,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fjeb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ag1         
#bjbe,mrs4 ,d+ell 7= h]self1 ,mr4       
,fitzpatrick1 ,ms4 ,cl>ke ( ,new ,york1 
& ,mr4 ,valadao7 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 #bjbc1 m ?an   
#bg1hjj1jjj p 9 ! ,unit$ ,/ates _h      
a/hma1 includ+ an e/imat$ #d1hjj1jjj    
*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-,hispanic1 ,: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 #bjbc ?an individuals   
liv+ above ! pov]ty ?re%old4  7#d7      
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 9 #bjbc m ?an #c1fjj p 9 
! ,unit$ ,/ates di$ f a/hma4 ,! rate (  
mortality f a/hma is high] among ,black 
,am]icans & wom54  7#e7 ,! ,ag5cy =     
,heal?c>e & ,quality reports t a/hma    
acc\nt$ = approximately #aca1jjj        
hospitalizations & #a1ajj1jjj visits to 
hospital em]g5cy dep>tm5ts 9 #bjbb4     
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]g5s1   
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
 #ba ,/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 effectiv5ess1 & su/a9ability ( 
a/hma control s]vices1 conduct          
compreh5sive adult & p$iatric           
surveillance1 & r$uce a/hma morbidity1  
mortality1 & disp>ities4  7#ac7 ,= e #a 
sp5t by ! ,national ,a/hma ,control     

,program ( ! ,c5t]s = ,disease ,control 
& ,prev5tion1 !re is a #ga return on    
inve/m5t f r$uc$ heal?c>e & economic    
co/s relat$ to a/hma4  7#ad7 ,! al>m+   
rise 9 ! preval5ce ( a/hma1 its adv]se  
effect on s*ool att5dance &             
productivity1 & its co/ =               
hospitalizations & em]g5cy room visits  
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 ,n lat] ?an #a ye> aft] ! 
date ( enactm5t ( ! ,elijah ,e4 ,cumm+s 
,family ,a/hma ,act1 ! ,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?nicity2 &  7,c7 mod]nize a/hma       
surveillance sy/ems to-- 7i7 enable     
real-"t ex*ange ( data f heal?c>e1      
s*ools1 & public heal? entities2 &  7ii7
 support timely publication ( national &
 ,/ate tr5d reports1 disaggregat$ by    
age1 sex1 race1 e?nicity1 pay]1 &       
geography4  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  7#a7 
,9 g5]al ,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$ical societies1 & o!r relevant        
gov]nm5tal & nongov]nm5tal entities1    
submit to ,congress a report t-- 7,a7   
catalogs1 ) respect to a/hma prev5tion1 
managem5t1 & surveillance-- 7i7 !       
activities ( ! ,f$]al ,gov]nm5t1 includ+
 an assessm5t ( ! progress ( ! ,f$]al   
,gov]nm5t & ,/ates1 ) respect to a*iev+ 
! goals ( ! ,heal?y ,p #bjcj initiative2
 &  7ii7 ! activities ( o!r entities t  
p>ticipate 9 ! program "u ?is section1  
includ+ nonpr(it organizations1 pati5t  
advocacy gr\ps1 & m$ical societies2 &   
7,b7 makes recomm5dations = ! future    

direction ( a/hma-relat$ activities1 9  
consultation ) rese>*]s f ! ,national   
,in/itutes ( ,heal?1 includ+-- 7i7 a    
description ( h[ ! ,f$]al ,gov]nm5t may 
improve its response to a/hma1 includ+  
id5tify+ any b>ri]s t may exi/2  7ii7 a 
description ( h[ ! ,f$]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  7iii7 ! id5tification ( /eps t  
may be tak5 to r$uce !-- 7,i7 morbidity1
 mortality1 & ov]all preval5ce ( a/hma2 
7,,ii7 f9ancial burd5 ( a/hma on        
society2  7,,iii7 burd5 ( a/hma on      
disproportionately affect$ areas1       
p>ticul>ly ^? 9 m$ically und]s]v$       
populations 7z def9$ 9 section          
#ccj7;b77#c772 &  7,,iv7 burd5 ( a/hma z
 a *ronic disease t c be wors5$ by      
environm5tal exposures2  7iv7 !         
id5tification ( programs & policies t h 
a*iev$ ! /eps describ$ 9 clause 7iii72  
7v7 ! id5tification ( /eps t may be tak5
 to exp& su* programs & policies to     

b5efit l>g] populations2 &  7vi7        
recomm5dations = future rese>* &        
int]v5tions4  7#b7 ,coord9ation =       
recomm5dations ,9 mak+ recomm5dations "u
 p>agraph 7#a77;,b71 ! ,secret>y %all   
coord9ate )-- 7,a7 ! ,secret>y ( ,heal? 
& ,human ,s]vices1 includ+ ! ,director (
 ! ,c5t]s = ,disease ,control &         
,prev5tion & ! ,adm9i/rator ( ! ,c5t]s =
 ,m$ic>e  ,m$icaid ,s]vices2  7,b7 !    
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy2  7,c7 ! ,secret>y ( 
,h\s+ & ,urban ,developm5t2  7,d7 !     
,secret>y ( ,education2  7,e7 !         
,secret>y ( ,vet]ans ,affairs2 &  7,f7 !
 ,secret>y ( ,def5se4  7f7 ,au?orization
 ( appropriations ,to c>ry out ?is      
section1 !re is au?oriz$ to be          
appropriat$ #gj1jjj1jjj = ! p]iod (     
fiscal ye>s #bjbe ?r\gh #bjbi4  4