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. 

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 ‘‘Arthritis Prevention, 

3 Control, and Cure Act of 2010’’. 

4 SEC. 2. ENHANCING PUBLIC HEALTH ACTIVITIES RELATED 

5 TO ARTHRITIS THROUGH THE NATIONAL AR6 THRITIS ACTION PLAN. 

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

8 (42 U.S.C. 243 et seq.) is amended by inserting after sec9 tion 314 the following: 

10 ‘‘SEC. 315. NATIONAL ARTHRITIS ACTION PLAN. 

11 ‘‘(a) ESTABLISHMENT OF PLAN.—The Secretary 

12 may develop and implement a National Arthritis Action 

13 Plan (in this section referred to as the ‘Plan’) consistent 

14 with this section. 

15 ‘‘(b) CONTROL, PREVENTION, AND SURVEIL16 LANCE.— 

17 ‘‘(1) IN GENERAL.—Under the Plan, the Sec18 retary may, directly or through competitive grants to 

19 eligible entities, conduct, support, and promote the 

20 coordination of research, investigations, demonstra21 tions, training, and studies relating to the control, 

22 prevention, and surveillance of arthritis and other 

23 rheumatic diseases. 

24 ‘‘(2) TRAINING AND TECHNICAL ASSISTANCE.— 

25 ‘‘(A) PROVISION.—Upon the request of an 

26 applicant receiving a grant under paragraph 


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1 (1), the Secretary may, subject to subparagraph 

2 (B), provide training, technical assistance, sup3 plies, equipment, or services for the purpose of 

4 aiding the applicant in carrying out grant ac5 tivities and, for such purpose, may detail to the 

6 applicant any officer or employee of the Depart7 ment of Health and Human Services. 

8 ‘‘(B) CORRESPONDING REDUCTION IN PAY9 MENTS.—With respect to a request described in 

10 subparagraph (A), the Secretary shall reduce 

11 the amount of payments under the grant under 

12 paragraph (1) to the applicant involved by an 

13 amount equal to the costs of detailing personnel 

14 (including pay, allowances, and travel expenses) 

15 and the fair market value of any supplies, 

16 equipment, or services provided by the Sec17 retary. 

18 ‘‘(3) ARTHRITIS PREVENTION RESEARCH AT

19 THE CENTERS FOR DISEASE CONTROL AND PREVEN20 TION.—The Secretary may provide additional grant 

21 support under this subsection to encourage the ex22 pansion of research related to the prevention and 

23 management of arthritis at the Centers for Disease 

24 Control and Prevention. 


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1 ‘‘(4) ELIGIBLE ENTITY.—For purposes of this 

2 subsection, the term ‘eligible entity’ means a public 

3 or private nonprofit entity that demonstrates to the 

4 satisfaction of the Secretary, in the application de5 scribed in subsection (e), the ability of the entity to 

6 carry out the activities described in paragraph (1). 

7 ‘‘(c) EDUCATION AND OUTREACH.— 

8 ‘‘(1) IN GENERAL.—Under the Plan, the Sec9 retary may coordinate and carry out national edu10 cation and outreach activities, directly or through 

11 the provision of grants to eligible entities, to sup12 port, develop, and implement education initiatives 

13 and outreach strategies appropriate for arthritis and 

14 other rheumatic diseases. 

15 ‘‘(2) INITIATIVES AND STRATEGIES.—Initiatives 

16 and strategies implemented under paragraph (1) 

17 may include public awareness campaigns, public 

18 service announcements, and community partnership 

19 workshops, as well as programs targeted to busi20 nesses and employers, managed care organizations, 

21 and health care providers. 

22 ‘‘(3) PRIORITY.—In carrying out paragraph (1), 

23 the Secretary— 

24 ‘‘(A) may emphasize prevention, early di25 agnosis, and appropriate management of arthriVerDate Mar 15 2010 01:24 Nov 16, 2010 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1210.RFS H1210

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1 tis, and opportunities for effective patient self2 management; and 

3 ‘‘(B) may give priority to reaching high4 risk or underserved populations. 

5 ‘‘(4) COLLABORATION.—In carrying out this 

6 subsection, the Secretary shall consult and collabo7 rate with stakeholders from the public, private, and 

8 nonprofit sectors with expertise relating to arthritis 

9 control, prevention, and treatment. 

10 ‘‘(5) ELIGIBLE ENTITY.—For purposes of this 

11 subsection, the term ‘eligible entity’ means a public 

12 or private nonprofit entity that demonstrates to the 

13 satisfaction of the Secretary, in the application de14 scribed in subsection (e), the ability of the entity to 

15 carry out the activities described in paragraph (1). 

16 ‘‘(d) COMPREHENSIVE STATE GRANTS.— 

17 ‘‘(1) IN GENERAL.—Under the Plan, the Sec18 retary may award grants to eligible entities to pro19 vide support for comprehensive arthritis control and 

20 prevention programs and to enable such entities to 

21 provide public health surveillance, prevention, and 

22 control activities related to arthritis and other rheu23 matic diseases. 

24 ‘‘(2) APPLICATION.—The Secretary may only 

25 award a grant under this subsection to an eligible 


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1 entity that submits to the Secretary an application 

2 at such time, in such manner, and containing such 

3 agreements, assurances, and information as the Sec4 retary may require, including a comprehensive ar5 thritis control and prevention plan that— 

6 ‘‘(A) is developed with the advice of stake7 holders from the public, private, and nonprofit 

8 sectors that have expertise relating to arthritis 

9 control, prevention, and treatment that increase 

10 the quality of life and decrease the level of dis11 ability; 

12 ‘‘(B) is intended to reduce the morbidity of 

13 arthritis, with priority on preventing and con14 trolling arthritis in at-risk populations and re15 ducing disparities in arthritis prevention, diag16 nosis, management, and quality of care in un17 derserved populations; 

18 ‘‘(C) describes the arthritis-related services 

19 and activities to be undertaken or supported by 

20 the entity; and 

21 ‘‘(D) demonstrates the relationship the en22 tity has with the community and local entities 

23 and how the entity plans to involve such com24 munity and local entities in carrying out the ac25 tivities described in paragraph (1). 


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1 ‘‘(3) USE OF FUNDS.—An eligible entity may 

2 use amounts received under a grant awarded under 

3 this subsection to conduct, in a manner consistent 

4 with the comprehensive arthritis control and preven5 tion plan submitted by the entity in the application 

6 under paragraph (2)— 

7 ‘‘(A) public health surveillance and epide8 miological activities relating to the prevalence of 

9 arthritis and assessment of disparities in arthri10 tis prevention, diagnosis, management, and 

11 care; 

12 ‘‘(B) public information and education pro13 grams; and 

14 ‘‘(C) education, training, and clinical skills 

15 improvement activities for health professionals, 

16 including allied health personnel. 

17 ‘‘(4) ELIGIBLE ENTITY.—For purposes of this 

18 subsection, the term ‘eligible entity’ means a State 

19 or an Indian tribe. 

20 ‘‘(e) GENERAL APPLICATION.—The Secretary may 

21 only award a grant under subsection (b) or (c) to an entity 

22 that submits to the Secretary an application at such time, 

23 in such manner, and containing such agreements, assur24 ances, and information as the Secretary may require, in25 cluding a description of how funds received under a grant 


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1 awarded under such subsection will supplement or fulfill 

2 unmet needs identified in a comprehensive arthritis con3 trol and prevention plan of the entity. 

4 ‘‘(f) DEFINITIONS.—For purposes of this section: 

5 ‘‘(1) INDIAN TRIBE.—The term ‘Indian tribe’ 

6 has the meaning given such term in section 4(e) of 

7 the Indian Self-Determination and Education Assist8 ance Act. 

9 ‘‘(2) STATE.—The term ‘State’ means any of 

10 the 50 States, the District of Columbia, the Com11 monwealth of Puerto Rico, the Virgin Islands, Amer12 ican Samoa, Guam, and the Northern Mariana Is13 lands. 

14 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 

15 are authorized to be appropriated to carry out this sec16 tion— 

17 ‘‘(1) for fiscal year 2012, $14,600,000; 

18 ‘‘(2) for fiscal year 2013, $16,000,000; 

19 ‘‘(3) for fiscal year 2014, $17,700,000; 

20 ‘‘(4) for fiscal year 2015, $19,400,000; and 

21 ‘‘(5) for fiscal year 2016, $21,400,000.’’. 


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1 SEC. 3. ACTIVITIES OF THE DEPARTMENT OF HEALTH AND 

2 HUMAN SERVICES WITH RESPECT TO JUVE3 NILE ARTHRITIS AND RELATED CONDITIONS. 

4 Part B of title IV of the Public Health Service Act 

5 (42 U.S.C. 284 et seq.) is amended by adding at the end 

6 the following: 

7 ‘‘SEC. 409K. JUVENILE ARTHRITIS AND RELATED CONDI8 TIONS. 

9 ‘‘(a) IN GENERAL.—The Secretary, in coordination 

10 with the Director of NIH, may expand and intensify pro11 grams of the National Institutes of Health with respect 

12 to research and related activities designed to improve the 

13 outcomes and quality of life for children with arthritis and 

14 other rheumatic diseases. 

15 ‘‘(b) COORDINATION.—The Director of NIH may co16 ordinate the programs referred to in subsection (a) and 

17 consult with additional Federal officials, voluntary health 

18 associations, medical professional societies, and private en19 tities, as appropriate.’’. 

20 SEC. 4. INVESTMENT IN TOMORROW’S PEDIATRIC 

21 RHEUMATOLOGISTS. 

22 Subpart I of part C of title VII of the Public Health 

23 Service Act (42 U.S.C. 293k et seq.) is amended by adding 

24 at the end the following: 


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1 ‘‘SEC. 749A–1. PEDIATRIC RHEUMATOLOGISTS. 

2 ‘‘In order to ensure an adequate future supply of pe3 diatric rheumatologists, the Secretary, in consultation 

4 with the Administrator of the Health Resources and Serv5 ices Administration, may award institutional training 

6 grants to institutions to support pediatric rheumatology 

7 training.’’. 

Passed the House of Representatives September 30 

(legislative day September 29), 2010. 

Attest: LORRAINE C. MILLER, 

Clerk. 


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