCES- Each applicant, prior to receiving Federal funds under
subsection (a), shall provide assurances satisfactory to the Secretary
that the applicant will--
`(A) provide for the establishment of a registry in accordance with
subsection (a);
`(B) comply with appropriate standards of completeness, timeliness, and
quality of population-based cancer registry data;
`(C) provide for the annual publication of reports of cancer data under
subsection (a); and
`(D) provide for the authorization under State law of the statewide cancer
registry, including promulgation of regulations providing--
`(i) a means to assure complete reporting of cancer cases (as described
in subsection (a)) to the statewide cancer registry by hospitals or other
facilities providing screening, diagnostic or therapeutic services to
patients with respect to cancer;
`(ii) a means to assure the complete reporting of cancer cases (as defined
in subsection (a)) to the statewide cancer registry by physicians, surgeons,
and all other health care practitioners diagnosing or providing treatment
for cancer patients, except for cases directly referred to or previously
admitted to a hospital or other facility providing screening, diagnostic
or therapeutic services to patients in that State and reported by those
facilities;
`(iii) a means for the statewide cancer registry to access all records of
physicians and surgeons, hospitals, outpatient clinics, nursing homes, and
all other facilities, individuals, or agencies providing such services
to patients which would identify cases of cancer or would establish
characteristics of the cancer, treatment of the cancer, or medical status
of any identified patient;
`(iv) for the reporting of cancer case data to the statewide cancer registry
in such a format, with such data elements, and in accordance with such
standards of quality timeliness and completeness, as may be established
by the Secretary;
`(v) for the protection of the confidentiality of all cancer case data
reported to the statewide cancer registry, including a prohibition on
disclosure to any person of information reported to the statewide cancer
registry that identifies, or could lead to the identification of, an
individual cancer patient, except for disclosure to other State cancer
registries and local and State health officers;
`(vi) for a means by which confidential case data may in accordance with
State law be disclosed to cancer researchers for the purposes of cancer
prevention, control and research;
`(vii) for the authorization or the conduct, by the statewide cancer registry
or other persons and organizations, of studies utilizing statewide cancer
registry data, including studies of the sources and causes of cancer,
evaluations of the cost, quality, efficacy, and appropriateness of
diagnostic, therapeutic, rehabilitative, and preventative services and
programs relating to cancer, and any other clinical, epidemiological,
or other cancer research; and
`(viii) for protection for individuals complying with the law, including
provisions specifying that no person shall be held liable in any civil
action with respect to a cancer case report provided to the statewide
cancer registry, or with respect to access to cancer case information
provided to the statewide cancer registry.
`(d) RELATIONSHIP TO CERTAIN PROGRAMS-
`(1) IN GENERAL- This section may not be construed to act as a replacement
for or diminishment of the program carried out by the Director of
the National Cancer Institute and designated by such Director as the
Surveillance, Epidemiology, and End Results Program (SEER).
`(2) SUPPLANTING OF ACTIVITIES- In areas where both such programs exist,
the Secretary shall ensure that SEER support is not supplanted and that
any additional activities are consistent with the guidelines provided for
in subsection (c)(2)(C) and (D) and are appropriately coordinated with
the existing SEER program.
`(3) TRANSFER OF RESPONSIBILITY- The Secretary may not transfer
administration responsibility for such SEER program from such Director.
`(4) COORDINATION- To encourage the greatest possible efficiency and
effectiveness of Federally supported efforts with respect to the activities
described in this subsection, the Secretary shall take steps to assure
the appropriate coordination of programs supported under this part with
existing Federally supported cancer registry programs.
`(e) REQUIREMENT REGARDING CERTAIN STUDY ON BREAST CANCER- In the case of
a grant under subsection (a) to any State specified in section 399K(b),
the Secretary may establish such conditions regarding the receipt of the
grant as the Secretary determines are necessary to facilitate the collection
of data for the study carried out under section 399C.
`SEC. 399I. PLANNING GRANTS REGARDING REGISTRIES.
`(a) IN GENERAL-
`(1) STATES- The Secretary, acting through the Director of the Centers for
Disease Control, may make grants to States for the purpose of developing
plans that meet the assurances required by the Secretary under section
399B(c)(2).
`(2) OTHER ENTITIES- For the purpose described in paragraph (1), the
Secretary may make grants to public entities other than States  and to
nonprofit private entities. Such a grant may be made to an entity only
if the State in which the purpose is to be carried out has certified that
the State approves the entity as qualified to carry out the purpose.
`(b) APPLICATION- The Secretary may make a grant under subsection (a)
only if an application for the grant is submitted to the Secretary, the
application contains the certification required in subsection (a)(2) (if
the application is for a grant under such subsection), and the application
is in such form, is made in such manner, and contains such agreements,
assurances, and information as the Secretary determines to be necessary
to carry out this section.
`SEC. 399J. TECHNICAL ASSISTANCE IN OPERATIONS OF STATEWIDE CANCER REGISTRIES.
`The Secretary, acting through the Director of the Centers for Disease
Control, may, directly or through grants and contracts, or both, provide
technical assistance to the States in the establishment and operation of
statewide registries, including assistance in the development of model
legislation for statewide cancer registries and assistance in establishing
a computerized reporting and data processing system.
`SEC. 399K. STUDY IN CERTAIN STATES TO DETERMINE THE FACTORS CONTRIBUTING
TO THE ELEVATED BREAST CANCER MORTALITY RATES.
`(a) IN GENERAL- Subject to subsections (c) and (d), the Secretary, acting
through the Director of the National Cancer Institute, shall conduct a
study for the purpose of determining the factors contributing to the fact
that breast cancer mortality rates in the States specified in subsection
(b) are elevated compared to rates in other States.
`(b) RELEVANT STATES- The States referred to in subsection (a) are
Connecticut, Delaware, Maryland, Massachusetts, New Hampshire, New Jersey,
New York, Rhode Island, Vermont, and the District of Columbia.
`(c) COOPERATION OF STATE- The Secretary may conduct the study required
in subsection (a) in a State only if the State agrees to cooperate with
the Secretary in the conduct of the study, including providing information
from any registry operated by the State pursuant to section 399H(a).
`(d) PLANNING, COMMENCEMENT, AND DURATION- The Secretary shall, during
each of the fiscal years 1993 and 1994, develop a plan for conducting
the study required in subsection (a). The study shall be initiated by
the Secretary not later than fiscal year 1994, and the collection of data
under the study may continue through fiscal year 1998.
`(e) REPORT- Not later than September 30, 1999, the Secretary shall complete
the study required in subsection (a) and submit to the Committee on Energy
and Commerce of the House of Representatives, and to the Committee on
Labor and Human Resources of the Senate, a report describing the findings
and recommendations made as a result of the study.
`SEC. 399L. AUTHORIZATION OF APPROPRIATIONS.
`(a) REGISTRIES- For the purpose of carrying out this part, there are
authorized to be appropriated $30,000,000 for each of the fiscal years
1993 through 1997. Out of any amounts appropriated for any such fiscal
year, the Secretary may obligate not more than 25 percent for carrying out
section 399I, and not more than 10 percent may be expended for assessing
the accuracy, completeness and quality of data collected, and not more
than 10 percent of which is to be expended under subsection 399J.
`(b) BREAST CANCER STUDY- Of the amounts appropriated for the National
Cancer Institute under subpart 1 of part C of title IV for any fiscal
year in which the study required in section 399K is being carried out,
the Secretary shall expend not less than $1,000,000 for the study.'.

906ce4de8877dc5143d6dfd6a65bc6832c4df0b4e4d1cc6ed78773159325b426

This title may be cited as the `Third World Development and Threat Reduction
Act of 1992'.

8bd759d88279989bdb5989f44e4e38e4aa8177c609a316b28d5e83a938de91af

TITLE VIII

-THIRD WORLD DEVELOPMENT AND THREAT REDUCTION ACT OF 1992

The Congress declares that, in order to promote economic growth in
developing countries, it shall be the policy of the United States to
encourage developing countries--
(1) to reduce military and military-related expenditures and to dedicate
greater resources to health, education, and productive enterprises; and
(2) to dedicate an appropriate allocation of health and education resources
to meet the needs of the majority of their populations.

33edce5fafe8db937c86c425353d991f66fbb22cfb32b33c36f256f3cc0e5447

For the purpose of carrying out the policy described in this title, the
Secretary of the Treasury shall instruct the United States executive director
to each international financial institution to use the United States voice
and vote in fiscal year 1993 and each fiscal year thereafter to--
(1) vigorously advocate and promote policies within such institutions
designed to encourage developing countries--
(A) to reduce significantly military and military-related expenditures
where these are high and a reduction would be appropriate; and
(B) to enhance appropriately resources for primary health care and basic
education as a percentage of general government expenditure;
(2) to develop procedures and mechanisms within such institutions to collect
data on military and military-related expenditures, primary health care,
and basic education for developing countries and to take into account such
information in carrying out paragraphs (1)(A) and (1)(B); and
(3) beginning October 1, 1993, to oppose any loan, the extension of financial
assistance, or any technical assistance by such institution  except for the
purposes of defense conversion, to any developing country whose military
expenditures as a percentage of general government expenditure are greater
than its combined expenditures on health and education as a percentage of
general government expenditure.

6e2f68962dff544722e9f6d49f0a9fb8cfad19f8c5b680a2de5d7c8d8c630a30

As part of the annual report of the National Advisory Committee, the
Secretary of the Treasury shall submit a report to the Congress on the
actions taken by the United States executive director to each international
financial institution in carrying out the provisions of this title.

c1e84adb8bf66e019771e0321398f912a13b35ddda6706775a8267d531af7940

In fiscal year 1993 or thereafter, the prohibition contained in section
803(3) shall not apply to any developing country for which--
(1) the President determines and so reports to Congress that to do so
would endanger--
(A) a democratically elected government facing armed aggression or the
threat of armed aggression from a hostile neighboring country; or
(B) the survival of a democratically elected government facing a substantial
and sustained offensive from a local insurgency; or
(2) the President determines and so reports to Congress that to do so
would result in significant harm to United States national interests.

761e6ba8e1348aaaf5bdd6a6dd3fcb78dee17c3e15755df5db0077109b1cd8b8

For purposes of this title--
(1) the term `developing country' is a country with a per capita income
not in excess of $4,000;
(2) the term `international financial institution' means the International
Monetary Fund, the International Bank of Reconstruction and Development,
the International Development Association, the African Development Fund,
the Inter-American Development Bank, the Asian Development Bank, and the
European Bank for Reconstruction and Development; and
(3) the term `military expenditures' includes all expenditures needed
for the maintenance and support of the armed forces, but does not include
funds destined for civilian law enforcement, unless such law enforcement
is under the control of the military or a paramilitary organization.
Attest:
Secretary.
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3be593ea5a831a5b91350952247f46f3191f7724ff5696ec83110c152adadbc2

Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1993 — HR. 5368

Other Sections

TITLE VI

TITLE VII

TITLE VIII

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