,i #aacth ,,congress #ast ,session ,h4 ,r4 #ccbb ,,in ,,the ,,house ,,of ,,representatives ,october #bc1 #bjac,ms4 ,de,gette 7for herself1 ,mr4 ,whitfield1 ,mr4 ,hinojosa1 ,ms4 ,chu1 and ,ms4 ,fudge7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,public ,health ,service ,act to prevent and treat diabetes1 to promote and improve the care of individuals with diabetes1 and to reduce health disparities1 relating to diabetes1 within racial and ethnic minority groups1 including the ,african-,american1 ,hispanic ,american1 ,asian ,american1 ,native ,hawaiian and ,other ,pacific ,islander1 and ,american ,indian and ,alaskan ,native communities4 #a4 ,short title ,this ,act may be cited as the ,eliminating ,disparities in ,diabetes ,prevention1 ,access1 and ,care ,act of #bjac4 ,i ,,national ,,institutes ,,of ,,health #aja4 ,research1 treatment1 and education 7a7 ,in general ,subpart #c of part ,c of title ,,iv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhe;c et seq47 is amended by adding at the end the following new section3 #dcd;,b4 ,diabetes in minority populations 7a7 ,in general ,the ,director of ,,nih shall expand1 intensify1 and support ongoing research and other activities with respect to prediabetes and diabetes1 particularly type #b1 in minority populations4 7b7 ,research 7#a7 ,description ,research under subsection 7a7 shall include investigation into-- 7,a7 the causes of diabetes1 including socioeconomic1 geographic1 clinical1 environmental1 genetic1 and other factors that may contribute to increased rates of diabetes in minority populations2 and 7,b7 the causes of increased incidence of diabetes complications in minority populations1 and possible interventions to decrease such incidence4 7#b7 ,inclusion of minority participants ,in conducting and supporting research described in subsection 7a71 the ,director of ,,nih shall seek to include minority participants as study subjects in clinical trials4 7c7 ,report2 comprehensive plan 7#a7 ,in general ,the ,diabetes ,mellitus ,interagency ,coordinating ,committee shall-- 7,a7 prepare and submit to the ,congress1 not later than #f months after the date of enactment of this section1 a report on ,federal research and public health activities with respect to prediabetes and diabetes in minority populations2 and 7,b7 develop and submit to the ,congress1 not later than #a year after the date of enactment of this section1 an effective and comprehensive ,federal plan 7including all appropriate ,federal health programs7 to address prediabetes and diabetes in minority populations4 7#b7 ,contents ,the report under paragraph 7#a77;,a7 shall at minimum address each of the following3 7,a7 ,research on diabetes and prediabetes in minority populations1 including such research on-- 7i7 genetic1 behavioral1 and environmental factors2 and 7ii7 prevention and complications among individuals within these populations who have already developed diabetes4 7,b7 ,surveillance and data collection on diabetes and prediabetes in minority populations1 including with respect to-- 7i7 efforts to better determine the prevalence of diabetes among ,asian ,american and ,pacific ,islander subgroups2 and 7ii7 efforts to coordinate data collection on the ,american ,indian population4 7,c7 ,community-based interventions to address diabetes and prediabetes targeting minority populations1 including-- 7i7 the evidence base for such interventions2 7ii7 the cultural appropriateness of such interventions2 and 7iii7 efforts to educate the public on the causes and consequences of diabetes4 7,d7 ,education and training programs for health professionals 7including community health workers7 on the prevention and management of diabetes and its related complications that is supported by the ,health ,resources and ,services ,administration1 including such programs supported by-- 7i7 the ,national ,health ,service ,corps2 or 7ii7 the community health centers program under section #ccj4 7d7 ,education ,the ,director of ,,nih shall-- 7#a7 through the ,national ,institute on ,minority ,health and ,health ,disparities and the ,national ,diabetes ,education ,program-- 7,a7 make grants to programs funded under section #dfdz-#d 7relating to centers of excellence7 for the purpose of establishing a mentoring program for health care professionals to be more involved in weight counseling1 obesity research1 and nutrition2 and 7,b7 provide for the participation of minority health professionals in diabetes-focused research programs2 and 7#b7 make grants for programs to establish a pipeline from high school to professional school that will increase minority representation in diabetes-focused health fields by expanding ,minority ,access to ,research ,careers 7,,marc7 program internships and mentoring opportunities for recruitment4 7e7 ,definitions ,for purposes of this section3 7#a7 ,the ,diabetes ,mellitus ,interagency ,coordinating ,committee means the ,diabetes ,mellitus ,interagency ,coordinating ,committee established under section #dbi4 7#b7 ,the term minority population means a racial and ethnic minority group1 as defined in section #agjg4 4 ,,ii ,,centers ,,for ,,disease ,,control ,,and ,,prevention #bja4 ,research1 education1 and other activities ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cag,t the following section3 #cag,u4 ,diabetes in minority populations 7a7 ,research and other activities 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall conduct and support research and public health activities with respect to diabetes in minority populations4 7#b7 ,certain activities ,activities under paragraph 7#a7 regarding diabetes in minority populations shall include the following3 7,a7 ,further enhancing the ,national ,health and ,nutrition ,examination ,survey by over-sampling ,asian ,american1 ,native ,hawaiian1 and ,other ,pacific ,islanders in appropriate geographic areas to better determine the prevalence of diabetes in such populations as well as to improve the data collection of diabetes penetration disaggregated into major ethnic groups within such populations4 ,the ,secretary shall ensure that any such oversampling does not reduce the oversampling of other minority populations including ,african-,american and ,latino populations4 7,b7 ,through the ,division of ,diabetes ,translation-- 7i7 providing for prevention research to better understand how to influence health care systems changes to improve quality of care being delivered to such populations2 7ii7 carrying out model demonstration projects to design1 implement1 and evaluate effective diabetes prevention and control interventions for minority populations1 including culturally appropriate community-based interventions2 7iii7 developing and implementing a strategic plan to reduce diabetes in minority populations through applied research to reduce disparities and culturally and linguistically appropriate community-based interventions2 7iv7 supporting1 through the national diabetes prevention program under section #cii,v-#c1 diabetes prevention program sites in underserved regions highly impacted by diabetes2 and 7v7 implementing1 through the national diabetes prevention program under section #cii,v-#c1 a demonstration program developing new metrics measuring health outcomes related to diabetes that can be stratified by specific minority populations4 7b7 ,education ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall direct the ,division of ,diabetes ,translation to conduct and support both programs to educate the public on diabetes in minority populations and programs to educate minority populations about the causes and effects of diabetes4 7c7 ,diabetes2 health promotion1 prevention activities1 and access ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention and the ,national ,diabetes ,education ,program1 shall conduct and support programs to educate specific minority populations through culturally appropriate and linguistically appropriate information campaigns about prevention of1 and managing1 diabetes4 7d7 ,definition ,for purposes of this section1 the term minority population means a racial and ethnic minority group1 as defined in section #agjg4 4 ,,iii ,,health ,,resources ,,and ,,services ,,administration #cja4 ,research1 education1 and other activities ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following new section3 #cii,v-#f4 ,programs to educate health providers on the causes and effects of diabetes in minority populations 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,health ,resources and ,services ,administration1 shall conduct and support programs described in subsection 7b7 to educate health professionals on the causes and effects of diabetes in minority populations4 7b7 ,programs ,programs described in this subsection1 with respect to education on diabetes in minority populations1 shall include the following3 7#a7 ,giving priority1 under the primary care training and enhancement program under section #gdg-- 7,a7 to awarding grants to focus on or address diabetes2 and 7,b7 adding minority populations to the list of vulnerable populations that should be served by such grants4 7#b7 ,providing additional funds for the ,health ,careers ,opportunity ,program1 ,centers for ,excellence1 and the ,minority ,faculty ,fellowship ,program to partner with the ,office of ,minority ,health under section #agjg and the ,national ,institutes of ,health to strengthen programs for career opportunities focused on diabetes treatment and care within underserved regions highly impacted by diabetes4 7#c7 ,developing a diabetes focus within1 and providing additional funds for1 the ,national ,health ,service ,corps ,scholarship ,program-- 7,a7 to place individuals in areas that are disproportionately affected by diabetes and to provide diabetes treatment and care in such areas2 and 7,b7 to provide such individuals continuing medical education specific to diabetes care4 4 ,,iv ,,indian ,,health ,,service #dja4 ,research1 education1 and other activities ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq471 as amended by section #cja1 is further amended by adding at the end the following section3 #cii,v-#g4 ,research1 education1 and other activities regarding diabetes in ,american ,indian populations ,in addition to activities under sections #cag,v-#f and #dcd;,b1 the ,secretary1 acting through the ,indian ,health ,service and in collaboration with other appropriate ,federal agencies1 shall-- 7#a7 conduct and support research and other activities with respect to diabetes2 and 7#b7 coordinate the collection of data on clinically and culturally appropriate diabetes treatment1 care1 prevention1 and services by health care professionals to the ,american ,indian population4 4 ,v ,,institute ,,of ,,medicine ,,report #eja4 ,updated report on health disparities ,the ,secretary of ,health and ,human ,services shall seek to enter into an arrangement with the ,institute of ,medicine under which the ,institute will-- 7#a7 not later than #a year after the date of enactment of this ,act1 submit to the ,congress an updated version of the ,institute's #bjjb report entitled ,unequal ,treatment3 ,confronting ,racial and ,ethnic ,disparities in ,health ,care2 and 7#b7 in such updated version1 address how racial and ethnic health disparities have changed since the publication of the original report4