,in the ,senate of the ,united ,states1 
,december #a1 #bjbb4  ,amendment3  ,that
 the bill from the ,house of            
,representatives 7,h4,r4 #aaic7 entitled
 ,an ,act to amend title ,,iv of the    
,public ,health ,service ,act to direct 
the ,director of the ,national          
,institutes of ,health1 in consultation 
with the ,director of the ,national     
,heart1 ,lung1 and ,blood ,institute1 to
 establish a program under which the    
,director of the ,national ,institutes  
of ,health shall support or conduct     
research on valvular heart disease1 and 
for other purposes41 do pass with the   
following ,strike all after the enacting
 clause and insert the following3 #a4   
,short title ,this ,act may be cited as 
the ,cardiovascular ,advances in        
,research and ,opportunities ,legacy    
,act4  #b4 ,,hhs valvular heart disease 
activities  7a7 ,in general ,the        
,secretary of ,health and ,human        
,services 7referred to in this section  
as the ,secretary7 shall1 as            

appropriate1 continue activities related
 to research1 education1 and awareness  
of valvular heart diseases4  7b7 ,,nih  
research related to valvular heart      
diseases  7#a7 ,in general ,the         
,director of the ,national ,institutes  
of ,health1 in consultation with the    
,director of the ,national ,heart1      
,lung1 and ,blood ,institute1 may       
support or conduct research regarding   
valvular heart diseases4  7#b7 ,support 
further research ,in order to improve   
information on1 and understanding of1   
causation and risk factors for valvular 
heart diseases1 research conducted or   
supported under this subsection for such
 diseases may include the following3    
7,a7 ,use of advanced technological     
imaging and other relevant methods to   
generate data related to valvular heart 
diseases4  7,b7 ,assessing potential    
risk factors for sudden cardiac arrest  
or sudden cardiac death from valvular   
heart diseases4  7,c7 ,other activities1
 as appropriate1 in order to improve the

 availability of information on1 and    
advance research related to1 valvular   
heart diseases4  7#c7 ,mitral valve     
prolapse workshop ,not later than #b    
years after the date of enactment of    
this ,act1 the ,director of the         
,national ,heart1 ,lung1 and ,blood     
,institute shall1 as appropriate1       
convene a workshop composed of subject  
matter experts and stakeholders to      
identify research needs and             
opportunities to develop recommendations
 for the identification and treatment of
 individuals with mitral valve prolapse1
 including such individuals who may be  
at risk for sudden cardiac arrest or    
sudden cardiac death4  7c7 ,prevention  
activities to improve awareness of      
sudden cardiac death as a result of     
valvular heart diseases  7#a7 ,in       
general ,the ,secretary may carry out   
activities to increase education and    
awareness of valvular heart diseases in 
order to reduce the incidence of sudden 
cardiac death caused by such diseases4  

,the ,secretary may-- 7,a7 award grants 
or contracts to public or nonprofit     
private entities to carry out activities
 under this subsection2 and  7,b7       
directly1 or through grants or          
contracts1 provide technical assistance 
with respect to such activities4  7#b7  
,certain activities ,upon availability  
of applicable data1 projects carried out
 under paragraph 7#a7 may include-- 7,a7
 continuing activities at the ,centers  
for ,disease ,control and ,prevention   
related to valvular heart diseases2     
7,b7 improving the awareness of the     
public concerning any risk factors for1 
the symptoms of1 and the public health  
impact of1 valvular heart diseases2 and 
7,c7 enhancing public health data       
collection and improving the quality of 
such data1 as appropriate1 regarding    
cardiac arrests1 including cardiac      
arrests that occur outside of the       
hospital4  7#c7 ,grant prioritization   
,the ,secretary may1 in awarding grants 
or entering into contracts pursuant to  

paragraph 7#a71 give priority to        
entities seeking to carry out projects  
for populations most impacted by        
valvular heart diseases4  7#d7          
,coordination of activities ,the        
,secretary shall1 as appropriate1 ensure
 that activities under this section are 
coordinated with other agencies and     
offices of the ,department of ,health   
and ,human ,services that carry out     
activities regarding valvular heart     
diseases4  7#e7 ,best practices ,the    
,secretary shall1 as applicable and     
appropriate1 identify and disseminate   
best practices for relevant health care 
providers related to valvular heart     
diseases4  7d7 ,authorization of        
appropriations ,for purposes of carrying
 out this section1 there are authorized 
to be appropriated #bh1jjj1jjj for each 
of fiscal years #bjbc through #bjbg4    
,secretary