,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #badc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bc1 #bjac ,mrs4 
,blackburn 7= h]self1 ,mr4 ,b>r[ (      
,georgia1 ,mr4 ,t]ry1 & ,mrs4 ,*ri/5s57 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,ix ( ! ,public
 ,heal? ,s]vice ,act to revise !        
op]ations ( ! ,unit$ ,/ates ,prev5tive  
,s]vices ,task ,=ce4  #a4 ,%ort title   
,?is ,act may be cit$ z ! ,,usp/f       
,transp>5cy & ,acc\ntability ,act (     
#bjac4  #b4 ,*anges to ,unit$ ,/ates    
,prev5tive ,s]vices ,task ,=ce  7a7 ,9  
g5]al ,subsection 7a7 ( section #iae ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bii;b-#d7 is am5d$--  7#a7 by
 am5d+ ! head+ to read z foll[s3 ,unit$ 
,/ates ,prev5tive ,s]vices ,task ,=ce2  

7#b7 by am5d+ p>agraph 7#a7 to read z   
foll[s3  7#a7 ,e/abli%m5t & purpose ,!  
,director may e/abli% & p]iodically     
conv5e ! ,unit$ ,/ates ,prev5tive       
,s]vices ,task ,=ce 79 ?is section      
ref]r$ to z ! ,task ,=ce74 ,! ,task ,=ce
 %all review ! sci5tific evid5ce & new  
sci5ce relat$ to ! effectiv5ess &       
appropriat5ess ( cl9ical prev5tive      
s]vices = ! purpose ( develop+          
recomm5dations = prim>y c>e cl9icians & 
! heal? c>e community & updat+ previ\s  
cl9ical prev5tive recomm5dations4  2    
7#c7 by r$esignat+ p>agraph 7#c7 z      
p>agraph 7#e7 & p>agraphs 7#d7 ?r\gh    
7#g7 z p>agraphs 7#i7 ?r\gh 7#ab71      
respectively2  7#d7 by ins]t+ aft]      
p>agraph 7#b7 ! foll[+ new p>agraphs3   
7#c7 ,composition  7,a7 ,9 g5]al ,!     
,task ,=ce %all be compos$ ( individuals
 t collectively h appropriate sci5tific 
exp]tise1 includ+ 9 fields ( heal?      
sci5ces rese>*1 heal? economics1 heal?  
promotion1 disease prev5tion1 & cl9ical 
c>e4 ,! ,task ,=ce %all include balanc$ 

repres5tation ( practic+ prim>y &       
specialty c>e provid]s1 pati5t & heal?  
c>e consum]s1 & relevant /akehold]s f ! 
m$ical products manufactur+ community4  
7,b7 ,notice ,be=e appo9t+ memb]s to !  
,task ,=ce1 ! ,director %all give p]sons
 an opportunity to nom9ate pot5tial     
memb]s4 ,! ,director %all provide = !   
publication 9 ! ,f$]al ,regi/] ( a      
reque/ = comm5ts on su* memb]s & %all   
provide a me*anism = p]sons to submit   
su* comm5ts ?r\gh ! (ficial website ( ! 
,ag5cy4 ,! ,director %all consid] any   
comm5ts submitt$ 9 select+ ! memb]s ( ! 
,task ,=ce4  7#d7 ,review & consultation
  7,a7 ,rese>* plans  7i7 ,9 g5]al ,9   
conduct+ its reviews "u p>agraph 7#a71 !
 ,task ,=ce1 ) ! concurr5ce ( !         
,director1 %all publi% "o or m propos$  
rese>* plans 79 ?is subsection ref]r$ to
 z a rese>* plan7 to guide ! ,task      
,=ce's sy/ematic review ( ! evid5ce4    
,ea* su* plan %all include an analytic  
framework1 key que/ions1 & a lit]ature  
se>* /rategy or rese>* approa*1 & %all  

incorporate ! me?odological guidel9es   
develop$ "u clause 7ii74 ,! ,ag5cy %all 
provide = ! publication 9 ! ,f$]al      
,regi/] ( a reque/ = public comm5ts on  
ea* plan & %all accept comm5ts dur+ a   
p]iod ( at lea/ #fj days4 ,any f9al     
rese>* plan %all be made available to ! 
public & include a discussion ( !       
comm5ts receiv$ & responses to su*      
comm5ts4 ,! ,task ,=ce1 ) ! concurr5ce (
 ! ,director1 may *ange su* a rese>*    
plan ?r\gh ! same process z appli$ to ! 
initial adoption ( su* plan4  7ii7      
,crit]ia ,! ,director %all design &     
regul>ly update guidel9es = prop]       
me?odological /&>ds = incorporation into
 su* rese>* plans4 ,su* guidel9es %all  
include measures = appropriate validity1
 = risk adju/m5t1 = timel9ess1 = input f
 relevant exp]ts & pe]s 9 ! respective  
communities1 = acc\nt+ = all relevant   
subpopulations 7includ+ disp>ities by   
race1 e?nicity1 socioeconomic /atus1 &  
geographic location71 & = o!r heal?     
outcome measurem5ts4  7iii7             

,consultation on rese>* plans ,!        
,director %all facilitate coord9ation & 
int]action ) o!r ag5cies & dep>tm5ts 9 !
 creation ( rese>* plans 7tak+ into     
consid]ation rese>* & f9d+s by o!r      
ag5cies & dep>tm5ts7 & me?odological    
/&>ds "u clause 7ii71 includ+ ) !       
,national ,in/itutes ( ,heal?1 !        
,national ,canc] ,in/itute1 ! ,national 
,in/itute on ,m9ority ,heal? & ,heal?   
,disp>ities1 ! ,c5t]s = ,disease        
,control & ,prev5tion1 ! ,dep>tm5t (    
,def5se1 ! ,dep>tm5t ( ,vet]ans         
,affairs1 ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices1 & ! ,pati5t-,c5t]$ ,outcomes  
,rese>* ,in/itute4  7,b7 ,evid5ce       
reports ,! ,director %all make publicly 
available ea* draft evid5ce report &    
publi% 9 ! ,f$]al ,regi/] a reque/ =    
public comm5ts on su* reports4 ,no su*  
evid5ce report %all be publi%$ prior to 
x be+ review$ by a panel ( ext]nal      
subject matt] exp]ts t includes provid] 
& pati5t repres5tatives4 ,ea* su* report
 %all include a description ( ! panel t 

conduct$ su* review4 ,su* description   
%all include in=mation on ea* panel     
memb]1 includ+ "n1 academic degree 7or  
degrees71 affiliations1 & relat$        
exp]tise4  7,c7 ,recomm5dation /atem5ts 
7i7 ,publication ( draft recomm5dations 
,! ,director %all make publicly         
available ea* draft recomm5dation & %all
 provide = ! publication 9 ! ,f$]al     
,regi/] ( a reque/ = comm5ts & accept   
comm5ts dur+ a p]iod ( n less ?an #fj   
days4  7ii7 ,consultation on draft      
recomm5dations ,be=e vot+ on a draft    
recomm5dation /atem5t1 ! ,task ,=ce %all
 consult ) relevant /akehold]s1 includ+ 
provid] gr\ps1 practic+ speciali/s t    
treat ! specific disease "u review1 &   
relevant pati5t & disease advocacy      
organizations4  7iii7 ,public           
availability ( comm5ts & inclusion (    
description ( comm5ts 9 f9al /atem5t ,! 
,director %all make su* comm5ts receiv$ 
publicly available4 ,any f9al           
recomm5dation /atem5t %all include a    
description ( comm5ts receiv$ on ! draft

 recomm5dation /atem5t & recomm5dations 
( o!r ,f$]al ag5cies or organizations   
relat+ to ! topic ( ! /atem5t4  7iv7    
,consid]ation ,9 publi%+ recomm5dation  
/atem5ts1 ! ,task ,=ce %all consid] !   
impact ( its recomm5dations on ! heal?  
c>e community1 :e!r a prev5tive s]vice  
is b5eficial = "s individuals & ! ne$ to
 enc\rage a discussion ( b5efits & risks
 = ^? individuals1 & h[ its specific    
assignm5t ( a grade to a product or     
s]vice may affect cov]age & access to   
su* product or s]vice "u ,f$]al programs
 & private heal? insurance cov]age4     
7,d7 ,grad+ sy/em ,9 publi%+            
recomm5dation /atem5ts1 ! ,task ,=ce    
%all grade products & s]vices consi/5t )
 ! foll[+1 subject to subp>agraph 7,e73 
7i7 ,grade ,a ,! ,task ,=ce concludes t 
! curr5t evid5ce is suffici5t to assess 
! balance ( b5efits & risks ( ! product 
or s]vice1 &1 on ! basis ( su* evid5ce1 
recomm5ds ! product or s]vice & det]m9es
 t !re is high c]ta9ty t ! net b5efit f 
! product or s]vice is sub/antial4  7ii7

 ,grade ,b ,! ,task ,=ce concludes t !  
curr5t evid5ce is suffici5t to assess ! 
balance ( b5efits & risks ( ! product or
 s]vice1 &1 on ! basis ( su* evid5ce1   
recomm5ds ! product or s]vice & det]m9es
 t !re is high c]ta9ty t ! net b5efit ( 
! product or s]vice is mod]ate or !re is
 mod]ate c]ta9ty t ! net b5efit ( !     
product or s]vice is mod]ate to         
sub/antial4  7iii7 ,grade ,c ,! ,task   
,=ce concludes t ! curr5t evid5ce is    
suffici5t to assess ! balance ( b5efits 
& risks ( ! product or s]vice1 &1 on !  
basis ( su* evid5ce1 does n make a      
recomm5dation ( ! product or s]vice &   
cl9icians may provide ?is product or    
s]vice to select$ pati5ts dep5d+ on     
individual circum/ances4 ,h[ev]1 = mo/  
individuals )\t signs or symptoms !re is
 likely to be only a small b5efit f ?is 
product or s]vice4  7iv7 ,grade ,d ,!   
,task ,=ce concludes t ! curr5t evid5ce 
is suffici5t to assess ! balance (      
b5efits & risks ( ! product or s]vice1  
&1 on ! basis ( su* evid5ce1 recomm5ds  

aga9/ ! product or s]vice & det]m9es t  
!re is mod]ate or high c]ta9ty t !      
product or s]vice has no net b5efit or t
 ! h>m ( ! product or s]vice outweighs !
 b5efits4 ,recomm5dations aga9/ a       
prev5tive s]vice %all only be issu$ 9   
concurr5ce ) ! ,secret>y aft]           
consultation ) o!r ,f$]al heal? ag5cies 
& relevant pati5t & provid] gr\ps4  7v7 
,grade ,i ,! ,task ,=ce concludes t !   
curr5t evid5ce is n suffici5t to assess 
! balance ( b5efits & risks ( ! product 
or s]vice4  7,e7 ,*anges 9 grad+ sy/em  
7i7 ,9 g5]al ,! ,director may provide1  
by regulation1 = *anges 9 ! grad+ sy/em 
describ$ 9 subp>agraph 7,d74  7ii7      
,impact ( *anges ,if ! ,director makes a
 *ange 9 ! grad+ sy/em "u clause 7i7 = a
 p>ticul> grade1 ! ,task ,=ce %all      
review & regrade ! s]vices previ\sly    
classifi$ )9 t grade4 ,su* review &     
regrade may be done ?r\gh an exp$it$    
process b any su* *ange 9 grade %all n  
take effect be=e su* review process is  
complet$4  2  7#e7 9 p>agraph 7#e71 z   

r$esignat$ by p>agraph 7#c7--  7,a7 by  
/rik+ dissem9ation ( ! recomm5dations ( 
! ,task ,=ce & ins]t+ dissem9ation ( its
 recomm5dation /atem5ts2 &  7,b7 by     
/rik+ ,guide's recomm5dations & ins]t+  
recomm5dations ( ! ,task ,=ce2  7#f7 by 
ins]t+ aft] p>agraph 7#e71 z s          
r$esignat$1 ! foll[+ new p>agraphs3     
7#f7 ,prev5tive s]vices advisory bo>d   
7,a7 ,9 g5]al ,! ,task ,=ce %all conv5e 
a prev5tive s]vices advisory bo>d 79 ?is
 subsection ref]r$ to z ! bo>d7 compos$ 
( repres5tatives ( appropriate public & 
private entities ) an int]e/ 9 cl9ical  
prev5tive s]vices to advise ! ,task ,=ce
 on develop+1 updat+1 publi%+1 &        
dissem9at+ evid5ce-bas$ recomm5dations  
on ! use ( cl9ical prev5tive s]vices4   
7,b7 ,memb]%ip ,! memb]s ( ! bo>d %all  
include repres5tatives ( ! foll[+3  7i7 
,pati5t gr\ps4  7ii7 ,provid]s ( cl9ical
 s]vices1 includ+ community-bas$        
provid]s & specialty physicians4  7iii7 
,f$]al dep>tm5ts & ag5cies1 includ+--   
7,i7 appropriate heal? ag5cies & (fices 

9 ! ,dep>tm5t1 includ+ ! ,national      
,in/itutes ( ,heal?1 ! ,national ,canc] 
,in/itute1 ! ,national ,in/itute on     
,m9ority ,heal? & ,heal? ,disp>ities1 ! 
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,adm9i/ration on ,ag+1 ! ,heal?      
,res\rces & ,s]vices ,adm9i/ration1 !   
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 !  
,(fice ( ! ,surgeon ,g5]al ( ! ,public  
,heal? ,s]vice1 ! ,dep>tm5t ( ,def5se1 !
 ,dep>tm5t ( ,vet]ans ,affairs1 !       
,pati5t-,c5t]$ ,outcomes ,rese>*        
,in/itute1 ! ,(fice ( ,m9ority ,heal?1 &
 ! ,(fice on ,wom5's ,heal?2 &  7,,ii7 z
 appropriate1 o!r ,f$]al dep>tm5ts &    
ag5cies ! programs ( :i* h a significant
 impact ^u heal?4  7iv7 ,private heal?  
c>e payors4  7,c7 ,responsibilities ,9  
accordance ) subsection 7b77#e71 ! bo>d 
%all--  7i7 recomm5d cl9ical prev5tive  
s]vices = review by ! ,task ,=ce2  7ii7 
sugge/ sci5tific evid5ce = consid]ation 
by ! ,task ,=ce relat$ to reviews       
und]tak5 by ! ,task ,=ce2  7iii7 provide
 fe$back reg>d+ ! rese>* plan1 ! evid5ce

 report1 & draft recomm5dations by !    
,task ,=ce2 &  7iv7 assi/ ) ef=ts reg>d+
 dissem9ation ( recomm5dations by !     
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality4  7#g7 ,disclosure &        
conflicts ( int]e/ ,memb]s ( ! ,task    
,=ce or ! bo>d %all n be consid]$       
employees ( ! ,f$]al ,gov]nm5t by reason
 ( s]vice on ! ,task ,=ce or ! bo>d1    
except memb]s ( ! ,task ,=ce or ! bo>d  
%all be consid]$ to be special ,gov]nm5t
 employees )9 ! mean+ ( section #ajg ( !
 ,e?ics 9 ,gov]nm5t ,act ( #aigh 7#e    
,u4,s4,c4 ,app47 & section #bjh ( title 
#ah1 ,unit$ ,/ates ,code1 = ! purposes (
 disclosure & managem5t ( conflicts (   
int]e/ "u ^? sections4  7#h7 ,no pay2   
receipt ( travel exp5ses ,memb]s ( !    
,task ,=ce or ! bo>d %all n receive any 
pay = s]vice on ! ,task ,=ce or bo>d1 b 
may receive travel exp5ses1 includ+ a p]
 diem1 9 accordance ) applicable        
provisions ( sub*apt] ,i ( *apt] #eg (  
title #e1 ,unit$ ,/ates ,code4  2 &     
7#g7 by am5d+ p>agraph 7#aj71 z         

r$esignat$ by p>agraph 7#c71 to read z  
foll[s3  7#aj7 ,application ( ,,faca ,! 
,task ,=ce %all conduct its activities 9
 compliance ) ! ,f$]al ,advisory        
,committee ,act 7#e ,u4,s4,c4 ,app474  4
  7b7 ,effective date2 transition  7#a7 
,9 g5]al ,except z o!rwise provid$1 !   
am5dm5ts made by subsection 7a7 %all    
take effect on ! date ( ! enactm5t ( ?is
 ,act4 ,! ,unit$ ,/ates ,prev5tive      
,s]vices ,task ,=ce %all n publi% any   
draft or f9al recomm5dations on or aft] 
su* date except 9 accordance ) su*      
am5dm5ts4  7#b7 ,recon/itution ( ,task  
,=ce ,n lat] ?an #ahj days aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,director ( ! 
,ag5cy = ,heal?c>e ,rese>* & ,quality   
%all take /eps to recon/itute ! memb]%ip
 ( ! ,task ,=ce consi/5t ) section      
#iae7;a77#c7 ( ! ,public ,heal? ,s]vice 
,act1 z am5d$ by subsection 7a74  7#c7  
,previ\sly publi%$ recomm5dations ,)    
respect to recomm5dations or guidel9es  
publi%$ by su* ,task ,=ce be=e ! date ( 
! enactm5t ( ?is ,act1 "u proc$ures     

e/abli%$ by ! ,director ( ! ,ag5cy =    
,heal?c>e ,rese>* & ,quality1 !         
recon/itut$ ,task ,=ce %all und]take a  
review process consi/5t ) ! foll[+3     
7,a7 ,int]e/$ p>ties may reque/ ! ,task 
,=ce to review su* previ\s              
recomm5dations or guidel9es4  7,b7 ,bas$
 ^u su* reque/s1 ! ,task ,=ce %all      
e/abli% a process = ! review ( previ\s  
recomm5dations or guidel9es4  7,c7 ,su* 
process %all include public notice ?r\gh
 ! ,f$]al ,regi/] & opportunity = comm5t
 & a det]m9ation to confirm or modify   
su* recomm5dations or guidel9es4  7,d7  
,! process %all1 to ! ext5t feasible1 be
 consi/5t ) ! proc$ures appli$ "u !     
am5dm5ts made by subsection 7a7 = !     
promulgation ( new recomm5dations4  7c7 
,,gao evaluation & report ,n lat] ?an #a
 ye> aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all submit to ,congress a report t     
conta9s ! foll[+3  7#a7 ,a li/+ ( !     
recomm5dations ( ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce z ( ! su*

 date1 includ+ ! date f9al              
recomm5dations & any subsequ5t updates 7
 po/$ or publi%$4  7#b7 ,a comp>ison (  
su* recomm5dations & relevant           
recomm5dations ( o!r ,f$]al heal?       
ag5cies1 includ+ ! ,c5t]s = ,disease    
,control & ,prev5tion1 ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices1 ! ,dep>tm5t 
( ,def5se1 ! ,dep>tm5t ( ,vet]ans       
,affairs1 & ! ,pati5t-,c5t]$ ,outcomes  
,rese>* ,in/itute1 z well z relevant    
recomm5dations f national m$ical        
pr(essional societies & relevant pati5t 
& disease advocacy organizations4  7#c7 
,an analysis ( ! impact ( !             
recomm5dations ( ! ,task ,=ce on public 
& private insurance cov]age1 access1 &  
outcomes1 includ+ impact on morbidity & 
mortality4  7d7 ,elim9ation (           
,secret>ial discretion ,to remove c]ta9 
prev5tive s]vices "u ! ,m$ic>e program  
,section #ahcd7n7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7n771 z add$  
by section #daje7;a7 ( ,public ,law     
#aaa-adh1 is am5d$--  7#a7 by /rik+     

p>agraph 7#b72  7#b7 by /rik+ 2 & at !  
end ( p>agraph 7#a77;,b7 & ins]t+ a     
p]iod2  7#c7 by r$esignat+ subp>agraphs 
7,a7 & 7,b7 ( p>agraph 7#a7 z p>agraphs 
7#a7 & 7#b71 respectively1 & mov+ _!    
m>g9s #b ems to ! left2 &  7#d7 by /rik+
 may & all t foll[s ?r\gh modify &      
ins]t+ may modify4