In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``End-User Protection Act of 2014''.

SEC. 2. DEFINITIONS.

    (a) In General.--Section 1a of the Commodity Exchange Act (7 U.S.C. 
1a) is amended--
            (1) by redesignating paragraphs (8) through (51) as 
        paragraphs (9) through (52), respectively;
            (2) by inserting after paragraph (7) the following:
            ``(8) Commercial market participant.--The term `commercial 
        market participant' means any producer, processor, merchant, or 
        commercial user of an exempt or agricultural commodity, or the 
        products or by-products of an exempt or agricultural 
        commodity.'';
            (3) in subparagraph (B) of paragraph (48) (as so 
        redesignated), by striking clause (ii) and inserting the 
        following:
                            ``(ii) any purchase or sale of a 
                        nonfinancial commodity or security for deferred 
                        shipment or delivery, so long as the 
                        transaction is intended to be physically 
                        settled, including any stand-alone or embedded 
                        option for which exercise would result in a 
                        physical delivery obligation;''; and
            (4) in paragraph (50) (as redesignated by paragraph (1)), 
        by striking subparagraph (D) and inserting the following:
                    ``(D) De minimis exception.--
                            ``(i) In general.--The Commission shall 
                        exempt from designation as a swap dealer an 
                        entity that engages in a de minimis quantity of 
                        swap dealing (which shall not be less than 
                        $8,000,000,000) in connection with transactions 
                        with or on behalf of its customers.
                            ``(ii) Regulations.--The Commission shall 
                        promulgate regulations to establish the factors 
                        to be used in a determination under clause (i) 
                        to exempt, including any monetary or other 
                        levels established by the Commission, and those 
                        levels shall only be amended or changed through 
                        an affirmative action of the Commission 
                        undertaken by rule or regulation.''.
    (b) Financial Entity.--Section 2(h)(7)(C) of the Commodity Exchange 
Act (7 U.S.C. 2(h)(7)(C)) is amended--
            (1) in clause (iii)--
                    (A) by striking ``an entity whose'' and inserting 
                the following: ``an entity--
                                    ``(I) whose'';
                    (B) by striking the period at the end and inserting 
                a semicolon; and
                    (C) by adding at the end the following:
                                    ``(II) that is--
                                            ``(aa) a commercial market 
                                        participant;
                                            ``(bb) included in clause 
                                        (i)(VIII); and
                                            ``(cc) not supervised by a 
                                        prudential regulator; or
                                    ``(III) that is included in clause 
                                (i)(VIII) because--
                                            ``(aa) the entity regularly 
                                        enters into foreign exchange or 
                                        derivatives transactions on 
                                        behalf of, or to hedge or 
                                        mitigate, whether directly or 
                                        indirectly, the commercial risk 
                                        of 1 or more entities within 
                                        the same commercial enterprise 
                                        as the entity; or
                                            ``(bb) of the making of 
                                        loans to 1 or more entities 
                                        within the same commercial 
                                        enterprise as the entity.''; 
                                        and
            (2) by adding at the end the following:
                            ``(iv) Same commercial enterprise.--For 
                        purposes of clause (iii)(III), an entity shall 
                        be considered to be within the same commercial 
                        enterprise as another entity if--
                                    ``(I) 1 of the entities owns, 
                                directly or indirectly, at least a 
                                majority ownership interest in the 
                                other entity and reports its financial 
                                statements on a consolidated basis and 
                                the consolidated financial statements 
                                include the financial results of both 
                                entities; or
                                    ``(II) a third party owns at least 
                                a majority ownership interest in both 
                                entities and reports its financial 
                                statements on a consolidated basis and 
                                the financial statements of the third 
                                party include the financial results of 
                                both entities.
                            ``(v) Predominantly engaged.--
                                    ``(I) In general.--Not later than 
                                90 days after the date of enactment of 
                                this clause, the Commission shall 
                                promulgate regulations defining the 
                                term `predominantly engaged' for 
                                purposes of clause (i)(VIII).
                                    ``(II) Minimum revenues.--The 
                                regulations shall provide that an 
                                entity shall not be considered to be 
                                predominantly engaged in activities 
                                that are in the business of banking or 
                                financial in nature if the consolidated 
                                revenues of the entity derived from the 
                                activities constitute less than a 
                                percentage (as specified by the 
                                Commission in the regulations) of the 
                                total consolidated revenues of the 
                                entity.
                                    ``(III) Revenues from banking or 
                                financial activities.--In determining 
                                the percentage of the revenues of an 
                                entity that are derived from activities 
                                that are in the business of banking or 
                                financial in nature, the regulations 
                                shall exclude all revenues that are or 
                                result from foreign exchange or 
                                derivatives transactions used to hedge 
                                or mitigate commercial risk (as defined 
                                by the Commission in the 
                                regulations).''.

SEC. 3. REPORTING OF ILLIQUID SWAPS SO AS TO NOT DISADVANTAGE CERTAIN 
              NON-FINANCIAL END USERS.

    Section 2(a)(13) of the Commodity Exchange Act (7 U.S.C. 2(a)(13)) 
is amended--
            (1) in subparagraph (C), by striking ``The Commission'' and 
        inserting ``Except as provided in subparagraph (D), the 
        Commission'';
            (2) by redesignating subparagraphs (D) through (G) as 
        subparagraphs (E) through (H), respectively; and
            (3) by inserting after subparagraph (C) the following:
                    ``(D) Requirements for swap transactions in 
                illiquid markets.--
                            ``(i) Definition of illiquid markets.--In 
                        this subparagraph, the term `illiquid markets' 
                        means any market in which the volume and 
                        frequency of trading in swaps is at such a 
                        level as to allow identification of individual 
                        market participants.
                            ``(ii) Requirements.--Notwithstanding 
                        subparagraph (C), the Commission shall--
                                    ``(I) provide by rule for the 
                                public reporting of swap transactions, 
                                including price and volume data, in 
                                illiquid markets that are not cleared 
                                and entered into by a nonfinancial 
                                entity that is hedging or mitigating 
                                commercial risk in accordance with 
                                subsection (h)(7)(A); and
                                    ``(II) ensure that the swap 
                                transaction information described in 
                                subclause (I) is available to the 
                                public not sooner than 30 days after 
                                the swap transaction has been executed 
                                or at such later date as the Commission 
                                determines appropriate to protect the 
                                identity of participants and positions 
                                in illiquid markets and to prevent the 
                                elimination or reduction of market 
                                liquidity.''.

SEC. 4. TREATMENT OF AFFILIATES.

    Section 2(h)(7)(D)(i) of the Commodity Exchange Act (7 U.S.C. 
2(h)(7)(D)(i)) is amended--
            (1) by striking ``An affiliate'' and inserting ``A person 
        that is a financial entity and is an affiliate'';
            (2) by striking ``(including affiliate entities 
        predominantly engaged in providing financing for the purchase 
        of the merchandise or manufactured goods of the person)''; and
            (3) by striking ``and as an agent''.

SEC. 5. APPLICABILITY TO BONA FIDE HEDGE TRANSACTIONS OR POSITIONS.

    Section 4a(c) of the Commodity Exchange Act (7 U.S.C. 6a(c)) is 
amended--
            (1) in the second sentence of paragraph (1), by striking 
        ``into the future for which'' and inserting ``in the future, to 
        be determined by the Commission, for which either an 
        appropriate swap is available or''; and
            (2) in paragraph (2)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``subsection (a)(2)'' and all that follows 
                through ``position that--'' and inserting ``paragraphs 
                (2) and (5) of subsection (a) for swaps, contracts of 
                sale for future delivery, or options on the contracts 
                or commodities, a bona fide hedging transaction or 
                position is a transaction or position that--''; and
                    (B) in subparagraph (A)(ii), by striking ``of 
                risks'' and inserting ``or management of current or 
                anticipated risks''; and
            (3) by adding at the end the following:
            ``(3) Commission definition.--The Commission may further 
        define, by rule or regulation, what constitutes a bona fide 
        hedging transaction or position so long as the rule or 
        regulation is consistent with the requirements of subparagraphs 
        (A) and (B) of paragraph (2).''.

SEC. 6. REPORTING AND RECORDKEEPING.

    Section 4g(f) of the Commodity Exchange Act (7 U.S.C. 6g(f)) is 
amended--
            (1) by striking ``(f) Nothing contained in this section'' 
        and inserting the following:
    ``(f) Authority of Commission To Make Separate Determinations 
Unimpaired.--
            ``(1) In general.--Except as provided in paragraph (2), 
        nothing in this section''; and
            (2) by adding at the end the following:
            ``(2) Exception.--If the Commission imposes any requirement 
        under this section on any person that is not registered, or 
        required to be registered, with the Commission in any capacity, 
        that person shall satisfy the requirements of any rule, order, 
        or regulation under this section by maintaining a written 
        record of each cash or forward transaction related to a 
        reportable or hedging commodity interest transaction, futures 
        contract, option on a futures contract, or swap.
            ``(3) Sufficiency.--A written record described in paragraph 
        (2) shall be sufficient if the written record--
                    ``(A) memorializes the final agreement between the 
                parties, including the material economic terms of the 
                transaction; and
                    ``(B) is identifiable and searchable by 
                transaction.''.

SEC. 7. MARGIN REQUIREMENTS.

    (a) Commodity Exchange Act Amendment.--Section 4s(e) of the 
Commodity Exchange Act (7 U.S.C. 6s(e)) is amended by adding at the end 
the following:
            ``(4) Applicability with respect to counterparties.--The 
        requirements of paragraphs (2)(A)(ii) and (2)(B)(ii), including 
        the initial and variation margin requirements imposed by rules 
        adopted pursuant to paragraphs (2)(A)(ii) and (2)(B)(ii), shall 
        not apply to a swap in which a counterparty qualifies for an 
        exception under section 2(h)(7)(A) or 2(h)(7)(D), or an 
        exemption issued under section 4(c)(1) from the requirements of 
        section 2(h)(1)(A) for cooperative entities as defined in that 
        exemption.''.
    (b) Securities Exchange Act Amendment.--Section 15F(e) of the 
Securities Exchange Act of 1934 (15 U.S.C. 78o-10(e)) is amended by 
adding at the end the following:
            ``(4) Applicability with respect to counterparties.--The 
        requirements of paragraphs (2)(A)(ii) and (2)(B)(ii) shall not 
        apply to a security-based swap in which a counterparty 
        qualifies for an exception under section 3C(g)(1) or satisfies 
        the criteria in section 3C(g)(4).''.
    (c) Implementation.--The amendments made by this section to the 
Commodity Exchange Act (7 U.S.C. 1 et seq.) shall be implemented--
            (1) without regard to--
                    (A) chapter 35 of title 44, United States Code; and
                    (B) the notice and comment provisions of section 
                553 of title 5, United States Code;
            (2) through the promulgation of an interim final rule, 
        pursuant to which public comment is sought before a final rule 
        is issued; and
            (3) such that paragraph (1) shall apply solely to changes 
        to rules and regulations, or proposed rules and regulations, 
        that are limited to and directly a consequence of the 
        amendments.

SEC. 8. ANALYSIS BY THE COMMODITY FUTURES TRADING COMMISSION OF THE 
              COSTS AND BENEFITS OF REGULATIONS AND ORDERS.

    Section 15(a) of the Commodity Exchange Act (7 U.S.C. 19(a)) is 
amended by striking paragraphs (1) and (2) and inserting the following:
            ``(1) In general.--Before promulgating a regulation under 
        this Act or issuing an order (except as provided in paragraph 
        (3)), the Commission, acting through the Office of the Chief 
        Economist, shall--
                    ``(A) state a justification for the regulation or 
                order;
                    ``(B) state the baseline for the cost-benefit 
                analysis and explain how the regulation or order 
                measures costs against the baseline;
                    ``(C) assess the costs and benefits, both 
                qualitative and quantitative, of the intended 
                regulation or order;
                    ``(D) measure, and seek to improve, the actual 
                results of regulatory requirements; and
                    ``(E) propose or adopt a regulation or order only 
                on a reasoned determination that the benefits of the 
                intended regulation or order justify the costs of the 
                intended regulation or order (recognizing that some 
                benefits and costs are difficult to quantify).
            ``(2) Considerations.--In making a reasoned determination 
        of costs and benefits under paragraph (1), the Commission shall 
        consider--
                    ``(A) the protection of market participants and the 
                public;
                    ``(B) the efficiency, competitiveness, and 
                financial integrity of futures and swaps markets;
                    ``(C) the impact on market liquidity in the futures 
                and swaps markets;
                    ``(D) price discovery;
                    ``(E) sound risk management practices;
                    ``(F) the cost of available alternatives to direct 
                regulation;
                    ``(G) the degree and nature of the risks posed by 
                various activities within the scope of the jurisdiction 
                of the Commission;
                    ``(H) whether, consistent with obtaining regulatory 
                objectives, the regulation or order is tailored to 
                impose the least burden on society, including market 
                participants, individuals, businesses of differing 
                sizes, and other entities (including small communities 
                and governmental entities), taking into account, to the 
                extent practicable, the cumulative costs of regulations 
                and orders;
                    ``(I) whether the regulation or order is 
                inconsistent, incompatible, or duplicative of other 
                Federal regulations and orders; and
                    ``(J) whether, in choosing among alternative 
                regulatory approaches, those approaches maximize net 
                benefits (including potential economic, environmental, 
                and other benefits, distributive impacts, and 
                equity).''.
End-User Protection Act of 2014 - Amends the Commodity Exchange Act with respect to exceptions to the requirement that any swap be cleared by a derivatives clearing organization either registered under that Act, or exempted from registration, if the swap is required to be cleared. Revises the definition of a financial entity subject to such requirement to exclude one that: (1) is a commercial market participant predominantly engaged in activities in the business of banking, or in activities that are financial in nature, but is not supervised by a prudential regulator; or (2) is considered as predominantly engaged in activities in the business of banking or in financial activities because it regularly enters into foreign exchange or derivatives transactions on behalf of, or to hedge or mitigate the commercial risk of, one or more other entities within the entity's same commercial enterprise, or because of making loans to one or more of such other entities. Directs the Commodity Futures Trading Commission (CFTC) to provide by rule for the public reporting of swap transactions, including price and volume data, in illiquid markets that are not cleared and entered into by a nonfinancial entity that is hedging or mitigating commercial risk. Defines &quot;illiquid&quot; as any market in which the volume and frequency of trading in swaps is at such a level as to allow identification of individual market participants. Requires the CFTC to ensure that such swap transaction information is not available to the public until 30 days after the transaction has been executed, or at an appropriate later date, in order to: (1) protect the identity of participants and positions in illiquid markets, and (2) prevent the elimination or reduction of market liquidity. Accords financial entities exempt from swap-clearing requirements the same treatment as exempted affiliates. Revises the exemption of bona fide hedge transactions or positions from certain trading limitations to set criteria for CFTC rules or regulations treating swaps, contracts of sale for future delivery, or options on the contracts or commodities as bona fide hedge transactions or positions also exempt from those limitations. Declares that, if the CFTC imposes any reporting and recordkeeping requirement on any person that is not registered, or required to be registered, with the CFTC, that person shall satisfy the requirements of any pertinent rule, order, or regulation by maintaining a written record of each cash or forward transaction related to a reportable or hedging commodity interest transaction, futures contract, option on a futures contract, or swap. Makes such a written record sufficient if it: (1) memorializes the final agreement between the parties, including the transaction's material economic terms; and (2) is identifiable and searchable by transaction. States that certain requirements for adoption of rules governing capital and margin requirements for swap dealers and major swap participants, including the initial and variation margin requirements imposed by rules adopted according to such requirements, shall not apply to a swap in which a counterparty qualifies for specified exceptions or exemptions. Revises requirements for a CFTC cost-benefit analysis made before an order is issued. Requires the CFTC, acting through the Office of the Chief Economist, among other things to:  state a justification for the regulation or order; state the baseline for the cost-benefit analysis and explain how the regulation or order measures costs against the baseline; assess the costs and benefits, both qualitative and quantitative, of the intended regulation or order; measure, and seek to improve, the actual results of regulatory requirements; and propose or adopt a regulation or order only on a reasoned determination that the benefits of the intended regulation or order justify its costs. 

SECTION 1. NATIONAL GUARD OPERATION ABOUT FACE TO PROVIDE LIFE-SKILLS 
              FOR AT RISK YOUTH.

    (a) Chapter 5 of title 32, United States Code, is amended by adding 
at the end the following new section:
``Sec. 510. National Guard operation about face to provide life-skills 
              for at-risk youth
    ``(a) Program Authority and Purpose.--The Secretary of Defense, 
through the Chief, National Guard Bureau, may use the National Guard to 
conduct an at-risk youth life skills program to be known as `National 
Guard Operation About Face', which shall be a community based outreach 
program for at-risk youth, which shall include after-school and summer 
classes to provide academic skills, computer literacy, employability 
skills, life-coping skills, and communication skills supplemented with 
work experience activities to create vibrant communities that foster 
economic opportunity and encourage life-long learning.
    ``(b) Conduct of the Program.--(1) The Secretary of Defense shall 
provide for the conduct of the National Guard Operation About Face in 
such States as the Secretary considers to be appropriate.
    ``(2) The Secretary shall carry out the National Guard Operation 
About Face using--
            ``(A) funds appropriated directly to the Secretary of 
        Defense for the program; and
            ``(B) nondefense funds made available or transferred to the 
        Secretary of Defense by other Federal agencies to support the 
        program.
    ``(3) For purposes of a transfer under paragraph (2)(B), 
administration of the National Guard Operation About Face is a good or 
service for which an agency agreement may be entered into under section 
1535 of title 31, United States Code.
    ``(c) Program Agreements.--(1) To carry out the National Guard 
Operation About Face in a State, the Secretary of Defense shall enter 
into an agreement with the Governor of the State, or in the case of the 
District of Columbia National Guard, with the commanding general of the 
District of Columbia National, under which the Governor or the 
commanding general will establish, organize, and administer the 
National Guard Operation About Face in the State.
    ``(2) The agreement may provide for the Secretary to provide funds 
to the State for civilian personnel costs attributable to the use of 
civilian employees of the National Guard in the conduct of the National 
Guard Operation About Face.
    ``(d) Persons Eligible To Participate in Program.--Any at risk 
youth may participate in the National Guard Operation About Face. The 
Secretary of Defense shall prescribe the standards and procedures for 
selecting participants from among at risk youth.
    ``(e) Authorized Benefits for Participants.--To the extent provided 
in an agreement entered into in accordance with subsection (c):
            ``(1) Any funds made available or transferred to the 
        Secretary of Defense by other Federal agencies under section 
        (b)(2)(B) of this section may be used to provide a stipend to 
        participants for the work experience portion of the National 
        Guard Operation About Face:
                    ``(A) For the original purpose for which the funds 
                were appropriated and in accordance with the 
                regulations of the Federal agency from which the funds 
                were made available or transferred.
                    ``(B) For the purpose for which defense funds are 
                appropriated and in accordance with the regulations 
                prescribed by the Secretary of Defense for the National 
                Guard Operation About Face.
                    ``(C) In the case of a conflict between the 
                regulations described in paragraph (A) and (B), the 
                regulations of the Federal agency from which the funds 
                were made available or transferred shall apply.
            ``(2) A participant in the national Guard Operation About 
        Face may receive the following additional benefits in 
        connection with the program:
                    ``(A) Light refreshments.
                    ``(B) Transportation.
                    ``(C) Supplies.
                    ``(D) Services.
    ``(f) Program Personnel.--Personnel of the National Guard of a 
State in which the National Guard Operation About Face is conducted may 
serve on full-time National Guard duty for the purpose of providing 
managerial, administrative, training, or supporting services for the 
program.
    ``(g) Equipment and Facilities.--Equipment and facilities of the 
National Guard, including military property of the United States issued 
to the National Guard, may be used in carrying out the National Guard 
Operation About Face.
    ``(h) Supplemental Resources.--To carry out the National Guard 
Operation About Face in a State, the Governor of the State or, in the 
case of the District of Columbia, the commanding general of the 
District of Columbia National Guard, may supplement funds made 
available under the program out of other resources (including gifts) 
available to the Governor or the commanding general. The Governor or 
the commanding Federal may accept, use, and dispose of gifts or 
donations of money, other property or services for the National Guard 
Operation About Face.
    ``(i) Definitions.--In this section:
            ``(1) The term `State' includes the Commonwealth of Puerto 
        Rico, the territories, and the District of Columbia.
            ``(2) The term `at-risk youth' has the same meaning given 
        that term in section 1432 of the Elementary and Secondary 
        Education Act of 1965 (20 U.S.C. 6472.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by adding at the end the following new item:

``510. National Guard operation about face to provide life-skills for 
                            at-risk youth.''.
Authorizes the Secretary of Defense, through the Chief, National Guard Bureau, to use the National Guard to conduct an at-risk youth life skills program to be known as "National Guard Operation About Face." Requires such program to: (1) be a community-based outreach program for at-risk youth; and (2) include after-school and summer classes to provide academic skills, computer literacy, employability skills, life-coping skills, and communication skills supplemented with work experience activities. Requires agreements with State governors and the commanding general of the District of Columbia National Guard to carry out the program. Directs the Secretary to prescribe standards and procedures for selecting program participants from at risk youth. Authorizes the use of State National Guard personnel, equipment, and facilities, as well as State supplemental resources, in support of such program.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Functional Gastrointestinal and 
Motility Disorders Research Enhancement Act of 2011''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Functional gastrointestinal and motility disorders 
        (FGIMDs) are chronic conditions associated with increased 
        sensitivity of the GI tract, abnormal motor functioning, and 
        brain-gut dysfunction.
            (2) FGIMDs are characterized by symptoms in the GI tract 
        including pain or discomfort, nausea, vomiting, diarrhea, 
        constipation, incontinence, problems in the passage of food or 
        feces, or a combination of these symptoms.
            (3) FGIMDs include conditions such as dysphagia, 
        gastroesophageal reflux disease, dyspepsia, cyclic vomiting 
        syndrome, gastroparesis, irritable bowel syndrome (IBS), 
        Hirschsprung's disease, chronic intestinal pseudo-obstruction, 
        bowel incontinence, and many others, which affect the 
        esophagus, stomach, gallbladder, small and large intestine, and 
        anorectal areas of the body.
            (4) The severity of FGIMDs ranges from mildly uncomfortable 
        to debilitating and in some cases life-threatening.
            (5) Effective treatments for the multiple symptoms of 
        FGIMDs are lacking, and while sufferers frequently use a 
        variety of medications and therapies for symptoms, few patients 
        report satisfaction with available treatments.
            (6) Patients with FGIMDs frequently suffer for years before 
        receiving an accurate diagnosis, exposing them to unnecessary 
        and costly tests and procedures including surgeries, as well as 
        needless suffering and expense.
            (7) The economic impact of FGIMDs is high. The annual cost 
        in the United States for IBS alone is estimated to be between 
        $1.7 billion and $10 billion in direct medical costs (excluding 
        prescription and over-the-counter medications) and $20 billion 
        in indirect medical costs.
            (8) FGIMDs frequently take a toll on the workplace, as 
        reflected in work absenteeism, lost productivity, and lost 
        opportunities for the individual and society.
            (9) Gastrointestinal symptoms consistent with functional 
        gastrointestinal disorders such as IBS and functional dyspepsia 
        have been recognized as a serious and disabling issue for 
        military veterans, particularly those who have been deployed.
            (10) FGIMDs affect individuals of all ages including 
        children, and pediatric FGIMDs can be particularly serious, 
        leading to a lifetime of painful symptoms and medical expenses 
        associated with management of chronic illness or death.
            (11) The National Institutes of Health's National 
        Commission on Digestive Diseases identified comprehensive 
        research goals related to FGIMDs in its April 2009 report to 
        Congress and the American public entitled ``Opportunities and 
        Challenges in Digestive Diseases Research: Recommendations of 
        the National Commission on Digestive Diseases''.

SEC. 3. FUNCTIONAL GASTROINTESTINAL AND MOTILITY DISORDERS RESEARCH 
              ENHANCEMENT.

    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:

``SEC. 409K. FUNCTIONAL GASTROINTESTINAL AND MOTILITY DISORDERS.

    ``The Director of NIH may expand, intensify, and coordinate the 
activities of the National Institutes of Health with respect to 
functional gastrointestinal and motility disorders (in this section 
referred to as `FGIMDs') by--
            ``(1) expanding basic and clinical research into FGIMDs by 
        implementing the research recommendations of the National 
        Commission on Digestive Diseases relating to FGIMDs;
            ``(2) providing support for the establishment of up to five 
        centers of excellence on FGIMDs at leading academic medical 
        centers throughout the country to carry out innovative basic, 
        translational, and clinical research focused on FGIMDs;
            ``(3) exploring collaborative research opportunities among 
        the National Institute of Diabetes and Digestive and Kidney 
        Diseases, the Office of Research on Women's Health, the Office 
        of Rare Disease Research, and other Institutes and Centers of 
        the National Institutes of Health;
            ``(4) directing the National Institute of Diabetes and 
        Digestive and Kidney Diseases to provide the necessary funding 
        for continued expansion and advancement of the FGIMDs research 
        portfolio through intramural and extramural research;
            ``(5) directing the National Institute of Diabetes and 
        Digestive and Kidney Diseases and the Eunice Kennedy Shriver 
        National Institute of Child Health and Human Development to 
        expand research into FGIMDs that impact children, such as 
        Hirschsprung's disease and cyclic vomiting syndrome, and 
        maternal health, such as fecal incontinence; and
            ``(6) exploring opportunities to partner with the 
        Department of Defense and the Department of Veterans Affairs to 
        increase research and improve patient care regarding FGIMDs 
        that commonly impact veterans and active duty military 
        personnel, such as IBS and dyspepsia.''.

SEC. 4. PROMOTING PUBLIC AWARENESS OF FUNCTIONAL GASTROINTESTINAL AND 
              MOTILITY DISORDERS.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by adding at the end the following:

``SEC. 320B. PUBLIC AWARENESS OF FUNCTIONAL GASTROINTESTINAL AND 
              MOTILITY DISORDERS.

    ``The Secretary may engage in public awareness and education 
activities to increase understanding and recognition of functional 
gastrointestinal and motility disorders (in this section referred to as 
`FGIMDs'). Such activities may include the distribution of print, film, 
and web-based materials targeting health care providers and the public 
and prepared and disseminated in conjunction with patient organizations 
that treat FGIMDs. The information expressed through such activites 
should emphasize--
            ``(1) basic information on FGIMDs, their symptoms, 
        prevalence, and frequently co-occurring conditions; and
            ``(2) the importance of early diagnosis, and prompt and 
        accurate treatment of FGIMDs.''.

SEC. 5. SENSE OF CONGRESS ON THE DEVELOPMENT AND OVERSIGHT OF 
              INNOVATIVE TREATMENT OPTIONS FOR FUNCTIONAL 
              GASTROINTESTINAL AND MOTILITY DISORDERS.

    It is the sense of Congress that, considering the current lack of 
effective treatment options for the global symptoms of functional 
gastrointestinal and motility disorders (in this section referred to as 
``FGIMDs'') and the inherent challenges of developing and bringing such 
treatments to market, the Commissioner of Food and Drugs should 
continue and accelerate important efforts to improve the development 
and oversight of treatment options for FGIMDs by--
            (1) enhancing the commitment to emerging efforts like the 
        Patient Reported Outcomes Consortium to expedite medical device 
        and drug development, study appropriate balances between risk 
        and patient benefit, and identify proper endpoints for 
        conditions without clear, biological indicators;
            (2) enhancing the commitment to broad efforts like the 
        Critical Path Initiative focused on ensuring that scientific 
        breakthroughs are quickly translated into safe and beneficial 
        treatment options; and
            (3) continuing collaboration with patient organizations 
        that treat FGIMDs so that the patient perspective is considered 
        when determining the need for innovative treatments.

Functional Gastrointestinal and Motility Disorders Research Enhancement Act of 2011 - Amends the Public Health Service Act to require the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate NIH activities with respect to functional gastrointestinal and motility disorders (FGIMDs), including by: (1) expanding basic and clinical research into FGIMDs by implementing the research recommendations of the National Commission on Digestive Diseases, (2) providing support for the establishment of centers of excellence on FGIMDs, (3) directing the National Institute of Diabetes and Digestive and Kidney Diseases to provide the necessary funding for the continued expansion and advancement of the FGIMDs research portfolio through intramural and extramural research, and (4) directing such Institute and the Eunice Kennedy Shriver National Institute of Child Health and Human Development to expand research into FGIMDs that impact children.

Authorizes the Secretary of Health and Human Services (HHS) to engage in public awareness and education activities to increase understanding and recognition of FGIMDs.