,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #gjce  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,octob] #e1 #bjah,ms4 
,wass]man ,s*ultz 7= h]self1 ,ms4       
,jackson ,lee1 & ,ms4 ,kelly ( ,ill9ois7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,en]gy & ,comm]ce  ,a
 ,,bill  ,to provide = a ,national      
,/rategy ,to ,increase ,life            
,expectancy1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,national ,/rategy ,to ,increase ,life  
,expectancy ,act ( #bjah4  #b4 ,f9d+s ,!
 ,congress makes ! foll[+ f9d+s3  7#a7  
,unit$ ,/ates life expectancy at bir?1  
=m]ly long] ?an _m o!r weal?y nations1  
has lagg$ ov] ! pa/ f\r decades &       
curr5tly /&s at #gh4f ye>s comp>$ ) !   
,organization = ,economic ,coop]ation & 
,developm5t av]age ( ne>ly #ha ye>s4    
7#b7 ,if ,unit$ ,/ates life expectancy  
mat*$ ! ,organization = ,economic       
,coop]ation & ,developm5t av]age1 m ?an 
#baj1jjj dea?s w\ld be prev5t$ annually4
  7#c7 ,unit$ ,/ates life expectancy    

decl9$ 9 #bjae & #bjaf1 ! fir/ decl9e 9 
#b consecutive ye>s s9ce a deadly       
influ5za p&emic caus$ decl9es 9 #aifb & 
#aifc4  7#d7 ,prelim9>y data indicates t
 ,unit$ ,/ates life expectancy decl9$ 9 
#bjag1 :i* w\ld m>k ! fir/ decl9e 9 #c  
consecutive ye>s s9ce #aiaf-aiah1 :i*   
includ$ ! ,spani% influ5za p&emic t     
kill$ an e/imat$ #fge1jjj ,am]icans4    
7#e7 ,! gap 9 life expectancy betwe5 !  
,unit$ ,/ates & ! ,organization =       
,economic ,coop]ation & ,developm5t has 
be5 attribut$ 9 "p to num]\s factors1   
includ+ ! opioid epidemic1 smok+1       
obesity1 insuffici5t ex]cise1 infant    
mortality1 mat]nal mortality1 af=dable  
access to high-quality heal? c>e1 gun   
viol5ce1 economic inequality1 & social  
isolation4  7#f7 ,!re is significant &  
gr[+ inequality 9 life expectancy 9 !   
,unit$ ,/ates bas$ on socioeconomic     
/atus1 race1 e?nicity1 & geography4  #c4
 ,national ,/rategy ,to ,increase ,life 
,expectancy ,! ,public ,heal? ,s]vice   
,act is am5d$ by ins]t+ aft] section    

#caj;,a ( su* ,act 7#db ,u4,s4,c4 #bdbs7
 ! foll[+ new section3  #caj;,b4        
,national ,/rategy ,to ,increase ,life  
,expectancy  7a7 ,9 g5]al ,! ,secret>y  
%all develop & ma9ta9 a national /rategy
 to be kn[n z ! ,national ,/rategy ,to  
,increase ,life ,expectancy 79 ?is      
section ref]r$ to z ! ,national         
,/rategy7 = increas+ life expectancy 9 !
 ,unit$ ,/ates to1 at m9imum1 ! av]age  
life expectancy 9 ! memb] c\ntries ( !  
,organization = ,economic ,coop]ation & 
,developm5t4  7b7 ,process2 transmittal 
to ,congress & public release  7#a7     
,process ,! ,secret>y %all-- 7,a7       
develop ! ,national ,/rategy & ea*      
update !reto 9 consultation )--  7i7 o!r
 ,f$]al dep>tm5ts & ag5cies z           
appropriate2 &  7ii7 m$ical             
pr(essionals1 pati5t advocates1 & exp]ts
 9 public heal? & o!r subject matt]     
areas impact+ life expectancy2 &  7,b7  
%all publi% a propos$ v]sion ( !        
,national ,/rategy & ea* update !reto 9 
! ,f$]al ,regi/] & provide a p]iod ( at 

lea/ #cj days = ! public to submit      
comm5ts on ea* su* proposal be=e f9aliz+
 ! ,national ,/rategy or update1        
respectively4  7#b7 ,transmittal2       
release ,n lat] ?an #b ye>s aft] ! date 
( enactm5t ( ! ,national ,/rategy ,to   
,increase ,life ,expectancy ,act (      
#bjah1 ! ,secret>y %all-- 7,a7 transmit 
! f9al ,national ,/rategy to !          
appropriate congressional committees2 & 
7,b7 release ! f9al ,national ,/rategy  
to ! public4  7#c7 ,updates ,e #b ye>s  
foll[+ ! transmittal "u p>agraph 7#b7 ( 
! initial ,national ,/rategy1 !         
,secret>y %all--  7,a7 make updates1 z !
 ,secret>y det]m9es appropriate1 to !   
,national ,/rategy pursuant to ! process
 describ$ 9 p>agraph 7#a72  7,b7        
transmit ! updat$ ,national ,/rategy to 
! appropriate congressional committees2 
&  7,c7 release ! updat$ ,national      
,/rategy to ! public4  7#d7 ,appo9tm5t (
 s5ior (ficial  7,a7 ,9 g5]al ,!        
,secret>y %all designate a s5ior (ficial
 at ! ,dep>tm5t ( ,heal? & ,human       

,s]vices to be responsible = coord9at+ !
 developm5t1 updat+1 & implem5tation ( !
 ,national ,/rategy4  7,b7 ,duties ,!   
duties ( ! (ficial designat$ "u p>agraph
 7#a7 %all include-- 7i7 act+ z a       
liaison ) all ,f$]al ag5cies reg>d+ !   
developm5t1 updat+1 & implem5tation ( ! 
,national ,/rategy2  7ii7 work+ to      
ensure t !re is prop] coord9ation among 
ag5cies 9 develop+1 updat+1 & implem5t+ 
! ,national ,/rategy2  7iii7 be+        
kn[l$geable ab\t budget priorities &    
famili> ) all ef=ts )9 ! ,dep>tm5t (    
,heal? & ,human ,s]vices impact+ life   
expectancy2 &  7iv7 communicat+ !       
,national ,/rategy to ,congress & be+   
available to answ] que/ions relat$ to ! 
,national ,/rategy at congressional     
he>+s1 if reque/$ by committees (       
appropriate jurisdiction1 on ! cont5ts (
 ! ,national ,/rategy & ! progress ( !  
,dep>tm5t ( ,heal? & ,human ,s]vices 9  
implem5t+ ! ,national ,/rategy4  7c7    
,cont5ts  ,! ,national ,/rategy %all    
include ! foll[+3 7#a7 ,causes ,an      

id5tification ( ! mo/ significant causes
 ( premature dea? 9 ! ,unit$ ,/ates1    
includ+ an analysis ( ! relative        
importance ( ! opioid epidemic1 smok+1  
obesity1 insuffici5t ex]cise1 infant    
mortality1 mat]nal mortality1 af=dable  
access to high-quality heal? c>e1 gun   
viol5ce1 economic inequality1 social    
isolation1 & su* o!r factors or causes z
 ! ,secret>y det]m9es to be significant1
 9 prev5t+ ! life expectancy 9 ! ,unit$ 
,/ates f be+ z high z ! av]age life     
expectancy 9 ! memb] c\ntries ( !       
,organization = ,economic ,coop]ation & 
,developm5t4  7#b7 ,analysis ( rec5t    
absolute decl9e ,a discussion ( & data  
reg>d+-- 7,a7 9 ! initial ,national     
,/rategy1 ! absolute decl9e ( life      
expectancy 9 ! ,unit$ ,/ates prec$+ !   
enactm5t ( ! ,national ,/rategy ,to     
,increase ,life ,expectancy ,act (      
#bjah2 &  7,b7 9 ea* update to !        
,national ,/rategy1 any absolute decl9e 
( life expectancy 9 ! ,unit$ ,/ates ov] 
! p]iod s9ce ! previ\s transmittal ( !  

,national ,/rategy pursuant to          
subsection 7b74  7#c7 ,analysis (       
inequality 9 life expectancy )9 ! ,unit$
 ,/ates ,a discussion ( & data reg>d+ ! 
inequality 9 life expectancy )9 ! ,unit$
 ,/ates4  7#d7 ,analysis ( diff]5ces 9  
life expectancy by sex ,a discussion ( &
 data reg>d+ diff]5ces 9 life           
expectancy1 includ+ diff]+ causes (     
premature dea?1 betwe5 m5 & wom54  7#e7 
,analysis ( diff]+ causes ( premature   
dea? by age ,a discussion ( & data      
reg>d+ diff]+ causes ( premature dea? = 
,am]icans ( diff]5t age gr\ps1 & h[ su* 
diff]+ causes h contribut$ to ! gap     
betwe5 ! life expectancy 9 ! ,unit$     
,/ates & ! av]age life expectancy 9 !   
memb] c\ntries ( ! ,organization =      
,economic ,coop]ation & ,developm5t4    
7#f7 ,evaluation ( exi/+ ef=ts ,an      
assessm5t ( ! effectiv5ess ( & ways 9   
:i* ! ,f$]al ,gov]nm5t is address+ !    
causes id5tifi$ "u p>agraphs 7#a71 7#b71
 7#c71 7#d71 & 7#e7 :i* %all include a  
projection ( life expectancy 9 ! ,unit$ 

,/ates 9 ea* ( ! next #aj ye>s4  7#g7   
,propos$ *anges ,a discussion (         
compreh5sive1 rese>*-bas$1 long-range1  
quantifiable propos$ *anges to ef=ts 9  
ord] to--  7,a7 exp$iti\sly increase !  
life expectancy 9 ! ,unit$ ,/ates to1 at
 a m9imum1 ! av]age life expectancy 9 ! 
memb] c\ntries ( ! ,organization =      
,economic ,coop]ation & ,developm5t2 &  
7,b7 significantly r$uce ! inequality 9 
life expectancy )9 ! ,unit$ ,/ates4     
7#h7 ,projection ( life expectancy ga9s 
) implem5tation ( propos$ *anges ,a     
projection ( life expectancy 9 ! ,unit$ 
,/ates 9 ea* ye> ( implem5tation ( !    
*anges propos$ 9 ! ,national ,/rategy1 &
 a projection ( ! life expectancy 9 !   
memb] c\ntries ( ! ,organization =      
,economic ,coop]ation & ,developm5t 9   
ea* ( ^? ye>s1 until su* ye> z !        
project$ life expectancy 9 ! ,unit$     
,/ates equals or exce$s ! project$      
av]age life expectancy 9 ! memb]        
c\ntries ( ! ,organization = ,economic  
,coop]ation & ,developm5t4  7#i7 ,budget

 ,a propos$ budget t id5tifies suffici5t
 res\rces ne$$ to successfully execute !
 ,national ,/rategy until su* ye> z !   
project$ life expectancy 9 ! ,unit$     
,/ates equals or exce$s ! project$      
av]age life expectancy 9 ! memb]        
c\ntries ( ! ,organization = ,economic  
,coop]ation & ,developm5t4  7#aj7       
,au?ority = propos$ *anges ,= ea* *ange 
propos$ 9 ! ,national ,/rategy1 a       
det]m9ation ( :i*1 if any1 ,f$]al       
dep>tm5t or ag5cy %\ld be responsible = 
implem5t+ su* *ange & :e!r ! dep>tm5t or
 ag5cy has ! au?ority & res\rces to d s4
  7d7 ,implem5tation ,! head ( ea*      
,f$]al dep>tm5t or ag5cy %all1 pursuant 
to au?ority ve/$ 9 ! dep>tm5t or ag5cy  
by provisions ( law o!r ?an ?is section1
 "w to implem5t ea* propos$             
recomm5dation 9 ! ,national ,/rategy1 z 
applicable1 unless ! ,national ,/rategy 
indicates t ! dep>tm5t or ag5cy ne$s    
additional res\rces or au?orities to    
und]take su* implem5tation4  7e7        
,au?orization ( appropriations ,to c>ry 

out ?is section1 !re are au?oriz$ to be 
appropriat$-- 7#a7 #b1jjj1jjj = ea* (   
fiscal ye>s #bjbj & #bjba2 &  7#b7      
#a1jjj1jjj = ea* ( fiscal ye>s #bjbb    
?r\gh #bjbi4  4