I 

111TH CONGRESS 

1ST SESSION H. R. 1995 

To amend the Public Health Service Act to prevent and treat diabetes, 

to promote and improve the care of individuals with diabetes, and to 

reduce health disparities, relating to diabetes, within racial and ethnic 

minority groups, including the African-American, Hispanic American, 

Asian American, Native Hawaiian and Other Pacific Islander, and American Indian and Alaskan Native communities. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 21, 2009 

Ms. DEGETTE (for herself, Mr. CASTLE, Mr. KIRK, Mr. BECERRA, Ms. LEE

of California, Mr. HONDA, and Ms. VELA ́ZQUEZ) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to prevent and 

treat diabetes, to promote and improve the care of individuals with diabetes, and to reduce health disparities, 

relating to diabetes, within racial and ethnic minority 

groups, including the African-American, Hispanic American, Asian American, Native Hawaiian and Other Pacific Islander, and American Indian and Alaskan Native 

communities. 

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


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Eliminating Dispari3 ties in Diabetes Prevention Access and Care Act of 2009’’. 

4 TITLE I—NATIONAL INSTITUTES 

5 OF HEALTH 

6 SEC. 101. RESEARCH, TREATMENT, AND EDUCATION. 

7 (a) IN GENERAL.—Subpart 3 of part C of title IV 

8 of the Public Health Service Act (42 U.S.C. 285c et seq.) 

9 is amended by adding at the end the following new section: 

10 ‘‘SEC. 434B. DIABETES IN MINORITY POPULATIONS. 

11 ‘‘(a) IN GENERAL.—The Director of the National In12 stitutes of Health shall expand, intensify, and support on13 going research and other activities with respect to pre-dia14 betes and diabetes, particularly type 2, in minority popu15 lations, including research to identify clinical, socio16 economic, geographical, cultural, and organizational fac17 tors that contribute to type 2 diabetes in such populations. 

18 ‘‘(b) CERTAIN ACTIVITIES.—Activities under sub19 section (a) regarding type 2 diabetes in minority popu20 lations shall include the following: 

21 ‘‘(1) Continue research on behavior and obesity, 

22 including research through the obesity research cen23 ter that is sponsored by the National Institutes of 

24 Health. 

25 ‘‘(2) Research on environmental factors that 

26 may contribute to the increase in type 2 diabetes. 


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1 ‘‘(3) Support for new methods to identify envi2 ronmental triggers and genetic interactions that lead 

3 to the development of type 2 diabetes in minority 

4 newborns. Such research should follow the newborns 

5 through puberty, an increasingly high-risk period for 

6 developing type 2 diabetes. 

7 ‘‘(4) Research to identify genes that predispose 

8 individuals to the onset of developing type 1 and 

9 type 2 diabetes and to the development of complica10 tions. 

11 ‘‘(5) Research to prevent complications in indi12 viduals who have already developed diabetes, such as 

13 research that attempts to identify the genes that 

14 predispose individuals with diabetes to the develop15 ment of complications. 

16 ‘‘(6) Research methods and alternative thera17 pies to control blood glucose. 

18 ‘‘(7) Support of ongoing research efforts exam19 ining the level of glycemia at which adverse out20 comes develop during pregnancy and to address the 

21 many clinical issues associated with minority moth22 ers and fetuses during diabetic and gestational dia23 betic pregnancies. 

24 ‘‘(c) EDUCATION.—The Director of the National In25 stitutes of Health shall— 


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1 ‘‘(1) through the National Center on Minority 

2 Health and Health Disparities and the National Di3 abetes Education Program— 

4 ‘‘(A) make grants to programs funded 

5 under section 485F (relating to centers of ex6 cellence) for the purpose of establishing a men7 toring program for health care professionals to 

8 be more involved in weight counseling, obesity 

9 research, and nutrition; and 

10 ‘‘(B) provide for the participation of mi11 nority health professionals in diabetes-focused 

12 research programs; and 

13 ‘‘(2) make grants for programs to establish a 

14 pipeline from high school to professional school that 

15 will increase minority representation in diabetes-fo16 cused health fields by expanding Minority Access to 

17 Research Careers (MARC) program internships and 

18 mentoring opportunities for recruitment. 

19 ‘‘(d) DEFINITION.—For purposes of this section, the 

20 term ‘minority population’ means a racial and ethnic mi21 nority group, as defined in section 1707(g). 

22 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 

23 purpose of carrying out this section, there are authorized 

24 to be appropriated such sums as are necessary for fiscal 

25 year 2010 and each subsequent fiscal year.’’. 


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1 (b) DIABETES MELLITUS INTERAGENCY COORDI2 NATING COMMITTEE.—Section 429 of the Public Health 

3 Service Act (42 U.S.C. 285c–3) is amended by adding at 

4 the end the following new subsection: 

5 ‘‘(c)(1) In each annual report prepared by the Diabe6 tes Mellitus Interagency Coordinating Committee, the 

7 Committee shall include an assessment of the Federal ac8 tivities and programs related to diabetes in minority popu9 lations. Such assessment shall— 

10 ‘‘(A) compile the current activities of all 

11 current Federal health programs to allow for 

12 the assessment of their adequacy as a systemic 

13 method of addressing the impact of diabetes 

14 mellitus on minority populations; 

15 ‘‘(B) develop strategic planning activities 

16 to develop an effective and comprehensive Fed17 eral plan to address diabetes mellitus within mi18 nority populations which will involve all appro19 priate Federal health programs and shall— 

20 ‘‘(i) include steps to address issues in21 cluding type 1 and type 2 diabetes in chil22 dren and the disproportionate impact of di23 abetes mellitus on minority populations; 

24 and 


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1 ‘‘(ii) remain consistent with the pro2 grams and activities identified in section 

3 399O, as well as remaining consistent with 

4 the intent of the Eliminating Disparities in 

5 Diabetes Prevention Access and Care Act 

6 of 2009; and 

7 ‘‘(C) assess the implementation of such a 

8 plan throughout Federal health programs. 

9 ‘‘(2) For the purposes of this subsection, the 

10 term ‘minority population’ means a racial and ethnic 

11 minority group, as defined in section 1707(g). 

12 ‘‘(3) For the purpose of carrying out this sub13 section, there are authorized to be appropriated such 

14 sums as are necessary for fiscal year 2010 and each 

15 subsequent fiscal year.’’. 

16 TITLE II—CENTERS FOR DIS17 EASE CONTROL AND PREVEN18 TION 

19 SEC. 201. RESEARCH, EDUCATION, AND OTHER ACTIVITIES. 

20 Part B of title III of the Public Health Service Act 

21 (42 U.S.C. 243 et seq.) is amended by inserting after sec22 tion 317T the following section: 

23 ‘‘SEC. 317U. DIABETES IN MINORITY POPULATIONS. 

24 ‘‘(a) RESEARCH AND OTHER ACTIVITIES.— 


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1 ‘‘(1) IN GENERAL.—The Secretary, acting 

2 through the Director of the Centers for Disease 

3 Control and Prevention, shall conduct and support 

4 research and other activities with respect to diabetes 

5 in minority populations. 

6 ‘‘(2) CERTAIN ACTIVITIES.—Activities under 

7 paragraph (1) regarding diabetes in minority popu8 lations shall include the following: 

9 ‘‘(A) Expanding the National Diabetes 

10 Laboratory capacity for translational research 

11 and the identification of genetic and 

12 immunological risk factors associated with dia13 betes. 

14 ‘‘(B) Enhancing the National Health and 

15 Nutrition Examination Survey to include risk 

16 factors for type 2 diabetes and pre-diabetes 

17 with emphasis on eating and dietary habits, and 

18 focus, including cultural and socioeconomic fac19 tors, on Hispanic American, African-American, 

20 American Indian and Alaskan Native, and 

21 Asian American, Native Hawaiian and other 

22 Pacific Islander communities. 

23 ‘‘(C) Further enhancing the National 

24 Health and Nutrition Examination Survey by 

25 over-sampling Asian American, Native HawaiVerDate Nov 24 2008 01:01 Apr 23, 2009 Jkt 079200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H1995.IH H1995

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1 ian, and Other Pacific Islanders in appropriate 

2 geographic areas to better determine the preva3 lence of diabetes in such populations as well as 

4 to improve the data collection of diabetes pene5 tration disaggregated into major ethnic groups 

6 within such populations. 

7 ‘‘(D) Within the Division of Diabetes 

8 Translation, providing for prevention research 

9 to better understand how to influence health 

10 care systems changes to improve quality of care 

11 being delivered to such populations, and within 

12 the Division of Diabetes Translation, carrying 

13 out model demonstration projects to design, im14 plement, and evaluate effective diabetes preven15 tion and control intervention for such popu16 lations. 

17 ‘‘(E) Through the Division of Diabetes 

18 Translation, carrying out culturally appropriate 

19 community-based interventions designed to ad20 dress issues and problems experienced by such 

21 populations. 

22 ‘‘(F) Conducting applied research within 

23 the Division of Diabetes Translation to reduce 

24 health disparities within such populations with 

25 diabetes. 


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1 ‘‘(G) Conducting applied research on pri2 mary prevention within the Division of Diabetes 

3 Translation to specifically focus on such popu4 lations with pre-diabetes. 

5 ‘‘(b) EDUCATION.— 

6 ‘‘(1) IN GENERAL.—The Secretary, acting 

7 through the Director of the Centers for Disease 

8 Control and Prevention, shall direct the Division of 

9 Diabetes Translation to conduct and support pro10 grams to educate the public on the causes and ef11 fects of diabetes in minority populations. 

12 ‘‘(2) CERTAIN ACTIVITIES.—Programs under 

13 paragraph (1) regarding education on diabetes in 

14 minority populations shall include carrying out pub15 lic awareness campaigns directed toward such popu16 lations to aggressively emphasize the importance and 

17 impact of physical activity and diet in regard to dia18 betes and diabetes-related complications through the 

19 National Diabetes Education Program. 

20 ‘‘(c) DIABETES; HEALTH PROMOTION, PREVENTION

21 ACTIVITIES, AND ACCESS.— 

22 ‘‘(1) IN GENERAL.—The Secretary, acting 

23 through the Director of the Centers for Disease 

24 Control and Prevention, shall carry out culturally 


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1 appropriate diabetes health promotion and preven2 tion programs for minority populations. 

3 ‘‘(2) CERTAIN ACTIVITIES.—Activities regard4 ing culturally appropriate diabetes health promotion 

5 and prevention programs for minority populations 

6 shall include the following: 

7 ‘‘(A) Expanding the Diabetes Prevention 

8 and Control Program (currently existing in all 

9 the States and territories) and providing funds 

10 for education and community outreach on dia11 betes. 

12 ‘‘(B) Providing funds for an expansion of 

13 the Diabetes Prevention Program Initiative that 

14 focuses on physical inactivity and diet and its 

15 relation to type 2 diabetes within such popu16 lations. 

17 ‘‘(C) Providing funds to strengthen exist18 ing surveillance systems to improve the quality, 

19 accuracy, and timeliness of morbidity and mor20 tality diabetes data for such populations. 

21 ‘‘(d) DEFINITION.—For purposes of this section, the 

22 term ‘minority population’ means a racial and ethnic mi23 nority group, as defined in section 1707(g). 

24 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 

25 purpose of carrying out this section, there are authorized 


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1 to be appropriated such sums as are necessary for fiscal 

2 year 2010 and each subsequent fiscal year.’’. 

3 TITLE III—HEALTH RESOURCES 

4 AND SERVICES ADMINISTRA5 TION 

6 SEC. 301. RESEARCH, EDUCATION, AND OTHER ACTIVITIES. 

7 Part P of title III of the Public Health Service Act 

8 is amended— 

9 (1) by redesignating the section 399R inserted 

10 by section 2 of Public Law 110–373 as section 

11 399S; 

12 (2) by redesignating the section 399R inserted 

13 by section 3 of Public Law 110–374 as section 

14 399T; and 

15 (3) by adding at the end the following new sec16 tion: 

17 ‘‘SEC. 399U. PROGRAMS TO EDUCATE HEALTH PROVIDERS 

18 ON THE CAUSES AND EFFECTS OF DIABETES 

19 IN MINORITY POPULATIONS. 

20 ‘‘(a) IN GENERAL.—The Secretary, acting through 

21 the Director of the Health Resources and Services Admin22 istration, shall conduct and support programs described 

23 in subsection (b) to educate health professionals on the 

24 causes and effects of diabetes in minority populations. 


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1 ‘‘(b) PROGRAMS.—Programs described in this sub2 section, with respect to education on diabetes in minority 

3 populations, shall include the following: 

4 ‘‘(1) Making grants for diabetes-focused edu5 cation classes or training programs on cultural sen6 sitivity and patient care within such populations for 

7 health care providers. 

8 ‘‘(2) Providing funds to community health cen9 ters for programs that provide diabetes services and 

10 screenings. 

11 ‘‘(3) Providing additional funds for the Health 

12 Careers Opportunity Program, Centers for Excel13 lence, and the Minority Faculty Fellowship Program 

14 to partner with the Office of Minority Health under 

15 section 1707 and the National Institutes of Health 

16 to strengthen programs for career opportunities 

17 within minority populations focused on diabetes 

18 treatment and care. 

19 ‘‘(4) Developing a diabetes focus within, and 

20 providing additional funds for, the National Health 

21 Service Corps Scholarship program to place individ22 uals in areas that are disproportionately affected by 

23 diabetes and to provide health care services to such 

24 areas. 


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1 ‘‘(5) Establishing a diabetes ambassador pro2 gram for recruitment efforts to increase the number 

3 of underrepresented minorities currently serving in 

4 student, faculty, or administrative positions in insti5 tutions of higher learning, hospitals, and community 

6 health centers. 

7 ‘‘(6) Establishing a loan repayment program 

8 that focuses on diabetes care and prevention in mi9 nority populations.’’. 

10 TITLE IV—ADDITIONAL 

11 PROGRAMS 

12 SEC. 401. RESEARCH, EDUCATION, AND OTHER ACTIVITIES. 

13 Part P of title III of the Public Health Service Act 

14 (42 U.S.C. 280g et seq.), as amended by section 301, is 

15 further amended by adding at the end the following sec16 tion: 

17 ‘‘SEC. 399V. RESEARCH, EDUCATION, AND OTHER ACTIVI18 TIES REGARDING DIABETES IN MINORITY 

19 POPULATIONS. 

20 ‘‘(a) RESEARCH AND OTHER ACTIVITIES.— 

21 ‘‘(1) IN GENERAL.—In addition to activities 

22 under sections 317U and 434B, the Secretary shall 

23 conduct and support research and other activities 

24 with respect to diabetes within minority populations. 


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1 ‘‘(2) CERTAIN ACTIVITIES.—Activities under 

2 paragraph (1) regarding diabetes in minority popu3 lations shall include the following: 

4 ‘‘(A) Through the National Center on Mi5 nority Health and Health Disparities, the Office 

6 of Minority Health under section 1707, the 

7 Health Resources and Services Administration, 

8 the Centers for Disease Control and Prevention, 

9 and the Indian Health Service, establishing 

10 partnerships within minority populations to 

11 conduct studies on cultural, familial, and social 

12 factors that may influence health promotion, di13 abetes management, and prevention. 

14 ‘‘(B) Through the Indian Health Service, 

15 in collaboration with other appropriate Federal 

16 agencies, coordinating the collection of data on 

17 ethnic and culturally appropriate diabetes treat18 ment, care, prevention, and services by health 

19 care professionals to the American Indian popu20 lation. 

21 ‘‘(3) PROGRAMS RELATING TO CLINICAL RE22 SEARCH.— 

23 ‘‘(A) EDUCATION REGARDING CLINICAL

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1 crease participation of minority populations in 

2 clinical trials. 

3 ‘‘(B) MINORITY RESEARCHERS.—The Sec4 retary shall carry out mentorship programs for 

5 minority researchers who are conducting or in6 tend to conduct research on diabetes in minor7 ity populations. 

8 ‘‘(C) SUPPLEMENTING CLINICAL RE9 SEARCH REGARDING CHILDREN.—The Sec10 retary shall make grants to supplement clinical 

11 research programs to assist such programs in 

12 obtaining the services of health professionals 

13 and other resources to provide specialized care 

14 for children with type 1 and type 2 diabetes. 

15 ‘‘(4) ADDITIONAL PROGRAMS.—Activities under 

16 paragraph (1) regarding education on diabetes in 

17 minority populations shall include providing funds 

18 for new and existing diabetes-focused education 

19 grants and programs for present and future stu20 dents and clinicians in the medical field from minor21 ity populations, including for the following: 

22 ‘‘(A) For Federal and State loan repay23 ment programs for health profession students 

24 within communities of color. 


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1 ‘‘(B) For the Office of Minority Health 

2 under section 1707 for training health profes3 sion students to focus on diabetes within such 

4 populations. 

5 ‘‘(C) For State and local entities to estab6 lish diabetes awareness week or day every 

7 month in schools, nursing homes, and colleges 

8 through partnerships with the Office of Minor9 ity Health under section 1707 and the Health 

10 Resources and Services Administration. 

11 ‘‘(b) DEFINITION.—For purposes of this section, the 

12 term ‘minority population’ means a racial and ethnic mi13 nority group as defined in section 1707(g). 

14 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 

15 purpose of carrying out this section, there are authorized 

16 to be appropriated such sums as are necessary for fiscal 

17 year 2010 and each subsequent fiscal year.’’. 

Æ 


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