,i #aag? ,,congress #b;d ,session ,h4 ,r4 #icaj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,novemb] #af1 #bjbb,ms4 ,blunt ,ro*e/] introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to give ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce ! au?ority to take e>ly action bas$ on sci5tific evid5ce1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prev5tive ,s]vices ,e>ly ,action ,act4 #b4 ,*anges to ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce ,section #iae7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bii;b-#d7;a77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,e71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,f71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,g7 ! publication ( qu>t]ly reports on ! ,task ,=ce's website id5tify+-- 7i7 a li/ ( cl9ical prev5tive recomm5dations ( ! ,task ,=ce ) respect to ! sci5tific in=mation describ$ 9 p>agraph 7#d77;,b72 & 7ii7 a li/ ( topics t ! ,sci5tific ,director det]m9es are appropriate = e>ly action z describ$ 9 p>agraph 7#e74 2 7#b7 by r$esignat+ p>agraphs 7#d71 7#e71 7#f71 & 7#g7 z p>agraphs 7#g71 7#h71 7#i71 & 7#aa71 respectively2 7#c7 aft] mak+ su* r$esignations1 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ,ongo+ review ( sci5tific evid5ce & reque/s = e>ly action ,= ! purpose describ$ 9 p>agraph 7#a71 ! ,task ,=ce %all e/abli% & implem5t a process = ! ongo+ review ( sci5tific evid5ce relat$ to updat+ previ\s cl9ical prev5tive recomm5dations ( ! ,task ,=ce "u p>agraph 7#e7 & review+ new topics = ! developm5t ( recomm5dations = ! heal? c>e community4 ,su* sci5tific evid5ce %all include-- 7,a7 in=mation f s\rces audit$ "u ! ,lit,watch process describ$ 9 ,app5dix ,,iii ( ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce ,proc$ure ,manual 7or any successor to su* process72 & 7,b7 in=mation submitt$ ?r\gh a public submission process1 :i* may include evid5ce-- 7i7 ( ! impact ( cl9ical prev5tive s]vices on populations or age gr\ps = :i* su* cl9ical prev5tive s]vices d n h 9 effect a rat+ ( ,a or ,b2 7ii7 to fill rese>* gaps id5tifi$ by ! ,task ,=ce2 7iii7 ( a new1 novel scre5+ modality or te*nology1 prev5tive m$ication1 or o!r prev5tive s]vice n previ\sly review$ by ! ,task ,=ce2 7iv7 ( heal? outcomes f a cl9ical prev5tive s]vice t 0 previ\sly consid]$ b n recomm5d$ by ! ,task ,=ce2 or 7v7 *anges 9 ! public heal? impact ( a specific condition1 :e!r 9 g5]al or z su* *anges relate to a specific population4 7#e7 ,e>ly action bas$ on sci5tific evid5ce 7,a7 ,det]m9ation by ,sci5tific ,director ,n less ?an once p] qu>t]1 ! ,sci5tific ,director %all det]m9e :e!r ! sci5tific evid5ce review$ "u p>agraph 7#d7 supports-- 7i7 e>ly review ( a previ\s cl9ical prev5tive recomm5dation ( ! ,task ,=ce be=e ! previ\s recomm5dation is subject to full review "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b72 or 7ii7 modification ( a previ\s cl9ical prev5tive recomm5dation ( ! ,task ,=ce or any portion !re( be=e ! previ\s recomm5dation is subject to full review "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b74 7,b7 ,consid]ations ,9 mak+ a det]m9ation "u subp>agraph 7,a71 ! ,sci5tific ,director %all take into consid]ation :e!r ! sci5tific evid5ce involv$-- 7i7 includes in=mation on a new or novel int]v5tion1 modality1 te*nology1 population1 or /rategy n previ\sly consid]$ by ! ,task ,=ce 9 ! developm5t ( ! previ\s cl9ical prev5tive recomm5dation2 7ii7 helps to address a rese>* gap id5tifi$ by ! ,task ,=ce :5 develop+ ! previ\s recomm5dation2 7iii7 relates to a previ\s recomm5dation = a prev5tive s]vice or treatm5t ( a disease or condition ) a high impact on public heal? or ) disp>ities 9 scre5+ rates1 incid5ce1 or heal? outcomes l9k$ to socioeconomic /atus or race2 7iv7 is bas$ on ! developm5t ( new te*nologies or modalities t w\ld all[ = easi] disease detection or increase utilization ( recomm5d$ cl9ical prev5tative s]vices2 or 7v7 is support$ by additional s\rces ( data = any subpopulations 7includ+ subpopulations bas$ on g5d]1 race1 e?nicity1 g5etic pr$isposition1 socioeconomic /atus1 geographic location1 or o!r risk factors7 n consid]$ 9 ! previ\s recomm5dation4 7,c7 ,response by ,task ,=ce ,if ! ,sci5tific ,director ( ! ,task ,=ce det]m9es "u subp>agraph 7,a7 t ! sci5tific evid5ce supports ! ne$ = e>ly action1 ! ,task ,=ce %all-- 7i7 review ! sci5tific evid5ce 9 support ( ! det]m9ation at ! next meet+ ( ! ,task ,=ce1 :i* %all be held n lat] ?an #c mon?s aft] ! ,sci5tific ,director's det]m9ation2 & 7ii7 det]m9e t-- 7,i7 ! sci5tific evid5ce does n support ! ne$ = e>ly action2 7,,ii7 ! sci5tific evid5ce supports ! ne$ = an e>ly review ( a previ\s cl9ical prev5tive recomm5dation be=e ! previ\s recomm5dation is subject to full review "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b72 or 7,,iii7 ! sci5tific evid5ce supports ! ne$ to modify a previ\s cl9ical prev5tive recomm5dation or any portion !re( be=e ! previ\s recomm5dation is subject to full review "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b71 :i* may include recomm5d+ a new cl9ical prev5tive s]vice1 scre5+ te/1 or prev5tive m$ication )\t review+ or modify+ ! eligible population 9 ! previ\s recomm5dation4 7,d7 ,e>ly action ,if ! ,task ,=ce det]m9es t ! sci5tific evid5ce supports ! ne$ = an e>ly review ( a previ\s cl9ical prev5tive recomm5dation1 z describ$ 9 subp>agraph 7,c77ii77,,ii71 ! ,task ,=ce %all-- 7i7 all[ = public comm5t on a draft recomm5dation2 & 7ii7 n lat] ?an #f mon?s aft] su* det]m9ation1 conclude su* e>ly review & make a f9al recomm5dation4 7,e7 ,modification ,if ! ,task ,=ce det]m9es t ! sci5tific evid5ce supports ! ne$ to modify a previ\s cl9ical prev5tive recomm5dation or any portion !re(1 z describ$ 9 subp>agraph 7,c77ii77,,iii71 ! ,task ,=ce %all f9alize ! modifi$ recomm5dation n lat] ?an #ij days aft] su* det]m9ation4 ,any modification approv$ "u ?is subp>agraph %all be 9 effect until ! next review ( su* recomm5dation "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b74 7#f7 ,approval ( cle>ance ( c]ta9 products ,n lat] ?an #c mon?s aft] ! approval or cle>ance by ! ,food & ,drug ,adm9i/ration ( a scre5+ te/ or prev5tive m$ication t is a prev5tive /rategy or modality p]ta9+ to b n includ$ 9 a previ\s cl9ical prev5tive recomm5dation ( ! ,task ,=ce1 ! ,task ,=ce %all det]m9e t ! approval or cle>ance ( ! product-- 7,a7 does n support ! ne$ = e>ly action2 7,b7 supports ! ne$ = an e>ly review ( a previ\s cl9ical prev5tive recomm5dation be=e ! previ\s recomm5dation is subject to full review "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b72 or 7,c7 supports ! ne$ to modify a previ\s cl9ical prev5tive recomm5dation or any portion !re( be=e ! previ\s recomm5dation is subject to full review "u ! #e-ye> review p]iod describ$ 9 p>agraph 7#b71 :i* may include recomm5d+ a new cl9ical prev5tive s]vice1 scre5+ te/1 or prev5tive m$ication )\t review+ or modify+ ! eligible population 9 ! previ\s recomm5dation4 2 7#d7 by ins]t+ aft] p>agraph 7#i71 z s r$esignat$1 ! foll[+3 7#aj7 ,def9itions ,9 ?is section3 7,a7 ,! t]m public submission process means an onl9e me*anism t all[s any memb] ( ! g5]al public to submit sci5tific evid5ce = review by ! ,sci5tific ,director & ! ,task ,=ce /aff4 7,b7 ,! t]m ,sci5tific ,director means ! *ief physician1 rese>*]1 & te*nical advisor = ! ,task ,=ce1 z det]m9$ by ! ,director4 2 & 7#e7 by am5d+ p>agraph 7#aa71 z s r$esignat$1 to read z foll[s3 7#aa7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* fiscal ye> to c>ry out ! activities ( ! ,task ,=ce1 ( :i* su* sums z may be necess>y are au?oriz$ to be appropriat$ = fiscal ye>s #bjbc & #bjbd to hire additional /aff to c>ry out p>agraphs 7#d7 & 7#e74 4