,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #gggi  ,,in ,,the ,,house ,,of  
,,representatives  ,march #c1 #bjbf,mr4 
,subramanyam 7for himself and ,mr4      
,bilirakis7 introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend the ,public ,health   
,service ,act to require the ,secretary 
of ,health and ,human ,services to      
establish a program for the conduct and 
support of research1 training1 and      
health information dissemination with   
respect to environmental risk factors of
 neurodegenerative diseases1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,harmonizing   
,environmental ,analyses and ,launching 
,therapeutic ,hubs to ,yield ,bolstered 
,research ,and ,innovation in           
,neurological ,science ,act of #bjbf or 
the ,,healthy ,,brains ,act of #bjbf4   
#b4 ,research into environmental risk   
factors that may contribute to          
neurodegenerative disease ,part ,b of   

title ,,iv of the ,public ,health       
,service ,act 7#db ,u4,s4,c4 #bhd et    
seq47 is amended by adding at the end   
the following3  #dji,k4                 
,neurodegenerative disease environmental
 research  7a7 ,in general ,the         
,secretary shall establish a program for
 the conduct and support of research1   
training1 and health information        
dissemination with respect to           
environmental risk factors 7including   
environmental toxicant exposures7 of    
neurodegenerative diseases4  7b7 ,scope 
of research ,research conducted or      
supported under this section shall--    
7#a7 be focused on-- 7,a7 potential     
environmental toxicants1 including      
environmental stressors such as volatile
 organic compounds1 particulate matter1 
per- and polyfluorinated substances1 and
 heavy metals in environmental media    
such as air1 water1 food1 and soil2     
7,b7 the mechanistic interactions of    
such toxicants with neurodegenerative   
disease outcomes2  7,c7 the             

presymptomatic markers of               
neurodegenerative disease2 and  7,d7    
advancing development of environmental  
health strategies to prevent1 manage1   
treat1 or slow the progression of       
neurodegenerative disease2 and  7#b7 may
 include research-- 7,a7 examining      
environmental exposures1 including      
occupational risk factors1              
sociobehavioral factors1 and social     
determinants of health2  7,b7 using     
fundamental approaches to identify      
historical1 existing1 and emerging      
environmental risks and factors that    
affect disease progression2  7,c7       
examining multifactorial causation from 
chemical and nonchemical exposures2     
7,d7 examining prevalence of the disease
 in relation to the distribution of     
exposures across communities and        
populations2  7,e7 examining the        
expression of disease traits that result
 from the interplay of genes and        
environment2 and  7,f7 exploring        
physiological mechanisms driving        

neurodegeneration from toxicant         
exposures4  7c7 ,coordination within    
,,hhs  7#a7 ,in general ,in carrying out
 the program under subsection 7a71 the  
,secretary shall-- 7,a7 provide for     
coordination across the programs and    
activities of the ,department of ,health
 and ,human ,services to avoid          
duplication2 and  7,b7 expand the       
funding of environmental health research
 by leading an ongoing1 coordinated1 and
 focused effort to fund new and existing
 centers for the study and evaluation of
 environmental risk factors 7including  
environmental toxicants7 of             
neurodegenerative diseases4  7#b7       
,biennial report ,in carrying out       
paragraph 7#a71 the ,secretary shall--  
7,a7 submit a biennial report detailing 
the findings and conclusions of research
 under this section to-- 7i7 the        
,committees on ,appropriations of the   
,house of ,representatives and the      
,senate2  7ii7 the ,committee on ,energy
 and ,commerce of the ,house of         

,representatives2 and  7iii7 the        
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate2   
7,b7 post each report under subparagraph
 7,a7 on the public website of the      
,department of ,health and ,human       
,services2 and  7,c7 include the        
information reported pursuant to        
subparagraph 7,a7 in the triennial      
report under section #djc4  7d7         
,collaborative ,centers for             
,neurodegenerative ,disease             
,environmental ,research  7#a7 ,in      
general ,in carrying out the program    
under subsection 7a71 the ,secretary    
shall provide for the establishment of  
research centers1 to be known as        
,collaborative ,centers for             
,neurodegenerative ,disease             
,environmental ,research 7in this       
section each referred to as a           
,collaborative ,center7 at institutions 
of higher education1 medical centers1   
and other appropriate entities4  7#b7   
,requirements ,with respect to          

neurodegenerative disease1 each         
,collaborative ,center shall-- 7,a7     
conduct and support basic1 applied1 and 
clinical research on the effects of     
environmental risk factors 7including   
environmental toxicants71 including with
 respect to disease progression2  7,b7  
use the facilities of a single          
institution or a consortium of          
cooperating institutions to administer  
the ,collaborative ,centers and meet    
such qualifications as may be prescribed
 by the ,secretary2  7,c7 be anchored in
 population-based1 environmental health 
research2  7,d7 conduct                 
interdisciplinary and collaborative     
research that spans basic1 applies1     
population-based1 or clinical research2 
7,e7 coordinate with existing intramural
 and extramural efforts of the          
,department of ,health and ,human       
,services2 and  7,f7 collaborate with   
relevant partners and stakeholders1     
including researchers1 health           
professionals1 nonprofit organizations1 

patients1 and caregivers1 to understand 
the effects of environmental risk       
factors 7including environmental        
toxicants7 of neurodegenerative disease 
and progression thereof4  7#c7          
,discretionary activities ,with respect 
to neurodegenerative diseases1 each     
,collaborative ,center may-- 7,a7       
provide career enhancement and training 
opportunities for scientists1           
researchers1 environmental              
professionals1 and health professionals1
 including through the provision of     
stipends2  7,b7 conduct programs to     
provide information and continuing      
education to health professionals1      
including through the provision of      
stipends2  7,c7 conduct programs for the
 dissemination of information to the    
public regarding research findings and  
proposed prevention strategies when     
appropriate2  7,d7 separately or in     
collaboration with other ,collaborative 
,centers or governmental agencies1      
establish a nationwide data system      

that-- 7i7 includes data derived from   
comprehensive and representative patient
 populations with neurodegenerative     
diseases2 and  7ii7 where possible1     
compares relevant data involving general
 populations2  7,e7 separately or in    
collaboration with other ,collaborative 
,centers1 establish a clearinghouse1 to 
be known as the ,environmental          
,contributions to ,neurodegenerative    
,disease ,information ,clearinghouse1 to
 facilitate and enhance knowledge and   
understanding of environmental risk     
factors of neurodegenerative diseases2  
and  7,f7 separately or in collaboration
 with other ,collaborative ,centers1    
establish a national education program  
that fosters a national focus on        
environmental risk factors of           
neurodegenerative diseases4  7#d7       
,duration of support ,the period of     
support for a ,collaborative ,center    
under this section shall not exceed #e  
years1 except that such period may be   
extended by the ,secretary for one or   

more additional periods of not more than
 #e years if-- 7,a7 the operations of   
such ,collaborative ,center have been   
reviewed by an appropriate technical and
 scientific peer review group           
established by the ,secretary2 and  7,b7
 such group has recommended to the      
,secretary that such period should be   
extended4  7e7 ,authorization of        
appropriations ,to carry out this       
section1 there is authorized to be      
appropriated #ej1jjj1jjj for each of    
fiscal years #bjbg through #bjca4  4