Women’s Health: Provisions of Selected Legislation, 1983-1998

Women’s Health: Provisions of Selected Legislation, 1983-1998

98-874 STM
Updated January 5, 1999
CRS Report for Congress
Received through the CRS Web
Women’s Health: Provisions of Selected
Legislation, 1983-1998
Irene Stith-Coleman
Joy Austin-Lane
Science, Technology, and Medicine Division
Summary
For a number of years, Congress and several Administrations have been concerned
about women’s health issues. More than 20 laws with provisions relating to women’s
health were enacted between 1983 and 1998 and a number of federally supported
women’s health programs have been created and/or expanded. This report, which may
be updated, summarizes the major women’s health provisions of selected legislation
enacted from 1983 through 1998 that relate to women’s health. The laws highlighted
do not include appropriations acts.
Introduction
Improving women’s health was presented in 1997 as a top priority of the Department
of Health and Human Services (HHS).1 HHS affirmed its commitment to a
comprehensive, science-based approach to help address “longstanding inequities in
women’s health.” Many of the actions identified by HHS to demonstrate the department’s
commitment pertain to women’s health research. Examples include: increased funding of
and major national projects for women’s health research; inclusion of women in clinical
research trials; examination of gender differences in cause, treatment and prevention of
disease; and helping to assure that women have access to senior positions in health and
science careers.
Congress has played a significant role in elevating the public’s awareness about
women’s health issues and has passed laws to address many of these issues. In the last
15 years, more than 20 laws have been enacted that relate to women’s health. Table 1
provides a selected chronology of such legislation enacted from 1983 through 1998.
Enacted provisions cover a wide group of activities that range from mandating that
women and minorities be included in clinical research conducted or supported by the
National Institutes of Health (NIH), to authorizing block grants for breast and cervical
1[http://www.hhs.gov/news/press/1997pres/971025c.html], 31 October 1997.
Congressional Research Service ˜ The Library of Congress

CRS-2
cancer screening, to mandating an epidemiological study of adverse health effects on
women Vietnam veterans resulting from exposure to chemicals or medications during
service, to expanding research on the aging process in women. Responsibility for the
administration of the women’s health provisions is shared by several federal departments
and a number of federal agencies and institutes. Acronyms appearing in Table 1 include
the following:
! ADAMHA - Alcohol, Drug Abuse and Mental Health Administration (now
abolished)
! CDC - Centers for Disease Control and Prevention
! DOD - Department of Defense
! HHS - Department of Health and Human Services
! VA - Department of Veterans Affairs
! FDA - Food and Drug Administration
! HCFA - Health Care Financing Administration
! IHS - Indian Health Service IHS
! NIH - National Institutes of Health
NCI - National Cancer Institute
NICHD - National Institute of Child Health and Human Development
NIMH - National Institute of Mental Health
NIA - National Institute on Aging
NIAAA - National Institute on Alcohol Abuse and Alcoholism
NIDA - National Institute on Drug Abuse
! SAMHSA - Substance Abuse and Mental Health Services Administration
! USPS - United States Postal Service
The table is organized to include the Public Law number, the date of enactment, the
short title of the legislation, expiration date of authorization of appropriations (where
present), the agency with principal responsibility for implemention of the provisions, and
a brief description of the women’s health provisions, with an indication as to where in the
law they are found. In cases where the original authorization of appropriations was
extended, the extending Public Law number is included with the extended expiration date.
In this report, “research” includes research and development.2 Examples of areas
involving biomedical research and development (R&D) include: clinical trials;
epidemiological or toxicological studies; prevention studies; trauma and shock R&D;
R&D to assess how stress conditions affect human life processes; R&D on contraceptive
devices; R&D on the biological, medical, and behavioral problems caused by
environmental agents; and development of methods to predict effects of human exposure
to environmental agents.
2“Research encompasses both basic research (the gaining of fuller knowledge or understanding
of the subject under study) as well as applied research (the practical application of such
knowledge or understanding for the purpose of meeting a recognized need). Development is the
systematic use of knowledge and understanding obtained from research and is aimed at the
production of useful materials, devices, methods, or systems.” National Institutes of Health,
Federal Health R&D Survey, FY1995-FY1997, Instructions for Reporting Obligations for
Medical and Health-Related R&D.

e
g
s,
,
)
th
in
y
en
g
,
fects
in
ut
g
I)
ow
d
or
X,
m
ain
o
o are
MHSA
eteran
Utah
h
itle I
tu
itle V)
ef
, tr
)
itle I
on
v
T
(n
of
T
ces
r w
)
n
ugho
T
d
to s
(
o
creen
o
(Sec. 2)
itle VI
am
reat
ity
n
or w
t
ealth
itle XI
f
ec. 2
at SA
T
of
MHA
d
g
ted am
ers
S
e h
T
catio
title B
cer s
ices (
e (
ilities (
itle III)
A
n
ctio
in
u
(
le thr
iv
perien
ears
u
b
g
b
v
en
ization
ices
m
Vietn
D
t a
e, Utah
d
ers
ice (
ed
in
s at NIMH to
rities, an
ro
ation
isab
s (T
A
en
ro
v
d
o
creen
ree y
, Su
aila
an
d
in
d
e Un
adv
atic ex
een
v
’s Ser
in
n
rev
ep
ical can
an
r
m
ser
th
n
’s Serv
en
lation
rder in
rom
sem
n
g
e a
)
, m
l sy
o
eteran
f
p
eir
ear s
f scr
en
m
are repres
o
v
ts
o
-term
m
itle VI
atio
ad
m
o
opu
en
h
related
St. Georg
g
trau
th
T
d cerv
o
en
m
d dis
en
s t
ter at th
g
(
o
rm
e m
title A
o
s Dis
ran
r W
m
b
ice-
m
g
ram
I)
ic in
fects o
lon
lt of
rin
cer
t an
fo
ality
or tribal org
r W
o
o
w
an
v
o
g
, I
cen
y
u
u
u
s b
o
g
g
PROVISION(S)
e pap s
w
w
e precedin
in
ro
d
q
ers
, Su
in
etal alco
H
ser
clin
its ef
an
s d
b
n
th
lic in
g
ich
f
T
r p
itle I
earch
ittee f
n
of
a res
clu
g
r breas
b
r Special P
em
h
ard
atic Stres
ith
o
)
se block
T
y
u
rin
ctivitie
m
rin
ical can
o
itle I
eg
o
, train
AL
y
m
(
as
v
f
a
m
T
ittee on
earch
d
icatio
d
istrator f
(
d
se w
en
ecially
tu
n
in
t to w
s r
rau
r a res
assu
o
m
abu
am
e to in
g
m
o
ed
e du
cer
d
Co
title B
ic s
g
tates
ices, p
tribe m
m
ry
ten
b
earch
th
IAAA fo
o
s f
d res
, esp
v
d
ram
r m
es a
erag
in
g
N’S HE
st T
d
com
w
g
e on
o
N
g
an
p
ic
Vietn
n
to s
ser
iso
MHSA
ro
, Su
r res
E
ry
d dru
d
g
dian
v
e ex
P
an
n
n
iolog
o
elo
ts
p
als, an
rv
d
p
tract a stu
o
a
o
in
-u
n
th
d
n
s f
of
en
iso
l an
s of
icals o
erg
ev
ran
t se
ciate A
A
ciate Director f
itle I
y
testin
m
o
A
d
w
co
n
g
an
to In
sso
on
sso
T
WOM
d
o
ID
em
f d
llo
g
f an
y
el at SA
(
ram
tu
adv
se am
creen
w
u
fessio
d
clear
epidem
t u
o
o
in
A
n
A
n
u
eteran
ch
o
f
ro
t gr
d
o
tu
n
in
), N
v
)
isk
d
n
)
licies an
ed an
cer s
p
clu
o
atio
h
A
f n
e n
tha
HHS to
S
ce ab
en
re to
ed Medicare cov
erso
er r
in
ated a s
e p
H
ated an
m
d
av
h
ated block
ed
, in
ated an
eatio
ated an
ed
ated prog
d
o
su
ealth
r p
im
ecially
orized alcoh
ir
ired a s
ir
M
stan
orized appropriation
d
o
title B
ig
d
u
d
cr
title A
io
d
ag
u
d
an
tablis
th
b
o h
b
A
b
th
d a can
fects o
an
w
p
pan
h
an
r h
an
d
an
an
iscr
an
m
esp
es
au
S
su
au
an
ef
m
on
ex
Su
ex
w
at h
m
referral an
fo
req
states
m
an
Su
requ
sen
m
m
d
req
m
C
C
C
C
C
C
C
C
C
C
C
C
C
3
A
A
S
NCY
C
IH
F
IH
CRS-
E
VA
MHSA
NIH
N
VA
MH
HC
CD
NIH
N
A
AG
SA
S
s
n

ION
o
n
94
98
atio
87
321
87
183
A
A
93
94
96
TE*
ed by
ed by
d
30-
d
30-
A
orized)
AA (
30-
30-
NA
NA
30-
30-
30-
D
th
102-
9-
103-
N
9-
ten
o
9-
9-
ten
9-
9-
XPIRAT
au
to 9-
Ex
PL
t
Ex
PL
E
appropri
f
se
f
n
u
s
cer
Table 1. Selected Legislation, 1983 through 1998
b
ct o
ct o
io
are
ct
1989
an
E
A
ibu
A
n
et
A
izat
esearch
L
C
1983
g
1984
A
n
C
n
th
ru
ices
n
m
dg
an
d R
IT
ct of
ical
tio
T
eal
ts of
ts of
erv
A
en
t
an
ciliatio
s Bu
eorg
en
se, D
tal Health
en
S
ed O
n
rizatio
n
erv
Ac
s’ H
u
an
o
at
1986
R
ibu
rev
1990
io
dm
b
dm
m
th
id
n
d C
P
A
H
cat
en
l A
d Men
en
u
sol
m
ciliation
SHORT
o
H
t an
M
eteran
m
an
m
n
O
o
et Reco
A
Edu
V
A
A
Reau
g
rtality
lcoh
C
d
D
S
u
econ
E
A
A
B
R
Breas
Mo
D
D
E
E
83
84
84
89
92
86
90
92
21-
19-
30-
7-
19-
10-
10-
13-
DAT
NACT
4-
11-
10-
10-
12-
8-
7-
10-
E
IC
W
160
509
558
272
239
354
321
409
LA
98-
98-
98-
99-
PUBL
101-
101-
102-
102-

in
d
al
)
itle
f
ch
ic
T
an
ear
n
erral
(
f
35
m
d
o
n
ber of
raci
h
e
certain
ical
d
en
s o
tion
en
s
ated
g
’s
nd
m
u
n
esear
ice
th
of
fertility
m
P
sio
a
v
d et
itle XVI
y
an
d ref
m
ard
en
o
A
in
en
clin
’s Health
di
d
in
d
o
d
T
I)
an
e n
m
p
en
IH
ral r
an
d
tu
, an
se in
w
w
e P
care an
clu
Ser
an
al
g
d
crim
o
th
io
ex
m
o
f N
n
an
ch
en
als (
al s
istries
d
av
u
(Sec. 3)
se prev
dian
itle I
r w
ch
T
clu
ealth
o
jects in
e in
s (i
m
b
r o
raci
I, XVIII, XIX)
W
d
eh
o
g
id
din
selin
at cau
eet stan
an
n
ices to
v
n
n
iv
)
e (
e h
n
on
b
d
f w
esear
d
itu
blic (Sec. 2)
cer reg
tates
, m
creas
di
g
s
ce abu
ator f
itles
irecto
rou
Car
ctiv
as su
g
al Resear
t o
in
t, cou
ied
ec. 2
in
clu
tan
atized or dis
itiatio
ed
(T
earch
D
n
en
n
ral r
ch
ec. 2)
d pu
en
S
care to in
iseases th
ese ser
tif
(Sec. 3)
bs
fered to In
m
d
cy
he
ical an
io
s (
u
es
r an
s (i
su
d a lon
(S
an
tate can
d
f th
itm
n
clu
en
R
o
ed
u
d
av
d
s
certain
e cer
ram
ealth
ster in
ed back
m
n
eh
ES
als
in
o
d s
y
be of
’s Health
, reprodu
o
ugh t
e Natio
ecr
an
PROVISION(S)
of
g
y
e a coordin
e in
o
ide f
io
D
, treatm
itted
er
ectio
I)
f
e ag
tag
en
s’ h
id
r
rou
r b
en
H
sion
g
l an
in
d
v
g
sm
prog
o
o are trau
)
av
)
th
fice of
hr
an
f b
m
T
es
sp
h
m
raph
ro
o
rom
in
h
an
eliv
o
lt in
in
g
s o
p
rities b
ical o
w
AL
f
o
w
g
cer rates
tr
e d
acilities b
itle VI
creen
W
eteran
)
e Of
sadv
m
itle I
fice h
itle I
o
cting t
esu
ed
trol (DES) an
prof
I)
creen
f
s
y
it to
ication
r alco
T
y
v
en
T
care an
T
in
th
di
ield
ed back
to
g
ltin
ally
th
h
o
(
ian
m
(
(
, a
NIH, prov
m
u
d operation
t can
r s
e f
u
m
f
d
en
am
itle I
o
ty
al of
m
ill r
tag
io
in
ealth
o
t in
b
en
itle I
n
T
t of
rap
m
u
d
pported by
of
m
raph
o
u
rom
th
HHS to
an
N’S HE
tilbes
h
t an
f
T
f b
en
g
su
certif
o
g
f I
s, m
e (
r w
ion
ealth
en
ain
an
s f
at w
E
ls
ts
o
e d
in
of
y
s res
o
d
o
m
of
en
of
cretary
cies
tr
m
w
m
er (
r w
am
f
en
h
al
s o
em
m
em
o
g
reg
’s h
sadv
h
ran
ress sex
v
car
, an
ld
f
m
Se
en
er th
ch
ated breas
g
d
to tribes
fice o
idu
ro
am
ian
en
n
ield
ation
ts
d
am
o
g
t ex
activ
o
di
m
cted or s
he
v
rities)
f
WOM
dieth
cation
p
n
d
in
n
tablis
e ag
o
an
ality
Of
d
selin
n
crease access to
o
u
t t
di
in
to
esear
on
tablis
alu
ran
d
n
rom
d probl
elev
at ad
im
at m
u
r I
at m
n
related
at each
w
at w
th
f r
d
o
e an
an
u
ha
in
th
q
e es
, breas
ile o
in
e Secretary
h
n
th
t
of
d i
a m
s f
o
an
on
s th
d
t f
ed
g
se-
o
con
ic m
al
n
ation
an
an
n
es
f ag
ed f
au
)
I)
s in
ated edu
ated es
ated
an
ated ev
en
ated th
in
lish
d
p
st w
ated th
ch
ated
ied th
ated
d
idu
rm
d
d
orized block
ram
en
ided cou
en
rities)
isio
g
d
d
orized g
d
s o
o
d
ices to
d
eth
ar
v
o
v
fo
seas
an
an
earch
th
m
ety
earch
itle I
m
itle I
ro
o
an
an
th
eatm
an
pan
ain
d
ear
en
an
an
and
o
w
di
in
ro
in
di
m
m
res
au
p
w
III)
m
saf
m
au
tr
m
y
estab
ex
screen
m
prov
ag
m
serv
resear
m
res
codif
(T
m
Directors
w
an
(T
directed th
A
in
m
p
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
4
NCY
C
C
A
S
D
D
D
A
IH
CRS-
E
C
C
F
IH
V
N
AG
ION
97
97
97
00
95
96
TE*
A
30-
30-
30-
30-
30-
30-
D
9-
9-
9-
9-
9-
9-
XPIRAT
E
t
en
ts of
th
ct
dm
en
e A
n
E
eal
en
th
ality
itle I of
io
L
1992
m
1992
eal
1992
dm
1993
s’ H
Car
IT
Qu
of
A
y
en
T
ts
es
e H
ts of
ct of
m
ts of
italizat
en
tiv
en
raph
A
A
eteran
1992, T
en
istri
g
th
1992
ev
dm
ct (1992)
en
dm
o
dm
eg
A
V
s of
s’ Health
R
en
en
m
dards
eal
en
en
SHORT
an
IH
m
Prev
m
H
ram
N
m
A
tan
cer R
A
Mam
S
an
A
an
di
Wom
rog
P
Veter
C
In
D
E
E
92
92
92
92
92
93
24-
27-
27-
29-
4-
10-
DAT
NACT
10-
10-
10-
10-
11-
6-
E
IC
W
515
531
539
573
585
43
LA
103-
PUBL
102-
102-
102-
102-
102-

S
r
d
U
ts
g
o
d
er
P
al
en
in
e
as a
e
th
g
ealth
ran
th
g
ar
ts f
d
m
an
e an
M
g
ib
en
itle III,
o
lar
o
tin
ard
ctiv
d
ry
d
eas
tr
is
e h
isin
W
u
r w
ciated
ical
d
eg
lf
d
em
ce an
an
tiv
cer in
ar
so
an
ir
rato
ex
CHA
earch
ro
u
an
s fo
o
en
d
cer
s Dis
n
ce
es an
Gu
ep
ated (T
particu
rces
ities r
eq
rm
d as
itle X)
et’
ation
r DOD research
o
s a
d res
ib
of
e r
alu
am
ith
T
o
f
ran
fertility
gr
an
(
can
ag
rm
tr
ical can
ct r
ter at an
t f
ed
DOD clin
d prev
an
th
erfo
o
, w
ral lab
y
g
es
traception
u
g
ian
, P
fo
activ
ation
m
en
en
m
an
cilitie
assu
e to
f in
in
e p
en
on
is
in
cy
am
lo
ar
ad
alu
lv
ice A
am
m
v
C
ag
e ar
ary
ealth
en
d cerv
o
v
th
o
rm
II)
r con
tr
o
an
g
ality
)
v
o
o
eco
d
th
rities in
e h
u
e m
care be ev
l m
w
in
n
o
ical fa
t an
V
h
f
y
)
t of
itle V)
Ser
earch
atin
tiv
q
b
ce in
)
an
g
V
in
T
teoporos
en
in
prim
ed
g
le cases o
ts in
nnua
itle VI
d
es
eral ag
ealth
ice in
m
of
m
en
in
to
itle I
edical ev
s (
ran
T
os
m
R
rd
v
d
ts
ed
breas
tab
T
lain
PROVISION(S)
ses of
arian
tracts
tain
reast an
e a
itle I
h
o
ry
an
II, B
ion
een
en
e m
p
H
ov
es (
ain
ics an
b
T
on
ser
an
is
ran
s in
m
assu
s to h
lud
T
g
n
(
e co
ate f
lic Health
tablis
en
ilita
scr
itle I)
rev
siv
b
itle I
nc
s of
cer prev
or con
m
to
m
in
p
co
Veter
u
T
i
AL
proces
an
d
ities
en
ality
g
ts
stetr
o
cer g
b
stem
’s Health
cer
rd
g
iseases (
o
o
ction
to
en
u
s (
in
itle X)
an
ities o
e es
e prov
)
in
d
reh
n
e P
t
e los
T
o
en
e as th
f w
ugh m
p
m
q
s’ acces
ral ch
ran
e sy
activ
elated
th
d
d th
m
o
th
o
co
ard
tio
o
ram
e ag
in
ical can
io
e g
s (
lish
o
n
g
rage
of
ical can
itle I
r redu
itted
ith
o
N’S HE
activ
of
serv
es r
o
eg
se, th
ter
d
ctiv
an
ical can
T
ear 2000 (T
r W
eteran
ve
E
th
av
ak
sio
v
(
f
r
sm
m
y
ram
u
II)
en thr
)
r com
o
o
d
eh
estab
g
an
d
I
es
o
f
v
p
sion
se W
issu
clu
ation
m
d cerv
ittee to
e y
an
f
ce w
am
tu
opau
b
cen
ro
ro
ter to
o
cer
m
ram
en
d
earch
en
d cerv
tr
ter
ch
p
itle
d
ex
th
g
ep
pan
T
alu
w
t an
itle I
irectly
m
ecial atten
lian
acilities an
f m
m
WOM
en
e in
T
ectiv
ro
)
p
f
o
icare c
to s
ch
(
ealth
t an
stem
y
m
HD to m
to
e r
ex
ects
ev
s d
by
ally
o
u
y
sp
m
h
n
ed
esear
CHD to
use
r th
e p
’s h
o
es to
ts (
n
a co
ith
a Cen
at w
on
ical an
r
ical cen
esear
f th
rder res
itle I
ed a Def
f
ic
reast an
en
ed
ed obj
th
ed
co
rap
M
is
g
NI
NCI
o
h
ed
en
proj
T
g
rv
ed breas
)
b
h
ed
f sex
s w
(
o
ed
as
lo
s o
ated an
m
ed
ated an
d
em
ed breas
izatio
d
ated a s
ated
retatio
d
o
id
d
ir
lish
lt o
d
an
lish
d
m
p
ph
sio
ical r
e dis
y
cer
w
v
earch
and
itle I
ised
u
an
ited States
h
fertility
irected
irected
an
tablis
n
ro
an
pan
rg
tablis
ten
an
eter
stem
an
am
ter
directed NIA
em
p
directed NIC
in
d
clin
d
can
m
bon
clearingho
es
DOD m
o
p
res
m
care se
ex
(T
rev
req
allow
o
estab
es
Un
ex
resu
m
v
sy
estab
m
m
in
directed th
B)
exp
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
5
A
NCY
D
C
O
D
F
CRS-
E
C
D
C
VA
VA
H
AG
ION
94
98
A
A
A
TE*
A
A
30-
30-
NA
NA
N
D
9-
9-
XPIRAT
E
f
are
ct o
1997
E
1994
se
r Fiscal
th
L
o
C
A
eal
1993
efits
th
ct of
IT
efen
ct f
ct of
rm
o
A
T
eal
A
e H
ts of
et
al D
n
ts A
tiv
en
s’ Ben
dg
ear 1994
en
s’ H
Ref
1996
Y
en
dm
ation
en
em
ility
SHORT
eteran
N
rizatio
o
Prev
m
V
eteran
ib
ced Bu
th
A
prov
u
V
an
Elig
A
Im
Bal
D
E
E
93
93
94
96
97
30-
14-
2-
9-
5-
DAT
NACT
8-
11-
12-
11-
10-
E
IC
W
160
183
446
262
33
LA
105-
PUBL
103-
103-
103-
104-

)
o
d
n
at
h
ical
o
h
is,
s
er
r
V, B
flict
tio
ram
dards
d
y
n
d
th
ed by
ical
,
n
h
clin
s, an
en
n
an
se w
stem
an
o
v
tio
cal o
itle I
earch
tan
d or w
tio
of
o
y
d
orm
T
s
rap
te co
y
ol
en
ram
en
g
ter
en
o
th
teoporos
e s
cer
d cerv
e a prog
ervi
(
m
iew
y
iv
earch
e, an
t
an
)
o
d
rev
m
b
stitu
k
t an
rev
an
r c
cer res
n
os
ct
m
2
raph
ears
w
p
o
ate in
clu
n
o
g
am
res
al Can
s be perf
e P
ec.
o
of
d
iew
co
on
cer prog
n
in
m
w
t can
reg
S
m
n
ate rev
ld
of
, str
rd
isk fo
y
an
f m
d
ev
u
ram
s breas
o
ro
all in
r p
am
er 39 y
sio
o
o
d
h
u
ch
n
an
it r
earch
t can
reprodu
o
co
n
gh r
r an
ation
o
ib
r m
s ov
I)
cl
m
en
s f
n
h
at w
res
t attack
e Natio
ariou
at s
l Sy
n
t hi
s f
rchase (
o
m
u
esear
e i
icatio
ro
th
r:
o
o
th
; breas
o
ear
r th
cer prog
r v
h
tio
p
itle I
h
tif
p
w
o
o
se a
am
p
eteran
T
h
jects to
en
r t
ce, r
d
bodies
iew
s f
n
ram
d coordin
g
s f
s f
ro
lco
v
orized.
PROVISION(S)
ho
v
o
of
in
n
eloped f
rs (
t cer
s an
ev
rders
p
ter
th
H
)
rog
r t
ic ex
en
u
r
atio
o
an
lv
ical can
T
ear period to breas
m
, B
eillan
o
er
cers
o
P
v
ity
in
au
n
ce
d
l fo
elv
o
acto
rv
riatio
ry
d
e dis
p
u
Fetal A
AL
p
f
sician
n
en
ery
d
stage stam
eloped f
y
I in
m
a
a 2 y
be dev
r w
isk
itle I
t su
ec. 2)
h
u
ication
m
ro
d cerv
iolen
h
ically
g
o
o
T
u
car
er can
h
B
o
p
m
annua
r
s an
icy
f
o
p
appropri
sif
w
t an
ices an
rin
g
s (S
r accreditation
appropriation
Deliv
v
ecif
in
cer
ry
s to
o
f ap
f co
tic v
acility
d ot
ten
res
p
N’S HE
al (
ear
ugh p
be dev
ials (
n
iew
in
u
tablis
ect
f
f
s of
o
of
o
es
E
s du
o
al pol
es
ev
n
e NHL
es
n
n
ices
ser
e s
sm
n
ts
r
io
an
, in
breas
eas
n
creen
in
ith
d related bon
tities
rienni
f th
ap
def
en
an
h
riatio
dards
w
eas
dom
to es
tio
s ar
t
tion
atio
s
ical tr
p
ied
zat
e m
n
reast can
idel
rt
em
ip
ari
sion
rizatio
rizatio
d Serv
en
WOM
ro
of
nd
) p
of
u
p
ir
tan
alif
e, an
sh
ori
o
ate en
orization
tiv
o
a
tribu
DOD thr
a n
cy
t b
g
clin
at states car
r bi
u
u
n
th
ov
pan
ities o
lar dis
th
th
en
th
an
rev
9
cer
at
at
o
at s
eas
at certain
riv
tion
riatio
th
ap
eq
q
p
p
3
h
en
eren
h
cu
s f
y
s on
au
au
en
p
as
r p
tion
ro
ge
h
est
ed au
activ
ed
ies
ed au
ed
p
al can
ed con
H and
ed t
s dis
elo
requ
ed t
rities in
ated
rized
elatio
es b
d
ated ex
d
d
d
en
r a
in
e in
o
d
ram
o
ired th
ter
et’
ram
d
ired th
lic o
ev
ap
ag
e r
gistr
b
cer prev
o
ve
ag
rect
d f
av
rect
in
an
th
av
f in
ten
ag
an
ten
u
ten
ten
d prev
terv
d
o
v
allow
the NI
di
an
h
di
m
m
prog
au
facilities r
requ
im
h
o
ex
P
prog
m
related
cardiov
ex
Re
requ
p
ex
can
ex
an
directed Secretary
In
to
at n
C
C
C
C
C
C
C
C
C
C
C
C
C
6
icates th
d
NCY
PS
C
A
C
S
in
S
DA
D
D
IH
H
A
CRS-
E
VA
U
F
C
F
N
CD
H
AG
, NA
y
tr
ION
A
A
A
02
02
03
03
ate en
TE*
A
d
A
N
o
NA
NA
30-
30-
30-
30-
D
9-
9-
9-
9-
XPIRAT
e is n
E
er
ct
n
ct
ct
ts
n
e th
io
er
A
A
en
h
ct of
izatio
n
cat
E
cer A
g
tio
ality
dm
1998
L
an
esearch
ru
ern
d
en
en
s. W
n
IT
Qu
R
t C
m
s Edu
efits A
y
orization
th
ct of
T
d D
Mo
1997
th
A
n
eal
sion
1997
s Prev
1998
raph
1998
1998
riatio
g
eau
tion
es
ip A
p
t Breas
s’ Ben
ct of
of
o
of
of
h
ro
u
ood an
atio
A
R
’s H
en
efect
m
ers
p
SHORT
F
istr
en
Prof
n
p O
D
rev
eteran
in
h
dards
th
f ap
m
rt
Mam
d P
Part
o
tam
V
d
Wom
eal
n
S
A
Bi
Stan
an
H
D
rizatio
o
E
E
97
97
97
98
98
98
98
th
9-
13-
21-
21-
21-
31-
13-
f au
DAT
NACT
8-
11-
11-
4-
10-
10-
11-
E
ate o
d
n
IC
W
41
114
115
168
248
340
392
iratio
LA
p
105-
PUBL
105-
105-
105-
105-
105-
105-
Ex
*