,,ib ,union ,calendar ,no4 #fbe #aadth ,,congress #b;d ,session ,h4 ,r4 #aaib ,report ,no4 #aad-hja ,,in ,,the ,,house ,,of ,,representatives ,march #b1 #bjae ,mr4 ,olson 7for himself1 ,mr4 ,loebsack1 ,mr4 ,whitfield1 ,ms4 ,de,gette1 ,ms4 ,norton1 ,mr4 ,farenthold1 ,mr4 ,kelly of ,pennsylvania1 ,mr4 ,guthrie1 ,mr4 ,takano1 ,mr4 ,bishop of ,georgia1 ,mr4 ,blumenauer1 ,mr4 ,grijalva1 ,mr4 ,heck of ,nevada1 ,ms4 ,frankel of ,florida1 ,mr4 ,collins of ,new ,york1 ,mr4 ,mc,kinley1 ,mr4 ,sessions1 ,mr4 ,smith of ,new ,jersey1 ,mr4 ,rodney ,davis of ,illinois1 ,mr4 ,duncan of ,south ,carolina1 ,mr4 ,levin1 ,mr4 ,joyce1 ,mr4 ,neal1 ,ms4 ,slaughter1 ,ms4 ,granger1 ,mr4 ,schiff1 ,mr4 ,rush1 ,ms4 ,brown of ,florida1 ,mr4 ,barletta1 ,mr4 ,bucshon1 ,mr4 ,buchanan1 ,mr4 ,david ,scott of ,georgia1 ,ms4 ,speier1 ,ms4 ,edwards1 ,mr4 ,long1 ,mr4 ,hastings1 ,ms4 ,del,bene1 ,ms4 ,titus1 ,mr4 ,lipinski1 ,mr4 ,wittman1 ,mr4 ,young of ,indiana1 ,ms4 ,bordallo1 ,mr4 ,yarmuth1 ,mr4 ,butterfield1 ,mr4 ,himes1 ,mr4 ,rangel1 ,ms4 ,castor of ,florida1 ,mr4 ,johnson of ,ohio1 ,mr4 ,delaney1 ,mr4 ,smith of ,texas1 ,mr4 ,peters1 ,mr4 ,peterson1 ,mr4 ,ruiz1 and ,mr4 ,burgess7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,november #ad1 #bjaf ,additional sponsors3 ,mr4 ,polis1 ,mr4 ,cartwright1 ,ms4 ,tsongas1 ,mr4 ,mc,govern1 ,mr4 ,gohmert1 ,ms4 ,mc,collum1 ,mr4 ,roe of ,tennessee1 ,mr4 ,price of ,north ,carolina1 ,mr4 ,higgins1 ,mrs4 ,beatty1 ,mr4 ,gowdy1 ,mr4 ,walz1 ,mr4 ,young of ,iowa1 ,ms4 ,matsui1 ,mr4 ,vargas1 ,mr4 ,pompeo1 ,mrs4 ,bustos1 ,mr4 ,wilson of ,south ,carolina1 ,mr4 ,barr1 ,mr4 ,kildee1 ,ms4 ,kuster1 ,mr4 ,amodei1 ,mr4 ,tiberi1 ,mr4 ,fortenberry1 ,ms4 ,brownley of ,california1 ,mr4 ,stivers1 ,mr4 ,huffman1 ,mr4 ,frelinghuysen1 ,mr4 ,nolan1 ,mr4 ,young of ,alaska1 ,mr4 ,paulsen1 ,mr4 ,rogers of ,kentucky1 ,mr4 ,turner1 ,mr4 ,williams1 ,mr4 ,jolly1 ,mr4 ,latta1 ,mr4 ,pocan1 ,mr4 ,moulton1 ,ms4 ,lee1 ,mr4 ,mooney of ,west ,virginia1 ,mrs4 ,brooks of ,indiana1 ,mrs4 ,ellmers of ,north ,carolina1 ,ms4 ,clarke of ,new ,york1 ,mr4 ,ryan of ,ohio1 ,mr4 ,harper1 ,ms4 ,pingree1 ,mr4 ,allen1 ,mr4 ,connolly1 ,mr4 ,kind1 ,mr4 ,lance1 ,mr4 ,rothfus1 ,mr4 ,tonko1 ,mr4 ,israel1 ,mrs4 ,hartzler1 ,mr4 ,pascrell1 ,ms4 ,schakowsky1 ,mr4 ,heck of ,washington1 ,mrs4 ,kirkpatrick1 ,mr4 ,reed1 ,mr4 ,payne1 ,ms4 ,clark of ,massachusetts1 ,mr4 ,cohen1 ,mr4 ,veasey1 ,mr4 ,costello of ,pennsylvania1 ,mrs4 ,watson ,coleman1 ,mr4 ,culberson1 ,mr4 ,hensarling1 ,mr4 ,sablan1 ,mr4 ,flores1 ,ms4 ,eddie ,bernice ,johnson of ,texas1 ,mrs4 ,napolitano1 ,mr4 ,meehan1 ,mr4 ,gene ,green of ,texas1 ,ms4 ,eshoo1 ,mr4 ,carson of ,indiana1 ,ms4 ,maxine ,waters of ,california1 ,mr4 ,johnson of ,georgia1 ,mr4 ,bilirakis1 ,mrs4 ,blackburn1 ,mr4 ,kennedy1 ,mr4 ,guinta1 ,mr4 ,forbes1 ,mr4 ,takai1 ,mr4 ,de,fazio1 ,ms4 ,sinema1 ,mr4 ,lynch1 ,ms4 ,lofgren1 ,mr4 ,ribble1 ,mr4 ,sensenbrenner1 ,mr4 ,ben ,ray ,lujn of ,new ,mexico1 ,mr4 ,ross1 ,ms4 ,sewell of ,alabama1 ,mr4 ,welch1 ,mr4 ,rigell1 ,mr4 ,thompson of ,mississippi1 ,mr4 ,langevin1 ,mr4 ,hunter1 ,mr4 ,yoder1 ,mr4 ,shimkus1 ,mr4 ,schrader1 ,ms4 ,judy ,chu of ,california1 ,mr4 ,gutirrez1 ,mr4 ,wenstrup1 ,mr4 ,king of ,new ,york1 ,mr4 ,mullin1 ,mr4 ,sam ,johnson of ,texas1 ,mr4 ,kilmer1 ,mr4 ,gibson1 ,mrs4 ,davis of ,california1 ,mr4 ,lewis1 ,ms4 ,linda ,t4 ,snchez of ,california1 ,mr4 ,sires1 ,mr4 ,honda1 ,mr4 ,grayson1 ,mr4 ,pierluisi1 ,mr4 ,barton1 ,mr4 ,ruppersberger1 ,mr4 ,murphy of ,pennsylvania1 ,mr4 ,shuster1 ,mr4 ,kinzinger of ,illinois1 ,mr4 ,fattah1 ,ms4 ,wilson of ,florida1 ,mr4 ,nugent1 ,mr4 ,rokita1 ,ms4 ,kaptur1 ,mr4 ,thornberry1 ,mr4 ,fitzpatrick1 ,mr4 ,swalwell of ,california1 ,mr4 ,duncan of ,tennessee1 ,mr4 ,deutch1 ,mr4 ,jones1 ,mr4 ,perry1 ,mr4 ,zeldin1 ,mr4 ,scott of ,virginia1 ,mr4 ,van ,hollen1 ,mrs4 ,miller of ,michigan1 ,mr4 ,rouzer1 ,mr4 ,conyers1 ,mr4 ,walberg1 ,mr4 ,brady of ,pennsylvania1 ,mr4 ,babin1 ,miss ,rice of ,new ,york1 ,ms4 ,velzquez1 ,mr4 ,blum1 ,mr4 ,walden1 ,mr4 ,ashford1 ,mr4 ,garrett1 ,mrs4 ,comstock1 ,mr4 ,beyer1 ,ms4 ,hahn1 ,mr4 ,cummings1 ,mr4 ,thompson of ,pennsylvania1 ,mr4 ,holding1 ,mr4 ,vela1 ,mr4 ,marchant1 ,mrs4 ,lawrence1 ,mr4 ,nadler1 ,mr4 ,valadao1 ,ms4 ,meng1 ,mr4 ,serrano1 ,mr4 ,sean ,patrick ,maloney of ,new ,york1 ,mr4 ,benishek1 ,ms4 ,roybal-,allard1 ,mr4 ,graves of ,louisiana1 ,mr4 ,brendan ,f4 ,boyle of ,pennsylvania1 ,mr4 ,carter of ,texas1 ,ms4 ,michelle ,lujan ,grisham of ,new ,mexico1 ,mr4 ,byrne1 ,mr4 ,ted ,lieu of ,california1 ,mr4 ,grothman1 ,ms4 ,adams1 ,mr4 ,doggett1 ,mr4 ,aguilar1 ,mr4 ,lo,biondo1 ,mr4 ,cramer1 and ,mr4 ,rice of ,south ,carolina ,november #ad1 #bjaf ,reported with amendments1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed ,strike out all after the enacting clause and insert the part printed in italic ,for text of introduced bill1 see copy of bill as introduced on ,march #b1 #bjae ,a ,,bill ,to amend the ,public ,health ,service ,act to foster more effective implementation and coordination of clinical care for people with pre-diabetes1 diabetes1 and the chronic diseases and conditions that result from diabetes4 #a4 ,short title ,this ,act may be cited as the ,national ,clinical ,care ,commission ,act4 #b4 ,establishment of the ,national ,clinical ,care ,commission ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following new section3 #cii,v-#g4 ,national clinical care commission 7a7 ,establishment ,there is hereby established1 within the ,department of ,health and ,human ,services1 a ,national ,clinical ,care ,commission 7in this section referred to as the ,commission7 to evaluate1 and recommend solutions regarding better coordination and leveraging of1 programs within the ,department and other ,federal agencies that relate in any way to supporting appropriate clinical care 7such as any interactions between physicians and other health care providers and their patients related to treatment and care management7 for individuals with-- 7#a7 a complex metabolic or autoimmune disease2 7#b7 a disease resulting from insulin deficiency or insulin resistance2 or 7#c7 complications caused by any such disease4 7b7 ,membership 7#a7 ,in general ,the ,commission shall be composed of the following voting members3 7,a7 ,the heads 7or their designees7 of the following ,federal agencies and departments3 7i7 ,the ,centers for ,medicare ,medicaid ,services4 7ii7 ,the ,agency for ,healthcare ,research and ,quality4 7iii7 ,the ,centers for ,disease ,control and ,prevention4 7iv7 ,the ,indian ,health ,service4 7v7 ,the ,department of ,veterans ,affairs4 7vi7 ,the ,national ,institutes of ,health4 7vii7 ,the ,food and ,drug ,administration4 7viii7 ,the ,health ,resources and ,services ,administration4 7ix7 ,the ,department of ,defense4 7,b7 ,twelve additional voting members appointed under paragraph 7#b74 7,c7 ,such additional voting members as may be appointed by the ,secretary1 at the ,secretary's discretion1 from among the heads 7or their designees7 of governmental or nongovernmental entities that impact clinical care of individuals with any of the diseases and complications described in subsection 7a74 7#b7 ,additional members ,the ,commission shall include additional voting members appointed by the ,secretary1 in consultation with national medical societies and patient advocacy organizations with expertise in the care and epidemiology of any of the diseases and complications described in subsection 7a71 including one or more such members from each of the following categories3 7,a7 ,clinical endocrinologists4 7,b7 ,physician specialties 7other than as described in subparagraph 7,a77 that play a role in diseases and complications described in subsection 7a71 such as cardiologists1 nephrologists1 and eye care professionals4 7,c7 ,primary care physicians4 7,d7 ,non-physician health care professionals1 such as certified diabetes educators1 registered dieticians and nutrition professionals1 nurses1 nurse practitioners1 and physician assistants4 7,e7 ,patient advocates4 7,f7 ,national experts in the duties listed under subsection 7c74 7,g7 ,health care providers furnishing services to a patient population that consists of a high percentage 7as specified by the ,secretary7 of individuals who are enrolled in a ,state plan under title ,,xix of the ,social ,security ,act or who are not covered under a health plan or health insurance coverage4 7#c7 ,chairperson ,the voting members of the ,commission shall select a chairperson from the members appointed under paragraph 7#b7 from the category under paragraph 7#b77;,a74 7#d7 ,meetings ,the ,commission shall meet at least twice1 and not more than #d times1 a year4 7#e7 ,board terms ,members of the ,commission appointed pursuant to subparagraph 7,b7 or 7,c7 of paragraph 7#a71 including the chairperson1 shall serve for a #c-year term4 ,a vacancy on the ,commission shall be filled in the same manner as the original appointments4 7c7 ,duties ,the ,commission shall-- 7#a7 evaluate programs of the ,department of ,health and ,human ,services regarding the utilization of diabetes screening benefits1 annual wellness visits1 and other preventive health benefits that may reduce the incidence of the diseases and complications described in subsection 7a71 including explaining problems regarding such utilization and related data collection mechanisms2 7#b7 identify current activities and critical gaps in ,federal efforts to support clinicians in providing integrated1 high-quality care to individuals with any of the diseases and complications described in subsection 7a72 7#c7 make recommendations regarding the coordination of clinically-based activities that are being supported by the ,federal ,government with respect to the diseases and complications described in subsection 7a72 7#d7 make recommendations regarding the development and coordination of federally funded clinical practice support tools for physicians and other health care professionals in caring for and managing the care of individuals with any of the diseases and complications described in subsection 7a71 specifically with regard to implementation of new treatments and technologies2 7#e7 evaluate programs described in subsection 7a7 that are in existence as of the date of the enactment of this section and determine if such programs are meeting the needs identified in paragraph 7#b7 and1 if such programs are determined as not meeting such needs1 recommend programs that would be more appropriate2 7#f7 recommend1 with respect to the diseases and complications described in subsection 7a71 clinical pathways for new technologies and treatments1 including future data collection activities1 that may be developed and then used to evaluate-- 7,a7 various care models and methods2 and 7,b7 the impact of such models and methods on quality of care as measured by appropriate care parameters 7such as ,a#a;,c1 blood pressure1 and cholesterol levels72 7#g7 evaluate and expand education and awareness activities provided to physicians and other health care professionals regarding clinical practices for the prevention of the diseases and complications described in subsection 7a72 7#h7 review and recommend appropriate methods for outreach and dissemination of educational resources that-- 7,a7 regard the diseases and complications described in subsection 7a72 7,b7 are funded by the ,federal ,government2 and 7,c7 are intended for health care professionals and the public2 and 7#i7 carry out other activities1 such as activities relating to the areas of public health and nutrition1 that the ,commission deems appropriate with respect to the diseases and complications described in subsection 7a74 7d7 ,operating plan 7#a7 ,initial plan ,not later than #ij days after its first meeting1 the ,commission shall submit to the ,secretary and the ,congress an operating plan for carrying out the activities of the ,commission as described in subsection 7c74 ,such operating plan may include-- 7,a7 a list of specific activities that the ,commission plans to conduct for purposes of carrying out the duties described in each of the paragraphs in subsection 7c72 7,b7 a plan for completing the activities2 7,c7 a list of members of the ,commission and other individuals who are not members of the ,commission who will need to be involved to conduct such activities2 7,d7 an explanation of ,federal agency involvement and coordination needed to conduct such activities2 7,e7 a budget for conducting such activities2 7,f7 a plan for evaluating the value and potential impact of the ,commission's work and recommendations1 including the possible continuation of the ,commission for the purposes of overseeing their implementation2 and 7,g7 other information that the ,commission deems appropriate4 7#b7 ,updates ,the ,commission shall periodically update the operating plan under paragraph 7#a7 and submit such updates to the ,secretary and the ,congress4 7e7 ,final report ,by not later than #c years after the date of the ,commission's first meeting1 the ,commission shall submit to the ,secretary and the ,congress a final report containing all of the findings and recommendations required by this section4 ,not later than #abj days after the submission of the final report1 the ,secretary shall review the plan required by subsection 7d77#a77;,f7 and submit to the ,congress a recommendation on whether the ,commission should be reauthorized to operate after fiscal year #bjai4 7f7 ,sunset ,the ,commission shall terminate at the end of fiscal year #bjai4 4 ,amend the title so as to read3 ,a bill to amend the ,public ,health ,service ,act to foster more effective implementation and coordination of clinical care for people with a complex metabolic or autoimmune disease1 a disease resulting from insulin deficiency or insulin resistance1 or complications caused by such a disease1 and for other purposes44 ,november #ad1 #bjaf ,reported with amendments1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed