IB 

Union Calendar No. 153 

117TH CONGRESS 

1ST SESSION H. R. 1193 

[Report No. 117–212] 

To amend title IV of the Public Health Service Act to direct the Director 

of the National Institutes of Health, in consultation with the Director 

of the National Heart, Lung, and Blood Institute, shall establish a 

program under which the Director of the National Institutes of Health 

shall support or conduct research on valvular heart disease, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 22, 2021 

Mr. BARR introduced the following bill; which was referred to the Committee 

on Energy and Commerce 

DECEMBER 8, 2021 

Additional sponsors: Miss RICE of New York, Mr. FITZPATRICK, Mr. GUTHRIE, Mr. KILMER, Mr. RODNEY DAVIS of Illinois, Mr. SMITH of New Jersey, Mr. TIMMONS, Mrs. WAGNER, Mr. HUIZENGA, Mr. ARRINGTON, Mr. 

MCHENRY, Mr. TAYLOR, Mr. ROGERS of Kentucky, Mr. COMER, Mr. 

GOODEN of Texas, Mr. DAVIDSON, Mr. RUTHERFORD, Mr. SMUCKER, 

Mr. JOYCE of Pennsylvania, Mr. MEEKS, Mr. FERGUSON, Mr. 

KRISHNAMOORTHI, Mr. REED, Mr. BOST, Mr. NEWHOUSE, Mr. PALAZZO, 

Mr. AUSTIN SCOTT of Georgia, Mr. DIAZ-BALART, Mr. MURPHY of North 

Carolina, Mr. JOYCE of Ohio, Mr. YARMUTH, Ms. TENNEY, Mr. 

LOUDERMILK, Mr. STAUBER, Mr. TONKO, Mr. WELCH, Mr. FORTENBERRY, Mr. STIVERS, Mr. BUCSHON, Mr. VALADAO, Mr. PETERS, Mr. 

ROSE, Mr. GONZALEZ of Ohio, Mr. LONG, Mr. CARTER of Georgia, Mr. 

VAN DREW, Mr. KINZINGER, Mr. NORMAN, Mr. WENSTRUP, Mr. JACKSON, Mr. YOUNG, Mr. PERLMUTTER, Ms. DEAN, Mr. MEUSER, Mr. 

SUOZZI, Mr. MCCAUL, Mr. PENCE, Mr. WITTMAN, Mrs. CAROLYN B. 

MALONEY of New York, Mr. WOMACK, Mr. LUETKEMEYER, Mr. SIMPSON, Ms. STEFANIK, Mr. HILL, Mr. KILDEE, Mr. DUNCAN, Mr. DUNN, 

Mrs. BEATTY, Ms. DEGETTE, Mr. VARGAS, Mr. GOTTHEIMER, Mr. 

MCKINLEY, Mr. FLEISCHMANN, Mr. ZELDIN, Mr. MORELLE, Mr. 

BUTTERFIELD, Mr. GALLAGHER, Mr. BISHOP of Georgia, Ms. 


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BARRAGA ́N, Ms. KUSTER, Mr. PANETTA, Mrs. MILLER of West Virginia, 

Mr. GARBARINO, Mr. MOONEY, Mr. BACON, Mr. SMITH of Missouri, Mrs. 

TORRES of California, Mr. CALVERT, Mr. ADERHOLT, Mr. LATURNER, 

Mr. LAHOOD, Mr. POSEY, Mr. BABIN, Mr. HOLLINGSWORTH, Ms. 

WATERS, Mr. LAMALFA, Mr. STEIL, Ms. GARCIA of Texas, Mr. GREEN

of Texas, Mrs. LESKO, Mr. CICILLINE, Ms. JACKSON LEE, Ms. HERRERA

BEUTLER, Mr. BERA, Mr. BANKS, Mr. TRONE, Mrs. MCBATH, Mrs. 

LURIA, Mr. HIGGINS of Louisiana, Mr. WILLIAMS of Texas, Mr. LUCAS, 

Mr. KUSTOFF, Mr. RICE of South Carolina, Mr. MAST, Mr. BRENDAN

F. BOYLE of Pennsylvania, Mr. MEIJER, Mrs. MURPHY of Florida, Mr. 

MOORE of Utah, Mr. CARTWRIGHT, Mr. KIM of New Jersey, Mr. 

QUIGLEY, Ms. STEVENS, Mr. DAVID SCOTT of Georgia, Ms. BLUNT

ROCHESTER, Mr. BALDERSON, Mr. NORCROSS, Mr. LAMBORN, Mr. BILIRAKIS, Mr. COLE, Mrs. BICE of Oklahoma, Mr. CURTIS, Ms. ROSS, Mr. 

ARMSTRONG, Mr. SESSIONS, Mr. HARDER of California, Mr. DELGADO, 

Mr. GRAVES of Missouri, Mr. VELA, Mrs. KIM of California, Mr. HUDSON, Ms. CRAIG, Ms. SCHRIER, Mr. MANN, Mr. EMMER, Mr. JOHNSON

of Ohio, Mrs. HINSON, Mr. ALLEN, Ms. SALAZAR, Mr. C. SCOTT FRANKLIN of Florida, Mr. KHANNA, Mrs. MILLER-MEEKS, Mr. JOHNSON of 

Louisiana, Mr. CLEAVER, Ms. WILLIAMS of Georgia, Ms. MATSUI, Mr. 

PAPPAS, Mr. MICHAEL F. DOYLE of Pennsylvania, Mr. RUIZ, Mr. 

STEUBE, Mrs. WALORSKI, Mr. SCHNEIDER, Mr. O’HALLERAN, Mr. 

MULLIN, Mr. LIEU, Mr. LAMB, Mr. BURGESS, Mr. AUCHINCLOSS, Mr. 

AMODEI, Ms. STANSBURY, Mr. LYNCH, Ms. CHENEY, Ms. ROYBALALLARD, Mrs. FLETCHER, Mrs. LEE of Nevada, Ms. MALLIOTAKIS, Mr. 

SOTO, Mr. GUEST, Mr. RUSH, Mr. WALBERG, Ms. LETLOW, Ms. 

WEXTON, Mr. CROW, and Mr. CASTEN

DECEMBER 8, 2021 

Reported with amendments, 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 22, 2021] 

A BILL 

To amend title IV of the Public Health Service Act to 

direct the Director of the National Institutes of Health, 

in consultation with the Director of the National Heart, 

Lung, and Blood Institute, shall establish a program 

under which the Director of the National Institutes of 

Health shall support or conduct research on valvular 

heart disease, 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 ‘‘Cardiovascular Ad5 vances in Research and Opportunities Legacy Act’’. 

6 SEC. 2. GRANTS FOR VALVULAR HEART DISEASE RE7 SEARCH. 

8 Subpart 2 of part C of title IV of the Public Health 

9 Service Act (42 U.S.C. 285b et seq.) is amended by inserting 

10 after section 424C (42 U.S.C. 285b–7c) the following: 

11 ‘‘SEC. 424D. GRANTS FOR VALVULAR HEART DISEASE RE12 SEARCH. 

13 ‘‘(a) IN GENERAL.—The Director of the National In14 stitutes of Health, in consultation with the Director of the 

15 Institute, shall support or conduct research regarding val16 vular heart disease. 

17 ‘‘(b) SUPPORT GUIDELINES.—The distribution of 

18 funding authorized under subsection (a) may be used to 

19 pursue the following outcomes: 

20 ‘‘(1) Using precision medicine and advanced 

21 technological imaging to generate data on individuals 

22 with valvular heart disease. 

23 ‘‘(2) Identifying and developing a cohort of indi24 viduals with valvular heart disease and available 

25 data. 


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1 ‘‘(3) Corroborating data generated through clin2 ical trials to develop a prediction model to distin3 guish individuals at high risk for sudden cardiac ar4 rest or sudden cardiac death from valvular heart dis5 ease. 

6 ‘‘(4) For other outcomes needed to acquire nec7 essary data on valvular heart disease. 

8 ‘‘(c) MITRAL VALVE PROLAPSE WORKSHOP.—Not later 

9 than one year after the date of the enactment of this section, 

10 the Director of the Institute shall convene a workshop com11 posed of subject matter experts and stakeholders to identify 

12 research needs and opportunities to develop prescriptive 

13 guidelines for treatment of individuals with mitral valve 

14 prolapse. 

15 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the 

16 purpose of carrying out this section, there is authorized to 

17 be appropriated $20,000,000 for each of fiscal years 2022 

18 through 2026.’’. 

19 SEC. 3. PROGRAMS OF CENTERS FOR DISEASE CONTROL 

20 AND PREVENTION. 

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

22 (42 U.S.C. 243 et seq.) is amended by inserting after section 

23 312 the following section: 


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1 ‘‘SEC. 312A. PREVENTION OF SUDDEN CARDIAC DEATH AS A 

2 RESULT OF VALVULAR HEART DISEASE. 

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

4 Director of the Centers for Disease Control and Prevention, 

5 may carry out projects to increase education, awareness, 

6 or diagnosis of valvular heart disease and to reduce the inci7 dence of sudden cardiac death caused by valvular heart dis8 ease. Such projects may be carried out by the Secretary di9 rectly or through awards of grants or contracts to public 

10 or nonprofit private entities. The Secretary may directly 

11 (or through such awards) provide technical assistance with 

12 respect to the planning, development, and operation of such 

13 projects. 

14 ‘‘(b) CERTAIN ACTIVITIES.—Upon availability of ap15 plicable data, projects carried out under subsection (a) may 

16 include— 

17 ‘‘(1) continuing the activities at the Division for 

18 Heart Disease and Stroke Prevention, including those 

19 related to valvular heart disease; 

20 ‘‘(2) broadening the awareness of the public con21 cerning the risk factors for, the symptoms of, and the 

22 public health consequences of valvular heart disease; 

23 and 

24 ‘‘(3) enhancing surveillance of out-of-hospital 

25 cardiac arrests to improve patient outcomes. 


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1 ‘‘(c) GRANT PRIORITIZATION.—The Secretary may, in 

2 awarding grants or entering into contracts pursuant to sub3 section (a), give priority to entities seeking to carry out 

4 projects that target populations most impacted by valvular 

5 heart disease. 

6 ‘‘(d) COORDINATION OF ACTIVITIES.—The Secretary 

7 shall ensure that activities under this section are coordi8 nated, as appropriate, with other agencies of the Public 

9 Health Service that carry out activities regarding valvular 

10 heart disease. 

11 ‘‘(e) BEST PRACTICES.—The Secretary, acting through 

12 the Director of the Centers for Disease Control and Preven13 tion, shall— 

14 ‘‘(1) collect and analyze the findings of research 

15 conducted with respect to valvular heart disease; and 

16 ‘‘(2) taking into account such findings, publish 

17 on the website of the Centers for Disease Control and 

18 Prevention best practices for physicians and other 

19 health care providers who provide care to individuals 

20 with valvular heart disease.’’. 

Amend the title so as to read: ‘‘A bill to amend title 

IV of the Public Health Service Act to direct the Director 

of the National Institutes of Health, in consultation with 

the Director of the National Heart, Lung, and Blood Institute, to establish a program under which the Director 

of the National Institutes of Health shall support or conVerDate Sep 11 2014 02:12 Dec 09, 2021 Jkt 029200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H1193.RH H1193

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duct research on valvular heart disease, and for other 

purposes.’’. 


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Union Calendar No. 153 

117TH CONGRESS 

1ST SESSION H. R. 1193 

[Report No. 117–212] 

A BILL 

To amend title IV of the Public Health Service Act 

disease, and for other purposes. support or conduct research on valvular heart tor of the National Institutes of Health shall shall establish a program under which the Directhe National Heart, Lung, and Blood Institute, of Health, in consultation with the Director of to direct the Director of the National Institutes 

DECEMBER 8, 2021 

Reported with amendments, committed to the Committee 

dered to be printed of the Whole House on the State of the Union, and orVerDate Sep 11 2014 02:12 Dec 09, 2021 Jkt 029200 PO 00000 Frm 00008 Fmt 6651 Sfmt 6651 E:\BILLS\H1193.RH H1193

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