,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dcig  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #c1 #bjbj,ms4   
,h>ris 7= h]self1 ,mr4 ,van ,holl51 &   
,mr4 ,book]7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
provide = rese>* & education ) respect  
to ut]9e fibroids1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,ut]9e ,fibroid ,rese>* & ,education  
,act ( #bjbj4  #b4 ,f9d+s ,congress f9ds
 z foll[s3 7#a7 ,x is e/imat$ t betwe5  
#bj & #cj p]c5t ( wom5 ( reproductive   
age h cl9ically recogniz$ ut]9e         
fibroids1 & scre5+ /udies indicate !    
preval5ce ( ut]9e fibroids 9 wom5 may be
 mu* high]4  7#b7 ,9 ! ,unit$ ,/ates1 an
 e/imat$ #bf1jjj1jjj wom5 betwe5 ! ages 
( #ae & #ej h ut]9e fibroids4 ,ut]9e    
fibroids may cause significant morbidity
 ?r\gh _! pres5ce 9 ! ut]us & pelvic    
cavity1 caus+ significant pelvic pa91   
iron-defici5cy anemia1 misc>riages1     

inf]tility1 & heavy ble$+--"o ( ! mo/   
common & bo!rsome symptoms4  7#c7 ,!    
pa91 discom=t1 /ress1 & o!r physical &  
emotional symptoms ( liv+ ) fibroids may
 significantly int]f]e ) a woman's      
quality ( life1 compromis+ h] ability to
 function normally or "w or c>e = h]    
family1 & may lead to m sev]e heal? &   
wellness issues4  7#d7 ,! developm5t (  
ut]9e fibroids is a common & significant
 heal? problem1 affect+ wom51 prim>ily (
 reproductive age1 across all ages1     
racial backgr\nds1 & socioeconomic      
levels4  7#e7 ,mo/ wom5 w exp]i5ce ut]9e
 fibroids by ! age ( #ej1 yet few data  
exi/ describ+ ! ov]all pati5t exp]i5ce )
 fibroids4 ,wom5 ) fibroids or symptoms 
sugge/ive ( fibroids exp]i5ce           
significant di/ress t r$uces quality (  
life & _m wom5 are likely undiagnos$1   
und]scor+ ! ne$ = improv$ aw>5ess &     
education4  7#f7 ,m9ority wom5 are m    
likely to develop ut]9e fibroids4 ,x is 
e/imat$ t m ?an #hj p]c5t (             
,african-,am]ican wom5 & ab\t #gj p]c5t 

( ,caucasian wom5 develop fibroids by ! 
"t !y rea* m5opause4 ,african-,am]ican  
wom5 h also be5 %[n to h m sev]e        
symptoms & develop e>ly-onset ut]9e     
fibroids t develop into l>g] tumors4    
7#g7 ,! exact numb] ( affect$ wom5 is   
unkn[n1 because only "o out ( #d wom5 :o
 h a ut]9e fibroid tumor exhibit        
symptoms sev]e en\gh to require         
treatm5t4  7#h7 ,curr5t rese>* &        
available data d n provide adequate     
in=mation on ! rates ( preval5ce &      
incid5ce ( fibroids 9 ,asian1 ,hispanic1
 & ,african-,am]ican m9ority wom54 ,!re 
is no quantitative data available 9     
reg>d to ! co/s associat$ ) treat+      
fibroids1 & ! me?ods by :i* fibroids may
 be prev5t$ 9 ^! wom5 available4  7#i7  
,symptomatic ut]9e fibroids c cause     
heavy m5/rual ble$+1 pa91 & reproductive
 problems1 includ+ inf]tility4 ,wom5 )  
ut]9e fibroids are mu* m likely to      
misc>ry dur+ e>ly pregnancy ?an wom5 )\t
 !m4  7#aj7 ,accord+ to ! ,evid5ce      
,report ,summ>y on ! ,managem5t ( ,ut]9e

 ,fibroids1 z compil$ by ! ,ag5cy =     
,heal?c>e ,rese>* & ,quality ( !        
,dep>tm5t ( ,heal? & ,human ,s]vices1   
!re is a rem>kable lack ( high-quality  
evid5ce support+ ! effectiv5ess ( mo/   
int]v5tions = symptomatic fibroids4     
7#aa7 ,! pres5ce ( symptomatic ut]9e    
fibroids is ! mo/ common reason =       
hyst]ectomies1 acc\nt+ = approximately  
"o-?ird ( hy/]ectomies1 or #bjj1jjj     
proc$ures annually4 ,tw5ty-two p]c5t (  
,african-,am]ican wom5 & #g p]c5t (     
,caucasian wom5 h hy/]ectomies z a      
result ( ut]9e fibroids4 ,lack ( pati5t 
& provid] aw>5ess ( less invasive       
alt]natives to hy/]ectomies lead to an  
e/imat$ #hj1jjj to #abj1jjj unnecess>y  
hy/]ectomies annually4 ,ut]9e fibroids  
are also ! lead+ cause ( hospitalization
 relat$ to a gynecological disord]4     
7#ab7 ,! p]sonal & societal co/s ( ut]9e
 fibroids 9 ! ,unit$ ,/ates are         
significant4 ,ut]9e fibroid tumors h be5
 e/imat$ to co/ ! ,unit$ ,/ates         
#e1ijj1jjj1jjj to #cd1djj1jjj1jjj       

annually4 ,! annual direct co/s1 includ+
 surg]y1 hospital admissions1 outpati5t 
visits1 & m$ications1 7 e/imat$ at      
#d1ajj1jjj1jjj to #i1djj1jjj1jjj        
annually4 ,e/imat$ lo/ "w-h\r co/s rang$
 f #a1eej1jjj1jjj to #ag1bjj1jjj1jjj    
annually4 ,ob/etric outcomes t 7        
attribut$ to fibroid tumors result$ 9   
co/s ( #bch1jjj1jjj to #g1gfj1jjj1jjj   
annually4  #c4 ,rese>* ) respect to     
ut]9e fibroids  7a7 ,rese>* ,! ,director
 ( ! ,national ,in/itutes ( ,heal? 79   
?is section ref]r$ to z ! ,director (   
,,nih7 %all exp&1 int5sify1 & coord9ate 
programs = ! conduct & support ( rese>* 
) respect to ut]9e fibroids4  7b7       
,adm9i/ration & coord9ation ,! ,director
 ( ,,nih1 act+ ?r\gh ,director ( !      
,(fice ( ,rese>* on ,wom5's ,heal?1 %all
 c>ry out rese>* conduct$ pursuant to   
subsection 7a71 9 coord9ation ) !       
appropriate in/itutes1 (fices1 & c5t]s (
 ! ,national ,in/itutes ( ,heal?1       
includ+ ! ,national ,in/itute ( ,*ild   
,heal? & ,human ,developm5t1 ! ,national

 ,in/itute ( ,environm5tal ,heal?       
,sci5ces1 ! ,(fice ( ,wom5's ,heal?1 !  
,(fice ( ,m9ority ,heal?1 & ! ,national 
,c5t] on ,m9ority ,heal? & ,heal?       
,disp>ities1 & any o!r relevant ,f$]al  
ag5cy1 z det]m9$ by ! ,director4  7c7   
,au?orization ( appropriations ,= !     
purpose ( c>ry+ out ?is section1 !re are
 au?oriz$ to be appropriat$ #cj1jjj1jjj 
= ea* ( fiscal ye>s #bjba ?r\gh #bjbe4  
#d4 ,rese>* ) respect to ,m$icaid       
cov]age ( ut]9e fibroids treatm5t  7a7  
,rese>* ,! ,adm9i/rator ( ! ,c5t]s =    
,m$ic>e  ,m$icaid ,s]vices 7ref]r$ to 9 
?is section z ! ,adm9i/rator7 %all exp& 
! ,*ronic ,conditions ,data ,w>eh\se    
rese>* database ( su* ,c5t]s = ,m$ic>e  
,m$icaid ,s]vices to collect data on    
items & s]vices furni%$ to wom5 diagnos$
 ) ut]9e fibroids & fibroids-relat$     
symptoms "u a ,/ate plan 7or a waiv] (  
su* a plan7 "u ! ,m$icaid program "u    
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 or "u a   
,/ate *ild heal? plan 7or a waiv] ( su* 

a plan7 "u ! ,*ildr5's ,heal? ,insurance
 ,program "u title ,,xxi ( su* ,act 7#db
 ,u4,s4,c4 #acig;aa et seq47 = !        
treatm5t ( su* fibroids & symptoms =    
purposes ( assess+ ! frequ5cy at :i* su*
 wom5 are furni%$ su* items & s]vices4  
7b7 ,report  7#a7 ,9 g5]al ,n lat] ?an !
 date t is "o ye> aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,adm9i/rator %all
 submit to ,congress a report on ! am\nt
 ( ,f$]al & ,/ate exp5ditures ) respect 
to items & s]vices furni%$ = ! treatm5t 
( ut]9e fibroids & fibroids-relat$      
symptoms "u ,/ate plans 7or waiv]s ( su*
 plans7 "u ! ,m$icaid program "u su*    
title ,,xix & ,/ate *ild heal? plans 7or
 waiv]s ( su* plans7 "u ! ,*ildr5's     
,heal? ,insurance ,program "u su* title 
,,xxi4  7#b7 ,coord9ation ,!            
,adm9i/rator %all coord9ate ! developm5t
 & submission ( ! report requir$ "u     
p>agraph 7#a7 ) ea* ( ! foll[+3 7,a7 ,)9
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices--
 7i7 ! ,(fice ( ,m9ority ,heal?2  7ii7 !
 ,c5t] = ,m$icaid & ,,*ip ,s]vices2     

7iii7 ! ,(fice ( ,ent]prise ,data &     
,analytics2 &  7iv7 any o!r (fice or    
c5t] det]m9$ appropriate by !           
,adm9i/rator4  7,b7 ,any o!r relevant   
,f$]al ag5cy1 z det]m9$ by !            
,adm9i/rator4  7c7 ,au?orization (      
appropriations ,= ! purpose ( c>ry+ out 
?is section1 !re are au?oriz$ to be     
appropriat$ su* sums z may be necess>y =
 ea* ( ! fiscal ye>s #bjba ?r\gh #bjbe4 
#e4 ,education & dissem9ation (         
in=mation ) respect to ut]9e fibroids   
7a7 ,ut]9e fibroids public education    
program ,! ,secret>y ( ,heal? & ,human  
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 %all develop & dissem9ate to ! public  
in=mation reg>d+ ut]9e fibroids1 includ+
 in=mation on-- 7#a7 ! aw>5ess1         
incid5ce1 & preval5ce ( ut]9e fibroids  
among wom51 includ+ all m9ority wom52   
7#b7 ! elevat$ risk = m9ority wom5 to   
develop ut]9e fibroids2 &  7#c7 !       
availability1 z m$ically appropriate1 ( 
! range ( treatm5t options = symptomatic

 ut]9e fibroids1 includ+ non-hy/]ectomy 
treatm5ts & proc$ures4  7b7             
,dissem9ation ( in=mation ,! ,secret>y  
may dissem9ate in=mation "u subsection  
7a7 directly or ?r\gh arrangem5ts )     
intra-ag5cy initiatives1 nonpr(it       
organizations1 consum] gr\ps1           
in/itutions ( high] education 7z def9$ 9
 section #aja ( ! ,high] ,education ,act
 ( #aife 7#bj ,u4,s4,c4 #ajja771 or     
,f$]al1 ,/ate1 or local public private  
p>tn]%ips4  7c7 ,au?orization (         
appropriations ,= ! purpose ( c>ry+ out 
?is section1 !re are au?oriz$ to be     
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjba ?r\gh #bjbe4   
#f4 ,in=mation to heal? c>e provid]s )  
respect to ut]9e fibroids  7a7          
,dissem9ation ( in=mation ,! ,secret>y (
 ,heal? & ,human ,s]vices1 act+ ?r\gh ! 
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration & ! ,director ( !
 ,ag5cy = ,heal?c>e ,rese>* & ,quality  
%all1 9 consultation & 9 accordance )   
guidel9es f relevant m$ical societies1  

develop & dissem9ate to heal? c>e       
provid]s in=mation on ut]9e fibroids = !
 purpose ( ensur+ t heal? c>e provid]s  
rema9 in=m$ ab\t curr5t in=mation on    
ut]9e fibroids4 ,su* in=mation %all     
include ! elevat$ risk = m9ority wom5 to
 develop ut]9e fibroids & ! range (     
available options = ! treatm5t (        
symptomatic ut]9e fibroids1 includ+     
non-hy/]ectomy drugs & devices approv$  
"u ! ,f$]al ,food1 ,drug1 & ,cosmetic   
,act 7#ba ,u4,s4,c4 #cja et seq474  7b7 
,au?orization ( appropriations ,= !     
purpose ( c>ry+ out ?is section1 !re are
 au?oriz$ to be appropriat$ su* sums z  
may be necess>y = ea* ( ! fiscal ye>s   
#bjba ?r\gh #bjbe4  #g4 ,def9ition ,9   
?is ,act1 ! t]m m9ority wom5 means wom5 
:o are memb]s ( a racial & e?nic m9ority
 gr\p1 z def9$ 9 section #agjg7;g7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjju-#f7;g774