,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hfeh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #bc1 #bjbj,mr4 ,cr5%aw 7= himself & ,mr4 ,ruiz7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to e/abli% a ,f$]al /rategy = prev5t+1 diagnos+1 & treat+ nonalcoholic /eatohepatitis1 commonly ref]r$ to z ,,na%4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,nonalcoholic ,/eatohepatitis ,c>e ,act ( #bjbj or ! ,,na% ,c>e ,act ( #bjbj4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,national prev5tion program = diabetes1 nonalcoholic fatty liv] disease1 & metabolic syndrome4,sec4 #c4 ,grants = community-bas$ pati5t education & provid] tra9+ & outrea*4,sec4 #d4 ,national ,academies ( ,sci5ces /udy on education & policy ne$s = nonalcoholic /eatohepatitis & nonalcoholic fatty liv] disease4,sec4 #e4 ,national surveillance program = nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis4,sec4 #f4 ,recomm5dations = ! prev5tion1 scre5+1 diagnosis1 & treatm5t ( int]relat$ conditions develop$ by multidiscipl9>y task =ce4,sec4 #g4 ,r5am+ ( ,,nih in/itute to reflect liv] diseases & creation ( division ( liv] diseases4 #b4 ,national prev5tion program = diabetes1 nonalcoholic fatty liv] disease1 & metabolic syndrome ,section #cii,v-#c ( ! ,public ,heal? ,s]vice ,act 7#bhj;g-#ad7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by ins]t+ or cont9ue aft] e/abli%2 7,b7 by /rik+ national diabetes2 7,c7 by ins]t+ 1 nonalcoholic fatty liv] disease1 & metabolic syndrome aft] high risk = diabetes2 & 7,d7 by /rik+ burd5 ( diabetes & ins]t+ su* conditions2 7#b7 9 subsection 7b7-- 7,a7 by /rik+ p>agraph 7#a7 7,b7 by r$esignat+ p>agraphs 7#b7 ?r\gh 7#d7 z p>agraphs 7#c7 ?r\gh 7#e72 & 7,c7 by ins]t+ be=e p>agraph 7#c7 7z s r$esignat$7 ! foll[+2 7#a7 competitive grants to eligible entities = ! purposes ( id5tify+1 develop+1 or dissem9at+ be/ practices on ! prev5tion1 detection1 & treatm5t ( diabetes1 nonalcoholic fatty liv] disease1 & metabolic syndrome2 7#b7 competitive grants = eligible entities = ! developm5t ( community-bas$ prev5tion program model sites2 2 7#c7 by r$esignat+ subsection 7d7 z subsection 7e72 7#d7 by ins]t+ aft] subsection 7c7 ! foll[+3 7d7 ,pref]5ce ,9 aw>d+ grants "u subsection 7b71 ! ,secret>y may give pref]5ce to eligible entities t-- 7#a7 provide life/yle int]v5tions1 includ+ nutrition & ex]cise consultation2 & 7#b7 s]ve racial & e?nic m9ority communities ) high rates ( diabetes1 nonalcoholic fatty liv] disease1 & metabolic syndrome4 2 & 7#e7 9 subsection 7e7 7z r$esignat$ by p>agraph 7#c771 by /rik+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjaj ?r\gh #bjad & ins]t+ #bg1cjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #c4 ,grants = community-bas$ pati5t education & provid] tra9+ & outrea* 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a grant program "u :i* ! ,secret>y may aw>d grants to eligible entities to provide education 9 ! prev5tion ( nonalcoholic /eatohepatitis 7ref]r$ to 9 ?is ,act z ,,na%71 :i* %all be "k z ! ,national ,,na% ,prev5tion & ,education ,program 7ref]r$ to 9 ?is section z ! ,program74 ,to ! ext5t practicable1 ! ,secret>y %all align su* program ) ! eligibility crit]ia to receive grants "u ! ,national ,diabetes ,prev5tion ,program ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7b7 ,eligible entities ,an entity is eligible to receiv$ a grant "u ! ,program if su* entity-- 7#a7 7,a7 provides life/yle int]v5tions su* z promotion ( liv] heal? int]v5tions or nutrition & ex]cise consultation2 or 7,b7 s]ves racial & e?nic m9ority communities ) high rates ( nonalcoholic fatty liv] disease 7z det]m9$ by ,secret>y72 & 7#b7 is a community-bas$1 nonpr(it organization locat$ 9 any /ate or is an exp]i5c$ organization 9 develop+ liv] heal? education & aw>5ess programs4 7c7 ,application ,an eligible entity seek+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,t]m ,! t]m ( a grant aw>d$ "u ?is section %all n exce$ #e ye>s4 7e7 ,curriculum developm5t 7#a7 ,9 g5]al ,! ,secret>y %all develop1 tak+ into consid]ation ! be/ practices develop$ by grantees "u section #cii,v-#c7;b77#a7 ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #b ( ?is ,act1 directly or ?r\gh grants to eligible entities1 a curriculum to provide education 9 ,,na% prev5tion = use by recipi5ts ( grants "u ?is section4 7#b7 ,focus areas ,! curriculum %all provide = consi/5cy 9-- 7,a7 application ( scre5+ & diagno/ic recomm5dations2 7,b7 collection ( population data & quality measures2 & 7,c7 deliv]y ( recomm5d$ evid5ce-bas$ life/yle int]v5tions specific to nutrition & ex]cise4 7f7 ,populations consid]$ ,9 c>ry+ out ?is section1 ! ,secret>y %all consid] ! ne$s ( p$iatric & m9ority populations at risk = ,,na%4 7g7 ,coord9ation ) cont9u+ m$ical education ,! task =ce e/abli%$ "u section #f %all1 to ! ext5t practicable1 coord9ate ! availability ( tra9+ & outrea* "u ?is subsection ) ! opportunity = provid]s receiv+ tra9+ pursuant to ?is section to e>n cont9u+ m$ical education cr$its4 7h7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #d4 ,national ,academies ( ,sci5ces /udy on education & policy ne$s = nonalcoholic /eatohepatitis & nonalcoholic fatty liv] disease 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all (f] to ent] into a contract ) ! ,national ,academies ( ,sci5ces to conduct a /udy on nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis 9 ! ,unit$ ,/ates4 7b7 ,focus areas ,! /udy conduct$ pursuant to subsection 7a7 %all focus on education & policy ne$s involv+ nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis1 includ+-- 7#a7 opportunities to /r5g!n prev5tion ( nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis1 includ+ ?r\gh enhanc$ deliv]y ( nutrition s]vices2 7#b7 b>ri]s to diagnosis & treatm5t ( nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis1 includ+ opportunities to /r5g!n cov]age "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 ! ,m$icaid program "u title ,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et seq471 gr\p heal? plans 7z def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia771 & gr\p or individual heal? insurance cov]age 7z su* t]ms are def9$ 9 su* section #bgia72 7#c7 recomm5dations = enhanc+ provid] education on nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis2 & 7#d7 recomm5dations = enhanc+ pati5t aw>5ess ( nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis1 includ+ e>ly id5tification ( risk factors & l9kage to appropriate c>e4 7c7 ,report ,! agreem5t ent]$ into "u subsection 7a7 %all require ! ,national ,academies ( ,sci5ces to1 n lat] ?an ,janu>y #a1 #bjbb1 submit a report on ! f9d+s ( ! /udy to ! ,secret>y & ! ,*airman & ,rank+ ,memb] ( ea* ( ! foll[+ committees3 7#a7 ,! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives4 7#b7 ,! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives4 7#c7 ,! ,committee on ,f9ance ( ! ,s5ate4 7#d7 ,! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( fiscal ye>s #bjba & #bjbb4 #e4 ,national surveillance program = nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a program to provide = surveillance on ! preval5ce ( nonalcoholic fatty liv] disease & nonalcoholic /eatohepatitis 9 ! ,unit$ ,/ates4 7b7 ,program activities 7#a7 ,surveillance activities ,! program e/abli%$ "u subsection 7a7 %all include1 at a m9imum1 ea* ( ! foll[+ surveillance activities3 7,a7 ,conduct+ local surveillance activities to collect data on ! preval5ce & sev]ity ( nonalcoholic fatty level disease & nonalcoholic /eatohepatitis4 7,b7 ,compil+ & annually publi%+ data on ! numb] ( individuals ) nonalcoholic fatty level disease & nonalcoholic /eatohepatitis nationally z well z 9 ea* /ate4 7,c7 ,to ! ext5t practicable1 provid+ data on ! g5]al population at risk ( develop+ ! conditions4 7#b7 ,te*nical assi/ance on vital /ati/ics ,9 c>ry+ out ! program "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all issue guidance t provides te*nical assi/ance to heal? c>e provid]s & ,/ate & local heal? dep>tm5ts on be/ practices to ensure appropriate collection ( vital /ati/ics = purposes ( bir? & dea? c]tificates1 includ+ vital /ati/ics on populations ) nonalcoholic fatty level disease & nonalcoholic /eatohepatitis4 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$-- 7#a7 to c>ry out surveillance activities describ$ 9 subsection 7b77#a71 #aj1jjj1jjj = ea* ( fiscal ye>s #bjba & #bjbb2 7#b7 to c>ry out te*nical assi/ance activities describ$ 9 subsection 7b77#c71 #aj1jjj1jjj = ea* ( fiscal ye>s #bjba & #bjbb2 & 7#c7 to c>ry out ! activities describ$ 9 subsection 7b77#b71 #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #f4 ,recomm5dations = ! prev5tion1 scre5+1 diagnosis1 & treatm5t ( int]relat$ conditions develop$ by multidiscipl9>y task =ce 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a multidiscipl9>y task =ce1 & appo9t memb]s to su* task =ce1 to develop recomm5dations = ! prev5tion1 scre5+1 diagnosis1 & treatm5t = sev]al int]relat$ conditions1 includ+1 at a m9imum-- 7#a7 nonalcoholic fatty liv] disease2 7#b7 nonalcoholic /eatohepatitis2 7#c7 obesity2 7#d7 diabetes & o!r metabolic disord]s2 & 7#e7 any o!r conditions det]m9$ appropriate by ! ,secret>y4 7b7 ,memb]%ip ,! task =ce e/abli%$ "u subsection 7a7 %all be compos$ ( n m ?an #ab memb]s to be appo9t$ by ! ,secret>y & %all include repres5tatives ( ea* ( ! foll[+ gr\ps3 7#a7 ,physician speciali/s1 includ+ 9 hepatology1 ga/ro5t]ology1 endocr9ology1 c>diology1 & endocr9ology4 7#b7 ,exp]ts 9 public heal? & epidemiology4 7#c7 ,pati5t advocates4 7#d7 ,non-vot+ repres5tatives ( ,f$]al ag5cies1 includ+ ! ,food & ,drug ,adm9i/ration1 ! ,national ,in/itutes ( ,heal?1 ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! ,(fice ( ! ,assi/ant ,secret>y = ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7#e7 ,non-vot+ repres5tatives ( manufactur]s ( drugs1 devices1 or diagno/ic tools approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( any ( ! conditions specifi$ 9 subsection 7a74 7c7 ,developm5t ( recomm5dations ,9 develop+ ! recomm5dations "u subsection 7a71 ! task =ce e/abli%$ "u su* subsection %all consid]-- 7#a7 guidel9es issu$ by ! ,am]ican ,association = ! ,/udy ( ,liv] ,diseases1 publi%$ evid5ce1 recomm5dations ( ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce1 & o!r in=mation x det]m9es appropriate 9 develop+ su* recomm5dations2 & 7#b7 :e!r a comb9$ protocol address+ a range ( conditions specifi$ 9 su* subsection is advis$ = populations affect$ by m ?an "o condition = :i* su* recomm5dations are be+ develop$4 7d7 ,deadl9e = compil+ recomm5dations ,! task =ce %all compile scre5+ & diagnosis recomm5dations develop$ "u subsection 7a7 n lat] ?an #ah mon?s aft] ! date on :i* ! fir/ meet+ ( ! task =ce concludes4 7e7 ,public heal? action plan 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! task =ce %all develop an action plan to combat nonalcoholic /eatohepatitis 7ref]r$ to 9 ?is section z ! ,action ,plan74 7#b7 ,issues address$ ,! ,action ,plan %all id5tify key goals & implem5tation /rategies =-- 7,a7 assur+ appropriate surveillance ( ! public heal? impact 9 ! ,unit$ ,/ates ( nonalcoholic /eatohepatitis2 7,b7 increas+ aw>5ess among ! g5]al public ( ! ,unit$ ,/ates ( risk factors2 7,c7 enhanc+ cl9ical education on ! prev5tion1 diagnosis1 & treatm5t ( nonalcoholic /eatohepatitis among physicians & heal? c>e pr(essionals )9 ! ,unit$ ,/ates2 7,d7 support+ rese>* on !rapies & cures = nonalcoholic /eatohepatitis2 & 7,e7 o!r areas det]m9$ appropriate by ! ,secret>y4 7#c7 ,evaluation & report 7,a7 ,evaluation ,! ,secret>y %all1 at lea/ e #b ye>s1 evaluate ! implem5tation ( ! ,action ,plan "u ?is section to provide any updates or modifications to su* plan4 7,b7 ,report ,n lat] ?an #ah mon?s aft] ! date on :i* ! ,action ,plan develop$ "u p>agraph 7#a7 is releas$1 ! ,secret>y %all submit to ,congress a report t discusses any updat$ recomm5dations = updates or modifications consid]+ initial progress made 9 advanc+ ! action plan's goals or b>ri]s to atta9+ su* goals4 7f7 ,report reg>d+ liv] canc] ,n lat] ?an #a ye> aft] ! date on :i* ! fir/ meet+ ( ! work+ gr\p is held1 ! work+ gr\p %all transmit to ! ,director ( ! ,,nih a report provid+ recomm5dations ) respect to prev5tive & diagno/ic measures t c\ld1 9 consid]ation ( ! relation%ip betwe5 ! preval5ce ( liv] canc] & ! preval5ce ( c]ta9 liv] diseases1 help r$uce liv] canc] rates & make liv] canc] m treatable :5 detect$4 #g4 ,r5am+ ( ,,nih in/itute to reflect liv] diseases & creation ( division ( liv] diseases 7a7 ,in/itute r5am$ ,effective on ,janu>y #a1 #bjba1 title ,,iv ( ! ,public ,heal? ,s]vice ,act is am5d$ by /rik+ ,national ,in/itute = ,diabetes & ,dige/ive & ,kidney ,diseases ea* place x appe>s 9 section #dja7;b7 7#db ,u4,s4,c4 #bha7;b771 9 section #dji;,a7a7 7#db ,u4,s4,c4 #bhd;a7a771 9 ! head+ ( subp>t #c ( "p ,c1 9 section #dbf 7#db ,u4,s4,c4 #bhe;c71 & section #dcj 7#db ,u4,s4,c4 #bhe;c-#d7 & ins]t+ ,! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases4 7b7 ,con=m+ *anges ,effective on ,janu>y #a1 #bjba1 any ref]5ce to ! ,national ,in/itute = ,diabetes & ,dige/ive & ,kidney ,diseases 9 any law1 regulation1 docum5t1 record1 or o!r pap] ( ! ,unit$ ,/ates %all be deem$ to be a ref]5ce to ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases4 7c7 ,e/abli%m5t ( ,division = ,liv] ,diseases 7#a7 ,9 g5]al ,section #dbh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#b7 is am5d$-- 7,a7 9 subsection 7a77#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ a ,division ,director = ,liv] ,diseases1 aft] & ,nutrition12 & 7ii7 9 subp>agraph 7,a71 by ins]t+ liv] diseases1 aft] & nutrition12 & 7,b7 9 subsection 7b7-- 7i7 9 ! matt] prec$+ p>agraph 7#a71 by ins]t+ ! ,division ,director = ,liv] ,diseases1 aft] & ,nutrition12 & 7ii7 9 p>agraph 7#a71 by ins]t+ liv] diseases1 aft] & nutritional disord]s14 7#b7 ,transf] ( au?ority ,effective on ,janu>y #a1 #bjba1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all transf] to ! ,division ,director ( ,liv] ,diseases ( ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases1 ! au?orities 7includ+ all budget au?orities1 available appropriations1 & p]sonnel71 duties1 obligations1 & relat$ legal & adm9i/rative functions prescrib$ by law or o!rwise previ\sly grant$ to ! ,liv] ,disease ,rese>* ,bran* )9 ! ,division ( ,dige/ive ,diseases & ,nutrition ( ! ,national ,in/itute = ,diabetes & ,dige/ive & ,kidney ,diseases4