H.R. 1544House110th Congress (2007-2009)In Committee

GEDI Act

To establish an Advisory Committee on Gestational Diabetes, to provide grants to better understand and reduce gestational diabetes, and for other purposes.

Also known as Gestational Diabetes Act of 2007

Introduced March 15, 2007

Legislative Activity

Stay on top of the latest movement without scrolling through every action

2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

March 16, 2007

View full timeline
HouseIntro Referral

Introduced in House

March 15, 2007

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

March 15, 2007

HouseCommittee

Referred to the Subcommittee on Health.

March 16, 2007

Floor Debate

15 members

What members said about H.R. 1544 on the floor

11 Republicans4 Democrats
Doris O. Matsui
Rep. Doris O. MatsuiD-CA-5 · May 9, 2007

Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 382 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…

Lincoln Diaz-Balart
Rep. Lincoln Diaz-BalartR-FL-21 · May 9, 2007

Mr. Speaker, I'd like to thank my good friend, the gentlewoman from California (Ms. Matsui), for the time; and I yield myself such time as I may consume. The security of the American people, Mr.…

Robin Hayes
Rep. Robin HayesR-NC-8 · May 9, 2007

I thank my friend, Congressman Diaz-Balart, for yielding the time. Mr. Speaker, I rise in strong opposition to this rule. We've all heard the saying that actions speak louder than words; and, once…

Peter T. King
Rep. Peter T. KingR-NY-3 · May 9, 2007

Mr. Speaker, I thank the gentleman from Florida (Mr. Lincoln Diaz-Balart) for yielding. I thank the gentlelady from California (Ms. Matsui) for her kind remarks. And particularly I want to thank…

John Sullivan
Rep. John SullivanR-OK-1 · May 9, 2007

Mr. Speaker, I rise today in strong opposition to the rule for H.R. 1684. This bill in its current form would eliminate the critical Federal 287(g) program, which serves as a force multiplier for…

Show 8 more
Daniel E. Lungren
Rep. Daniel E. LungrenR-CA-3 · May 9, 2007

Mr. Speaker, I come to this floor reluctantly to oppose this rule. Why? Because it does everything that we ought not to do with respect to the committee process here. Now, if some people outside this…

Bennie G. Thompson
Rep. Bennie G. ThompsonD-MS-2 · May 9, 2007

Mr. Speaker, I thank the gentlelady for her gracious 5 minutes to talk on this rule. Mr. Speaker, I rise in support of this rule. The Committee on Homeland Security is the only committee explicitly…

Tom Davis
Rep. Tom DavisR-VA-11 · May 9, 2007

Mr. Speaker, I oppose the rule. In the manager's amendment adopted by the rule, the majority stripped out a number of commonsense amendments, mostly offered by Republicans, which would enhance…

David G. Reichert
Rep. David G. ReichertR-WA-8 · May 9, 2007

Mr. Speaker, I rise today in strong opposition to the rule and the manager's amendment that was made in order under this rule. This manager's amendment will significantly weaken legislation that…

Eliot L. Engel
Rep. Eliot L. EngelD-NY-17 · May 9, 2007

Madam Speaker, I rise to introduce the Diabetes Treatment and Prevention Act of 2007 with my good friend, Vito Fossella. There is no question that diabetes is a mounting challenge for our nation's…

Christopher Shays
Rep. Christopher ShaysR-CT-4 · May 9, 2007

I thank the gentleman for yielding. I am proud to be part of the Homeland Security Committee. It has been a committee that under Chairman King has functioned in a nonpartisan way and I think under…

Scott Garrett
Rep. Scott GarrettR-NJ-5 · May 9, 2007

Mr. Speaker, I am deeply disappointed in today's rule that barred the House from considering a common-sense amendment that I brought to the committee. The text of my amendment was substantially from…

Lynn C. Woolsey
Rep. Lynn C. WoolseyD-CA-6 · May 9, 2007

Mr. Speaker, I commend the committee. I commend this committee for the hard work in crafting bipartisan legislation because as we continue to face the challenge of identifying new threats and…

Show 2 more
Tom Price
Rep. Tom PriceR-GA-6 · May 9, 2007

I thank the gentleman for yielding. This new majority has once again promised us an open and fair process, but again they have failed to live up to the promises now that they're out from under the…

Adrian Smith
Rep. Adrian SmithR-NE-3 · May 9, 2007

Mr. Speaker, on rollcall No. 310 I was absent due to a meeting with constituents. Had I been present, I would have voted ``nay.''

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in HouseIssued March 15, 2007

I

110th CONGRESS

1st Session

H. R. 1544

IN THE HOUSE OF REPRESENTATIVES

March 15, 2007

Mr. Engel (for himself and Mr. Fossella) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To establish an Advisory Committee on Gestational Diabetes, to provide grants to better understand and reduce gestational diabetes, and for other purposes.

1.

Short title

This Act may be cited as the Gestational Diabetes Act of 2007 or the GEDI Act.

2.

Findings

Congress finds the following:

(1)

The prevalence of gestational diabetes among pregnant women in the United States is increasing.

(2)

Gestational diabetes, which is similar to chronic forms of diabetes, normally appears at 24 to 28 weeks' gestation and occurs in approximately 4 to 8 percent of pregnant women.

(3)

The causes of gestational diabetes are unknown, but genetics, excess weight, ethnicity, and age are considered risk factors for the condition.

(4)

There is disagreement among physicians about how to treat gestational diabetes, as well as the effectiveness of current treatment regimens.

(5)

Gestational diabetes, which increases the risk of preeclampsia, also increases a pregnant woman's risk for developing the condition in subsequent pregnancies.

(6)

Infants of women who develop gestational diabetes may have extreme increases in birth weight and the risks related to difficulties during the birthing process, and some of the infants born to these women—

(A)

may subsequently have low blood sugar or jaundice during the newborn period;

(B)

are at an increased risk for obesity and birth trauma; and

(C)

are at an increased risk of developing type 2 diabetes as an adolescent or adult.

(7)

About 15 percent of infertility cases are linked to weight disorders, most often being overweight or obese. Obesity affects fertility and is also associated with increased morbidity for both the mother and the child.

(8)

Improved nutritional and physical health care, both before and during pregnancy, may significantly decrease the rates of gestational diabetes.

(9)

Ten percent of obese pregnant women are estimated to have gestational diabetes.

(10)

Obesity potentially leads to a higher rate of induction and primary caesarean section.

3.

Gestational Diabetes

The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by adding at the end the following:

XXX

Gestational Diabetes

3001.

Understanding and Monitoring Gestational Diabetes and Obesity During Pregnancy

(a)

In general

The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall convene a Research Advisory Committee.

(b)

Membership

Membership in the Research Advisory Committee—

(1)

shall include—

(A)

a representative from the Agency for Healthcare Research and Quality;

(B)

a representative from the Centers for Disease Control and Prevention;

(C)

a representative from the National Institutes of Health;

(D)

a representative from the Office of Minority Health;

(E)

a representative from the Indian Health Service; and

(F)

representatives from other appropriate Federal agencies; and

(2)

may include representatives from other appropriate organizations.

(c)

Matters To Be Studied

The Director of the Centers for Disease Control and Prevention, in consultation with the Research Advisory Committee, shall develop a multisite, gestational diabetes research project within the diabetes program of the Centers for Disease Control and Prevention to expand and enhance surveillance data and public health research on gestational diabetes. The project shall address—

(1)

the use of consistent standards to measure gestational diabetes;

(2)

the procedures to establish accurate and efficient systems for the collection of gestational diabetes data within each State;

(3)

the progress of collaborative activities with the National Vital Statistics System, the National Center for Health Statistics, and State health departments with respect to the standard birth certificate, in order to improve surveillance of gestational diabetes;

(4)

the establishment of procedures for reporting gestational diabetes data to the Centers for Disease Control and Prevention;

(5)

post-natal methods of tracking women who had gestational diabetes after delivery and the development of ways to lower the incidence of type 2 diabetes in that population;

(6)

variations in the distribution of diagnosed and undiagnosed diabetes and of impaired fasting glucose tolerance and impaired fasting glucose within and among groups of women; and

(7)

factors that influence risks for gestational diabetes and obesity during pregnancy and complications during childbirth among women, including cultural, racial, ethnic, geographic, demographic, socioeconomic, and genetic factors.

(d)

Meetings

Not later than 1 year after the establishment of the gestational diabetes research project under subsection (c), and annually thereafter, the Research Advisory Committee shall meet to assess the progress of the project and to update the Secretary of Health and Human Services, if necessary.

(e)

Report

Not later than 2 years after the date of enactment of the Gestational Diabetes Act of 2007, and annually thereafter, the Director of the Centers for Disease Control and Prevention shall generate a report on the prevalence of gestational diabetes and disseminate the report to the Secretary of Health and Human Services and appropriate Federal and non-Federal agencies.

3002.

Demonstration Grants to lower the rate of Gestational Diabetes and Obesity during Pregnancy

(a)

In general

The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, in consultation with the Research Advisory Committee established under section 3001, shall award grants, on a competitive basis, to eligible entities for demonstration projects that test specified hypotheses about interventions designed to reduce the incidence of gestational diabetes and obesity among young women and implement relevant activities. In making such grants, the Director shall act on scientific findings that—

(1)

the prevention or delay of type 2 diabetes is possible for older adults;

(2)

the diabetes risk status of an individual is likely established during the individual's earlier age (adolescence through the age of 30);

(3)

women are uniquely capable of demonstrating their diabetes risk status, through acquiring gestational diabetes during the challenge of pregnancy;

(4)

gestational diabetes itself is a well-established risk factor for a woman's subsequent transition to type 2 diabetes; and

(5)

gestational diabetes may confer risks of future obesity and type 2 diabetes on the children of a mother with gestational diabetes.

(b)

Application

An eligible entity desiring to receive a grant under this section shall submit to the Director of the Centers for Disease Control and Prevention—

(1)

an application at such time, in such manner, and containing such information as the Director may require; and

(2)

a plan to—

(A)

lower the rate of gestational diabetes and obesity during pregnancy; or

(B)

conduct post-natal methods of tracking women who had gestational diabetes in order to develop ways to lower the incidence of such mothers developing type 2 diabetes.

(c)

Uses of funds

An entity receiving a grant under this section shall use grant funds to carry out demonstration projects, which may include—

(1)

expanding community-based health promotion education, activities, and incentives focused on the prevention of gestational diabetes and obesity during pregnancy;

(2)

aiding State-based diabetes prevention and control programs to collect, analyze, disseminate, and report surveillance data on women with, and at risk for, gestational diabetes and obesity during pregnancy;

(3)

building capacity with State-based partners to implement programs and interventions based on surveillance data; and

(4)

training and encouraging health care providers to promote risk assessment, quality care, and self-management for gestational diabetes and obesity during pregnancy and its complications in the practice settings of the health care providers.

(d)

Reports

(1)

CDC report

Not later than 2 years after the date of enactment of the Gestational Diabetes Act of 2007, the Director of the Centers for Disease Control and Prevention shall prepare and submit a report to the Secretary of Health and Human Services concerning the results of the studies conducted through the grants awarded under this section.

(2)

Secretary report

Not later than 90 days after receiving the report described in paragraph (1), the Secretary shall prepare and submit a report to Congress concerning the results and findings of the report.

(e)

Definition of eligible entity

In this section, the term eligible entity means a nonprofit organization (such as an academic center or community health center) or a State health agency.

(f)

Authorization of appropriations

There are authorized to be appropriated to carry out this section $5,000,000 for fiscal year 2008 and such sums as may be necessary for each of the fiscal years 2009 through 2012.

3003.

Research Expansion of Gestational Diabetes and Obesity during Pregnancy

(a)

In general

The Director of the Centers for Disease Control and Prevention and the Director of the National Institute of Child Health and Human Development, in collaboration with the National Institute of Diabetes and Digestive and Kidney Diseases, shall conduct and support basic, clinical, and public health research regarding gestational diabetes and obesity during pregnancy. Such research shall include—

(1)

investigating therapies, interventions, and agents to detect, treat, and slow the incidence of, gestational diabetes and obesity during pregnancy;

(2)

developing and testing novel approaches to the design and analysis of clinical trials;

(3)

facilitating the enrollment of patients for clinical trials, including patients from diverse populations and populations who suffer disproportionately from these conditions;

(4)

developing improved diagnostics and means of patient assessment for gestational diabetes and obesity during pregnancy; and

(5)

conducting public health research to further knowledge on epidemiologic, socioenvironmental, behavioral, translation, and biomedical factors that influence gestational diabetes and obesity during pregnancy.

(b)

Authorization of appropriations

There are authorized to be appropriated to carry out this section $8,000,000 for fiscal year 2008 and such sums as may be necessary for each of the fiscal years 2009 through 2012.

3004.

Screening for gestational diabetes

The Director of the Centers for Disease Control and Prevention shall encourage screening for gestational diabetes within the State-based diabetes prevention and control programs assisted by the Centers for Disease Control and Prevention, for the purpose of reducing the incidence of gestational diabetes and its related complications.

.