IB 
Union Calendar No. 253 
118TH CONGRESS 
1ST SESSION H. R. 2365 
[Report No. 118–313] 
To direct the Secretary of Health and Human Services to carry out a 
national project to prevent and cure Parkinson’s, to be known as the 
National Parkinson’s Project, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 29, 2023 
Mr. BILIRAKIS (for himself, Mr. TONKO, Mrs. HARSHBARGER, Ms. SCHA-
KOWSKY, Mr. FITZPATRICK, Ms. KUSTER, Mrs. KIM of California, Ms. 
BARRAGA´N, Mr. VALADAO, and Mr. HIGGINS of New York) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce 
DECEMBER 12, 2023 
Additional sponsors: Ms. BONAMICI, Mrs. TRAHAN, Mr. QUIGLEY, Mr. 
CARBAJAL, Mrs. BICE, Ms. MATSUI, Mr. NORCROSS, Ms. LOIS FRANKEL 
of Florida, Ms. CHU, Mr. GRIJALVA, Ms. DEAN of Pennsylvania, Mr. 
SCOTT FRANKLIN of Florida, Mr. SMITH of Washington, Mr. GOMEZ, Mr. 
SWALWELL, Mr. PAPPAS, Ms. WEXTON, Mr. BACON, Mr. NADLER, Mrs. 
NAPOLITANO, Mr. KIM of New Jersey, Ms. SEWELL, Mrs. DINGELL, Mr. 
EVANS, Mr. GARCI´A of Illinois, Mr. CONNOLLY, Ms. NORTON, Mr. 
MORELLE, Mrs. CHERFILUS-MCCORMICK, Mr. CORREA, Mr. KILMER, 
Ms. DELBENE, Mr. SCHNEIDER, Ms. PORTER, Mr. SMUCKER, Mr. 
MCGOVERN, Ms. MACE, Mr. MOONEY, Mr. DAVIS of North Carolina, Mr. 
RUTHERFORD, Mr. CA´RDENAS, Ms. TITUS, Mr. MULLIN, Mr. CAREY, Mr. 
JOHNSON of Georgia, Ms. BLUNT ROCHESTER, Mr. VAN DREW, Mr. 
FLEISCHMANN, Ms. MALLIOTAKIS, Mrs. PELTOLA, Ms. WILD, Mr. 
BURCHETT, Mr. GRAVES
of Louisiana, Mr. LUETKEMEYER, Mr. 
LAHOOD, Mr. RASKIN, Mr. PANETTA, Mr. LYNCH, Mr. EDWARDS, Mr. 
HIMES, Ms. CLARKE of New York, Mr. WILSON of South Carolina, Mr. 
DUNN of Florida, Mrs. HOUCHIN, Ms. CRAIG, Mr. LIEU, Mr. PETERS, 
Mrs. MILLER of West Virginia, Mr. TIMMONS, Mr. NEGUSE, Mr. CREN-
SHAW, Mrs. FLETCHER, Mr. ALLRED, Mr. FROST, Mr. PASCRELL, Ms. 
SHERRILL, Ms. MENG, Ms. LEE of Nevada, Mrs. SYKES, Mr. COSTA, Mr. 
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TURNER, Mr. MCGARVEY, Mr. AUSTIN SCOTT of Georgia, Ms. HOYLE of 
Oregon, Mr. LANDSMAN, Ms. TLAIB, Mr. STANTON, Mr. GOTTHEIMER, 
Mr. SHERMAN, Mr. WALBERG, Mr. EZELL, Mr. BLUMENAUER, Ms. LEE 
of California, Mr. KILDEE, Ms. SCANLON, Mr. LEVIN, Mr. BALDERSON, 
Ms. CARAVEO, Ms. SALINAS, Mr. LARSEN of Washington, Mr. MAG-
AZINER, Mr. TRONE, Mr. CLEAVER, Ms. BROWNLEY, Ms. LEGER 
FERNANDEZ, Mr. VEASEY, Mr. GARAMENDI, Mr. THOMPSON of Pennsyl-
vania, Mr. JACKSON of North Carolina, Mr. LATURNER, Ms. HOULAHAN, 
Mr. HUIZENGA, Mr. CARL, Mr. MENENDEZ, Mr. MANN, Mr. 
MOOLENAAR, Ms. PETTERSEN, Ms. MCCLELLAN, Ms. PEREZ, Mr. CROW, 
Ms. DAVIDS of Kansas, Ms. STRICKLAND, Ms. STEVENS, Ms. ADAMS, Mr. 
TAKANO, Ms. LOFGREN, Ms. SLOTKIN, Mr. BEAN of Florida, Mr. 
CISCOMANI, Mr. CASTRO of Texas, Ms. MANNING, Mr. FINSTAD, Mrs. 
SPARTZ, Ms. HAGEMAN, Mr. KELLY of Pennsylvania, Mr. LAWLER, Mr. 
GARBARINO, Mr. PENCE, Mr. LAMALFA, Mr. KUSTOFF, Mr. MEEKS, Ms. 
MOORE of Wisconsin, Mr. SCOTT of Virginia, Mr. KRISHNAMOORTHI, Mr. 
BOWMAN, Ms. OMAR, Ms. DE LA CRUZ, Ms. STANSBURY, Ms. ESCOBAR, 
Ms. CROCKETT, Ms. TOKUDA, Mr. JOHNSON of Ohio, Mr. CASTEN, Ms. 
SALAZAR, Mrs. STEEL, Mr. MRVAN, Mr. LANGWORTHY, Mr. KEAN of 
New Jersey, Mr. ROUZER, Mr. POCAN, Mr. MCCAUL, Mrs. CAMMACK, 
and Mr. RYAN 
DECEMBER 12, 2023 
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 March 29, 2023] 
A BILL 
To direct the Secretary of Health and Human Services to 
carry out a national project to prevent and cure Parkin-
son’s, to be known as the National Parkinson’s Project, 
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 ‘‘Dr. Emmanuel Bilirakis 
National Plan to End Parkinson’s Act’’. 
SEC. 2. NATIONAL PARKINSON’S PROJECT. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by adding at the end: 
‘‘PART W—PARKINSON’S AND RELATED 
DISORDERS 
‘‘SEC. 399OO. NATIONAL PARKINSON’S PROJECT. 
‘‘(a) DEFINITION OF PARKINSON’S.—In this section, 
the term ‘Parkinson’s’ means— 
‘‘(1) Parkinson’s disease; and 
‘‘(2) all other neurodegenerative Parkinsonisms, 
including multiple system atrophy, corticobasal de-
generation, progressive supranuclear palsy, and Par-
kinson’s-related dementia. 
‘‘(b) ESTABLISHMENT.—The Secretary shall carry out 
a national project, to be known as the National Parkinson’s 
Project (referred to in this section as the ‘Project’), to pre-
vent, diagnose, treat, and cure Parkinson’s. 
‘‘(c) ACTIVITIES CARRIED OUT THROUGH PROJECT.— 
In carrying out the Project, the Secretary shall— 
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‘‘(1) create, maintain, and periodically update 
an integrated national plan to prevent, diagnose, 
treat, and cure Parkinson’s, ameliorate symptoms, 
and slow or stop progression; 
‘‘(2) carry out the annual assessment under sub-
section (d); 
‘‘(3) provide information, including— 
‘‘(A) an estimate of the level of current Fed-
eral investment in preventing, diagnosing, treat-
ing, and curing Parkinson’s, ameliorating symp-
toms, and slowing or stopping progression; and 
‘‘(B) if applicable, an estimate of the invest-
ment necessary to prevent, diagnose, treat, and 
cure Parkinson’s, ameliorate symptoms, and slow 
or stop progression; 
‘‘(4) coordinate research and services across all 
Federal agencies related to Parkinson’s; 
‘‘(5) encourage the development of safe and effec-
tive treatments, strategies, and other approaches to 
prevent, diagnose, treat, and cure Parkinson’s, ame-
liorate symptoms, and slow or stop progression; 
‘‘(6) improve the— 
‘‘(A) early diagnosis of Parkinson’s; and 
‘‘(B) coordination of the care and treatment 
of individuals with Parkinson’s; 
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‘‘(7) review the impact of Parkinson’s on the 
physical, mental, and social health of individuals liv-
ing with Parkinson’s and their caregivers and fami-
lies; 
‘‘(8) coordinate with international bodies, to the 
extent possible, to integrate and inform the mission to 
prevent, diagnose, treat, and cure Parkinson’s, ame-
liorate symptoms, and slow or stop progression glob-
ally; and 
‘‘(9) to the extent practicable, collaborate with 
other entities to prevent duplication of existing re-
search activities for related disorders. 
‘‘(d) ANNUAL
ASSESSMENT.—Not later than 24 
months after the date of enactment of this section, and an-
nually thereafter, the Secretary shall carry out an assess-
ment of the Nation’s progress in preparing for, and re-
sponding to, the escalating burden of Parkinson’s, includ-
ing— 
‘‘(1) recommendations for priority actions based 
on the assessment; 
‘‘(2) a description of any steps that are planned 
or have already been taken to implement such rec-
ommendations, including whether such recommenda-
tions can be implemented under existing law; and 
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‘‘(3) such other items as the Secretary determines 
appropriate. 
‘‘(e) ADVISORY COUNCIL.— 
‘‘(1) IN GENERAL.—The Secretary shall establish 
and maintain an Advisory Council on Parkinson’s 
Research, Care, and Services (referred to in this sec-
tion as the ‘Advisory Council’) to advise the Secretary 
on Parkinson’s-related issues. 
‘‘(2) MEMBERSHIP.— 
‘‘(A) FEDERAL
MEMBERS.—The Advisory 
Council shall be comprised of experts, to be ap-
pointed by the Secretary, who collectively are 
from various backgrounds and perspectives, in-
cluding at least one member from each of— 
‘‘(i) the Centers for Disease Control 
and Prevention; 
‘‘(ii) the Administration on Commu-
nity Living; 
‘‘(iii) the Centers for Medicare & Med-
icaid Services; 
‘‘(iv) the National Institutes of Health; 
‘‘(v) the Agency for Healthcare Re-
search and Quality; 
‘‘(vi) the Department of Veterans Af-
fairs; 
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