,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ccbb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bc1 #bjac,ms4
 ,de,gette 7= h]self1 ,mr4 ,:itfield1   
,mr4 ,h9ojosa1 ,ms4 ,*u1 & ,ms4 ,fudge7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to prev5t & treat diabetes1
 to promote & improve ! c>e (           
individuals ) diabetes1 & to r$uce heal?
 disp>ities1 relat+ to diabetes1 )9     
racial & e?nic m9ority gr\ps1 includ+ ! 
,african-,am]ican1 ,hispanic ,am]ican1  
,asian ,am]ican1 ,native ,hawaiian &    
,o!r ,pacific ,isl&]1 & ,am]ican ,indian
 & ,alaskan ,native communities4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,elim9at+ ,disp>ities 9 ,diabetes       
,prev5tion1 ,access1 & ,c>e ,act (      
#bjac4  ,i ,,national ,,in/itutes ,,(   
,,heal?  #aja4 ,rese>*1 treatm5t1 &     
education  7a7 ,9 g5]al ,subp>t #c ( "p 
,c ( title ,,iv ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhe;c et   

seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #dcd;,b4 ,diabetes 9     
m9ority populations  7a7 ,9 g5]al ,!    
,director ( ,,nih %all exp&1 int5sify1 &
 support ongo+ rese>* & o!r activities )
 respect to pr$iabetes & diabetes1      
p>ticul>ly type #b1 9 m9ority           
populations4  7b7 ,rese>*  7#a7         
,description ,rese>* "u subsection 7a7  
%all include inve/igation into-- 7,a7 ! 
causes ( diabetes1 includ+              
socioeconomic1 geographic1 cl9ical1     
environm5tal1 g5etic1 & o!r factors t   
may contribute to increas$ rates (      
diabetes 9 m9ority populations2 &  7,b7 
! causes ( increas$ incid5ce ( diabetes 
complications 9 m9ority populations1 &  
possible int]v5tions to decrease su*    
incid5ce4  7#b7 ,inclusion ( m9ority    
p>ticipants ,9 conduct+ & support+      
rese>* describ$ 9 subsection 7a71 !     
,director ( ,,nih %all seek to include  
m9ority p>ticipants z /udy subjects 9   
cl9ical trials4  7c7 ,report2           
compreh5sive plan  7#a7 ,9 g5]al ,!     

,diabetes ,mellitus ,int]ag5cy          
,coord9at+ ,committee %all-- 7,a7 prep>e
 & submit to ! ,congress1 n lat] ?an #f 
mon?s aft] ! date ( enactm5t ( ?is      
section1 a report on ,f$]al rese>* &    
public heal? activities ) respect to    
pr$iabetes & diabetes 9 m9ority         
populations2 &  7,b7 develop & submit to
 ! ,congress1 n lat] ?an #a ye> aft] !  
date ( enactm5t ( ?is section1 an       
effective & compreh5sive ,f$]al plan    
7includ+ all appropriate ,f$]al heal?   
programs7 to address pr$iabetes &       
diabetes 9 m9ority populations4  7#b7   
,cont5ts ,! report "u p>agraph 7#a77;,a7
 %all at m9imum address ea* ( ! foll[+3 
7,a7 ,rese>* on diabetes & pr$iabetes 9 
m9ority populations1 includ+ su* rese>* 
on-- 7i7 g5etic1 behavioral1 &          
environm5tal factors2 &  7ii7 prev5tion 
& complications among individuals )9 ^! 
populations :o h already develop$       
diabetes4  7,b7 ,surveillance & data    
collection on diabetes & pr$iabetes 9   
m9ority populations1 includ+ ) respect  

to-- 7i7 ef=ts to bett] det]m9e !       
preval5ce ( diabetes among ,asian       
,am]ican & ,pacific ,isl&] subgr\ps2 &  
7ii7 ef=ts to coord9ate data collection 
on ! ,am]ican ,indian population4  7,c7 
,community-bas$ int]v5tions to address  
diabetes & pr$iabetes t>get+ m9ority    
populations1 includ+-- 7i7 ! evid5ce    
base = su* int]v5tions2  7ii7 ! cultural
 appropriat5ess ( su* int]v5tions2 &    
7iii7 ef=ts to educate ! public on !    
causes & consequ5ces ( diabetes4  7,d7  
,education & tra9+ programs = heal?     
pr(essionals 7includ+ community heal?   
work]s7 on ! prev5tion & managem5t (    
diabetes & its relat$ complications t is
 support$ by ! ,heal? ,res\rces &       
,s]vices ,adm9i/ration1 includ+ su*     
programs support$ by-- 7i7 ! ,national  
,heal? ,s]vice ,corps2 or  7ii7 !       
community heal? c5t]s program "u section
 #ccj4  7d7 ,education ,! ,director (   
,,nih %all-- 7#a7 ?r\gh ! ,national     
,in/itute on ,m9ority ,heal? & ,heal?   
,disp>ities & ! ,national ,diabetes     

,education ,program-- 7,a7 make grants  
to programs fund$ "u section #dfdz-#d   
7relat+ to c5t]s ( excell5ce7 = !       
purpose ( e/abli%+ a m5tor+ program =   
heal? c>e pr(essionals to be m involv$ 9
 weight c\nsel+1 obesity rese>*1 &      
nutrition2 &  7,b7 provide = !          
p>ticipation ( m9ority heal?            
pr(essionals 9 diabetes-focus$ rese>*   
programs2 &  7#b7 make grants = programs
 to e/abli% a pipel9e f high s*ool to   
pr(essional s*ool t w increase m9ority  
repres5tation 9 diabetes-focus$ heal?   
fields by exp&+ ,m9ority ,access to     
,rese>* ,c>e]s 7,,m>c7 program int]n%ips
 & m5tor+ opportunities = recruitm5t4   
7e7 ,def9itions ,= purposes ( ?is       
section3 7#a7 ,! ,diabetes ,mellitus    
,int]ag5cy ,coord9at+ ,committee means !
 ,diabetes ,mellitus ,int]ag5cy         
,coord9at+ ,committee e/abli%$ "u       
section #dbi4  7#b7 ,! t]m m9ority      
population means a racial & e?nic       
m9ority gr\p1 z def9$ 9 section #agjg4  
4  ,,ii ,,c5t]s ,,= ,,disease ,,control 

,,& ,,prev5tion  #bja4 ,rese>*1         
education1 & o!r activities ,"p ,b (    
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bdc et seq47 is    
am5d$ by ins]t+ aft] section #cag,t !   
foll[+ section3  #cag,u4 ,diabetes 9    
m9ority populations  7a7 ,rese>* & o!r  
activities  7#a7 ,9 g5]al ,! ,secret>y1 
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
conduct & support rese>* & public heal? 
activities ) respect to diabetes 9      
m9ority populations4  7#b7 ,c]ta9       
activities ,activities "u p>agraph 7#a7 
reg>d+ diabetes 9 m9ority populations   
%all include ! foll[+3 7,a7 ,fur!r      
enhanc+ ! ,national ,heal? & ,nutrition 
,exam9ation ,survey by ov]-sampl+ ,asian
 ,am]ican1 ,native ,hawaiian1 & ,o!r    
,pacific ,isl&]s 9 appropriate          
geographic areas to bett] det]m9e !     
preval5ce ( diabetes 9 su* populations z
 well z to improve ! data collection (  
diabetes p5etration disaggregat$ into   
major e?nic gr\ps )9 su* populations4 ,!

 ,secret>y %all ensure t any su*        
ov]sampl+ does n r$uce ! ov]sampl+ ( o!r
 m9ority populations includ+            
,african-,am]ican & ,lat9o populations4 
7,b7 ,?r\gh ! ,division ( ,diabetes     
,translation-- 7i7 provid+ = prev5tion  
rese>* to bett] und]/& h[ to influ5ce   
heal? c>e sy/ems *anges to improve      
quality ( c>e be+ deliv]$ to su*        
populations2  7ii7 c>ry+ out model      
demon/ration projects to design1        
implem5t1 & evaluate effective diabetes 
prev5tion & control int]v5tions =       
m9ority populations1 includ+ culturally 
appropriate community-bas$ int]v5tions2 
7iii7 develop+ & implem5t+ a /rategic   
plan to r$uce diabetes 9 m9ority        
populations ?r\gh appli$ rese>* to r$uce
 disp>ities & culturally & l+ui/ically  
appropriate community-bas$ int]v5tions2 
7iv7 support+1 ?r\gh ! national diabetes
 prev5tion program "u section #cii,v-#c1
 diabetes prev5tion program sites 9     
und]s]v$ regions highly impact$ by      
diabetes2 &  7v7 implem5t+1 ?r\gh !     

national diabetes prev5tion program "u  
section #cii,v-#c1 a demon/ration       
program develop+ new metrics measur+    
heal? outcomes relat$ to diabetes t c be
 /ratifi$ by specific m9ority           
populations4  7b7 ,education ,!         
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all direct ! ,division ( ,diabetes    
,translation to conduct & support bo?   
programs to educate ! public on diabetes
 9 m9ority populations & programs to    
educate m9ority populations ab\t !      
causes & effects ( diabetes4  7c7       
,diabetes2 heal? promotion1 prev5tion   
activities1 & access ,! ,secret>y1 act+ 
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion & ! ,national     
,diabetes ,education ,program1 %all     
conduct & support programs to educate   
specific m9ority populations ?r\gh      
culturally appropriate & l+ui/ically    
appropriate in=mation campaigns ab\t    
prev5tion (1 & manag+1 diabetes4  7d7   
,def9ition ,= purposes ( ?is section1 ! 

t]m m9ority population means a racial & 
e?nic m9ority gr\p1 z def9$ 9 section   
#agjg4  4  ,,iii ,,heal? ,,res\rces ,,& 
,,s]vices ,,adm9i/ration  #cja4 ,rese>*1
 education1 & o!r activities ,"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 ,programs to       
educate heal? provid]s on ! causes &    
effects ( diabetes 9 m9ority populations
  7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh 
! ,director ( ! ,heal? ,res\rces &      
,s]vices ,adm9i/ration1 %all conduct &  
support programs describ$ 9 subsection  
7b7 to educate heal? pr(essionals on !  
causes & effects ( diabetes 9 m9ority   
populations4  7b7 ,programs ,programs   
describ$ 9 ?is subsection1 ) respect to 
education on diabetes 9 m9ority         
populations1 %all include ! foll[+3 7#a7
 ,giv+ priority1 "u ! prim>y c>e tra9+ &
 enhancem5t program "u section #gdg--   
7,a7 to aw>d+ grants to focus on or     
address diabetes2 &  7,b7 add+ m9ority  

populations to ! li/ ( vuln]able        
populations t %\ld be s]v$ by su*       
grants4  7#b7 ,provid+ additional funds 
= ! ,heal? ,c>e]s ,opportunity ,program1
 ,c5t]s = ,excell5ce1 & ! ,m9ority      
,faculty ,fell[%ip ,program to p>tn] ) !
 ,(fice ( ,m9ority ,heal? "u section    
#agjg & ! ,national ,in/itutes ( ,heal? 
to /r5g!n programs = c>e] opportunities 
focus$ on diabetes treatm5t & c>e )9    
und]s]v$ regions highly impact$ by      
diabetes4  7#c7 ,develop+ a diabetes    
focus )91 & provid+ additional funds =1 
! ,national ,heal? ,s]vice ,corps       
,s*ol>%ip ,program-- 7,a7 to place      
individuals 9 areas t are               
disproportionately affect$ by diabetes &
 to provide diabetes treatm5t & c>e 9   
su* areas2 &  7,b7 to provide su*       
individuals cont9u+ m$ical education    
specific to diabetes c>e4  4  ,,iv      
,,indian ,,heal? ,,s]vice  #dja4        
,rese>*1 education1 & o!r activities ,"p
 ,p ( title ,,iii ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   

seq471 z am5d$ by section #cja1 is fur!r
 am5d$ by add+ at ! end ! foll[+        
section3  #cii,v-#g4 ,rese>*1 education1
 & o!r activities reg>d+ diabetes 9     
,am]ican ,indian populations ,9 addition
 to activities "u sections #cag,v-#f &  
#dcd;,b1 ! ,secret>y1 act+ ?r\gh !      
,indian ,heal? ,s]vice & 9 collaboration
 ) o!r appropriate ,f$]al ag5cies1      
%all-- 7#a7 conduct & support rese>* &  
o!r activities ) respect to diabetes2 & 
7#b7 coord9ate ! collection ( data on   
cl9ically & culturally appropriate      
diabetes treatm5t1 c>e1 prev5tion1 &    
s]vices by heal? c>e pr(essionals to !  
,am]ican ,indian population4  4  ,v     
,,in/itute ,,( ,,m$ic9e ,,report  #eja4 
,updat$ report on heal? disp>ities ,!   
,secret>y ( ,heal? & ,human ,s]vices    
%all seek to ent] into an arrangem5t ) !
 ,in/itute ( ,m$ic9e "u :i* ! ,in/itute 
w-- 7#a7 n lat] ?an #a ye> aft] ! date (
 enactm5t ( ?is ,act1 submit to !       
,congress an updat$ v]sion ( !          
,in/itute's #bjjb report entitl$        

,unequal ,treatm5t3 ,confront+ ,racial &
 ,e?nic ,disp>ities 9 ,heal? ,c>e2 &    
7#b7 9 su* updat$ v]sion1 address h[    
racial & e?nic heal? disp>ities h *ang$ 
s9ce ! publication ( ! orig9al report4