124 STAT. 552 PUBLIC LAW 111–148—MAR. 23, 2010 inserting ‘‘shall award a grant to each of the 50 States and terri- tories and to Indians, Indian tribes, tribal organizations and urban Indian organizations (as such terms are defined in section 4 of the Indian Health Care Improvement Act)’’. (c) ORAL HEALTH INFRASTRUCTURE.—Section 317M of the Public Health Service Act (42 U.S.C. 247b–14) is amended— (1) by redesignating subsections (d) and (e) as subsections (e) and (f), respectively; and (2) by inserting after subsection (c), the following: ‘‘(d) ORAL HEALTH INFRASTRUCTURE.— ‘‘(1) COOPERATIVE AGREEMENTS.—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall enter into cooperative agreements with State, territorial, and Indian tribes or tribal organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act) to establish oral health leadership and pro- gram guidance, oral health data collection and interpretation, (including determinants of poor oral health among vulnerable populations), a multi-dimensional delivery system for oral health, and to implement science-based programs (including dental sealants and community water fluoridation) to improve oral health. ‘‘(2) AUTHORIZATION OF APPROPRIATIONS.—There is author- ized to be appropriated such sums as necessary to carry out this subsection for fiscal years 2010 through 2014.’’. (d) UPDATING NATIONAL ORAL HEALTHCARE SURVEILLANCE ACTIVITIES.— (1) PRAMS.— (A) IN GENERAL.—The Secretary of Health and Human Services (referred to in this subsection as the ‘‘Secretary’’) shall carry out activities to update and improve the Preg- nancy Risk Assessment Monitoring System (referred to in this section as ‘‘PRAMS’’) as it relates to oral healthcare. (B) STATE REPORTS AND MANDATORY MEASUREMENTS.— (i) IN GENERAL.—Not later than 5 years after the date of enactment of this Act, and every 5 years there- after, a State shall submit to the Secretary a report concerning activities conducted within the State under PRAMS. (ii) MEASUREMENTS.—The oral healthcare measurements developed by the Secretary for use under PRAMS shall be mandatory with respect to States for purposes of the State reports under clause (i). (C) FUNDING.—There is authorized to be appropriated to carry out this paragraph, such sums as may be nec- essary. (2) NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY.—The Secretary shall develop oral healthcare compo- nents that shall include tooth-level surveillance for inclusion in the National Health and Nutrition Examination Survey. Such components shall be updated by the Secretary at least every 6 years. For purposes of this paragraph, the term ‘‘tooth- level surveillance’’ means a clinical examination where an examiner looks at each dental surface, on each tooth in the mouth and as expanded by the Division of Oral Health of the Centers for Disease Control and Prevention. Definition. Deadline. 42 USC 280k–3.
