I 
111TH CONGRESS 
1ST SESSION H. R. 1995 
To amend the Public Health Service Act to prevent and treat diabetes, 
to promote and improve the care of individuals with diabetes, and to 
reduce health disparities, relating to diabetes, within racial and ethnic 
minority groups, including the African-American, Hispanic American, 
Asian American, Native Hawaiian and Other Pacific Islander, and Amer-
ican Indian and Alaskan Native communities. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 21, 2009 
Ms. DEGETTE (for herself, Mr. CASTLE, Mr. KIRK, Mr. BECERRA, Ms. LEE 
of California, Mr. HONDA, and Ms. VELA´ZQUEZ) introduced 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 
treat diabetes, to promote and improve the care of indi-
viduals with diabetes, and to reduce health disparities, 
relating to diabetes, within racial and ethnic minority 
groups, including the African-American, Hispanic Amer-
ican, Asian American, Native Hawaiian and Other Pa-
cific 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, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Eliminating Dispari-
ties in Diabetes Prevention Access and Care Act of 2009’’. 
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, and support on-
going research and other activities with respect to pre-dia-
betes and diabetes, particularly type 2, in minority popu-
lations, including research to identify clinical, socio-
economic, geographical, cultural, and organizational fac-
tors 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) Continue research on behavior and obesity, 
including research through the obesity research cen-
ter that is sponsored by the National Institutes of 
Health. 
‘‘(2) Research on environmental factors that 
may contribute to the increase in type 2 diabetes. 
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‘‘(3) Support for new methods to identify envi-
ronmental triggers and genetic interactions that lead 
to the development of type 2 diabetes in minority 
newborns. Such research should follow the newborns 
through puberty, an increasingly high-risk period for 
developing type 2 diabetes. 
‘‘(4) Research to identify genes that predispose 
individuals to the onset of developing type 1 and 
type 2 diabetes and to the development of complica-
tions. 
‘‘(5) Research to prevent complications in indi-
viduals who have already developed diabetes, such as 
research that attempts to identify the genes that 
predispose individuals with diabetes to the develop-
ment of complications. 
‘‘(6) Research methods and alternative thera-
pies to control blood glucose. 
‘‘(7) Support of ongoing research efforts exam-
ining the level of glycemia at which adverse out-
comes develop during pregnancy and to address the 
many clinical issues associated with minority moth-
ers and fetuses during diabetic and gestational dia-
betic pregnancies. 
‘‘(c) EDUCATION.—The Director of the National In-
stitutes of Health shall— 
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‘‘(1) through the National Center on Minority 
Health and Health Disparities and the National Di-
abetes Education Program— 
‘‘(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 
‘‘(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. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘minority population’ means a racial and ethnic mi-
nority group, as defined in section 1707(g). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as are necessary for fiscal 
year 2010 and each subsequent fiscal year.’’. 
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(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 new subsection: 
‘‘(c)(1) In each annual report prepared by the Diabe-
tes Mellitus Interagency Coordinating Committee, the 
Committee shall include an assessment of the Federal ac-
tivities and programs related to diabetes in minority popu-
lations. Such assessment shall— 
‘‘(A) compile the current activities of all 
current Federal health programs to allow for 
the assessment of their adequacy as a systemic 
method of addressing the impact of diabetes 
mellitus on minority populations; 
‘‘(B) develop strategic planning activities 
to develop an effective and comprehensive Fed-
eral plan to address diabetes mellitus within mi-
nority populations which will involve all appro-
priate Federal health programs and shall— 
‘‘(i) include steps to address issues in-
cluding type 1 and type 2 diabetes in chil-
dren and the disproportionate impact of di-
abetes mellitus on minority populations; 
and 
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‘‘(ii) remain consistent with the pro-
grams and activities identified in section 
399O, as well as remaining consistent with 
the intent of the Eliminating Disparities in 
Diabetes Prevention Access and Care Act 
of 2009; and 
‘‘(C) assess the implementation of such a 
plan throughout Federal health programs. 
‘‘(2) For the purposes of this subsection, the 
term ‘minority population’ means a racial and ethnic 
minority group, as defined in section 1707(g). 
‘‘(3) For the purpose of carrying out this sub-
section, there are authorized to be appropriated such 
sums as are necessary for fiscal year 2010 and each 
subsequent fiscal year.’’. 
TITLE 
II—CENTERS 
FOR 
DIS-
EASE CONTROL AND PREVEN-
TION 
SEC. 201. RESEARCH, EDUCATION, AND OTHER ACTIVITIES. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317T the following section: 
‘‘SEC. 317U. DIABETES IN MINORITY POPULATIONS. 
‘‘(a) RESEARCH AND OTHER ACTIVITIES.— 
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‘‘(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 capacity for translational research 
and 
the 
identification 
of 
genetic 
and 
immunological risk factors associated with dia-
betes. 
‘‘(B) Enhancing the National Health and 
Nutrition Examination Survey to include risk 
factors for type 2 diabetes and pre-diabetes 
with emphasis on eating and dietary habits, and 
focus, including cultural and socioeconomic fac-
tors, on Hispanic American, African-American, 
American Indian and Alaskan Native, and 
Asian American, Native Hawaiian and other 
Pacific Islander communities. 
‘‘(C) Further enhancing the National 
Health and Nutrition Examination Survey by 
over-sampling Asian American, Native Hawai-
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