,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dfbb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjai ,mr4
 ,cumm+s 7= himself1 ,mr4 ,engel1 ,mr4  
,upton1 & ,mr4 ,k+ ( ,new ,york7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act ) reg>d to rese>* on a/hma1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,family ,a/hma    
,act4  #b4 ,f9d+s ,congress f9ds !      
foll[+3  7#a7 ,accord+ to ! ,c5t]s =    
,disease ,control & ,prev5tion1 9 #bjag 
m ?an #be1ajj1jjj p 9 ! ,unit$ ,/ates _h
 be5 diagnos$ ) a/hma1 includ+ an       
e/imat$ #f1bjj1jjj *ildr54  7#b7        
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 a/hma usually affects    
racial & e?nic m9orities1 includ+       
,african ,am]icans1 ,am]ican ,indians1  
,alaska ,natives1 ,pu]to ,ricans1 & p ( 
multiple races m ?an non-,hispanic      
,:ites4 ,9 #bjag1 ,pu]to ,ricans &      
,african ,am]icans _h ! highe/ lifetime 

preval5ce ( a/hma at #bj4f & #ae4b      
p]c5t1 respectively4  7#c7 ,accord+ to !
 ,c5t]s = ,disease ,control &           
,prev5tion1 among *ildr51 males h high] 
rates ( a/hma ?an females1 & 9 adults   
wom5 h high] rates ( a/hma ?an m54      
,individuals liv+ bel[ ! pov]ty ?re%old 
also _h significantly high] rates (     
a/hma 9 #bjag ?an individuals liv+ above
 ! pov]ty ?re%old4  7#d7 ,accord+ to !  
,c5t]s = ,disease ,control & ,prev5tion1
 9 #bjag m ?an #c1ejj p 9 ! ,unit$      
,/ates di$ f a/hma4 ,! rate ( mortality 
f a/hma is high] among ,african         
,am]icans & wom54  7#e7 ,! ,c5t]s =     
,disease ,control & ,prev5tion report t 
a/hma acc\nt$ = approximately #ahj1jjj  
hospitalizations & #a1hjj1jjj visits to 
hospital em]g5cy dep>tm5ts 9 #bjaf4     
7#f7 ,accord+ to ! ,c5t]s = ,disease    
,control & ,prev5tion1 ! annual co/ (   
a/hma to ! ,unit$ ,/ates is             
approximately #ha1ijj1jjj1jjj1 includ+  
#c1jjj1jjj1jjj 9 indirect co/s f miss$  
days ( s*ool & "w4  7#g7 ,accord+ to !  

,c5t]s = ,disease ,control & ,prev5tion1
 #e1bjj1jjj s*ool days & #h1ejj1jjj "w  
days are miss$ annually z a result (    
a/hma4  7#h7 ,a/hma episodes c be       
trigg]$ by bo? outdoor air pollution &  
indoor air pollution1 includ+ pollutants
 su* z cig>ette smoke & combu/ion       
by-products4 ,a/hma episodes c also be  
trigg]$ by indoor all]g5s su* z animal  
d&] & outdoor all]g5s su* z poll5 &     
molds4  7#i7 ,public heal? int]v5tions &
 m$ical c>e 9 accordance ) exi/+        
guidel9es h be5 prov5 effective 9 !     
treatm5t & managem5t ( a/hma4 ,bett]    
a/hma managem5t c\ld r$uce ! numb]s (   
em]g5cy dep>tm5t visits &               
hospitalizations due to a/hma4 ,/udies  
publi%$ 9 m$ical j\rnals1 includ+ !     
,j\rnal ( ,a/hma & ,! ,j\rnal (         
,p$iatrics1 h %[n t bett] a/hma         
managem5t results 9 improv$ a/hma       
outcomes at a l[] co/4  7#aj7 ,9 #bjaf1 
! ,c5t]s = ,disease ,control &          
,prev5tion report$ t less ?an half ( p )
 a/hma report$ receiv+ self-managem5t   

tra9+ = _! a/hma4 ,m education ab\t     
trigg]s1 prop] treatm5t1 & a/hma        
managem5t me?ods is ne$$4  7#aa7 ,!     
al>m+ rise 9 ! preval5ce ( a/hma1 its   
adv]se effect on s*ool att5dance &      
productivity1 & its co/ =               
hospitalizations & em]g5cy room visits1 
highlight ! importance ( public heal?   
int]v5tions1 includ+ increas+ aw>5ess ( 
a/hma z a *ronic illness1 its symptoms1 
! role ( bo? indoor & outdoor           
environm5tal factors t exac]bate !      
disease1 & o!r factors t affect its     
exac]bations & sev]ity4 ,! goals ( !    
,f$]al ,gov]nm5t & its p>tn]s 9 !       
nonpr(it & private sectors %\ld include 
r$uc+ ! numb] & sev]ity ( a/hma attacks1
 a/hma's f9ancial burd51 & ! heal?      
disp>ities associat$ ) a/hma4  7#ab7 ,! 
high heal? & f9ancial burd5 caus$ by    
a/hma und]scores ! importance ( adh]5ce 
to ! ,national ,a/hma ,education &      
,prev5tion ,guidel9es ( ! ,national     
,he>t1 ,lung1 & ,blood ,in/itute4       
,increas+ adh]5ce to guidel9es-bas$ c>e 

& result+ pati5t managem5t practices w  
enhance ! quality ( life = pati5ts )    
a/hma & decrease a/hma-relat$ morbidity 
& mortality4  #c4 ,a/hma-relat$         
activities ( ! c5t]s = disease control &
 prev5tion ,section #cag;,i ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;b-#aj7 is am5d$ to read z foll[s3  
#cag;,i4 ,a/hma-relat$ activities ( !   
c5t]s = disease control & prev5tion  7a7
 ,program = ,provid+ ,in=mation &       
,education to ! ,public ,! ,secret>y1   
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion & !      
,national ,c5t] = ,environm5tal ,heal?1 
%all collaborate ) ,/ate & local heal?  
dep>tm5ts to conduct activities1 includ+
 ! provision ( in=mation & education to 
! public reg>d+ a/hma includ+--  7#a7   
det]r+ ! h>mful consequ5ces (           
uncontroll$ a/hma2 &  7#b7 dissem9at+   
heal? education & in=mation reg>d+      
prev5tion ( a/hma episodes & /rategies =
 manag+ a/hma4  7b7 ,developm5t ( ,/ate 
/rategic plans = a/hma control ,!       

,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all collaborate ) ,/ate & local heal? 
dep>tm5ts to develop ,/ate /rategic     
plans = a/hma control incorporat+ public
 heal? responses to r$uce ! burd5 (     
a/hma1 p>ticul>ly reg>d+                
disproportionately affect$ populations4 
7c7 ,compilation ( ,data ,! ,secret>y1  
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all1 9 
coop]ation ) ,/ate & local public heal? 
(ficials--  7#a7 conduct a/hma          
surveillance activities to collect data 
on ! preval5ce & sev]ity ( a/hma1 !     
effectiv5ess ( public heal? a/hma       
int]v5tions1 & ! quality ( a/hma        
managem5t1 includ+--  7,a7 collection ( 
data on or among p ) a/hma to monitor ! 
impact on heal? & quality ( life2  7,b7 
surveillance ( heal? c>e facilities2 &  
7,c7 collection ( data n conta9+        
individually id5tifiable in=mation f    
electronic heal? records or o!r         
electronic communications2  7#b7 compile

 & annually publi% data reg>d+ !        
preval5ce ( *ildhood a/hma1 ! *ild      
mortality rate1 & ! numb] ( hospital    
admissions & em]g5cy dep>tm5t visits by 
*ildr5 associat$ ) a/hma nationally & 9 
ea* ,/ate by age1 sex1 race1 & e?nicity1
 z well z lifetime & curr5t preval5ce2 &
  7#c7 compile & annually publi% data   
reg>d+ ! preval5ce ( adult a/hma1 !     
adult mortality rate1 & ! numb] (       
hospital admissions & em]g5cy dep>tm5t  
visits by adults associat$ ) a/hma      
nationally & 9 ea* ,/ate by age1 sex1   
race1 & e?nicity1 z well z lifetime &   
curr5t preval5ce4  7d7 ,coord9ation (   
,data ,collection ,! ,director ( !      
,c5t]s = ,disease ,control & ,prev5tion1
 9 conjunction ) ,/ate & local heal?    
dep>tm5ts1 %all coord9ate data          
collection activities "u subsection     
7c77#b7 s z to maximize ! comp>ability (
 results4  7e7 ,collaboration  7#a7 ,9  
g5]al ,! ,c5t]s = ,disease ,control &   
,prev5tion are enc\rag$ to collaborate )
 national1 ,/ate1 & local nonpr(it      

organizations to provide in=mation &    
education ab\t a/hma1 & to /r5g!n su*   
collaborations :5 possible4  7#b7       
,specific activities ,! ,division (     
,population ,heal? is enc\rag$ to exp&  
its activities ) non-,f$]al p>tn]s1     
especially ,/ate-level entities4  7f7   
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ #fe1jjj1jjj = ! p]iod (     
fiscal ye>s #bjba ?r\gh #bjbe4  7g7     
,reports to ,congress  7#a7 ,9 g5]al ,n 
lat] ?an #c ye>s aft] ! date ( enactm5t 
( ?is ,act1 & once #b ye>s !reaft]1 !   
,secret>y %all1 9 consultation ) pati5t 
gr\ps1 nonpr(it organizations1 m$ical   
societies1 & o!r relevant gov]nm5tal &  
nongov]nm5tal entities1 submit to       
,congress a report t--  7,a7 catalogs1 )
 respect to a/hma prev5tion1 managem5t1 
& surveillance-- 7i7 ! activities ( !   
,f$]al ,gov]nm5t1 includ+ an assessm5t (
 ! progress ( ! ,f$]al ,gov]nm5t &      
,/ates1 ) respect to a*iev+ ! goals ( ! 
,heal?y ,p #bjcj initiative2 &  7ii7 !  

activities ( o!r entities t p>ticipate 9
 ! program "u ?is section1 includ+      
nonpr(it organizations1 pati5t advocacy 
gr\ps1 & m$ical societies2 &  7,b7 makes
 recomm5dations = ! future direction (  
a/hma activities1 9 consultation )      
rese>*]s f ! ,national ,in/itutes (     
,heal? & o!r memb] bodies ( ! ,a/hma    
,disp>ities ,subcommittee1 includ+--    
7i7 a description ( h[ ! ,f$]al         
,gov]nm5t may improve its response to   
a/hma1 includ+ id5tify+ any b>ri]s t may
 exi/2  7ii7 a description ( h[ ! ,f$]al
 ,gov]nm5t may cont9ue1 exp&1 & improve 
its private-public p>tn]%ips ) respect  
to a/hma1 includ+ id5tify+ any b>ri]s t 
may exi/2  7iii7 ! id5tification ( /eps 
t may be tak5 to r$uce !-- 7,i7         
morbidity1 mortality1 & ov]all preval5ce
 ( a/hma2  7,,ii7 f9ancial burd5 ( a/hma
 on society2  7,,iii7 burd5 ( a/hma on  
disproportionately affect$ areas1       
p>ticul>ly ^? 9 m$ically und]s]v$       
populations 7z def9$ 9 section          
#ccj7;b77#c772 &  7,,iv7 burd5 ( a/hma z

 a *ronic disease t c be wors5$ by      
environm5tal exposures2  7iv7 !         
id5tification ( programs & policies t h 
a*iev$ ! /eps describ$ "u clause 7iii71 
& /eps t may be tak5 to exp& su*        
programs & policies to b5efit l>g]      
populations2 &  7v7 recomm5dations =    
future rese>* & int]v5tions4  7#b7      
,subsequ5t reports  7,a7 ,congressional 
reque/ ,dur+ ! #e-ye> p]iod foll[+ !    
submission ( ! second report "u p>agraph
 7#a71 ! ,secret>y %all submit updates &
 revisions ( ! report ^u ! reque/ ( !   
,congress4  7,b7 ,five-ye> reevaluation 
,at ! end ( ! #e-ye> p]iod ref]r$ to 9  
subp>agraph 7,a71 ! ,secret>y %all-- 7i7
 evaluate ! analyses & recomm5dations   
made 9 previ\s reports2 &  7ii7 det]m9e 
:e!r an additional updat$ report is ne$$
 & if s submit su* an additional updat$ 
report to ! ,congress1 includ+          
appropriate recomm5dations4  4