,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #edee  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #aj1 #bjah,ms4 
,de,lauro introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ! ,budget  ,a
 ,,bill  ,to prioritize fund+ = !       
,national ,in/itutes ( ,heal? to discov]
 treatm5ts & cures1 to ma9ta9 global    
lead]%ip 9 m$ical innovation1 & to      
re/ore ! pur*as+ p[] :i* ! ,national    
,in/itutes ( ,heal? _h aft] ! hi/oric   
d\bl+ campaign t end$ 9 fiscal ye>      
#bjjc4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,accel]at+ ,biom$ical ,rese>* 
,act4  #b4 ,f9d+s ,congress f9ds !      
foll[+3  7#a7 ,! ,national ,in/itutes ( 
,heal? 7ref]r$ to 9 ?is section z !     
,,nih7 is ! lead+ biom$ical rese>*      
entity 9 ! _w4 ,x supports rese>*]s 9 e 
,/ate z !y discov] treatm5ts & cures to 
prev5t & r$uce human suff]+4 ,?anks 9   
l>ge "p to ,,nih-fund$ m$ical rese>*1   
,am]icans today are heal?i] & liv+      
long]4 ,life expectancy 9 ! ,unit$      
,/ates has jump$ f #dg ye>s 9 #aijj to  

#gh ye>s 9 #bjji1 & disability 9 p ov]  
age #fe has dropp$ dramatically 9 ! pa/ 
#c decades4  7#b7 ,ov] ! pa/ #dj ye>s1  
,,nih-support$ rese>* contribut$ to !   
discov]y ( ov] #aej ,food & ,drug       
,adm9i/ration-approv$ new drugs1 new    
vacc9es1 & new indications = curr5t     
drugs4  7#c7 ,! application success rate
 is bel[ hi/oric av]ages4 ,f #aihj to   
#bjjc1 ! la/ ye> ( ! d\bl+1 ! grant     
application success rate rang$ betwe5   
#be & #ce p]c5t4 ,by #bjaf1 ! grant     
success rate _h fall5 to #ai4a p]c5t4   
7#d7 ,,nih is vital to ! ,unit$ ,/ates  
economy & supports m ?an #djj1jjj jobs  
across ! c\ntry4  7#e7 ,economi/s h     
e/imat$ ! return on ea* doll> ( inve/m5t
 9 ,,nih to g5]ate any:]e f #a4hj to    
#c4bj 9 economic output4 ,! ,f$]al      
inve/m5t ( #c4h billion 9 ! ,human      
,g5ome ,project f #aihh to #bjjc help$  
drive #gif billion 9 economic output1   
:i* is a return ( #ada = e #a inve/$4   
7#f7 ,! hi/oric d\bl+ ( ,f$]al fund+ = !
 ,,nih end$ 9 fiscal ye> #bjjc4 ,s9ce t 

"t1 ,,nih appropriations h n kept up )  
biom$ical inflation4  7#g7 ,if ,,nih _h 
kept up ) biom$ical inflation1 ,,nih's  
appropriation w\ld h total$ #da4i       
billion 9 #bjah1 m ?an #d billion ?an x 
receiv$4 ,to re/ore fund+ to ! #bjjc    
po/-d\bl+ level w\ld require ,congress  
to appropriate #de4e billion 9 fiscal   
ye> #bjba1 ! f9al ye> ( ! ,budget       
,control ,act ( #bjaa 7,public ,law     
#aab-be74  7#h7 ,high heal? c>e co/s f a
 v>iety ( common conditions ?reat5      
,f$]al1 ,/ate1 & local budgets1 z well z
 ! budgets ( ,am]ican families4 ,rec5t  
e/imates indicate t ! economic co/s (   
,alzheim]'s disease is ov] #bjj billion 
ea* ye> b w rise to ov] #a trillion by  
#bjej unless a prev5tion or cure is     
f\nd4 ,9 #bjjf1 economi/s f\nd t a      
future #a p]c5t r$uction 9 mortality    
rates f canc] w\ld save #ejj billion to 
curr5t & future ,am]icans4 ,a cure =    
canc] 0 e/imat$ to save #ej trillion to 
,am]icans1 m ?an #c times ! gross       
dome/ic product ( ! ,unit$ ,/ates 9     

#bjab4 ,! ,c5t]s = ,disease ,control &  
,prev5tion reports t annual co/s f      
undiagnos$ diabetes 0 #bde billion ea*  
ye>4 ,& a rec5t /udy projects t by      
#bjcj1 ne>ly #dd p]c5t ( ! ,unit$ ,/ates
 population w face "s =m ( c>diovascul> 
disease co/+ a total ( #a4b trillion    
betwe5 #bjab & #bjcj4  7#i7 ,budget cap 
adju/m5ts are h[ ,congress traditionally
 prioritizes areas ( sp5d+ t produce    
economic gr[? & r$uce co/s t contribute 
to ! ,f$]al debt4  #c4 ,cap adju/m5t    
,section #bea7;b77#b7 ( ! ,balanc$      
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe 7#b ,u4,s4,c4 #ija7;b77#b77
 is am5d$--  7#a7 by r$esignat+         
subp>agraph 7,d7 z subp>agraph 7,e72 &  
7#b7 by ins]t+ aft] subp>agraph 7,c71 ! 
foll[+3  7,d7 ,national ,in/itutes (    
,heal?  7i7 ,9 g5]al ,if a bill or jo9t 
resolution mak+ appropriations = a      
fiscal ye> is enact$ t specifies am\nts 
= ! ,national ,in/itutes ( ,heal? at !  
,dep>tm5t ( ,heal? & ,human ,s]vices    
7#ge-iiae-a-a-eeb71 !n ! adju/m5ts = t  

fiscal ye> %all be ! am\nt ( additional 
new budget au?ority provid$ 9 t ,act =  
su* programs = t fiscal ye>1 b %all n   
exce$--  7,i7 = fiscal ye> #bjai1       
#e1jjj1jjj1jjj 9 additional new budget  
au?ority2  7,,ii7 = fiscal ye> #bjbj1   
#g1jjj1jjj1jjj 9 additional new budget  
au?ority2 &  7,,iii7 = fiscal ye> #bjba1
 #h1djj1jjj1jjj 9 additional new budget 
au?ority4  7ii7 ,def9itions ,z us$ 9 ?is
 subp>agraph3  7,i7 ,additional new     
budget au?ority ,! t]m additional new   
budget au?ority means ! am\nt provid$ = 
a fiscal ye>1 9 excess (                
#cg1jhd1jjj1jjj1 9 an appropriation ,act
 & specifi$ to support ! ,national      
,in/itutes ( ,heal?4  7,,ii7 ,national  
,in/itutes ( ,heal? ,! t]m ,national    
,in/itutes ( ,heal? means !             
appropriations acc\nts t support ! v>i\s
 in/itutes1 (fices1 & c5t]s t make up ! 
,national ,in/itutes ( ,heal?4  4