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Union Calendar No. 378 

111TH CONGRESS 

2D SESSION H. R. 1210 

[Report No. 111–638] 

To amend the Public Health Service Act to provide for arthritis research 

and public health, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 26, 2009 

Ms. ESHOO (for herself, Mr. UPTON, Ms. SCHAKOWSKY, Mr. VAN HOLLEN, 

Ms. BORDALLO, Mr. LANGEVIN, Mr. KLEIN of Florida, Mr. 

MCDERMOTT, Mr. WU, Mr. BURTON of Indiana, Mr. KING of New York, 

Ms. BALDWIN, Mr. SARBANES, Mr. BISHOP of Georgia, Mr. YARMUTH, 

Mr. KENNEDY, Mr. RUSH, Mrs. CAPPS, Ms. HARMAN, Mr. MORAN of 

Virginia, Mr. MURPHY of Connecticut, Mr. BISHOP of New York, Mr. 

SENSENBRENNER, Mr. MURTHA, Mr. BERMAN, Mr. FRELINGHUYSEN, 

Mr. ISRAEL, Mr. MATHESON, Mr. SESSIONS, Mrs. EMERSON, Mr. 

PASCRELL, Ms. NORTON, Ms. MATSUI, Mr. TERRY, Mr. MCHUGH, Mr. 

GENE GREEN of Texas, Mr. HOLT, Ms. CASTOR of Florida, Mr. RAHALL, 

Mr. BOUCHER, Mr. NEAL of Massachusetts, Mr. FRANK of Massachusetts, Ms. DELAURO, Mr. SESTAK, Mr. MOORE of Kansas, Mrs. 

SCHMIDT, Ms. BERKLEY, and Mr. MORAN of Kansas) introduced the following bill; which was referred to the Committee on Energy and Commerce 

SEPTEMBER 28, 2010 

Additional sponsors: Mr. TAYLOR, Mr. MCGOVERN, Mr. LARSON of Connecticut, Mr. JACKSON of Illinois, Mr. HOEKSTRA, Mr. WEXLER, Ms. 

SUTTON, Mr. MICHAUD, Mr. GORDON of Tennessee, Mr. MARKEY of 

Massachusetts, Mr. PETRI, Mr. GONZALEZ, Mr. FARR, Mrs. LOWEY, Mr. 

BACA, Mr. DRIEHAUS, Mr. GERLACH, Mr. BARTLETT, Mr. HOLDEN, Mr. 

DEFAZIO, Mrs. BONO MACK, Mr. WAXMAN, Mr. LOBIONDO, Mr. SMITH

of New Jersey, Mrs. MALONEY, Mr. HINOJOSA, Mr. LATHAM, Ms. SHEAPORTER, Mr. ACKERMAN, Mr. GRAVES of Missouri, Ms. KAPTUR, Mr. 

BACHUS, Mr. PLATTS, Mr. BURGESS, Mr. TIBERI, Mr. WOLF, Ms. 

SPEIER, Mr. ALTMIRE, Mr. BRADY of Pennsylvania, Mr. DAVIS of Illinois, Ms. TITUS, Mr. PAYNE, Mr. ABERCROMBIE, Ms. WATSON, Mr. 


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TIERNEY, Mr. CONNOLLY of Virginia, Mr. OBERSTAR, Mr. WITTMAN, 

Mr. SCHIFF, Ms. SCHWARTZ, Ms. WATERS, Mr. LEWIS of Georgia, Mr. 

SPACE, Mr. TIM MURPHY of Pennsylvania, Mr. DAVIS of Alabama, Mr. 

ROGERS of Alabama, Mr. BARROW, Mr. WELCH, Mr. GRIJALVA, Mr. 

BRALEY of Iowa, Ms. LEE of California, Mr. REICHERT, Mr. CUMMINGS, 

Mr. RYAN of Ohio, Mr. CARNEY, Mr. COURTNEY, Mr. CALVERT, Ms. 

VELA ́ZQUEZ, Ms. HERSETH SANDLIN, Mr. PASTOR of Arizona, Mr. 

MCNERNEY, Mr. HARPER, Mr. MITCHELL, Mr. MILLER of North Carolina, Mrs. TAUSCHER, Ms. ZOE LOFGREN of California, Mr. PETERSON, 

Ms. WOOLSEY, Mr. THOMPSON of California, Mr. KILDEE, Mr. 

CARNAHAN, Mr. ELLSWORTH, Mr. PRICE of North Carolina, Mr. 

BONNER, Mr. WALZ, Mr. HONDA, Mr. MCCOTTER, Mr. CHILDERS, Mr. 

LUETKEMEYER, Mr. DENT, Mr. DOYLE, Mr. ROTHMAN of New Jersey, 

Ms. KILROY, Mr. LATOURETTE, Mr. ADERHOLT, Ms. ROYBAL-ALLARD, 

Ms. SLAUGHTER, Mr. GOODLATTE, Mr. COHEN, Mr. EHLERS, Ms. 

MCCOLLUM, Mr. LARSEN of Washington, Mr. SCOTT of Virginia, Mr. 

CHANDLER, Mrs. MCMORRIS RODGERS, Ms. CHU, Mr. DONNELLY of Indiana, Mr. SNYDER, Mr. ROSS, Mr. STARK, Mr. GARRETT of New Jersey, 

Mr. JONES, Mr. MCCARTHY of California, Mr. WAMP, Mr. CARSON of Indiana, Mr. CONYERS, Mr. TIAHRT, Mr. INSLEE, Mr. CAPUANO, Mr. 

KISSELL, Mr. ARCURI, Ms. PINGREE of Maine, Mr. YOUNG of Florida, 

Mrs. NAPOLITANO, Ms. LINDA T. SA ́NCHEZ of California, Ms. FUDGE, 

Mrs. BLACKBURN, Mr. KAGEN, Mr. RYAN of Wisconsin, Mr. GRIFFITH, 

Mr. MARSHALL, and Ms. EDDIE BERNICE JOHNSON of Texas 

SEPTEMBER 28, 2010 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on February 26, 2009] 

A BILL 

To amend the Public Health Service Act to provide for 

arthritis research and public health, and for other purposes. 


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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 ‘‘Arthritis Prevention, 

5 Control, and Cure Act of 2010’’. 

6 SEC. 2. ENHANCING PUBLIC HEALTH ACTIVITIES RELATED 

7 TO ARTHRITIS THROUGH THE NATIONAL AR8 THRITIS ACTION PLAN. 

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

10 (42 U.S.C. 243 et seq.) is amended by inserting after section 

11 314 the following: 

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

13 ‘‘(a) ESTABLISHMENT OF PLAN.—The Secretary may 

14 develop and implement a National Arthritis Action Plan 

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

16 this section. 

17 ‘‘(b) CONTROL, PREVENTION, AND SURVEILLANCE.— 

18 ‘‘(1) IN GENERAL.—Under the Plan, the Sec19 retary may, directly or through competitive grants to 

20 eligible entities, conduct, support, and promote the co21 ordination of research, investigations, demonstrations, 

22 training, and studies relating to the control, preven23 tion, and surveillance of arthritis and other rheu24 matic diseases. 

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


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

2 applicant receiving a grant under paragraph 

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

4 (B), provide training, technical assistance, sup5 plies, equipment, or services for the purpose of 

6 aiding the applicant in carrying out grant ac7 tivities and, for such purpose, may detail to the 

8 applicant any officer or employee of the Depart9 ment of Health and Human Services. 

10 ‘‘(B) CORRESPONDING REDUCTION IN PAY11 MENTS.—With respect to a request described in 

12 subparagraph (A), the Secretary shall reduce the 

13 amount of payments under the grant under 

14 paragraph (1) to the applicant involved by an 

15 amount equal to the costs of detailing personnel 

16 (including pay, allowances, and travel expenses) 

17 and the fair market value of any supplies, equip18 ment, or services provided by the Secretary. 

19 ‘‘(3) ARTHRITIS PREVENTION RESEARCH AT THE

20 CENTERS FOR DISEASE CONTROL AND PREVENTION.— 

21 The Secretary may provide additional grant support 

22 under this subsection to encourage the expansion of 

23 research related to the prevention and management of 

24 arthritis at the Centers for Disease Control and Pre25 vention. 


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

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

3 private nonprofit entity that demonstrates to the sat4 isfaction of the Secretary, in the application described 

5 in subsection (e), the ability of the entity to carry out 

6 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 the 

11 provision of grants to eligible entities, to support, de12 velop, and implement education initiatives and out13 reach strategies appropriate for arthritis and other 

14 rheumatic diseases. 

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

16 and strategies implemented under paragraph (1) may 

17 include public awareness campaigns, public service 

18 announcements, and community partnership work19 shops, as well as programs targeted to businesses and 

20 employers, managed care organizations, and health 

21 care providers. 

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

23 the Secretary— 

24 ‘‘(A) may emphasize prevention, early diag25 nosis, and appropriate management of arthritis, 


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1 and opportunities for effective patient self-man2 agement; and 

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

5 ‘‘(4) COLLABORATION.—In carrying out this sub6 section, the Secretary shall consult and collaborate 

7 with stakeholders from the public, private, and non8 profit sectors with expertise relating to arthritis con9 trol, prevention, and treatment. 

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

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

12 private nonprofit entity that demonstrates to the sat13 isfaction of the Secretary, in the application described 

14 in subsection (e), the ability of the entity to carry out 

15 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 enVerDate Mar 15 2010 01:37 Sep 29, 2010 Jkt 089200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6203 E:\BILLS\H1210.RH H1210

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1 tity that submits to the Secretary an application at 

2 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 enti22 ty has with the community and local entities 

23 and how the entity plans to involve such commu24 nity and local entities in carrying out the activi25 ties described in paragraph (1). 


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

2 amounts received under a grant awarded under this 

3 subsection to conduct, in a manner consistent with 

4 the comprehensive arthritis control and prevention 

5 plan submitted by the entity in the application under 

6 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 care; 

11 ‘‘(B) public information and education pro12 grams; and 

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

14 improvement activities for health professionals, 

15 including allied health personnel. 

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

17 subsection, the term ‘eligible entity’ means a State or 

18 an Indian tribe. 

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

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

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

22 in such manner, and containing such agreements, assur23 ances, and information as the Secretary may require, in24 cluding a description of how funds received under a grant 

25 awarded under such subsection will supplement or fulfill 


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1 unmet needs identified in a comprehensive arthritis control 

2 and prevention plan of the entity. 

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

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

5 the meaning given such term in section 4(e) of the In6 dian Self-Determination and Education Assistance 

7 Act. 

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

9 50 States, the District of Columbia, the Common10 wealth of Puerto Rico, the Virgin Islands, American 

11 Samoa, Guam, and the Northern Mariana Islands. 

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

13 are authorized to be appropriated to carry out this sec14 tion— 

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

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

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

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

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

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

21 HUMAN SERVICES WITH RESPECT TO JUVE22 NILE ARTHRITIS AND RELATED CONDITIONS. 

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

24 (42 U.S.C. 284 et seq.) is amended by adding at the end 

25 the following: 


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1 ‘‘SEC. 409K. JUVENILE ARTHRITIS AND RELATED CONDI2 TIONS. 

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

4 with the Director of NIH, may expand and intensify pro5 grams of the National Institutes of Health with respect to 

6 research and related activities designed to improve the out7 comes and quality of life for children with arthritis and 

8 other rheumatic diseases. 

9 ‘‘(b) COORDINATION.—The Director of NIH may co10 ordinate the programs referred to in subsection (a) and con11 sult with additional Federal officials, voluntary health asso12 ciations, medical professional societies, and private entities, 

13 as appropriate.’’. 

14 SEC. 4. INVESTMENT IN TOMORROW’S PEDIATRIC 

15 RHEUMATOLOGISTS. 

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

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

18 at the end the following: 

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

20 ‘‘In order to ensure an adequate future supply of pedi21 atric rheumatologists, the Secretary, in consultation with 

22 the Administrator of the Health Resources and Services Ad23 ministration, may award institutional training grants to 

24 institutions to support pediatric rheumatology training.’’. 


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Union Calendar No. 378 

111TH CONGRESS 

2D SESSION H. R. 1210 

[Report No. 111–638] 

A BILL 

To amend the Public Health Service Act to provide 

other purposes. for arthritis research and public health, and for 

SEPTEMBER 28, 2010 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


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