I 116th CONGRESS 1st Session H. R. 3131 IN THE HOUSE OF REPRESENTATIVES June 5, 2019 Ms. Jayapal (for herself, Mr. Wilson of South Carolina , Mr. Fitzpatrick , Ms. McCollum , Mr. Grijalva , Mr. Khanna , Ms. Gabbard , Mr. Smith of Washington , Ms. Meng , Mr. Smith of New Jersey , Mrs. Watson Coleman , Mr. Foster , Mr. Bera , Mr. Espaillat , Ms. Jackson Lee , Mr. Krishnamoorthi , and Ms. Schakowsky ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to provide for research and improvement of cardiovascular health among the South Asian population of the United States, and for other purposes.

1. Short title This Act may be cited as the South Asian Heart Health Awareness and Research Act of 2019 . 2. Findings Congress finds the following: (1) The South Asian diaspora population in the United States is primarily from India, Pakistan, Bangladesh, Nepal, Bhutan, Sri Lanka, Fiji, Maldives, East Africa, the West Indies, and the Caribbean. (2) Heart disease refers to several types of heart conditions; the most common form is coronary artery disease, which affects blood flow to the heart. (3) Heart disease is the leading cause of death for both men and women—one in every 4 deaths each year, according to the Centers for Disease Control and Prevention. (4) Risk factors for heart disease include diabetes, high blood pressure, smoking, and abnormal cholesterol levels. (5) Though the traditional South Asian diet consists of lentils, vegetables, grains, and spices, there is higher consumption of suboptimal nutritional elements including refined carbohydrates, trans fats, and sugar that have been associated with higher risk of type 2 diabetes and cardiovascular disease. (6) South Asians in the United States have four times the risk of heart disease than the general population and have a much greater chance of having a heart attack before age 50, according to the Stanford South Asian Translational Heart Initiative. (7) In addition, diabetes is one of the strongest risk factors for heart disease; South Asian Americans have among the highest rates of type 2 diabetes in the Nation. (8) A Mediators of Atherosclerosis in South Asians Living in America (MASALA) showed a 26-percent prevalence of diabetes among South Asians, compared to 6 percent among Whites, 18 percent among African-Americans, 17 percent among Latinos, and 13 percent among Chinese-Americans in the Multi-Ethnic Study of Atherosclerosis. (9) Early intervention and treatment through awareness campaigns, nutritional education, and instruction on physical activity can greatly reduce the burden of diabetes, risk of heart disease, decreased quality of life, and untimely death. (10) Successful efforts to prevent and combat heart disease in the South Asian population of the United States can serve as a model for the general population. 3. South Asian heart health promotion grants by Centers for Disease Control and Prevention Title III of the Public Health Service Act ( 42 U.S.C. 241 et seq.) is amended by adding at the end the following new section: 317U. South Asian heart health promotion grants (a) In general The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall make grants to States for the purpose of promoting awareness of the increasing prevalence of heart disease, including its relationship to type 2 diabetes, in South Asian communities in the United States. (b) Use of funds A State that receives a grant under paragraph (1) shall use such grant funds— (1) to establish an Internet clearinghouse to catalog existing evidence-based heart health research and treatment options for South Asian communities to prevent, treat, or reverse heart disease and diabetes; (2) to develop culturally appropriate materials on topics such as nutrition education, optimal diet plans, and programs for regular exercise; (3) to support heart health promotion activities of community organizations that work with or serve South Asian communities; or (4) to support conferences or workshops on research practices, methodology, and design to include more members of South Asian communities in scientific studies. (c) Annual report to congress Not later than 180 days after the date of the enactment of the South Asian Heart Health Awareness and Research Act of 2019, and annually thereafter, the Director shall submit to Congress a report on outreach efforts and data relating to heart disease in South Asian communities in the United States. (d) Authorization of appropriations For purposes of carrying out this section, there is authorized to be appropriated $1,000,000 for each of fiscal years 2020 through 2024. . 4. Heart health research by National Institutes of Health and National Heart, Lung, and Blood Institute Part B of title IV of the Public Health Service Act ( 42 U.S.C. 284 et seq.) is amended by adding at the end the following new section: 409K. Heart health research (a) In general For the purpose of conducting research and related activities with respect to cardiovascular disease, type 2 diabetes, and other heart health-related ailments among South Asian communities in the United States, the Director of the National Institutes of Health, in coordination with the Director of the National Heart, Lung, and Blood Institute— (1) may conduct or support, through funding opportunity announcements, grants, or cooperative agreements, basic, clinical, and translational research; and (2) may award grants and cooperative agreements to public or nonprofit private entities (including State health departments, political subdivisions of States, universities, and other medical or education entities). (b) Authorization of appropriations For purposes of carrying out this section, there is authorized to be appropriated $1,000,000 for each of fiscal years 2020 through 2024. . 5. Sense of Congress It is the sense of Congress that medical schools in the United States that are accredited by the Liaison Committee on Medical Education should include as part of their nutrition curriculum a focus on cultural differences in diets and ways to achieve optimal nutrition in communities that experience substantial heart disease.