II Calendar No. 407 114th CONGRESS 2d Session S. 800 IN THE SENATE OF THE UNITED STATES March 19, 2015 Mr. Kirk (for himself, Mr. Bennet , Mr. Hatch , Ms. Murkowski , Mr. Isakson , Ms. Collins , Mr. Enzi , and Mr. Alexander ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions April 4, 2016 Reported by Mr. Alexander , with an amendment Strike out all after the enacting clause and insert the part printed in italic A BILL To improve, coordinate, and enhance rehabilitation research at the National Institutes of Health.

1. Short title This Act may be cited as the Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act . 2. Improving medical rehabilitation research at the National Institutes of Health Section 452 of the Public Health Service Act ( 42 U.S.C. 285g–4 ) is amended— (1) in subsection (b), by striking conduct and support and inserting conduct, support, and coordination ; (2) in subsection (c)(1)(C), by striking of the Center and inserting within the Center ; (3) in subsection (d)— (A) by striking paragraph (1) and inserting the following: (1) The Director of the Center, on behalf of the Director of NIH and the Director of the Institute and in consultation with the coordinating committee established under subsection (e) and the advisory board established under subsection (f), shall develop a comprehensive plan (referred to in this section as the Research Plan ) for the conduct, support, and coordination of medical rehabilitation research. ; (B) in paragraph (2)— (i) in subparagraph (A), by striking and priorities for such research; and and inserting priorities for such research, and existing resources to support the purpose described in subsection (b); ; (ii) in subparagraph (B), by striking the period and inserting ; and ; and (iii) by adding at the end the following: (C) include objectives, benchmarks, and guiding principles for conducting, supporting, and coordinating medical rehabilitation research, consistent with the purpose described in subsection (b). ; (C) in paragraph (4)— (i) by striking the first sentence and inserting the following: The Director of the Center, in consultation with the Director of the Institute, the coordinating committee established under subsection (e), and the advisory board established under subsection (f), shall periodically, or not less than every 5 years, revise and update the Research Plan, as appropriate. Not later than 30 days after the Research Plan is so revised and updated, the Director of the Center shall transmit the revised and updated Research Plan to the President and the appropriate committees of Congress. ; and (D) by adding at the end the following: (5) The Director of the Center, in consultation with the Director of the Institute, shall annually prepare a report for the coordinating committee established under subsection (e) and the advisory board established under subsection (f) that describes and analyzes the progress during the preceding fiscal year in achieving the objectives, benchmarks, and guiding principles described in paragraph (2)(C) and includes expenditures of the Center and other agencies of the National Institutes of Health for carrying out the Research Plan. The report shall include recommendations for revising and updating the Research Plan, and such initiatives as the Director of the Center and the Director of the Institute determine appropriate. In preparing the report, the Director of the Center and the Director of the Institute shall consult with the Director of NIH, and the report shall reflect an assessment of the Research Plan by the Director of NIH. ; (4) in subsection (e)— (A) in paragraph (2), by inserting periodically, or not less than every 5 years, host a scientific conference or workshop on medical rehabilitation research and after The Coordinating Committee shall ; (B) in paragraph (3), by inserting the Director of the Division of Program Coordination, Planning, and Strategic Initiatives within the Office of the Director of NIH, after shall be composed of ; and (C) in paragraph (4), by striking Director of the Center and inserting Director of the Center, acting in the capacity of a designee of the Director of NIH ; (5) in subsection (f)(3)(B), by adding at the end the following: (xii) The Director of the Division of Program Coordination, Planning, and Strategic Initiatives. ; and (6) by adding at the end the following: (g) The Director of the Center, in consultation with the Director of the Institute, the Coordinating Committee, and the Advisory Board, shall develop guidelines governing the funding for medical rehabilitation research by the Center and other agencies of the National Institutes of Health. At a minimum, such guidelines shall reflect the purpose of the Center described in subsection (b) and be consistent with the Research Plan. (h) (1) The Secretary and the heads of other Federal agencies shall jointly review the programs carried out (or proposed to be carried out) by each such official with respect to medical rehabilitation research and, as appropriate, enter into agreements preventing duplication among such programs. (2) The Secretary shall enter into interagency agreements relating to the coordination of medical rehabilitation research conducted by agencies of the National Institutes of Health and other agencies of the Federal Government. (i) For purposes of this section, the term medical rehabilitation research means the science of mechanisms and interventions that prevent, improve, restore, or replace lost, underdeveloped, or deteriorating function (defined at the level of impairment, activity, and participation, according to the World Health Organization in the International Classification of Functioning, Disability and Health (2001)). . 3. Requirements of certain agreements for enhancing coordination and preventing duplicative programs of medical rehabilitation research Section 3 of the National Institutes of Health Amendments of 1990 ( 42 U.S.C. 285g–4 note) is amended— (1) in subsection (a), by striking (a) In general .— ; and (2) by striking subsection (b).

1. Short title This Act may be cited as the Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act . 2. Improving medical rehabilitation research at the National Institutes of Health Section 452 of the Public Health Service Act ( 42 U.S.C. 285g–4 ) is amended— (1) in subsection (b), by striking conduct and support and inserting conduct, support, and coordination ; (2) in subsection (c)(1)(C), by striking of the Center and inserting within the Center ; (3) in subsection (d)— (A) by striking paragraph (1) and inserting the following: (1) The Director of the Center, in consultation with the Director of the Institute, the coordinating committee established under subsection (e), and the advisory board established under subsection (f), shall develop a comprehensive plan (referred to in this section as the Research Plan ) for the conduct, support, and coordination of medical rehabilitation research. ; (B) in paragraph (2)— (i) in subparagraph (A), by striking ; and and inserting a semicolon; (ii) in subparagraph (B), by striking the period and inserting ; and ; and (iii) by adding at the end the following: (C) include goals and objectives for conducting, supporting, and coordinating medical rehabilitation research, consistent with the purpose described in subsection (b). ; (C) by striking paragraph (4) and inserting the following: (4) The Director of the Center, in consultation with the Director of the Institute, the coordinating committee established under subsection (e), and the advisory board established under subsection (f), shall revise and update the Research Plan periodically, as appropriate, or not less than every 5 years. Not later than 30 days after the Research Plan is so revised and updated, the Director of the Center shall transmit the revised and updated Research Plan to the President, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Committee on Energy and Commerce of the House of Representatives. ; and (D) by adding at the end the following: (5) The Director of the Center, in consultation with the Director of the Institute, shall, prior to revising and updating the Research Plan, prepare a report for the coordinating committee established under subsection (e) and the advisory board established under subsection (f) that describes and analyzes the progress during the preceding fiscal year in achieving the goals and objectives described in paragraph (2)(C) and includes expenditures for rehabilitation research at the National Institutes of Health. The report shall include recommendations for revising and updating the Research Plan, and such initiatives as the Director of the Center and the Director of the Institute determine appropriate. In preparing the report, the Director of the Center and the Director of the Institute shall consult with the Director of NIH. ; (4) in subsection (e)— (A) in paragraph (2), by inserting periodically host a scientific conference or workshop on medical rehabilitation research and after The Coordinating Committee shall ; and (B) in paragraph (3), by inserting the Director of the Division of Program Coordination, Planning, and Strategic Initiatives within the Office of the Director of NIH, after shall be composed of ; (5) in subsection (f)(3)(B)— (A) by redesignating clauses (ix) through (xi) as clauses (x) through (xii), respectively; and (B) by inserting after clause (viii) the following: (ix) The Director of the Division of Program Coordination, Planning, and Strategic Initiatives. ; and (6) by adding at the end the following: (g) (1) The Secretary and the heads of other Federal agencies shall jointly review the programs carried out (or proposed to be carried out) by each such official with respect to medical rehabilitation research and, as appropriate, enter into agreements preventing duplication among such programs. (2) The Secretary shall, as appropriate, enter into interagency agreements relating to the coordination of medical rehabilitation research conducted by agencies of the National Institutes of Health and other agencies of the Federal Government. (h) For purposes of this section, the term medical rehabilitation research means the science of mechanisms and interventions that prevent, improve, restore, or replace lost, underdeveloped, or deteriorating function. . 3. Requirements of certain agreements for enhancing coordination and preventing duplicative programs of medical rehabilitation research Section 3 of the National Institutes of Health Amendments of 1990 ( 42 U.S.C. 285g–4 note) is amended— (1) in subsection (a), by striking (a) In general .— ; and (2) by striking subsection (b).

April 4, 2016 Reported with an amendment