99–006 

112TH CONGRESS REPORT " ! HOUSE OF REPRESENTATIVES 1st Session 112–23 

NEGLECTED INFECTIONS OF IMPOVERISHED AMERICANS 

ACT OF 2011 

MARCH 2, 2011.—Committed to the Committee of the Whole House on the State of 

the Union and ordered to be printed 

Mr. UPTON, from the Committee on Energy and Commerce, 

submitted the following 

R E P O R T 

[To accompany H.R. 528] 

[Including cost estimate of the Congressional Budget Office] 

The Committee on Energy and Commerce, to whom was referred 

the bill (H.R. 528) to require the submission of a report to the Congress on parasitic disease among poor Americans, having considered the same, report favorably thereon without amendment and 

recommend that the bill do pass. 

CONTENTS 

Page 

Purpose and Summary ............................................................................................ 1 

Background and Need for Legislation .................................................................... 2 

Hearings ................................................................................................................... 2 

Committee Consideration ........................................................................................ 2 

Committee Votes ...................................................................................................... 2 

Committee Oversight Findings ............................................................................... 2 

Statement of General Performance Goals and Objectives .................................... 2 

New Budget Authority, Entitlement Authority, and Tax Expenditures ............. 3 

Earmark ................................................................................................................... 3 

Committee Cost Estimate ....................................................................................... 3 

Congressional Budget Office Estimate ................................................................... 3 

Federal Mandates Statement ................................................................................. 4 

Advisory Committee Statement .............................................................................. 4 

Applicability to Legislative Branch ........................................................................ 4 

Section-by-Section Analysis of the Legislation ...................................................... 4 

Changes in Existing Law Made by the Bill, as Reported ..................................... 4 

PURPOSE AND SUMMARY

H.R. 528, the ‘‘Neglected Infections of Impoverished Americans 

Act of 2011’’, was introduced on February 8, 2011, by Rep. Henry 


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Johnson (D–GA) and subsequently referred to the Committee on 

Energy and Commerce. 

H.R. 528 requires the Secretary of Health and Human Services 

to conduct a study within 12 months on the epidemiology and impact of neglected parasitic infectious disease associated with poverty. 

BACKGROUND AND NEED FOR LEGISLATION

H.R. 528 would require the Secretary of Health and Human 

Services to submit a report to the Congress on the epidemiology 

and impact of neglected diseases of poverty and the appropriate 

level of funding required to address those diseases. The bill specifies that such diseases include: Chagas disease, cysticercosis, 

toxocariasis, toxoplasmosis, trichomoniasis, the soil-transmitted 

helminths, and other related parasitic diseases as designated by 

the Secretary. The report would also include an evaluation of the 

current state of knowledge of these diseases and address any 

threats from such diseases. 

The House passed legislation similar to H.R. 528 in the 111th 

Congress. No further action was taken on the legislation in that 

Congress. 

HEARINGS

The Committee on Energy and Commerce has not held hearings 

on the legislation. However, the Subcommittee held a legislative 

hearing on similar legislation, H.R. 5986, in the 111th Congress on 

September 15, 2010 (H. Rept. 111–154). 

COMMITTEE CONSIDERATION

On February 11, 2011, the Subcommittee on Health met in open 

markup session and approved H.R. 528 for Full Committee consideration, without amendment, by a voice vote. 

COMMITTEE VOTES

Clause 3(b) of rule XIII of the Rules of the House of Representatives requires the Committee to list the record votes on the motion 

to report legislation and amendments thereto. There were no 

record votes taken in connection with ordering H.R. 528 reported. 

A motion by Mr. Upton to order H.R. 528 reported to the House, 

without amendment, was agreed to by a voice vote. 

COMMITTEE OVERSIGHT FINDINGS

Pursuant to clause 3(c)(1) of rule XIII of the Rules of the House 

of Representatives, the oversight findings and recommendations of 

the Committee are reflected in the descriptive portions of this report, including the finding on the usefulness of a report by the Secretary on the impact of neglected diseases of poverty. 

STATEMENT OF GENERAL PERFORMANCE GOALS AND OBJECTIVES

In accordance with clause 3(c)(4) of rule XIII of the Rules of the 

House of Representatives, the performance goals and objectives of 

the Committee are reflected in the descriptive portions of this report. 


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NEW BUDGET AUTHORITY, ENTITLEMENT AUTHORITY, AND TAX

EXPENDITURES

In compliance with clause 3(c)(2) of rule XIII of the Rules of the 

House of Representatives, the Committee finds that H.R. 528, the 

‘‘Neglected Infections of Impoverished Americans Act of 2011’’, 

would result in no new or increased budget authority, entitlement 

authority, or tax expenditures or revenues. 

EARMARK

In compliance with clauses 9(e), 9(f), and 9(g) of rule XXI, the 

Committee finds that H.R. 528, the ‘‘Neglected Infections of Impoverished Americans Act of 2011’’, contains no earmarks. 

COMMITTEE COST ESTIMATE

The Committee adopts as its own the cost estimate prepared by 

the Director of the Congressional Budget Office pursuant to section 

402 of the Congressional Budget Act of 1974. 

CONGRESSIONAL BUDGET OFFICE ESTIMATE

Pursuant to clause 3(c)(3) of rule XIII of the Rules of the House 

of Representatives, the following is the cost estimate provided by 

the Congressional Budget Office pursuant to section 402 of the 

Congressional Budget Act of 1974: 

FEBRUARY 25, 2011. 

Hon. FRED UPTON, 

Chairman, Committee on Energy and Commerce, 

House of Representatives, Washington, DC. 

DEAR MR. CHAIRMAN: The Congressional Budget Office has prepared the enclosed cost estimate for H.R. 528, the Neglected Infections of Impoverished Americans Act of 2011. 

If you wish further details on this estimate, we will be pleased 

to provide them. The CBO staff contact is Lisa Ramirez-Branum. 

Sincerely, 

DOUGLAS W. ELMENDORF. 

Enclosure. 

H.R. 528—Neglected Infections of Impoverished Americans Act of 

2011 

H.R. 528 would require the Secretary of Health and Human 

Services to submit a report to the Congress on the epidemiology 

and impact of neglected diseases of poverty and the appropriate 

level of funding required to address those diseases. The bill specifies that such diseases include: Chagas disease, cysticercosis, 

toxocariasis, toxoplasmosis, trichomoniasis, the soil-transmitted 

helminths, and other related diseases as designated by the Secretary. The report would also include an evaluation of the current 

state of knowledge of these diseases and address any threats from 

such diseases. 

CBO estimates that implementing H.R. 528 would cost less than 

500,000, subject to the availability of appropriated funds. The costs 

of this legislation fall within budget function 550 (health). Enacting 

H.R. 528 would not affect direct spending or revenues; therefore, 

pay-as-you-go procedures do not apply. 


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H.R. 528 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act and would 

impose no costs on state, local, or tribal governments. 

The CBO staff contact for this estimate is Lisa Ramirez-Branum. 

This estimate was approved by Holly Harvey, Deputy Assistant Director of Budget Analysis. 

FEDERAL MANDATES STATEMENT

The Committee adopts as its own the estimate of Federal mandates prepared by the Director of the Congressional Budget Office 

pursuant to section 423 of the Unfunded Mandates Reform Act. 

ADVISORY COMMITTEE STATEMENT

No advisory committees within the meaning of section 5(b) of the 

Federal Advisory Committee Act were created by this legislation. 

APPLICABILITY TO LEGISLATIVE BRANCH

The Committee finds that the legislation does not relate to the 

terms and conditions of employment or access to public services or 

accommodations within the meaning of section 102(b)(3) of the Congressional Accountability Act. 

SECTION-BY-SECTION ANALYSIS OF THE LEGISLATION

Section 1. Short title 

Section 1 designates the short title of the Act as the ‘‘Neglected 

Infections of Impoverished Americans Act of 2011’’. 

Section 2. Report to Congress on the current state of parasitic diseases that have been overlooked among the poorest Americans 

Section 2(a) directs the Secretary of Health and Human Services 

to report to Congress on the epidemiology, impact, and appropriate 

funding required to address the designated parasitic diseases. 

Section 2(b) requires that the report include information necessary to (1) accurately evaluate the current state of knowledge of 

the designated parasitic diseases and define the gaps in such 

knowledge; and (2) address the threat of these diseases. 

CHANGES IN EXISTING LAW MADE BY THE BILL, AS REPORTED

No changes are made to existing law. 

Æ 


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