,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hafj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #cj1 #bjbf,ms4 ,ans>i 7= h]self1 ,mrs4 ,beatty1 ,mr4 ,bell1 ,ms4 ,br[nley1 ,mr4 ,c>t] ( ,l\isiana1 ,ms4 ,cl>ke ( ,new ,york1 ,mr4 ,conaway1 ,mr4 ,goldman ( ,new ,york1 ,mrs4 ,grijalva1 ,mr4 ,jackson ( ,ill9ois1 ,mr4 ,johnson ( ,georgia1 ,mr4 ,k5n$y ( ,new ,york1 ,mr4 ,kri%namoor?i1 ,mr4 ,mc,garvey1 ,ms4 ,norton1 ,ms4 ,pressley1 ,ms4 ,ross1 ,mr4 ,?an$>1 ,ms4 ,tlaib1 ,mr4 ,tonko1 ,mrs4 ,trahan1 ,ms4 ,velzquez1 ,ms4 ,williams ( ,georgia1 & ,ms4 ,wilson ( ,florida7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to exp& rese>*1 improve aw>5ess1 & increase access to treatm5t = individuals affect$ by ,prem5/rual ,dysphoric ,disord]1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prem5/rual ,dysphoric ,disord] ,aw>5ess & ,rese>* ,act ( #bjbf4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,prem5/rual ,dysphoric ,disord] 7ref]r$ to 9 ?is section z ,,pmdd7 is a sev]e1 *ronic1 & (t5 disabl+ m$ical condition affect+ an e/imat$ #e to #h p]c5t ( wom5 & p assign$ female at bir? ( reproductive age4 7#b7 ,,pmdd is *>act]iz$ by extreme mood %ifts1 irritability1 depression1 ang]1 hopelessness1 t5sion1 anxiety1 & physical symptoms1 su* z difficulty conc5trat+1 *ange 9 appetite1 decreas$ en]gy1 ov] or "u sleep+1 or jo9t & muscle a*es1 9 ! luteal phase ( ! m5/rual cycle1 significantly impair+ "w1 education1 & daily life4 7#c7 ,despite its preval5ce & debilitat+ impact1 ,,pmdd rema9s "u-diagnos$1 "u-rese>*$1 & /igmatiz$4 7#d7 ,e>ly detection1 effective treatm5t1 & increas$ public & provid] aw>5ess are ess5tial to improv+ quality ( life = individuals liv+ ) ,,pmdd4 #c4 ,rese>* ) respect to ,prem5/rual ,dysphoric ,disord] 7,,pmdd7 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all-- 7#a7 exp& & int5sify rese>* on ,prem5/rual ,dysphoric ,disord] 7ref]r$ to 9 ?is section z ,,pmdd71 includ+ ! causes1 risk factors1 diagnosis1 & treatm5t ( ,,pmdd2 7#b7 support cl9ical trials to develop improv$ treatm5t options = ,,pmdd2 & 7#c7 ensure adequate repres5tation ( div]se racial1 e?nic1 & socioeconomic populations 9 ,,pmdd-relat$ rese>*4 7b7 ,surveillance & ,data ,collection ,! ,secret>y %all collect & publi% data on-- 7#a7 ! preval5ce & incid5ce ( ,,pmdd across populations2 7#b7 ! economic & work=ce impact ( ,,pmdd2 & 7#c7 b>ri]s to diagnosis & treatm5t ( ,,pmdd4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section !re are au?oriz$ to be appropriat$ su* sums z is necess>y = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 #d4 ,education & dissem9ation ( in=mation ) respect to ,prem5/rual ,dysphoric ,disord] 7,,pmdd7 7a7 ,9 g5]al ,! ,secret>y %all c>ry out a public heal? aw>5ess campaign t is design$ to-- 7#a7 raise pati5t & heal? c>e provid] aw>5ess ( ,,pmdd symptoms & treatm5t options2 7#b7 r$uce /igma associat$ ) m5/rual heal? conditions2 & 7#c7 enc\rage individuals to seek timely m$ical c>e4 7b7 ,provid] education ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all develop1 & dissem9ate1 cont9u+ m$ical education mat]ials to ensure t heal? c>e provid]s h suffici5t k-- 7#a7 to accurately diagnose ,,pmdd2 7#b7 to di/+ui% ,,pmdd f o!r m5tal heal? & gynecological conditions2 & 7#c7 to provide evid5ce-bas$ c>e4 7c7 ,coord9ation ,9 c>ry+ out ?is section1 ! ,secret>y %all coord9ate ) exi/+ aw>5ess1 education1 & outrea* programs & activities ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section !re are au?oriz$ to be appropriat$ su* sums z is necess>y = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 #e4 ,grants ,to tra9 heal? pr(essionals ) respect to ,,pmdd 7b7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities = ! purpose describ$ 9 subsection 7b74 7c7 ,use ( funds ,a grant aw>d$ "u ?is subsection %all be us$ to develop1 e/abli%1 or exp& tra9+ programs 7includ+ accr$it$ resid5cy programs1 fell[%ips1 or o!r relat$ cl9ical tra9+7 = physicians1 regi/]$ nurses1 nurse practition]s1 physician assi/ants1 ph>maci/s1 o!r heal? c>e provid]s1 & /ud5ts & tra9ees to improve c>e1 treatm5t1 or managem5t s]vices = ,,pmdd4 7d7 ,eligibility ,to be eligible to receive a grant "u ?is subsection1 an entity %all-- 7#a7 be-- 7,a7 an accr$it$ s*ool ( m$ic9e or o/eopa?ic m$ic9e2 7,b7 an accr$it$ nurs+ s*ool2 7,c7 an accr$it$ s*ool ( ph>macy2 7,d7 an accr$it$ public or nonpr(it private hospital2 7,e7 an accr$it$ m$ical resid5cy program2 7,f7 an accr$it$ nurse practition] resid5cy program2 or 7,g7 a relat$ tra9+ program = cl9icians1 alli$ heal? pr(essionals1 or social work]s t int]face ) affect$ populations1 :i* may include hospitals & rese>* in/itutions1 z det]m9$ by ! ,secret>y2 & 7#b7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7e7 ,tra9+ opportunities ,9 c>ry+ out ?is section1 ! ,secret>y %all exp& outrea* activities to support & exp& tra9+ programs1 fell[%ips1 & o!r opportunities = /ud5ts1 faculty1 & tra9ees 7includ+ cont9u+ m$ical education7 or e/abli% new tra9+ opportunities to address b>ri]s to access to-- 7#a7 prim>y & specialty c>e s]vices to support mid-life wom5's heal?2 & 7#b7 e>ly detection1 diagnosis1 treatm5t1 & c>e s]vices = p]im5opause1 m5opausal symptoms1 & relat$ *ronic conditions4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section !re are au?oriz$ to be appropriat$ su* sums z is necess>y = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 #f4 ,report on impacts on ,,pmdd rese>* & treatm5t 7a7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on progress made 9-- 7#a7 exp&+ ,,pmdd rese>*2 7#b7 improv+ aw>5ess (1 & education on1 ,,pmdd2 & 7#c7 increas+ access to diagnosis (1 & treatm5t =1 ,,pmdd4 7b7 ,au?orization ( appropriations ,to c>ry out ?is section !re are au?oriz$ to be appropriat$ su* sums z is necess>y = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4