have 
diabetes 
in 
addition 
to 
an 
estimated 
79,000,000 American adults that have pre-diabetes, 
an increase of 2,000,000 Americans with diabetes 
and 22,000,000 American adults with pre-diabetes 
since 2008. 
(2) Diabetes affects 8.3 percent of Americans of 
all ages and 11.3 percent of adults age 20 and older. 
Individuals of racial and ethnic minorities continue 
to have higher rates of diabetes than individuals not 
of such minorities, as demonstrated by the following: 
16.1 percent of all adult American Indians and Alas-
kan Natives have diabetes; 12.6 percent of all adult 
African-Americans have diabetes; 11.8 percent of all 
adult Hispanics have diabetes; and 8.4 percent of all 
adult Asian-Americans have diabetes, while 7.1 per-
cent of all non-Hispanic Whites have diabetes. 
(3) Diabetes is the seventh leading cause of 
death in the United States. 
(4) People with diabetes are more likely than 
people without diabetes to have heart attacks, 
strokes, high blood pressure, kidney failure, blind-
ness, and require amputations. 
(5) Total national costs associated with diabetes 
in 2007 exceeded $218,000,000,000, according to 
the Centers for Disease Control and Prevention. 
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(6) One in three Medicare dollars is currently 
spent on people with diabetes. 
(7) 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. 
(8) There are 37 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 the 
National Diabetes Clinical Care Commission (in this sec-
tion referred to as the ‘Commission’) to evaluate and make 
recommendations regarding better coordination and 
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 for 
people with pre-diabetes and diabetes. 
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‘‘(b) MEMBERSHIP.— 
‘‘(1) IN GENERAL.—The Commission shall be 
composed of the following voting members: 
‘‘(A) The Administrators or Directors (or 
the designees of Administrators or Directors) of 
the following Federal agencies and departments 
that conduct programs that could impact the 
clinical care of people with pre-diabetes and dia-
betes: 
‘‘(i) The Centers for Medicare and 
Medicaid 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. 
‘‘(vii) The Food and Drug Adminis-
tration. 
‘‘(viii) The Health Resources and 
Services Administration. 
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‘‘(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 who are 
representatives of the following: 
‘‘(A) Clinical endocrinologists. 
‘‘(B) Physician specialties (other than as 
described in subparagraph (A)) that play a role 
in diabetes care. 
‘‘(C) Primary care physicians. 
‘‘(D) Non-physician health care profes-
sionals, such as diabetes educators, clinical di-
eticians, nurses, nurse practitioners, and physi-
cian assistants. 
‘‘(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). 
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‘‘(4) MEETINGS.—The Commission shall meet 
at the call of the chairperson but 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 its complications, ad-
dressing any existing problems regarding such utili-
zation 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 and diabetes; 
‘‘(3) assist in the coordination of clinically- 
based activities that are being supported by the Fed-
eral Government; 
‘‘(4) assist with the development and coordina-
tion of federally-funded clinical practice support 
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tools for physicians and other health care profes-
sionals in caring for and managing the care of peo-
ple with pre-diabetes and diabetes; 
‘‘(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; 
‘‘(6) use outcomes-based registry data to evalu-
ate various care models and methods and the impact 
of such models and methods on diabetes manage-
ment as measured by appropriate care parameters 
(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 precursor conditions of diabetes; 
‘‘(8) develop and test appropriate methods for 
outreach and dissemination of educational resources 
that regard diabetes prevention and treatments, are 
funded by the Federal Government, and are in-
tended for to health care professionals and the pub-
lic; and 
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‘‘(E) a budget for conducting such activi-
ties; and 
‘‘(F) 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 recommendations of the Commission 
and an operating plan for implementation of all such rec-
ommendations. The Commission shall terminate after sub-
mission of such report. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—Appro-
priations are authorized to be made available to the Com-
mission for each of fiscal years 2012, 2013 and 2014, 
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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