,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #hdb  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #bf1 #bjac   
,mr4 ,s5s5br5n] 7= himself & ,mr4       
,moran7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to exp& ! rese>*  
activities ( ! ,national ,in/itutes (   
,heal? ) respect to functional          
ga/ro9te/9al & motility disord]s1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,functional            
,ga/ro9te/9al & ,motility ,disord]s     
,rese>* ,enhancem5t ,act ( #bjac4  #b4  
,f9d+s ,congress f9ds ! foll[+3  7#a7   
,functional ga/ro9te/9al & motility     
disord]s 7,f,g,i,m,ds7 are *ronic       
conditions associat$ ) increas$         
s5sitivity ( ! ,,gi tract1 abnormal     
motor function+1 & bra9-gut dysfunction4
  7#b7 ,f,g,i,m,ds are *>act]iz$ by     
symptoms 9 ! ,,gi tract includ+ pa9 or  
discom=t1 nausea1 vomit+1 di>rhea1      
con/ipation1 incont95ce1 problems 9 !   
passage ( food or feces1 or a comb9ation

 ( ^! symptoms4  7#c7 ,f,g,i,m,ds       
include conditions su* z dysphagia1     
ga/roesophageal reflux disease1         
dyspepsia1 cyclic vomit+ syndrome1      
ga/rop>esis1 irritable b[el syndrome    
7,,ibs71 ,hirs*sprung's disease1 *ronic 
inte/9al pseudo-ob/ruction1 b[el        
incont95ce1 & _m o!rs1 :i* affect !     
esophagus1 /oma*1 gallbladd]1 small &   
l>ge inte/9e1 & anorectal areas ( !     
body4  7#d7 ,! sev]ity ( ,f,g,i,m,ds    
ranges f mildly uncom=table to          
debilitat+ & 9 "s cases life-?reat5+4   
7#e7 ,effective treatm5ts = ! multiple  
symptoms ( ,f,g,i,m,ds are lack+1 & :ile
 suff]]s frequ5tly use a v>iety (       
m$ications & !rapies = symptoms1 few    
pati5ts report satisfaction ) available 
treatm5ts4  7#f7 ,pati5ts ) ,f,g,i,m,ds 
frequ5tly suff] = ye>s be=e receiv+ an  
accurate diagnosis1 expos+ !m to        
unnecess>y & co/ly te/s & proc$ures     
includ+ surg]ies1 z well z ne$less      
suff]+ & exp5se4  7#g7 ,! economic      
impact ( ,f,g,i,m,ds is high4 ,! annual 

co/ 9 ! ,unit$ ,/ates = ,,ibs alone is  
e/imat$ to be betwe5 #a4g billion & #aj 
billion 9 direct m$ical co/s 7exclud+   
prescription & ov]-!-c\nt] m$ications7 &
 #bj billion 9 indirect m$ical co/s4    
7#h7 ,f,g,i,m,ds frequ5tly take a toll  
on ! workplace1 z reflect$ 9 "w         
abs5teeism1 lo/ productivity1 & lo/     
opportunities = ! individual & society4 
7#i7 ,ga/ro9te/9al symptoms consi/5t )  
functional ga/ro9te/9al disord]s su* z  
,,ibs & functional dyspepsia h be5      
recogniz$ z a s]i\s & disabl+ issue =   
milit>y vet]ans1 p>ticul>ly ^? :o h be5 
deploy$4  7#aj7 ,f,g,i,m,ds affect      
individuals ( all ages includ+ *ildr51 &
 p$iatric ,f,g,i,m,ds c be p>ticul>ly   
s]i\s1 lead+ to a lifetime ( pa9ful     
symptoms & m$ical exp5ses associat$ )   
managem5t ( *ronic illness or dea?4     
7#aa7 ,! ,national ,in/itutes ( ,heal?'s
 ,national ,commission on ,dige/ive     
,diseases id5tifi$ compreh5sive rese>*  
goals relat$ to ,f,g,i,m,ds 9 its ,april
 #bjji report to ,congress & ! ,am]ican 

public entitl$ ,opportunities &         
,*all5ges 9 ,dige/ive ,diseases ,rese>*3
 ,recomm5dations ( ! ,national          
,commission on ,dige/ive ,diseases4  #c4
 ,functional ga/ro9te/9al & motility    
disord]s rese>* enhancem5t ,"p ,b (     
title ,,iv ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bhd et seq47 is    
am5d$ by add+ at ! end ! foll[+3        
#dji,k4 ,functional ga/ro9te/9al &      
motility disord]s ,! ,director ( ,,nih  
may exp&1 int5sify1 & coord9ate !       
activities ( ! ,national ,in/itutes (   
,heal? ) respect to functional          
ga/ro9te/9al & motility disord]s 79 ?is 
section ref]r$ to z ,f,g,i,m,ds7 by--   
7#a7 exp&+ basic & cl9ical rese>* into  
,f,g,i,m,ds by implem5t+ ! rese>*       
recomm5dations ( ! ,national ,commission
 on ,dige/ive ,diseases relat+ to       
,f,g,i,m,ds2  7#b7 provid+ support = !  
e/abli%m5t ( up to five c5t]s (         
excell5ce on ,f,g,i,m,ds at lead+       
academic m$ical c5t]s ?r\gh\t ! c\ntry  
to c>ry out innovative basic1           

translational1 & cl9ical rese>* focus$  
on ,f,g,i,m,ds2  7#c7 explor+           
collaborative rese>* opportunities among
 ! ,national ,in/itute ( ,diabetes &    
,dige/ive & ,kidney ,diseases1 ! ,(fice 
( ,rese>* on ,wom5's ,heal?1 ! ,(fice ( 
,r>e ,disease ,rese>*1 & o!r ,in/itutes 
& ,c5t]s ( ! ,national ,in/itutes (     
,heal?2  7#d7 direct+ ! ,national       
,in/itute ( ,diabetes & ,dige/ive &     
,kidney ,diseases to provide ! necess>y 
fund+ = cont9u$ expansion & advancem5t (
 ! ,f,g,i,m,ds rese>* portfolio ?r\gh   
intramural & extramural rese>*2  7#e7   
direct+ ! ,national ,in/itute (         
,diabetes & ,dige/ive & ,kidney         
,diseases & ! ,eunice ,k5n$y ,%riv]     
,national ,in/itute ( ,*ild ,heal? &    
,human ,developm5t to exp& rese>* into  
,f,g,i,m,ds t impact *ildr51 su* z      
,hirs*sprung's disease & cyclic vomit+  
syndrome1 & mat]nal heal?1 su* z fecal  
incont95ce2 &  7#f7 explor+             
opportunities to p>tn] ) ! ,dep>tm5t (  
,def5se & ! ,dep>tm5t ( ,vet]ans        

,affairs to increase rese>* & improve   
pati5t c>e reg>d+ ,f,g,i,m,ds t commonly
 impact vet]ans & active duty milit>y   
p]sonnel1 su* z ,,ibs & dyspepsia4  4   
#d4 ,promot+ public aw>5ess ( functional
 ga/ro9te/9al & motility disord]s ,"p ,b
 ( title ,,iii ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bdc et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cbj;,b4 ,public aw>5ess (     
functional ga/ro9te/9al & motility      
disord]s ,! ,secret>y may engage 9      
public aw>5ess & education activities to
 increase und]/&+ & recognition (       
functional ga/ro9te/9al & motility      
disord]s 79 ?is section ref]r$ to z     
,f,g,i,m,ds74 ,su* activities may       
include ! di/ribution ( pr9t1 film1 &   
web-bas$ mat]ials t>get+ heal? c>e      
provid]s & ! public & prep>$ &          
dissem9at$ 9 conjunction ) pati5t       
organizations t treat ,f,g,i,m,ds4 ,!   
in=mation express$ ?r\gh su* activites  
%\ld emphasize--  7#a7 basic in=mation  
on ,f,g,i,m,ds1 _! symptoms1 preval5ce1 

& frequ5tly co-occurr+ conditions2 &    
7#b7 ! importance ( e>ly diagnosis1 &   
prompt & accurate treatm5t (            
,f,g,i,m,ds4  4  #e4 ,s5se ( ,congress  
on ! developm5t & ov]sight ( innovative 
treatm5t options = functional           
ga/ro9te/9al & motility disord]s ,x is !
 s5se ( ,congress t1 consid]+ ! curr5t  
lack ( effective treatm5t options = !   
global symptoms ( functional            
ga/ro9te/9al & motility disord]s 79 ?is 
section ref]r$ to z ,f,g,i,m,ds7 & !    
inh]5t *all5ges ( develop+ & br++ su*   
treatm5ts to m>ket1 ! ,commission] (    
,food & ,drugs %\ld cont9ue & accel]ate 
important ef=ts to improve ! developm5t 
& ov]sight ( treatm5t options =         
,f,g,i,m,ds by--  7#a7 enhanc+ !        
commitm5t to em]g+ ef=ts l ! ,pati5t    
,report$ ,outcomes ,consortium to       
exp$ite m$ical device & drug developm5t1
 /udy appropriate balances betwe5 risk &
 pati5t b5efit1 & id5tify prop] endpo9ts
 = conditions )\t cle>1 biological      
indicators2  7#b7 enhanc+ ! commitm5t to

 broad ef=ts l ! ,critical ,pa?         
,initiative focus$ on ensur+ t sci5tific
 break?r\ghs are quickly translat$ into 
safe & b5eficial treatm5t options2 &    
7#c7 cont9u+ collaboration ) pati5t     
organizations t treat ,f,g,i,m,ds s t ! 
pati5t p]spective is consid]$ :5 det]m9+
 ! ne$ = innovative treatm5ts4