I 
114TH CONGRESS 
1ST SESSION H. R. 1192 
To amend the Public Health Service Act to foster more effective implementa-
tion and coordination of clinical care for people with pre-diabetes, diabe-
tes, and the chronic diseases and conditions that result from diabetes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 2, 2015 
Mr. OLSON (for himself, Mr. LOEBSACK, Mr. WHITFIELD, Ms. DEGETTE, Ms. 
NORTON, Mr. FARENTHOLD, Mr. KELLY of Pennsylvania, Mr. GUTHRIE, 
Mr. TAKANO, Mr. BISHOP of Georgia, Mr. BLUMENAUER, Mr. GRIJALVA, 
Mr. HECK of Nevada, Ms. FRANKEL of Florida, Mr. COLLINS of New 
York, Mr. MCKINLEY, Mr. SESSIONS, Mr. SMITH of New Jersey, Mr. 
RODNEY DAVIS of Illinois, Mr. DUNCAN of South Carolina, Mr. LEVIN, 
Mr. JOYCE, Mr. NEAL, Ms. SLAUGHTER, Ms. GRANGER, Mr. SCHIFF, 
Mr. RUSH, Ms. BROWN of Florida, Mr. BARLETTA, Mr. BUCSHON, Mr. 
BUCHANAN, Mr. DAVID SCOTT of Georgia, Ms. SPEIER, Ms. EDWARDS, 
Mr. LONG, Mr. HASTINGS, Ms. DELBENE, Ms. TITUS, Mr. LIPINSKI, Mr. 
WITTMAN, Mr. YOUNG of Indiana, Ms. BORDALLO, Mr. YARMUTH, Mr. 
BUTTERFIELD, Mr. HIMES, Mr. RANGEL, Ms. CASTOR of Florida, Mr. 
JOHNSON of Ohio, Mr. DELANEY, Mr. SMITH of Texas, Mr. PETERS, Mr. 
PETERSON, Mr. RUIZ, and Mr. BURGESS) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to foster more 
effective implementation and coordination of clinical care 
for people with pre-diabetes, diabetes, and the chronic 
diseases and conditions that result from diabetes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘National Diabetes 
Clinical Care Commission Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) The Centers for Disease Control and Pre-
vention report that nearly 29,000,000 Americans 
have 
diabetes 
in 
addition 
to 
an 
estimated 
86,000,000 American adults that have pre-diabetes, 
an increase of 3,000,000 Americans with diabetes 
and 7,000,000 American adults with pre-diabetes 
since 2011. 
(2) Diabetes affects 9.3 percent of Americans of 
all ages and 12.3 percent of adults age 20 and older. 
Adults age 20 and older of racial and ethnic minori-
ties continue to have higher rates of diabetes than 
individuals not of such minorities, as demonstrated 
by the following: 15.9 percent of all adult American 
Indians and Alaskan Natives have diabetes; 13.2 
percent of all adult African-Americans have diabetes; 
12.8 percent of all adult Hispanics have diabetes; 
and 9.0 percent of all adult Asian-Americans have 
diabetes, while 7.6 percent of all non-Hispanic 
Whites have diabetes. 
(3) Diabetes is the seventh leading cause of 
death in the United States. 
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(11) One in three Medicare dollars is currently 
spent on people with diabetes. 
(12) The Centers for Disease Control and Pre-
vention projects that as many as 1 in 3 American 
adults could have diabetes by 2050 if current trends 
continue. 
(13) There are 35 Federal departments, agen-
cies, and offices involved in the implementation of 
Federal diabetes activities. 
SEC. 3. ESTABLISHMENT OF THE NATIONAL DIABETES 
CLINICAL CARE COMMISSION. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following new section: 
‘‘SEC. 399V–6. NATIONAL DIABETES CLINICAL CARE COM-
MISSION. 
‘‘(a) ESTABLISHMENT.—There is hereby established 
within the Department of Health and Human Services, 
a National Diabetes Clinical Care Commission (in this sec-
tion referred to as the ‘Commission’) to evaluate, and rec-
ommend solutions regarding better coordination and the 
leveraging of programs within the Department of Health 
and Human Services and other Federal agencies that re-
late in any way to supporting appropriate clinical care 
(such as any interactions between physicians and other 
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health care providers and their patients related to the 
treatment and care management) for people with pre-dia-
betes, diabetes and the chronic diseases and conditions 
that are complications of or caused by diabetes. 
‘‘(b) MEMBERSHIP.— 
‘‘(1) IN GENERAL.—The Commission shall be 
composed of the following voting members: 
‘‘(A) The heads (or their designees) of the 
following Federal agencies and departments 
that conduct programs that could impact the 
clinical care of people with pre-diabetes, diabe-
tes and the chronic diseases and conditions that 
are complications of or caused by diabetes: 
‘‘(i) The Centers for Medicare & Med-
icaid Services. 
‘‘(ii) The Agency for Healthcare Re-
search and Quality. 
‘‘(iii) The Centers for Disease Control 
and Prevention. 
‘‘(iv) The Indian Health Service. 
‘‘(v) The Department of Veterans Af-
fairs. 
‘‘(vi) The National Institutes of 
Health. 
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‘‘(vii) The Food and Drug Adminis-
tration. 
‘‘(viii) The Health Resources and 
Services Administration. 
‘‘(ix) The Department of Defense. 
‘‘(x) Other governmental or non-
governmental agency heads, at the discre-
tion of the agency, that impact clinical 
care of individuals with pre-diabetes and 
diabetes. 
‘‘(B) Twelve additional voting members ap-
pointed under paragraph (2). 
‘‘(2) ADDITIONAL MEMBERS.—The Commission 
shall include additional voting members appointed by 
the Comptroller General of the United States, in 
consultation with national medical societies and pa-
tient advocate organizations with expertise in diabe-
tes and the care of patients with diabetes and the 
diseases it causes, including one or more from each 
of the following categories: 
‘‘(A) Clinical endocrinologists. 
‘‘(B) Physician specialties (other than as 
described in subparagraph (A)) that play a role 
in 
diabetes 
care, 
such 
as 
cardiologists, 
nephrologists, and eye care professionals. 
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‘‘(C) Primary care physicians. 
‘‘(D) Non-physician health care profes-
sionals, such as certified diabetes educators, 
registered dieticians and nutrition professionals, 
nurses, nurse practitioners, and physician as-
sistants. 
‘‘(E) Patient advocates. 
‘‘(F) National experts in the duties listed 
under subsection (c). 
‘‘(3) CHAIRPERSON.— The voting members of 
the Commission shall select a chairperson from the 
members described in paragraph (2)(A). 
‘‘(4) MEETINGS.—The Commission shall meet 
at least twice, and not more than 4 times, a year. 
‘‘(5) BOARD TERMS.—Members of the Commis-
sion, including the chairperson, shall serve for a 3- 
year term. A vacancy on the Commission shall be 
filled in the same manner as the original appoint-
ments. 
‘‘(c) DUTIES.—The Commission shall— 
‘‘(1) evaluate programs of the Department of 
Health and Human Services regarding the utiliza-
tion of diabetes screening benefits, annual wellness 
visits, and other preventive health benefits that may 
reduce the risk of diabetes and the chronic diseases 
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and conditions that are complications of diabetes, 
addressing any existing problems regarding such uti-
lization and related data collection mechanisms; 
‘‘(2) identify current activities and critical gaps 
in Federal efforts to support clinicians in providing 
integrated, high-quality care to people with pre-dia-
betes, diabetes and the chronic diseases and condi-
tions that are complications of diabetes; 
‘‘(3) make recommendations regarding the co-
ordination of clinically based activities that are being 
supported by the Federal Government; 
‘‘(4) make recommendations regarding the de-
velopment and coordination of federally funded clin-
ical practice support tools for physicians and other 
health care professionals in caring for and managing 
the care of people with pre-diabetes, diabetes and 
the chronic diseases and conditions that are com-
plications of diabetes, specifically with regard to im-
plementation of new treatments and technologies; 
‘‘(5) evaluate programs in existence as of the 
date of the enactment of this section and determine 
if such programs are meeting the needs identified in 
paragraph (2) and, if such programs are determined 
to not be meeting such needs, recommend programs 
that would be more appropriate; 
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‘‘(6) recommend clinical pathways for new tech-
nologies and treatments, including future data col-
lection activities, and how they may be developed 
and then used to evaluate and develop various care 
models and methods and the impact of such models 
and methods on quality of care and diabetes man-
agement as measured by appropriate care param-
eters (such as A1C, blood pressure, and cholesterol 
levels); 
‘‘(7) evaluate and expand education and aware-
ness to physicians and other health care profes-
sionals regarding clinical practices for the prevention 
of diabetes and the chronic diseases and conditions 
that are complications of diabetes; 
‘‘(8) review and recommend appropriate meth-
ods for outreach and dissemination of educational 
resources that regard diabetes prevention and treat-
ments, are funded by the Federal Government, and 
are intended for health care professionals and the 
public; and 
‘‘(9) include other activities, such as those re-
lating to the areas of public health and nutrition, 
that the Commission deems appropriate. 
‘‘(d) OPERATING PLAN.— 
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‘‘(1) INITIAL PLAN.—Not later than 90 days 
after its first meeting, the Commission shall submit 
to the Secretary and the Congress an operating plan 
for carrying out the activities of the Commission as 
described in subsection (c). Such operating plan may 
include— 
‘‘(A) a list of specific activities that the 
Commission plans to conduct for purposes of 
carrying out the duties described in each of the 
paragraphs in subsection (c); 
‘‘(B) a plan for completing the activities; 
‘‘(C) a list of members of the Commission 
and other individuals who are not members of 
the Commission who will need to be involved to 
conduct such activities; 
‘‘(D) an explanation of Federal agency in-
volvement and coordination needed to conduct 
such activities; 
‘‘(E) a budget for conducting such activi-
ties; 
‘‘(F) a plan for evaluating the value and 
potential impact of the Commission’s work and 
recommendations, including the possible con-
tinuation of the Commission for the purposes of 
overseeing their implementation; and 
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‘‘(G) other information that the Commis-
sion deems appropriate. 
‘‘(2) UPDATES.—The Commission shall periodi-
cally update the operating plan under paragraph (1) 
and submit such updates to the Secretary and the 
Congress. 
‘‘(e) FINAL REPORT AND SUNSET OF THE COMMIS-
SION.—By not later than 3 years after the date of the 
Commission’s first meeting, the Commission shall submit 
to the Secretary and the Congress a report containing all 
of the findings, and recommended actions of the Commis-
sion. Not later than 120 days after the submission of the 
final report, the Secretary shall review the evaluation re-
quired under subsection (d)(1)(F) to determine the con-
tinuation of the Commission. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—Appro-
priations are authorized to be made available to the Com-
mission for each of fiscal years 2016, 2017, and 2018, 
from amounts otherwise made available to the Department 
of Health and Human Services for such fiscal years, to 
carry out this section.’’. 
Æ 
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