IIB
111th CONGRESS
2d Session
H. R. 1210
IN THE SENATE OF THE UNITED STATES
November 15, 2010
Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions
AN ACT
To amend the Public Health Service Act to provide for arthritis research and public health, and for other purposes.
Short title
This Act may be cited as the
Arthritis Prevention, Control, and
Cure Act of 2010
.
Enhancing public health activities related to arthritis through the national arthritis action plan
Part B of title III of the Public Health Service Act (42 U.S.C. 243 et seq.) is amended by inserting after section 314 the following:
National arthritis action plan
Establishment of plan
The Secretary may
develop and implement a National Arthritis Action Plan (in this section
referred to as the Plan
) consistent with this section.
Control, prevention, and surveillance
In general
Under the Plan, the Secretary may, directly or through competitive grants to eligible entities, conduct, support, and promote the coordination of research, investigations, demonstrations, training, and studies relating to the control, prevention, and surveillance of arthritis and other rheumatic diseases.
Training and technical assistance
Provision
Upon the request of an applicant receiving a grant under paragraph (1), the Secretary may, subject to subparagraph (B), provide training, technical assistance, supplies, equipment, or services for the purpose of aiding the applicant in carrying out grant activities and, for such purpose, may detail to the applicant any officer or employee of the Department of Health and Human Services.
Corresponding reduction in payments
With respect to a request described in subparagraph (A), the Secretary shall reduce the amount of payments under the grant under paragraph (1) to the applicant involved by an amount equal to the costs of detailing personnel (including pay, allowances, and travel expenses) and the fair market value of any supplies, equipment, or services provided by the Secretary.
Arthritis prevention research at the centers for disease control and prevention
The Secretary may provide additional grant support under this subsection to encourage the expansion of research related to the prevention and management of arthritis at the Centers for Disease Control and Prevention.
Eligible entity
For purposes of this subsection, the term eligible
entity
means a public or private nonprofit entity that demonstrates to
the satisfaction of the Secretary, in the application described in subsection
(e), the ability of the entity to carry out the activities described in
paragraph (1).
Education and outreach
In general
Under the Plan, the Secretary may coordinate and carry out national education and outreach activities, directly or through the provision of grants to eligible entities, to support, develop, and implement education initiatives and outreach strategies appropriate for arthritis and other rheumatic diseases.
Initiatives and strategies
Initiatives and strategies implemented under paragraph (1) may include public awareness campaigns, public service announcements, and community partnership workshops, as well as programs targeted to businesses and employers, managed care organizations, and health care providers.
Priority
In carrying out paragraph (1), the Secretary—
may emphasize prevention, early diagnosis, and appropriate management of arthritis, and opportunities for effective patient self-management; and
may give priority to reaching high-risk or underserved populations.
Collaboration
In carrying out this subsection, the Secretary shall consult and collaborate with stakeholders from the public, private, and nonprofit sectors with expertise relating to arthritis control, prevention, and treatment.
Eligible entity
For purposes of this subsection, the term eligible
entity
means a public or private nonprofit entity that demonstrates to
the satisfaction of the Secretary, in the application described in subsection
(e), the ability of the entity to carry out the activities described in
paragraph (1).
Comprehensive State grants
In general
Under the Plan, the Secretary may award grants to eligible entities to provide support for comprehensive arthritis control and prevention programs and to enable such entities to provide public health surveillance, prevention, and control activities related to arthritis and other rheumatic diseases.
Application
The Secretary may only award a grant under this subsection to an eligible entity that submits to the Secretary an application at such time, in such manner, and containing such agreements, assurances, and information as the Secretary may require, including a comprehensive arthritis control and prevention plan that—
is developed with the advice of stakeholders from the public, private, and nonprofit sectors that have expertise relating to arthritis control, prevention, and treatment that increase the quality of life and decrease the level of disability;
is intended to reduce the morbidity of arthritis, with priority on preventing and controlling arthritis in at-risk populations and reducing disparities in arthritis prevention, diagnosis, management, and quality of care in underserved populations;
describes the arthritis-related services and activities to be undertaken or supported by the entity; and
demonstrates the relationship the entity has with the community and local entities and how the entity plans to involve such community and local entities in carrying out the activities described in paragraph (1).
Use of funds
An eligible entity may use amounts received under a grant awarded under this subsection to conduct, in a manner consistent with the comprehensive arthritis control and prevention plan submitted by the entity in the application under paragraph (2)—
public health surveillance and epidemiological activities relating to the prevalence of arthritis and assessment of disparities in arthritis prevention, diagnosis, management, and care;
public information and education programs; and
education, training, and clinical skills improvement activities for health professionals, including allied health personnel.
Eligible entity
For purposes of this subsection, the term eligible
entity
means a State or an Indian tribe.
General application
The Secretary may only award a grant under subsection (b) or (c) to an entity that submits to the Secretary an application at such time, in such manner, and containing such agreements, assurances, and information as the Secretary may require, including a description of how funds received under a grant awarded under such subsection will supplement or fulfill unmet needs identified in a comprehensive arthritis control and prevention plan of the entity.
Definitions
For purposes of this section:
Indian tribe
The term Indian tribe
has the meaning given
such term in section 4(e) of the Indian Self-Determination and Education
Assistance Act.
State
The
term State
means any of the 50 States, the District of Columbia,
the Commonwealth of Puerto Rico, the Virgin Islands, American Samoa, Guam, and
the Northern Mariana Islands.
Authorization of appropriations
There are authorized to be appropriated to carry out this section—
for fiscal year 2012, $14,600,000;
for fiscal year 2013, $16,000,000;
for fiscal year 2014, $17,700,000;
for fiscal year 2015, $19,400,000; and
for fiscal year 2016, $21,400,000.
.
Activities of the Department of Health and Human Services with respect to juvenile arthritis and related conditions
Part B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding at the end the following:
Juvenile arthritis and related conditions
In general
The Secretary, in coordination with the Director of NIH, may expand and intensify programs of the National Institutes of Health with respect to research and related activities designed to improve the outcomes and quality of life for children with arthritis and other rheumatic diseases.
Coordination
The Director of NIH may coordinate the programs referred to in subsection (a) and consult with additional Federal officials, voluntary health associations, medical professional societies, and private entities, as appropriate.
.
Investment in tomorrow’s pediatric rheumatologists
Subpart I of part C of title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by adding at the end the following:
Pediatric rheumatologists
In order to ensure an adequate future supply of pediatric rheumatologists, the Secretary, in consultation with the Administrator of the Health Resources and Services Administration, may award institutional training grants to institutions to support pediatric rheumatology training.
.
Passed the House of Representatives September 30 (legislative day September 29), 2010.
Lorraine C. Miller,
Clerk