IIB 
114TH CONGRESS 
2D SESSION 
H. R. 1192 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 15, 2016 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Public Health Service Act to foster more 
effective implementation and coordination of clinical care 
for people with a complex metabolic or autoimmune dis-
ease, a disease resulting from insulin deficiency or insulin 
resistance, or complications caused by such a disease, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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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 re-
ferred to as the ‘Commission’) to evaluate, and rec-
ommend solutions regarding better coordination and 
leveraging of, programs within the Department and other 
Federal agencies that relate in any way to supporting ap-
propriate clinical care (such as any interactions between 
physicians and other health care providers and their pa-
tients related to treatment and care management) for indi-
viduals with— 
‘‘(1) a complex metabolic or autoimmune dis-
ease; 
‘‘(2) a disease resulting from insulin deficiency 
or insulin resistance; or 
‘‘(3) complications caused by any such disease. 
‘‘(b) MEMBERSHIP.— 
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‘‘(1) IN GENERAL.—The Commission shall be 
composed of the following voting members: 
‘‘(A) The heads (or their designees) of the 
following Federal agencies and departments: 
‘‘(i) The Centers for Medicare & Med-
icaid Services. 
‘‘(ii) The Agency for Healthcare Re-
search and Quality. 
‘‘(iii) The Centers for Disease Control 
and Prevention. 
‘‘(iv) The Indian Health Service. 
‘‘(v) The Department of Veterans Af-
fairs. 
‘‘(vi) The National Institutes of 
Health. 
‘‘(vii) The Food and Drug Adminis-
tration. 
‘‘(viii) The Health Resources and 
Services Administration. 
‘‘(ix) The Department of Defense. 
‘‘(B) Twelve additional voting members ap-
pointed under paragraph (2). 
‘‘(C) Such additional voting members as 
may be appointed by the Secretary, at the Sec-
retary’s discretion, from among the heads (or 
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their designees) of governmental or nongovern-
mental entities that impact clinical care of indi-
viduals with any of the diseases and complica-
tions described in subsection (a). 
‘‘(2) ADDITIONAL MEMBERS.—The Commission 
shall include additional voting members appointed by 
the Secretary, in consultation with national medical 
societies and patient advocacy organizations with ex-
pertise in the care and epidemiology of any of the 
diseases and complications described in subsection 
(a), including one or more such members from each 
of the following categories: 
‘‘(A) Clinical endocrinologists. 
‘‘(B) Physician specialties (other than as 
described in subparagraph (A)) that play a role 
in diseases and complications described in sub-
section (a), such as cardiologists, nephrologists, 
and eye care professionals. 
‘‘(C) Primary care physicians. 
‘‘(D) Non-physician health care profes-
sionals, such as certified diabetes educators, 
registered dieticians and nutrition professionals, 
nurses, nurse practitioners, and physician as-
sistants. 
‘‘(E) Patient advocates. 
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