Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014

Bill: 113-hr-594
Sponsor: full_name: Rep. Burgess, Michael C. [R-TX-26]
Introduced: 2013-02-08
Policy area: Health
Subjects: Cardiovascular and respiratory health

Child health

Drug safety, medical device, and laboratory regulation

Government information and archives

Government studies and investigations

Health information and medical records

Health programs administration and funding

Medical education

Medical research

Minority health

Musculoskeletal and skin diseases

Research administration and funding
Latest action: action_date: 2014-09-26
text: Became Public Law No: 113-166.

Summaries:
action_date: 2013-02-08
action_desc: Introduced in House
text: <p>Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2013 - Amends the Public Health Service Act to revise the muscular dystrophy research program of the National Institutes of Health (NIH).</p> <p>Expands the range of forms of muscular dystrophy included within the program. Requires the research conducted through Paul D. Wellstone Muscular Dystrophy Cooperative Research Centers to include cardiac and pulmonary function research. Requires the Director of NIH to ensure the sharing of data between such centers.</p> <p>Revises the composition of the Muscular Dystrophy Coordinating Committee (MDCC) to include the Social Security Administration and the United States Administration for Community Living.</p> <p>Requires the MDCC to meet at least two times per year. Requires the MDCC Action Plan to provide for: (1) health economic studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, (2) studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy, and (3) the development of clinical interventions to improve the health of adults with various forms of muscular dystrophy.</p> <p>Requires the MDCC to develop a plan to expedite the evaluation and approval of emerging therapies and personalized medicines that have the potential to decrease fatal disease progression across the various forms of muscular dystrophy.</p> <p>Requires the Secretary of Health and Human Services (HHS), in carrying out epidemiological activities regarding Duchenne and other forms of muscular dystrophies, to ensure that data from different racial and ethnic populations is captured and made publicly available to investigators conducting public or private research on muscular dystrophy. Directs the Secretary to foster ongoing engagement and collaboration between the surveillance program and the research centers.</p> <p>Amends the Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2001 to authorize the Secretary to: (1) update and disseminate widely existing Duchenne-Becker muscular dystrophy care considerations for pediatric patients, and (2) develop and disseminate widely Duchenne-Becker muscular dystrophy considerations for adult patients and acute care considerations for all muscular dystrophy populations. Directs that such care considerations should build upon existing efforts currently underway for specified forms of muscular dystrophy and incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients.</p>

action_date: 2014-07-24
action_desc: Reported to House with amendment(s)
text: <p>Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 - (Sec. 2) Amends the Public Health Service Act to revise the muscular dystrophy research program of the National Institutes of Health (NIH).</p> <p>Expands the range of forms of muscular dystrophy included within the program. Requires the research conducted through Paul D. Wellstone Muscular Dystrophy Cooperative Research Centers to include cardiac and pulmonary function research. Requires the Director of NIH to ensure the sharing of data between such centers.</p> <p>Revises the composition of the Muscular Dystrophy Coordinating Committee (MDCC) to include the Social Security Administration and the United States Administration for Community Living.</p> <p>Requires the MDCC to meet at least two times per year. Requires the MDCC Action Plan to provide for: (1) health economic studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, (2) studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy, and (3) the development of clinical interventions to improve the health of adults with various forms of muscular dystrophy.</p> <p>(Sec. 3) Requires the Secretary of Health and Human Services (HHS), in carrying out epidemiological activities regarding Duchenne and other forms of muscular dystrophy, to ensure that data are representative of all affected populations and shared in a timely manner.</p> (Sec. 4) Amends the Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2001 to authorize the Secretary to cooperate with professional organizations and the patient community in the development and issuance of care considerations, including acute care considerations, for pediatric and adult muscular dystrophy patients. Authorizes the Secretary, in developing and updating care considerations, to incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients.

action_date: 2014-07-28
action_desc: Passed House amended
text: <p><b>(This measure has not been amended since it was reported to the House on July 24, 2014. The summary of that version is repeated here.)</b></p> <p>Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 - (Sec. 2) Amends the Public Health Service Act to revise the muscular dystrophy research program of the National Institutes of Health (NIH).</p> <p>Expands the range of forms of muscular dystrophy included within the program. Requires the research conducted through Paul D. Wellstone Muscular Dystrophy Cooperative Research Centers to include cardiac and pulmonary function research. Requires the Director of NIH to ensure the sharing of data between such centers.</p> <p>Revises the composition of the Muscular Dystrophy Coordinating Committee (MDCC) to include the Social Security Administration and the United States Administration for Community Living.</p> <p>Requires the MDCC to meet at least two times per year. Requires the MDCC Action Plan to provide for: (1) health economic studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, (2) studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy, and (3) the development of clinical interventions to improve the health of adults with various forms of muscular dystrophy.</p> <p>(Sec. 3) Requires the Secretary of Health and Human Services (HHS), in carrying out epidemiological activities regarding Duchenne and other forms of muscular dystrophy, to ensure that data are representative of all affected populations and shared in a timely manner.</p> (Sec. 4) Amends the Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2001 to authorize the Secretary to cooperate with professional organizations and the patient community in the development and issuance of care considerations, including acute care considerations, for pediatric and adult muscular dystrophy patients. Authorizes the Secretary, in developing and updating care considerations, to incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients.

action_date: 2014-09-18
action_desc: Passed Senate without amendment
text: <p><b>(This measure has not been amended since it was reported to the House on July 24, 2014. The summary of that version is repeated here.)</b></p> <p>Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 - (Sec. 2) Amends the Public Health Service Act to revise the muscular dystrophy research program of the National Institutes of Health (NIH).</p> <p>Expands the range of forms of muscular dystrophy included within the program. Requires the research conducted through Paul D. Wellstone Muscular Dystrophy Cooperative Research Centers to include cardiac and pulmonary function research. Requires the Director of NIH to ensure the sharing of data between such centers.</p> <p>Revises the composition of the Muscular Dystrophy Coordinating Committee (MDCC) to include the Social Security Administration and the United States Administration for Community Living.</p> <p>Requires the MDCC to meet at least two times per year. Requires the MDCC Action Plan to provide for: (1) health economic studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, (2) studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy, and (3) the development of clinical interventions to improve the health of adults with various forms of muscular dystrophy.</p> <p>(Sec. 3) Requires the Secretary of Health and Human Services (HHS), in carrying out epidemiological activities regarding Duchenne and other forms of muscular dystrophy, to ensure that data are representative of all affected populations and shared in a timely manner.</p> (Sec. 4) Amends the Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2001 to authorize the Secretary to cooperate with professional organizations and the patient community in the development and issuance of care considerations, including acute care considerations, for pediatric and adult muscular dystrophy patients. Authorizes the Secretary, in developing and updating care considerations, to incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients.

action_date: 2014-09-26
action_desc: Public Law
text: <p><b>(This measure has not been amended since it was reported to the House on July 24, 2014. The summary of that version is repeated here.)</b></p> <p>Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 - (Sec. 2) Amends the Public Health Service Act to revise the muscular dystrophy research program of the National Institutes of Health (NIH).</p> <p>Expands the range of forms of muscular dystrophy included within the program. Requires the research conducted through Paul D. Wellstone Muscular Dystrophy Cooperative Research Centers to include cardiac and pulmonary function research. Requires the Director of NIH to ensure the sharing of data between such centers.</p> <p>Revises the composition of the Muscular Dystrophy Coordinating Committee (MDCC) to include the Social Security Administration and the United States Administration for Community Living.</p> <p>Requires the MDCC to meet at least two times per year. Requires the MDCC Action Plan to provide for: (1) health economic studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, (2) studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy, and (3) the development of clinical interventions to improve the health of adults with various forms of muscular dystrophy.</p> <p>(Sec. 3) Requires the Secretary of Health and Human Services (HHS), in carrying out epidemiological activities regarding Duchenne and other forms of muscular dystrophy, to ensure that data are representative of all affected populations and shared in a timely manner.</p> (Sec. 4) Amends the Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2001 to authorize the Secretary to cooperate with professional organizations and the patient community in the development and issuance of care considerations, including acute care considerations, for pediatric and adult muscular dystrophy patients. Authorizes the Secretary, in developing and updating care considerations, to incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients.

tv_txt: I 113th CONGRESS 1st Session H. R. 594 IN THE HOUSE OF REPRESENTATIVES February 8, 2013 Mr. Burgess (for himself and Mr. Engel ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To reauthorize and extend the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2008.

1. Short title This Act may be cited as the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2013 . 2. Initiative through the Director of the National Institutes of Health Section 404E of the Public Health Service Act ( 42 U.S.C. 283g ) is amended— (1) in subsection (a)(1)— (A) by striking Muscoskeletal and inserting Musculoskeletal ; and (B) by inserting Becker, myotonic, facioscapulohumeral muscular dystrophy (referred to in this section as FSHD ), Congenital muscular dystrophy, Limb-girdle muscular dystrophy, after Duchenne, ; (2) in subsection (b)— (A) in paragraph (2), by inserting cardiac and pulmonary function, after imaging, genetics, ; and (B) in paragraph (3), by inserting and sharing of data after regular communication ; (3) in subsection (d)— (A) in paragraph (2)— (i) in the matter preceding subparagraph (A), by striking 15 and inserting 18 ; and (ii) in subparagraph (A), by striking children with muscular dystrophy, such as the Department of Education and inserting children and adults with muscular dystrophy, such as the Department of Education, the Social Security Administration, the United States Administration for Community Living ; and (B) in paragraph (4)(B), by inserting , and shall meet no less than two times per calendar year before the period; (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by striking through the national research institutes and inserting through the agencies represented on the Coordinating Committee pursuant to subsection (d)(2)(A) ; and (ii) in subparagraph (A), by striking and rehabilitative issues, including studies of the impact of such diseases in rural and underserved communities and inserting public resources, and rehabilitative issues, including studies of the impact of such diseases in rural and underserved communities, health economic studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, and studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy ; and (B) in paragraph (2), by adding at the end the following: (F) The development of clinical interventions to improve the health of adults with various forms of muscular dystrophy. ; and (5) in subsection (g), by striking for the various forms of muscular dystrophy by prioritizing the achievement of the goals related to this topic in the plan under subsection (e)(1) and inserting and shall, not later than 6 months after the date of enactment of the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2013 , in coordination with appropriate Federal agencies, including relevant offices within the Food and Drug Administration and supported by the National Institutes of Health and Department of Defense, develop a plan to expedite the evaluation and approval of emerging therapies and personalized medicines that have the potential to decrease fatal disease progression across the various forms of muscular dystrophy . 3. Surveillance and research regarding muscular dystrophy Section 317Q of the Public Health Service Act ( 42 U.S.C. 247b–18 ) is amended— (1) in the second sentence of subsection (b), by inserting before the period the following: and ensure that the program captures data from different racial and ethnic populations, and that such data are made publicly available to investigators conducting public or private research on muscular dystrophy ; and (2) in subsection (c), by adding at the end the following: The Secretary shall also foster ongoing engagement and collaboration between the surveillance program and centers of excellence. . 4. Information and education Section 5(c) of the Muscular Dystrophy Community Assistance, Research and Education Amendments of 2001 ( 42 U.S.C. 247b–19(c) ) is amended by adding at the end the following: (4) Update and widely disseminate existing Duchenne-Becker muscular dystrophy care considerations for pediatric patients, develop and widely disseminate Duchenne-Becker muscular dystrophy care considerations for adult patients, and develop and widely disseminate acute care considerations for all muscular dystrophy populations. The care considerations should build upon existing efforts currently underway for congenital muscular dystrophy, fascioscapulohumeral muscular dystrophy, limb-girdle muscular dystrophy, and myotonic muscular dystrophy, and incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult and adult communities of muscular dystrophy patients. .

tv_txt: IB 113th CONGRESS 2d Session H. R. 594 IN THE HOUSE OF REPRESENTATIVES AN ACT To amend the Public Health Service Act relating to Federal research on muscular dystrophy, and for other purposes.

1. Short title This Act may be cited as the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 . 2. Initiative through the Director of the National Institutes of Health Section 404E of the Public Health Service Act ( 42 U.S.C. 283g ) is amended— (1) in subsection (a)(1)— (A) by striking Muscoskeletal and inserting Musculoskeletal ; and (B) by inserting Becker, congenital muscular dystrophy, limb-girdle muscular dystrophy, after Duchenne, ; (2) in subsection (b)— (A) in paragraph (2)— (i) by striking genetics, at the second place it appears; and (ii) by inserting cardiac and pulmonary function, and after imaging, ; and (B) in paragraph (3), by inserting and sharing of data after regular communication ; (3) in subsection (d)— (A) in paragraph (2)— (i) in the matter preceding subparagraph (A), by striking 15 and inserting 18 ; and (ii) in subparagraph (A)— (I) by striking and the Food and Drug Administration and inserting , the Food and Drug Administration, and the Administration for Community Living ; (II) by inserting and adults after children ; and (III) by striking such as the Department of Education and inserting including the Department of Education and the Social Security Administration ; and (B) in paragraph (4)(B), by inserting , but shall meet no fewer than two times per calendar year before the period; and (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by striking through the national research institutes and inserting through the agencies represented on the Coordinating Committee pursuant to subsection (d)(2)(A) ; and (ii) in subparagraph (A)— (I) by inserting public services, before and rehabilitative issues ; and (II) by inserting , studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, and studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy after including studies of the impact of such diseases in rural and underserved communities ; and (B) in paragraph (2)(D), by inserting after including new biological agents the following: and new clinical interventions to improve the health of those with muscular dystrophy . 3. Surveillance and research regarding muscular dystrophy The second sentence of section 317Q(b) of the Public Health Service Act ( 42 U.S.C. 247b–18(b) ) is amended by inserting before the period the following: and, to the extent possible, ensure that data be representative of all affected populations and shared in a timely manner . 4. Information and education Section 5(c) of the Muscular Dystrophy Community Assistance, Research and Education Amendments of 2001 ( 42 U.S.C. 247b–19(c) ) is amended— (1) in paragraph (2)— (A) by inserting for pediatric and adult patients, including acute care considerations, after issuance of care considerations ; (B) by inserting various before other forms of muscular dystrophy ; and (C) by striking and at the end; (2) by redesignating paragraph (3) as paragraph (4); (3) by inserting after paragraph (2) the following: (3) in developing and updating care considerations under paragraph (2), incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients; and ; and (4) in paragraph (4), as redesignated, by inserting various before other forms of muscular dystrophy .

Passed the House of Representatives July 28, 2014. Karen L. Haas, Clerk.

tv_txt: IB Union Calendar No. 416 113th CONGRESS 2d Session H. R. 594 [Report No. 113–556] IN THE HOUSE OF REPRESENTATIVES February 8, 2013 Mr. Burgess (for himself and Mr. Engel ) introduced the following bill; which was referred to the Committee on Energy and Commerce July 24, 2014 Additional sponsors: Ms. Schwartz , Mr. Hall , Mr. Peterson , Ms. Matsui , Mrs. Carolyn B. Maloney of New York , Mr. Bishop of Georgia , Mr. Andrews , Mr. Rush , Mr. Runyan , Mr. Graves of Missouri , Mr. Poe of Texas , Mr. Sessions , Mr. King of New York , Ms. Shea-Porter , Mr. Owens , Mr. Welch , Mr. Bachus , Mrs. Lowey , Mr. Markey , Ms. Slaughter , Ms. Brownley of California , Mr. Holt , Mr. Ellison , Mr. Kilmer , Mr. Gene Green of Texas , Mr. Loebsack , Mr. Luetkemeyer , Mr. Tierney , Mr. Smith of Washington , Mr. Sam Johnson of Texas , Mr. Wittman , Mr. Kind , Mr. Gerlach , Mr. Polis , Mr. Michaud , Mr. Perlmutter , Ms. DeGette , Mr. Gardner , Mr. Lipinski , Mr. Coffman , Mr. Guthrie , Mr. Rigell , Mr. Young of Alaska , Ms. McCollum , Mr. Renacci , Mr. Forbes , Mr. Himes , Mr. Higgins , Mr. Hudson , Mr. O'Rourke , Mr. Griffin of Arkansas , Ms. Pingree of Maine , Ms. Schakowsky , Mr. Rangel , Mr. Olson , Mr. Bishop of New York , Ms. Clarke of New York , Mr. Culberson , Mr. Van Hollen , Mr. Huffman , Ms. Jackson Lee , Mr. Posey , Mr. Fitzpatrick , Mr. Tonko , Mr. Cohen , Mr. Matheson , Mrs. McCarthy of New York , Mr. Enyart , Mr. Stivers , Mr. Duncan of Tennessee , Ms. Lofgren , Ms. Lee of California , Mrs. Kirkpatrick , Mr. Israel , Mr. Cárdenas , Mr. Larsen of Washington , Mr. Meehan , Mr. Connolly , Mr. Keating , Mr. Sires , Mr. Lance , Ms. Clark of Massachusetts , Mr. Doyle , Mr. Fincher , Mr. Wolf , Mr. Daines , Mr. Sensenbrenner , Mr. Carson of Indiana , Mr. Pascrell , Mr. Kennedy , Mr. Moran , Mr. Lynch , Mr. Garcia , Ms. Frankel of Florida , Mr. Nugent , Mr. Wilson of South Carolina , Mr. Delaney , Mr. Smith of New Jersey , Mr. Deutch , Mr. Rahall , Mr. Turner , Mr. Benishek , Mrs. McMorris Rodgers , Mr. Grimm , Mr. Hastings of Florida , Mr. Bishop of Utah , Mr. McGovern , Mr. Chaffetz , Mr. Mica , Mr. Stewart , Mr. Miller of Florida , and Mr. Latham July 24, 2014 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 February 8, 2013 A BILL To reauthorize and extend the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research, and Education Amendments of 2008.

1. Short title This Act may be cited as the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 . 2. Initiative through the Director of the National Institutes of Health Section 404E of the Public Health Service Act ( 42 U.S.C. 283g ) is amended— (1) in subsection (a)(1)— (A) by striking Muscoskeletal and inserting Musculoskeletal ; and (B) by inserting Becker, congenital muscular dystrophy, limb-girdle muscular dystrophy, after Duchenne, ; (2) in subsection (b)— (A) in paragraph (2)— (i) by striking genetics, at the second place it appears; and (ii) by inserting cardiac and pulmonary function, and after imaging, ; and (B) in paragraph (3), by inserting and sharing of data after regular communication ; (3) in subsection (d)— (A) in paragraph (2)— (i) in the matter preceding subparagraph (A), by striking 15 and inserting 18 ; and (ii) in subparagraph (A)— (I) by striking and the Food and Drug Administration and inserting , the Food and Drug Administration, and the Administration for Community Living ; (II) by inserting and adults after children ; and (III) by striking such as the Department of Education and inserting including the Department of Education and the Social Security Administration ; and (B) in paragraph (4)(B), by inserting , but shall meet no fewer than two times per calendar year before the period; and (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by striking through the national research institutes and inserting through the agencies represented on the Coordinating Committee pursuant to subsection (d)(2)(A) ; and (ii) in subparagraph (A)— (I) by inserting public services, before and rehabilitative issues ; and (II) by inserting , studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, and studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy after including studies of the impact of such diseases in rural and underserved communities ; and (B) in paragraph (2)(D), by inserting after including new biological agents the following: and new clinical interventions to improve the health of those with muscular dystrophy . 3. Surveillance and research regarding muscular dystrophy The second sentence of section 317Q(b) of the Public Health Service Act ( 42 U.S.C. 247b–18(b) ) is amended by inserting before the period the following: and, to the extent possible, ensure that data be representative of all affected populations and shared in a timely manner . 4. Information and education Section 5(c) of the Muscular Dystrophy Community Assistance, Research and Education Amendments of 2001 ( 42 U.S.C. 247b–19(c) ) is amended— (1) in paragraph (2)— (A) by inserting for pediatric and adult patients, including acute care considerations, after issuance of care considerations ; (B) by inserting various before other forms of muscular dystrophy ; and (C) by striking and at the end; (2) by redesignating paragraph (3) as paragraph (4); (3) by inserting after paragraph (2) the following: (3) in developing and updating care considerations under paragraph (2), incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients; and ; and (4) in paragraph (4), as redesignated, by inserting various before other forms of muscular dystrophy .

Amend the title so as to read: A bill to amend the Public Health Service Act relating to Federal research on muscular dystrophy, and other purposes. .

July 24, 2014 Reported with amendments, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

tv_txt: II Calendar No. 529 113th CONGRESS 2d Session H. R. 594 IN THE SENATE OF THE UNITED STATES July 29, 2014 Received August 1, 2014 Read twice and placed on the calendar AN ACT To amend the Public Health Service Act relating to Federal research on muscular dystrophy, and for other purposes.

1. Short title This Act may be cited as the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 . 2. Initiative through the Director of the National Institutes of Health Section 404E of the Public Health Service Act ( 42 U.S.C. 283g ) is amended— (1) in subsection (a)(1)— (A) by striking Muscoskeletal and inserting Musculoskeletal ; and (B) by inserting Becker, congenital muscular dystrophy, limb-girdle muscular dystrophy, after Duchenne, ; (2) in subsection (b)— (A) in paragraph (2)— (i) by striking genetics, at the second place it appears; and (ii) by inserting cardiac and pulmonary function, and after imaging, ; and (B) in paragraph (3), by inserting and sharing of data after regular communication ; (3) in subsection (d)— (A) in paragraph (2)— (i) in the matter preceding subparagraph (A), by striking 15 and inserting 18 ; and (ii) in subparagraph (A)— (I) by striking and the Food and Drug Administration and inserting , the Food and Drug Administration, and the Administration for Community Living ; (II) by inserting and adults after children ; and (III) by striking such as the Department of Education and inserting including the Department of Education and the Social Security Administration ; and (B) in paragraph (4)(B), by inserting , but shall meet no fewer than two times per calendar year before the period; and (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by striking through the national research institutes and inserting through the agencies represented on the Coordinating Committee pursuant to subsection (d)(2)(A) ; and (ii) in subparagraph (A)— (I) by inserting public services, before and rehabilitative issues ; and (II) by inserting , studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, and studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy after including studies of the impact of such diseases in rural and underserved communities ; and (B) in paragraph (2)(D), by inserting after including new biological agents the following: and new clinical interventions to improve the health of those with muscular dystrophy . 3. Surveillance and research regarding muscular dystrophy The second sentence of section 317Q(b) of the Public Health Service Act ( 42 U.S.C. 247b–18(b) ) is amended by inserting before the period the following: and, to the extent possible, ensure that data be representative of all affected populations and shared in a timely manner . 4. Information and education Section 5(c) of the Muscular Dystrophy Community Assistance, Research and Education Amendments of 2001 ( 42 U.S.C. 247b–19(c) ) is amended— (1) in paragraph (2)— (A) by inserting for pediatric and adult patients, including acute care considerations, after issuance of care considerations ; (B) by inserting various before other forms of muscular dystrophy ; and (C) by striking and at the end; (2) by redesignating paragraph (3) as paragraph (4); (3) by inserting after paragraph (2) the following: (3) in developing and updating care considerations under paragraph (2), incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients; and ; and (4) in paragraph (4), as redesignated, by inserting various before other forms of muscular dystrophy .

Passed the House of Representatives July 28, 2014. Karen L. Haas, Clerk

August 1, 2014 Read twice and placed on the calendar

tv_txt: IB One Hundred Thirteenth Congress of the United States of America At the Second Session Begun and held at the City of Washington on Friday, the third day of January, two thousand and fourteen H. R. 594 AN ACT To amend the Public Health Service Act relating to Federal research on muscular dystrophy, and for other purposes.

1. Short title This Act may be cited as the Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014 . 2. Initiative through the Director of the National Institutes of Health Section 404E of the Public Health Service Act ( 42 U.S.C. 283g ) is amended— (1) in subsection (a)(1)— (A) by striking Muscoskeletal and inserting Musculoskeletal ; and (B) by inserting Becker, congenital muscular dystrophy, limb-girdle muscular dystrophy, after Duchenne, ; (2) in subsection (b)— (A) in paragraph (2)— (i) by striking genetics, at the second place it appears; and (ii) by inserting cardiac and pulmonary function, and after imaging, ; and (B) in paragraph (3), by inserting and sharing of data after regular communication ; (3) in subsection (d)— (A) in paragraph (2)— (i) in the matter preceding subparagraph (A), by striking 15 and inserting 18 ; and (ii) in subparagraph (A)— (I) by striking and the Food and Drug Administration and inserting , the Food and Drug Administration, and the Administration for Community Living ; (II) by inserting and adults after children ; and (III) by striking such as the Department of Education and inserting including the Department of Education and the Social Security Administration ; and (B) in paragraph (4)(B), by inserting , but shall meet no fewer than two times per calendar year before the period; and (4) in subsection (e)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by striking through the national research institutes and inserting through the agencies represented on the Coordinating Committee pursuant to subsection (d)(2)(A) ; and (ii) in subparagraph (A)— (I) by inserting public services, before and rehabilitative issues ; and (II) by inserting , studies to demonstrate the cost-effectiveness of providing independent living resources and support to patients with various forms of muscular dystrophy, and studies to determine optimal clinical care interventions for adults with various forms of muscular dystrophy after including studies of the impact of such diseases in rural and underserved communities ; and (B) in paragraph (2)(D), by inserting after including new biological agents the following: and new clinical interventions to improve the health of those with muscular dystrophy . 3. Surveillance and research regarding muscular dystrophy The second sentence of section 317Q(b) of the Public Health Service Act ( 42 U.S.C. 247b–18(b) ) is amended by inserting before the period the following: and, to the extent possible, ensure that data be representative of all affected populations and shared in a timely manner . 4. Information and education Section 5(c) of the Muscular Dystrophy Community Assistance, Research and Education Amendments of 2001 ( 42 U.S.C. 247b–19(c) ) is amended— (1) in paragraph (2)— (A) by inserting for pediatric and adult patients, including acute care considerations, after issuance of care considerations ; (B) by inserting various before other forms of muscular dystrophy ; and (C) by striking and at the end; (2) by redesignating paragraph (3) as paragraph (4); (3) by inserting after paragraph (2) the following: (3) in developing and updating care considerations under paragraph (2), incorporate strategies specifically responding to the findings of the national transitions survey of minority, young adult, and adult communities of muscular dystrophy patients; and ; and (4) in paragraph (4), as redesignated, by inserting various before other forms of muscular dystrophy .

Speaker of the House of Representatives. Vice President of the United States and President of the Senate.