IB 
Union Calendar No. 625 
114TH CONGRESS 
2D SESSION 
H. R. 1192 
[Report No. 114–801] 
To amend the Public Health Service Act to foster more effective implementa-
tion and coordination of clinical care for people with pre-diabetes, diabe-
tes, and the chronic diseases and conditions that result from diabetes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 2, 2015 
Mr. OLSON (for himself, Mr. LOEBSACK, Mr. WHITFIELD, Ms. DEGETTE, Ms. 
NORTON, Mr. FARENTHOLD, Mr. KELLY of Pennsylvania, Mr. GUTHRIE, 
Mr. TAKANO, Mr. BISHOP of Georgia, Mr. BLUMENAUER, Mr. GRIJALVA, 
Mr. HECK of Nevada, Ms. FRANKEL of Florida, Mr. COLLINS of New 
York, Mr. MCKINLEY, Mr. SESSIONS, Mr. SMITH of New Jersey, Mr. 
RODNEY DAVIS of Illinois, Mr. DUNCAN of South Carolina, Mr. LEVIN, 
Mr. JOYCE, Mr. NEAL, Ms. SLAUGHTER, Ms. GRANGER, Mr. SCHIFF, 
Mr. RUSH, Ms. BROWN of Florida, Mr. BARLETTA, Mr. BUCSHON, Mr. 
BUCHANAN, Mr. DAVID SCOTT of Georgia, Ms. SPEIER, Ms. EDWARDS, 
Mr. LONG, Mr. HASTINGS, Ms. DELBENE, Ms. TITUS, Mr. LIPINSKI, Mr. 
WITTMAN, Mr. YOUNG of Indiana, Ms. BORDALLO, Mr. YARMUTH, Mr. 
BUTTERFIELD, Mr. HIMES, Mr. RANGEL, Ms. CASTOR of Florida, Mr. 
JOHNSON of Ohio, Mr. DELANEY, Mr. SMITH of Texas, Mr. PETERS, Mr. 
PETERSON, Mr. RUIZ, and Mr. BURGESS) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
NOVEMBER 14, 2016 
Additional sponsors: Mr. POLIS, Mr. CARTWRIGHT, Ms. TSONGAS, Mr. 
MCGOVERN, Mr. GOHMERT, Ms. MCCOLLUM, Mr. ROE of Tennessee, Mr. 
PRICE of North Carolina, Mr. HIGGINS, Mrs. BEATTY, Mr. GOWDY, Mr. 
WALZ, Mr. YOUNG of Iowa, Ms. MATSUI, Mr. VARGAS, Mr. POMPEO, 
Mrs. BUSTOS, Mr. WILSON of South Carolina, Mr. BARR, Mr. KILDEE, 
Ms. KUSTER, Mr. AMODEI, Mr. TIBERI, Mr. FORTENBERRY, Ms. 
BROWNLEY of California, Mr. STIVERS, Mr. HUFFMAN, Mr. FRELING-
HUYSEN, Mr. NOLAN, Mr. YOUNG of Alaska, Mr. PAULSEN, Mr. ROGERS 
of Kentucky, Mr. TURNER, Mr. WILLIAMS, Mr. JOLLY, Mr. LATTA, Mr. 
POCAN, Mr. MOULTON, Ms. LEE, Mr. MOONEY of West Virginia, Mrs. 
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BROOKS of Indiana, Mrs. ELLMERS of North Carolina, Ms. CLARKE of 
New York, Mr. RYAN of Ohio, Mr. HARPER, Ms. PINGREE, Mr. ALLEN, 
Mr. CONNOLLY, Mr. KIND, Mr. LANCE, Mr. ROTHFUS, Mr. TONKO, Mr. 
ISRAEL, Mrs. HARTZLER, Mr. PASCRELL, Ms. SCHAKOWSKY, Mr. HECK 
of Washington, Mrs. KIRKPATRICK, Mr. REED, Mr. PAYNE, Ms. CLARK 
of Massachusetts, Mr. COHEN, Mr. VEASEY, Mr. COSTELLO of Pennsyl-
vania, Mrs. WATSON COLEMAN, Mr. CULBERSON, Mr. HENSARLING, Mr. 
SABLAN, Mr. FLORES, Ms. EDDIE BERNICE JOHNSON of Texas, Mrs. 
NAPOLITANO, Mr. MEEHAN, Mr. GENE GREEN of Texas, Ms. ESHOO, 
Mr. CARSON of Indiana, Ms. MAXINE WATERS of California, Mr. JOHN-
SON of Georgia, Mr. BILIRAKIS, Mrs. BLACKBURN, Mr. KENNEDY, Mr. 
GUINTA, Mr. FORBES, Mr. TAKAI, Mr. DEFAZIO, Ms. SINEMA, Mr. 
LYNCH, Ms. LOFGREN, Mr. RIBBLE, Mr. SENSENBRENNER, Mr. BEN 
RAY LUJA´N of New Mexico, Mr. ROSS, Ms. SEWELL of Alabama, Mr. 
WELCH, Mr. RIGELL, Mr. THOMPSON of Mississippi, Mr. LANGEVIN, Mr. 
HUNTER, Mr. YODER, Mr. SHIMKUS, Mr. SCHRADER, Ms. JUDY CHU of 
California, Mr. GUTIE´RREZ, Mr. WENSTRUP, Mr. KING of New York, Mr. 
MULLIN, Mr. SAM JOHNSON of Texas, Mr. KILMER, Mr. GIBSON, Mrs. 
DAVIS of California, Mr. LEWIS, Ms. LINDA T. SA´NCHEZ of California, 
Mr. SIRES, Mr. HONDA, Mr. GRAYSON, Mr. PIERLUISI, Mr. BARTON, Mr. 
RUPPERSBERGER, Mr. MURPHY of Pennsylvania, Mr. SHUSTER, Mr. 
KINZINGER of Illinois, Mr. FATTAH, Ms. WILSON of Florida, Mr. 
NUGENT, 
Mr. 
ROKITA, 
Ms. 
KAPTUR, 
Mr. 
THORNBERRY, 
Mr. 
FITZPATRICK, Mr. SWALWELL of California, Mr. DUNCAN of Tennessee, 
Mr. DEUTCH, Mr. JONES, Mr. PERRY, Mr. ZELDIN, Mr. SCOTT of Vir-
ginia, Mr. VAN HOLLEN, Mrs. MILLER of Michigan, Mr. ROUZER, Mr. 
CONYERS, Mr. WALBERG, Mr. BRADY of Pennsylvania, Mr. BABIN, Miss 
RICE of New York, Ms. VELA´ZQUEZ, Mr. BLUM, Mr. WALDEN, Mr. 
ASHFORD, Mr. GARRETT, Mrs. COMSTOCK, Mr. BEYER, Ms. HAHN, Mr. 
CUMMINGS, Mr. THOMPSON of Pennsylvania, Mr. HOLDING, Mr. VELA, 
Mr. MARCHANT, Mrs. LAWRENCE, Mr. NADLER, Mr. VALADAO, Ms. 
MENG, Mr. SERRANO, Mr. SEAN PATRICK MALONEY of New York, Mr. 
BENISHEK, Ms. ROYBAL-ALLARD, Mr. GRAVES
of Louisiana, Mr. 
BRENDAN F. BOYLE of Pennsylvania, Mr. CARTER of Texas, Ms. 
MICHELLE LUJAN GRISHAM of New Mexico, Mr. BYRNE, Mr. TED LIEU 
of California, Mr. GROTHMAN, Ms. ADAMS, Mr. DOGGETT, Mr. AGUILAR, 
Mr. LOBIONDO, Mr. CRAMER, and Mr. RICE of South Carolina 
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NOVEMBER 14, 2016 
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 2, 2015] 
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A BILL 
To amend the Public Health Service Act to foster more 
effective implementation and coordination of clinical care 
for people with pre-diabetes, diabetes, and the chronic 
diseases and conditions that result from diabetes. 
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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 ‘‘National Clinical Care 
Commission Act’’. 
SEC. 2. ESTABLISHMENT OF THE NATIONAL 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–7. NATIONAL CLINICAL CARE COMMISSION. 
‘‘(a) ESTABLISHMENT.—There is hereby established, 
within the Department of Health and Human Services, a 
National Clinical Care Commission (in this section referred 
to as the ‘Commission’) to evaluate, and recommend solu-
tions regarding better coordination and leveraging of, pro-
grams within the Department and other Federal agencies 
that relate in any way to supporting appropriate clinical 
care (such as any interactions between physicians and other 
health care providers and their patients related to treatment 
and care management) for individuals with— 
‘‘(1) a complex metabolic or autoimmune disease; 
‘‘(2) a disease resulting from insulin deficiency 
or insulin resistance; or 
‘‘(3) complications caused by any such disease. 
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