IB 

Union Calendar No. 373 

111TH CONGRESS 

2D SESSION H. R. 5354 

[Report No. 111–633] 

To establish an Advisory Committee on Gestational Diabetes, to provide 

grants to better understand and reduce gestational diabetes, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 20, 2010 

Mr. ENGEL (for himself, Mr. BURGESS, Ms. DEGETTE, Mr. CASTLE, Mr. 

GENE GREEN of Texas, Mr. KING of New York, Mrs. CAPPS, Mr. GONZALEZ, Ms. BALDWIN, Mr. RANGEL, Mr. HIGGINS, Mrs. MALONEY, Mr. 

ACKERMAN, Ms. CLARKE, Ms. LEE of California, Mr. SERRANO, and Mr. 

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

SEPTEMBER 28, 2010 

Additional sponsors: Mr. NADLER of New York, Mr. GORDON of Tennessee, 

Mr. SPACE, Mr. GRIJALVA, Mr. SCOTT of Georgia, Ms. NORTON, Mrs. 

BONO MACK, Mrs. CHRISTENSEN, Ms. LINDA T. SA ́NCHEZ of California, 

and Mr. STEARNS

SEPTEMBER 28, 2010 

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 May 20, 2010] 


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•HR 5354 RH

A BILL 

To establish an Advisory Committee on Gestational Diabetes, 

to provide grants to better understand and reduce gestational diabetes, 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 ‘‘Gestational Diabetes Act 

5 of 2010’’ or the ‘‘GEDI Act’’. 

6 SEC. 2. GESTATIONAL DIABETES. 

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

8 (42 U.S.C. 243 et seq.) is amended by adding after section 

9 317H the following: 

10 ‘‘SEC. 317H–1. GESTATIONAL DIABETES. 

11 ‘‘(a) UNDERSTANDING AND MONITORING GESTATIONAL

12 DIABETES.— 

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

14 through the Director of the Centers for Disease Con15 trol and Prevention, in consultation with the Diabetes 

16 Mellitus Interagency Coordinating Committee estab17 lished under section 429 and representatives of appro18 priate national health organizations, shall develop a 

19 multisite gestational diabetes research project within 

20 the diabetes program of the Centers for Disease Con21 trol and Prevention to expand and enhance surveil22 lance data and public health research on gestational 

23 diabetes. 

24 ‘‘(2) AREAS TO BE ADDRESSED.—The research 

25 project developed under paragraph (1) shall address— 


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1 ‘‘(A) procedures to establish accurate and ef2 ficient systems for the collection of gestational di3 abetes data within each State and common4 wealth, territory, or possession of the United 

5 States; 

6 ‘‘(B) the progress of collaborative activities 

7 with the National Vital Statistics System, the 

8 National Center for Health Statistics, and State 

9 health departments with respect to the standard 

10 birth certificate, in order to improve surveillance 

11 of gestational diabetes; 

12 ‘‘(C) postpartum methods of tracking 

13 women with gestational diabetes after delivery as 

14 well as targeted interventions proven to lower the 

15 incidence of type 2 diabetes in that population; 

16 ‘‘(D) variations in the distribution of diag17 nosed and undiagnosed gestational diabetes, and 

18 of impaired fasting glucose tolerance and im19 paired fasting glucose, within and among groups 

20 of women; and 

21 ‘‘(E) factors and culturally sensitive inter22 ventions that influence risks and reduce the inci23 dence of gestational diabetes and related com24 plications during childbirth, including cultural, 


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1 behavioral, racial, ethnic, geographic, demo2 graphic, socioeconomic, and genetic factors. 

3 ‘‘(3) REPORT.—Not later than 2 years after the 

4 date of the enactment of this section, and annually 

5 thereafter, the Secretary shall generate a report on the 

6 findings and recommendations of the research project 

7 including prevalence of gestational diabetes in the 

8 multisite area and disseminate the report to the ap9 propriate Federal and non-Federal agencies. 

10 ‘‘(b) EXPANSION OF GESTATIONAL DIABETES RE11 SEARCH.— 

12 ‘‘(1) IN GENERAL.—The Secretary shall expand 

13 and intensify public health research regarding gesta14 tional diabetes. Such research may include— 

15 ‘‘(A) developing and testing novel ap16 proaches for improving postpartum diabetes test17 ing or screening and for preventing type 2 diabe18 tes in women with a history of gestational diabe19 tes; and 

20 ‘‘(B) conducting public health research to 

21 further understanding of the epidemiologic, 

22 socioenvironmental, behavioral, translation, and 

23 biomedical factors and health systems that influ24 ence the risk of gestational diabetes and the deVerDate Mar 15 2010 21:55 Sep 28, 2010 Jkt 089200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6203 E:\BILLS\H5354.RH H5354

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1 velopment of type 2 diabetes in women with a 

2 history of gestational diabetes. 

3 ‘‘(2) AUTHORIZATION OF APPROPRIATIONS.— 

4 There is authorized to be appropriated to carry out 

5 this subsection $5,000,000 for each fiscal year 2012 

6 through 2016. 

7 ‘‘(c) DEMONSTRATION GRANTS TO LOWER THE RATE

8 OF GESTATIONAL DIABETES.— 

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

10 through the Director of the Centers for Disease Con11 trol and Prevention, shall award grants, on a com12 petitive basis, to eligible entities for demonstration 

13 projects that implement evidence-based interventions 

14 to reduce the incidence of gestational diabetes, the re15 currence of gestational diabetes in subsequent preg16 nancies, and the development of type 2 diabetes in 

17 women with a history of gestational diabetes. 

18 ‘‘(2) PRIORITY.—In making grants under this 

19 subsection, the Secretary shall give priority to projects 

20 focusing on— 

21 ‘‘(A) helping women who have 1 or more 

22 risk factors for developing gestational diabetes; 

23 ‘‘(B) working with women with a history of 

24 gestational diabetes during a previous preg25 nancy; 


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1 ‘‘(C) providing postpartum care for women 

2 with gestational diabetes; 

3 ‘‘(D) tracking cases where women with a 

4 history of gestational diabetes developed type 2 

5 diabetes; 

6 ‘‘(E) educating mothers with a history of 

7 gestational diabetes about the increased risk of 

8 their child developing diabetes; 

9 ‘‘(F) working to prevent gestational diabetes 

10 and prevent or delay the development of type 2 

11 diabetes in women with a history of gestational 

12 diabetes; and 

13 ‘‘(G) achieving outcomes designed to assess 

14 the efficacy and cost-effectiveness of interventions 

15 that can inform decisions on long-term sustain16 ability, including third-party reimbursement. 

17 ‘‘(3) APPLICATION.—An eligible entity desiring 

18 to receive a grant under this subsection shall submit 

19 to the Secretary— 

20 ‘‘(A) an application at such time, in such 

21 manner, and containing such information as the 

22 Secretary may require; and 

23 ‘‘(B) a plan to— 

24 ‘‘(i) lower the rate of gestational diabe25 tes during pregnancy; or 


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1 ‘‘(ii) develop methods of tracking 

2 women with a history of gestational diabe3 tes and develop effective interventions to 

4 lower the incidence of the recurrence of ges5 tational diabetes in subsequent pregnancies 

6 and the development of type 2 diabetes. 

7 ‘‘(4) USES OF FUNDS.—An eligible entity receiv8 ing a grant under this subsection shall use the grant 

9 funds to carry out demonstration projects described in 

10 paragraph (1), including— 

11 ‘‘(A) expanding community-based health 

12 promotion education, activities, and incentives 

13 focused on the prevention of gestational diabetes 

14 and development of type 2 diabetes in women 

15 with a history of gestational diabetes; 

16 ‘‘(B) aiding State- and tribal-based diabetes 

17 prevention and control programs to collect, ana18 lyze, disseminate, and report surveillance data 

19 on women with, and at risk for, gestational dia20 betes, the recurrence of gestational diabetes in 

21 subsequent pregnancies, and, for women with a 

22 history of gestational diabetes, the development of 

23 type 2 diabetes; and 

24 ‘‘(C) training and encouraging health care 

25 providers— 


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1 ‘‘(i) to promote risk assessment, high2 quality care, and self-management for gesta3 tional diabetes and the recurrence of gesta4 tional diabetes in subsequent pregnancies; 

5 and 

6 ‘‘(ii) to prevent the development of type 

7 2 diabetes in women with a history of gesta8 tional diabetes, and its complications in the 

9 practice settings of the health care pro10 viders. 

11 ‘‘(5) REPORT.—Not later than 4 years after the 

12 date of the enactment of this section, the Secretary 

13 shall prepare and submit to the Congress a report 

14 concerning the results of the demonstration projects 

15 conducted through the grants awarded under this sub16 section. 

17 ‘‘(6) DEFINITION OF ELIGIBLE ENTITY.—In this 

18 subsection, the term ‘eligible entity’ means a non19 profit organization (such as a nonprofit academic 

20 center or community health center) or a State, tribal, 

21 or local health agency. 

22 ‘‘(7) AUTHORIZATION OF APPROPRIATIONS.— 

23 There is authorized to be appropriated to carry out 

24 this subsection $5,000,000 for each fiscal year 2012 

25 through 2016. 


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1 ‘‘(d) POSTPARTUM FOLLOW-UP REGARDING GESTA2 TIONAL DIABETES.—The Secretary, acting through the Di3 rector of the Centers for Disease Control and Prevention, 

4 shall work with the State- and tribal-based diabetes preven5 tion and control programs assisted by the Centers to encour6 age postpartum follow-up after gestational diabetes, as 

7 medically appropriate, for the purpose of reducing the inci8 dence of gestational diabetes, the recurrence of gestational 

9 diabetes in subsequent pregnancies, the development of type 

10 2 diabetes in women with a history of gestational diabetes, 

11 and related complications.’’. 

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

grants to better understand and reduce gestational diabetes, and for other purposes.’’. 


srobinson on DSKHWCL6B1PROD with BILLS

srobinson on DSKHWCL6B1PROD with BILLS
Union Calendar No. 373 

111TH CONGRESS 

2D SESSION H. R. 5354 

[Report No. 111–633] 

A BILL 

To establish an Advisory Committee on Gestational 

purposes. and reduce gestational diabetes, and for other Diabetes, to provide grants to better understand 

SEPTEMBER 28, 2010 

Reported with amendments, committed to the Committee 

dered to be printed of the Whole House on the State of the Union, and orVerDate Mar 15 2010 21:55 Sep 28, 2010 Jkt 089200 PO 00000 Frm 00012 Fmt 6651 Sfmt 6651 E:\BILLS\H5354.RH H5354

srobinson on DSKHWCL6B1PROD with BILLS