,i #aah? ,,congress #a/ ,session ,h4 ,r4 #fgdc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #ac1 #bjbc,ms4 ,blunt ,ro*e/] 7= h]self & ,mrs4 ,h>%b>g]7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to include public aw>5ess ab\t m5opause & relat$ *ronic conditions1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,we're ,address+ ! ,realities ( ,m5opause ,act ( #bjbc or ! ,,w>m ,act ( #bjbc4 #b4 ,m5opause public aw>5ess program 7a7 ,9 g5]al ,section #cag ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7o7 ,m5opause public aw>5ess program 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all c>ry out a national program to increase aw>5ess (-- 7,a7 symptoms & trajectories ( *anges across ! m5opausal transition & ! po/m5opausal transition2 7,b7 relat$ *ronic conditions2 & 7,c7 ! entire range ( treatm5t & !rapy options t may1 consi/5t ) ,f$]al law1 be prescrib$ by a heal? c>e provid] = ^? symptoms1 *anges1 & conditions4 7#b7 ,consultation ,9 c>ry+ out ! national campaign requir$ by p>agraph 7#a71 ! ,secret>y %all consult ) ! ,director ( ! ,national ,in/itutes ( ,heal?1 ! ,director ( ! ,national ,in/itute on ,ag+1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 ! ,"u ,secret>y = ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,director ( ! ,def5se ,heal? ,ag5cy1 ! ,director ( ! ,indian ,heal? ,s]vice1 heal? c>e provid]s1 public heal? associations1 nonpr(it organizations t promote ! heal? & quality ( life ( wom5 dur+ midlife & beyond1 & nonpr(it organizations ) exp]tise 9 m5opause rese>* & advocacy1 to solicit input on evid5ce-in=m$ in=mation = policy developm5t & program developm5t1 implem5tation1 & evaluation4 7#c7 ,requirem5ts ,! national campaign requir$ by p>agraph 7#a7 may-- 7,a7 include ! use ( evid5ce-in=m$ m$ia & public engagem5t2 7,b7 include ! developm5t ( educational programs1 mat]ials1 & public s]vice ann\ncem5ts2 7,c7 include ! developm5t ( culturally & l+ui/ically compet5t res\rces tailor$ =-- 7i7 communities or gr\ps ) m sev]e or frequ5t symptoms ( m5opause or l[] rates ( treatm5t = symptoms ( m5opause2 7ii7 rural communities2 & 7iii7 o!r communities z ! ,secret>y det]m9es appropriate2 7,d7 include ! dissem9ation ( educational programs1 mat]ials1 & public s]vice ann\ncem5ts to-- 7i7 heal? c>e provid]s1 heal? c>e facilities 7includ+ prim>y c>e provid]s1 community heal? c5t]s1 rural heal? cl9ics1 ob/etricians1 & gynecologi/s71 & ,/ate & local public heal? dep>tm5ts2 & 7ii7 o!r entities z ! ,secret>y det]m9es appropriate to increase aw>5ess z describ$ 9 p>agraph 7#a72 7,e7 be complem5t>y to1 & coord9at$ )1 any o!r ,f$]al ef=ts ) respect to m5opause education & treatm5t2 & 7,f7 include message te/+ to id5tify culturally compet5t & effective messages = behavioral *ange4 7#d7 ,options = dissem9ation ( in=mation ,! national campaign requir$ by p>agraph 7#a7 may-- 7,a7 include ! use (-- 7i7 social m$ia1 television1 radio1 pr9t1 ! int]net1 & o!r m$ia2 7ii7 9-p]son or virtual public communications2 & 7iii7 lic5s$ heal? c>e provid]s & memb]s ( t>get communities or gr\ps specifi$ 9 p>agraph 7#c77;,c72 7,b7 be t>get$ to specific gr\ps & communities specifi$ 9 p>agraph 7#c77;,c72 & 7,c7 be c>ri$ out ?r\gh grants or coop]ative agreem5ts to private nonpr(it entities ) a hi/ory ( develop+ & implem5t+ simil> campaigns4 7#e7 ,au?orization ( appropriations ,( am\nts made available to ! ,secret>y = o!r purposes1 ! ,secret>y may use up to #gj1jjj1jjj ( su* am\nts = ! p]iod ( fiscal ye>s #bjbe ?r\gh #bjbh = ! purpose ( c>ry+ out ! program "u ?is section4 4 7b7 ,report to ,congress ,n lat] ?an ! end ( cal5d> ye> #bjbe1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,ways & ,means1 ! ,committee on ,vet]ans' ,affairs1 & ! ,committee on ,ov]sight & ,re=m ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 ! ,committee on ,f9ance1 ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs1 & ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate a report t conta9s-- 7#a7 a qualitative assessm5t ( ! public aw>5ess program "u section #cag7o7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a72 & 7#b7 a description ( ! activities conduct$ "u su* campaign4 #c4 ,m5opause education & tra9+ grants ,"p ,d ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid et seq47 is am5d$ by ins]t+ aft] section #geg 7#db ,u4,s4,c4 #bid;f7 ! foll[+3 #geh4 ,m5opause education & tra9+ grants 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 9 consultation ) ! ,director ( ! ,national ,in/itute on ,ag+1 ! directors ( o!r in/itutes1 c5t]s1 & (fices ( ! ,national ,in/itutes ( ,heal? z det]m9$ appropriate by ! ,secret>y1 ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 ! ,"u ,secret>y = ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,director ( ! ,def5se ,heal? ,ag5cy1 & ! ,director ( ! ,indian ,heal? ,s]vice1 %all aw>d grants to eligible entities = ! purposes describ$ 9 subsection 7b74 7b7 ,use ( funds ,a grant receiv$ "u ?is section %all be us$ = any ( ! foll[+3 7#a7 ,tra9+ 7includ+ = individuals complet+ a resid5cy1 fell[%ip1 or o!r cl9ical tra9+ = lic5sure7 = physicians1 nurse practition]s1 physician assi/ants1 regi/]$ nurses1 & ph>maci/s to improve communication & provid] prep>$ness 9 ! managem5t ( m5opausal symptoms & relat$ *ronic conditions4 7#b7 ,e/abli%+1 ma9ta9+1 or improv+ academic units or programs t provide tra9+ = /ud5ts or faculty1 includ+ ?r\gh cl9ical exp]i5ces & rese>*1 to improve ! ability to be able to recognize1 diagnose1 & treat m5opause symptoms & relat$ *ronic conditions4 7#c7 ,develop+ evid5ce-in=m$ practices or recomm5dations = ! design ( units or programs ref]r$ to 9 p>agraph 7#b71 includ+ curriculum cont5t /&>ds4 7c7 ,eligibility ,to be eligible to receive a grant "u ?is section1 an entity %all be locat$ 9 ! ,unit$ ,/ates &-- 7#a7 a s*ool ( m$ic9e or o/eopa?ic m$ic9e1 a s*ool ( nurs+ 7z def9$ 9 section #hja71 a physician assi/ant tra9+ program1 a s*ool ( ph>macy1 an accr$it$ public or nonpr(it private hospital1 or an accr$it$ m$ical resid5cy program2 or 7#b7 a public or private nonpr(it entity :i* ! ,secret>y has det]m9$ is capable ( c>ry+ out ! program or activities to be fund$ ?r\gh ! grant4 7d7 ,equitable di/ribution ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all ensure1 to ! greate/ ext5t possible1 t su* grants are equitably di/ribut$ among ! geographical regions ( ! ,unit$ ,/ates4 7e7 ,p>tn]%ip requir$ ,z a condition on receipt ( a grant "u ?is section1 an eligible entity %all agree to c>ry out ! program or activities to be fund$ ?r\gh ! grant 9 p>tn]%ip ) "o or m organizations su* z an education accr$it+ organization 7su* z ! ,liaison ,committee on ,m$ical ,education1 ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education1 ! ,commission on ,o/eopa?ic ,college ,accr$itation1 ! ,accr$itation ,commission = ,education 9 ,nurs+1 ! ,commission on ,collegiate ,nurs+ ,education1 ! ,accr$itation ,c\ncil = ,ph>macy ,education1 or ! ,accr$itation ,review ,commission on ,education = ! ,physician ,assi/ant74 7f7 ,application 7#a7 ,9 g5]al ,to seek a grant "u ?is section1 an eligible entity %all submit an application to ! ,secret>y1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z may be specifi$ by ! ,secret>y4 7#b7 ,m9imum cont5ts ,at a m9imum1 an application "u p>agraph 7#a7 %all include-- 7,a7 a description ( h[ ! eligible entity int5ds to implem5t ! activities requir$ by subsection 7b72 & 7,b7 a description ( b5*m>ks to be us$ to measure ! success ( ! implem5tation ( su* activities4 7g7 ,adm9i/rative provisions 7#a7 ,p]iod ( grants ,a grant aw>d$ to an eligible entity "u ?is section %all be = ! p]iod beg9n+ on ! date ( ! aw>d & end+ on ! date t is #e ye>s aft] ! e/abli%m5t ( ! grant program "u ?is section4 7#b7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible entities t-- 7,a7 demon/rate suffici5t size1 scope1 & capacity to c>ry out ! tra9+ describ$ 9 subsection 7b7 ) respect to an appropriate numb] ( physicians1 nurse practition]s1 physician assi/ants1 regi/]$ nurses1 & ph>maci/s ea* ye> to meet ! ne$s ( ! area to be s]v$2 7,b7 demon/rate exp]i5ce 9 tra9+ provid]s to practice team-bas$ c>e t integrates m5opause tra9+ & treatm5t protocols ) prim>y c>e 9 community-bas$ sett+s2 & 7,c7 h ! capacity to exp& access to m5opause tra9+ & treatm5t s]vices 9 areas ) demon/rat$ ne$1 z det]m9$ by ! ,secret>y1 su* z ,tribal1 rural1 or o!r und]s]v$ communities4 7h7 ,data submission2 report+ 7#a7 ,data submission by grantees ,n lat] ?an #ij days aft] ! fir/ ye> ( a tra9+ program fund$ ?r\gh a grant "u ?is section1 & n lat] ?an #ij days aft] ea* subsequ5t ye> ( su* tra9+ program dur+ :i* su* fund+ cont9ues1 ! recipi5t ( ! grant %all submit to ! ,secret>y su* data z ! ,secret>y may require = purposes ( prep>+ ! report "u p>agraph 7#b74 7#b7 ,report to ,congress ,n lat] ?an #a ye> aft] receipt "u p>agraph 7#a7 ( data f grantees = a ye>1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,ways & ,means1 ! ,committee on ,vet]ans' ,affairs1 & ! ,committee on ,ov]sight & ,re=m ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 ! ,committee on ,f9ance1 ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs1 & ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate a report t includes-- 7,a7 ! f9d+s & conclusions ( ! ,secret>y ) respect to m5opause curricula 9 s*ools & tra9+ programs receiv+ fund+ ?r\gh a grant "u ?is section2 7,b7 an assessm5t ( ! b5efits ( ! grant program "u ?is section =-- 7i7 e/abli%+ be/ practices = heal? c>e provid]s to treat pati5ts 9 ! cl9ical sett+2 7ii7 provid+ great] aw>5ess ( m5opause & relat$ *ronic conditions to-- 7,i7 physicians & o!r heal? c>e pr(essionals2 & 7,,ii7 pati5ts ( su* physicians & pr(essionals2 & 7iii7 improv+ ! quality1 quantity1 & di/ribution ( m5opause treatm5t & tra9+2 & 7,c7 a description ( ! b5efits (1 & b>ri]s to1 integrat+ m5opause curricula at heal? pr(essions s*ools & tra9+ programs4 7i7 ,au?orization ( appropriations ,( am\nts made available to ! ,secret>y = o!r purposes1 ! ,secret>y may use up to #ca1gjj1jjj ( su* am\nts = ! p]iod ( fiscal ye>s #bjbe ?r\gh #bjbh = ! purpose ( c>ry+ out ! program "u ?is section4 4 #d4 ,regional c5t]s ( excell5ce 9 m5opause education ,"p ,d ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid et seq47 is am5d$ by ins]t+ aft] section #geh 7z add$ by section #c7 ! foll[+3 #geh;,a4 ,regional c5t]s ( excell5ce 9 m5opause education 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) su* o!r (ficials z ! ,secret>y det]m9es appropriate1 %all aw>d coop]ative agreem5ts to eligible entities =-- 7#a7 ! designation ( su* entities z ,regional ,c5t]s ( ,excell5ce 9 ,m5opause ,education2 & 7#b7 ! support ( su* ,regional ,c5t]s ( ,excell5ce to enhance & improve h[ heal? pr(essionals are educat$ 9 m5opause ?r\gh developm5t1 evaluation1 & di/ribution ( evid5ce-bas$ curricula = heal? pr(essions s*ools4 7b7 ,selection ( ,regional ,c5t]s ( ,excell5ce 7#a7 ,eligible entities ,to be eligible to receive a coop]ative agreem5t "u subsection 7a71 an entity %all-- 7,a7 be an entity (f]+ education to /ud5ts 9 v>i\s heal? pr(essions1 su* z-- 7i7 a heal? sy/em2 7ii7 a tea*+ hospital2 7iii7 a m$ical s*ool1 a s*ool ( nurs+ 7z def9$ 9 section #hja71 a s*ool (f]+ a physician assi/ant education program1 or a s*ool ( ph>macy2 & 7iv7 any o!r heal? pr(ession s*ool1 s*ool ( public heal?1 or in/itution ( high] education engag$ 9 an aspect ( ! managem5t ( m5opause2 7,b7 be accr$it$ by ! appropriate educational accr$itation body2 7,c7 demon/rate an exi/+ /rategy1 & h 9 place a plan = cont9u+ su* /rategy1 or h a propos$ /rategy1 to implem5t a curriculum bas$ on be/ practices = m5opause treatm5t & education2 & 7,d7 provide to ! ,secret>y su* in=mation1 at su* "t1 & 9 su* mann]1 z ! ,secret>y may require4 7#b7 ,div]sity ,9 aw>d+ coop]ative agreem5ts "u subsection 7a71 ! ,secret>y %all-- 7,a7 take into acc\nt regional diff]5ces among eligible entities2 & 7,b7 make an ef=t to ensure geographic div]sity4 7c7 ,dissem9ation ( in=mation 7#a7 ,public po/+ ,! ,secret>y %all make in=mation provid$ to ! ,secret>y "u subsection 7b77#a77;,d7 publicly available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7#b7 ,evaluation ,! ,secret>y %all-- 7,a7 evaluate ea* project c>ri$ out by a ,regional ,c5t] ( ,excell5ce 9 ,m5opause ,education ?r\gh fund+ receiv$ "u ?is section2 & 7,b7 dissem9ate ! results ( ea* su* evaluation to appropriate public & private entities4 7d7 ,au?orization ( appropriations ,( am\nts made available to ! ,secret>y = o!r purposes1 ! ,secret>y may use su* sums z may be necess>y = ! p]iod ( fiscal ye>s #bjbe ?r\gh #bjbh = ! purpose ( c>ry+ out ! program "u ?is section4 4