,,ii  #aac? ,,congress  #a/ ,session    
,s4 #ijg  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,may #h1 #bjac ,mrs4   
,%ahe5 7= h]self & ,ms4 ,coll9s7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to provide grants to bett]  
und]/& & r$uce ge/ational diabetes1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,ge/ational ,diabetes  
,act or ! ,,g$i ,act4  #b4 ,ge/ational  
diabetes ,"p ,b ( title ,,iii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdc et seq47 is am5d$ by add+
 aft] section #cag;,h ! foll[+3         
#cag;,h-#a4 ,ge/ational diabetes  7a7   
,und]/&+ & monitor+ ge/ational diabetes 
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion1 9 consultation ) 
! ,diabetes ,mellitus ,int]ag5cy        
,coord9at+ ,committee e/abli%$ "u       
section #dbi & repres5tatives (         
appropriate national heal?              

organizations1 %all develop a multisite 
ge/ational diabetes rese>* project )9 ! 
diabetes program ( ! ,c5t]s = ,disease  
,control & ,prev5tion to exp& & enhance 
surveillance data & public heal? rese>* 
on ge/ational diabetes4  7#b7 ,areas to 
be address$ ,! rese>* project develop$  
"u p>agraph 7#a7 %all address--  7,a7   
proc$ures to e/abli% accurate & effici5t
 sy/ems = ! collection ( ge/ational     
diabetes data )9 ea* ,/ate1 t]ritory1 & 
possession ( ! ,unit$ ,/ates2  7,b7 !   
progress ( collaborative activities ) ! 
,national ,vital ,/ati/ics ,sy/em1 !    
,national ,c5t] = ,heal? ,/ati/ics1 &   
,/ate heal? dep>tm5ts ) respect to !    
/&>d bir? c]tificate1 9 ord] to improve 
surveillance ( ge/ational diabetes2     
7,c7 po/p>tum me?ods ( track+ wom5 )    
ge/ational diabetes aft] deliv]y &      
t>get$ int]v5tions prov5 to l[] !       
incid5ce ( type #b diabetes 9 t         
population2  7,d7 v>iations 9 !         
di/ribution ( diagnos$ & undiagnos$     
ge/ational diabetes1 & ( impair$ fa/+   

glucose tol]ance & impair$ fa/+ glucose1
 )9 & among gr\ps ( wom52 &  7,e7       
factors & culturally s5sitive           
int]v5tions t influ5ce risks & r$uce !  
incid5ce ( ge/ational diabetes & relat$ 
complications dur+ *ildbir?1 includ+    
cultural1 behavioral1 racial1 e?nic1    
geographic1 demographic1 socioeconomic1 
& g5etic factors4  7#c7 ,report ,n lat] 
?an #b ye>s aft] ! date ( ! enactm5t (  
?is section1 & annually !reaft]1 !      
,secret>y %all prep>e a report on !     
f9d+s & recomm5dations ( ! rese>*       
project1 includ+ preval5ce ( ge/ational 
diabetes 9 ! multisite area1 &          
dissem9ate ! report to ! appropriate    
,f$]al & non-,f$]al ag5cies4  7b7       
,expansion ( ge/ational diabetes rese>* 
7#a7 ,9 ,g5]al ,! ,secret>y %all exp& & 
int5sify public heal? rese>* reg>d+     
ge/ational diabetes4 ,su* rese>* may    
include--  7,a7 develop+ & te/+ novel   
approa*es = improv+ po/p>tum diabetes   
te/+ or scre5+ & = prev5t+ type #b      
diabetes 9 wom5 ) a hi/ory ( ge/ational 

diabetes2 &  7,b7 conduct+ public heal? 
rese>* to fur!r und]/&+ ( !             
epidemiologic1 socio5vironm5tal1        
behavioral1 translation1 & biom$ical    
factors & heal? sy/ems t influ5ce ! risk
 ( ge/ational diabetes & ! developm5t ( 
type #b diabetes 9 wom5 ) a hi/ory (    
ge/ational diabetes4  7#b7 ,au?orization
 ( ,appropriations ,!re is au?oriz$ to  
be appropriat$ to c>ry out ?is          
subsection #e1jjj1jjj = ea* ( fiscal    
ye>s #bjad ?r\gh #bjah4  7c7            
,demon/ration grants ,to l[] ! rate (   
ge/ational diabetes  7#a7 ,9 ,g5]al ,!  
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all aw>d grants1 on a competitive     
basis1 to eligible entities =           
demon/ration projects t implem5t        
evid5ce-bas$ int]v5tions to r$uce !     
incid5ce ( ge/ational diabetes1 !       
recurr5ce ( ge/ational diabetes 9       
subsequ5t pregnancies1 & ! developm5t ( 
type #b diabetes 9 wom5 ) a hi/ory (    
ge/ational diabetes4  7#b7 ,priority ,9 

mak+ grants "u ?is subsection1 !        
,secret>y %all give priority to projects
 focus+ on--  7,a7 help+ wom5 :o h #a or
 m risk factors = develop+ ge/ational   
diabetes2  7,b7 work+ ) wom5 ) a hi/ory 
( ge/ational diabetes dur+ a previ\s    
pregnancy2  7,c7 provid+ po/p>tum c>e = 
wom5 ) ge/ational diabetes2  7,d7 track+
 cases :]e wom5 ) a hi/ory ( ge/ational 
diabetes develop$ type #b diabetes2     
7,e7 educat+ mo!rs ) a hi/ory (         
ge/ational diabetes ab\t ! increas$ risk
 ( _! *ildr5 develop+ diabetes2  7,f7   
work+ to prev5t ge/ational diabetes &   
prev5t or delay ! developm5t ( type #b  
diabetes 9 wom5 ) a hi/ory ( ge/ational 
diabetes2 &  7,g7 a*iev+ outcomes       
design$ to assess ! efficacy &          
co/-effectiv5ess ( int]v5tions t c in=m 
decisions on long-t]m su/a9ability1     
includ+ ?ird-p>ty reimbursem5t4  7#c7   
,application ,an eligible entity desir+ 
to receive a grant "u ?is subsection    
%all submit to ! ,secret>y--  7,a7 an   
application at su* "t1 9 su* mann]1 &   

conta9+ su* in=mation z ! ,secret>y may 
require2 &  7,b7 a plan to--  7i7 l[] ! 
rate ( ge/ational diabetes dur+         
pregnancy2 or  7ii7 develop me?ods (    
track+ wom5 ) a hi/ory ( ge/ational     
diabetes & develop effective int]v5tions
 to l[] ! incid5ce ( ! recurr5ce (      
ge/ational diabetes 9 subsequ5t         
pregnancies & ! developm5t ( type #b    
diabetes4  7#d7 ,uses ( ,funds ,an      
eligible entity receiv+ a grant "u ?is  
subsection %all use ! grant funds to    
c>ry out demon/ration projects describ$ 
9 p>agraph 7#a71 includ+--  7,a7 exp&+  
community-bas$ heal? promotion          
education1 activities1 & inc5tives      
focus$ on ! prev5tion ( ge/ational      
diabetes & developm5t ( type #b diabetes
 9 wom5 ) a hi/ory ( ge/ational         
diabetes2  7,b7 aid+ ,/ate- &           
tribal-bas$ diabetes prev5tion & control
 programs to collect1 analyze1          
dissem9ate1 & report surveillance data  
on wom5 )1 & at risk =1 ge/ational      
diabetes1 ! recurr5ce ( ge/ational      

diabetes 9 subsequ5t pregnancies1 &1 =  
wom5 ) a hi/ory ( ge/ational diabetes1 !
 developm5t ( type #b diabetes2 &  7,c7 
tra9+ & enc\rag+ heal? c>e provid]s--   
7i7 to promote risk assessm5t1          
high-quality c>e1 & self-managem5t =    
ge/ational diabetes & ! recurr5ce (     
ge/ational diabetes 9 subsequ5t         
pregnancies2 &  7ii7 to prev5t !        
developm5t ( type #b diabetes 9 wom5 ) a
 hi/ory ( ge/ational diabetes1 & its    
complications 9 ! practice sett+s ( !   
heal? c>e provid]s4  7#e7 ,report ,n    
lat] ?an #d ye>s aft] ! date ( !        
enactm5t ( ?is section1 ! ,secret>y %all
 prep>e & submit to ,congress a report  
conc]n+ ! results ( ! demon/ration      
projects conduct$ ?r\gh ! grants aw>d$  
"u ?is subsection4  7#f7 ,def9ition (   
,eligible ,entity ,9 ?is subsection1 !  
t]m eligible entity means a nonpr(it    
organization 7su* z a nonpr(it academic 
c5t] or community heal? c5t]7 or a      
,/ate1 tribal1 or local heal? ag5cy4    
7#g7 ,au?orization ( ,appropriations    

,!re is au?oriz$ to be appropriat$ to   
c>ry out ?is subsection #e1jjj1jjj = ea*
 ( fiscal ye>s #bjad ?r\gh #bjah4  7d7  
,po/p>tum foll[-,up reg>d+ ge/ational   
diabetes ,! ,secret>y1 act+ ?r\gh !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all "w ) ! ,/ate- &     
tribal-bas$ diabetes prev5tion & control
 programs assi/$ by ! ,c5t]s to enc\rage
 po/p>tum foll[-up aft] ge/ational      
diabetes1 z m$ically appropriate1 = !   
purpose ( r$uc+ ! incid5ce ( ge/ational 
diabetes1 ! recurr5ce ( ge/ational      
diabetes 9 subsequ5t pregnancies1 !     
developm5t ( type #b diabetes 9 wom5 ) a
 hi/ory ( ge/ational diabetes1 & relat$ 
complications4  4