,,ib ,union ,cal5d> ,no4 #dcb #aah? ,,congress #b;d ,session ,h4 ,r4 #fhbi ,report ,no4 #aah-ebj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #ad1 #bjbc,mr4 ,pallone 7= himself & ,mr4 ,kim ( ,new ,j]sey7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,may #bb1 #bjbd;,additional sponsors3 ,mr4 ,bi%op ( ,georgia1 ,mr4 ,posey1 & ,mr4 ,doggett ,may #bb1 #bjbd,report$ ) an am5dm5t1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be printed,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic,for text ( introduc$ bill1 see copy ( bill z introduc$ on ,decemb] #ad1 #bjbc ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to au?orize & support ! creation & dissem9ation ( c>diomyopa?y education1 aw>5ess1 & risk assessm5t mat]ials & res\rces to id5tify m at-risk families1 to au?orize rese>* & surveillance activities relat+ to c>diomyopa?y1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,c>diomyopa?y ,heal? ,education1 ,aw>5ess1 & ,rese>*1 & ,,a$ ,tra9+ 9 ! ,s*ools ,act ( #bjbd or ! ,,he>ts ,act ( #bjbd4 #b4 ,c>diomyopa?y heal? education1 aw>5ess1 & rese>*1 & ,,a$ tra9+ 9 s*ools 7a7 ,9 g5]al ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cab 7#db ,u4,s4,c4 #bdd7 ! foll[+3 #cab;,a4 ,mat]ials & res\rces to increase education & aw>5ess ( c>diomyopa?y among s*ool adm9i/rators1 educators1 & families 7a7 ,mat]ials & res\rces ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ! ,,he>ts ,act ( #bjbd1 ! ,secret>y1 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all develop public education mat]ials & res\rces to be dissem9at$ to s*ool adm9i/rators1 educators1 s*ool heal? pr(essionals1 coa*es1 families1 gu>dians1 c>egiv]s1 & o!r appropriate individuals4 ,! mat]ials & res\rces %all include-- 7#a7 in=mation on ! signs1 symptoms1 & risk factors associat$ ) high-risk c>diac conditions & g5etic he>t rhy?m abnormalities t may cause sudd5 c>diac arre/ 9 *ildr51 adolesc5ts1 & "y adults1 includ+-- 7,a7 c>diomyopa?y2 7,b7 long ,,qt syndrome1 ,brugada syndrome1 cate*olam9]gic polymorphic v5tricul> ta*yc>dia1 %ort ,,qt syndrome1 & ,wolff-,p>k9son-,:ite syndrome2 & 7,c7 o!r high-risk c>diac conditions1 z det]m9$ by ! ,secret>y2 7#b7 guidel9es reg>d+ ! placem5t ( automat$ ext]nal defibrillators 9 s*ools1 e>ly *ildhood education programs1 & *ild c>e c5t]s2 7#c7 tra9+ in=mation on automat$ ext]nal defibrillators & c>diopulmon>y resuscitation2 & 7#d7 recomm5dations = h[ s*ools1 e>ly *ildhood education programs1 & *ild c>e c5t]s c develop & implem5t a c>diac em]g5cy response plan4 7b7 ,dissem9ation ( mat]ials & res\rces ,n lat] ?an #cj mon?s aft] ! date ( ! enactm5t ( ! ,,he>ts ,act ( #bjbd1 ! ,secret>y %all dissem9ate ! mat]ials & res\rces develop$ "u subsection 7a7 9 accordance ) ! foll[+3 7#a7 ,di/ribution by ,/ate educational ag5cies ,! ,secret>y %all make available su* mat]ials & res\rces to ,/ate educational ag5cies to di/ribute-- 7,a7 to s*ool adm9i/rators1 educators1 s*ool heal? pr(essionals1 coa*es1 families1 gu>dians1 c>egiv]s1 & o!r appropriate individuals1 ! in=mation develop$ "u subsection 7a77#a72 7,b7 to p>5ts1 gu>dians1 or o!r c>egiv]s1 ! c>diomyopa?y risk assessm5t develop$ pursuant to section #cab;,b7b77#a72 & 7,c7 to s*ool adm9i/rators1 educators1 s*ool heal? pr(essionals1 & coa*es-- 7i7 ! guidel9es describ$ 9 subsection 7a77#b72 7ii7 ! tra9+ in=mation describ$ 9 subsection 7a77#c72 & 7iii7 ! recomm5dations describ$ 9 subsection 7a77#d74 7#b7 ,dissem9ation to heal? dep>tm5ts & pr(essionals ,! ,secret>y %all make available ! mat]ials & res\rces develop$ "u subsection 7a7 to ,/ate & local heal? dep>tm5ts1 p$iatricians1 hospitals1 & o!r heal? pr(essionals1 su* z nurses & fir/ respond]s4 7#c7 ,po/+ on website 7,a7 ,,cdc 7i7 ,9 g5]al ,! ,secret>y1 ?r\gh ! ,director1 %all po/ ! mat]ials & res\rces develop$ "u subsection 7a7 on ! public ,int]net website ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7ii7 ,additional in=mation ,! ,director is enc\rag$ to ma9ta9 on su* public ,int]net website su* additional in=mation reg>d+ c>diomyopa?y z deem$ appropriate by ! ,director4 7,b7 ,/ate educational ag5cies ,/ate educational ag5cies are enc\rag$ to create public ,int]net webpages d$icat$ to c>diomyopa?y & po/ ! mat]ials & res\rces develop$ "u subsection 7a7 on su* webpages4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m c>diomyopa?y means a he>t disease t affects ! he>t's muscle 7myoc>dium7-- 7,a7 ! symptoms ( :i* may v>y f case to case1 includ+-- 7i7 cases 9 :i* no symptoms are pres5t 7asymptomatic72 & 7ii7 cases 9 :i* !re are symptoms ( a progressive condition t may result f an impair$ ability ( ! he>t to pump blood1 su* z fatigue1 irregul> he>tbeats 7arrhy?mia71 he>t failure1 &1 pot5tially1 sudd5 c>diac dea?2 & 7,b7 ! recogniz$ types ( :i* include dilat$1 hyp]trophic1 re/rictive1 arrhy?mog5ic "r v5tricul> dysplasia1 & left v5tricul> non-compaction4 7#b7 ,! t]m ,director means ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#c7 ,! t]ms e>ly *ildhood education program1 elem5t>y s*ool1 & second>y s*ool h ! mean+s giv5 to ^? t]ms 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#d7 ,! t]m s*ool adm9i/rator means a pr9cipal1 director1 manag]1 or o!r sup]visor or lead] )9 an elem5t>y s*ool1 second>y s*ool1 ,/ate-bas$ e>ly *ildhood education program1 or *ild c>e c5t]4 7#e7 ,! t]m s*ool heal? pr(essional means a heal? pr(essional s]v+ at an elem5t>y s*ool1 second>y s*ool1 ,/ate-bas$ e>ly *ildhood education program1 or *ild c>e c5t]4 #cab;,b4 ,activities relat+ to c>diomyopa?y 7a7 ,report on ,,cdc national c>diomyopa?y activities 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ! ,,he>ts ,act ( #bjbd1 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all submit to ,congress a report on f9d+s g5]at$ f exi/+ activities conduct$ by ! ,c5t]s = ,disease ,control & ,prev5tion to improve ! und]/&+ ( ! preval5ce & epidemiology ( c>diomyopa?y across ! lifespan1 f bir? to adul?ood1 ) p>ticul> int]e/ 9 ! foll[+3 7,a7 ,! natural hi/ory ( individuals ) c>diomyopa?y1 9 bo? ! p$iatric & adult population4 7,b7 ,e/imates ( c>diomyopa?y-relat$ em]g5cy dep>tm5t visits & hospitalizations1 9 bo? ! p$iatric & adult population4 7#b7 ,public access ,subject to p>agraph 7#c71 ! report submitt$ "u ?is subsection %all be made available to ! public4 7#c7 ,privacy protections ,! ,secret>y %all ensure t ?is subsection is c>ri$ out 9 a mann] t complies ) all applicable privacy laws "u ,f$]al & ,/ate law4 7b7 ,improv+ risk assessm5ts = individuals ) c>diomyopa?y 7#a7 ,9 g5]al ,! ,secret>y %all develop & make publicly available a c>diomyopa?y risk assessm5t = heal? c>e provid]s & individuals4 ,su* risk assessm5t %all1 at a m9imum1 include ! foll[+3 7,a7 ,backgr\nd in=mation on ! preval5ce1 incid5ce1 & heal? impact ( c>diomyopa?y1 includ+ all =ms ( c>diomyopa?y & _! effects on p$iatric1 adolesc5t1 & adult individuals4 7,b7 ,a work%eet ) v>iables & conditions = an individual or heal? c>e provid] to use 9 assess+ :e!r an individual is at risk = c>diomyopa?y4 7,c7 ,a work%eet ) v>iables & /ages ( progression = an individual or heal? c>e provid] to use 9 assess+ :e!r & to :at ext5t c>diomyopa?y has progress$ 9 an individual4 7,d7 ,guidel9es on c>diomyopa?y scre5+s = individuals :o are at risk =1 or h a family hi/ory (1 c>diomyopa?y4 7#b7 ,/akehold] ,input ,9 c>ry+ out p>agraph 7#a71 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all seek input f ext]nal /akehold]s includ+-- 7,a7 repres5tatives f national pati5t advocacy organizations exp]t 9 all =ms ( c>diomyopa?y2 7,b7 repres5tatives f m$ical pr(essional societies t specialize 9 ! c>e ( adults & p$iatrics ) c>diomyopa?y2 & 7,c7 repres5tatives f o!r relevant ,f$]al ag5cies4 7c7 ,def9ition ,9 ?is section1 ! t]m c>diomyopa?y has ! mean+ giv5 to su* t]m 9 section #cab;,a4 #cab;,c4 ,c>diomyopa?y rese>* 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,director ( ! ,national ,in/itutes ( ,heal?1 may exp& & coord9ate rese>* & relat$ activities ( ! ,national ,in/itutes ( ,heal? ) respect to c>diomyopa?y1 :i* may include rese>* ) respect to-- 7#a7 causation ( c>diomyopa?y1 includ+ g5etic causes & molecul> biom>k]s2 7#b7 long-t]m heal? outcomes 9 individuals ) c>diomyopa?y1 includ+ infants1 *ildr51 te5ag]s1 adults1 & eld]ly individuals2 & 7#c7 /udies us+ longitud9al data & retrospective analysis to id5tify effective treatm5ts & outcomes = individuals ) c>diomyopa?y4 7b7 ,nonduplication ,! ,secret>y %all ensure t any rese>* & activities relat$ to c>diomyopa?y "u ?is section d n unnecess>ily duplicate activities1 programs1 or ef=ts ( o!r ag5cies & (fices )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7c7 ,,nih report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ! ,,he>ts ,act ( #bjbd1 ! ,secret>y1 9 consultation ) ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all submit to ,congress a report-- 7#a7 outl9+ ! ongo+ rese>* ef=ts ( ! ,national ,in/itutes ( ,heal? reg>d+ c>diomyopa?y2 & 7#b7 id5tify+-- 7,a7 a rese>* ag5da reg>d+ adult =ms ( c>diomyopa?y2 7,b7 plans = rese>*+ c>diomyopa?y affect+ ! p$iatric population2 & 7,c7 ! areas ( greate/ ne$ = su* rese>*4 7d7 ,c>diomyopa?y def9$ ,9 ?is section1 ! t]m c>diomyopa?y has ! mean+ giv5 to su* t]m 9 section #cab;,a4 #cab;,d4 ,promot+ /ud5t access to ,a,e,ds & ,,cpr 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities to develop & implem5t a compreh5sive program to promote /ud5t access to automat$ ext]nal defibrillators 79 ?is section ref]r$ to z ,a,e,ds7 & c>diopulmon>y resuscitation 79 ?is section ref]r$ to z ,,cpr7 9 public elem5t>y s*ools & second>y s*ools4 7b7 ,use ( funds ,an eligible entity receiv+ a grant "u subsection 7a7 may use funds receiv$ ?r\gh su* grant to c>ry out any ( ! foll[+ activities3 7#a7 ,develop+ & provid+ compreh5sive mat]ials to e/abli% ,,a$ & ,,cpr programs 9 public elem5t>y s*ools & second>y s*ools4 7#b7 ,provid+ support = ,,cpr & ,,a$ tra9+ programs 9 su* s*ools = /ud5ts1 /aff1 & relat$ sports volunte]s4 7#c7 ,provid+ support = develop+ a c>diac em]g5cy response plan )9 su* s*ools4 7#d7 ,pur*as+ ,a,e,ds t h be5 approv$ "u section #eae ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1 cle>$ "u section #eaj7k7 ( su* ,act1 or classifi$ "u section #eac7;f77#b7 ( su* ,act4 7#e7 ,pur*as+ necess>y ,,a$ batt]ies & p]=m+ necess>y ,,a$ ma9t5ance 7su* z by replac+ ,,a$ pads7 9 accordance ) ! label+ ( ! ,,a$ involv$4 7#f7 ,replac+ old & outdat$ ,,a$ & ,,cpr equipm5t1 ma*9]y1 & educational mat]ials4 7c7 ,eligibility2 application ,to be eligible = a grant "u subsection 7a71 an entity %all-- 7#a7 be a local educational ag5cy 7includ+ a public *>t] s*ool op]at+ z a local educational ag5cy "u ,/ate law71 9 consultation ) a qualifi$ heal? c>e entity2 & 7#b7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require4 7d7 ,def9itions ,9 ?is section3 7#a7 ,,esea t]ms ,! t]ms elem5t>y s*ool1 local educational ag5cy1 & second>y s*ool h ! mean+s giv5 su* t]ms 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#b7 ,qualifi$ heal? c>e entity ,! t]m qualifi$ heal? c>e entity means a heal? c>e entity t-- 7,a7 is-- 7i7 a public entity2 or 7ii7 an organization t is describ$ 9 section #eja7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf & exempt f taxation "u section #eja7;a7 ( su* ,code2 7,b7 demon/rates an ability to develop1 tra91 & implem5t a compreh5sive program to promote /ud5t access to defibrillation 9 public elem5t>y & second>y s*ools2 & 7,c7 is qualifi$ 9 provid+ te*nical assi/ance 9 ,,a$ & ,,cpr tra9+4 4 7b7 ,au?orization ( appropriations ,section #cab7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdd7;e77 is am5d$ by /rik+ ! fir/ s5t5ce & ins]t+ ! foll[+3 ,= ! purpose ( c>ry+ out ?is section & sections #cab;,a1 #cab;,b1 #cab;,c1 & #cab;,d1 !re is au?oriz$ to be appropriat$ #be1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi44 ,may #bb1 #bjbd,report$ ) an am5dm5t1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be pr9t$