,,ii #aaf? ,,congress #a/ ,session ,s4 #cjgd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #ag1 #bjai,ms4 ,duckwor? introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to provide = & support liv] illness visibility1 education1 & rese>*1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,liv] ,illness ,visibility1 ,education1 & ,rese>* ,act ( #bjai4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,liv] canc] is ! fa/e/-gr[+ cause ( canc] dea? 9 ! ,unit$ ,/ates & among ! lead+ causes ( canc] dea?s globally4 7#b7 ,9 #bjah1 approximately #db1bbj p 9 ! ,unit$ ,/ates w be diagnos$ ) prim>y liv] canc]1 & approximately #cj1bjj w die f ! disease4 7#c7 ,liv] canc] is a lead+ cause ( canc] dea? among ! ,asian ,am]ican & ,pacific ,isl&] community4 7#d7 ,! mo/ vuln]able ,asian ,am]icans are ^? :o are =eign-born1 l[-income1 & liv+ 9 e?nic enclaves4 7#e7 ,asian & ,pacific ,isl&] m5 & wom5 are m ?an twice z likely to develop liv] canc] comp>$ to ! non-,hispanic ,:ite population4 7#f7 ,among ! ,asian & ,pacific ,isl&] population1 ! high] incid5ce rate ( liv] canc] is p>tially expla9$ by high] incid5ce rates ( hepatitis ,b & diabetes1 :i* are comorbidities %[n to increase an individual's risk ( develop+ liv] canc]4 7#g7 ,! mo/ common causes ( liv] canc] include hepatitis ,b virus & hepatitis ,c virus infection4 7#h7 ,hepatitis ,b is a prim>y risk factor = develop+ liv] canc]1 & #a 9 #d ( ^? *ronically infect$ ) hepatitis ,b develop cirrhosis1 liv] failure1 or liv] canc]4 7#i7 ,half ( all individuals ) hepatitis ,b 9 ! ,unit$ ,/ates are ,asian ,am]ican or ,pacific ,isl&]1 ?\gh ?is gr\p acc\nts = only #e p]c5t ( ! population ( ! ,unit$ ,/ates4 7#aj7 ,among ,african immigrants 9 ! ,unit$ ,/ates1 ! preval5ce ( hepatitis ,b infection is approximately #a 9 #aj1 & ,african immigrants make up #cj p]c5t ( ^? ) *ronic hepatitis ,b infection 9 ! ,unit$ ,/ates4 7#aa7 ,among ,hispanic_/,lat9o communities1 liv] canc] incid5ce & dea? rates are twice z high comp>$ to ! non-,hispanic ,:ite population4 7#ab7 ,hispanics_/,lat9os are #fj p]c5t m likely to die f viral hepatitis ?an non-,hispanic ,:ites4 #c4 ,liv] canc] & disease rese>* ,subp>t #a ( "p ,c ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #dag;,h4 ,liv] canc] & disease rese>* 7a7 ,expansion & coord9ation ( activities ,! ,director ( ! ,in/itute %all exp&1 int5sify1 & coord9ate ! activities ( ! ,in/itute ) respect to rese>* on liv] canc] & o!r liv] diseases4 7b7 ,programs = liv] canc] ,9 c>ry+ out subsection 7a71 ! ,director ( ! ,in/itute %all-- 7#a7 provide = an expansion & int5sification ( ! conduct & support (-- 7,a7 basic rese>* conc]n+ ! etiology & causes ( liv] canc]2 7,b7 cl9ical rese>* & relat$ activities conc]n+ ! causes1 prev5tion1 detection1 & treatm5t ( liv] canc]2 7,c7 control programs ) respect to liv] canc]1 9 accordance ) section #dab1 includ+ community-bas$ programs design$ to assi/ memb]s ( m$ically und]s]v$ populations 7includ+ wom571 l[-income populations1 or m9ority gr\ps2 & 7,d7 in=mation & education programs ) respect to liv] canc]1 9 accordance ) section #dac2 7#b7 issue t>get$ calls = proposals f rese>* sci5ti/s = purposes ( fund+ priority areas ( liv] canc] rese>*2 7#c7 e/abli% a special emphasis panel 7z def9$ by ! ,national ,in/itutes ( ,heal?7 to review any proposal submitt$ pursuant to p>agraph 7#b72 & 7#d7 bas$ on reviews by ! special emphasis panel "u p>agraph 7#c71 select :i* proposals to fund or support4 7c7 ,int]-,in/itute work+ gr\p ,! ,director ( ! ,in/itute %all e/abli% an int]-in/itute work+ gr\p to coord9ate rese>* ag5das focus$ on f9d+ bett] outcomes & cures = liv] canc] & o!r liv] diseases1 includ+ hepatitis ,b & nonalcoholic /eatohepatitis4 7d7 ,grants & coop]ative agreem5ts 7#a7 ,9 g5]al ,! ,secret>y may aw>d grants & ent] into coop]ative agreem5ts ) entities = ! purpose ( exp&+ & support+ rese>* on-- 7,a7 conditions kn[n to increase an individual's risk ( develop+ a major liv] disease1 su* z liv] canc]1 hepatitis ,b1 hepatitis ,c1 nonalcoholic fatty liv] disease1 nonalcoholic /eatohepatitis1 & cirrhosis ( ! liv]2 & 7,b7 opportunities = prev5tative & diagno/ic measures = su* a disease1 includ+ ! /udy ( molecul> pa?ology & biom>k]s = e>ly detection ( su* disease4 7#b7 ,exp]im5tal treatm5t & prev5tion ,9 ! case ( an entity t is a hospital or a heal? c>e facility1 ! ,secret>y may aw>d a grant or ent] into a coop]ative agreem5t ) su* an entity = ! purpose ( support+ an exp]im5tal treatm5t or prev5tion program = liv] canc] c>ri$ out by su* entity4 7#c7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ?is subsection1 !re is au?oriz$ to be appropriat$ #de1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 ,any am\nts appropriat$ "u ?is p>agraph %all rema9 available until exp5d$4 4 #d4 ,liv] canc] & disease prev5tion1 aw>5ess1 & pati5t track+ grants ,subp>t ,i ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #ccj,n4 ,liv] canc] & disease prev5tion1 aw>5ess1 & pati5t track+ grants 7a7 ,prev5tion initiative grant program 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants & ent] into coop]ative agreem5ts ) entities = ! purpose ( exp&+ & support+-- 7,a7 prev5tion activities 7includ+ provid+ scre5+s1 vacc9ations1 or o!r prev5tative treatm5t7 = conditions kn[n to increase an individual's risk ( develop+ a major liv] disease1 su* z liv] canc]1 hepatitis ,b1 hepatitis ,c1 nonalcoholic fatty liv] disease1 nonalcoholic /eatohepatitis1 & cirrhosis ( ! liv]2 7,b7 activities relat+ to surveillance1 diagno/ics1 & provision ( guidance = individuals at high risk = contract+ liv] canc] & o!r liv] diseases2 & 7,c7 a robu/ hepatitis surveillance infra/ructure to provide = timely & accurate in=mation reg>d+ progress to elim9ate viral hepatitis4 7#b7 ,report ,an entity t receives a grant or coop]ative agreem5t "u p>agraph 7#a7 %all submit to ! ,secret>y1 at a "t specifi$ by ! ,secret>y1 a report describ+ ea* activity c>ri$ out pursuant to su* p>agraph & evaluat+ ! effectiv5ess ( su* activity 9 promot+ prev5tion & treatm5t ( liv] canc] & o!r liv] diseases4 7#c7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ?is subsection1 !re is au?oriz$ to be appropriat$ #ij1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 ,any am\nts appropriat$ "u ?is p>agraph %all rema9 available until exp5d$ & %all be us$ to supplem5t & n supplant o!r ,f$]al funds provid$ = activities "u ?is subsection4 7b7 ,aw>5ess initiative grant program 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants to eligible entities = ! purpose ( rais+ aw>5ess = liv] canc] & o!r liv] diseases1 :i* may include ! production1 dissem9ation1 & di/ribution ( in=mational mat]ials t>get$ t[>ds communities & populations ) a high] risk = develop+ liv] canc] & o!r liv] diseases4 7#b7 ,eligible entities ,to be eligible to receive a grant "u p>agraph 7#a71 an entity %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a description ( h[ ! entity1 9 dissem9at+ in=mation on liv] canc] & o!r liv] diseases pursuant to p>agraph 7#a71 w-- 7,a7 ) respect to any community or population1 consult ) memb]s ( su* community or population & provide su* in=mation 9 a mann] t is culturally & l+ui/ically appropriate = su* community or population2 7,b7 highlight ! range ( treatm5ts available = liv] canc] & o!r liv] diseases2 7,c7 integrate in=mation on available hepatitis ,b & hepatitis ,c te/+ programs into any liv] canc] pres5tations c>ri$ out by ! entity2 & 7,d7 t>get communities & populations ) a high] risk = contract+ liv] canc] & o!r liv] diseases4 7#c7 ,pref]5ce ,9 aw>d+ grants "u p>agraph 7#a71 ! ,secret>y %all give pref]5ce to entities t-- 7,a7 are1 or "w )1 a ,f$]ally-qualifi$ heal? c5t]2 or 7,b7 are community-bas$ organizations4 7#d7 ,report ,an entity t receives a grant "u p>agraph 7#a7 %all submit to ! ,secret>y1 at a "t specifi$ by ! ,secret>y1 a report describ+ ea* activity c>ri$ out pursuant to su* p>agraph & evaluat+ ! effectiv5ess ( su* activity 9 rais+ aw>5ess = liv] canc] & o!r liv] diseases4 7#e7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ?is subsection1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 ,any am\nts appropriat$ "u ?is p>agraph %all rema9 available until exp5d$ & %all be us$ to supplem5t & n supplant o!r ,f$]al funds provid$ = activities "u ?is subsection4 4 #e4 ,hepatitis ,b rese>* ,subp>t #c ( "p ,c ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #dcd;,b4 ,hepatitis ,b ,! ,director ( ! ,in/itute %all1 9 collaboration ) ! ,director ( ! ,national ,in/itute ( ,all]gy & ,infecti\s ,diseases1 issue t>get$ calls = hepatitis ,b rese>* proposals focus$ on key rese>* que/ions id5tifi$ by ! rese>* community & discuss$ 9 pe]-review$ rese>* j\rnal articles4 4 #f4 ,*anges relat+ to ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases 7a7 ,*ange ( "n ( ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases 7#a7 ,9 g5]al ,subp>t #c ( "p ,c ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c et seq47 is am5d$ 9 ! subp>t head+ by /rik+ ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases & ins]t+ ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases4 7#b7 ,treatm5t ( ,director ( ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases ,! individual s]v+ z ! ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases z ( ! date ( enactm5t ( ?is ,act may cont9ue to s]ve z ! ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases comm5c+ z ( t date4 7#c7 ,ref]5ces ,any ref]5ce to ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases1 or ! ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases1 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] ,diseases1 or ! ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases1 respectively4 7#d7 ,con=m+ am5dm5ts 7,a7 ,section #dja7;b77#c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bha7;b77#c77 is am5d$ by /rik+ ,! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases4 & ins]t+ ,! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases44 7,b7 ,section #dji;,a7a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhd;e7a77 is am5d$ by /rik+ ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases & ins]t+ ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases4 7b7 ,purpose ( ! ,in/itute ,section #dbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c7 is am5d$-- 7#a7 by /rik+ ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases & ins]t+ ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases2 & 7#b7 by /rik+ & kidney1 urologic1 & hematologic diseases & ins]t+ kidney1 urologic1 & hematologic diseases1 & liv] diseases4 7c7 ,data sy/ems & in=mation cle>+h\ses ,section #dbg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,! ,director ( ! ,in/itute %all 7#a7 e/abli% ! ,national ,liv] ,diseases ,data ,sy/em = ! collection1 /orage1 analysis1 retrieval1 & dissem9ation ( data d]iv$ f pati5t populations ) liv] diseases1 includ+1 :]e possible1 data involv+ g5]al populations = ! purpose ( detection ( individuals ) a risk ( develop+ liv] diseases1 & 7#b7 e/abli% ! ,national ,liv] ,diseases ,in=mation ,cle>+h\se to facilitate & enhance k & und]/&+ ( liv] diseases on ! "p ( heal? pr(essionals1 pati5ts1 & ! public ?r\gh ! effective dissem9ation ( in=mation4 4 7d7 ,ree/abli%m5t ( ,liv] ,disease ,rese>* ,bran* )9 ,division ( ,dige/ive ,diseases & ,nutrition z ,division ( ,liv] ,diseases 7#a7 ,9 g5]al ,! ,liv] ,disease ,rese>* ,bran* )9 ! ,division ( ,dige/ive ,diseases & ,nutrition ( ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases 7ref]r$ to 9 ?is subsection z ! ,liv] ,disease ,rese>* ,bran*7 is h]eby r$esignat$ & promot$ z ! ,division ( ,liv] ,diseases1 :i* %all be )9 ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases1 z r$esignat$ by subsection 7a71 z a sep>ate division f ! o!r divisions )9 su* ,in/itute4 7#b7 ,division ,director ,section #dbh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#b7 is am5d$-- 7,a7 9 ! section head+1 by /rik+ ,division directors = diabetes1 endocr9ology1 & metabolic diseases1 dige/ive diseases & nutrition1 & kidney1 urologic1 & hematologic diseases & ins]t+ ,division directors = diabetes1 endocr9ology1 & metabolic diseases1 dige/ive diseases & nutrition1 kidney1 urologic1 & hematologic diseases1 & liv] diseases2 7,b7 9 subsection 7a77#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ & a ,division ,director = ,kidney1 ,urologic1 & ,hematologic ,diseases & ins]t+ a ,division ,director = ,kidney1 ,urologic1 & ,hematologic ,diseases1 & a ,division ,director = ,liv] ,diseases2 & 7ii7 9 subp>agraph 7,a71 by /rik+ & kidney1 urologic1 & hematologic diseases & ins]t+ kidney1 urologic1 & hematologic diseases1 & liv] diseases2 & 7,c7 9 subsection 7b7-- 7i7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ & ! ,division ,director = ,kidney1 ,urologic1 & ,hematologic ,diseases & ins]t+ ! ,division ,director = ,kidney1 ,urologic1 & ,hematologic ,diseases1 & ! ,division ,director = ,liv] ,diseases2 & 7ii7 9 p>agraph 7#a71 by /rik+ & kidney1 urologic1 & hematologic diseases & ins]t+ kidney1 urologic1 & hematologic diseases1 & liv] diseases4 7#c7 ,treatm5t ( ,director ( ,liv] ,disease ,rese>* ,bran* ,! individual s]v+ z ! ,director ( ! ,liv] ,disease ,rese>* ,bran* z ( ! date ( enactm5t ( ?is ,act may cont9ue to s]ve z ! ,division ,director = ,liv] ,diseases comm5c+ z ( t date4 7#d7 ,transf] ( au?orities ,! ,secret>y ( ,heal? & ,human ,s]vices %all delegate to ! ,division ,director = ,liv] ,diseases all duties & au?orities t 7 ve/$ 9 ! ,director ( ! ,liv] ,disease ,rese>* ,bran* z ( ! day be=e ! date ( enactm5t ( ?is ,act4 7#e7 ,ref]5ces ,any ref]5ce to ! ,liv] ,disease ,rese>* ,bran*1 or ! ,director ( ! ,liv] ,disease ,rese>* ,bran*1 9 any law1 regulation1 docum5t1 record1 or o!r pap] ( ! ,unit$ ,/ates %all be deem$ to be a ref]5ce to ! ,division ( ,liv] ,diseases1 or ! ,division ,director = ,liv] ,diseases1 respectively4 7e7 ,int]ag5cy coord9at+ committees ,section #dbi7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#c7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ & kidney1 urologic1 & hematologic diseases & ins]t+ kidney1 urologic1 & hematologic diseases1 & liv] diseases2 & 7#b7 9 ! matt] foll[+ p>agraph 7#b71 by /rik+ & a ,kidney1 ,urologic1 & ,hematologic ,diseases ,coord9at+ ,committee & ins]t+ a ,kidney1 ,urologic1 & ,hematologic ,diseases ,coord9at+ ,committee1 & a ,liv] ,diseases ,coord9at+ ,committee4 7f7 ,advisory bo>ds ,section #dcj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#d7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ & ! ,national ,kidney & ,urologic ,diseases ,advisory ,bo>d & ins]t+ ! ,national ,kidney & ,urologic ,diseases ,advisory ,bo>d1 & ! ,liv] ,diseases ,advisory ,bo>d2 & 7#b7 9 subsection 7b77#b77;,a77i7-- 7,a7 by /rik+ ! ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases & ins]t+ ! ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases2 & 7,b7 by /rik+ & ! ,division ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive & ,kidney ,diseases & ins]t+ & ! ,division ,director ( ! ,national ,in/itute ( ,diabetes & ,dige/ive1 ,kidney1 & ,liv] ,diseases4 7g7 ,rese>* & tra9+ c5t]s ,section #dca ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#e7 is am5d$-- 7#a7 by r$esignat+ subsection 7e7 z subsection 7f72 & 7#b7 by ins]t+ aft] subsection 7d7 ! foll[+ new subsection3 7e7 ,! ,director ( ! ,in/itute %all provide = ! developm5t or sub/antial expansion ( c5t]s = rese>* 9 liv] diseases4 ,ea* c5t] develop$ or exp&$ "u ?is subsection-- 7#a7 %all utilize ! facilities ( a s+le in/itution1 or be =m$ f a consortium ( coop]at+ in/itutions1 meet+ su* rese>* qualifications z may be prescrib$ by ! ,secret>y2 7#b7 %all develop & conduct basic & cl9ical rese>* into ! cause1 diagnosis1 e>ly detection1 prev5tion1 control1 & treatm5t ( liv] diseases & relat$ functional1 cong5ital1 metabolic1 or o!r complications result+ f su* diseases2 7#c7 %all enc\rage rese>* into & programs =-- 7,a7 provid+ in=mation = pati5ts ) su* diseases & complications & ! families ( su* pati5ts1 physicians & o!rs :o c>e = su* pati5ts1 & ! g5]al public2 7,b7 model programs = co/ effective & prev5tive pati5t c>e2 & 7,c7 tra9+ physicians & sci5ti/s 9 rese>* on su* diseases & complications2 & 7#d7 may p]=m rese>* & p>ticipate 9 epidemiological /udies & data collection relevant to liv] diseases 9 ord] to dissem9ate su* rese>*1 /udies1 & data to ! heal? c>e pr(ession & to ! public4 4 7h7 ,advisory c\ncil subcommittees ,section #dcb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;c-#f7 is am5d$-- 7#a7 by /rik+ & a subcommittee on kidney1 urologic1 & hematologic diseases & ins]t+ a subcommittee on kidney1 urologic1 & hematologic diseases1 & a subcommittee on liv] diseases2 & 7#b7 by /rik+ & kidney1 urologic1 & hematologic diseases & ins]t+ kidney1 urologic1 & hematologic diseases1 & liv] diseases4