S.Amdt. 3003

SA 3003. Mrs. HAGAN submitted an amendment intended to be proposed to
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr.
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal
Revenue Code of 1986 to modify the first-time homebuyers credit in the
case of members of the Armed Forces and certain other Federal
employees, and for other purposes; which was ordered to lie on the
table; as follows:

At the end of title III, insert the following:

Subtitle __--Better Diabetes Care

SEC. __1. SHORT TITLE.

This subtitle may be cited as the ``Catalyst to Better
Diabetes Care Act of 2009''.

SEC. __2. DIABETES SCREENING COLLABORATION AND OUTREACH
PROGRAM.

(a) Establishment.--With respect to diabetes screening
tests and for the purposes of reducing the number of
undiagnosed seniors with diabetes or prediabetes, the
Secretary of Health and Human Services (referred to in this
subtitle as the ``Secretary''), in collaboration with the
Director of the Centers for Disease Control and Prevention
(referred to in this section as the ``Director''), shall--
(1) review uptake and utilization of diabetes screening
benefits to identify and address any existing problems with
regard to utilization and data collection mechanisms;
(2) establish an outreach program to identify existing
efforts by agencies and by the private and nonprofit sectors
to increase awareness among seniors and providers of diabetes
screening benefits; and
(3) maximize cost effectiveness in increasing utilization
of diabetes screening benefits.
(b) Consultation.--In carrying out this section, the
Secretary and the Director shall consult with--
(1) various units of the Federal Government, including the
Centers for Medicare & Medicaid Services, the Surgeon General
of the Public Health Service, the Agency for Healthcare
Research and Quality, the Health Resources and Services
Administration, and the National Institutes of Health; and
(2) entities with an interest in diabetes, including
industry, voluntary health organizations, trade associations,
and professional societies.

SEC. __3. ADVISORY GROUP REGARDING EMPLOYEE WELLNESS AND
DISEASE MANAGEMENT BEST PRACTICES.

(a) Establishment.--The Secretary shall establish an
advisory group consisting of representatives of the public
and private sector. The advisory group shall include--
(1) representatives of the Department of Health and Human
Services;
(2) representatives of the Department of Commerce; and
(3) members of the public, representatives of the private
sector, and representatives of the small business community,
who have experience with diabetes or in administering and
operating employee wellness and disease management programs.
(b) Duties.--The advisory group established under
subsection (a) shall examine and make recommendations of best
practices of employee wellness and disease management
programs in order to--
(1) provide public and private sector entities with
improved information in assessing the role of employee
wellness and disease management programs in saving money and
improving quality of life for patients with chronic
illnesses; and
(2) encourage the adoption of effective employee wellness
and disease management programs.
(c) Report.--Not later than 1 year after the date of the
enactment of this Act, the advisory group established under
subsection (a) shall submit to the Secretary the results of
the examination under subsection (b)(1).

SEC. __4. NATIONAL DIABETES REPORT CARD.

(a) In General.--The Secretary, in collaboration with the
Director of the Centers for Disease Control and Prevention
(referred to in this section as the ``Director''), shall
prepare on a biennial basis a national diabetes report card
(referred to in this section as a ``Report Card'') and, to
the extent possible, for each State.
(b) Contents.--
(1) In general.--Each Report Card shall include aggregate
health outcomes related to individuals diagnosed with
diabetes and prediabetes including--
(A) preventative care practices and quality of care;
(B) risk factors; and
(C) outcomes.
(2) Updated reports.--Each Report Card that is prepared
after the initial Report Card shall include trend analysis
for the Nation and, to the extent possible, for each State,
for the purpose of--
(A) tracking progress in meeting established national goals
and objectives for improving diabetes care, costs, and
prevalence (including Healthy People 2010); and
(B) informing policy and program development.
(c) Availability.--The Secretary, in collaboration with the
Director, shall make each Report Card publicly available,
including by posting the Report Card on the Internet.

SEC. __5. IMPROVEMENT OF VITAL STATISTICS COLLECTION.

(a) In General.--The Secretary, acting through the Director
of the Centers for Disease Control and Prevention and in
collaboration with appropriate agencies and States, shall--
(1) promote the education and training of physicians on the
importance of birth and death certificate data and how to
properly complete these documents, including the collection
of such data for diabetes and other chronic diseases;
(2) encourage State adoption of the latest standard
revisions of birth and death certificates; and
(3) work with States to re-engineer their vital statistics
systems in order to provide cost-effective, timely, and
accurate vital systems data.
(b) Death Certificate Additional Language.--In carrying out
this section, the Secretary may promote improvements to the
collection of diabetes mortality data, including the addition
of a question for the individual certifying the cause of
death regarding whether the deceased had diabetes.

SEC. __6. STUDY ON APPROPRIATE LEVEL OF DIABETES MEDICAL
EDUCATION.

(a) In General.--The Secretary shall, in collaboration with
the Institute of Medicine and appropriate associations and
councils, conduct a study of the impact of diabetes on the
practice of medicine in the United States and the
appropriateness of the level of diabetes medical education
that should be required prior to licensure, board
certification, and board recertification.
(b) Report.--Not later than 2 years after the date of the
enactment of this Act, the Secretary shall submit a report on
the study under subsection (a) to the Committees on Ways and
Means and Energy and Commerce of the House of Representatives
and the Committees on Finance and Health, Education, Labor,
and Pensions of the Senate.

SEC. __7. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated to carry out this
subtitle such sums as may be necessary.
______