,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ajgd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ab1 #bjac ,mr4  
,olson 7= himself1 ,mr4 ,moran1 ,mr4    
,sessions1 ,mr4 ,roe ( ,t5nessee1 ,mr4  
,maffei1 & ,ms4 ,tsongas7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to fo/] m effective        
implem5tation & coord9ation ( cl9ical   
c>e = p ) pre-diabetes & diabetes4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,national ,diabetes ,cl9ical ,c>e       
,commission ,act4  #b4 ,f9d+s ,congress 
f9ds ! foll[+3  7#a7 ,! ,c5t]s =        
,disease ,control & ,prev5tion report t 
ne>ly #bf1jjj1jjj ,am]icans h diabetes 9
 addition to an e/imat$ #gi1jjj1jjj     
,am]ican adults t h pre-diabetes1 an    
increase ( #b1jjj1jjj ,am]icans )       
diabetes & #bb1jjj1jjj ,am]ican adults )
 pre-diabetes s9ce #bjjh4  7#b7         
,diabetes affects #h4c p]c5t ( ,am]icans
 ( all ages & #aa4c p]c5t ( adults age  

#bj & old]4 ,individuals ( racial &     
e?nic m9orities cont9ue to h high] rates
 ( diabetes ?an individuals n ( su*     
m9orities1 z demon/rat$ by ! foll[+3    
#af4a p]c5t ( all adult ,am]ican        
,indians & ,alaskan ,natives h diabetes2
 #ab4f p]c5t ( all adult                
,african-,am]icans h diabetes2 #aa4h    
p]c5t ( all adult ,hispanics h diabetes2
 & #h4d p]c5t ( all adult               
,asian-,am]icans h diabetes1 :ile #g4a  
p]c5t ( all non-,hispanic ,:ites h      
diabetes4  7#c7 ,diabetes is ! sev5?    
lead+ cause ( dea? 9 ! ,unit$ ,/ates4   
7#d7 ,p ) diabetes are m likely ?an p   
)\t diabetes to h he>t attacks1 /rokes1 
high blood pressure1 kidney failure1    
bl9dness1 & require amputations4  7#e7  
,total national co/s associat$ )        
diabetes 9 #bjjg exce$$                 
#agd1jjj1jjj1jjj1 accord+ to ! ,c5t]s = 
,disease ,control & ,prev5tion4  7#f7   
,"o 9 ?ree ,m$ic>e doll>s is curr5tly   
sp5t on p ) diabetes4  7#g7 ,! ,c5t]s = 
,disease ,control & ,prev5tion projects 

t z _m z #a 9 #c ,am]ican adults c\ld h 
diabetes by #bjej if curr5t tr5ds       
cont9ue4  7#h7 ,!re are #ce ,f$]al      
dep>tm5ts1 ag5cies1 & (fices involv$ 9 !
 implem5tation ( ,f$]al diabetes        
activities4  #c4 ,e/abli%m5t ( !        
,national ,diabetes ,cl9ical ,c>e       
,commission ,"p ,p ( title ,,iii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+ new section3     
#cii,v-#f4 ,national ,diabetes ,cl9ical 
,c>e ,commission  7a7 ,e/abli%m5t ,!re  
is h]eby e/abli%$ )9 ! ,dep>tm5t (      
,heal? & ,human ,s]vices ! ,national    
,diabetes ,cl9ical ,c>e ,commission 79  
?is section ref]r$ to z ! ,commission7  
to evaluate & make recomm5dations reg>d+
 bett] coord9ation & lev]ag+ ( programs 
)9 ! ,dep>tm5t ( ,heal? & ,human        
,s]vices & o!r ,f$]al ag5cies t relate 9
 any way to support+ appropriate cl9ical
 c>e 7su* z any int]actions betwe5      
physicians & o!r heal? c>e provid]s & _!
 pati5ts ) pre-diabetes & diabetes :]e  

c>e is r5d]$ = ! managem5t ( _!         
pre-diabetes or diabetes or its         
complications7 = p ) pre-diabetes &     
diabetes4  7b7 ,memb]%ip  7#a7 ,9 g5]al 
,! ,commission %all be compos$ ( !      
foll[+ vot+ memb]s3  7,a7 ,! heads 7or  
_! designees7 ( ! foll[+ ,f$]al ag5cies 
& dep>tm5ts t conduct programs t c\ld   
impact ! cl9ical c>e ( p ) pre-diabetes 
& diabetes3  7i7 ,! ,c5t]s = ,m$ic>e &  
,m$icaid ,s]vices4  7ii7 ,! ,ag5cy =    
,heal?c>e ,rese>* & ,quality4  7iii7 ,! 
,c5t]s = ,disease ,control & ,prev5tion4
  7iv7 ,! ,indian ,heal? ,s]vice4  7v7  
,! ,dep>tm5t ( ,vet]ans ,affairs4  7vi7 
,! ,national ,in/itutes ( ,heal?4  7vii7
 ,! ,food & ,drug ,adm9i/ration4  7viii7
 ,! ,heal? ,res\rces & ,s]vices         
,adm9i/ration4  7ix7 ,! ,dep>tm5t (     
,def5se4  7x7 ,o!r gov]nm5tal or        
nongov]nm5tal ag5cy heads1 at !         
discretion ( ! ag5cy1 t impact cl9ical  
c>e ( individuals ) pre-diabetes &      
diabetes4  7,b7 ,twelve additional vot+ 
memb]s appo9t$ "u p>agraph 7#b74  7#b7  

,additional memb]s ,! ,commission %all  
include additional vot+ memb]s appo9t$  
by ! ,comptroll] ,g5]al ( ! ,unit$      
,/ates1 9 consultation ) national m$ical
 societies & pati5t advocate            
organizations ) exp]tise 9 diabetes & ! 
c>e ( pati5ts ) diabetes1 includ+ "o or 
m f ea* ( ! foll[+ categories3  7,a7    
,cl9ical endocr9ologi/s4  7,b7          
,physician specialties 7o!r ?an z       
describ$ 9 subp>agraph 7,a77 t play a   
role 9 diabetes c>e or _! complications4
  7,c7 ,prim>y c>e physicians4  7,d7    
,non-physician heal? c>e pr(essionals1  
su* z c]tifi$ diabetes educators1       
cl9ical dieticians1 nurses1 nurse       
practition]s1 & physician assi/ants4    
7,e7 ,pati5t advocates4  7,f7 ,national 
exp]ts 9 ! duties li/$ "u subsection    
7c74  7#c7 ,*airp]son ,! vot+ memb]s ( !
 ,commission %all select a *airp]son f !
 memb]s describ$ 9 p>agraph 7#b77;,a74  
7#d7 ,meet+s ,! ,commission %all meet at
 lea/ twice1 & n m ?an #d times1 a ye>4 
7#e7 ,bo>d t]ms ,memb]s ( ! ,commission1

 includ+ ! *airp]son1 %all s]ve = a     
#c-ye> t]m4 ,a vacancy on ! ,commission 
%all be fill$ 9 ! same mann] z ! orig9al
 appo9tm5ts4  7c7 ,duties ,! ,commission
 %all--  7#a7 evaluate programs ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices    
reg>d+ ! utilization ( diabetes scre5+  
b5efits1 annual wellness visits1 & o!r  
prev5tive heal? b5efits t may r$uce !   
risk ( diabetes & its complications1    
address+ any exi/+ problems reg>d+ su*  
utilization & relat$ data collection    
me*anisms2  7#b7 id5tify curr5t         
activities & critical gaps 9 ,f$]al     
ef=ts to support cl9icians 9 provid+    
integrat$1 high-quality c>e to p )      
pre-diabetes & diabetes2  7#c7 make     
recomm5dations reg>d+ ! coord9ation (   
cl9ically bas$ activities t are be+     
support$ by ! ,f$]al ,gov]nm5t2  7#d7   
make recomm5dations reg>d+ ! developm5t 
& coord9ation ( f$]ally fund$ cl9ical   
practice support tools = physicians &   
o!r heal? c>e pr(essionals 9 c>+ = &    
manag+ ! c>e ( p ) pre-diabetes &       

diabetes2  7#e7 evaluate programs 9     
exi/5ce z ( ! date ( ! enactm5t ( ?is   
section & det]m9e if su* programs are   
meet+ ! ne$s id5tifi$ 9 p>agraph 7#b7 &1
 if su* programs are det]m9$ to n be    
meet+ su* ne$s1 recomm5d programs t w\ld
 be m appropriate2  7#f7 recomm5d h[ an 
outcomes-bas$ regi/ry may be develop$ & 
!n us$ to evaluate v>i\s c>e models &   
me?ods & ! impact ( su* models & me?ods 
on diabetes managem5t z measur$ by      
appropriate c>e p>amet]s 7su* z ,a#a;,c1
 blood pressure1 & *ole/]ol levels72    
7#g7 evaluate & exp& education & aw>5ess
 to physicians & o!r heal? c>e          
pr(essionals reg>d+ cl9ical practices = 
! prev5tion ( diabetes & ! precursor    
conditions ( diabetes2  7#h7 review &   
recomm5d appropriate me?ods = outrea* & 
dissem9ation ( educational res\rces t   
reg>d diabetes prev5tion & treatm5ts1   
are fund$ by ! ,f$]al ,gov]nm5t1 & are  
int5d$ = heal? c>e pr(essionals & !     
public2 &  7#i7 include o!r activities1 
su* z ^? relat+ to ! areas ( public     

heal? & nutrition1 t ! ,commission deems
 appropriate4  7d7 ,op]at+ plan  7#a7   
,initial plan ,n lat] ?an #ij days aft] 
its fir/ meet+1 ! ,commission %all      
submit to ! ,secret>y & ! ,congress an  
op]at+ plan = c>ry+ out ! activities ( !
 ,commission z describ$ 9 subsection    
7c74 ,su* op]at+ plan may include--     
7,a7 a li/ ( specific activities t !    
,commission plans to conduct = purposes 
( c>ry+ out ! duties describ$ 9 ea* ( ! 
p>agraphs 9 subsection 7c72  7,b7 a plan
 = complet+ ! activities2  7,c7 a li/ ( 
memb]s ( ! ,commission & o!r individuals
 :o are n memb]s ( ! ,commission :o w   
ne$ to be involv$ to conduct su*        
activities2  7,d7 an explanation (      
,f$]al ag5cy involvem5t & coord9ation   
ne$$ to conduct su* activities2  7,e7 a 
budget = conduct+ su* activities2  7,f7 
a plan = evaluat+ ! value & pot5tial    
impact ( ! ,commission's "w &           
recomm5dations1 includ+ ! possible      
cont9uation ( ! ,commission = ! purposes
 ( ov]see+ _! implem5tation2 &  7,g7 o!r

 in=mation t ! ,commission deems        
appropriate4  7#b7 ,updates ,!          
,commission %all p]iodically update !   
op]at+ plan "u p>agraph 7#a7 & submit   
su* updates to ! ,secret>y & !          
,congress4  7e7 ,f9al report & sunset ( 
! commission ,by n lat] ?an #c ye>s aft]
 ! date ( ! ,commission's fir/ meet+1 ! 
,commission %all submit to ! ,secret>y &
 ! ,congress a report conta9+ all ( !   
f9d+s & recomm5dations ( ! ,commission4 
,n lat] ?an #abj days aft] ! submission 
( ! f9al report1 ! ,secret>y %all review
 ! evaluation requir$ "u subsection     
7d77#a77;,f7 to det]m9e ! cont9uation ( 
! ,commission4  7f7 ,au?orization (     
appropriations ,appropriations are      
au?oriz$ to be made available to !      
,commission = ea* ( fiscal ye>s #bjac1  
#bjad1 & #bjae1 f am\nts o!rwise made   
available to ! ,dep>tm5t ( ,heal? &     
,human ,s]vices = su* fiscal ye>s1 to   
c>ry out ?is section4  4