I 
118TH CONGRESS 
1ST SESSION H. R. 6743 
To amend the Public Health Service Act to include public awareness about 
menopause and related chronic conditions, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 13, 2023 
Ms. BLUNT ROCHESTER (for herself and Mrs. HARSHBARGER) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to include public 
awareness about menopause and related chronic condi-
tions, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘We’re Addressing the 
Realities of Menopause Act of 2023’’ or the ‘‘WARM Act 
of 2023’’. 
SEC. 2. MENOPAUSE PUBLIC AWARENESS PROGRAM. 
(a) IN GENERAL.—Section 317 of the Public Health 
Service Act (42 U.S.C. 247b) is amended by adding at 
the end the following new subsection: 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(o) MENOPAUSE PUBLIC AWARENESS PROGRAM.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall carry out a national 
program to increase awareness of— 
‘‘(A) symptoms and trajectories of changes 
across the menopausal transition and the post-
menopausal transition; 
‘‘(B) related chronic conditions; and 
‘‘(C) the entire range of treatment and 
therapy options that may, consistent with Fed-
eral law, be prescribed by a health care provider 
for those symptoms, changes, and conditions. 
‘‘(2) CONSULTATION.—In carrying out the na-
tional campaign required by paragraph (1), the Sec-
retary shall consult with the Director of the Na-
tional Institutes of Health, the Director of the Na-
tional Institute on Aging, the Administrator of the 
Health Resources and Services Administration, the 
Director of the Agency for Healthcare Research and 
Quality, the Under Secretary for Health of the De-
partment of Veterans Affairs, the Director of the 
Defense Health Agency, the Director of the Indian 
Health Service, health care providers, public health 
associations, nonprofit organizations that promote 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
the health and quality of life of women during mid-
life and beyond, and nonprofit organizations with ex-
pertise in menopause research and advocacy, to so-
licit input on evidence-informed information for pol-
icy development and program development, imple-
mentation, and evaluation. 
‘‘(3) REQUIREMENTS.—The national campaign 
required by paragraph (1) may— 
‘‘(A) include the use of evidence-informed 
media and public engagement; 
‘‘(B) include the development of edu-
cational programs, materials, and public service 
announcements; 
‘‘(C) include the development of culturally 
and linguistically competent resources tailored 
for— 
‘‘(i) communities or groups with more 
severe or frequent symptoms of menopause 
or lower rates of treatment for symptoms 
of menopause; 
‘‘(ii) rural communities; and 
‘‘(iii) other communities as the Sec-
retary determines appropriate; 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(D) include the dissemination of edu-
cational programs, materials, and public service 
announcements to— 
‘‘(i) health care providers, health care 
facilities (including primary care providers, 
community health centers, rural health 
clinics, obstetricians, and gynecologists), 
and State and local public health depart-
ments; and 
‘‘(ii) other entities as the Secretary 
determines appropriate to increase aware-
ness as described in paragraph (1); 
‘‘(E) be complementary to, and coordi-
nated with, any other Federal efforts with re-
spect to menopause education and treatment; 
and 
‘‘(F) include message testing to identify 
culturally competent and effective messages for 
behavioral change. 
‘‘(4) OPTIONS FOR DISSEMINATION OF INFOR-
MATION.—The national campaign required by para-
graph (1) may— 
‘‘(A) include the use of— 
‘‘(i) social media, television, radio, 
print, the internet, and other media; 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(ii) in-person or virtual public com-
munications; and 
‘‘(iii) licensed health care providers 
and members of target communities or 
groups specified in paragraph (3)(C); 
‘‘(B) be targeted to specific groups and 
communities specified in paragraph (3)(C); and 
‘‘(C) be carried out through grants or co-
operative agreements to private nonprofit enti-
ties with a history of developing and imple-
menting similar campaigns. 
‘‘(5) AUTHORIZATION OF APPROPRIATIONS.—Of 
amounts made available to the Secretary for other 
purposes, the Secretary may use up to $70,000,000 
of such amounts for the period of fiscal years 2025 
through 2028 for the purpose of carrying out the 
program under this section.’’. 
(b) REPORT TO CONGRESS.—Not later than the end 
of calendar year 2025, the Secretary of Health and 
Human Services shall submit to the Committee on Energy 
and Commerce, the Committee on Ways and Means, the 
Committee on Veterans’ Affairs, and the Committee on 
Oversight and Reform of the House of Representatives 
and the Committee on Health, Education, Labor, and 
Pensions, the Committee on Finance, the Committee on 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
Homeland Security and Governmental Affairs, and the 
Committee on Veterans’ Affairs of the Senate a report 
that contains— 
(1) a qualitative assessment of the public 
awareness program under section 317(o) of the Pub-
lic Health Service Act, as added by subsection (a); 
and 
(2) a description of the activities conducted 
under such campaign. 
SEC. 3. MENOPAUSE EDUCATION AND TRAINING GRANTS. 
Part D of title VII of the Public Health Service Act 
(42 U.S.C. 294 et seq.) is amended by inserting after sec-
tion 757 (42 U.S.C. 294f) the following: 
‘‘SEC. 
758. 
MENOPAUSE 
EDUCATION 
AND 
TRAINING 
GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, in consultation with the Director of the 
National Institute on Aging, the directors of other insti-
tutes, centers, and offices of the National Institutes of 
Health as determined appropriate by the Secretary, the 
Director of the Agency for Healthcare Research and Qual-
ity, the Under Secretary for Health of the Department 
of Veterans Affairs, the Director of the Defense Health 
Agency, and the Director of the Indian Health Service, 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
shall award grants to eligible entities for the purposes de-
scribed in subsection (b). 
‘‘(b) USE OF FUNDS.—A grant received under this 
section shall be used for any of the following: 
‘‘(1) Training (including for individuals com-
pleting a residency, fellowship, or other clinical 
training for licensure) for physicians, nurse practi-
tioners, physician assistants, registered nurses, and 
pharmacists to improve communication and provider 
preparedness in the management of menopausal 
symptoms and related chronic conditions. 
‘‘(2) Establishing, maintaining, or improving 
academic units or programs that provide training for 
students or faculty, including through clinical experi-
ences and research, to improve the ability to be able 
to recognize, diagnose, and treat menopause symp-
toms and related chronic conditions. 
‘‘(3) Developing evidence-informed practices or 
recommendations for the design of units or pro-
grams referred to in paragraph (2), including cur-
riculum content standards. 
‘‘(c) ELIGIBILITY.—To be eligible to receive a grant 
under this section, an entity shall be located in the United 
States and— 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(1) a school of medicine or osteopathic medi-
cine, a school of nursing (as defined in section 801), 
a physician assistant training program, a school of 
pharmacy, an accredited public or nonprofit private 
hospital, or an accredited medical residency pro-
gram; or 
‘‘(2) a public or private nonprofit entity which 
the Secretary has determined is capable of carrying 
out the program or activities to be funded through 
the grant. 
‘‘(d) 
EQUITABLE
DISTRIBUTION.—In 
awarding 
grants under this section, the Secretary shall ensure, to 
the greatest extent possible, that such grants are equitably 
distributed among the geographical regions of the United 
States. 
‘‘(e) PARTNERSHIP REQUIRED.—As a condition on 
receipt of a grant under this section, an eligible entity 
shall agree to carry out the program or activities to be 
funded through the grant in partnership with one or more 
organizations such as an education accrediting organiza-
tion (such as the Liaison Committee on Medical Edu-
cation, the Accreditation Council for Graduate Medical 
Education, the Commission on Osteopathic College Ac-
creditation, the Accreditation Commission for Education 
in Nursing, the Commission on Collegiate Nursing Edu-
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
cation, the Accreditation Council for Pharmacy Education, 
or the Accreditation Review Commission on Education for 
the Physician Assistant). 
‘‘(f) APPLICATION.— 
‘‘(1) IN GENERAL.—To seek a grant under this 
section, an eligible entity shall submit an application 
to the Secretary, at such time, in such manner, and 
containing such information as may be specified by 
the Secretary. 
‘‘(2) MINIMUM CONTENTS.—At a minimum, an 
application under paragraph (1) shall include— 
‘‘(A) a description of how the eligible enti-
ty intends to implement the activities required 
by subsection (b); and 
‘‘(B) a description of benchmarks to be 
used to measure the success of the implementa-
tion of such activities. 
‘‘(g) ADMINISTRATIVE PROVISIONS.— 
‘‘(1) PERIOD OF GRANTS.—A grant awarded to 
an eligible entity under this section shall be for the 
period beginning on the date of the award and end-
ing on the date that is 5 years after the establish-
ment of the grant program under this section. 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(2) PRIORITY.—In awarding grants under this 
section, the Secretary shall give priority to eligible 
entities that— 
‘‘(A) demonstrate sufficient size, scope, 
and capacity to carry out the training described 
in subsection (b) with respect to an appropriate 
number of physicians, nurse practitioners, phy-
sician assistants, registered nurses, and phar-
macists each year to meet the needs of the area 
to be served; 
‘‘(B) demonstrate experience in training 
providers to practice team-based care that inte-
grates menopause training and treatment proto-
cols with primary care in community-based set-
tings; and 
‘‘(C) have the capacity to expand access to 
menopause training and treatment services in 
areas with demonstrated need, as determined by 
the Secretary, such as Tribal, rural, or other 
underserved communities. 
‘‘(h) DATA SUBMISSION; REPORTING.— 
‘‘(1) DATA
SUBMISSION
BY
GRANTEES.—Not 
later than 90 days after the first year of a training 
program funded through a grant under this section, 
and not later than 90 days after each subsequent 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
year of such training program during which such 
funding continues, the recipient of the grant shall 
submit to the Secretary such data as the Secretary 
may require for purposes of preparing the report 
under paragraph (2). 
‘‘(2) REPORT TO CONGRESS.— Not later than 
1 year after receipt under paragraph (1) of data 
from grantees for a year, the Secretary shall submit 
to the Committee on Energy and Commerce, the 
Committee on Ways and Means, the Committee on 
Veterans’ Affairs, and the Committee on Oversight 
and Reform of the House of Representatives and the 
Committee on Health, Education, Labor, and Pen-
sions, the Committee on Finance, the Committee on 
Homeland Security and Governmental Affairs, and 
the Committee on Veterans’ Affairs of the Senate a 
report that includes— 
‘‘(A) the findings and conclusions of the 
Secretary with respect to menopause curricula 
in schools and training programs receiving 
funding through a grant under this section; 
‘‘(B) an assessment of the benefits of the 
grant program under this section for— 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(i) establishing best practices for 
health care providers to treat patients in 
the clinical setting; 
‘‘(ii) providing greater awareness of 
menopause and related chronic conditions 
to— 
‘‘(I) physicians and other health 
care professionals; and 
‘‘(II) patients of such physicians 
and professionals; and 
‘‘(iii) improving the quality, quantity, 
and distribution of menopause treatment 
and training; and 
‘‘(C) a description of the benefits of, and 
barriers to, integrating menopause curricula at 
health professions schools and training pro-
grams. 
‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—Of 
amounts made available to the Secretary for other pur-
poses, the Secretary may use up to $31,700,000 of such 
amounts for the period of fiscal years 2025 through 2028 
for the purpose of carrying out the program under this 
section.’’. 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
SEC. 4. REGIONAL CENTERS OF EXCELLENCE IN MENO-
PAUSE EDUCATION. 
Part D of title VII of the Public Health Service Act 
(42 U.S.C. 294 et seq.) is amended by inserting after sec-
tion 758 (as added by section 3) the following: 
‘‘SEC. 758A. REGIONAL CENTERS OF EXCELLENCE IN MENO-
PAUSE EDUCATION. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with such other officials as the Secretary determines ap-
propriate, shall award cooperative agreements to eligible 
entities for— 
‘‘(1) the designation of such entities as Re-
gional Centers of Excellence in Menopause Edu-
cation; and 
‘‘(2) the support of such Regional Centers of 
Excellence to enhance and improve how health pro-
fessionals are educated in menopause through devel-
opment, evaluation, and distribution of evidence- 
based curricula for health professions schools. 
‘‘(b) SELECTION OF REGIONAL CENTERS OF EXCEL-
LENCE.— 
‘‘(1) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a cooperative agreement under subsection (a), 
an entity shall— 
‘‘(A) be an entity offering education to stu-
dents in various health professions, such as— 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(i) a health system; 
‘‘(ii) a teaching hospital; 
‘‘(iii) a medical school, a school of 
nursing (as defined in section 801), a 
school offering a physician assistant edu-
cation program, or a school of pharmacy; 
and 
‘‘(iv) any other health profession 
school, school of public health, or institu-
tion of higher education engaged in an as-
pect of the management of menopause; 
‘‘(B) be accredited by the appropriate edu-
cational accreditation body; 
‘‘(C) demonstrate an existing strategy, and 
have in place a plan for continuing such strat-
egy, or have a proposed strategy, to implement 
a curriculum based on best practices for meno-
pause treatment and education; and 
‘‘(D) provide to the Secretary such infor-
mation, at such time, and in such manner, as 
the Secretary may require. 
‘‘(2) 
DIVERSITY.—In 
awarding 
cooperative 
agreements under subsection (a), the Secretary 
shall— 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H6743.IH
H6743
‘‘(A) take into account regional differences 
among eligible entities; and 
‘‘(B) make an effort to ensure geographic 
diversity. 
‘‘(c) DISSEMINATION OF INFORMATION.— 
‘‘(1) PUBLIC
POSTING.—The Secretary shall 
make information provided to the Secretary under 
subsection (b)(1)(D) publicly available on the 
website of the Department of Health and Human 
Services. 
‘‘(2) EVALUATION.—The Secretary shall— 
‘‘(A) evaluate each project carried out by a 
Regional Center of Excellence in Menopause 
Education through funding received under this 
section; and 
‘‘(B) disseminate the results of each such 
evaluation to appropriate public and private en-
tities. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—Of 
amounts made available to the Secretary for other pur-
poses, the Secretary may use such sums as may be nec-
essary for the period of fiscal years 2025 through 2028 
for the purpose of carrying out the program under this 
section.’’. 
Æ 
VerDate Sep 11 2014 
00:05 Dec 30, 2023
Jkt 049200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6301
E:\BILLS\H6743.IH
H6743