,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cbfg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #be1 #bjah ,mrs4 
,gillibr& 7= h]self & ,mr4 ,s*um]7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% a ,national      
,commission on ,fibrotic ,diseases4  #a4
 ,%ort title  ,?is ,act may be cit$ z ! 
,national ,commission on ,scl]od]ma &   
,fibrotic ,diseases ,act ( #bjah4  #b4  
,national ,commission on ,fibrotic      
,diseases  7a7 ,e/abli%m5t ,!re is      
e/abli%$1 )9 ! ,national ,in/itutes (   
,heal?1 a ,national ,commission on      
,fibrotic ,diseases 7ref]r$ to 9 ?is    
section z ! ,commission7 to evaluate &  
make recomm5dations reg>d+ improvem5ts  
to ! coord9ation & advancem5t ( rese>*  
activities relat$ to fibrosis & fibrotic
 diseases1 :i* may include scl]od]ma z a
 prototypical condition t c cause       
fibrosis 9 v>i\s organs1 support$ by !  
,national ,in/itutes ( ,heal?4  7b7     

,memb]%ip  7#a7 ,9 g5]al ,! ,commission 
%all be compos$ ( ! foll[+ vot+ memb]s3 
7,a7 ,! ,director ( ,,nih1 or ! designee
 ( su* director4  7,b7 ,! ,directors ( !
 foll[+ ,in/itutes1 or _! designees3 7i7
 ,! ,national ,in/itute ( ,ar?ritis &   
,musculoskeletal & ,sk9 ,diseases4  7ii7
 ,! ,national ,he>t1 ,lung1 & ,blood    
,in/itute4  7iii7 ,! ,national ,in/itute
 ( ,diabetes & ,dige/ive & ,kidney      
,diseases4  7iv7 ,! ,national ,human    
,g5ome ,rese>* ,in/itute4  7v7 ,any o!r 
national rese>* in/itute or c5t] ) an   
active fibrotic disease rese>*          
portfolio4  7,c7 ,twelve additional vot+
 memb]s appo9t$ "u p>agraph 7#b74  7#b7 
,additional memb]s ,! ,commission %all  
include vot+ memb]s1 appo9t$ by !       
,director ( ,,nih1 ) exp]tise 9 !       
prev5tion1 c>e1 & epidemiology ( any ( !
 diseases & complications describ$ 9    
subsection 7a71 includ+ "o or m su*     
memb]s f ea* ( ! foll[+ categories3     
7,a7 ,lead+ sci5ti/s or physicians )    
rese>* exp]tise 9 ! conditions describ$ 

9 subsection 7a74  7,b7 ,pati5t         
advocates ) a p]spective on ! conditions
 describ$ 9 subsection 7a74  7#c7       
,*airp]son ,! memb]s ( ! ,commission    
%all select a *airp]son f ! memb]s      
appo9t$ "u p>agraph 7#b74  7#d7 ,meet+s 
,! ,commission %all meet #c times p]    
ye>4  7#e7 ,vacancies ,a vacancy on !   
,commission %all be fill$ 9 ! same mann]
 z ! orig9al appo9tm5ts4  7c7           
,responsibilities ,! ,commission %all   
evaluate & make recomm5dations1 z       
appropriate1 to ! ,director ( ,,nih &   
,congress reg>d+--  7#a7 ! incid5ce1    
duration1 & mortality rates ( fibrotic  
diseases z describ$ 9 subsection 7a72   
7#b7 facilities & res\rces = !          
diagnosis1 prevision1 & treatm5t (      
fibrotic diseases describ$ 9 subsection 
7a72 &  7#c7 a long-range plan = ! use &
 organization ( national res\rces to    
effectively advance rese>* & effectively
 deal ) fibrotic diseases z describ$ 9  
subsection 7a71 includ+--  7,a7         
compreh5sive rese>* plan1 :i*           

prioritizes fibrosis opportunities t h  
cross-cutt+ value & require coord9ation 
across multiple national rese>*         
in/itutes & c5t]s2  7,b7 topic-specific 
rese>* recomm5dations = ea* organ or    
sy/em z impact$ by fibrotic diseases    
describ$ 9 subsection 7a72 &  7,c7 an   
ov]view ( common !mes & specific /eps = 
implem5tation4  7d7 ,op]at+ plan ,n lat]
 ?an #ij days aft] its fir/ meet+ !     
,commission %all--  7#a7 submit to !    
,director ( ,,nih & ,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 7#a7 ?r\gh 7#c7 ( subsection  
7c72  7,b7 a plan = complet+ su*        
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 ( involvem5t &          

coord9ation among ! in/itutes & c5t]s ( 
! ,national ,in/itutes ( ,heal? t is    
ne$$ to conduct su* activities2  7,e7 a 
budget = conduct+ su* activities2 &     
7,f7 o!r in=mation t ! ,commission      
det]m9es appropriate4  7e7 ,f9al report 
,n lat] ?an #b ye>s aft] ! date ( !     
,commission's fir/ meet+1 ! ,commission 
%all submit to ! ,director ( ,,nih &    
,congress a f9al report conta9+ all ( ! 
f9d+s & recomm5dations requir$ "u       
subsection 7c74  7f7 ,sunset ,!         
,commission %all t]m9ate #fj days aft]  
submitt+ its f9al report1 & n lat] ?an !
 end ( fiscal ye> #bjbb4