,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #fgdc  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ac1       
#bjbc,ms4 ,blunt ,rochester 7for herself
 and ,mrs4 ,harshbarger7 introduced the 
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend the ,public ,health
 ,service ,act to include public        
awareness about menopause and related   
chronic conditions1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,we're ,addressing  
the ,realities of ,menopause ,act of    
#bjbc or the ,,warm ,act of #bjbc4  #b4 
,menopause public awareness program  7a7
 ,in general ,section #cag of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bdg;b7 is amended by adding  
at the end the following new subsection3
  7o7 ,menopause public awareness       
program  7#a7 ,in general ,the          
,secretary1 acting through the ,director
 of the ,centers for ,disease ,control  
and ,prevention1 shall carry out a      

national program to increase awareness  
of-- 7,a7 symptoms and trajectories of  
changes across the menopausal transition
 and the postmenopausal transition2     
7,b7 related chronic conditions2 and    
7,c7 the entire range of treatment and  
therapy options that may1 consistent    
with ,federal law1 be prescribed by a   
health care provider for those symptoms1
 changes1 and conditions4  7#b7         
,consultation ,in carrying out the      
national campaign required by paragraph 
7#a71 the ,secretary shall consult with 
the ,director of the ,national          
,institutes of ,health1 the ,director of
 the ,national ,institute on ,aging1 the
 ,administrator of the ,health          
,resources and ,services                
,administration1 the ,director of the   
,agency for ,healthcare ,research and   
,quality1 the ,under ,secretary for     
,health of the ,department of ,veterans 
,affairs1 the ,director of the ,defense 
,health ,agency1 the ,director of the   
,indian ,health ,service1 health care   

providers1 public health associations1  
nonprofit organizations that promote the
 health and quality of life of women    
during midlife and beyond1 and nonprofit
 organizations with expertise in        
menopause research and advocacy1 to     
solicit input on evidence-informed      
information for policy development and  
program development1 implementation1 and
 evaluation4  7#c7 ,requirements ,the   
national campaign required by paragraph 
7#a7 may--  7,a7 include the use of     
evidence-informed media and public      
engagement2  7,b7 include the           
development of educational programs1    
materials1 and public service           
announcements2  7,c7 include the        
development of culturally and           
linguistically competent resources      
tailored for-- 7i7 communities or groups
 with more severe or frequent symptoms  
of menopause or lower rates of treatment
 for symptoms of menopause2  7ii7 rural 
communities2 and  7iii7 other           
communities as the ,secretary determines

 appropriate2  7,d7 include the         
dissemination of educational programs1  
materials1 and public service           
announcements to-- 7i7 health care      
providers1 health care facilities       
7including primary care providers1      
community health centers1 rural health  
clinics1 obstetricians1 and             
gynecologists71 and ,state and local    
public health departments2 and  7ii7    
other entities as the ,secretary        
determines appropriate to increase      
awareness as described in paragraph     
7#a72  7,e7 be complementary to1 and    
coordinated with1 any other ,federal    
efforts with respect to menopause       
education and treatment2 and  7,f7      
include message testing to identify     
culturally competent and effective      
messages for behavioral change4  7#d7   
,options for dissemination of           
information ,the national campaign      
required by paragraph 7#a7 may--  7,a7  
include the use of-- 7i7 social media1  
television1 radio1 print1 the internet1 

and other media2  7ii7 in-person or     
virtual public communications2 and      
7iii7 licensed health care providers and
 members of target communities or groups
 specified in paragraph 7#c77;,c72  7,b7
 be targeted to specific groups and     
communities specified in paragraph      
7#c77;,c72 and  7,c7 be carried out     
through grants or cooperative agreements
 to private nonprofit entities with a   
history of developing and implementing  
similar campaigns4  7#e7 ,authorization 
of appropriations ,of amounts made      
available to the ,secretary for other   
purposes1 the ,secretary may use up to  
#gj1jjj1jjj of such amounts for the     
period of fiscal years #bjbe through    
#bjbh for the purpose of carrying out   
the program under this section4  4  7b7 
,report to ,congress ,not later than the
 end of calendar year #bjbe1 the        
,secretary of ,health and ,human        
,services shall submit to the ,committee
 on ,energy and ,commerce1 the          
,committee on ,ways and ,means1 the     

,committee on ,veterans' ,affairs1 and  
the ,committee on ,oversight and ,reform
 of the ,house of ,representatives and  
the ,committee on ,health1 ,education1  
,labor1 and ,pensions1 the ,committee on
 ,finance1 the ,committee on ,homeland  
,security and ,governmental ,affairs1   
and the ,committee on ,veterans'        
,affairs of the ,senate a report that   
contains--  7#a7 a qualitative          
assessment of the public awareness      
program under section #cag7o7 of the    
,public ,health ,service ,act1 as added 
by subsection 7a72 and  7#b7 a          
description of the activities conducted 
under such campaign4  #c4 ,menopause    
education and training grants ,part ,d  
of title ,,vii of the ,public ,health   
,service ,act 7#db ,u4,s4,c4 #bid et    
seq47 is amended by inserting after     
section #geg 7#db ,u4,s4,c4 #bid;f7 the 
following3  #geh4 ,menopause education  
and training grants  7a7 ,in general    
,the ,secretary1 acting through the     
,administrator of the ,health ,resources

 and ,services ,administration1 in      
consultation with the ,director of the  
,national ,institute on ,aging1 the     
directors of other institutes1 centers1 
and offices of the ,national ,institutes
 of ,health as determined appropriate by
 the ,secretary1 the ,director of the   
,agency for ,healthcare ,research and   
,quality1 the ,under ,secretary for     
,health of the ,department of ,veterans 
,affairs1 the ,director of the ,defense 
,health ,agency1 and the ,director of   
the ,indian ,health ,service1 shall     
award grants to eligible entities for   
the purposes described in subsection    
7b74  7b7 ,use of funds ,a grant        
received under this section shall be    
used for any of the following3 7#a7     
,training 7including for individuals    
completing a residency1 fellowship1 or  
other clinical training for licensure7  
for physicians1 nurse practitioners1    
physician assistants1 registered nurses1
 and pharmacists to improve             
communication and provider preparedness 

in the management of menopausal symptoms
 and related chronic conditions4  7#b7  
,establishing1 maintaining1 or improving
 academic units or programs that provide
 training for students or faculty1      
including through clinical experiences  
and research1 to improve the ability to 
be able to recognize1 diagnose1 and     
treat menopause symptoms and related    
chronic conditions4  7#c7 ,developing   
evidence-informed practices or          
recommendations for the design of units 
or programs referred to in paragraph    
7#b71 including curriculum content      
standards4  7c7 ,eligibility ,to be     
eligible to receive a grant under this  
section1 an entity shall be located in  
the ,united ,states and-- 7#a7 a school 
of medicine or osteopathic medicine1 a  
school of nursing 7as defined in section
 #hja71 a physician assistant training  
program1 a school of pharmacy1 an       
accredited public or nonprofit private  
hospital1 or an accredited medical      
residency program2 or  7#b7 a public or 

private nonprofit entity which the      
,secretary has determined is capable of 
carrying out the program or activities  
to be funded through the grant4  7d7    
,equitable distribution ,in awarding    
grants under this section1 the          
,secretary shall ensure1 to the greatest
 extent possible1 that such grants are  
equitably distributed among the         
geographical regions of the ,united     
,states4  7e7 ,partnership required ,as 
a condition on receipt of a grant under 
this section1 an eligible entity shall  
agree to carry out the program or       
activities to be funded through the     
grant in partnership with one or more   
organizations such as an education      
accrediting organization 7such as the   
,liaison ,committee on ,medical         
,education1 the ,accreditation ,council 
for ,graduate ,medical ,education1 the  
,commission on ,osteopathic ,college    
,accreditation1 the ,accreditation      
,commission for ,education in ,nursing1 
the ,commission on ,collegiate ,nursing 

,education1 the ,accreditation ,council 
for ,pharmacy ,education1 or the        
,accreditation ,review ,commission on   
,education for the ,physician           
,assistant74  7f7 ,application  7#a7 ,in
 general ,to seek a grant under this    
section1 an eligible entity shall submit
 an application to the ,secretary1 at   
such time1 in such manner1 and          
containing such information as may be   
specified by the ,secretary4  7#b7      
,minimum contents ,at a minimum1 an     
application under paragraph 7#a7 shall  
include-- 7,a7 a description of how the 
eligible entity intends to implement the
 activities required by subsection 7b72 
and  7,b7 a description of benchmarks to
 be used to measure the success of the  
implementation of such activities4  7g7 
,administrative provisions  7#a7 ,period
 of grants ,a grant awarded to an       
eligible entity under this section shall
 be for the period beginning on the date
 of the award and ending on the date    
that is #e years after the establishment

 of the grant program under this        
section4  7#b7 ,priority ,in awarding   
grants under this section1 the          
,secretary shall give priority to       
eligible entities that-- 7,a7           
demonstrate sufficient size1 scope1 and 
capacity to carry out the training      
described in subsection 7b7 with respect
 to an appropriate number of physicians1
 nurse practitioners1 physician         
assistants1 registered nurses1 and      
pharmacists each year to meet the needs 
of the area to be served2  7,b7         
demonstrate experience in training      
providers to practice team-based care   
that integrates menopause training and  
treatment protocols with primary care in
 community-based settings2 and  7,c7    
have the capacity to expand access to   
menopause training and treatment        
services in areas with demonstrated     
need1 as determined by the ,secretary1  
such as ,tribal1 rural1 or other        
underserved communities4  7h7 ,data     
submission2 reporting  7#a7 ,data       

submission by grantees ,not later than  
#ij days after the first year of a      
training program funded through a grant 
under this section1 and not later than  
#ij days after each subsequent year of  
such training program during which such 
funding continues1 the recipient of the 
grant shall submit to the ,secretary    
such data as the ,secretary may require 
for purposes of preparing the report    
under paragraph 7#b74  7#b7 ,report to  
,congress ,not later than #a year after 
receipt under paragraph 7#a7 of data    
from grantees for a year1 the ,secretary
 shall submit to the ,committee on      
,energy and ,commerce1 the ,committee on
 ,ways and ,means1 the ,committee on    
,veterans' ,affairs1 and the ,committee 
on ,oversight and ,reform of the ,house 
of ,representatives and the ,committee  
on ,health1 ,education1 ,labor1 and     
,pensions1 the ,committee on ,finance1  
the ,committee on ,homeland ,security   
and ,governmental ,affairs1 and the     
,committee on ,veterans' ,affairs of the

 ,senate a report that includes--  7,a7 
the findings and conclusions of the     
,secretary with respect to menopause    
curricula in schools and training       
programs receiving funding through a    
grant under this section2  7,b7 an      
assessment of the benefits of the grant 
program under this section for--  7i7   
establishing best practices for health  
care providers to treat patients in the 
clinical setting2  7ii7 providing       
greater awareness of menopause and      
related chronic conditions to--  7,i7   
physicians and other health care        
professionals2 and  7,,ii7 patients of  
such physicians and professionals2 and  
7iii7 improving the quality1 quantity1  
and distribution of menopause treatment 
and training2 and  7,c7 a description of
 the benefits of1 and barriers to1      
integrating menopause curricula at      
health professions schools and training 
programs4  7i7 ,authorization of        
appropriations ,of amounts made         
available to the ,secretary for other   

purposes1 the ,secretary may use up to  
#ca1gjj1jjj of such amounts for the     
period of fiscal years #bjbe through    
#bjbh for the purpose of carrying out   
the program under this section4  4  #d4 
,regional centers of excellence in      
menopause education ,part ,d of title   
,,vii of the ,public ,health ,service   
,act 7#db ,u4,s4,c4 #bid et seq47 is    
amended by inserting after section #geh 
7as added by section #c7 the following3 
#geh;,a4 ,regional centers of excellence
 in menopause education  7a7 ,in general
 ,the ,secretary1 in consultation with  
such other officials as the ,secretary  
determines appropriate1 shall award     
cooperative agreements to eligible      
entities for-- 7#a7 the designation of  
such entities as ,regional ,centers of  
,excellence in ,menopause ,education2   
and  7#b7 the support of such ,regional 
,centers of ,excellence to enhance and  
improve how health professionals are    
educated in menopause through           
development1 evaluation1 and            

distribution of evidence-based curricula
 for health professions schools4  7b7   
,selection of ,regional ,centers of     
,excellence  7#a7 ,eligible entities ,to
 be eligible to receive a cooperative   
agreement under subsection 7a71 an      
entity shall--  7,a7 be an entity       
offering education to students in       
various health professions1 such as--   
7i7 a health system2  7ii7 a teaching   
hospital2  7iii7 a medical school1 a    
school of nursing 7as defined in section
 #hja71 a school offering a physician   
assistant education program1 or a school
 of pharmacy2 and  7iv7 any other health
 profession school1 school of public    
health1 or institution of higher        
education engaged in an aspect of the   
management of menopause2  7,b7 be       
accredited by the appropriate           
educational accreditation body2  7,c7   
demonstrate an existing strategy1 and   
have in place a plan for continuing such
 strategy1 or have a proposed strategy1 
to implement a curriculum based on best 

practices for menopause treatment and   
education2 and  7,d7 provide to the     
,secretary such information1 at such    
time1 and in such manner1 as the        
,secretary may require4  7#b7 ,diversity
 ,in awarding cooperative agreements    
under subsection 7a71 the ,secretary    
shall-- 7,a7 take into account regional 
differences among eligible entities2 and
  7,b7 make an effort to ensure         
geographic diversity4  7c7              
,dissemination of information  7#a7     
,public posting ,the ,secretary shall   
make information provided to the        
,secretary under subsection 7b77#a77;,d7
 publicly available on the website of   
the ,department of ,health and ,human   
,services4  7#b7 ,evaluation ,the       
,secretary shall-- 7,a7 evaluate each   
project carried out by a ,regional      
,center of ,excellence in ,menopause    
,education through funding received     
under this section2 and  7,b7           
disseminate the results of each such    
evaluation to appropriate public and    

private entities4  7d7 ,authorization of
 appropriations ,of amounts made        
available to the ,secretary for other   
purposes1 the ,secretary may use such   
sums as may be necessary for the period 
of fiscal years #bjbe through #bjbh for 
the purpose of carrying out the program 
under this section4  4