,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dejc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ab1 #bjbf,mrs4   
,murray 7= h]self1 ,ms4 ,murk[ski1 ,ms4 
,alsobrooks1 ,ms4 ,baldw91 ,ms4 ,blunt  
,ro*e/]1 ,mr4 ,book]1 ,ms4 ,cantwell1   
,ms4 ,cortez ,ma/o1 ,ms4 ,duckwor?1     
,mrs4 ,gillibr&1 ,ms4 ,hassan1 ,mr4     
,hick5loop]1 ,ms4 ,klobu*>1 ,mr4 ,re$1  
,ms4 ,ros51 ,mrs4 ,%ahe51 & ,ms4 ,smi?7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to improve m5opause c>e &   
mid-life wom5's heal?1 & = o!r purposes4
  #a4 ,%ort title2 table ( cont5ts  7a7 
,%ort title ,?is ,act may be cit$ z !   
,advanc+ ,m5opause ,c>e & ,mid-,life    
,wom5's ,heal? ,act4  7b7 ,table (      
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title2 table 
( cont5ts4,sec4 #b4 ,rese>* ) respect to
 m5opause & mid-life wom5's heal?4,sec4 
#c4 ,public heal? promotion &           
prev5tion4,sec4 #d4 ,public heal?       

aw>5ess1 education1 & outrea* program on
 m5opause & mid-life wom5's heal?4,sec4 
#e4 ,tra9+ programs to improve c>e &    
treatm5t ( m5opausal symptoms4,sec4 #f4 
,c5t]s ( excell5ce 9 m5opause cause &   
mid-life wom5's heal?4,sec4 #g4 ,report+
 requirem5t4,sec4 #h4 ,coord9ation4  #b4
 ,rese>* ) respect to m5opause &        
mid-life wom5's heal?  7a7 ,,nih rese>* 
,"p ,a ( title ,,iv ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bha et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #djd,p4 ,rese>* ) respect to   
m5opause & mid-life wom5's heal?  7a7   
,rese>* & innovation  7#a7 ,9 g5]al ,!  
,director ( ,,nih1 act+ ?r\gh !         
,director ( ! ,(fice ( ,rese>* on       
,wom5's ,heal?1 %all coord9ate & exp&   
rese>* activities conduct$ by all       
in/itutes1 c5t]s1 & (fices ( ! ,national
 ,in/itutes ( ,heal? to develop &       
implem5t ,f$]al rese>* programs )       
respect to-- 7,a7 ! impact ( ! symptoms 
& trajectories ( *anges across          
p]im5opause1 ! m5opausal transition1 & !

 po/m5opausal p]iod on wom5's physical1 
oral1 m5tal1 behavioral1 & cognitive    
heal?2  7,b7 ! prev5tion ( relat$ adv]se
 heal? outcomes among wom5 dur+ !       
m5opausal transition & ! po/m5opausal   
p]iod2  7,c7 ! kn[n heal? disp>ities t  
are obs]v$ ) ! m5opausal transition1    
includ+ betwe5 rural wom5 & urban or    
suburban wom52 &  7,d7 ! developm5t (   
integrat$1 collaborative approa*es to   
m5opause c>e1 :i* may involve           
non-ph>macological & ph>macological     
treatm5ts4  7#b7 ,grants ,9 c>ry+ out   
p>agraph 7#a71 ! ,director ( ,,nih %all 
aw>d grants to eligible entities to     
support-- 7,a7 biom$ical & public heal? 
rese>* & innovation 9 ! developm5t ( new
 treatm5ts1 & diagno/ic te/+ s]vices =  
p]im5opause & acute & *ronic m5opausal  
conditions2  7,b7 rese>*]s & cl9icians  
engag$ 9 cl9ical & translational rese>* 
on p]im5opause1 m5opause1 & mid-life    
wom5's heal?2 &  7,c7 rese>*]s &        
cl9icians develop+ & te/+ ! effectiv5ess
 & implem5tation ( evid5ce-bas$         

integrat$1 collaborative approa*es = c>+
 = mid-life wom5 9 ! p]im5opausal1      
m5opausal1 & po/m5opausal p]iods ( life4
  7#c7 ,eligible entities ,to be        
eligible to receive a grant "u          
subsection 7b71 an entity %all meet su* 
crit]ia z ! ,director ( ,,nih may       
e/abli%1 & %all be-- 7,a7 an accr$it$   
entity t (f]s education to /ud5ts 9     
v>i\s heal? pr(essions1 su* z-- 7i7 a   
tea*+ hospital2  7ii7 an accr$it$ s*ool 
( m$ic9e1 o/eopa?ic m$ic9e1 d5tal       
m$ic9e1 nurs+1 or ph>macy1 or a         
physician assi/ant tra9+ program1       
includ+ a hi/orically ,black college or 
univ]sity 7z def9$ by ! t]m "p ,b       
in/itution 9 section #cbb ( ! ,high]    
,education ,act ( #aife or describ$ 9   
section #cbf7;e77#a7 ( ! ,high]         
,education ,act ( #aife7 or o!r         
m9ority-s]v+ in/itutions 7z describ$ 9  
section #cga7;a7 ( ! ,high] ,education  
,act ( #aife72  7iii7 a c]tifi$         
behavioral heal? cl9ic ) an accr$it$    
m$ical or nurs+ resid5cy program2  7iv7 

an accr$it$ public or nonpr(it private  
hospital ) an accr$it$ m$ical1 d5tal1 or
 nurs+ resid5cy program2  7v7 an        
accr$it$ nurse practition] resid5cy     
program t includes & accr$it$ nurs+     
resid5cy program2 or  7vi7 a relat$     
accr$it$ program engag$ 9 ! c>e1        
treatm5t1 or managem5t ( m5opausal      
symptoms2  7,b7 an academic rese>*      
in/itution or o!r nonpr(it rese>*       
in/itution2  7,c7 a small bus9ess2 or   
7,d7 su* o!r entity z ! ,director (     
,,nih may det]m9e appropriate4  7b7     
,rese>*1 condition1 & disease           
categorization ,! ,director ( ,,nih %all
 designate1 9 ! ,rese>*1 ,condition1 &  
,disease ,categorization1 new categories
 = *ronic or debilitat+ conditions among
 wom51 to analyze & coord9ate curr5t &  
future rese>* on p]im5opause1 m5opause1 
m5opausal symptoms1 & po/m5opausal      
%ort-t]m & long-t]m effects ( su*       
symptoms & conditions on mid-life wom5's
 heal?4  7c7 ,coord9ation ,! ,director (
 ! ,,nih %all coord9ate & exp& ,f$]al   

rese>* programs & activities to /udy    
acute & *ronic m5opausal symptoms & new 
ph>macological or non-ph>macological    
treatm5t approa*es = su* symptoms1      
includ+-- 7#a7 vasomotor symptoms2  7#b7
 o/eoporosis2  7#c7 s>cop5ia2  7#d7     
temporom&ibul> disord]s2  7#e7 jo9t &   
n]ve pa92  7#f7 trauma1 anxiety1        
depression1 mood disord]s1 & relat$     
m5tal & behavioral heal? conditions2    
7#g7 cognitive problems & dem5tia2  7#h7
 he>t disease & o!r c>diovascul>        
conditions2  7#i7 g5it\r9>y conditions2 
7#aj7 alopecia2  7#aa7 vision or he>+   
impairm5ts2  7#ab7 diabetes1 dige/ive1 &
 metabolic disord]s2  7#ac7 *ronic sleep
 defici5cy1 insomnia1 & relat$ sleep    
disord]s2  7#ad7 pelvic floor disord]s2 
7#ae7 oral heal? managem5t2  7#af7      
co-occurr+ *ronic conditions2  7#ag7    
co-occurr+ m5opausal transition symptoms
 & canc] symptoms2 &  7#ah7 o!r         
m5opausal symptoms & relat$ conditions1 
z ! ,director ( ,,nih det]m9es          
appropriate4  7d7 ,translational rese>* 

,! ,secret>y %all exp& translational    
rese>* activities to accel]ate          
translation & implem5tation ( ,f$]al    
rese>* on p]im5opause & m5opausal       
symptoms & facilitate equitable1        
evid5ce-bas$ deliv]y ( integrat$1       
collaborative p]im5opause1 m5opause1 &  
po/m5opause c>e & relat$ mid-life wom5's
 heal? s]vices4  7e7 ,outrea* &         
engagem5t ,! ,secret>y %all exp& outrea*
 & engagem5t activities ) accr$it$      
s*ools ( m$ic9e1 in/itutions ( high]    
education1 & rese>* in/itutions to      
support ,f$]al rese>* activities )      
respect to m5opausal symptoms4  4  7b7  
,public heal? rese>* & data report+     
activities ,"p ,a ( title ,,iii ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bda et seq47 is am5d$ by add+
 at ! end ! foll[+3  #caj;,c4 ,rese>*   
relat+ to mid-life wom5's heal?  7a7    
,public heal? rese>* ,! ,secret>y %all  
exp& rese>* activities ) respect to !   
sev]ity & duration ( p]im5opausal1      
m5opausal1 & po/m5opausal symptoms &    

relat$ *ronic conditions affect+        
mid-life heal? outcomes among wom51     
includ+ m5tal & behavioral heal?        
outcomes4 ,9 c>ry+ out activities "u ?is
 section1 ! ,secret>y %all coord9ate )  
exi/+ programs & activities ( !         
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7b7 ,heal? c>e quality rese>* ,!        
,secret>y %all exp& rese>*1 program     
evaluation1 quality improvem5t &        
implem5tation activities to improve     
heal? c>e deliv]y = ! c>e1 treatm5t1 or 
managem5t ( p]im5opause & m5opausal     
symptoms & relat$ *ronic conditions1    
includ+ data collection ) respect to    
prev5tive s]vices t support mid-life    
heal? outcomes among wom5 & address     
b>ri]s to c>e & ! developm5t & te/+ (   
evid5ce-bas$ integrat$1 collaborative   
approa*es to c>e dur+ ! m5opausal       
transition4  7c7 ,da%bo>d ,! ,secret>y  
%all e/abli% & ma9ta9 a da%bo>d = !     
report+ ( data on m5opausal symptoms &  
mid-life heal? outcomes among wom5 ga!r$
 ?r\gh public heal? surveillance        

activities & ! te/+ ( integrat$1        
collaborative approa*es to c>e ) respect
 to scre5+1 te/+1 treatm5t1 & prev5tion 
s]vices1 & ! impact ( ?is section &     
section #djd,p on su* ef=ts4  7d7       
,occupational heal? rese>* ,! ,secret>y 
%all conduct rese>* activities & exp&   
data collection ) respect to workplace  
/ressors relat$ to sev]e acute or *ronic
 m5opausal symptoms1 physical injury1 or
 o!r adv]se heal? outcomes among wom51  
includ+ traumatic /ress1 anxiety1       
depression1 & relat$ m5tal & behavioral 
heal? conditions4 ,! ,secret>y %all     
review exi/+ evid5ce1 id5tify gaps 9    
s]vices1 & develop evid5ce-in=m$        
recomm5dations = relat$ public heal?    
int]v5tions & support s]vices4  7e7     
,int]ag5cy coord9ation ,! ,secret>y %all
 develop & implem5t new int]ag5cy rese>*
 initiatives or programs to address     
m5opausal symptoms4  4  7c7             
,au?orization ( appropriations ,= !     
purpose ( c>ry+ out sections #djd,p &   
#caj;,c ( ! ,public ,heal? ,s]vice ,act1

 z add$ by subsections 7a7 & 7b71       
respectively1 !re are au?oriz$ to be    
appropriat$ #be1jjj1jjj = ea* ( fiscal  
ye>s #bjbg ?r\gh #bjca4  #c4 ,public    
heal? promotion & prev5tion ,title ,,iii
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bda et seq47 is am5d$ by add+
 at ! end ! foll[+3  ,x ,activities to  
promote mid-life wom5's heal?  #cii,,pp4
 ,public heal? promotion activities  7a7
 ,*ronic conditions & public heal?      
promotion ,! ,secret>y %all exp& public 
heal? promotion & prev5tion activities )
 respect to p]im5opausal1 m5opausal1 &  
po/m5opausal mid-life wom5's heal?      
symptoms & *ronic conditions describ$ 9 
section #djd,p7c71 & o!r relat$         
conditions & adv]se heal? outcomes1 at !
 discretion ( ! ,secret>y4  7b7 ,e>ly   
detection1 diagnosis1 & treatm5t  7#a7  
,9 g5]al ,! ,secret>y %all aw>d grants  
to eligible entities to improve ! e>ly  
detection1 diagnosis1 & treatm5t (      
p]im5opausal1 m5opausal1 & po/m5opausal 
symptoms & support public heal?         

activities to exp& access to quality c>e
 s]vices & improve mid-life heal?       
outcomes among wom54  7#b7 ,eligible    
entities ,to be eligible to receive a   
grant "u p>agraph 7#a71 an entity %all--
 7,a7 be-- 7i7 a ,/ate1 local1 ,tribal1 
or t]ritorial public heal? dep>tm5t2    
7ii7 an accr$it$ entity t (f]s education
 to /ud5ts 9 v>i\s heal? pr(essions2 or 
7iii7 su* o!r type ( entity1 z !        
,secret>y det]m9es appropriate2 &  7,b7 
submit an application to ! ,secret>y at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4    
7c7 ,c>e coord9ation ,! ,secret>y %all  
aw>d grants to eligible entities        
describ$ 9 subsection 7b77#b7 to support
 c>e coord9ation & c>e plann+           
activities1 includ+ su* activities      
o!rwise support$ "u ?is ,act1 & exp&    
access to quality prim>y c>e & specialty
 c>e s]vices to improve symptoms &      
*ronic conditions describ$ 9 section    
#djd,p7c74  7d7 ,m5tal heal? & sub/ance 
use prev5tion ,! ,secret>y %all develop 

recomm5dations & be/ practices to-- 7#a7
 increase access to m5tal & behavioral  
heal? c>e s]vices & sub/ance use disord]
 prev5tion s]vices = wom5 exp]i5c+      
p]im5opause or m5opausal symptoms2 &    
7#b7 exp& sub/ance use disord] treatm5t1
 recov]y1 & support s]vices = wom5      
exp]i5c+ p]im5opause1 e>ly m5opause1    
m5opause1 & po/m5opause1 & relat$       
symptoms & *ronic conditions4  7e7      
,heal? c>e deliv]y ,! ,secret>y %all    
develop recomm5dations & be/ practices  
=-- 7#a7 r$uc+ heal? disp>ities 9 !     
managem5t ( p]im5opausal & m5opausal    
symptoms & conditions2  7#b7 ! prev5tion
 ( adv]se heal? outcomes 9 ! mid-life & 
m5opausal transition2  7#c7 improv+     
mid-life wom5's access to p]im5opause & 
m5opause heal? c>e s]vices ?r\gh        
integrat$1 collaborative approa*es to   
c>e2 &  7#d7 provid+ pati5t-c5t]$       
p]im5opause1 mid-life1 & m5opause       
c\nsel+ & treatm5t ?r\gh ph>macological 
& non-ph>macological treatm5ts4  7f7    
,safety & effectiv5ess ,! ,secret>y %all

 c>ry out & support-- 7#a7 outrea* &    
engagem5t activities ( ! ,dep>tm5t (    
,heal? & ,human ,s]vices ) heal? c>e    
provid]s on p]im5opause & m5opause &    
mid-life wom5's heal?2  7#b7 ov]sight   
ef=ts to assess ! safety & effectiv5ess 
( new treatm5ts & diagno/ic tools =     
mid-life1 p]im5opause1 or m5opausal     
symptoms1 includ+ devices t use         
artificial intellig5ce2 &  7#c7 support 
exi/+ activities ( ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices to en=ce privacy      
protections = pati5ts4  7g7             
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjbg ?r\gh #bjca4  4  #d4 ,public 
heal? aw>5ess1 education1 & outrea*     
program on m5opause & mid-life wom5's   
heal? ,"p ,x ( title ,,iii ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda 
et seq471 z add$ by section #c1 is am5d$
 by add+ at ! end ! foll[+3             
#cii,,pp-#a4 ,public heal? aw>5ess1     
education1 & outrea* program on m5opause

 & mid-life wom5's heal?  7a7 ,9 g5]al  
,! ,secret>y %all develop & c>ry out a  
national aw>5ess1 education1 & outrea*  
program relat+ to m5opausal symptoms1   
mid-life wom5's heal?1 & relat$ c>e1    
treatm5t1 & prev5tive s]vices direct$ at
 pati5ts1 heal? c>e provid]s1 fir/      
respond]s 7su* z em]g5cy m$ical s]vice  
provid]s71 & relat$ /akehold]s4 ,su*    
aw>5ess1 education1 & outrea* program   
%all-- 7#a7 dissem9ate educational      
mat]ials & provide te*nical assi/ance = 
heal? c>e provid]s & pati5ts to support 
engagem5t ab\t p]im5opause & m5opause   
c>e & treatm5t options = m5opausal      
symptoms2  7#b7 help su* provid]s to    
id5tify risk factors & prev5t injury &  
adv]se heal? outcomes among mid-life    
wom5 ) m5opausal symptoms2 &  7#c7      
address b>ri]s to relat$ c>e & treatm5t 
s]vices = mid-life wom54  7b7 ,outrea*  
,9 c>ry+ out ?is section1 ! ,secret>y   
%all-- 7#a7 conduct outrea* & education 
activities relat$ to p]im5opause &      
m5opause & mid-life wom5's heal? t--    

7,a7 include evid5ce-bas$ in=mation2 &  
7,b7 are culturally appropriate1 9 !    
case ( su* outrea* & education          
activities = ,indian ,tribes2  7#b7     
provide opportunities = ,/ate1 local1   
,tribal1 & t]ritorial public heal?      
dep>tm5ts to cu/omize public heal?      
aw>5ess1 education1 & outrea* mat]ials =
 _! populations2 &  7#c7 prioritize     
populations 9 areas affect$ by kn[n     
heal? disp>ities & b>ri]s to c>e1       
includ+ rural & und]s]v$ areas4  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 ,onl9e res\rces ,!
 ,secret>y %all develop1 op]ate1 &      
ma9ta9 a website to provide educational 
mat]ials 9 accessible =mats = heal? c>e 
provid]s1 pati5ts1 & c>egiv]s1 reg>d+   
p]im5opause1 m5opause1 po/-m5opause1 &  
mid-life wom5's heal?4 ,su* educational 
mat]ials may include-- 7#a7 web9>s1     
cont9u+ education modules1 videos1 fact 

%eets1 infographics1 /akehold] toolkits1
 or o!r mat]ials 9 =mats z appropriate &
 applicable2 &  7#b7 tailor$ = heal? c>e
 provid]s1 pati5ts1 c>egiv]s1 & o!r     
audi5ces1 z ! ,secret>y det]m9es        
appropriate4  7e7 ,au?orization (       
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4  4  #e4 ,tra9+ programs to 
improve c>e & treatm5t ( m5opausal      
symptoms ,"p ,d ( title ,,vii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bid et seq47 is am5d$ by     
ins]t+ aft] section #geg 7#db ,u4,s4,c4 
#bid;f7 ! foll[+3  #geh4 ,tra9+ programs
 to improve c>e & treatm5t ( m5opausal  
symptoms  7a7 ,grants ,to tra9 heal?    
pr(essionals  7#a7 ,9 g5]al ,! ,secret>y
 %all aw>d grants to eligible entities =
 ! purpose describ$ 9 p>agraph 7#b74    
7#b7 ,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 d5ti/s1 regi/]$ nurses1     
advanc$ practice regi/]$ nurses1        
physician assi/ants1 ph>maci/s1 o!r     
heal? c>e provid]s1 & /ud5ts & tra9ees  
to improve c>e1 treatm5t1 or managem5t  
s]vices = p]im5opause1 m5opausal        
symptoms1 & relat$ *ronic conditions    
affect+ wom5 9 mid-life4  7#c7          
,eligibility ,to be eligible to receive 
a grant "u ?is subsection1 an entity    
%all-- 7,a7 be-- 7i7 an accr$it$ s*ool (
 m$ic9e or o/eopa?ic m$ic9e2  7ii7 an   
accr$it$ s*ool ( d5tal m$ic9e2  7iii7 an
 accr$it$ s*ool ( nurs+2  7iv7 an       
accr$it$ s*ool ( ph>macy2  7v7 an       
accr$it$ public or nonpr(it private     
hospital2  7vi7 an accr$it$ m$ical or   
d5tal resid5cy program2  7vii7 an       
accr$it$ advanc$ practice regi/]$ nurse 
resid5cy program2 or  7viii7 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  7b7 ,tra9+ 
opportunities ,! ,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  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$      
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   

?r\gh #bjca4  4  #f4 ,c5t]s ( excell5ce 
9 m5opause cause & mid-life wom5's heal?
 ,"p ,x ( title ,,iii ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #bda et    
seq471 z am5d$ by section #d1 is fur!r  
am5d$ by add+ at ! end ! foll[+3        
#cii,,pp-#b4 ,c5t]s ( excell5ce 9       
m5opause c>e & mid-life wom5's heal?    
7a7 ,9 g5]al ,! ,secret>y %all designate
 eligible entities z ,c5t]s ( ,excell5ce
 9 ,m5opause & ,mid-,life ,wom5's       
,heal?1 & aw>d grants to su* entities1 =
 purposes ( improv+ pr(essional tra9+   
res\rces = heal? c>e provid]s on        
mid-life wom5's heal? ) respect to !    
c>e1 treatm5t1 & managem5t ( p]im5opause
 & m5opausal symptoms1 & relat$ support 
s]vices4  7b7 ,eligibility ,to be       
eligible to receive a designation &     
grant "u subsection 7a71 an entity      
%all-- 7#a7 be an accr$it$ entity t (f]s
 education to /ud5ts 9 v>i\s heal?      
pr(essions1 or su* o!r type ( entity1 z 
! ,secret>y det]m9es appropriate2  7#b7 
demon/rate community engagem5t &        

p>tn]%ips ) community /akehold]s1       
includ+ entities t tra9 heal? c>e       
provid]s1 social work]s1 or o!r heal?   
pr(essionals1 community heal? c5t]s1    
heal? sy/ems adm9i/rators1 c]tifi$      
behavioral heal? cl9ics1 & rese>*       
in/itutions2 &  7#c7 submit to !        
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,activities 
,an entity receiv+ an aw>d "u subsection
 7a7 %all develop & di/ribute           
evid5ce-bas$ res\rces to heal? c>e      
provid]s1 pati5ts1 & public heal?       
dep>tm5ts reg>d+ ! c>e1 treatm5t1 &     
managem5t ( p]im5opause & m5opausal     
symptoms dur+ mid-life4 ,su* res\rces   
may include in=mation on-- 7#a7         
advancem5ts 9 ! evid5ce-bas$ treatm5t or
 managem5t ( p]im5opause & acute or     
*ronic m5opausal symptoms2  7#b7 !      
prev5tion & treatm5t ( relat$ *ronic    
conditions across diff]5t pati5t        
populations to support mid-life wom5's  
heal?2 &  7#c7 o!r topic areas t are    

relevant to ! objectives describ$ 9     
subsection 7a74  7d7 ,geographic        
di/ribution ,9 aw>d+ grants "u          
subsection 7a71 ! ,secret>y %all take   
into acc\nt regional diff]5ces among    
eligible entities & ensure equitable    
geographic di/ribution betwe5 rural &   
urban areas4  7e7 ,priority ,9 aw>d+    
grants "u subsection 7a71 ! ,secret>y   
%all prioritize eligible entities t     
provide s]vices 9 a heal? pr(essional   
%ortage area designat$ "u section #ccb  
or to m$ically und]s]v$ populations1 z  
def9$ 9 section #ccj7;b77#c74  7f7      
,evaluation ,ea* entity receiv+ an aw>d 
"u subsection 7a7 %all submit an annual 
report to ! ,secret>y on ! activities   
c>ri$ out us+ su* aw>d4 ,! ,secret>y    
%all evaluate ea* project c>ri$ out by  
an entity receiv+ an aw>d "u ?is section
 & %all report ! f9d+s ) respect to ea* 
su* evaluation to appropriate ,f$]al    
ag5cies & public & private entities4    
7g7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  

to be appropriat$ su* sums z may be     
necess>y = ea* ( fiscal ye>s #bjbg ?r\gh
 #bjca4  4  #g4 ,report+ requirem5t  7a7
 ,report on activities c>ri$ out "u ?is 
,act ,n lat] ?an #b ye>s aft] ! date (  
enactm5t ( ?is ,act1 & e ye> !reaft]1 ! 
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ! ,committee on          
,appropriations1 ! ,committee on ,heal?1
 ,education1 ,labor1 & ,p5sions1 !      
,committee on ,f9ance1 & ! ,special     
,committee on ,ag+ ( ! ,s5ate & !       
,committee on ,appropriations1 !        
,committee on ,en]gy & ,comm]ce1 & !    
,committee on ,ways & ,means ( ! ,h\se (
 ,repres5tatives a report describ+ !    
progress ( activities c>ri$ out "u ?is  
,act & ! am5dm5ts made by ?is ,act4 ,ea*
 su* report %all conta9-- 7#a7 in=mation
 ) respect to ,f$]al rese>* activities  
relat$ to p]im5opause & m5opause &      
mid-life wom5's heal?1 includ+ in=mation
 relat$ public heal? aw>5ess1 education1
 & outrea* activities1 includ+-- 7,a7   
data & k gaps1 or o!r b>ri]s1 relat$ to 

rese>*1 diagno/ic te/+1 & ph>macological
 & non-ph>macological treatm5ts )       
respect to p]im5opause1 m5opause1       
m5opausal symptoms1 & relat$ heal?      
conditions & outcomes 9 wom5's mid-life2
  7,b7 data or in=mation relat$ to      
b>ri]s to heal? c>e & support s]vices   
among wom5 exp]i5c+ p]im5opause or      
m5opausal symptoms & conditions &       
outcomes 9 rural & und]s]v$ areas2 &    
7,c7 data or in=mation relat$ to b>ri]s 
to tra9+ opportunities & res\rces =     
heal? c>e provid]s s]v+ wom5 exp]i5c+   
p]im5opause or m5opausal symptoms &     
relat$ conditions & outcomes 9 rural &  
und]s]v$ areas2  7#b7 recomm5dations &  
be/ practices = heal? c>e provid]s &    
public heal? dep>tm5ts to exp& access to
 integrat$1 collaborative approa*es to  
c>e & increase public aw>5ess & und]/&+ 
( m5opausal symptoms & relat$ *ronic    
conditions2 &  7#c7 in=mation ab\t      
relat$ ,f$]al activities1 z ! ,secret>y 
det]m9es appropriate4  7b7 ,report on   
access ,to c>e & treatm5t ,n lat] ?an #b

 ye>s aft] ! date ( enactm5t ( ?is ,act1
 ! ,secret>y %all release a report on   
kn[n heal? disp>ities1 b>ri]s to access 
to c>e1 & managem5t & treatm5t s]vices1 
) respect to p]im5opause & m5opausal    
symptoms & relat$ conditions1 &         
recomm5dations to r$uce any su*         
disp>ities & b>ri]s = wom5 9 mid-life4  
7c7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = ea* ( fiscal ye>s #bjbg ?r\gh
 #bjca4  #h4 ,coord9ation ,! ,secret>y (
 ,heal? & ,human ,s]vices %all coord9ate
 activities c>ri$ out "u ?is ,act       
7includ+ ! am5dm5ts made by ?is ,act7 ) 
o!r exi/+ ,f$]al ef=ts relat+ to        
m5opausal symptoms1 mid-life wom5's     
heal?1 ag+1 or public heal? promotion   
c>ri$ out by ! ,dep>tm5t ( ,vet]ans     
,affairs1 ! ,dep>tm5t ( ,def5se1 & o!r  
,f$]al dep>tm5ts & ag5cies1 z           
appropriate4