,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ehbj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #i1 #bjad    
,mr4 ,h>ris introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,a ,,bill  ,to am5d title ,,iv
 ( ! ,public ,heal? ,s]vice ,act to     
allocate additional fund+ ?r\gh !       
,common ,fund = rese>* by em]g+         
sci5ti/s4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,yes to ,cures ,act (     
#bjad4  #b4 ,fund+ rese>* by em]g+      
sci5ti/s ?r\gh ,common ,fund  7a7 ,use (
 funds ,section #djb7;b77#g77;,b7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhb7 is am5d$--  7#a7 9      
clause 7i71 by /rik+ & at ! end2  7#b7  
by r$esignat+ clause 7ii7 z clause      
7iii72 &  7#c7 by ins]t+ aft] clause 7i7
 ! foll[+3  7ii7 %all1 ) respect to     
funds res]v$ "u section                 
#djb;,a7c77#a77;,c7 = ! ,common ,fund1  
allocate su* funds to ! national rese>* 
in/itutes & national c5t]s = conduct+ & 
support+ rese>* t is id5tifi$ "u        

subp>agraph 7,a7 & is c>ri$ out by "o or
 m em]g+ sci5ti/s 7z def9$ 9 section    
#djb;,a7c77#a77;,c77iv772 &  4  7b7     
,res]vation ( funds ,section            
#djb;,a7c77#a7 ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#bhb;a7c77#a77 is am5d$--  7#a7 by      
r$esignat+ subp>agraphs 7,c7 & 7,d7 z   
subp>agraphs 7,d7 & 7,e71 respectively2 
&  7#b7 by ins]t+ aft] subp>agraph 7,b7 
! foll[+3  7,c7 ,additional res]vation =
 rese>* by em]g+ sci5ti/s  7i7          
,inapplicability ( tap = evaluation     
activities ,beg9n+ ) fiscal ye> #bjae1  
funds appropriat$ to ! ,national        
,in/itutes ( ,heal? %all n be subject to
 section #bda4  7ii7 ,res]vation ,9     
addition to ! am\nts res]v$ = ! ,common 
,fund "u subp>agraph 7,b7 & am\nts      
appropriat$ to ! ,common ,fund "u       
subsection 7a77#b71 ! ,director ( ,,nih 
%all res]ve an am\nt = ! ,common ,fund =
 fiscal ye> #bjae & ea* subsequ5t fiscal
 ye> t is equal to ! am\nt t1 b = clause
 7i71 w\ld be made available "u section 

#bda = evaluation activities = su*      
fiscal ye>4  7iii7 ,purpose ( res]vation
 ,am\nts res]v$ "u clause 7ii7 %all be  
us$ = ! purpose ( c>ry+ out section     
#djb7;b77#g77;,b77ii7 7relat+ to !      
conduct & support ( rese>* t is id5tifi$
 "u section #djb;,a7b77#g77;,a7 & is    
c>ri$ out by "o or m em]g+ sci5ti/s74   
7iv7 ,def9ition ,9 ?is subp>agraph1 !   
t]m em]g+ sci5ti/ means an inve/igator  
:o--  7,i7 w be ! pr9cipal inve/igator  
or ! program director ( ! propos$       
rese>*2  7,,ii7 has nev] be5 aw>d$1 or  
has be5 aw>d$ only once1 a sub/antial1  
compet+ grant by ! ,national ,in/itutes 
( ,heal? = indep5d5t rese>*2 &  7,,iii7 
is )9 #ae ye>s ( hav+ complet$--  7aa7 !
 inve/igator's t]m9al degree2 or  7bb7 a
 m$ical resid5cy 7or ! equival5t74  4   
7c7 ,supplem5t1 n supplant2 prohibition 
aga9/ transf] ,funds res]v$ pursuant to 
section #djb;,a7c77#a77;,c7 ( ! ,public 
,heal? ,s]vice ,act1 z add$ by          
subsection 7b7--  7#a7 %all be us$ to   
supplem5t1 n supplant1 ! funds o!rwise  

allocat$ by ! ,national ,in/itutes (    
,heal? = "y inve/igators2 &  7#b7       
not)/&+ any transf] au?ority 9 any      
appropriation ,act1 %all n be us$ = any 
purpose o!r ?an allocat+ funds z        
describ$ 9 section #djb7;b77#g77;,b77ii7
 ( ! ,public ,heal? ,s]vice ,act1 z add$
 by subsection 7a74  7d7 ,con=m+        
am5dm5ts  7#a7 ,section #bda7;a7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bch;j7a77 is am5d$ by /rik+  
,su* portion & ins]t+ ,subject to       
section #djb;,a7c77#a77;,c77i71 su*     
portion4  7#b7 ,section #djb;,a7a77#b7 (
 ! ,public ,heal? ,s]vice ,act is       
am5d$--  7,a7 by /rik+                  
#djb7;b77#g77;,b77ii7 & ins]t+          
#djb7;b77#g77;,b77iii72 &  7,b7 by /rik+
 res]v$ "u subsection 7c77#a77;,b77i7 & 
ins]t+ res]v$ "u subp>agraph 7,b77i7 or 
7,c77ii7 ( subsection 7c77#a74  7#c7    
,section #c7;c77#b7 ( ! ,gabriella      
,mill] ,kids ,fir/ ,rese>* ,act 7,public
 ,law #aac-id7 is am5d$ by /rik+        
#djb7;b77#g77;,b77ii7 ( ! ,public ,heal?

 ,s]vice ,act1 z add$ by subsection 7a7 
& ins]t+ #djb7;b77#g77;,b77iii7 ( !     
,public ,heal? ,s]vice ,act1 z add$ by  
subsection 7a7 & r$esignat$ by section  
#b7;a7 ( ! ,,yes to ,cures ,act ( #bjad4
  7e7 ,rule ( con/ruction ,no?+ 9 ?is   
,act 7& ! am5dm5ts made by ?is ,act7 is 
int5d$ to affect ! am\nt ( funds        
au?oriz$ to be appropriat$ to ! ,ag5cy =
 ,heal?c>e ,rese>* & ,quality4  #c4     
,report on tr5ds 9 age ( recipi5ts (    
,,nih-fund$ major rese>* grants ,n lat] 
?an six mon?s aft] ! date ( enactm5t (  
?is ,act1 ! ,director ( ! ,national     
,in/itutes ( ,heal? %all submit a report
 to ! ,congress--  7#a7 expla9+ :y1 ov] 
! #cj-ye> p]iod prec$+ ! enactm5t ( ?is 
,act--  7,a7 !re has be5 a sub/antial   
increase 9 ! age ( inve/igators receiv+ 
_! fir/ major rese>* grant f ! ,national
 ,in/itutes ( ,heal?2  7,b7 !re has be5 
a sub/antial increase 9 ! av]age age (  
all recipi5ts ( major rese>* grants f ! 
,national ,in/itutes ( ,heal?2 &  7,c7  
!re has be5 a dramatic drop 9 ! numb] ( 

inve/igators "u #dj ye>s ( age receiv+  
major rese>* grants f ! ,national       
,in/itutes ( ,heal?2 &  7#b7 describ+-- 
7,a7 ! /eps tak5 by ! ,national         
,in/itutes ( ,heal? 9 rec5t ye>s to     
address ! tr5ds id5tifi$ 9 p>agraph     
7#a72 &  7,b7 ! impact ( tak+ su* /eps4