,,ii #aacth ,,congress #ast ,session ,s4 #ijg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #h1 #bjac ,mrs4 ,shaheen 7for herself and ,ms4 ,collins7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to provide grants to better understand and reduce gestational diabetes1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,gestational ,diabetes ,act or the ,,gedi ,act4 #b4 ,gestational diabetes ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by adding after section #cag;,h the following3 #cag;,h-#a4 ,gestational diabetes 7a7 ,understanding and monitoring gestational diabetes 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 in consultation with the ,diabetes ,mellitus ,interagency ,coordinating ,committee established under section #dbi and representatives of appropriate national health organizations1 shall develop a multisite gestational diabetes research project within the diabetes program of the ,centers for ,disease ,control and ,prevention to expand and enhance surveillance data and public health research on gestational diabetes4 7#b7 ,areas to be addressed ,the research project developed under paragraph 7#a7 shall address-- 7,a7 procedures to establish accurate and efficient systems for the collection of gestational diabetes data within each ,state1 territory1 and possession of the ,united ,states2 7,b7 the progress of collaborative activities with the ,national ,vital ,statistics ,system1 the ,national ,center for ,health ,statistics1 and ,state health departments with respect to the standard birth certificate1 in order to improve surveillance of gestational diabetes2 7,c7 postpartum methods of tracking women with gestational diabetes after delivery and targeted interventions proven to lower the incidence of type #b diabetes in that population2 7,d7 variations in the distribution of diagnosed and undiagnosed gestational diabetes1 and of impaired fasting glucose tolerance and impaired fasting glucose1 within and among groups of women2 and 7,e7 factors and culturally sensitive interventions that influence risks and reduce the incidence of gestational diabetes and related complications during childbirth1 including cultural1 behavioral1 racial1 ethnic1 geographic1 demographic1 socioeconomic1 and genetic factors4 7#c7 ,report ,not later than #b years after the date of the enactment of this section1 and annually thereafter1 the ,secretary shall prepare a report on the findings and recommendations of the research project1 including prevalence of gestational diabetes in the multisite area1 and disseminate the report to the appropriate ,federal and non-,federal agencies4 7b7 ,expansion of gestational diabetes research 7#a7 ,in ,general ,the ,secretary shall expand and intensify public health research regarding gestational diabetes4 ,such research may include-- 7,a7 developing and testing novel approaches for improving postpartum diabetes testing or screening and for preventing type #b diabetes in women with a history of gestational diabetes2 and 7,b7 conducting public health research to further understanding of the epidemiologic1 socioenvironmental1 behavioral1 translation1 and biomedical factors and health systems that influence the risk of gestational diabetes and the development of type #b diabetes in women with a history of gestational diabetes4 7#b7 ,authorization of ,appropriations ,there is authorized to be appropriated to carry out this subsection #e1jjj1jjj for each of fiscal years #bjad through #bjah4 7c7 ,demonstration grants ,to lower the rate of gestational diabetes 7#a7 ,in ,general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall award grants1 on a competitive basis1 to eligible entities for demonstration projects that implement evidence-based interventions to reduce the incidence of gestational diabetes1 the recurrence of gestational diabetes in subsequent pregnancies1 and the development of type #b diabetes in women with a history of gestational diabetes4 7#b7 ,priority ,in making grants under this subsection1 the ,secretary shall give priority to projects focusing on-- 7,a7 helping women who have #a or more risk factors for developing gestational diabetes2 7,b7 working with women with a history of gestational diabetes during a previous pregnancy2 7,c7 providing postpartum care for women with gestational diabetes2 7,d7 tracking cases where women with a history of gestational diabetes developed type #b diabetes2 7,e7 educating mothers with a history of gestational diabetes about the increased risk of their children developing diabetes2 7,f7 working to prevent gestational diabetes and prevent or delay the development of type #b diabetes in women with a history of gestational diabetes2 and 7,g7 achieving outcomes designed to assess the efficacy and cost-effectiveness of interventions that can inform decisions on long-term sustainability1 including third-party reimbursement4 7#c7 ,application ,an eligible entity desiring to receive a grant under this subsection shall submit to the ,secretary-- 7,a7 an application at such time1 in such manner1 and containing such information as the ,secretary may require2 and 7,b7 a plan to-- 7i7 lower the rate of gestational diabetes during pregnancy2 or 7ii7 develop methods of tracking women with a history of gestational diabetes and develop effective interventions to lower the incidence of the recurrence of gestational diabetes in subsequent pregnancies and the development of type #b diabetes4 7#d7 ,uses of ,funds ,an eligible entity receiving a grant under this subsection shall use the grant funds to carry out demonstration projects described in paragraph 7#a71 including-- 7,a7 expanding community-based health promotion education1 activities1 and incentives focused on the prevention of gestational diabetes and development of type #b diabetes in women with a history of gestational diabetes2 7,b7 aiding ,state- and tribal-based diabetes prevention and control programs to collect1 analyze1 disseminate1 and report surveillance data on women with1 and at risk for1 gestational diabetes1 the recurrence of gestational diabetes in subsequent pregnancies1 and1 for women with a history of gestational diabetes1 the development of type #b diabetes2 and 7,c7 training and encouraging health care providers-- 7i7 to promote risk assessment1 high-quality care1 and self-management for gestational diabetes and the recurrence of gestational diabetes in subsequent pregnancies2 and 7ii7 to prevent the development of type #b diabetes in women with a history of gestational diabetes1 and its complications in the practice settings of the health care providers4 7#e7 ,report ,not later than #d years after the date of the enactment of this section1 the ,secretary shall prepare and submit to ,congress a report concerning the results of the demonstration projects conducted through the grants awarded under this subsection4 7#f7 ,definition of ,eligible ,entity ,in this subsection1 the term eligible entity means a nonprofit organization 7such as a nonprofit academic center or community health center7 or a ,state1 tribal1 or local health agency4 7#g7 ,authorization of ,appropriations ,there is authorized to be appropriated to carry out this subsection #e1jjj1jjj for each of fiscal years #bjad through #bjah4 7d7 ,postpartum follow-,up regarding gestational diabetes ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall work with the ,state- and tribal-based diabetes prevention and control programs assisted by the ,centers to encourage postpartum follow-up after gestational diabetes1 as medically appropriate1 for the purpose of reducing the incidence of gestational diabetes1 the recurrence of gestational diabetes in subsequent pregnancies1 the development of type #b diabetes in women with a history of gestational diabetes1 and related complications4 4