#aae? ,,congress  #a/ ,session  ,s4 #ibj
  ,,an ,,act  ,to e/abli% a ,national   
,cl9ical ,c>e ,commission4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,national ,cl9ical ,c>e ,commission     
,act4  #b4 ,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 evaluate & make  
recomm5dations reg>d+ improvem5ts to !  
coord9ation & lev]ag+ ( programs )9 !   
,dep>tm5t & o!r ,f$]al ag5cies relat$ to
 aw>5ess & cl9ical c>e = at lea/ "o1 b n
 m ?an two1 complex metabolic or        
autoimmune diseases result+ f issues    
relat$ to insul9 t repres5t a           
significant disease burd5 9 ! ,unit$    
,/ates1 :i* may include complications   
due to su* diseases4  7b7 ,memb]%ip     
7#a7 ,9 g5]al ,! ,commission %all be    
compos$ ( ! foll[+ vot+ memb]s3 7,a7 ,! 
heads ( ! foll[+ ,f$]al ag5cies &       
dep>tm5ts1 or _! designees3  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  7x7 ,!    
,dep>tm5t ( ,agriculture4  7xi7 ,!      
,(fice ( ,m9ority ,heal?4  7,b7 ,twelve 
additional vot+ memb]s appo9t$ "u       
p>agraph 7#b74  7#b7 ,additional memb]s 
,! ,commission %all include additional  
vot+ memb]s1 z may be appo9t$ by !      
,secret>y1 ) 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 ,physician   
specialties1 includ+ cl9ical            
endocr9ologi/s1 t play a role 9 !       
prev5tion or treatm5t ( diseases &      
complications describ$ 9 subsection 7a74

  7,b7 ,prim>y c>e physicians4  7,c7    
,non-physician heal? c>e pr(essionals4  
7,d7 ,pati5t advocates4  7,e7 ,national 
exp]ts1 includ+ public heal? exp]ts1 9 !
 duties li/$ "u subsection 7c74  7,f7   
,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 ,! memb]s ( !           
,commission %all select a *airp]son f ! 
memb]s appo9t$ "u p>agraph 7#b74  7#d7  
,meet+s ,! ,commission %all meet at lea/
 twice1 & n m ?an f\r times1 a ye>4     
7#e7 ,vacancies ,a vacancy on !         
,commission %all be fill$ 9 ! same mann]
 z ! orig9al appo9tm5ts4  7c7 ,duties ,!
 ,commission %all evaluate & make       
recomm5dations1 z appropriate1 to !     
,secret>y ( ,heal? & ,human ,s]vices &  
,congress reg>d+--  7#a7 ,f$]al programs
 ( ! ,dep>tm5t ( ,heal? & ,human        

,s]vices t focus on prev5t+ & r$uc+ !   
incid5ce ( ! diseases & complications   
describ$ 9 subsection 7a72  7#b7 curr5t 
activities & gaps 9 ,f$]al ef=ts to     
support cl9icians 9 provid+ integrat$1  
high-quality c>e to individuals ) !     
diseases & complications describ$ 9     
subsection 7a72  7#c7 ! improvem5t 91 & 
improv$ coord9ation (1 ,f$]al education 
& aw>5ess activities relat$ to !        
prev5tion & treatm5t ( ! diseases &     
complications describ$ 9 subsection 7a71
 :i* may include ! utilization ( new &  
exi/+ te*nologies2  7#d7 me?ods =       
outrea* & dissem9ation ( education &    
aw>5ess mat]ials 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#e7 :e!r !re are opportunities =       
consolidation ( inappropriately ov]lapp+
 or duplicative ,f$]al programs relat$  
to ! diseases & complications describ$ 9
 subsection 7a74  7d7 ,op]at+ plan ,n   

lat] ?an #ij days aft] its fir/ meet+1 !
 ,commission %all submit to ! ,secret>y 
( ,heal? & ,human ,s]vices & ! ,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 o!r in=mation t ! ,commission deems
 appropriate4  7e7 ,f9al report ,by n   
lat] ?an #c ye>s aft] ! date ( !        
,commission's fir/ meet+1 ! ,commission 
%all submit to ! ,secret>y ( ,heal? &   
,human ,s]vices & ! ,congress a f9al    
report conta9+ all ( ! f9d+s &          

recomm5dations requir$ by ?is section4  
7f7 ,sunset ,! ,commission %all t]m9ate 
#fj days aft] submitt+ its f9al report1 
b n lat] ?an ! end ( fiscal ye> #bjba4  
,pass$ ! ,s5ate ,septemb] #f1           
#bjag4,secret>y