,i #aafth ,,congress #ast ,session ,h4 ,r4 #ebie ,,in ,,the ,,house ,,of ,,representatives ,december #d1 #bjai,mr4 ,meadows introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to consolidate activities of the ,agency for ,healthcare ,research and ,quality into the ,national ,institutes of ,health as the ,national ,institute for ,research on ,safety and ,quality1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,national ,institute for ,research on ,safety and ,quality ,act4 #b4 ,consolidating activities of ,agency for ,healthcare ,research and ,quality into ,national ,institute for ,research on ,safety and ,quality 7a7 ,establishment of ,institute 7#a7 ,inclusion within ,,nih ,section #dja7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bha7;b77 is amended-- 7,a7 by redesignating paragraph 7#be7 as paragraph 7#bf72 and 7,b7 by inserting after paragraph 7#bd7 the following3 7#be7 ,national ,institute for ,research on ,safety and ,quality4 4 7#b7 ,increase of cap on number of institutes ,section #dja7;d77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bha7;d77#a77 is amended by striking #bg and inserting #bh4 7#c7 ,establishment ,part ,c of title ,,iv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhe et seq47 is amended by adding at the end the following3 #ba ,national ,institute for ,research on ,safety and ,quality #dfd;aa-#a4 ,purpose of ,institute ,the general purpose of the ,national ,institute for ,research on ,safety and ,quality 7hereafter in this subpart referred to as the ,institute7 is to enhance the quality1 appropriateness1 and effectiveness of health services1 and access to such services1 through the establishment of a broad base of scientific research and through the promotion of improvements in clinical and health system practices1 including the prevention of diseases and other health conditions4 #dfd;aa-#b4 ,promoting health care quality improvement ,the ,director of the ,institute shall promote health care quality improvement by conducting and supporting-- 7#a7 research that develops and presents scientific evidence regarding all aspects of health care1 including-- 7,a7 the development and assessment of methods for enhancing patient participation in their own care and for facilitating shared patient-physician decision making2 7,b7 the outcomes1 effectiveness1 and cost-effectiveness of health care practices1 including preventive measures and long-term care2 7,c7 existing and innovative technologies2 7,d7 the costs and utilization of1 and access to health care2 7,e7 the ways in which health care services are organized1 delivered1 and financed and the interaction and impact of these factors on the quality of patient care2 7,f7 methods for measuring quality and strategies for improving quality2 and 7,g7 ways in which patients1 consumers1 purchasers1 and practitioners acquire new information about best practices and health benefits1 the determinants and impact of their use of this information2 7#b7 the synthesis and dissemination of available scientific evidence for use by patients1 consumers1 practitioners1 providers1 purchasers1 policy makers1 and educators2 and 7#c7 initiatives to advance private and public efforts to improve health care quality4 #dfd;aa-#c4 ,requirements with respect to rural and inner-city areas and priority populations 7a7 ,research1 evaluations1 and demonstration projects ,in carrying out this subpart1 the ,director of the ,institute shall conduct and support research and evaluations1 and support demonstration projects1 with respect to-- 7#a7 the delivery of health care in inner-city areas1 and in rural areas 7including frontier areas72 and 7#b7 health care for priority populations1 which shall include-- 7,a7 low-income groups2 7,b7 minority groups2 7,c7 women2 7,d7 children2 7,e7 the elderly2 and 7,f7 individuals with special health care needs1 including individuals with disabilities and individuals who need chronic care or end-of-life health care4 7b7 ,process ,to ensure appropriate research ,the ,director of the ,institute shall establish a process to ensure that the requirements of subsection 7a7 are reflected in the overall portfolio of research conducted and supported by the ,director of ,national ,institutes of ,health4 4 7b7 ,transfer of authority 7#a7 ,in general ,not later ,october #a1 #bjbj1 the ,secretary of ,health and ,human ,services shall begin to transfer to the ,national ,institute for ,research on ,safety and ,quality the authorities 7including all budget authorities1 available appropriations1 and personnel71 duties1 obligations1 and related legal and administrative functions prescribed by law or otherwise granted to the ,agency for ,healthcare ,research and ,quality under title ,,ix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bii et seq474 ,the ,secretary shall complete such transfer not later than ,october #a1 #bjba4 7#b7 ,conforming repeal ,effective on ,october #a1 #bjba1 title ,,ix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bii et seq47 is repealed4 7#c7 ,references ,any reference to the ,agency for ,healthcare ,research and ,quality in any law1 rule1 regulation1 certificate1 directive1 instruction1 or other official paper in force on the date of enactment of this ,act shall be considered to refer and apply to the ,national ,institute for ,research on ,safety and ,quality4 7#d7 ,authorization of appropriations ,of the amount authorized to be appropriated under subparagraph 7,f7 of section #djb;,a7a77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhb7;a77#a77 for fiscal year #bjbj1 the ,secretary may use #bef1jjj1jjj to carry out this subsection4 7c7 ,effective date ,the amendments made by this section shall take effect on ,october #a1 #bjai4