I 

118TH CONGRESS 

1ST SESSION H. R. 6743 

To amend the Public Health Service Act to include public awareness about 

menopause and related chronic conditions, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 13, 2023 

Ms. BLUNT ROCHESTER (for herself and Mrs. HARSHBARGER) introduced the 

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

A BILL 

To amend the Public Health Service Act to include public 

awareness about menopause and related chronic conditions, 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. 

4 This Act may be cited as the ‘‘We’re Addressing the 

5 Realities of Menopause Act of 2023’’ or the ‘‘WARM Act 

6 of 2023’’. 

7 SEC. 2. MENOPAUSE PUBLIC AWARENESS PROGRAM. 

8 (a) IN GENERAL.—Section 317 of the Public Health 

9 Service Act (42 U.S.C. 247b) is amended by adding at 

10 the end the following new subsection: 

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1 ‘‘(o) MENOPAUSE PUBLIC AWARENESS PROGRAM.— 

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

3 through the Director of the Centers for Disease 

4 Control and Prevention, shall carry out a national 

5 program to increase awareness of— 

6 ‘‘(A) symptoms and trajectories of changes 

7 across the menopausal transition and the post8 menopausal transition; 

9 ‘‘(B) related chronic conditions; and 

10 ‘‘(C) the entire range of treatment and 

11 therapy options that may, consistent with Fed12 eral law, be prescribed by a health care provider 

13 for those symptoms, changes, and conditions. 

14 ‘‘(2) CONSULTATION.—In carrying out the na15 tional campaign required by paragraph (1), the Sec16 retary shall consult with the Director of the Na17 tional Institutes of Health, the Director of the Na18 tional Institute on Aging, the Administrator of the 

19 Health Resources and Services Administration, the 

20 Director of the Agency for Healthcare Research and 

21 Quality, the Under Secretary for Health of the De22 partment of Veterans Affairs, the Director of the 

23 Defense Health Agency, the Director of the Indian 

24 Health Service, health care providers, public health 

25 associations, nonprofit organizations that promote 

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1 the health and quality of life of women during mid2 life and beyond, and nonprofit organizations with ex3 pertise in menopause research and advocacy, to so4 licit input on evidence-informed information for pol5 icy development and program development, imple6 mentation, and evaluation. 

7 ‘‘(3) REQUIREMENTS.—The national campaign 

8 required by paragraph (1) may— 

9 ‘‘(A) include the use of evidence-informed 

10 media and public engagement; 

11 ‘‘(B) include the development of edu12 cational programs, materials, and public service 

13 announcements; 

14 ‘‘(C) include the development of culturally 

15 and linguistically competent resources tailored 

16 for— 

17 ‘‘(i) communities or groups with more 

18 severe or frequent symptoms of menopause 

19 or lower rates of treatment for symptoms 

20 of menopause; 

21 ‘‘(ii) rural communities; and 

22 ‘‘(iii) other communities as the Sec23 retary determines appropriate; 

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1 ‘‘(D) include the dissemination of edu2 cational programs, materials, and public service 

3 announcements to— 

4 ‘‘(i) health care providers, health care 

5 facilities (including primary care providers, 

6 community health centers, rural health 

7 clinics, obstetricians, and gynecologists), 

8 and State and local public health depart9 ments; and 

10 ‘‘(ii) other entities as the Secretary 

11 determines appropriate to increase aware12 ness as described in paragraph (1); 

13 ‘‘(E) be complementary to, and coordi14 nated with, any other Federal efforts with re15 spect to menopause education and treatment; 

16 and 

17 ‘‘(F) include message testing to identify 

18 culturally competent and effective messages for 

19 behavioral change. 

20 ‘‘(4) OPTIONS FOR DISSEMINATION OF INFOR21 MATION.—The national campaign required by para22 graph (1) may— 

23 ‘‘(A) include the use of— 

24 ‘‘(i) social media, television, radio, 

25 print, the internet, and other media; 

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1 ‘‘(ii) in-person or virtual public com2 munications; and 

3 ‘‘(iii) licensed health care providers 

4 and members of target communities or 

5 groups specified in paragraph (3)(C); 

6 ‘‘(B) be targeted to specific groups and 

7 communities specified in paragraph (3)(C); and 

8 ‘‘(C) be carried out through grants or co9 operative agreements to private nonprofit enti10 ties with a history of developing and imple11 menting similar campaigns. 

12 ‘‘(5) AUTHORIZATION OF APPROPRIATIONS.—Of 

13 amounts made available to the Secretary for other 

14 purposes, the Secretary may use up to $70,000,000 

15 of such amounts for the period of fiscal years 2025 

16 through 2028 for the purpose of carrying out the 

17 program under this section.’’. 

18 (b) REPORT TO CONGRESS.—Not later than the end 

19 of calendar year 2025, the Secretary of Health and 

20 Human Services shall submit to the Committee on Energy 

21 and Commerce, the Committee on Ways and Means, the 

22 Committee on Veterans’ Affairs, and the Committee on 

23 Oversight and Reform of the House of Representatives 

24 and the Committee on Health, Education, Labor, and 

25 Pensions, the Committee on Finance, the Committee on 

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1 Homeland Security and Governmental Affairs, and the 

2 Committee on Veterans’ Affairs of the Senate a report 

3 that contains— 

4 (1) a qualitative assessment of the public 

5 awareness program under section 317(o) of the Pub6 lic Health Service Act, as added by subsection (a); 

7 and 

8 (2) a description of the activities conducted 

9 under such campaign. 

10 SEC. 3. MENOPAUSE EDUCATION AND TRAINING GRANTS. 

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

12 (42 U.S.C. 294 et seq.) is amended by inserting after sec13 tion 757 (42 U.S.C. 294f) the following: 

14 ‘‘SEC. 758. MENOPAUSE EDUCATION AND TRAINING 

15 GRANTS. 

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

17 the Administrator of the Health Resources and Services 

18 Administration, in consultation with the Director of the 

19 National Institute on Aging, the directors of other insti20 tutes, centers, and offices of the National Institutes of 

21 Health as determined appropriate by the Secretary, the 

22 Director of the Agency for Healthcare Research and Qual23 ity, the Under Secretary for Health of the Department 

24 of Veterans Affairs, the Director of the Defense Health 

25 Agency, and the Director of the Indian Health Service, 

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1 shall award grants to eligible entities for the purposes de2 scribed in subsection (b). 

3 ‘‘(b) USE OF FUNDS.—A grant received under this 

4 section shall be used for any of the following: 

5 ‘‘(1) Training (including for individuals com6 pleting a residency, fellowship, or other clinical 

7 training for licensure) for physicians, nurse practi8 tioners, physician assistants, registered nurses, and 

9 pharmacists to improve communication and provider 

10 preparedness in the management of menopausal 

11 symptoms and related chronic conditions. 

12 ‘‘(2) Establishing, maintaining, or improving 

13 academic units or programs that provide training for 

14 students or faculty, including through clinical experi15 ences and research, to improve the ability to be able 

16 to recognize, diagnose, and treat menopause symp17 toms and related chronic conditions. 

18 ‘‘(3) Developing evidence-informed practices or 

19 recommendations for the design of units or pro20 grams referred to in paragraph (2), including cur21 riculum content standards. 

22 ‘‘(c) ELIGIBILITY.—To be eligible to receive a grant 

23 under this section, an entity shall be located in the United 

24 States and— 

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1 ‘‘(1) a school of medicine or osteopathic medi2 cine, a school of nursing (as defined in section 801), 

3 a physician assistant training program, a school of 

4 pharmacy, an accredited public or nonprofit private 

5 hospital, or an accredited medical residency pro6 gram; or 

7 ‘‘(2) a public or private nonprofit entity which 

8 the Secretary has determined is capable of carrying 

9 out the program or activities to be funded through 

10 the grant. 

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

12 grants under this section, the Secretary shall ensure, to 

13 the greatest extent possible, that such grants are equitably 

14 distributed among the geographical regions of the United 

15 States. 

16 ‘‘(e) PARTNERSHIP REQUIRED.—As a condition on 

17 receipt of a grant under this section, an eligible entity 

18 shall agree to carry out the program or activities to be 

19 funded through the grant in partnership with one or more 

20 organizations such as an education accrediting organiza21 tion (such as the Liaison Committee on Medical Edu22 cation, the Accreditation Council for Graduate Medical 

23 Education, the Commission on Osteopathic College Ac24 creditation, the Accreditation Commission for Education 

25 in Nursing, the Commission on Collegiate Nursing EduVerDate Sep 11 2014 00:05 Dec 30, 2023 Jkt 049200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H6743.IH H6743
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1 cation, the Accreditation Council for Pharmacy Education, 

2 or the Accreditation Review Commission on Education for 

3 the Physician Assistant). 

4 ‘‘(f) APPLICATION.— 

5 ‘‘(1) IN GENERAL.—To seek a grant under this 

6 section, an eligible entity shall submit an application 

7 to the Secretary, at such time, in such manner, and 

8 containing such information as may be specified by 

9 the Secretary. 

10 ‘‘(2) MINIMUM CONTENTS.—At a minimum, an 

11 application under paragraph (1) shall include— 

12 ‘‘(A) a description of how the eligible enti13 ty intends to implement the activities required 

14 by subsection (b); and 

15 ‘‘(B) a description of benchmarks to be 

16 used to measure the success of the implementa17 tion of such activities. 

18 ‘‘(g) ADMINISTRATIVE PROVISIONS.— 

19 ‘‘(1) PERIOD OF GRANTS.—A grant awarded to 

20 an eligible entity under this section shall be for the 

21 period beginning on the date of the award and end22 ing on the date that is 5 years after the establish23 ment of the grant program under this section. 

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1 ‘‘(2) PRIORITY.—In awarding grants under this 

2 section, the Secretary shall give priority to eligible 

3 entities that— 

4 ‘‘(A) demonstrate sufficient size, scope, 

5 and capacity to carry out the training described 

6 in subsection (b) with respect to an appropriate 

7 number of physicians, nurse practitioners, phy8 sician assistants, registered nurses, and phar9 macists each year to meet the needs of the area 

10 to be served; 

11 ‘‘(B) demonstrate experience in training 

12 providers to practice team-based care that inte13 grates menopause training and treatment proto14 cols with primary care in community-based set15 tings; and 

16 ‘‘(C) have the capacity to expand access to 

17 menopause training and treatment services in 

18 areas with demonstrated need, as determined by 

19 the Secretary, such as Tribal, rural, or other 

20 underserved communities. 

21 ‘‘(h) DATA SUBMISSION; REPORTING.— 

22 ‘‘(1) DATA SUBMISSION BY GRANTEES.—Not 

23 later than 90 days after the first year of a training 

24 program funded through a grant under this section, 

25 and not later than 90 days after each subsequent 

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1 year of such training program during which such 

2 funding continues, the recipient of the grant shall 

3 submit to the Secretary such data as the Secretary 

4 may require for purposes of preparing the report 

5 under paragraph (2). 

6 ‘‘(2) REPORT TO CONGRESS.— Not later than 

7 1 year after receipt under paragraph (1) of data 

8 from grantees for a year, the Secretary shall submit 

9 to the Committee on Energy and Commerce, the 

10 Committee on Ways and Means, the Committee on 

11 Veterans’ Affairs, and the Committee on Oversight 

12 and Reform of the House of Representatives and the 

13 Committee on Health, Education, Labor, and Pen14 sions, the Committee on Finance, the Committee on 

15 Homeland Security and Governmental Affairs, and 

16 the Committee on Veterans’ Affairs of the Senate a 

17 report that includes— 

18 ‘‘(A) the findings and conclusions of the 

19 Secretary with respect to menopause curricula 

20 in schools and training programs receiving 

21 funding through a grant under this section; 

22 ‘‘(B) an assessment of the benefits of the 

23 grant program under this section for— 

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1 ‘‘(i) establishing best practices for 

2 health care providers to treat patients in 

3 the clinical setting; 

4 ‘‘(ii) providing greater awareness of 

5 menopause and related chronic conditions 

6 to— 

7 ‘‘(I) physicians and other health 

8 care professionals; and 

9 ‘‘(II) patients of such physicians 

10 and professionals; and 

11 ‘‘(iii) improving the quality, quantity, 

12 and distribution of menopause treatment 

13 and training; and 

14 ‘‘(C) a description of the benefits of, and 

15 barriers to, integrating menopause curricula at 

16 health professions schools and training pro17 grams. 

18 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—Of 

19 amounts made available to the Secretary for other pur20 poses, the Secretary may use up to $31,700,000 of such 

21 amounts for the period of fiscal years 2025 through 2028 

22 for the purpose of carrying out the program under this 

23 section.’’. 

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1 SEC. 4. REGIONAL CENTERS OF EXCELLENCE IN MENO2 PAUSE EDUCATION. 

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

4 (42 U.S.C. 294 et seq.) is amended by inserting after sec5 tion 758 (as added by section 3) the following: 

6 ‘‘SEC. 758A. REGIONAL CENTERS OF EXCELLENCE IN MENO7 PAUSE EDUCATION. 

8 ‘‘(a) IN GENERAL.—The Secretary, in consultation 

9 with such other officials as the Secretary determines ap10 propriate, shall award cooperative agreements to eligible 

11 entities for— 

12 ‘‘(1) the designation of such entities as Re13 gional Centers of Excellence in Menopause Edu14 cation; and 

15 ‘‘(2) the support of such Regional Centers of 

16 Excellence to enhance and improve how health pro17 fessionals are educated in menopause through devel18 opment, evaluation, and distribution of evidence19 based curricula for health professions schools. 

20 ‘‘(b) SELECTION OF REGIONAL CENTERS OF EXCEL21 LENCE.— 

22 ‘‘(1) ELIGIBLE ENTITIES.—To be eligible to re23 ceive a cooperative agreement under subsection (a), 

24 an entity shall— 

25 ‘‘(A) be an entity offering education to stu26 dents in various health professions, such as— 

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1 ‘‘(i) a health system; 

2 ‘‘(ii) a teaching hospital; 

3 ‘‘(iii) a medical school, a school of 

4 nursing (as defined in section 801), a 

5 school offering a physician assistant edu6 cation program, or a school of pharmacy; 

7 and 

8 ‘‘(iv) any other health profession 

9 school, school of public health, or institu10 tion of higher education engaged in an as11 pect of the management of menopause; 

12 ‘‘(B) be accredited by the appropriate edu13 cational accreditation body; 

14 ‘‘(C) demonstrate an existing strategy, and 

15 have in place a plan for continuing such strat16 egy, or have a proposed strategy, to implement 

17 a curriculum based on best practices for meno18 pause treatment and education; and 

19 ‘‘(D) provide to the Secretary such infor20 mation, at such time, and in such manner, as 

21 the Secretary may require. 

22 ‘‘(2) DIVERSITY.—In awarding cooperative 

23 agreements under subsection (a), the Secretary 

24 shall— 

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1 ‘‘(A) take into account regional differences 

2 among eligible entities; and 

3 ‘‘(B) make an effort to ensure geographic 

4 diversity. 

5 ‘‘(c) DISSEMINATION OF INFORMATION.— 

6 ‘‘(1) PUBLIC POSTING.—The Secretary shall 

7 make information provided to the Secretary under 

8 subsection (b)(1)(D) publicly available on the 

9 website of the Department of Health and Human 

10 Services. 

11 ‘‘(2) EVALUATION.—The Secretary shall— 

12 ‘‘(A) evaluate each project carried out by a 

13 Regional Center of Excellence in Menopause 

14 Education through funding received under this 

15 section; and 

16 ‘‘(B) disseminate the results of each such 

17 evaluation to appropriate public and private en18 tities. 

19 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—Of 

20 amounts made available to the Secretary for other pur21 poses, the Secretary may use such sums as may be nec22 essary for the period of fiscal years 2025 through 2028 

23 for the purpose of carrying out the program under this 

24 section.’’. 

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