I 
110TH CONGRESS 
1ST SESSION H. R. 2210 
To amend the Public Health Service Act to prevent and cure diabetes and 
to promote and improve the care of individuals with diabetes for the 
reduction of health disparities within racial and ethnic minority groups, 
including the African-American, Hispanic American, Asian American and 
Pacific Islander, and American Indian and Alaskan Native communities. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 8, 2007 
Ms. DEGETTE (for herself, Mr. CASTLE, Mr. BECERRA, and Mr. KIRK) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
A BILL 
To amend the Public Health Service Act to prevent and 
cure diabetes and to promote and improve the care of 
individuals with diabetes for the reduction of health dis-
parities within racial and ethnic minority groups, includ-
ing the African-American, Hispanic American, Asian 
American and Pacific Islander, and American Indian and 
Alaskan Native communities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Diabetes Prevention 
Access and Care Act of 2007’’. 
TITLE I—NATIONAL INSTITUTES 
OF HEALTH 
SEC. 101. RESEARCH, TREATMENT, AND EDUCATION. 
(a) IN GENERAL.—Subpart 3 of part C of title IV 
of the Public Health Service Act (42 U.S.C. 285c et seq.) 
is amended by adding at the end the following new section: 
‘‘SEC. 434B. DIABETES IN MINORITY POPULATIONS. 
‘‘(a) IN GENERAL.—The Director of the National In-
stitutes of Health shall expand, intensify, conduct, coordi-
nate, and support research and other activities with re-
spect to pre-diabetes and diabetes, particularly type 2, in 
minority populations, including research to identify clin-
ical, socioeconomic, geographical, cultural, and organiza-
tional factors that contribute to type 2 diabetes in such 
populations. 
‘‘(b) CERTAIN ACTIVITIES.—Activities under sub-
section (a) regarding type 2 diabetes in minority popu-
lations shall include the following: 
‘‘(1) Research on behavior and obesity, includ-
ing research through the obesity research center that 
is sponsored by the National Institutes of Health. 
‘‘(2) Research on environmental factors that 
may contribute to the increase in type 2 diabetes, 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
which shall be conducted or supported through the 
National Institute of Environmental Health Sciences 
and the National Human Genome Research Insti-
tute. 
‘‘(3) Support for new methods to identify envi-
ronmental triggers and genetic interactions that lead 
to the development of type 1 and type 2 diabetes in 
minority newborns with a high genetic susceptibility 
to the disease. Such research should follow the 
newborns through puberty, which is a high-risk pe-
riod for developing type 1 diabetes, and—increas-
ingly—type 2 diabetes. 
‘‘(4) Research to identify genes that predispose 
individuals to the onset of developing type 1 and 
type 2 diabetes and to develop complications. 
‘‘(5) Research to prevent complications in indi-
viduals who have already developed diabetes, such as 
attempting to identify the genes that predispose in-
dividuals with diabetes to the development of com-
plications, as well as methods and alternative thera-
pies to control blood glucose. 
‘‘(6) The support of ongoing research efforts 
examining the level of glycemia at which adverse 
outcomes develop during pregnancy and to address 
the many clinical issues associated with minority 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
mothers and fetuses during diabetic and gestational 
diabetic pregnancies. 
‘‘(c) TREATMENT.— 
‘‘(1) IN GENERAL.—The Director of the Na-
tional Institutes of Health shall conduct and support 
programs to treat diabetes in minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding the treatment of diabetes in 
minority populations shall include recommending 
and disseminating, through the National Center on 
Minority Health and Health Disparities, the guide-
lines of the American Diabetes Association for nutri-
tion exercise and diet for diabetes treatment and 
prevention. 
‘‘(d) EDUCATION.—The Director of the National In-
stitutes of Health shall— 
‘‘(1) through the National Center on Minority 
Health and Health Disparities— 
‘‘(A) make grants to programs funded 
under section 485F (relating to centers of ex-
cellence) for the purpose of establishing a men-
toring program for health care professionals to 
be more involved in weight counseling, obesity 
research, and nutrition; and 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
‘‘(B) provide for the participation of mi-
nority health professionals in diabetes-focused 
research programs; and 
‘‘(2) make grants for programs to establish a 
pipeline from high school to professional school that 
will increase minority representation in diabetes-fo-
cused health fields by expanding Minority Access to 
Research Careers (MARC) program internships and 
mentoring opportunities for recruitment. 
‘‘(e) DEFINITION.—For purposes of this section, the 
term ‘minority populations’ means racial and ethnic mi-
nority groups within the meaning of section 1707. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for fis-
cal year 2008 and each subsequent fiscal year.’’. 
(b) DIABETES MELLITUS INTERAGENCY COORDI-
NATING COMMITTEE.—Section 429 of the Public Health 
Service Act (42 U.S.C. 285c–3) is amended by adding at 
the end the following subsection: 
‘‘(c)(1) In addition to other duties established in this 
section for the Diabetes Mellitus Interagency Coordinating 
Committee, such Committee shall— 
‘‘(A) assess the current activities of all current 
Federal health programs to determine their ade-
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
quacy as a systemic method of addressing the im-
pact of diabetes mellitus on minority populations; 
‘‘(B) undertake strategic planning activities to 
develop an effective and comprehensive Federal plan 
to address diabetes mellitus within communities of 
color which will involve all appropriate Federal 
health programs; and 
‘‘(C) conduct the implementation of such a plan 
throughout all Federal health programs. 
‘‘(2) The Federal plan under paragraph (1)(B) 
shall— 
‘‘(A) include steps to address issues including, 
but not limited to, type 1 and type 2 diabetes in 
children and the disproportionate impact of diabetes 
mellitus on minority populations; and 
‘‘(B) remain consistent with the programs and 
activities identified in section 399O, as well as re-
maining consistent with the intent of the Diabetes 
Prevention Access and Care Act. 
‘‘(3) For purposes of this subsection, the term ‘mi-
nority populations’ means racial and ethnic minority 
groups within the meaning of section 1707. 
‘‘(4) For the purpose of carrying out this subsection, 
there are authorized to be appropriated such sums as may 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
be necessary for fiscal year 2008 and each subsequent fis-
cal year.’’. 
TITLE 
II—CENTERS 
FOR 
DIS-
EASE CONTROL AND PREVEN-
TION 
SEC. 201. RESEARCH, EDUCATION, AND OTHER ACTIVITIES. 
(a) IN GENERAL.—Part B of title III of the Public 
Health Service Act (42 U.S.C. 243 et seq.) is amended 
by inserting after section 317S the following section: 
‘‘SEC. 317T. DIABETES IN MINORITY POPULATIONS. 
‘‘(a) RESEARCH AND OTHER ACTIVITIES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall conduct and support 
research and other activities with respect to diabetes 
in minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding diabetes in minority popu-
lations shall include the following: 
‘‘(A) Expanding the National Diabetes 
Laboratory for translational research, and the 
identification of genetic and immunological risk 
factors associated with diabetes. 
‘‘(B) Enhancing the National Health and 
Nutrition Examination Survey on eating and di-
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
etary habits, with a focus, including cultural 
and socioeconomic factors, on Hispanic Amer-
ican, African-American, American Indian and 
Alaskan Native, and Asian American and Pa-
cific Islander communities. 
‘‘(C) Further enhancing the National 
Health and Nutrition Examination Survey by 
over-sampling Asian American and Pacific Is-
landers in appropriate geographic areas to bet-
ter determine the prevalence of diabetes in 
these populations as well as to improve the data 
collection of diabetes penetration disaggregated 
into major ethnic groups within this population. 
‘‘(D) Within the Division of Diabetes 
Translation, providing for prevention research 
to better understand how to influence health 
care systems changes to improve quality of care 
being delivered to such populations, and within 
the Division of Diabetes Translation, carrying 
out model demonstration projects to design, im-
plement, and evaluate effective diabetes preven-
tion and control intervention for these popu-
lations. 
‘‘(E) Through the Division of Diabetes 
Translation, carrying out culturally appropriate 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
community-based interventions designed to ad-
dress issues and problems experienced by these 
populations. 
‘‘(F) Conducting applied research within 
the Division of Diabetes Translation to reduce 
health disparities within these populations with 
diabetes. 
‘‘(G) Conducting applied research on pri-
mary prevention within the Division of Diabetes 
Translation to specifically focus on these popu-
lations with pre-diabetes. 
‘‘(b) EDUCATION.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall direct the Division of 
Diabetes Translation to conduct and support pro-
grams to educate the public on the causes and ef-
fects of diabetes in minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding education on diabetes in 
minority populations shall include the following: 
‘‘(A) Making grants for diabetes-focused 
education classes or training programs on cul-
tural sensitivity and patient care within such 
populations for health care providers. 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
‘‘(B) Carrying out public awareness cam-
paigns directed toward such populations to ag-
gressively emphasize the importance and impact 
of physical activity and diet in regard to diabe-
tes and diabetes-related complications. 
‘‘(c) DIABETES; HEALTH PROMOTION, PREVENTION 
ACTIVITIES, AND ACCESS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall carry out culturally 
appropriate diabetes health promotion and preven-
tion programs for minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding culturally appropriate dia-
betes health promotion and prevention programs for 
minority populations shall include the following: 
‘‘(A) Expanding the Diabetes Prevention 
and Control Program (currently existing in all 
the States and territories). 
‘‘(B) Providing funds for the Diabetes 
Today program to adapt community planning 
tools within such populations. 
‘‘(C) Providing funds for Racial and Eth-
nic Approaches to Community Health (REACH 
2010) grants to develop and evaluate diabetes 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS
prevention and control community programs fo-
cused on such populations. 
‘‘(D) Providing funds to community health 
centers for a monthly diabetes week program of 
diabetes services, including screenings. 
‘‘(E) Providing funds for education and 
community outreach on diabetes. 
‘‘(F) Providing funds for the United States 
and Mexico Border Diabetes project to develop 
culturally appropriate diabetes prevention and 
control interventions for minority populations in 
the border region. 
‘‘(G) Providing funds for an aggressive 
prevention campaign that focuses on physical 
inactivity and diet and its relation to type 2 di-
abetes within such populations. 
‘‘(H) Providing funds for surveillance sys-
tems and strategies for strengthening existing 
systems to improve the quality, accuracy, and 
timelines of morbidity and mortality diabetes 
data for such populations. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘minority populations’ means racial and ethnic mi-
nority groups within the meaning of section 1707. 
VerDate Aug 31 2005 
05:52 May 09, 2007
Jkt 059200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H2210.IH
H2210
hmoore on PRODPC68 with HMBILLS