#aaeth ,,congress #ast ,session ,s4 #ibj ,,an ,,act ,to establish a ,national ,clinical ,care ,commission4 #a4 ,short title ,this ,act may be cited as the ,national ,clinical ,care ,commission ,act4 #b4 ,national clinical care commission 7a7 ,establishment ,there is hereby established1 within the ,department of ,health and ,human ,services1 a ,national ,clinical ,care ,commission 7in this section referred to as the ,commission7 to evaluate and make recommendations regarding improvements to the coordination and leveraging of programs within the ,department and other ,federal agencies related to awareness and clinical care for at least one1 but not more than two1 complex metabolic or autoimmune diseases resulting from issues related to insulin that represent a significant disease burden in the ,united ,states1 which may include complications due to such diseases4 7b7 ,membership 7#a7 ,in general ,the ,commission shall be composed of the following voting members3 7,a7 ,the heads of the following ,federal agencies and departments1 or their designees3 7i7 ,the ,centers for ,medicare ,medicaid ,services4 7ii7 ,the ,agency for ,healthcare ,research and ,quality4 7iii7 ,the ,centers for ,disease ,control and ,prevention4 7iv7 ,the ,indian ,health ,service4 7v7 ,the ,department of ,veterans ,affairs4 7vi7 ,the ,national ,institutes of ,health4 7vii7 ,the ,food and ,drug ,administration4 7viii7 ,the ,health ,resources and ,services ,administration4 7ix7 ,the ,department of ,defense4 7x7 ,the ,department of ,agriculture4 7xi7 ,the ,office of ,minority ,health4 7,b7 ,twelve additional voting members appointed under paragraph 7#b74 7#b7 ,additional members ,the ,commission shall include additional voting members1 as may be appointed by the ,secretary1 with expertise in the prevention1 care1 and epidemiology of any of the diseases and complications described in subsection 7a71 including one or more such members from each of the following categories3 7,a7 ,physician specialties1 including clinical endocrinologists1 that play a role in the prevention or treatment of diseases and complications described in subsection 7a74 7,b7 ,primary care physicians4 7,c7 ,non-physician health care professionals4 7,d7 ,patient advocates4 7,e7 ,national experts1 including public health experts1 in the duties listed under subsection 7c74 7,f7 ,health care providers furnishing services to a patient population that consists of a high percentage 7as specified by the ,secretary7 of individuals who are enrolled in a ,state plan under title ,,xix of the ,social ,security ,act or who are not covered under a health plan or health insurance coverage4 7#c7 ,chairperson ,the members of the ,commission shall select a chairperson from the members appointed under paragraph 7#b74 7#d7 ,meetings ,the ,commission shall meet at least twice1 and not more than four times1 a year4 7#e7 ,vacancies ,a vacancy on the ,commission shall be filled in the same manner as the original appointments4 7c7 ,duties ,the ,commission shall evaluate and make recommendations1 as appropriate1 to the ,secretary of ,health and ,human ,services and ,congress regarding-- 7#a7 ,federal programs of the ,department of ,health and ,human ,services that focus on preventing and reducing the incidence of the diseases and complications described in subsection 7a72 7#b7 current activities and gaps in ,federal efforts to support clinicians in providing integrated1 high-quality care to individuals with the diseases and complications described in subsection 7a72 7#c7 the improvement in1 and improved coordination of1 ,federal education and awareness activities related to the prevention and treatment of the diseases and complications described in subsection 7a71 which may include the utilization of new and existing technologies2 7#d7 methods for outreach and dissemination of education and awareness materials that-- 7,a7 address the diseases and complications described in subsection 7a72 7,b7 are funded by the ,federal ,government2 and 7,c7 are intended for health care professionals and the public2 and 7#e7 whether there are opportunities for consolidation of inappropriately overlapping or duplicative ,federal programs related to the diseases and complications described in subsection 7a74 7d7 ,operating plan ,not later than #ij days after its first meeting1 the ,commission shall submit to the ,secretary of ,health and ,human ,services and the ,congress an operating plan for carrying out the activities of the ,commission as described in subsection 7c74 ,such operating plan may include-- 7#a7 a list of specific activities that the ,commission plans to conduct for purposes of carrying out the duties described in each of the paragraphs in subsection 7c72 7#b7 a plan for completing the activities2 7#c7 a list of members of the ,commission and other individuals who are not members of the ,commission who will need to be involved to conduct such activities2 7#d7 an explanation of ,federal agency involvement and coordination needed to conduct such activities2 7#e7 a budget for conducting such activities2 and 7#f7 other information that the ,commission deems appropriate4 7e7 ,final report ,by not later than #c years after the date of the ,commission's first meeting1 the ,commission shall submit to the ,secretary of ,health and ,human ,services and the ,congress a final report containing all of the findings and recommendations required by this section4 7f7 ,sunset ,the ,commission shall terminate #fj days after submitting its final report1 but not later than the end of fiscal year #bjba4 ,passed the ,senate ,september #f1 #bjag4,secretary