,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fbbd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bh1        
#bjaf,mrs4 ,beatty 7= h]self1 ,ms4      
,sewell ( ,alabama1 & ,mr4 ,"y ( ,i[a7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to promote ! inclusion (   
m9orities & wom5 9 cl9ical rese>*1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,enhanc+ ,m9ority &    
,wom5 ,repres5tation 9 ,,nih ,m$ical    
,rese>* ,act ( #bjaf4  #b4              
,collaboration to enhance div]sity 9    
cl9ical rese>* ,section #djb7;b7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhb7;b77 is am5d$--  7#a7 by 
am5d+ p>agraph 7#d7 to read z foll[s3   
7#d7 %all assemble accurate data to be  
us$ to assess rese>* priorities1        
includ+--  7,a7 in=mation to bett]      
evaluate sci5tific opportunity1 public  
heal? burd5s1 & progress 9 r$uc+ heal?  
disp>ities2 &  7,b7 data on /udy        

populations ( cl9ical rese>*1 fund$ by  
or conduct$ at ea* national rese>*      
in/itute & national c5t]1 :i*--  7i7    
specifies ! inclusion (-- 7,i7 wom52    
7,,ii7 memb]s ( m9ority gr\ps2  7,,iii7 
relevant age categories2 &  7,,iv7 o!r  
demographic v>iables det]m9$ to be      
necess>y by ! ,director ( ,,nih2  7ii7  
is disaggregat$ by rese>* area1         
condition1 & disease categories2 &      
7iii7 is to be made publicly available  
on ! ,int]net website ( ! ,national     
,in/itutes ( ,heal?2  2 &  7#b7 9       
p>agraph 7#h7--  7,a7 9 subp>agraph     
7,a71 by /rik+ & at ! end2 &  7,b7 by   
add+ at ! end ! foll[+3  7,c7 fo/]      
collaboration betwe5 cl9ical rese>*     
projects fund$ by ! respective national 
rese>* in/itutes & national c5t]s t--   
7i7 conduct rese>* involv+ human        
subjects2 &  7ii7 collect simil> data2 &
  7,d7 enc\rage ! collaboration describ$
 9 subp>agraph 7,c7 to-- 7i7 all[ = an  
increase 9 ! numb] ( subjects /udi$2 &  
7ii7 utilize div]se /udy populations1 ) 

special consid]ation to biological1     
social1 & o!r det]m9ants ( heal? t      
contribute to heal? disp>ities2  4  #c4 
,promot+ inclusion 9 cl9ical rese>*  7a7
 ,/rategic plan ,section #dib;,b7a7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhi;a-#b7;a77 is am5d$ by    
add+ at ! end ! foll[+3  7#c7 ,/rategic 
plann+  7,a7 ,9 g5]al ,! directors ( !  
national in/itutes & national c5t]s %all
 consult at lea/ once annually ) !      
,director ( ! ,national ,in/itute on    
,m9ority ,heal? & ,heal? ,disp>ities & !
 ,director ( ! ,(fice ( ,rese>* on      
,wom5's ,heal? reg>d+ objectives ( !    
national in/itutes & national c5t]s to  
ensure t future activities by su*       
in/itutes & c5t]s take into acc\nt wom5 
& m9orities & are focus$ on r$uc+ heal? 
disp>ities4  7,b7 ,/rategic plans ,any  
/rategic plan issu$ by a national       
in/itute or national c5t] %all include  
details on ! objectives describ$ 9      
subp>agraph 7,a74  4  7b7 ,cl>ification 
( requirem5ts ,section #dib;,b7c7 ( !   

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhi;a-#b7;c77 is am5d$-- 7#a7
 by /rik+ ,9 ! case & ins]t+ ! foll[+3  
7#a7 ,9 g5]al ,9 ! case  2 &  7#b7 by   
add+ at ! end ! foll[+3  7#b7 ,report+  
requirem5ts ,= any new & compet+ project
 ( cl9ical rese>* subject to !          
requirem5ts "u ?is section t receives a 
grant aw>d #a ye> aft] ! date ( enactm5t
 ( ! ,enhanc+ ,m9ority & ,wom5          
,repres5tation 9 ,,nih ,m$ical ,rese>*  
,act ( #bjaf1 or any date !reaft]1 = :i*
 a valid analysis is provid$ "u p>agraph
 7#a7--  7,a7 & :i* is an applicable    
cl9ical trial z def9$ 9 section         
#djb7;j71 ! entity conduct+ su* cl9ical 
rese>* %all submit ! results ( su* valid
 analysis to ! cl9ical trial regi/ry    
data bank exp&$ "u #djb7;j77#c71 & !    
,director ( ,,nih %all1 z appropriate1  
consid] :e!r su* entity has compli$ ) ! 
report+ requirem5t describ$ 9 ?is       
subp>agraph 9 aw>d+ any future grant to 
su* entity1 includ+ pursuant to section 
#djb7;j77#e77;,a77ii7 :5 applicable2 &  

7,b7 ! ,director ( ,,nih %all enc\rage !
 report+ ( ! results ( su* valid        
analysis describ$ 9 p>agraph 7#a7 ?r\gh 
any additional means det]m9$ appropriate
 by ! ,director4  4  7c7 ,report+       
,section #dib;,b7f7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bhi;a-#b7;f77 is am5d$-- 7#a7 by /rik+ 
bi5nial ea* place su* t]m appe>s &      
ins]t+ tri5nial 9 ea* su* place2  7#b7  
by /rik+ ,! advisory c\ncil & ins]t+ !  
foll[+3  7#a7 ,9 g5]al ,! advisory      
c\ncil  2 &  7#c7 by add+ at ! end !    
foll[+3  7#b7 ,cont5ts ,ea* tri5nial    
report prep>$ by an advisory c\ncil (   
ea* national rese>* in/itute z describ$ 
9 p>agraph 7#a7 %all include ea* ( !    
foll[+3  7,a7 ,! numb] ( wom5 includ$ z 
subjects1 & ! proportion ( subjects t   
are wom51 9 any project ( cl9ical rese>*
 conduct$ dur+ ! applicable report+     
p]iod1 disaggregat$ by categories (     
rese>* area1 condition1 or disease1 &   
acc\nt+ = s+le-sex /udies4  7,b7 ,!     
numb] ( memb]s ( m9ority gr\ps includ$ z

 subjects1 & ! proportion ( subjects t  
are memb]s ( m9ority gr\ps1 9 any       
project ( cl9ical rese>* conduct$ dur+ !
 applicable report+ p]iod1 disaggregat$ 
by categories ( rese>* area1 condition1 
or disease & acc\nt+ = s+le-race &      
s+le-e?nicity /udies4  7,c7 ,= !        
applicable report+ p]iod1 ! numb] (     
projects ( cl9ical rese>* t include wom5
 & memb]s ( m9ority gr\ps & t--  7i7 h  
be5 complet$ dur+ su* report+ p]iod2 &  
7ii7 are be+ c>ri$ out dur+ su* report+ 
p]iod & h n be5 complet$4  7,d7 ,! numb]
 ( /udies complet$ dur+ ! applicable    
report+ p]iod = :i* report+ has be5     
submitt$ 9 accordance ) subsection      
7c77#b77;,a74  4  7d7 ,coord9ation      
,section #dhf7;c77#b7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bhg;d7c77#b77 is am5d$ by /rik+        
designees & ins]t+ s5ior-level /aff     
designees4  #d4 ,improv+ coord9ation    
relat$ to m9ority heal? & heal?         
disp>ities ,section #dfdz-#c ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     

#bhet7 is am5d$--  7#a7 by r$esignat+   
subsection 7h71 relat+ to int]ag5cy     
coord9ation1 t foll[s subsection 7j7 z  
subsection 7k72 &  7#b7 9 subsection 7k7
 7z s r$esignat$7-- 7,a7 9 ! subsection 
head+1 by /rik+ ,int]ag5cy & ins]t+     
,intra-,,nih2  7,b7 by /rik+ z ! prim>y 
,f$]al (ficials & ins]t+ z ! prim>y     
,f$]al (ficial2  7,c7 by ins]t+ a comma 
aft] review2  7,d7 by /rik+ ,in/itutes &
 ,c5t]s ( ! ,national ,in/itutes (      
,heal? & ins]t+ national rese>*         
in/itutes & national c5t]s2 &  7,e7 by  
add+ at ! end ! foll[+3 ,! ,director ( !
 ,in/itute may fo/] p>tn]%ips betwe5 !  
national rese>* in/itutes & national    
c5t]s & may enc\rage ! fund+ (          
collaborative rese>* projects to a*ieve 
! goals ( ! ,national ,in/itutes (      
,heal? t are relat$ to m9ority heal? &  
heal? disp>ities44  #e4 ,wom5 &         
m9orities 9 rese>*  7a7 ,basic rese>*   
7#a7 ,develop+ policies ,n lat] ?an #b  
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,director ( ! ,national ,in/itutes (  

,heal? 7ref]r$ to 9 ?is section z !     
,director ( ,,nih7 %all develop policies
 = projects ( basic rese>* fund$ by     
,national ,in/itutes ( ,heal? to        
assess--  7,a7 relevant biological      
v>iables includ+ sex1 z appropriate2 &  
7,b7 h[ diff]5ces betwe5 male & female  
cells1 tissues1 or animals may be exam9$
 & analyz$4  7#b7 ,revis+ policies ,!   
,director ( ,,nih may update or revise !
 policies develop$ "u p>agraph 7#a7 z   
appropriate4  7#c7 ,consultation &      
outrea* ,9 develop+1 updat+1 or revis+ !
 policies "u ?is section1 ! ,director ( 
,,nih--  7,a7 %all consult )-- 7i7 !    
,(fice ( ,rese>* on ,wom5's ,heal?2     
7ii7 ! ,(fice ( ,laboratory ,animal     
,welf>e2 &  7iii7 appropriate memb]s ( !
 sci5tific & academic communities2 &    
7,b7 %all conduct outrea* to solicit    
fe$back f memb]s ( ! sci5tific &        
academic communities on ! influ5ce ( sex
 z a v>iable 9 basic rese>*1 includ+    
fe$back on :5 x is appropriate =        
projects ( basic rese>* involv+ cells1  

tissues1 or animals to include bo? male 
& female cells1 tissues1 or animals4    
7#d7 ,additional requirem5ts ,!         
,director ( ,,nih %all-- 7,a7 ensure t  
projects ( basic rese>* fund$ by !      
,national ,in/itutes ( ,heal? are       
conduct$ 9 accordance ) ! policies      
develop$1 updat$1 or revis$ "u ?is      
section1 z applicable2 &  7,b7 enc\rage 
t ! results ( su* rese>*1 :5 publi%$ or 
report$1 be disaggregat$ z appropriate )
 respect to ! analysis ( any sex        
diff]5ces4  7b7 ,cl9ical rese>*  7#a7 ,9
 g5]al ,n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act1 ! ,director (      
,,nih1 9 consultation ) ! ,director ( ! 
,(fice ( ,rese>* on ,wom5's ,heal? & !  
,director ( ! ,national ,in/itute on    
,m9ority ,heal? & ,heal? ,disp>ities1   
%all update ! guidel9es e/abli%$ "u     
section #dib;,b7d7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bhi;a-#b7;d77 9 accordance ) p>agraph  
7#b74  7#b7 ,requirem5ts ,! updat$      
guidel9es describ$ 9 p>agraph 7#a7      

%all-- 7,a7 reflect ! sci5ce reg>d+ sex 
diff]5ces2  7,b7 improve adh]5ce to !   
requirem5ts "u section #dib;,b ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhi;a-#b71 includ+ ! report+ 
requirem5ts "u subsection 7f7 ( su*     
section2 &  7,c7 cl>ify ! circum/ances  
"u :i* /udies %\ld be design$ to support
 ! conduct ( analyses to detect         
significant diff]5ces 9 ! int]v5tion    
effect due to demographic factors relat$
 to section #dib;,b ( ! ,public ,heal?  
,s]vice ,act1 includ+ 9 ! abs5ce ( prior
 /udies t demon/rate a diff]5ce 9 /udy  
outcomes on ! basis ( su* factors &     
consid]+ ! effects ( ! abs5ce ( su*     
analyses on ! availability ( data relat$
 to demographic diff]5ces4