,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dedh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #bg1        
#bjai,mr4 ,v>gas 7= himself1 ,mr4       
,engel1 & ,mr4 ,cox ( ,cali=nia7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to au?orize ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion 
to aw>d grants to eligible c\nties = !  
use ( mobile cl9ics & di/ance le>n+ &   
telem$ic9e to diagnose & treat *ildr5 ) 
a/hma 9 rural areas & m$ically und]s]v$ 
communities1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,a/hma ,c>e & ,prev5tion 9 ,rural       
,communities ,act ( #bjai4  #b4 ,f9d+s  
,congress f9ds ! foll[+3  7#a7 ,a/hma   
has a high morbidity & c ev5 lead to    
dea? if n prop]ly manag$4  7#b7         
,nationally1 ov] #be million p suff] f  
a/hma accord+ to ! mo/ rec5t /ati/ics f 
! ,c5t]s = ,disease ,control &          
,prev5tion4  7#c7 ,nationally1 ( ^? :o  
suff] f a/hma1 #dc4f p]c5t ( adults     

report "o or m a/hma attacks annually1 &
 ( all *ildr5 :o suff] f a/hma1 #ea4f   
p]c5t report "o or m a/hma attacks      
annually4  7#d7 ,nationally ! preval5ce 
( a/hma among *ildr5 is #h4d p]c5t4     
7#e7 ,:5 a/hma is controll$1 x c lead to
 few] s*ool & "w days miss$1            
hospitalizations1 & em]g5cy room visits4
  7#f7 ,:ile a/hma is (t5 believ$ to be 
a great] problem = urban c5t]s1 ! burd5 
( a/hma on rural communities 9 ! ,unit$ 
,/ates is und]/udi$4  7#g7 ,"s rese>*   
sugge/s t c]ta9 rural areas face ! same 
risk factors z cities4  7#h7 ,rese>* %[s
 t rural communities may h a h>d] "t    
access+ c>e = a/hma1 due to lack (      
transportation to & ! di/ance ( resid5ts
 f heal? c>e s]vices4  7#i7 ,mobile     
a/hma cl9ics h be5 prov5 to help        
m$ically und]s]v$ communities manage ?is
 disease :ile provid+ co/-sav+ measures4
  #c4 ,address+ ! burd5 ( a/hma 9 rural 
areas & m$ically und]s]v$ communities   
7a7 ,grants = mobile cl9ics & di/ance   
le>n+ & telem$ic9e  7#a7 ,au?orization  

,! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion may aw>d grants to
 eligible c\nties = ! use ( mobile      
cl9ics & di/ance le>n+ & telem$ic9e--   
7,a7 to diagnose & treat *ildr5 ) a/hma 
9 rural areas1 & m$ically und]s]v$      
communities1 9 eligible c\nties2 &  7,b7
 to educate individuals 9 su* areas &   
communities ab\t a/hma4  7#b7 ,subgrants
 ,an eligible c\nty receiv+ a grant "u  
p>agraph 7#a7 may use ! grant funds to  
aw>d subgrants to s*ools1 hospitals1 or 
o!r local organizations to adm9i/]      
mobile cl9ics & di/ance le>n+ &         
telem$ic9e 9 ! c\nty = ! purposes li/$ 9
 p>agraph 7#a74  7#c7 ,def9itions ,9 ?is
 subsection3  7,a7 ,! t]m *ildr5 means  
individuals "u #ah ye>s ( age4  7,b7 ,! 
t]m eligible c\nties means c\nties t ea*
 h a preval5ce ( a/hma ( #ab p]c5t or   
high] among *ildr54  7,c7 ,! t]m        
m$ically und]s]v$ community has ! mean+ 
giv5 su* t]m 9 section #gii;,b ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #biep74  7#d7 ,au?orization ( 

appropriations ,to c>ry out ?is         
subsection1 !re is au?oriz$ to be       
appropriat$ #e1jjj1jjj = ea* ( fiscal   
ye>s #bjbj ?r\gh #bjbd4  7b7 ,/udy ,!   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion %all-- 7#a7 conduct a /udy
 on--  7,a7 ! burd5 ( a/hma 9 rural     
areas ( ! ,unit$ ,/ates2  7,b7 risk &   
protective factors = a/hma 9 su* areas2 
&  7,c7 be/ practices = prev5t+ & treat+
 a/hma 9 su* areas2  7#b7 ensure t data 
us$ 9 su* /udy is disaggregat$ su* t no 
racial or e?nic subgr\p is ov]look$ due 
to ! abs5ce ( a/hma 9 ! l>g] gr\p to :i*
 t subgr\p belongs2 &  7#c7 n lat] ?an  
#a ye> aft] ! date ( enactm5t ( ?is     
,act1 complete su* /udy & submit a      
report to ! ,congress on ! results ( su*
 /udy4