I 

118TH CONGRESS 

2D SESSION H. R. 8223 

To improve menopause care and mid-life women’s health, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 2, 2024 

Ms. BLUNT ROCHESTER (for herself and Ms. CLARKE of New York) introduced the following bill; which was referred to the Committee on Energy 

and Commerce 

A BILL 

To improve menopause care and mid-life women’s health, 

and for other purposes. 

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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Advancing Menopause Care and Mid-Life Women’s 

6 Health Act’’. 

7 (b) TABLE OF CONTENTS.—The table of contents for 

8 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Research with respect to menopause and mid-life women’s health. 

Sec. 3. Public health promotion and prevention. 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
2 

•HR 8223 IH

Sec. 4. Public health awareness, education, and outreach program on menopause and mid-life women’s health. 

Sec. 5. Training programs to improve care and treatment of menopausal symptoms. 

Sec. 6. Centers of excellence in menopause cause and mid-life women’s health. 

Sec. 7. Reporting requirement. 

Sec. 8. Coordination. 

1 SEC. 2. RESEARCH WITH RESPECT TO MENOPAUSE AND 

2 MID-LIFE WOMEN’S HEALTH. 

3 (a) NIH RESEARCH.—Part A of title IV of the Public 

4 Health Service Act (42 U.S.C. 281 et seq.) is amended 

5 by adding at the end the following: 

6 ‘‘SEC. 404P. RESEARCH WITH RESPECT TO MENOPAUSE 

7 AND MID-LIFE WOMEN’S HEALTH. 

8 ‘‘(a) RESEARCH AND INNOVATION.— 

9 ‘‘(1) IN GENERAL.—The Director of NIH, act10 ing through the Director of the Office of Research 

11 on Women’s Health, shall coordinate and expand re12 search activities conducted by all institutes, centers, 

13 and offices of the National Institutes of Health to 

14 develop and implement Federal research programs 

15 with respect to— 

16 ‘‘(A) the impact of the symptoms and tra17 jectories of changes across the menopausal 

18 transition and the postmenopausal period on 

19 women’s physical, mental, behavioral, and cog20 nitive health; and 

21 ‘‘(B) the prevention of related adverse 

22 health outcomes among women during the menVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
3 

•HR 8223 IH

1 opausal transition and the postmenopausal pe2 riod. 

3 ‘‘(2) GRANTS.—In carrying out paragraph (1), 

4 the Director of NIH shall award grants to eligible 

5 entities to support— 

6 ‘‘(A) biomedical and public health research 

7 and innovation in the development of new treat8 ments and diagnostic testing services for 

9 perimenopause and acute and chronic meno10 pausal symptoms; and 

11 ‘‘(B) researchers and clinicians engaged in 

12 clinical and translational research on meno13 pause and mid-life women’s health. 

14 ‘‘(3) ELIGIBLE ENTITIES.—To be eligible to re15 ceive a grant under subsection (b), an entity shall 

16 meet such criteria as the Director of NIH may es17 tablish, and shall be— 

18 ‘‘(A) an accredited entity that offers edu19 cation to students in various health professions, 

20 such as— 

21 ‘‘(i) a teaching hospital; 

22 ‘‘(ii) an accredited school of medicine, 

23 osteopathic medicine, nursing, or phar24 macy, or a physician assistant training 

25 program, including a historically Black colVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
4 

•HR 8223 IH

1 lege or university (as defined by the term 

2 ‘part B institution’ in section 322 of the 

3 Higher Education Act of 1965 or described 

4 in section 326(e)(1) of the Higher Edu5 cation Act of 1965) or other minority-serv6 ing institutions (as described in section 

7 371(a) of the Higher Education Act of 

8 1965)); 

9 ‘‘(iii) a certified behavioral health clin10 ic with an accredited medical or nursing 

11 residency program; 

12 ‘‘(iv) an accredited public or nonprofit 

13 private hospital with an accredited medical 

14 or nursing residency program; 

15 ‘‘(v) an accredited nurse practitioner 

16 residency program that includes and ac17 credited nursing residency program; or 

18 ‘‘(vi) a related accredited program en19 gaged in the care, treatment, or manage20 ment of menopausal symptoms; 

21 ‘‘(B) an academic research institution or 

22 other nonprofit research institution; 

23 ‘‘(C) a small business; or 

24 ‘‘(D) such other entity as the Director of 

25 NIH may determine appropriate. 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
5 

•HR 8223 IH

1 ‘‘(b) RESEARCH, CONDITION, AND DISEASE CAT2 EGORIZATION.—The Director of NIH shall designate, in 

3 the Research, Condition, and Disease Categorization, new 

4 categories for chronic or debilitating conditions among 

5 women, to analyze and coordinate current and future re6 search on menopause, menopausal symptoms, and short7 term and long-term effects of such symptoms on mid-life 

8 women’s health. 

9 ‘‘(c) COORDINATION.—The Director of the NIH shall 

10 coordinate and expand Federal research programs and ac11 tivities to study acute and chronic menopausal symptoms, 

12 including— 

13 ‘‘(1) vasomotor symptoms; 

14 ‘‘(2) osteoporosis; 

15 ‘‘(3) sarcopenia; 

16 ‘‘(4) temporomandibular disorders; 

17 ‘‘(5) joint and nerve pain; 

18 ‘‘(6) trauma, anxiety, depression, mood dis19 orders, and related mental and behavioral health 

20 conditions; 

21 ‘‘(7) short-term memory loss; 

22 ‘‘(8) genitourinary conditions; 

23 ‘‘(9) alopecia; 

24 ‘‘(10) vision or hearing impairments; 

25 ‘‘(11) digestive and metabolic disorders; 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
6 

•HR 8223 IH

1 ‘‘(12) chronic sleep deficiency, insomnia, and 

2 related sleep disorders; and 

3 ‘‘(13) other menopausal symptoms and related 

4 conditions, as the Director of NIH determines ap5 propriate. 

6 ‘‘(d) TRANSLATIONAL RESEARCH.—The Secretary 

7 shall expand translational research activities to accelerate 

8 translation of Federal research on perimenopause and 

9 menopausal symptoms and facilitate equitable delivery of 

10 perimenopause and menopause care and related mid-life 

11 women’s health services. 

12 ‘‘(e) OUTREACH AND ENGAGEMENT.—The Secretary 

13 shall expand outreach and engagement activities with ac14 credited schools of medicine, institutions of higher edu15 cation, and research institutions to support Federal re16 search activities with respect to menopausal symptoms.’’. 

17 (b) PUBLIC HEALTH RESEARCH AND DATA REPORT18 ING ACTIVITIES.—Part A of title III of the Public Health 

19 Service Act (42 U.S.C. 241 et seq.) is amended by adding 

20 at the end the following: 

21 ‘‘SEC. 310C. RESEARCH RELATING TO MID-LIFE WOMEN’S 

22 HEALTH. 

23 ‘‘(a) PUBLIC HEALTH RESEARCH.—The Secretary 

24 shall expand research activities with respect to the severity 

25 and duration of menopausal symptoms and related chronic 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
7 

•HR 8223 IH

1 conditions affecting mid-life health outcomes among 

2 women, including mental and behavioral health outcomes. 

3 In carrying out activities under this section, the Secretary 

4 shall coordinate with existing programs and activities of 

5 the Department of Health and Human Services. 

6 ‘‘(b) HEALTH CARE QUALITY RESEARCH.—The Sec7 retary shall expand research, program evaluation, and 

8 quality improvement activities to improve health care de9 livery for the care, treatment, or management of 

10 perimenopause and menopausal symptoms and related 

11 chronic conditions, including data collection with respect 

12 to preventive services that support mid-life health out13 comes among women and barriers to care. 

14 ‘‘(c) DASHBOARD.—The Secretary shall establish and 

15 maintain a dashboard for the reporting of data on meno16 pausal symptoms and mid-life health outcomes among 

17 women gathered through public health surveillance activi18 ties with respect to screening, testing, treatment, and pre19 vention services, and the impact of this section and section 

20 404P on such efforts. 

21 ‘‘(d) OCCUPATIONAL HEALTH RESEARCH.—The Sec22 retary shall conduct research activities and expand data 

23 collection with respect to workplace stressors related to se24 vere acute or chronic menopausal symptoms, physical in25 jury, or other adverse health outcomes among women, inVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
8 

•HR 8223 IH

1 cluding traumatic stress, anxiety, depression, and related 

2 mental and behavioral health conditions. The Secretary 

3 shall review existing evidence, identify gaps in services, 

4 and develop evidence-informed recommendations for re5 lated public health interventions and support services. 

6 ‘‘(e) INTERAGENCY COORDINATION.—The Secretary 

7 shall develop and implement new interagency research ini8 tiatives or programs to address menopausal symptoms.’’. 

9 (c) AUTHORIZATION OF APPROPRIATIONS.—For the 

10 purpose of carrying out sections 404P and 310C of the 

11 Public Health Service Act, as added by subsections (a) 

12 and (b), respectively, there are authorized to be appro13 priated $25,000,000 for each of fiscal years 2025 through 

14 2029. 

15 SEC. 3. PUBLIC HEALTH PROMOTION AND PREVENTION. 

16 Title III of the Public Health Service Act (42 U.S.C. 

17 241 et seq.) is amended by adding at the end the fol18 lowing: 

19 ‘‘PART W—ACTIVITIES TO PROMOTE MID-LIFE 

20 WOMEN’S HEALTH 

21 ‘‘SEC. 399OO. PUBLIC HEALTH PROMOTION ACTIVITIES. 

22 ‘‘(a) CHRONIC CONDITIONS AND PUBLIC HEALTH

23 PROMOTION.—The Secretary shall expand public health 

24 promotion and prevention activities with respect to mid25 life women’s health and chronic conditions, including diaVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
9 

•HR 8223 IH

1 betes, hypertension, heart disease, iron-deficiency anemia, 

2 inflammation, fibroids, endometriosis, and other related 

3 conditions and adverse health outcomes, at the discretion 

4 of the Secretary. 

5 ‘‘(b) EARLY DETECTION, DIAGNOSIS, AND TREAT6 MENT.— 

7 ‘‘(1) IN GENERAL.—The Secretary shall award 

8 grants to eligible entities to improve the early detec9 tion, diagnosis, and treatment of perimenopause and 

10 menopausal symptoms and support public health ac11 tivities to expand access to quality care services and 

12 improve mid-life health outcomes among women. 

13 ‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re14 ceive a grant under paragraph (1), an entity shall— 

15 ‘‘(A) be— 

16 ‘‘(i) a State, local, Tribal, or terri17 torial public health department; 

18 ‘‘(ii) an accredited entity that offers 

19 education to students in various health 

20 professions; or 

21 ‘‘(iii) such other type of entity, as the 

22 Secretary determines appropriate; and 

23 ‘‘(B) submit an application to the Sec24 retary at such time, in such manner, and conVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
10 

•HR 8223 IH

1 taining such information as the Secretary may 

2 require. 

3 ‘‘(c) CARE COORDINATION.—The Secretary shall 

4 award grants to eligible entities described in subsection 

5 (b)(2) to support care coordination and care planning ac6 tivities, including such activities otherwise supported 

7 under this Act, and expand access to quality primary care 

8 and specialty care services to improve— 

9 ‘‘(1) mid-life women’s health, including activi10 ties to support the integration of primary care and 

11 specialty care; 

12 ‘‘(2) bone health and muscle loss; 

13 ‘‘(3) mental and behavioral health care services; 

14 ‘‘(4) joint, nerve, and muscle pain prevention 

15 services; 

16 ‘‘(5) digestive and metabolic health; 

17 ‘‘(6) prevention and management of multiple 

18 chronic conditions; 

19 ‘‘(7) physical therapy and injury prevention 

20 support services for populations affected by acute 

21 and chronic menopausal symptoms; and 

22 ‘‘(8) other services that address acute and 

23 chronic conditions that affect women’s health in 

24 perimenopause and menopause. 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
11 

•HR 8223 IH

1 ‘‘(d) MENTAL HEALTH AND SUBSTANCE USE PRE2 VENTION.—The Secretary shall develop recommendations 

3 and best practices to— 

4 ‘‘(1) increase access to mental and behavioral 

5 health care services and substance use disorder pre6 vention services for women experiencing 

7 perimenopause or menopausal symptoms; and 

8 ‘‘(2) expand substance use disorder treatment, 

9 recovery, and support services for women experi10 encing perimenopause, early menopause, premature 

11 menopause, and related conditions. 

12 ‘‘(e) HEALTH CARE DELIVERY.—The Secretary shall 

13 develop recommendations and best practices for— 

14 ‘‘(1) reducing disparities in the management of 

15 menopausal symptoms; 

16 ‘‘(2) improving access to perimenopause and 

17 menopause health care services; and 

18 ‘‘(3) providing patient-centered perimenopause 

19 and menopause counseling and treatment. 

20 ‘‘(f) SAFETY AND EFFECTIVENESS.—The Secretary 

21 shall carry out and support— 

22 ‘‘(1) outreach and engagement activities of the 

23 Food and Drug Administration with health care pro24 viders on perimenopause and menopause and mid25 life women’s health; 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
12 

•HR 8223 IH

1 ‘‘(2) oversight efforts to assess the safety and 

2 effectiveness of new diagnostic tools for 

3 perimenopause or menopausal symptoms, including 

4 devices that use artificial intelligence; and 

5 ‘‘(3) support existing activities of the Depart6 ment of Health and Human Services to enforce pri7 vacy protections for patients. 

8 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—To 

9 carry out this section, there are authorized to be appro10 priated $10,000,000 for each of fiscal years 2025 through 

11 2029.’’. 

12 SEC. 4. PUBLIC HEALTH AWARENESS, EDUCATION, AND 

13 OUTREACH PROGRAM ON MENOPAUSE AND 

14 MID-LIFE WOMEN’S HEALTH. 

15 Part W of title III of the Public Health Service Act 

16 (42 U.S.C. 241 et seq.), as added by section 3, is amended 

17 by adding at the end the following: 

18 ‘‘SEC. 399OO–1. PUBLIC HEALTH AWARENESS, EDUCATION, 

19 AND OUTREACH PROGRAM ON MENOPAUSE 

20 AND MID-LIFE WOMEN’S HEALTH. 

21 ‘‘(a) IN GENERAL.—The Secretary shall develop and 

22 carry out a national awareness, education, and outreach 

23 program relating to menopausal symptoms, mid-life wom24 en’s health, and related care, treatment, and preventive 

25 services directed at patients, health care providers, first 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
13 

•HR 8223 IH

1 responders (such as emergency medical service providers), 

2 and related stakeholders. Such awareness, education, and 

3 outreach program shall— 

4 ‘‘(1) disseminate educational materials and pro5 vide technical assistance for health care providers 

6 and patients to support engagement about 

7 perimenopause and menopause care and treatment 

8 options for menopausal symptoms; 

9 ‘‘(2) help such providers to identify risk factors 

10 and prevent injury among women with menopausal 

11 symptoms; and 

12 ‘‘(3) address barriers to related care and treat13 ment services for women. 

14 ‘‘(b) OUTREACH.—In carrying out this section, the 

15 Secretary shall— 

16 ‘‘(1) conduct outreach and education activities 

17 related to perimenopause and menopause and mid18 life women’s health that— 

19 ‘‘(A) include evidence-based information; 

20 and 

21 ‘‘(B) are culturally appropriate, in the case 

22 of such outreach and education activities for In23 dian Tribes; 

24 ‘‘(2) provide opportunities for State, local, Trib25 al, and territorial public health departments to cusVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
14 

•HR 8223 IH

1 tomize public health awareness, education, and out2 reach materials for their populations; and 

3 ‘‘(3) prioritize populations in areas affected by 

4 barriers to care, including rural and underserved 

5 areas. 

6 ‘‘(c) COORDINATION.—In carrying out this section, 

7 the Secretary shall coordinate with existing awareness, 

8 education, and outreach programs and activities of the De9 partment of Health and Human Services. 

10 ‘‘(d) ONLINE RESOURCES.—The Secretary shall de11 velop, operate, and maintain a website to provide edu12 cational materials in accessible formats for health care 

13 providers, patients, and caregivers, regarding 

14 perimenopause, menopause, and mid-life women’s health. 

15 Such educational materials may include— 

16 ‘‘(1) webinars, continuing education modules, 

17 videos, fact sheets, infographics, stakeholder toolkits, 

18 or other materials in formats as appropriate and ap19 plicable; and 

20 ‘‘(2) tailored for health care providers, patients, 

21 caregivers, and other audiences, as the Secretary de22 termines appropriate. 

23 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To 

24 carry out this section, there are authorized to be approVerDate Sep 11 2014 04:19 May 30, 2024 Jkt 049200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H8223.IH H8223

kjohnson on DSK7ZCZBW3PROD with $$_JOB
15 

•HR 8223 IH

1 priated $10,000,000 for each of fiscal years 2025 through 

2 2029.’’. 

3 SEC. 5. TRAINING PROGRAMS TO IMPROVE CARE AND 

4 TREATMENT OF MENOPAUSAL SYMPTOMS. 

5 Part D of title VII of the Public Health Service Act 

6 (42 U.S.C. 294 et seq.) is amended by inserting after sec7 tion 757 (42 U.S.C. 294f) the following: 

8 ‘‘SEC. 758. TRAINING PROGRAMS TO IMPROVE CARE AND 

9 TREATMENT OF MENOPAUSAL SYMPTOMS. 

10 ‘‘(a) GRANTS TO TRAIN HEALTH PROFESSIONALS.— 

11 ‘‘(1) IN GENERAL.—The Secretary shall award 

12 grants to eligible entities for the purpose described 

13 in paragraph (2). 

14 ‘‘(2) USE OF FUNDS.—A grant awarded under 

15 this subsection shall be used to develop, establish, or 

16 expand training programs (including accredited resi17 dency programs, fellowships, or other related clinical 

18 training) for physicians, registered nurses, nurse 

19 practitioners, physician assistants, pharmacists, 

20 other health care providers, and students and train21 ees to improve care, treatment, or management serv22 ices for perimenopause, menopausal symptoms, and 

23 related chronic conditions. 

24 ‘‘(3) ELIGIBILITY.—To be eligible to receive a 

25 grant under this subsection, an entity shall— 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
16 

•HR 8223 IH

1 ‘‘(A) be— 

2 ‘‘(i) an accredited school of medicine 

3 or osteopathic medicine; 

4 ‘‘(ii) an accredited nursing school; 

5 ‘‘(iii) an accredited school of phar6 macy; 

7 ‘‘(iv) an accredited public or nonprofit 

8 private hospital; 

9 ‘‘(v) an accredited medical residency 

10 program; 

11 ‘‘(vi) an accredited nurse practitioner 

12 residency program; or 

13 ‘‘(vii) a related training program for 

14 clinicians, allied health professionals, or so15 cial workers that interface with affected 

16 populations, which may include hospitals 

17 and research institutions, as determined by 

18 the Secretary; and 

19 ‘‘(B) submit an application to the Sec20 retary at such time, in such manner, and con21 taining such information as the Secretary may 

22 require. 

23 ‘‘(b) TRAINING OPPORTUNITIES.—The Secretary 

24 shall expand outreach activities to support and expand 

25 training programs, fellowships, and other opportunities for 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
17 

•HR 8223 IH

1 students, faculty, and trainees (including continuing med2 ical education) or establish new training opportunities to 

3 address barriers to access to— 

4 ‘‘(1) primary and specialty care services to sup5 port mid-life women’s health; and 

6 ‘‘(2) early detection, diagnosis, treatment, and 

7 care services for perimenopause, menopausal symp8 toms, and related chronic conditions. 

9 ‘‘(c) COORDINATION.—In carrying out this section, 

10 the Secretary shall coordinate with existing awareness, 

11 education, and outreach programs and activities of the De12 partment of Health and Human Services. 

13 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—To 

14 carry out this section there are authorized to be appro15 priated $10,000,000 for each of fiscal years 2025 through 

16 2029.’’. 

17 SEC. 6. CENTERS OF EXCELLENCE IN MENOPAUSE CAUSE 

18 AND MID-LIFE WOMEN’S HEALTH. 

19 Part W of title III of the Public Health Service Act 

20 (42 U.S.C. 241 et seq.), as amended by section 4, is fur21 ther amended by adding at the end the following: 

22 ‘‘SEC. 399OO–2. CENTERS OF EXCELLENCE IN MENOPAUSE 

23 CARE AND MID-LIFE WOMEN’S HEALTH. 

24 ‘‘(a) IN GENERAL.—The Secretary shall designate el25 igible entities as Centers of Excellence in Menopause and 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
18 

•HR 8223 IH

1 Mid-Life Women’s Health, and award grants to such enti2 ties, for purposes of improving professional training re3 sources for health care providers on mid-life women’s 

4 health with respect to the care, treatment, and manage5 ment of perimenopause and menopausal symptoms, and 

6 related support services. 

7 ‘‘(b) ELIGIBILITY.—To be eligible to receive a des8 ignation and grant under subsection (a), an entity shall— 

9 ‘‘(1) be an accredited entity that offers edu10 cation to students in various health professions, or 

11 such other type of entity, as the Secretary deter12 mines appropriate; 

13 ‘‘(2) demonstrate community engagement and 

14 partnerships with community stakeholders, including 

15 entities that train health professionals, social work16 ers, community health centers, health systems ad17 ministrators, certified behavioral health clinics, and 

18 research institutions; and 

19 ‘‘(3) submit to the Secretary an application at 

20 such time, in such manner, and containing such in21 formation as the Secretary may require. 

22 ‘‘(c) ACTIVITIES.—An entity receiving an award 

23 under subsection (a) shall develop and distribute evidence24 based resources to health care providers, patients, and 

25 public health departments regarding the care, treatment, 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
19 

•HR 8223 IH

1 and management of perimenopause and menopausal 

2 symptoms. Such resources may include information on— 

3 ‘‘(1) advancements in the treatment or manage4 ment of perimenopause and acute or chronic meno5 pausal symptoms; 

6 ‘‘(2) the prevention and treatment of related 

7 chronic conditions across different patient popu8 lations to support mid-life women’s health; and 

9 ‘‘(3) other topic areas that are relevant to the 

10 objectives described in subsection (a). 

11 ‘‘(d) GEOGRAPHIC DISTRIBUTION.—In awarding 

12 grants under subsection (a), the Secretary shall take into 

13 account regional differences among eligible entities and 

14 ensure equitable geographic distribution. 

15 ‘‘(e) PRIORITY.—In awarding grants under sub16 section (a), the Secretary shall prioritize eligible entities 

17 that provide services in a health professional shortage area 

18 designated under section 332 or to medically underserved 

19 populations, as defined in section 330(b)(3). 

20 ‘‘(f) EVALUATION.—Each entity receiving an award 

21 under subsection (a) shall submit an annual report to the 

22 Secretary on the activities carried out using such award. 

23 The Secretary shall evaluate each project carried out by 

24 an entity receiving an award under this section and shall 

25 report the findings with respect to each such evaluation 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
20 

•HR 8223 IH

1 to appropriate Federal agencies and public and private en2 tities. 

3 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—To 

4 carry out this section, there are authorized to be appro5 priated such sums as may be necessary for each of fiscal 

6 years 2025 through 2029.’’. 

7 SEC. 7. REPORTING REQUIREMENT. 

8 (a) REPORT ON ACTIVITIES CARRIED OUT UNDER

9 THIS ACT.—Not later than 2 years after the date of enact10 ment of this Act, and every year thereafter, the Secretary 

11 of Health and Human Services shall submit to the Com12 mittee on Appropriations, the Committee on Health, Edu13 cation, Labor, and Pensions, the Committee on Finance, 

14 the Committee on Homeland Security and Government Af15 fairs, the Committee on Indian Affairs, the Committee on 

16 Veterans’ Affairs, and the Special Committee on Aging of 

17 the Senate and the Committee on Appropriations, the 

18 Committee on Energy and Commerce, the Committee on 

19 Ways and Means, the Committee on Education and the 

20 Workforce, the Committee on Veterans’ Affairs, the Com21 mittee on Natural Resources, and the Committee on Over22 sight and Accountability of the House of Representatives 

23 a report describing the progress of activities carried out 

24 under this Act and the amendments made by this Act. 

25 Each such report shall contain— 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
21 

•HR 8223 IH

1 (1) information with respect to Federal re2 search activities related to perimenopause and meno3 pause and mid-life women’s health, including infor4 mation related public health awareness, education, 

5 and outreach activities, including— 

6 (A) data and knowledge gaps, or other bar7 riers, related to research, diagnostic testing, 

8 and treatments with respect to perimenopause, 

9 menopause, menopausal symptoms, and related 

10 health outcomes; 

11 (B) data or information related to barriers 

12 to health care and support services among 

13 women experiencing perimenopause or meno14 pausal symptoms in rural and underserved 

15 areas; and 

16 (C) data or information related to barriers 

17 to training opportunities and resources for 

18 health care providers serving women experi19 encing perimenopause or menopausal symptoms 

20 in rural and underserved areas; 

21 (2) recommendations and best practices for 

22 health care providers and public health departments 

23 to expand access to care and increase public aware24 ness and understanding of menopausal symptoms 

25 and related chronic conditions; and 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
22 

•HR 8223 IH

1 (3) information about related Federal activities, 

2 as the Secretary determines appropriate. 

3 (b) REPORT ON ACCESS TO CARE AND TREAT4 MENT.—Not later than 2 years after the date of enact5 ment of this Act, the Secretary shall release a report on 

6 barriers to access to care and treatment services for 

7 perimenopause and menopausal symptoms, and rec8 ommendations to reduce any such barriers. 

9 (c) AUTHORIZATION OF APPROPRIATIONS.—To carry 

10 out this section, there are authorized to be appropriated 

11 such sums as may be necessary for each of fiscal years 

12 2025 through 2029. 

13 SEC. 8. COORDINATION. 

14 The Secretary of Health and Human Services shall 

15 coordinate activities carried out under this Act (including 

16 the amendments made by this Act) with other existing 

17 Federal efforts relating to menopausal symptoms, mid-life 

18 women’s health, aging, or public health promotion carried 

19 out by the Department of Veterans Affairs, the Depart20 ment of Defense, and other Federal departments and 

21 agencies, as appropriate. 

Æ 


kjohnson on DSK7ZCZBW3PROD with $$_JOB