II 

Calendar No. 47 

115TH CONGRESS 

1ST SESSION S. 920 

To establish a National Clinical Care Commission. 

IN THE SENATE OF THE UNITED STATES 

APRIL 24, 2017 

Mrs. SHAHEEN (for herself, Ms. COLLINS, and Mrs. MURRAY) introduced the 

following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

MAY 1, 2017 

Reported by Mr. ALEXANDER, without amendment 

A BILL 

To establish a National Clinical Care Commission. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘National Clinical Care 

5 Commission Act’’. 

6 SEC. 2. NATIONAL CLINICAL CARE COMMISSION. 

7 (a) ESTABLISHMENT.—There is hereby established, 

8 within the Department of Health and Human Services, 


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1 a National Clinical Care Commission (in this section re2 ferred to as the ‘‘Commission’’) to evaluate and make rec3 ommendations regarding improvements to the coordina4 tion and leveraging of programs within the Department 

5 and other Federal agencies related to awareness and clin6 ical care for at least one, but not more than two, complex 

7 metabolic or autoimmune diseases resulting from issues 

8 related to insulin that represent a significant disease bur9 den in the United States, which may include complications 

10 due to such diseases. 

11 (b) MEMBERSHIP.— 

12 (1) IN GENERAL.—The Commission shall be 

13 composed of the following voting members: 

14 (A) The heads of the following Federal 

15 agencies and departments, or their designees: 

16 (i) The Centers for Medicare & Med17 icaid Services. 

18 (ii) The Agency for Healthcare Re19 search and Quality. 

20 (iii) The Centers for Disease Control 

21 and Prevention. 

22 (iv) The Indian Health Service. 

23 (v) The Department of Veterans Af24 fairs. 


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1 (vi) The National Institutes of 

2 Health. 

3 (vii) The Food and Drug Administra4 tion. 

5 (viii) The Health Resources and Serv6 ices Administration. 

7 (ix) The Department of Defense. 

8 (x) The Department of Agriculture. 

9 (xi) The Office of Minority Health. 

10 (B) Twelve additional voting members ap11 pointed under paragraph (2). 

12 (2) ADDITIONAL MEMBERS.—The Commission 

13 shall include additional voting members, as may be 

14 appointed by the Secretary, with expertise in the 

15 prevention, care, and epidemiology of any of the dis16 eases and complications described in subsection (a), 

17 including one or more such members from each of 

18 the following categories: 

19 (A) Physician specialties, including clinical 

20 endocrinologists, that play a role in the preven21 tion or treatment of diseases and complications 

22 described in subsection (a). 

23 (B) Primary care physicians. 

24 (C) Non-physician health care profes25 sionals. 


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1 (D) Patient advocates. 

2 (E) National experts, including public 

3 health experts, in the duties listed under sub4 section (c). 

5 (F) Health care providers furnishing serv6 ices to a patient population that consists of a 

7 high percentage (as specified by the Secretary) 

8 of individuals who are enrolled in a State plan 

9 under title XIX of the Social Security Act or 

10 who are not covered under a health plan or 

11 health insurance coverage. 

12 (3) CHAIRPERSON.—The members of the Com13 mission shall select a chairperson from the members 

14 appointed under paragraph (2). 

15 (4) MEETINGS.—The Commission shall meet at 

16 least twice, and not more than four times, a year. 

17 (5) VACANCIES.—A vacancy on the Commission 

18 shall be filled in the same manner as the original ap19 pointments. 

20 (c) DUTIES.—The Commission shall evaluate and 

21 make recommendations, as appropriate, to the Secretary 

22 of Health and Human Services and Congress regarding— 

23 (1) Federal programs of the Department of 

24 Health and Human Services that focus on preVerDate Sep 11 2014 21:43 May 01, 2017 Jkt 069200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S920.RS S920

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1 venting and reducing the incidence of the diseases 

2 and complications described in subsection (a); 

3 (2) current activities and gaps in Federal ef4 forts to support clinicians in providing integrated, 

5 high-quality care to individuals with the diseases and 

6 complications described in subsection (a); 

7 (3) the improvement in, and improved coordina8 tion of, Federal education and awareness activities 

9 related to the prevention and treatment of the dis10 eases and complications described in subsection (a), 

11 which may include the utilization of new and exist12 ing technologies; and 

13 (4) methods for outreach and dissemination of 

14 education and awareness materials that— 

15 (A) address the diseases and complications 

16 described in subsection (a); 

17 (B) are funded by the Federal Govern18 ment; and 

19 (C) are intended for health care profes20 sionals and the public. 

21 (d) OPERATING PLAN.—Not later than 90 days after 

22 its first meeting, the Commission shall submit to the Sec23 retary of Health and Human Services and the Congress 

24 an operating plan for carrying out the activities of the 


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1 Commission as described in subsection (c). Such operating 

2 plan may include— 

3 (1) a list of specific activities that the Commis4 sion plans to conduct for purposes of carrying out 

5 the duties described in each of the paragraphs in 

6 subsection (c); 

7 (2) a plan for completing the activities; 

8 (3) a list of members of the Commission and 

9 other individuals who are not members of the Com10 mission who will need to be involved to conduct such 

11 activities; 

12 (4) an explanation of Federal agency involve13 ment and coordination needed to conduct such ac14 tivities; 

15 (5) a budget for conducting such activities; and 

16 (6) other information that the Commission 

17 deems appropriate. 

18 (e) FINAL REPORT.—By not later than 3 years after 

19 the date of the Commission’s first meeting, the Commis20 sion shall submit to the Secretary of Health and Human 

21 Services and the Congress a final report containing all of 

22 the findings and recommendations required by this sec23 tion. 


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1 (f) SUNSET.—The Commission shall terminate 60 

2 days after submitting its final report, but not later than 

3 the end of fiscal year 2021. 


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Calendar No. 47 

115TH CONGRESS 

1ST SESSION S. 920 

A BILL 

To establish a National Clinical Care Commission. 

MAY 1, 2017 

Reported without amendment 


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