,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cji  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #e1 #bjag,mr4 
,olson 7= himself1 ,mr4 ,loebsack1 ,ms4 
,de,gette1 ,ms4 ,s9ema1 ,mr4 ,zeld91    
,mr4 ,duncan ( ,t5nessee1 ,mr4 ,ryan (  
,ohio1 ,mr4 ,s]rano1 ,mr4 ,k+ ( ,new    
,york1 ,mr4 ,gu?rie1 ,mr4 ,cumm+s1 ,mr4 
,joyce ( ,ohio1 ,mr4 ,deut*1 ,mr4       
,sessions1 ,mrs4 ,blackburn1 ,mr4       
,buc%on1 ,mr4 ,bilirakis1 ,mr4 ,h5s>l+1 
& ,mr4 ,all57 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to fo/] m effective
 implem5tation & coord9ation ( cl9ical  
c>e = p ) a complex metabolic or        
autoimmune disease1 a disease result+ f 
insul9 defici5cy or insul9 resi/ance1 or
 complications caus$ by su* a disease1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,national ,cl9ical 
,c>e ,commission ,act4  #b4 ,e/abli%m5t 
( a national cl9ical c>e commission ,"p 
,p ( title ,,iii ( ! ,public ,heal?     

,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #cii,v-#g4 ,national     
cl9ical c>e commission  7a7 ,e/abli%m5t 
,!re is h]eby e/abli%$1 )9 ! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 a ,national  
,cl9ical ,c>e ,commission 79 ?is section
 ref]r$ to z ! ,commission7 to evaluate1
 & recomm5d solutions reg>d+ bett]      
coord9ation & lev]ag+ (1 programs )9 !  
,dep>tm5t & o!r ,f$]al ag5cies t relate 
9 any way to support+ appropriate       
cl9ical c>e 7su* z any int]actions      
betwe5 physicians & o!r heal? c>e       
provid]s & _! pati5ts relat$ to treatm5t
 & c>e managem5t7 = individuals )--     
7#a7 "o or m complex metabolic or       
autoimmune diseases2  7#b7 "o or m      
diseases result+ f insul9 defici5cy or  
insul9 resi/ance2 or  7#c7 complications
 caus$ by "o or m ( any ( su* diseases4 
7b7 ,memb]%ip  7#a7 ,9 g5]al ,!         
,commission %all be compos$ ( ! foll[+  
vot+ memb]s3  7,a7 ,! heads 7or _!      
designees7 ( ! foll[+ ,f$]al ag5cies &  

dep>tm5ts3 7i7 ,! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices4  7ii7 ,! ,ag5cy =    
,heal?c>e ,rese>* & ,quality4  7iii7 ,! 
,c5t]s = ,disease ,control & ,prev5tion4
  7iv7 ,! ,indian ,heal? ,s]vice4  7v7  
,! ,dep>tm5t ( ,vet]ans ,affairs4  7vi7 
,! ,national ,in/itutes ( ,heal?4  7vii7
 ,! ,food & ,drug ,adm9i/ration4  7viii7
 ,! ,heal? ,res\rces & ,s]vices         
,adm9i/ration4  7ix7 ,! ,dep>tm5t (     
,def5se4  7,b7 ,twelve additional vot+  
memb]s appo9t$ "u p>agraph 7#b74  7,c7  
,su* additional vot+ memb]s z may be    
appo9t$ by ! ,secret>y1 at ! ,secret>y's
 discretion1 f among ! heads 7or _!     
designees7 ( gov]nm5tal or nongov]nm5tal
 entities t impact cl9ical c>e (        
individuals ) any ( ! diseases &        
complications describ$ 9 subsection 7a74
  7#b7 ,additional memb]s ,! ,commission
 %all include additional vot+ memb]s    
appo9t$ by ! ,secret>y1 9 consultation )
 national m$ical societies & pati5t     
advocacy organizations ) exp]tise 9 !   
c>e & epidemiology ( any ( ! diseases & 

complications describ$ 9 subsection 7a71
 includ+ "o or m su* memb]s f ea* ( !   
foll[+ categories3  7,a7 ,cl9ical       
endocr9ologi/s4  7,b7 ,physician        
specialties 7o!r ?an z describ$ 9       
subp>agraph 7,a77 t play a role 9       
diseases & complications describ$ 9     
subsection 7a71 su* z c>diologi/s1      
nephrologi/s1 & eye c>e pr(essionals4   
7,c7 ,prim>y c>e physicians4  7,d7      
,non-physician heal? c>e pr(essionals1  
su* z c]tifi$ diabetes educators1       
regi/]$ dieticians & nutrition          
pr(essionals1 nurses1 nurse             
practition]s1 physician assi/ants4  7,e7
 ,pati5t advocates4  7,f7 ,national     
exp]ts 9 ! duties li/$ "u subsection    
7c74  7,g7 ,heal? c>e provid]s furni%+  
s]vices to a pati5t population t consi/s
 ( a high p]c5tage 7z specifi$ by !     
,secret>y7 ( individuals :o are enroll$ 
9 a ,/ate plan "u title ,,xix ( !       
,social ,security ,act or :o are n cov]$
 "u a heal? plan or heal? insurance     
cov]age4  7#c7 ,*airp]son ,! vot+ memb]s

 ( ! ,commission %all select a *airp]son
 f ! memb]s appo9t$ "u p>agraph 7#b7 f !
 category "u p>agraph 7#b77;,a74  7#d7  
,meet+s ,! ,commission %all meet at lea/
 twice1 & n m ?an #d times1 a ye>4  7#e7
 ,bo>d t]ms ,memb]s ( ! ,commission     
appo9t$ pursuant to subp>agraph 7,b7 or 
7,c7 ( p>agraph 7#a71 includ+ !         
*airp]son1 %all s]ve = a #c-ye> t]m4 ,a 
vacancy on ! ,commission %all be fill$ 9
 ! same mann] z ! orig9al appo9tm5ts4   
7c7 ,duties ,! ,commission %all-- 7#a7  
evaluate programs ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices reg>d+ ! utilization 
( diabetes scre5+ b5efits1 annual       
wellness visits1 & o!r prev5tive heal?  
b5efits t may r$uce ! incid5ce ( !      
diseases & complications de scrib$ 9    
subsection 7a71 includ+ id5tify+        
problems reg>d+ su* utilization & relat$
 data collection me*anisms & make       
recomm5dations2  7#b7 id5tify curr5t    
activities & critical gaps 9 ,f$]al     
ef=ts to support cl9icians 9 provid+    
integrat$1 high-quality c>e to          

individuals ) any ( ! diseases &        
complications describ$ 9 subsection 7a72
  7#c7 make recomm5dations reg>d+ !     
coord9ation ( cl9ically bas$ activities 
t are be+ support$ by ! ,f$]al ,gov]nm5t
 ) respect to ! diseases & complications
 describ$ 9 subsection 7a72  7#d7 make  
recomm5dations reg>d+ ! developm5t &    
coord9ation ( f$]ally fund$ cl9ical     
practice support tools = physicians &   
o!r heal? c>e pr(essionals 9 c>+ = &    
manag+ ! c>e ( individuals ) any ( !    
diseases & complications describ$ 9     
subsection 7a71 specifically ) reg>d to 
implem5tation ( new treatm5ts &         
te*nologies2  7#e7 evaluate programs    
describ$ 9 subsection 7a7 t are 9       
exi/5ce z ( ! date ( ! enactm5t ( ?is   
section & det]m9e if su* programs are   
meet+ ! ne$s id5tifi$ 9 p>agraph 7#b7 &1
 if su* programs are det]m9$ z n meet+  
su* ne$s1 recomm5d programs t w\ld be m 
appropriate2  7#f7 recomm5d1 ) respect  
to ! diseases & complications describ$ 9
 subsection 7a71 cl9ical pa?ways = new  

te*nologies & treatm5ts1 includ+ future 
data collection activities1 t may be    
develop$ & !n us$ to evaluate--  7,a7   
v>i\s c>e models & me?ods2 &  7,b7 !    
impact ( su* models & me?ods on quality 
( c>e z measur$ by appropriate c>e      
p>amet]s 7su* z ,a#a;,c1 blood pressure1
 & *ole/]ol levels72  7#g7 evaluate &   
exp& education & aw>5ess activities     
provid$ to physicians & o!r heal? c>e   
pr(essionals reg>d+ cl9ical practices = 
! prev5tion & treatm5t ( ! diseases &   
complications describ$ 9 subsection 7a72
  7#h7 review & recomm5d appropriate    
me?ods = outrea* & dissem9ation (       
educational res\rces t--  7,a7 address !
 diseases & complications describ$ 9    
subsection 7a72  7,b7 are fund$ by !    
,f$]al ,gov]nm5t2 &  7,c7 are int5d$ =  
heal? c>e pr(essionals & ! public2 &    
7#i7 c>ry out o!r activities1 su* z     
activities relat+ to ! areas ( public   
heal? & nutrition1 t ! ,commission deems
 appropriate ) respect to ! diseases &  
complications describ$ 9 subsection 7a74

  7d7 ,op]at+ plan  7#a7 ,initial plan  
,n lat] ?an #ij days aft] its fir/      
meet+1 ! ,commission %all submit to !   
,secret>y & ! ,congress an op]at+ plan =
 c>ry+ out ! activities ( ! ,commission 
z describ$ 9 subsection 7c74 ,su* op]at+
 plan may include--  7,a7 a li/ (       
specific activities t ! ,commission     
plans to conduct = purposes ( c>ry+ out 
! duties describ$ 9 ea* ( ! p>agraphs 9 
subsection 7c72  7,b7 a plan = complet+ 
! activities2  7,c7 a li/ ( memb]s ( !  
,commission & o!r individuals :o are n  
memb]s ( ! ,commission :o w ne$ to be   
involv$ to conduct su* activities2  7,d7
 an explanation ( ,f$]al ag5cy          
involvem5t & coord9ation ne$$ to conduct
 su* activities2  7,e7 a budget =       
conduct+ su* activities2  7,f7 a plan = 
evaluat+ ! value & pot5tial impact ( !  
,commission's "w & recomm5dations1      
includ+ ! possible cont9uation ( !      
,commission = ! purposes ( ov]see+ _!   
implem5tation2 &  7,g7 o!r in=mation t !
 ,commission deems appropriate4  7#b7   

,updates ,! ,commission %all p]iodically
 update ! op]at+ plan "u p>agraph 7#a7 &
 submit su* updates to ! ,secret>y & !  
,congress4  7e7 ,f9al report ,by n lat] 
?an #c ye>s aft] ! date ( !             
,commission's fir/ meet+1 ! ,commission 
%all submit to ! ,secret>y & ! ,congress
 a f9al report conta9+ all ( ! f9d+s &  
recomm5dations requir$ by ?is section4  
,n lat] ?an #abj days aft] ! submission 
( ! f9al report1 ! ,secret>y %all review
 ! plan requir$ by subsection           
7d77#a77;,f7 & submit to ! ,congress a  
recomm5dation on :e!r ! ,commission %\ld
 be reau?oriz$ to op]ate aft] fiscal ye>
 #bjba4  7f7 ,sunset ,! ,commission %all
 t]m9ate #abj days aft] submitt+ its    
f9al report1 b n lat] ?an ! end ( fiscal
 ye> #bjba4  4