676 
(b) REQUIRED
RESEARCH
ACTIVITIES.—In con-
ducting or supporting research relating to sleep and circa-
dian rhythm, the Director of the National Heart, Lung, 
and Blood Institute shall— 
(1) advance epidemiology and clinical research 
to achieve a more complete understanding of dispari-
ties in domains of sleep health and across population 
subgroups for which cardiovascular and metabolic 
health disparities exist, including— 
(A) prevalence and severity of sleep apnea; 
(B) habitual sleep duration; 
(C) sleep timing and regularity; and 
(D) insomnia; 
(2) develop study designs and analytical ap-
proaches to explain and predict multilevel and life- 
course determinants of sleep health and to elucidate 
the sleep-related causes of cardiovascular and meta-
bolic health disparities across the age spectrum, in-
cluding such determinants and causes that are— 
(A) environmental; 
(B) biological or genetic; 
(C) psychosocial; 
(D) societal; 
(E) political; or 
(F) economic; 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00676
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
677 
(3) determine the contribution of sleep impair-
ments such as sleep apnea, insufficient sleep dura-
tion, irregular sleep schedules, and insomnia to un-
explained disparities in cardiovascular and metabolic 
risk and disease outcomes; 
(4) develop study designs, data sampling and 
collection tools, and analytical approaches to opti-
mize understanding of mediating and moderating 
factors, and feedback mechanisms coupling sleep to 
cardiovascular and metabolic health disparities; 
(5) advance research to understand cultural 
and linguistic barriers (on the person, provider, or 
system level) to access to care, medical diagnosis, 
and treatment of sleep disorders in diverse popu-
lation groups; 
(6) develop and test multilevel interventions (in-
cluding sleep health education in diverse commu-
nities) to reduce disparities in sleep health that will 
impact ability to improve disparities in cardio-
vascular and metabolic risk or disease; 
(7) create opportunities to integrate sleep and 
health disparity science by strategically utilizing re-
sources (existing or anticipated cohorts), exchanging 
scientific data and ideas (cross-over into scientific 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00677
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
678 
meetings), and develop multidisciplinary investi-
gator-initiated grant applications; and 
(8) enhance the diversity and foster career de-
velopment of young investigators involved in sleep 
and health disparities science. 
(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for fiscal year 2017 and 
each subsequent fiscal year. 
SEC. 793. SLEEP AND CIRCADIAN RHYTHM HEALTH DIS-
PARITIES-RELATED ACTIVITIES OF THE CEN-
TERS FOR DISEASE CONTROL AND PREVEN-
TION. 
(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention shall conduct, support, 
and expand public health strategies and prevention, diag-
nosis, surveillance, and public and professional awareness 
activities regarding sleep and circadian rhythm disorders. 
(b) FINDINGS.—The Congress finds as follows: 
(1) Sleep disorders and sleep deficiency unre-
lated to a primary sleep disorder are underdiagnosed 
and are increasingly detrimental to health status. 
(2) The consequences to society include addi-
tional diseases, motor vehicle accidents, decreased 
longevity, elevated direct medical costs, and indirect 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00678
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
679 
costs related to work absenteeism and property dam-
age. 
(c) REQUIRED
SURVEILLANCE
AND
EDUCATION 
AWARENESS ACTIVITIES.—In conducting or supporting 
research relating to sleep and circadian rhythm disorders 
surveillance and education awareness activities, the Direc-
tor of the Centers for Disease Control and Prevention 
shall— 
(1) ensure that such activities are culturally 
and linguistically appropriate to minority patients, 
targeting sleep and circadian rhythm health pro-
motion and prevention programs of each major eth-
nic group, including— 
(A) Native Americans and Alaska Natives; 
(B) Asian-Americans; 
(C) African-Americans/Blacks; 
(D) Hispanic/Latino-Americans; and 
(E) Native Hawaiians and Pacific Island-
ers; 
(2) collect and compile national and State sur-
veillance data on sleep disorders health disparities; 
(3) continue to develop and implement new 
sleep questions in public health surveillance systems 
to increase public awareness of sleep health and 
sleep disorders and their impact on health; 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00679
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
680 
(4) publish monthly reports highlighting geo-
graphic, racial, and ethnic disparities in sleep health, 
as well as relationships between insufficient sleep 
and chronic disease, health risk behaviors, and other 
outcomes as determined necessary by the Director; 
and 
(5) include public awareness campaigns that in-
form patient populations from major ethnic groups 
about the prevalence of sleep and circadian rhythm 
disorders and emphasize the importance of sleep 
health. 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for fiscal year 2017 and 
each subsequent fiscal year. 
SEC. 794. GRANTS FOR COMPREHENSIVE SLEEP AND CIR-
CADIAN 
HEALTH 
EDUCATION 
WITHIN 
HEALTH PROFESSIONS SCHOOLS. 
(a) PROGRAM
AUTHORIZED.—The Secretary of 
Health and Human Services (in this section referred to 
as the ‘‘Secretary’’), in coordination with the Secretary of 
Education, shall award grants, on a competitive basis, to 
academic health science centers, health professions 
schools, and other institutions of higher education to en-
able such institutions to provide people with comprehen-
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00680
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS