,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ibcc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #cj1 #bjbd,ms4  
,wexton 7= h]self & ,mr4 ,bilirakis7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to require ! ,secret>y (   
,heal? & ,human ,s]vices to e/abli% a   
program = ! conduct & support ( rese>*1 
tra9+1 & heal? in=mation dissem9ation ) 
respect to environm5tal risk factors (  
neurodeg5]ative diseases1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,h>moniz+ ,environm5tal    
,analyses & ,laun*+ ,!rapeutic ,hubs to 
,yield ,bol/]$ ,rese>* ,& ,innovation 9 
,neurological ,sci5ce ,act ( #bjbd or ! 
,,heal?y ,,bra9s ,act ( #bjbd4  #b4     
,rese>* into environm5tal risk factors t
 may contribute to neurodeg5]ative      
disease ,"p ,b ( title ,,iv ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhd 
et seq47 is am5d$ by add+ at ! end !    
foll[+3  #dji,k4 ,neurodeg5]ative       

disease environm5tal rese>*  7a7 ,9     
g5]al ,! ,secret>y1 act+ ?r\gh !        
,director ( ,,nih1 %all e/abli% a       
program = ! conduct & support ( rese>*1 
tra9+1 & heal? in=mation dissem9ation ) 
respect to environm5tal risk factors    
7includ+ environm5tal toxicant          
exposures7 ( neurodeg5]ative diseases4  
7b7 ,scope ( rese>* ,rese>* conduct$ or 
support$ "u ?is section %all-- 7#a7 be  
focus$ on-- 7,a7 pot5tial environm5tal  
toxicants1 includ+ environm5tal /ressors
 su* z volatile organic comp\nds1       
p>ticulate matt]1 p]- & polyfluor9at$   
sub/ances1 & heavy metals 9 environm5tal
 m$ia su* z air1 wat]1 food1 & soil2    
7,b7 ! me*ani/ic int]actions ( su*      
toxicants ) neurodeg5]ative disease     
outcomes2  7,c7 ! presymptomatic m>k]s (
 neurodeg5]ative disease2 &  7,d7       
advanc+ developm5t ( environm5tal heal? 
/rategies to prev5t1 manage1 treat1 or  
sl[ ! progression ( neurodeg5]ative     
disease2 &  7#b7 may include rese>*--   
7,a7 exam9+ environm5tal exposures1     

includ+ occupational risk factors1      
sociobehavioral factors1 & social       
det]m9ants ( heal?2  7,b7 us+ fundam5tal
 approa*es to id5tify hi/orical1 exi/+1 
& em]g+ environm5tal risks & factors t  
affect disease progression2  7,c7 exam9+
 multifactorial causation f *emical &   
non*emical exposures2  7,d7 exam9+      
preval5ce ( ! disease 9 relation to !   
di/ribution ( exposures across          
communities & populations2  7,e7 exam9+ 
! expression ( disease traits t result f
 ! int]play ( g5es & environm5t2 &  7,f7
 explor+ physiological me*anisms driv+  
neurodeg5]ation f toxicant exposures4   
7c7 ,coord9ation )9 ,,nih  7#a7 ,9 g5]al
 ,9 c>ry+ out ! program "u subsection   
7a71 ! ,secret>y %all-- 7,a7 provide =  
coord9ation across ! programs &         
activities ( ! ,national ,in/itutes (   
,heal? to avoid duplication2 &  7,b7    
exp& ! fund+ ( environm5tal heal? rese>*
 by lead+ an ongo+1 coord9at$1 & focus$ 
ef=t to fund new & exi/+ c5t]s = ! /udy 
& evaluation ( environm5tal risk factors

 7includ+ environm5tal toxicants7 (     
neurodeg5]ative diseases4  7#b7 ,bi5nial
 report ,9 c>ry+ out p>agraph 7#a71 !   
,secret>y %all-- 7,a7 submit a bi5nial  
report detail+ ! f9d+s & conclusions (  
rese>* "u ?is section to-- 7i7 !        
,committees on ,appropriations ( ! ,h\se
 ( ,repres5tatives & ! ,s5ate2  7ii7 !  
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives2 &  7iii7 !     
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate2  7,b7 po/
 ea* report "u subp>agraph 7,a7 on !    
public website ( ! ,national ,in/itutes 
( ,heal?2 &  7,c7 include ! in=mation   
report$ pursuant to subp>agraph 7,a7 9 !
 tri5nial report "u section #djc4  7d7  
,collaborative ,c5t]s = ,neurodeg5]ative
 ,disease ,environm5tal ,rese>*  7#a7 ,9
 g5]al ,9 c>ry+ out ! program "u        
subsection 7a71 ! ,secret>y %all provide
 = ! e/abli%m5t ( rese>* c5t]s1 to be   
kn[n z ,collaborative ,c5t]s =          
,neurodeg5]ative ,disease ,environm5tal 
,rese>* 79 ?is section ea* ref]r$ to z a

 ,,ccnd]7 at in/itutions ( high]        
education1 m$ical c5t]s1 & o!r          
appropriate entities4  7#b7 ,requirem5ts
 ,) respect to neurodeg5]ative disease1 
ea* ,,ccnd] %all-- 7,a7 conduct &       
support basic1 appli$1 & cl9ical rese>* 
on ! effects ( environm5tal risk factors
 7includ+ environm5tal toxicants71      
includ+ ) respect to disease            
progression2  7,b7 use ! facilities ( a 
s+le in/itution or a consortium (       
coop]at+ in/itutions to adm9i/] !       
,,ccnd] & meet su* qualifications z may 
be prescrib$ by ! ,secret>y2  7,c7 focus
 on population-bas$1 environm5tal heal? 
rese>*2  7,d7 ensure t ! rese>* conduct$
 & support$ pursuant to ?is section is  
int]discipl9>y & collaborative2  7,e7   
coord9ate ) exi/+ intramural &          
extramural ef=ts ( ! ,national          
,in/itutes ( ,heal?2 &  7,f7 collaborate
 ) relevant p>tn]s & /akehold]s1 includ+
 rese>*]s1 heal? pr(essionals1 nonpr(it 
organizations1 pati5ts1 & c>egiv]s1 to  
und]/& ! effects ( environm5tal risk    

factors 7includ+ environm5tal toxicants7
 ( neurodeg5]ative disease & progression
 !re(4  7#c7 ,discretion>y activities ,)
 respect to neurodeg5]ative diseases1   
ea* ,,ccnd] may-- 7,a7 provide c>e]     
enhancem5t & tra9+ opportunities =      
sci5ti/s1 rese>*]s1 environm5tal        
pr(essionals1 & heal? pr(essionals1     
includ+ ?r\gh ! provision ( /ip5ds2     
7,b7 conduct programs to provide        
in=mation & cont9u+ education to heal?  
pr(essionals1 includ+ ?r\gh ! provision 
( /ip5ds2  7,c7 conduct programs = !    
dissem9ation ( in=mation to ! public    
reg>d+ rese>* f9d+s & propos$ prev5tion 
/rategies :5 appropriate2  7,d7         
sep>ately or 9 collaboration ) o!r      
,c,c,n,d,e,rs or gov]nm5tal ag5cies1    
e/abli% a nationwide data sy/em t-- 7i7 
includes data d]iv$ f compreh5sive &    
repres5tative pati5t populations )      
neurodeg5]ative diseases2 &  7ii7 :]e   
possible1 comp>es relevant data involv+ 
g5]al populations2  7,e7 sep>ately or 9 
collaboration ) o!r ,c,c,n,d,e,rs1      

e/abli% a cle>+h\se1 to be kn[n z !     
,environm5tal ,contributions to         
,neurodeg5]ative ,disease ,in=mation    
,cle>+h\se1 to facilitate & enhance k & 
und]/&+ ( environm5tal risk factors (   
neurodeg5]ative diseases2 &  7,f7       
sep>ately or 9 collaboration ) o!r      
,c,c,n,d,e,rs1 e/abli% a national       
education program t fo/]s a national    
focus on environm5tal risk factors (    
neurodeg5]ative diseases4  7#d7         
,duration ( support ,! p]iod ( support =
 a ,,ccnd] "u ?is section %all n exce$  
#e ye>s1 except t su* p]iod may be      
ext5d$ by ! ,secret>y = "o or m         
additional p]iods ( n m ?an #e ye>s if--
 7,a7 ! op]ations ( su* ,,ccnd] h be5   
review$ by an appropriate te*nical &    
sci5tific pe] review gr\p e/abli%$ by ! 
,secret>y2 &  7,b7 su* gr\p has         
recomm5d$ to ! ,secret>y t su* p]iod    
%\ld be ext5d$4  7e7 ,au?orization (    
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#ej1jjj1jjj = ea* ( fiscal ye>s #bjbf   

?r\gh #bjcj4  4