,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #egdi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #bg1 #bjbc  
,mrs4 ,d+ell 7= h]self1 ,mr4 ,valadao1  
,ms4 ,blunt ,ro*e/]1 & ,mr4             
,fitzpatrick7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act ) reg>d to rese>*  
on a/hma1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,elijah 
,e4 ,cumm+s ,family ,a/hma ,act4  #b4   
,f9d+s ,congress f9ds ! foll[+3  7#a7   
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 9 #bjbj ne>ly #be1cjj1jjj
 p 9 ! ,unit$ ,/ates _h be5 diagnos$ )  
a/hma1 includ+ an e/imat$ #d1bjj1jjj    
*ildr54  7#b7 ,accord+ to ! ,c5t]s =    
,disease ,control & ,prev5tion1 a/hma is
 m common among ,black ,am]icans1       
,native individuals 7,am]ican           
,indians_/,alaska ,natives71 ,pu]to     
,ricans1 & p ( multiple races comp>$ to 
non-,hispanic :ite individuals4  7#c7   
,accord+ to ! ,c5t]s = ,disease ,control

 & ,prev5tion1 among *ildr51 males h    
high] rates ( a/hma ?an females1 & 9    
adults1 wom5 h high] rates ( a/hma ?an  
m54 ,individuals liv+ bel[ ! pov]ty     
?re%old also _h significantly high]     
rates ( a/hma 9 #bjbj ?an individuals   
liv+ above ! pov]ty ?re%old4  7#d7      
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 9 #bjbj m ?an #d1ajj p 9 
! ,unit$ ,/ates di$ f a/hma4 ,! rate (  
mortality f a/hma is high] among        
,african ,am]icans & wom54  7#e7 ,!     
,c5t]s = ,disease ,control & ,prev5tion 
report t a/hma acc\nt$ = approximately  
#ahc1jjj hospitalizations & #a1fjj1jjj  
visits to hospital em]g5cy dep>tm5ts 9  
#bjaf4  7#f7 ,accord+ to ! ,c5t]s =     
,disease ,control & ,prev5tion1 ! annual
 co/ ( a/hma to ! ,unit$ ,/ates is      
approximately #ha1ijj1jjj1jjj1 includ+  
#c1jjj1jjj1jjj 9 indirect co/s f miss$  
days ( s*ool & "w4  7#g7 ,accord+ to !  
,c5t]s = ,disease ,control & ,prev5tion1
 m ?an #g1ijj1jjj s*ool days &          
#aj1ijj1jjj workdays are miss$ annually 

z a result ( a/hma4  7#h7 ,a/hma        
episodes c be trigg]$ by bo? outdoor air
 pollution & indoor air pollution1      
includ+ pollutants su* z cig>ette smoke 
& combu/ion by-products4 ,a/hma episodes
 c also be trigg]$ by indoor all]g5s su*
 z animal d&]1 mold1 cockroa*es1 &      
rod5ts1 & outdoor all]g5s su* z poll54  
7#i7 ,public heal? int]v5tions & m$ical 
c>e 9 accordance ) exi/+ guidel9es h be5
 prov5 effective 9 ! treatm5t &         
managem5t ( a/hma4 ,bett] a/hma         
managem5t c\ld r$uce ! numb]s ( em]g5cy 
dep>tm5t visits & hospitalizations due  
to a/hma4 ,/udies publi%$ 9 m$ical      
j\rnals1 includ+ ! ,j\rnal ( ,a/hma & ,!
 ,j\rnal ( ,p$iatrics1 h %[n t bett]    
a/hma managem5t results 9 improv$ a/hma 
outcomes at a l[] co/4 ,h[ev]1 rese>*   
publi%$ 9 ,prev5t+ ,*ronic ,disease has 
%[n gaps 9 consi/5t & compreh5sive      
cov]age ( guidel9es-bas$ a/hma c>e      
across ,/ate ,m$icaid programs4  7#aj7  
,! high heal? & f9ancial burd5 caus$ by 
a/hma und]scores ! importance ( adh]5ce 

to ! ,national ,a/hma ,education &      
,prev5tion ,program ,guidel9es ( !      
,national ,he>t1 ,lung1 & ,blood        
,in/itute4 ,increas+ adh]5ce to         
guidel9es-bas$ c>e & result+ pati5t     
managem5t practices w enhance ! quality 
( life = pati5ts ) a/hma & decrease     
a/hma-relat$ morbidity & mortality4     
7#aa7 ,9 #bjaf1 ! ,c5t]s = ,disease     
,control & ,prev5tion report$ t less ?an
 half ( p ) a/hma report$ receiv+       
self-managem5t tra9+ = _! a/hma4 ,m     
education ab\t trigg]s1 prop] treatm5t1 
& a/hma managem5t me?ods is ne$$4  7#ab7
 #bg ,/ates d n receive fund+ ?r\gh !   
,national ,a/hma ,control ,program ( !  
,c5t]s = ,disease ,control & ,prev5tion4
 ,)\t ?is fund+1 ,/ate heal? dep>tm5ts h
 a limit$ capacity to improve ! rea*1   
quality1 effectiv5ess & su/a9ability (  
a/hma control s]vices1 conduct          
compreh5sive adult & p$iatric           
surveillance1 & to r$uce a/hma          
morbidity1 mortality1 & disp>ities4     
7#ac7 ,! al>m+ rise 9 ! preval5ce (     

a/hma1 its adv]se effect on s*ool       
att5dance & productivity1 & its co/ =   
hospitalizations & em]g5cy room visits1 
highlight ! importance ( public heal?   
int]v5tions1 includ+ increas+ aw>5ess ( 
a/hma z a *ronic illness1 its symptoms1 
! role ( bo? indoor & outdoor           
environm5tal factors t exac]bate !      
disease1 & o!r factors t affect its     
exac]bations & sev]ity4 ,! goals ( !    
,f$]al ,gov]nm5t & its p>tn]s 9 !       
nonpr(it & private sectors %\ld include 
r$uc+ ! numb] & sev]ity ( a/hma attacks1
 a/hma's f9ancial burd51 & ! heal?      
disp>ities associat$ ) a/hma4  #c4      
,a/hma-relat$ activities ( ! ,c5t]s =   
,disease ,control & ,prev5tion ,section 
#cag;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bdg;b-#aj7 is am5d$ to  
read z foll[s3  #cag;,i4 ,a/hma-relat$  
activities ( ! ,c5t]s = ,disease        
,control & ,prev5tion  7a7 ,program =   
provid+ in=mation & education to !      
public ,! ,secret>y1 act+ ?r\gh !       
,director ( ! ,c5t]s = ,disease ,control

 & ,prev5tion & ! ,director ( !         
,national ,c5t] = ,environm5tal ,heal?1 
%all collaborate ) ,/ate & local heal?  
dep>tm5ts to conduct activities reg>d+  
a/hma1 includ+ ! provision ( in=mation &
 education to ! public reg>d+ a/hma1    
includ+-- 7#a7 det]r+ ! h>mful          
consequ5ces ( uncontroll$ a/hma2 &  7#b7
 dissem9at+ heal? education & in=mation 
reg>d+ prev5tion ( a/hma episodes &     
/rategies = manag+ a/hma4  7b7          
,developm5t ( ,/ate /rategic plans =    
a/hma control ,! ,secret>y1 act+ ?r\gh !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion1 %all collaborate 
) ,/ate & local heal? dep>tm5ts to      
develop ,/ate /rategic plans = a/hma    
control incorporat+ public heal?        
responses to r$uce ! burd5 ( a/hma1     
p>ticul>ly reg>d+ disproportionately    
affect$ populations4  7c7 ,compilation (
 data  7#a7 ,9 g5]al ,! ,secret>y1 act+ 
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion1 9 collaboration )
 ,/ate & local heal? dep>tm5ts1 %all--  

7,a7 conduct a/hma surveillance         
activities to collect data on !         
preval5ce & sev]ity ( a/hma1 !          
effectiv5ess ( public heal? a/hma       
int]v5tions1 & ! quality ( a/hma        
managem5t1 includ+--  7i7 collection (  
data on or among p ) a/hma to monitor ! 
impact on heal? & quality ( life2  7ii7 
surveillance ( heal? c>e facilities2 &  
7iii7 collection ( data f electronic    
heal? records or o!r electronic         
communications2 &  7,b7 compile &       
annually publi% data reg>d+--  7i7 !    
preval5ce ( *ildhood a/hma2  7ii7 ! *ild
 mortality rate ( a/hma2  7iii7 ! numb] 
( hospital admissions & em]g5cy dep>tm5t
 visits by *ildr5 associat$ ) a/hma     
nationally1 disaggregat$ by ,/ate1 age1 
sex1 race1 & e?nicity2  7iv7 ! preval5ce
 ( adult a/hma2  7v7 ! adult mortality  
rate ( a/hma2 &  7vi7 ! numb] ( hospital
 admissions & em]g5cy dep>tm5t visits by
 adults associat$ ) a/hma nationally1   
disaggregat$ by ,/ate1 age1 sex1 race1 &
 e?nicity4  7#b7 ,data privacy ,none ( !

 data collect$1 compil$1 or publi%$ "u  
p>agraph 7#a7 may conta9 individually   
id5tifiable in=mation4  7#c7 ,ensur+    
comp>ability ,! ,secret>y1 act+ ?r\gh ! 
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 9 collaboration ) ,/ate &
 local heal? dep>tm5ts1 %all ensure t ! 
data describ$ 9 p>agraph 7#a7 are       
collect$ & compil$ us+ a consi/5t       
me?odology s z to maximize !            
comp>ability ( results4  7d7            
,collaboration ) nonpr(its ,! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion may collaborate ) national1  
,/ate1 & local nonpr(it organizations to
 provide in=mation & education ab\t     
a/hma4  7e7 ,reports to ,congress ,n    
lat] ?an #c ye>s aft] ! date ( enactm5t 
( ! ,elijah ,e4 ,cumm+s ,family ,a/hma  
,act1 & #b ye>s !reaft]1 ! ,secret>y    
%all1 9 collaboration ) pati5t gr\ps1   
nonpr(it organizations1 m$ical          
societies1 & o!r relevant gov]nm5tal &  
nongov]nm5tal entities1 submit to       
,congress a report t--  7#a7 catalogs1 )

 respect to a/hma prev5tion1 managem5t1 
& surveillance-- 7,a7 ! activities ( !  
,f$]al ,gov]nm5t1 includ+ an assessm5t (
 ! progress ( ! ,f$]al ,gov]nm5t &      
,/ates1 ) respect to a*iev+ ! goals ( ! 
,heal?y ,p #bjcj initiative2 &  7,b7 !  
activities ( o!r entities t p>ticipate 9
 ! program "u ?is section1 includ+      
nonpr(it organizations1 pati5t advocacy 
gr\ps1 & m$ical societies2 &  7#b7 makes
 recomm5dations = ! future direction (  
a/hma-relat$ activities1 9 consultation 
) rese>*]s f ! ,national ,in/itutes (   
,heal? & o!r memb] bodies ( ! ,a/hma    
,disp>ities ,subcommittee1 includ+--    
7,a7 a description ( h[ ! ,f$]al        
,gov]nm5t may improve its response to   
a/hma1 includ+ id5tify+ any b>ri]s t may
 exi/2  7,b7 a description ( h[ ! ,f$]al
 ,gov]nm5t may cont9ue1 exp&1 & improve 
its private-public p>tn]%ips ) respect  
to a/hma1 includ+ id5tify+ any b>ri]s t 
may exi/2  7,c7 ! id5tification ( /eps t
 may be tak5 to r$uce !-- 7i7 morbidity1
 mortality1 & ov]all preval5ce ( a/hma2 

7ii7 f9ancial burd5 ( a/hma on society2 
7iii7 burd5 ( a/hma on                  
disproportionately affect$ areas1       
p>ticul>ly ^? 9 m$ically und]s]v$       
populations 7z def9$ 9 section          
#ccj7;b77#c772 &  7iv7 burd5 ( a/hma z a
 *ronic disease t c be wors5$ by        
environm5tal exposures2  7,d7 !         
id5tification ( programs & policies t h 
a*iev$ ! /eps describ$ 9 subp>agraph    
7,c71 & /eps t may be tak5 to exp& su*  
programs & policies to b5efit l>g]      
populations2 &  7,e7 recomm5dations =   
future rese>* & int]v5tions4  7f7       
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #gj1jjj1jjj = ! p]iod (     
fiscal ye>s #bjbd ?r\gh #bjbh4  4