laws, regulations, rules, and policies, or the enforce-
ment thereof, may create barriers to patient access to 
appropriate and effective pain care; 
‘‘(3) interdisciplinary approaches to the delivery 
of pain care, including delivery through specialized 
centers providing comprehensive pain care treatment 
expertise; 
‘‘(4) cultural, linguistic, literacy, geographic, 
and other barriers to care in underserved populations; 
and 
‘‘(5) recent findings, developments, and improve-
ments in the provision of pain care. 
‘‘(d) PROGRAM
SITES.—Education and training 
under subsection (a) may be provided at or through health 
professions schools, residency training programs, and other 
graduate programs in the health professions; entities that 
provide continuing education in medicine, pain manage-
ment, dentistry, psychology, social work, nursing, and 
pharmacy; hospices; and such other programs or sites as 
the Secretary determines to be appropriate. 
‘‘(e) EVALUATION OF PROGRAMS.—The Secretary shall 
(directly or through grants or contracts) provide for the 
evaluation of programs implemented under subsection (a) 
in order to determine the effect of such programs on knowl-
edge and practice of pain care. 
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
‘‘(f) PEER REVIEW GROUPS.—In carrying out section 
799(f) with respect to this section, the Secretary shall ensure 
that the membership of each peer review group involved in-
cludes individuals with expertise and experience in pain 
care. 
‘‘(g) DEFINITIONS.—For purposes of this section the 
term ‘pain care’ means the assessment, diagnosis, treat-
ment, or management of acute or chronic pain regardless 
of causation or body location.’’. 
(b) AUTHORIZATION
OF APPROPRIATIONS.—Section 
758(b)(1) of the Public Health Service Act (as redesignated 
by subsection (a)(1) of this section) is amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (B); 
(2) by striking the period at the end of subpara-
graph (C) and inserting ‘‘; and’’; and 
(3) by inserting after subparagraph (C) the fol-
lowing: 
‘‘(D) not less than $5,000,000 for awards of 
grants, cooperative agreements, and contracts 
under sections 754.’’. 
(c) TECHNICAL AMENDMENTS.—Title VII of the Public 
Health Service Act (42 U.S.C. 292 et seq.) is amended— 
(1) in paragraph (2) of section 757(b) (as redes-
ignated by subsection (a)(1)), by striking ‘‘754(3)(A), 
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
and 755(b)’’ and inserting ‘‘755(3)(A), and 756(b)’’; 
and 
(2) in subparagraph (C) of section 758(b)(1) (as 
redesignated by subsection (a)(1)), by striking ‘‘754, 
and 755’’ and inserting ‘‘755, and 756’’. 
SEC. 5. PUBLIC AWARENESS CAMPAIGN ON PAIN MANAGE-
MENT. 
Part B of title II of the Public Health Service Act (42 
U.S.C. 238 et seq.) is amended by adding at the end the 
following: 
‘‘SEC. 249. NATIONAL EDUCATION OUTREACH AND AWARE-
NESS CAMPAIGN ON PAIN MANAGEMENT. 
‘‘(a) ESTABLISHMENT.—Not later than June 30, 2009, 
the Secretary shall establish and implement a national pain 
care education outreach and awareness campaign described 
in subsection (b). 
‘‘(b) REQUIREMENTS.—The Secretary shall design the 
public awareness campaign under this section to educate 
consumers, patients, their families, and other caregivers 
with respect to— 
‘‘(1) the incidence and importance of pain as a 
national public health problem; 
‘‘(2) the adverse physical, psychological, emo-
tional, societal, and financial consequences that can 
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
result if pain is not appropriately assessed, diag-
nosed, treated, or managed; 
‘‘(3) the availability, benefits, and risks of all 
pain treatment and management options; 
‘‘(4) having pain promptly assessed, appro-
priately diagnosed, treated, and managed, and regu-
larly reassessed with treatment adjusted as needed; 
‘‘(5) the role of credentialed pain management 
specialists and subspecialists, and of comprehensive 
interdisciplinary centers of treatment expertise; 
‘‘(6) the availability in the public, nonprofit, 
and private sectors of pain management-related infor-
mation, services, and resources for consumers, em-
ployers, third-party payors, patients, their families, 
and caregivers, including information on— 
‘‘(A) appropriate assessment, diagnosis, 
treatment, and management options for all types 
of pain and pain-related symptoms; and 
‘‘(B) conditions for which no treatment op-
tions are yet recognized; and 
‘‘(7) other issues the Secretary deems appro-
priate. 
‘‘(c) CONSULTATION.—In designing and implementing 
the public awareness campaign required by this section, the 
Secretary shall consult with organizations representing pa-
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
tients in pain and other consumers, employers, physicians 
including physicians specializing in pain care, other pain 
management professionals, medical device manufacturers, 
and pharmaceutical companies. 
‘‘(d) COORDINATION.— 
‘‘(1) LEAD OFFICIAL.—The Secretary shall des-
ignate one official in the Department of Health and 
Human Services to oversee the campaign established 
under this section. 
‘‘(2) AGENCY
COORDINATION.—The Secretary 
shall ensure the involvement in the public awareness 
campaign under this section of the Surgeon General 
of the Public Health Service, the Director of the Cen-
ters for Disease Control and Prevention, and such 
other representatives of offices and agencies of the De-
partment of Health and Human Services as the Sec-
retary determines appropriate. 
‘‘(e) UNDERSERVED AREAS AND POPULATIONS.—In 
designing the public awareness campaign under this sec-
tion, the Secretary shall— 
‘‘(1) take into account the special needs of geo-
graphic areas and racial, ethnic, gender, age, and 
other demographic groups that are currently under-
served; and 
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
‘‘(2) provide resources that will reduce dispari-
ties in access to appropriate diagnosis, assessment, 
and treatment. 
‘‘(f) GRANTS AND CONTRACTS.—The Secretary may 
make awards of grants, cooperative agreements, and con-
tracts to public agencies and private nonprofit organiza-
tions to assist with the development and implementation 
of the public awareness campaign under this section. 
‘‘(g) EVALUATION AND REPORT.—Not later than the 
end of fiscal year 2011, the Secretary shall prepare and 
submit to the Congress a report evaluating the effectiveness 
of the public awareness campaign under this section in edu-
cating the general public with respect to the matters de-
scribed in subsection (b). 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For pur-
poses of carrying out this section, there are authorized to 
be appropriated $2,000,000 for fiscal year 2009 and 
$4,000,000 for each of fiscal years 2010 and 2011.’’. 
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6203
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS
Union Calendar No. 567 
110TH CONGRESS 
2D SESSION 
H. R. 2994 
[Report No. 110–871] 
A BILL 
To amend the Public Health Service Act with 
respect to pain care. 
SEPTEMBER 23, 2008 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Aug 31 2005 
03:25 Sep 24, 2008
Jkt 069200
PO 00000
Frm 00018
Fmt 6651
Sfmt 6651
E:\BILLS\H2994.RH
H2994
jbell on PROD1PC69 with BILLS