IB 
Union Calendar No. 373 
111TH CONGRESS 
2D SESSION 
H. R. 5354 
[Report No. 111–633] 
To establish an Advisory Committee on Gestational Diabetes, to provide 
grants to better understand and reduce gestational diabetes, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 20, 2010 
Mr. ENGEL (for himself, Mr. BURGESS, Ms. DEGETTE, Mr. CASTLE, Mr. 
GENE GREEN of Texas, Mr. KING of New York, Mrs. CAPPS, Mr. GON-
ZALEZ, Ms. BALDWIN, Mr. RANGEL, Mr. HIGGINS, Mrs. MALONEY, Mr. 
ACKERMAN, Ms. CLARKE, Ms. LEE of California, Mr. SERRANO, and Mr. 
DOYLE) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
SEPTEMBER 28, 2010 
Additional sponsors: Mr. NADLER of New York, Mr. GORDON of Tennessee, 
Mr. SPACE, Mr. GRIJALVA, Mr. SCOTT of Georgia, Ms. NORTON, Mrs. 
BONO MACK, Mrs. CHRISTENSEN, Ms. LINDA T. SA´NCHEZ of California, 
and Mr. STEARNS 
SEPTEMBER 28, 2010 
Reported with amendments, committed to the Committee of the Whole House 
on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on May 20, 2010] 
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A BILL 
To establish an Advisory Committee on Gestational Diabetes, 
to provide grants to better understand and reduce gesta-
tional diabetes, and for other purposes. 
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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 ‘‘Gestational Diabetes Act 
of 2010’’ or the ‘‘GEDI Act’’. 
SEC. 2. GESTATIONAL DIABETES. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by adding after section 
317H the following: 
‘‘SEC. 317H–1. GESTATIONAL DIABETES. 
‘‘(a) UNDERSTANDING AND MONITORING GESTATIONAL 
DIABETES.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease Con-
trol and Prevention, in consultation with the Diabetes 
Mellitus Interagency Coordinating Committee estab-
lished under section 429 and representatives of appro-
priate national health organizations, shall develop a 
multisite gestational diabetes research project within 
the diabetes program of the Centers for Disease Con-
trol and Prevention to expand and enhance surveil-
lance data and public health research on gestational 
diabetes. 
‘‘(2) AREAS TO BE ADDRESSED.—The research 
project developed under paragraph (1) shall address— 
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‘‘(A) procedures to establish accurate and ef-
ficient systems for the collection of gestational di-
abetes data within each State and common-
wealth, territory, or possession of the United 
States; 
‘‘(B) the progress of collaborative activities 
with the National Vital Statistics System, the 
National Center for Health Statistics, and State 
health departments with respect to the standard 
birth certificate, in order to improve surveillance 
of gestational diabetes; 
‘‘(C) 
postpartum 
methods 
of 
tracking 
women with gestational diabetes after delivery as 
well as targeted interventions proven to lower the 
incidence of type 2 diabetes in that population; 
‘‘(D) variations in the distribution of diag-
nosed and undiagnosed gestational diabetes, and 
of impaired fasting glucose tolerance and im-
paired fasting glucose, within and among groups 
of women; and 
‘‘(E) factors and culturally sensitive inter-
ventions that influence risks and reduce the inci-
dence of gestational diabetes and related com-
plications during childbirth, including cultural, 
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behavioral, racial, ethnic, geographic, demo-
graphic, socioeconomic, and genetic factors. 
‘‘(3) REPORT.—Not later than 2 years after the 
date of the enactment of this section, and annually 
thereafter, the Secretary shall generate a report on the 
findings and recommendations of the research project 
including prevalence of gestational diabetes in the 
multisite area and disseminate the report to the ap-
propriate Federal and non-Federal agencies. 
‘‘(b) EXPANSION
OF GESTATIONAL DIABETES RE-
SEARCH.— 
‘‘(1) IN GENERAL.—The Secretary shall expand 
and intensify public health research regarding gesta-
tional diabetes. Such research may include— 
‘‘(A) developing and testing novel ap-
proaches for improving postpartum diabetes test-
ing or screening and for preventing type 2 diabe-
tes in women with a history of gestational diabe-
tes; and 
‘‘(B) conducting public health research to 
further understanding of the epidemiologic, 
socioenvironmental, behavioral, translation, and 
biomedical factors and health systems that influ-
ence the risk of gestational diabetes and the de-
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velopment of type 2 diabetes in women with a 
history of gestational diabetes. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each fiscal year 2012 
through 2016. 
‘‘(c) DEMONSTRATION GRANTS TO LOWER THE RATE 
OF GESTATIONAL DIABETES.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease Con-
trol and Prevention, shall award grants, on a com-
petitive basis, to eligible entities for demonstration 
projects that implement evidence-based interventions 
to reduce the incidence of gestational diabetes, the re-
currence of gestational diabetes in subsequent preg-
nancies, and the development of type 2 diabetes in 
women with a history of gestational diabetes. 
‘‘(2) PRIORITY.—In making grants under this 
subsection, the Secretary shall give priority to projects 
focusing on— 
‘‘(A) helping women who have 1 or more 
risk factors for developing gestational diabetes; 
‘‘(B) working with women with a history of 
gestational diabetes during a previous preg-
nancy; 
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‘‘(C) providing postpartum care for women 
with gestational diabetes; 
‘‘(D) tracking cases where women with a 
history of gestational diabetes developed type 2 
diabetes; 
‘‘(E) educating mothers with a history of 
gestational diabetes about the increased risk of 
their child developing diabetes; 
‘‘(F) working to prevent gestational diabetes 
and prevent or delay the development of type 2 
diabetes in women with a history of gestational 
diabetes; and 
‘‘(G) achieving outcomes designed to assess 
the efficacy and cost-effectiveness of interventions 
that can inform decisions on long-term sustain-
ability, including third-party reimbursement. 
‘‘(3) APPLICATION.—An eligible entity desiring 
to receive a grant under this subsection shall submit 
to the Secretary— 
‘‘(A) an application at such time, in such 
manner, and containing such information as the 
Secretary may require; and 
‘‘(B) a plan to— 
‘‘(i) lower the rate of gestational diabe-
tes during pregnancy; or 
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