,,iii #aai? ,,congress #a/ ,session ,s4 ,,res4 #cdc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bi1 #bjbe,mr4 ,k+ 7= himself1 ,ms4 ,w>r51 ,mr4 ,blum5?al1 ,mrs4 ,gillibr&1 ,mr4 ,van ,holl51 ,ms4 ,klobu*>1 & ,mr4 ,m>key7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,,resolution ,recogniz+ ! important "w ( ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce4 ,:]eas ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce 7ref]r$ to 9 ?is preamble z ! ,task ,=ce7 is a sci5tifically indep5d5t1 /atutorily au?oriz$ panel compris$ ( volunt>y1 non-,f$]al exp]ts 9 disease prev5tion & evid5ce-bas$ m$ic9e2 ,:]eas1 s9ce #aihd1 ! mission ( ! ,task ,=ce has be5 to improve ! heal? ( ! p ( ! ,unit$ ,/ates by mak+ evid5ce-bas$ recomm5dations ab\t heal? promotion & ! effectiv5ess ( cl9ical prim>y & second>y prev5tive s]vices2 ,:]eas /eps to arrive at an (ficial ,task ,=ce recomm5dation include-- 7#a7 assess+ ! adequacy ( evid5ce at ! key "q level2 7#b7 assess+ ! adequacy ( evid5ce at ! l9kage level2 7#c7 e/imat+ ! magnitude ( b5efit & h>m ( ! prev5tive s]vice2 7#d7 evaluat+ ! c]ta9ty ( ! evid5ce ( net b5efit = ! prev5tive s]vice2 7#e7 e/imat+ ! magnitude ( ! net b5efit ( ! prev5tive s]vice2 & 7#f7 develop+ a recomm5dation grade = ! prev5tive s]vice 9 ! relevant population1 bas$ on ! p>amet]s describ$ 9 p>agraphs 7#a7 ?r\gh 7#e72 ,:]eas ! ,task ,=ce docum5ts its me?ods 9 a proc$ure manual & o!r res\rces to ensure t ! recomm5dations & evid5ce reviews are consi/5tly ( high quality1 me?odologically s\nd1 sci5tifically def5sible1 reproducible1 & unbias$2 ,:]eas ! ,task ,=ce invites & c>efully consid]s public comm5t 9 ! developm5t process = all ,task ,=ce rese>* plans1 evid5ce reviews1 & recomm5dation /atem5ts to increase ! transp>5cy & utility ( ! outputs ( ! ,task ,=ce2 ,:]eas ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh2 #abd ,/at4 #aai7 7ref]r$ to 9 ?is preamble z ! ,,aca7 reau?oriz$ ! ,task ,=ce & requir$ insur]s to cov]1 )\t d$uctible or copay1 prev5tive s]vices t are recomm5d$ by ! ,task ,=ce ) a grade ( ,a or ,b1 along ) ^? prev5tive s]vices recomm5d$ by ! ,advisory ,committee on ,immunization ,practices ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is preamble z ,,acip71 ,bright ,futures1 & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration's guidel9es = wom5's heal?2 ,:]eas ! ,,aca prohibits mo/ heal? plans1 includ+ private heal? insurance plans1 ,m$ic>e1 & ,m$icaid1 f impos+ co/-%>+ on pati5ts = prev5tive s]vices :5 ! s]vices are deliv]$ by an 9-network provid]2 ,:]eas ! ,task ,=ce compreh5sively assesses evid5ce & makes recomm5dations ab\t ! effectiv5ess ( cl9ical prim>y & second>y prev5tive s]vices1 includ+ scre5+ te/s1 c\nsel+ ab\t heal?y behaviors1 & prev5tive m$ications = *ildr51 adolesc5ts1 adults1 old] adults1 & pregnant wom51 :i* collectively includes #ed recomm5d$ prev5tive s]vices & m$ic9es t are cov]$ )\t co/-%>+2 ,:]eas su* recomm5d$ s]vices include prev5tive heal? s]vices su* z scre5+s = he>t disease1 scre5+s = brea/1 colorectal1 c]vical1 & lung canc]1 & folic acid supplem5ts = wom5 to prev5t bir? defects 9 _! babies2 ,:]eas ! mo/ common causes ( *ronic disease 9 ! ,unit$ ,/ates include smok+1 obesity1 high blood sug>1 hyp]t5sion1 & high *ole/]ol1 & ! ,task ,=ce has made recomm5dations reg>d+ prev5tion ( all ( ^? causes = bo? *ildr5 & adults2 ,:]eas ! ,task ,=ce recomm5dations are entirely bas$ on ! /r5g? ( ! evid5ce & ! balance ( b5efits & h>ms ( a prev5tive s]vice2 ,:]eas ! ,task ,=ce has sav$ hundr$s ( ?\s&s1 if n millions1 ( lives due to its (t5 simple & inexp5sive recomm5dations2 ,:]eas prev5tive s]vices c help p avoid acute illness1 id5tify & treat *ronic conditions1 prev5t canc] or lead to e>li] detection1 improve heal? outcomes1 & r$uce ! burd5 ( end-/age *ronic disease2 ,:]eas ! ,task ,=ce is compris$ ( memb]s select$1 review$1 & appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices2 ,:]eas nom9ations = memb]s ( ! ,task ,=ce are op5 to ! public1 & qualification includes demon/rat$ k1 exp]tise1 & national lead]%ip 9 areas includ+-- 7#a7 ! critical evaluation ( rese>* publi%$ 9 pe]-review$ lit]ature & 9 ! me?ods ( evid5ce review2 7#b7 cl9ical prev5tion1 heal? promotion1 & prim>y heal? c>e2 7#c7 implem5tation ( evid5ce-bas$ recomm5dations 9 cl9ical practice1 includ+ at ! cl9ician-pati5t level1 practice level1 & heal? sy/em level2 & 7#d7 exp]i5ce 9 me?odological issues1 su* z meta-analysis1 analytic model+1 or cl9ical epidemiology1 = memb]s )\t prim>y heal? c>e cl9ical exp]i5ce2 ,:]eas ! memb]s ( ! ,task ,=ce are appo9t$ = /agg]$ #d-ye> t]ms1 ) pot5tial #a-ye> ext5sions1 to all[ new p]spectives into ! ,task ,=ce :ile ensur+ cont9uity 9 its mission2 ,:]eas applicants = ! ,task ,=ce are requir$ to n h sub/antial conflicts ( int]e/1 :e!r f9ancial1 pr(essional1 or intellectual1 t w\ld impair ! sci5tific integrity ( ! "w ( ! ,task ,=ce1 & mu/ complete regul> conflict ( int]e/ disclosures2 ,:]eas ! ,task ,=ce is assi/$ 9 fulfill+ its mission by ! ,ag5cy = ,heal?c>e ,rese>* & ,quality 7ref]r$ to 9 ?is preamble z ! ,,ahrq71 :i* provides sci5tific1 adm9i/rative1 & dissem9ation support to ! ,task ,=ce1 & by ,,ahrq-designat$ ,evid5ce-bas$ ,practice ,c5t]s1 :i* develop ! evid5ce reviews1 evid5ce summ>ies1 & o!r docum5ts t in=m ! delib]ations ( ! ,task ,=ce2 ,:]eas rec5t fund+ & /aff+ r$uctions at ,,ahrq h significantly impact$ its ability to support ! ,task ,=ce2 ,:]eas ! rec5t decision ( ! ,supreme ,c\rt ( ! ,unit$ ,/ates 9 ,k5n$y v4 ,braidwood ,managem5t1 ,inc41 upheld ! con/itutionality ( ! ,task ,=ce2 ,:]eas ! ,braidwood decision reaffirm$ ! p[] ( ! ,secret>y ( ,heal? & ,human ,s]vices to appo9t or remove memb]s ( ! ,task ,=ce & review _! recomm5dations2 ,:]eas ! ,task ,=ce meets #c times a ye>1 9 ,m>*1 ,july1 & ,novemb]2 ,:]eas1 on ,july #g1 #bjbe1 ! ,secret>y ( ,heal? & ,human ,s]vices ,rob]t ,f4 ,k5n$y 7ref]r$ to 9 ?is preamble z ,secret>y ,k5n$y7 abruptly cancell$ a meet+ ( ! ,task ,=ce s*$ul$ = ,july #aj1 #bjbe2 & ,:]eas ,task ,=ce meet+s are necess>y = =mal votes to consid]1 reconsid] or move =w>d ,task ,=ce recomm5dations & mat]ial developm5t3 ,n[1 !re=e1 be x ,t-- 7#a7 to ensure access = ! p ( ! ,unit$ ,/ates to life-sav+1 evid5ce-bas$ prev5tive c>e & s]vices1 ! op]ations ( ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce 7ref]r$ to 9 ?is resolution z ! ,task ,=ce71 includ+ work+ ) ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 ,evid5ce-bas$ ,practice ,c5t]s1 & relat$ /akehold]s1 %\ld n be subject to any int]ruption1 delay1 or fund+ disruption2 7#b7 ! memb]s ( ! ,task ,=ce curr5tly compris$ ( exp]ts 9 prim>y c>e & prev5tive m$ic9e s]v+ /agg]$ #d-ye> t]ms h be5 *>g$ by ,congress to make evid5ce-bas$ recomm5dations ab\t prev5tive heal? s]vices1 & d s transp>5tly us+ ! be/ available sci5tific evid5ce2 7#c7 ! memb]s ( ! ,task ,=ce %\ld cont9ue to s]ve _! #d-ye> t]ms to completion2 7#d7 ! "w ( ! ,task ,=ce mu/ cont9ue to be gr\nd$ 9 transp>5t1 evid5ce-bas$ review t is bas$ on vett$1 prov51 & sci5tifically demon/rat$ /udies2 & 7#e7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 z requir$ by section #iae ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bii;b-#d71 mu/ reconv5e ! ,task ,=ce & move ! "w ( ! ,task ,=ce =w>d )\t delay4