H.R. 6203House110th Congress (2007-2009)In Committee

La Cura Act of 2008

Introduced June 5, 2008

Legislative Activity

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HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

June 5, 2008

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HouseIntro Referral

Introduced in House

June 5, 2008

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

June 5, 2008

Floor Debate

24 members

What members said about H.R. 6203 on the floor

14 Republicans10 Democrats
Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Jan 18, 2007

For 12 years, Mr. Speaker, I have engaged in an energy brain trust that would hopefully engage the industry but help to reform the industry. And so I say to my colleagues, today we are making that…

David Dreier
Rep. David DreierR-CA-26 · Jan 18, 2007

Mr. Speaker, I obviously join my colleagues, rising in strong opposition to this closed rule, which did not allow for any kind of deliberation whatsoever. I have to begin by saying that I am somewhat…

Nick J. Rahall II
Rep. Nick J. Rahall IID-WV-3 · Jan 18, 2007

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, as we know, the House is considering a part of the 100- hours agenda, H.R. 6, the Creating Long-Term Energy Alternatives for the…

Stevan Pearce
Rep. Stevan PearceR-NM-2 · Jan 18, 2007

I thank the gentleman for yielding, and salute my colleagues for working at a concept really that we all agree on: Energy independence. I refer only to the second title in these comments, where I…

James P. McGovern
Rep. James P. McGovernD-MA-3 · Jan 18, 2007

Mr. Speaker, at this time, I would like to yield 1 minute to the distinguished chairwoman of the Rules Committee, Ms. Slaughter. Mr. Speaker, let me emphasize once again that Chairman Rahall, in his…

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Phil English
Rep. Phil EnglishR-PA-3 · Jan 18, 2007

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, our friends on the other side of the aisle have proposed a so-called energy bill that they claim will promote America's energy…

Devin Nunes
Rep. Devin NunesR-CA-21 · Jan 18, 2007

Mr. Speaker, I had the opportunity to go to the Rules Committee the other evening. Of course it was after the distinguished Rules Committee chairwoman said that they weren't going to accept any of…

John Shimkus
Rep. John ShimkusR-IL-19 · Jan 18, 2007

Mr. Speaker, will the gentleman yield? And I appreciate it. I know the gentleman is a big supporter of coal. And we did bring to the Rules Committee an amendment that would amend the language in this…

Earl Pomeroy
Rep. Earl PomeroyD-ND · Jan 18, 2007

Mr. Speaker, I am a Democrat representing an energy- producing State, and I will be proudly supporting this bill. This bill creates a very important reserve, a reserve that will serve as a funding…

K. Michael Conaway
Rep. K. Michael ConawayR-TX-11 · Jan 18, 2007

I thank the gentleman for yielding, and I appreciate the chairwoman's honesty earlier about the fact this was going to be a closed rule. We listened for 2 years about the whining on closed rules and…

Mary Fallin
Rep. Mary FallinR-OK-5 · Jan 18, 2007

Mr. Speaker, I appreciate the time today. This bill today is a disappointment to those of us who care about the goal of energy independence. This legislation sabotages the incentives with American…

Jerry Weller
Rep. Jerry WellerR-IL-11 · Jan 18, 2007

Mr. Speaker, today politics trumps policy. If regular order had been followed in this House, allowing this tax increase to go through the Ways and Means Committee, we would have a better…

Jim McDermott
Rep. Jim McDermottD-WA-7 · Jan 18, 2007

Mr. Speaker, I yield myself 2 minutes. We are here to take one small and bipartisan step toward making clean renewable energy a reality in America. And imagine my surprise, Big Oil doesn't think it…

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Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Jan 18, 2007

I thank the gentleman for yielding. I have been listening to this debate. It is, like all debates, interesting. Yesterday we had a debate, a relatively extended debate, in which Republican after…

Rush Holt
Rep. Rush HoltD-NJ-12 · Jan 18, 2007

I thank the chairman. Mr. Speaker, this week I received an e-mail message from a constituent of mine in Lawrenceville, New Jersey. She said: ``Please help turn the tide by doing not a little but a…

Gene Green
Rep. Gene GreenD-TX-29 · Jan 18, 2007

Mr. Speaker, I thank the chairman of our Natural Resources Committee. Mr. Speaker, most Americans believe that dependence on foreign oil is a problem and alternative energy sources deserve our…

Edward J. Markey
Rep. Edward J. MarkeyD-MA-7 · Jan 18, 2007

Mr. Speaker, this bill today is a historic bill. What it is going to do is to reclaim billions of dollars, the GAO says upwards of $10 billion, which will then be moved over from unnecessary tax…

Kenny C. Hulshof
Rep. Kenny C. HulshofR-MO-9 · Jan 18, 2007

Before my friend from North Dakota leaves the floor, the bill to which he referenced, he, in fact, along with 72 of his colleagues, voted for. The FSC/ETI bill that actually we are now pulling back…

Lincoln Diaz-Balart
Rep. Lincoln Diaz-BalartR-FL-21 · Jan 18, 2007

Mr. Speaker, on that I demand the yeas and nays. Mr. Speaker, I yield 4 minutes to the distinguished Republican whip. Mr. Speaker, I yield 4 minutes to the distinguished ranking member of the Rules…

Judy Biggert
Rep. Judy BiggertR-IL-13 · Jan 18, 2007

I thank the gentleman for yielding and, Mr. Speaker, I rise in opposition to this rule. In 2005, Congress passed and the President signed into law the Energy Policy Act, or EPACT, the first…

Tom Cole
Rep. Tom ColeR-OK-4 · Jan 18, 2007

Mr. Speaker, I rise today in strong opposition to H.R. 6, the so-called CLEAN Energy Act of 2007. I oppose this bill because in it our Democratic friends are putting America's security and economic…

John E. Peterson
Rep. John E. PetersonR-PA-5 · Jan 18, 2007

To those that propose this bill, I want to tell you I support a large fund for renewables. I am for all renewables. But why did you choose to tax American-produced oil and gas and not tax foreign oil…

Jay Inslee
Rep. Jay InsleeD-WA-1 · Jan 18, 2007

Mr. Speaker, today we really do begin America's clean revolution in this bill. Every revolution has a beginning. The American Revolution began at Concord; the aerospace revolution began at Kittyhawk;…

Don Young
Rep. Don YoungR-AK · Jan 18, 2007

Mr. Speaker, I thank the ranking member of the committee. Mr. Speaker, I would say to my dear colleagues, just about 100 hours ago you stood in this House and raised your hand and you followed this…

Bill Text

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Introduced in HouseIssued June 5, 2008

I

110th CONGRESS

2d Session

H. R. 6203

IN THE HOUSE OF REPRESENTATIVES

June 5, 2008

Ms. Linda T. Sánchez of California (for herself, Ms. Berkley, Mr. Berman, Mr. Bishop of Georgia, Mr. Bishop of New York, Ms. Bordallo, Mr. Brady of Pennsylvania, Mr. Capuano, Mr. Clay, Mr. Cohen, Mr. Courtney, Mrs. Davis of California, Mr. Grijalva, Mr. Hare, Mr. Higgins, Mr. Hinojosa, Mr. Holt, Mr. Inslee, Mr. Israel, Mr. Larson of Connecticut, Ms. Lee, Mr. Markey, Mr. McGovern, Mr. McNulty, Mrs. Napolitano, Mr. Ortiz, Mr. Reyes, Mr. Rodriguez, Ms. Ros-Lehtinen, Mr. Ryan of Ohio, Ms. Loretta Sanchez of California, Mr. Sires, Ms. Solis, Ms. Waters, Mr. Watt, Mr. Wexler, and Mr. Wu) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend the Public Health Service Act to ensure sufficient resources and increase efforts for research at the National Institutes of Health relating to Alzheimer’s disease, to authorize an education and outreach program to promote public awareness and risk reduction with respect to Alzheimer’s disease (with particular emphasis on education and outreach in Hispanic populations), and for other purposes.

1.

Short title

This Act may be cited as the Cure and Understanding through Research for Alzheimer’s Act of 2008 or the La Cura Act of 2008.

2.

Findings

The Congress finds as follows:

(1)

The incidence and prevalence of Alzheimer’s disease increase with age. Alzheimer’s disease is currently the seventh leading cause of death of all ages in the United States (and the fifth leading cause of death for people over 65 years of age), with 5.2 million individuals in the United States living with Alzheimer’s disease. Currently, one of each eight individuals in the United States over age 65 has Alzheimer’s disease. Every 71 seconds, an individual in the United States develops Alzheimer’s disease, and by 2050, every 33 seconds an individual in the United States will develop this disease. By 2050, the number of individuals in the United States age 65 and over with Alzheimer’s disease will range from 11 million to 16 million individuals. It is projected that by 2050, more than 60 percent of individuals in the United States with Alzheimer’s disease will be age 85 or older.

(2)

The prevalence of Alzheimer’s disease and dementia seems to be higher among individuals with fewer years of education. Individuals with fewer than 12 years of education have a 15 percent greater risk of developing dementia than individuals with 12 to 15 years of education and a 35 percent greater risk of developing dementia than individuals with more than 15 years of education.

(3)

Hispanics are the fastest growing population in the Nation and by 2050, will have a life expectancy of 87 years, longer than any other ethnic or racial group. The Hispanic community in the United States is projected to experience a six-fold increase in Alzheimer’s disease (from fewer than 200,000 to as many as 1.3 million) by 2050.

(4)

Hispanics may be at a greater risk of developing dementia than other ethnic or racial groups: Hispanics’ 64-percent higher incidence of diabetes than non-Hispanic white Americans is of particular concern in light of new findings that diabetes is the one vascular risk factor that, in the absence of stroke, is related to an increased risk of Alzheimer’s disease.

(5)

Research on disparities in Alzheimer’s risk factors between Hispanic and other ethnic and racial groups is only beginning to sort out complex differences: for example, even in the absence of the APOE-e4 allele, the one known genetic risk factor for late onset Alzheimer’s, Caribbean Hispanics have a cumulative risk for Alzheimer’s twice that of non-Hispanic whites.

(6)

The shortage of bilingual health professionals, combined with the large population of monolingual Spanish-speaking seniors, make adequate testing and diagnosis of Alzheimer’s among elderly Hispanics difficult and may lead to cultural biases in cognitive testing. Moreover, inadequate translation of diagnostic tools can lead to improper diagnoses, and there may be poor understanding of recommended treatment and self-care even among those who are properly diagnosed.

(7)

Hispanics are far more likely to be uninsured than any other ethnic group: the Bureau of the Census reports that 34.1 percent of the Hispanic population in the United States is uninsured, compared to 10.8 percent for non-Hispanic whites and 15.3 percent for all United States residents.

(8)

Lack of access to health care and a strong cultural commitment to caring for one’s elders within the family are among the factors that make Hispanics with dementia less likely than non-Hispanics to see a physician and use related services provided by formal health professionals: delays in diagnosis and lack of early and consistent treatment can lead to higher levels of impairment and increased stress on family caregivers.

(9)

Hispanic elders are second most likely, after Asian Americans, to live with their families rather than in long term care facilities. More research is needed to better understand the effects of differing care settings on family caregivers and Alzheimer’s patients.

(10)

Alzheimer’s disease costs the United States $148 billion each year in direct and indirect costs to business, the Medicare program, and the Medicaid program (not including private health insurance costs).

3.

NIH research and education on Alzheimer’s disease

Subpart 5 of part C of title IV of the Public Health Service Act (42 U.S.C. 285e et seq.) is amended by adding at the end the following new section:

445J.

NIH research and education on Alzheimer’s disease

(a)

Research Activities

In conducting research relating to Alzheimer’s disease, the Director of the National Institutes of Health shall ensure sufficient resources for activities relating to Alzheimer’s disease and Hispanic communities, including by—

(1)

increasing efforts in epidemiological work in Hispanic subgroups;

(2)

allocating resources to the National Institute on Aging Alzheimer’s disease research centers and other academic centers involved in Alzheimer’s disease research to increase participation of Hispanics and other under represented ethnic groups in research and clinical trials in sufficient numbers to draw valid conclusions; and

(3)

conducting social, behavioral, and health services research—

(A)

to understand more fully the underlying reasons that Hispanic individuals delay diagnosis and underutilize services;

(B)

to identify culturally and linguistically appropriate approaches for addressing such delays and underutilization; and

(C)

to identify approaches for providing, and improving the quality of, culturally competent care.

(b)

Education Activities

The Director of the National Institutes of Health shall expand and intensify efforts of the National Institutes of Health—

(1)

to educate communities about the importance of research relating to Alzheimer’s disease; and

(2)

to respond effectively to cultural concerns about participation in such research, especially with respect to sensitive matters like the collection of brain tissue and genetic information.

.

4.

Increased funding for Alzheimer’s disease demonstration grants

Section 398B(e) of the Public Health Service Act (42 U.S.C. 280c–5(e)) is amended—

(1)

by striking and such and inserting such; and

(2)

by inserting before the period at the end , $25,000,000 for fiscal year 2009, and such sums as may be necessary for each of the fiscal years 2010 through 2013.

5.

CDC outreach and education

Part B of title III of the Public Health Service Act (42 U.S.C. 243 et seq.) is amended by inserting after section 317S the following:

317T.

Education and outreach on Alzheimer’s disease

(a)

Purposes

The purposes of this section are the following:

(1)

To reduce the risk of Alzheimer’s disease through reduction of vascular risk factors.

(2)

To encourage early recognition and diagnosis of dementia.

(3)

To train public health personnel to recognize, assess, diagnose, and treat Alzheimer’s disease in ways that are culturally appropriate and supportive of families.

(b)

Education and Outreach

To achieve the purposes of this section, the Secretary, acting through the Centers for Disease Control and Prevention, shall conduct an aggressive, evidence-based education and outreach program to promote public awareness and risk reduction with respect to Alzheimer’s disease. In conducting the outreach program, the Secretary shall consult with State Health Departments and may consult with other appropriate entities, including the Alzheimer’s Association.

(c)

Emphasis

In carrying out this section, the Secretary shall give particular emphasis to education and outreach in Hispanic populations.

.