,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #gggi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #c1 #bjbf,mr4    
,subramanyam 7= himself & ,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 ( #bjbf or ! ,,heal?y      
,,bra9s ,act ( #bjbf4  #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>y %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 ,,hhs  7#a7 ,9 g5]al
 ,9 c>ry+ out ! program "u subsection   
7a71 ! ,secret>y %all-- 7,a7 provide =  
coord9ation across ! programs &         
activities ( ! ,dep>tm5t ( ,heal? &     
,human ,s]vices 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 ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices2 &  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 ,collaborative
 ,c5t]7 at in/itutions ( high]          
education1 m$ical c5t]s1 & o!r          
appropriate entities4  7#b7 ,requirem5ts
 ,) respect to neurodeg5]ative disease1 
ea* ,collaborative ,c5t] %all-- 7,a7    
conduct & support basic1 appli$1 &      
cl9ical rese>* on ! effects (           
environm5tal risk factors 7includ+      
environm5tal toxicants71 includ+ )      
respect to disease progression2  7,b7   
use ! facilities ( a s+le in/itution or 
a consortium ( coop]at+ in/itutions to  
adm9i/] ! ,collaborative ,c5t]s & meet  
su* qualifications z may be prescrib$ by
 ! ,secret>y2  7,c7 be an*or$ 9         
population-bas$1 environm5tal heal?     
rese>*2  7,d7 conduct int]discipl9>y &  
collaborative rese>* t spans basic1     
applies1 population-bas$1 or cl9ical    
rese>*2  7,e7 coord9ate ) exi/+         
intramural & extramural ef=ts ( !       
,dep>tm5t ( ,heal? & ,human ,s]vices2 & 
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*
 ,collaborative ,c5t] 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      
,collaborative ,c5t]s 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      
,collaborative ,c5t]s1 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      
,collaborative ,c5t]s1 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 ,collaborative ,c5t] "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*        
,collaborative ,c5t] 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 #bjbg ?r\gh #bjca4  4