,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ffhb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #aa1         
#bjbe,ms4 ,williams ( ,georgia 7=       
h]self1 ,ms4 ,und]wood1 ,ms4 ,adams1    
,mr4 ,cisn]os1 ,ms4 ,cl>ke ( ,new ,york1
 ,ms4 ,fri$man1 ,mr4 ,fro/1 ,mr4        
,goldman ( ,new ,york1 ,mr4 ,h]nndez1   
,mr4 ,k5n$y ( ,new ,york1 ,mrs4         
,mc,iver1 ,ms4 ,norton1 ,mr4 ,pocan1    
,mr4 ,david ,scott ( ,georgia1 ,ms4     
,tlaib1 ,mr4 ,tonko1 ,mrs4 ,watson      
,coleman1 ,mr4 ,bi%op1 ,mr4 ,m\lton1    
,ms4 ,br[n1 ,ms4 ,l(gr51 & ,mr4         
,got!im]7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,a ,,bill  ,to advance rese>*1
 promote aw>5ess1 & provide pati5t      
support ) respect to endometriosis1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,endometriosis         
,cov]age1 ,aw>5ess1 ,rese>*1 &          
,education ,act or ! ,endometriosis     
,,c>e ,act4  #b4 ,f9d+s ,! ,congress    
f9ds z foll[s3  7#a7 ,endometriosis is a

 disease 9 :i* tissue simil> to ! l9+ ( 
! ut]us gr[s outside ! ut]us4 ,x c cause
 sev]e pa9 9 ! pelvis & make x h>d] to  
get pregnant4 ,endometriosis (t5 causes 
sev]e pa9 9 ! pelvis1 especially dur+   
m5/rual p]iods4 ,"s p also h pa9 dur+   
sex or :5 us+ ! ba?room4 ,"s p h tr\ble 
gett+ pregnant4  7#b7 ,x causes a *ronic
 inflammatory reaction t may result 9 ! 
=mation ( sc> tissue 7adhesions1        
fibrosis7 )9 ! pelvis & o!r p>ts ( !    
body4 ,! cause ( endometriosis is       
unkn[n4 ,!re is no kn[n way to prev5t   
endometriosis4 ,!re is no cure1 b its   
symptoms c be treat$ ) m$ic9es or1 9 "s 
cases1 surg]y4  #c4 ,endometriosis      
cov]age1 aw>5ess1 rese>*1 & education   
,"p ,f ( title ,,iv ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bhg;d et   
seq47 is am5d$ by add+ at ! end !       
foll[+3  #dhf;,c4 ,endometriosis        
cov]age1 aw>5ess1 rese>*1 & education   
7a7 ,advanc+ endometriosis data         
collection1 surveillance1 & rese>*  7#a7
 ,9 g5]al ,! ,director ( ,,nih %all     

conduct or support data collection1     
surveillance1 & rese>* relat$ to        
endometriosis4  7#b7 ,use ( funds ,9    
c>ry+ out subsection 7a71 ! ,director   
may-- 7,a7 conduct or support rese>* &  
relat$ activities reg>d+ endometriosis1 
includ+ rese>* to improve treatm5t      
options & develop a cure =              
endometriosis2  7,b7 e/abli% or exp& an 
int]net cle>+h\se to catalog exi/+      
endometriosis rese>*1 treatm5t options1 
& relat$ in=mation = pati5ts & heal? c>e
 pr(essionals2 or  7,c7 c>ry out relat$ 
activities z det]m9$ by ! ,director4    
7#c7 ,au?orization ( appropriations ,to 
c>ry out ?is subsection1 !re is au?oriz$
 to be appropriat$ #ej1jjj1jjj = ea* (  
fiscal ye>s #bjbf ?r\gh #bjcj4  7b7     
,id5tify+ b>ri]s to access+ treatm5ts = 
endometriosis symptoms  7#a7 ,rese>* ,! 
,secret>y %all conduct an analysis (    
b>ri]s t individuals diagnos$ )         
endometriosis face 9 access+ treatm5ts =
 endometriosis symptoms1 includ+        
transportation b>ri]s & b>ri]s caus$ by 

heal? c>e pr(essional %ortages4  7#b7   
,topics ,9 c>ry+ out ! analysis "u      
p>agraph 7#a71 ! ,secret>y may-- 7,a7   
assess data f ! ,trans=m$ ,m$icaid      
,/ati/ical ,in=mation ,sy/em relat$ to  
s]vices furni%$ to individuals diagnos$ 
) endometriosis = ! treatm5t (          
endometriosis symptoms "u ,/ate ,m$icaid
 programs "u title ,,xix ( ! ,social    
,security ,act & ,*ildr5's ,heal?       
,insurance ,programs "u title ,,xxi (   
su* ,act2 &  7,b7 assess data relat$ to 
s]vices furni%$ to individuals diagnos$ 
) endometriosis = ! treatm5t (          
endometriosis symptoms "u gr\p heal?    
plans or gr\p or individual heal?       
insurance cov]age (f]$ by a heal?       
insurance issu] 7z ^? t]ms are def9$ 9  
section #bgia74  7#c7 ,data collection  
,to c>ry out ! analysis "u p>agraph     
7#a71 ! ,secret>y may require--  7,a7   
gr\p heal? plans or issu]s ( gr\p or    
individual heal? insurance cov]age to   
provide su* in=mation z may be requir$  
to assess b>ri]s t individuals diagnos$ 

) endometriosis face 9 access+ treatm5ts
 = endometriosis symptoms1 includ+ a    
lack ( insurance cov]age or co/-%>+     
requirem5ts = su* treatm5ts2 &  7,b7    
,/ate ,m$icaid programs & ,*ildr5's     
,heal? ,insurance ,programs to collect &
 report data relat$ to s]vices furni%$  
to individuals diagnos$ ) endometriosis 
= ! treatm5t ( endometriosis symptoms   
?r\gh ! ,trans=m$ ,m$icaid ,/ati/ical   
,in=mation ,sy/em1 includ+ data /ratifi$
 by relevant demographic *>act]i/ics4   
7#d7 ,privacy requirem5ts ,9 c>ry+ out !
 analysis "u p>agraph 7#a71 ! ,secret>y 
%all ensure t ! privacy & confid5tiality
 ( individual pati5ts are protect$ 9 a  
mann] consi/5t ) relevant privacy &     
confid5tiality laws4  7#e7 ,report ,n   
lat] ?an two ye>s aft] ! date ( enactm5t
 ( ?is section1 ! ,secret>y %all submit 
to ! ,congress1 & make publicly         
available on ! website ( ! ,dep>tm5t (  
,heal? & ,human ,s]vices1 a report on ! 
analysis c>ri$ out "u ?is subsection4   
7c7 ,education & dissem9ation (         

in=mation ) respect to endometriosis    
7#a7 ,endometriosis public education    
program ,! ,secret>y %all develop1 &    
dissem9ate to ! public1 in=mation reg>d+
 endometriosis1 includ+ in=mation on--  
7,a7 ! aw>5ess1 incid5ce1 & preval5ce ( 
endometriosis1 ) a p>ticul> focus on    
individuals f racial & e?nic m9ority    
gr\ps 7z def9$ 9 section #agjg7;g77 &   
o!r und]s]v$ gr\ps2  7,b7 culturally &  
l+ui/ically appropriate support t is    
available to address ! m5tal heal?      
impacts ( endometriosis2 &  7,c7 !      
availability1 z m$ically appropriate1 ( 
! range ( treatm5t options = symptoms ( 
endometriosis4  7#b7 ,dissem9ation (    
in=mation ,! ,secret>y may dissem9ate   
in=mation "u p>agraph 7#a7 directly or  
?r\gh arrangem5ts ) intra-ag5cy         
initiatives1 nonpr(it organizations1    
consum] gr\ps1 in/itutions ( high]      
education 7z def9$ 9 section #aja ( !   
,high] ,education ,act ( #aife71 or     
,f$]al1 ,/ate1 or local public private  
p>tn]%ips4  7#c7 ,au?orization (        

appropriations ,to c>ry out ?is         
subsection1 !re is au?oriz$ to be       
appropriat$ #b1jjj1jjj = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjcj4  7d7 ,in=mation 
to heal? c>e provid]s ) respect to      
endometriosis  7#a7 ,dissem9ation (     
in=mation ,! ,secret>y %all1 9          
consultation ) relevant heal? c>e       
pr(essional societies & associations1   
dissem9ate in=mation to heal? c>e       
pr(essionals1 heal? c>e-relat$          
organizations1 & heal? sy/ems to promote
 evid5ce-bas$ c>e = individuals )       
endometriosis1 includ+ in=mation relat$ 
to-- 7,a7 detect+ & diagnos+            
endometriosis2  7,b7 provid+ c>e =      
individuals ) endometriosis2  7,c7      
communicat+ ) pati5ts ab\t              
endometriosis2 &  7,d7 relat$ topics4   
7#b7 ,au?orization ( appropriations ,to 
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #b1jjj1jjj = ea* (      
fiscal ye>s #bjbf ?r\gh #bjcj4  7e7     
,endometriosis disp>ities /udy ?r\gh    
,national ,academies  7#a7 ,9 g5]al ,!  

,secret>y %all seek to ent] an agreem5t1
 n lat] ?an #ij days aft] ! date (      
enactm5t ( ?is section1 ) ! ,national   
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e 7ref]r$ to 9 ?is section z !    
,national ,academies7 "u :i* ! ,national
 ,academies agree to conduct a /udy on  
endometriosis disp>ities4  7#b7 ,/udy   
requirem5ts ,! agreem5t "u p>agraph 7#a7
 %all direct ! ,national ,academies to--
  7,a7 assess endometriosis preval5ce1  
detection1 treatm5t1 & outcome          
disp>ities by race1 e?nicity1 geography1
 prim>y language1 sexual ori5tation1    
g5d] id5tity1 disability /atus1 &       
insurance /atus1 & relat$ topics z      
det]m9$ by ! ,secret>y2 &  7,b7 make    
recomm5dations to ! ,congress1 ,f$]al   
ag5cies1 heal? c>e pr(essionals1 & o!r  
relevant /akehold]s bas$ on ! ,national 
,academies' f9d+s pursuant to           
subp>agraph 7,a74  7#c7 ,report ,!      
agreem5t "u p>agraph 7#a7 %all direct ! 
,national ,academies to complete ! /udy 
"u ?is section1 & transmit to !         

,congress & make publicly available a   
report on ! results ( ! /udy1 n lat] ?an
 #bd mon?s aft] ! date ( enactm5t ( ?is 
section4  7#d7 ,au?orization (          
appropriations ,to c>ry out ?is         
subsection1 !re is au?oriz$ to be       
appropriat$ #ejj1jjj4  4