,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fhig  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ah1         
#bjbe,ms4 ,/ev5s 7= h]self & ,ms4       
,und]wood7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to advance rese>*1
 promote aw>5ess & education1 & improve 
heal? c>e1 ) respect to ?yroid disease1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,?yroid ,disease   
,cov]age1 ,aw>5ess1 ,rese>*1 &          
,education ,act ( #bjbe or ! ,?yroid    
,disease ,,c>e ,act ( #bjbe4  #b4       
,?yroid disease rese>*  7a7 ,9 g5]al ,! 
,secret>y1 9 consultation ) ! ,national 
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e1 %all-- 7#a7 conduct or support 
rese>* & relat$ activities reg>d+ ?yroid
 disease1 includ+ rese>*-- 7,a7 to      
inve/igate ! root causes ( ?yroid       
disease2  7,b7 to improve diagno/ic     
te*niques & develop improv$ treatm5ts2  
7,c7 to improve ?yroid canc]-relat$ c>e1
 includ+ ! prev5tion1 diagnosis1 &      

treatm5t ( ?yroid nodules & ?yroid      
canc]2  7,d7 to enhance ! quality (     
?yroid canc] survivor%ip1 includ+       
und]/&+ h[ a ?yroid canc] diagnosis     
impacts wom5 ( reproductive ye>s &      
beyond2  7,e7 to und]/& ! symptoms (    
pati5ts treat$ = ?yroid disease & to    
design /udies to improve symptom        
managem5t2  7,f7 to assess-- 7i7 ?yroid 
disease preval5ce1 detection1 treatm5t1 
& outcome disp>ties by race1 e?nicity1  
geography1 prim>y language1 sex1 sexual 
ori5tation1 g5d] id5tity1 disability    
/atus1 & insurance /atus1 & relat$      
topics z det]m9$ by ! ,secret>y2 &  7ii7
 ) respect to ?yroid canc] pati5ts1 su* 
disp>ities relat+ to prim>y tumor site1 
tumor morphology1 /age at diagnosis1 &  
fir/ c\rse ( treatm5t2 &  7,g7 to /udy !
 effects ( ?yroid disease1 includ+      
subcl9ical hypo?yroidism1 9 pati5ts :o  
cont9ue to exp]i5ce symptoms despite _! 
te/ results becom+ normal2 &  7#b7      
propose recomm5dations on h[ to address 
rese>* gaps relat+ to disp>ities ref]r$ 

to 9 p>agraph 7#a77;,f74  7b7 ,int]im   
report ,! ,secret>y %all-- 7#a7 n lat]  
?an #bd mon?s aft] ! date ( enactm5t (  
?is ,act1 transmit an int]im report on !
 /atus & results ( ! rese>* & relat$    
activities "u ?is section to !          
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate2 &  7#b7 make su*   
report publicly available4  7c7         
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #cj1jjj1jjj = ea* ( fiscal  
ye>s #bjbf ?r\gh #bjcj4  #c4 ,analyz+   
rese>* gaps & disproportionate impacts )
 respect to ?yroid disease  7a7 ,rese>* 
,! ,secret>y %all-- 7#a7 id5tify &      
analyze gaps 9 rese>* on diagnos+ &     
treat+ ?yroid disease2  7#b7 analyze--  
7,a7 ! disproportionate impacts ( ?yroid
 disease on specific populations1       
disaggregat$ by race1 e?nicity1         
geography1 prim>y language1 sex1 sexual 
ori5tation1 g5d] id5tity1 disability    

/atus1 & insurance /atus1 ) a p>ticul>  
focus on su* disproportionate impacts on
 wom52  7,b7 ! reasons = !              
disproportionate impacts ref]r$ to 9    
subp>agraph 7,a7 9 su* specific         
populations1 includ+ ) respect to       
disproportionate access to specializ$   
c>e2 &  7,c7 ! level ( k ( heal? c>e    
pr(essionals ab\t su* disproportionate  
impacts2 &  7#c7 analyze1 & =mulate     
recomm5dations ) respect to1 bett]      
options =-- 7,a7 diagnos+ & treat+      
?yroid disease 9 su* populations2 &     
7,b7 pay+ = su* diagnosis & treatm5t4   
7b7 ,topics ,9 c>ry+ out ! analysis "u  
subsection 7a71 ! ,secret>y may assess--
 7#a7 data f ! ,trans=m$ ,m$icaid       
,/ati/ical ,in=mation ,sy/em relat$ to  
s]vices furni%$ to individuals diagnos$ 
) ?yroid disease = ! treatm5t ( ?yroid  
disease symptoms "u ,/ate ,m$icaid      
programs & ,/ate *ildr5's heal?         
insurance programs2  7#b7 data collect$ 
?r\gh ! ,surveillance1 ,epidemiology1 & 
,end ,results 7,,se]7 program ( !       

,national ,canc] ,in/itute2  7#c7 data  
collect$ ?r\gh ! ,m$ic>e program "u     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq472  7#d7   
data relat$ to s]vices furni%$ to       
individuals diagnos$ ) ?yroid disease = 
! treatm5t ( ?yroid disease symptoms "u 
gr\p heal? plans or gr\p or individual  
heal? insurance cov]age (f]$ by a heal? 
insurance issu]2  7#e7 data f nationally
 repres5tative sample surveys 7su* z !  
,national ,heal? ,int]view ,survey ( !  
,c5t]s = ,disease ,control & ,prev5tion 
7or any successor survey772 &  7#f7 su* 
o!r data z ! ,secret>y det]m9es         
relevant4  7c7 ,data collection ,to c>ry
 out ! analysis "u subsection 7a71 !    
,secret>y may reque/-- 7#a7 gr\p heal?  
plans 7z def9$ 9 section #bgia ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#ia771 heal? insurance
 issu]s (f]+ gr\p or individual heal?   
insurance cov]age 7z s def9$71 & heal?  
b5efits plans (f]$ "u ! ,f$]al ,employee
 ,heal? ,b5efits ,program "u *apt] #hi (

 title #e1 ,unit$ ,/ates ,code1 to      
provide su* in=mation z may be requir$  
to assess b>ri]s t individuals diagnos$ 
) ?yroid disease face 9 access+         
treatm5ts = ?yroid disease symptoms1    
includ+ a lack ( insurance cov]age &    
co/-%>+ requirem5ts = su* treatm5ts2 &  
7#b7 ,/ate ,m$icaid programs & ,/ate    
*ildr5's heal? insurance programs to    
collect & report1 ?r\gh ! ,trans=m$     
,m$icaid ,/ati/ical ,in=mation ,sy/em1  
data relat$ to s]vices furni%$ to       
individuals diagnos$ ) ?yroid disease = 
! treatm5t ( ?yroid disease symptoms1   
includ+ data /ratifi$ by relevant       
demographic *>act]i/ics4  7d7 ,privacy  
requirem5ts ,9 c>ry+ out ! analysis "u  
subsection 7a71 includ+ mak+ reque/s "u 
subsection 7c71 & 9 submitt+ ! report "u
 subsection 7e71 ! ,secret>y %all ensure
 t ! privacy & confid5tiality (         
individual pati5ts are protect$ 9 a     
mann] consi/5t ) relevant privacy &     
confid5tiality laws4  7e7 ,report ,!    
,secret>y %all-- 7#a7 n lat] ?an #b ye>s

 aft] ! date ( enactm5t ( ?is ,act1     
submit to ,congress & make publicly     
available on ! website ( ! ,dep>tm5t (  
,heal? & ,human ,s]vices a prelim9>y    
report on ! analysis c>ri$ out "u ?is   
section2 &  7#b7 n lat] ?an ! end (     
fiscal ye> #bjcj1 submit to ,congress & 
make publicly available on ! website ( !
 ,dep>tm5t ( ,heal? & ,human ,s]vices a 
f9al report on su* analysis4  7f7       
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #cj1jjj1jjj = ea* ( fiscal  
ye>s #bjbf ?r\gh #bjcj4  #d4 ,public    
aw>5ess campaign ) respect to ?yroid    
disease  7a7 ,9 g5]al ,! ,secret>y %all 
c>ry out a public aw>5ess campaign      
reg>d+ ?yroid disease1 includ+ by       
develop+ & dissem9at+ in=mation on--    
7#a7 ! aw>5ess1 incid5ce1 & preval5ce ( 
?yroid disease & associat$ impacts1 ) a 
p>ticul> focus on ! disp>ities &        
disproportionate impacts describ$ 9     
sections #b7;a77#a77;,f7 & #c7;a77#b71  
especially on wom52  7#b7 !             

availability1 z m$ically appropriate1 ( 
! range ( treatm5t options = symptoms ( 
?yroid disease2  7#c7 h[ pati5ts c bett]
 recognize ! signs & symptoms ( ?yroid  
disease2 &  7#d7 :e!r !re are b5efits ( 
r\t9e scre5+1 especially dur+ pregnancy 
& reproductive /ages4  7b7 ,in=mation to
 heal? c>e provid]s ,9 c>ry+ out !      
public aw>5ess campaign "u subsection   
7a71 ! ,secret>y1 9 consultation )      
relevant heal? c>e pr(essional societies
 & associations1 %all dissem9ate        
in=mation to heal? c>e pr(essionals1    
heal? c>e-relat$ organizations1 & heal? 
sy/ems to promote evid5ce-bas$ c>e =    
individuals ) ?yroid disease1 includ+   
in=mation relat$ to-- 7#a7 detect+ &    
diagnos+ ?yroid disease ) an emphasis on
 bett] address+ ?yroid disease 9        
populations at increas$ risk = !        
disease2  7#b7 provid+ c>e = individuals
 ) ?yroid disease2  7#c7 communicat+ )  
pati5ts ab\t ?yroid disease2  7#d7      
enhanc+ ! prev5tion ( implicit bias 9 ! 
provision ( c>e2 &  7#e7 relat$ topics1 

includ+ rese>* on ! reasons :y ?yroid   
disease occurs4  7c7 ,dissem9ation (    
in=mation ,! ,secret>y may dissem9ate   
in=mation "u subsection 7a7 directly or 
?r\gh arrangem5ts ) intra-ag5cy         
initiatives1 nonpr(it organizations1    
consum] gr\ps1 in/itutions ( high]      
education1 or ,f$]al1 ,/ate1 or local   
public-private p>tn]%ips4  7d7          
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #c1jjj1jjj = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjcj4  #e4            
,collaboration ) relevant pr(essional   
societies ,9 c>ry+ out ?is ,act1 !      
,secret>y %all collaborate )-- 7#a7     
relevant pr(essional societies2 &  7#b7 
relevant ag5cies ( ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices1 includ+ ! ,national  
,in/itutes ( ,heal?4  #f4 ,def9itions ,9
 ?is ,act3 7#a7 ,in/itution ( high]     
education ,! t]m in/itution ( high]     
education has ! mean+ giv5 to su* t]m 9 
section #aja ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajja74  7#b7    

,racial & e?nic m9ority gr\p ,! t]m     
racial & e?nic m9ority gr\p has ! mean+ 
giv5 su* t]m 9 section #agjg7;g7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjju-#f7;g774  7#c7 ,secret>y
 ,! t]m ,secret>y means ! ,secret>y (   
,heal? & ,human ,s]vices4  7#d7 ,?yroid 
disease ,! t]m ?yroid disease means--   
7,a7 disord]s & abnormalities ( ?yroid  
gl& function2 &  7,b7 abnormalities (   
?yroid /ructure1 includ+ ?yroid nodules 
& ?yroid canc]4