I 

110TH CONGRESS 

1ST SESSION H. R. 4836 

To reduce the incidence, progression, and impact of diabetes and its 

complications and establish the position of National Diabetes Coordinator. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 18, 2007 

Mr. INSLEE (for himself and Mr. WYNN) introduced the following bill; which 

was referred to the Committee on Energy and Commerce, and in addition 

to the Committees on Oversight and Government Reform, Agriculture, 

and Education and Labor, for a period to be subsequently determined by 

the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To reduce the incidence, progression, and impact of diabetes 

and its complications and establish the position of National Diabetes Coordinator. 

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 ‘‘National Diabetes Co5 ordinator Act of 2008’’. 

6 SEC. 2. PURPOSE. 

7 It is the purpose of this Act to provide leadership for 

8 the development and implementation of a national stratVerDate Aug 31 2005 05:02 Dec 20, 2007 Jkt 069200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H4836.IH H4836

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1 egy for reducing the incidence, progression, and impact 

2 of diabetes and its complications. 

3 SEC. 3. NATIONAL DIABETES COORDINATOR. 

4 (a) ESTABLISHMENT.—Title III of the Public Health 

5 Service Act (42 U.S.C. 241 et seq.) is amended by insert6 ing after section 330C the following: 

7 ‘‘SEC. 330C–1. NATIONAL DIABETES COORDINATOR. 

8 ‘‘(a) IN GENERAL.— 

9 ‘‘(1) ESTABLISHMENT.—There is established 

10 within the Office of the Secretary of the Department 

11 of Health and Human Services the position of Na12 tional Diabetes Coordinator. 

13 ‘‘(2) APPOINTMENT.—The Coordinator shall be 

14 appointed by the Secretary in consultation with the 

15 President (or the President’s designee) and shall re16 port directly to the Secretary. 

17 ‘‘(3) QUALIFICATIONS.—The Coordinator shall 

18 be a nationally recognized individual with experience 

19 in diabetes-related issues across private and public 

20 sectors. 

21 ‘‘(4) STAFF.—The Secretary shall provide the 

22 Coordinator with appropriate staff, administrative 

23 support, and such other resources as may be nec24 essary for the Coordinator to carry out the duties 

25 described in subsection (c). 


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1 ‘‘(b) MISSION.—In carrying out the duties described 

2 in subsection (c), the Coordinator shall adhere to the mis3 sion of— 

4 ‘‘(1) preventing diabetes in those individuals 

5 and populations at risk for the disease; 

6 ‘‘(2) increasing detection of diabetes; 

7 ‘‘(3) maximizing the return on diabetes re8 search; 

9 ‘‘(4) increasing diabetes control efforts; 

10 ‘‘(5) improving the standard of diabetes care 

11 available; and 

12 ‘‘(6) supplementing, but not supplanting, exist13 ing diabetes research programs. 

14 ‘‘(c) DUTIES OF THE COORDINATOR.—The Coordi15 nator shall— 

16 ‘‘(1) serve as the principal advisor to the Sec17 retary on ways to save lives, improve the quality of 

18 life, and save money for taxpayers and patients by 

19 reducing the rates of diabetes and its complications; 

20 ‘‘(2) develop a measurement for the incidence of 

21 diabetes; 

22 ‘‘(3) develop and coordinate implementation of 

23 a national strategy to reduce the incidence, progres24 sion, and impact of diabetes and its complications in 

25 the United States; 


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1 ‘‘(4) provide leadership and coordination be2 tween government agencies and across the public 

3 and private sectors to ensure that diabetes-related 

4 programs and policies of the Department of Health 

5 and Human Services are coordinated internally and 

6 with those of relevant Federal, State, and local agen7 cies with a goal of avoiding duplication of effort, 

8 maximizing impact, and marshaling all government 

9 resources; and 

10 ‘‘(5) coordinate public and private resources to 

11 develop and lead a public awareness campaign re12 garding the prevention and control of diabetes and 

13 its complications. 

14 ‘‘(d) COOPERATION.—The head of any Federal de15 partment or agency, including the Office of Minority 

16 Health, and the head of any public or private agency or 

17 entity that receives Federal funds related to diabetes or 

18 diabetes-related complications, including the Diabetes 

19 Mellitus Interagency Coordinating Committee and the Na20 tional Diabetes Education Program within the National 

21 Institutes of Health, shall, to the extent possible, give full 

22 cooperation to the Coordinator. 

23 ‘‘(e) NO NEW RIGHTS OR BENEFITS.—This section 

24 is not intended to, and does not, create any right or ben25 efit, substantive or procedural, enforceable at law or in 


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1 equity against the United States, its agencies, its entities 

2 or instrumentalities, its officers or employees, or any other 

3 person. 

4 ‘‘(f) DEFINITIONS.—In this section: 

5 ‘‘(1) The term ‘Coordinator’ means the Na6 tional Diabetes Coordinator. 

7 ‘‘(2) The term ‘diabetes’ means diabetes 

8 mellitus and includes type 1 diabetes, type 2 diabe9 tes, and gestational diabetes.’’. 

10 (b) EXECUTIVE SCHEDULE.—Section 5315 of title 5, 

11 United States Code, is amended by adding at the end the 

12 following new item: 

13 ‘‘National Diabetes Coordinator General, De14 partment of Health and Human Services.’’ 

15 (c) BEGINNING OF OPERATIONS.—Not later than 90 

16 days after the date of the enactment of this Act, the Na17 tional Diabetes Coordinator shall begin operations under 

18 section 330C–1 of the Public Health Service Act, as added 

19 by subsection (a). 

20 SEC. 4. REPORTS TO THE PRESIDENT. 

21 (a) NATIONAL STRATEGY.— 

22 (1) IN GENERAL.—Not later than 180 days 

23 after the date of the enactment of this Act, the Sec24 retary of Health and Human Services, in consulta25 tion with the National Diabetes Coordinator, shall 


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1 report to the President on a national strategy to re2 duce the incidence, progression, and impact of diabe3 tes and its complications in the United States. 

4 (2) UPDATES.—The Secretary of Health and 

5 Human Services, in consultation with the National 

6 Diabetes Coordinator, shall submit biennial updates 

7 to the report required by paragraph (1). 

8 (b) REPORT BY OPM.—Not later than 180 days after 

9 the date of the enactment of this Act, the Director of the 

10 Office of Personnel Management shall report to the Presi11 dent through the Secretary of Health and Human Services 

12 on ways that the Federal Government can build into its 

13 negotiations with health plans appropriate standards and 

14 activities to reduce risk factors for diabetes and encourage 

15 prevention and early treatment of diabetes and its com16 plications. 

17 (c) REPORT BY SECRETARY OF AGRICULTURE.—Not 

18 later than 180 days after the date of the enactment of 

19 this Act, the Secretary of Agriculture shall report to the 

20 President on ways in which food programs and nutritional 

21 support can be better targeted at concerns specific to 

22 those at risk for diabetes or those already diagnosed with 

23 diabetes whose complications could be reduced by more ef24 fective diet. 


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1 (d) DEFINITION.—In this section, the term ‘‘diabe2 tes’’ means diabetes mellitus and includes type 1 diabetes, 

3 type 2 diabetes, and gestational diabetes. 

Æ 


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