An Act to amend the Public Health Service Act to revise and extend provisions respecting arthritis, diabetes, and digestive diseases.
PL 94-562 (S.2910), enacted 10/19/1976

PUBLIC LAW 94-562—OCT. 19, 1976 
90 STAT. 2645 
Public Law 94-562 
94th Congress 
An Act 
To amend the Public Health Service Act to revise and extend provisions 
respecting arthritis, diabetes, and digestive diseases. 
Be it enacted hy the Senate and House of Representatwes of the 
United States of America in Congress assembled^ That (a) this Act 
may be cited as the "Arthritis. Diabetes, and Digestive Disease Amend-
ments of 1976". 
(b) Whenever in this Act an amendment or repeal is expressed in 
terms of an amendment to, or repeal of, a section or other provision, 
the reference shall be considered to be made to a section or other provi-
sion of the Public Health Service Act. 
TITLE I—ARTHEITIS AND RELATED MUSCULO-
SKELETAL DISEASES 
Oct. 19. 1976 
[S. 2910] 
Arthritis, 
Diabetes, and 
Digestive Disease 
Amendments 
of 1976. 
42 u s e 201 note. 
42 u s e 201 note. 
ARTHRITIS DEMONSTRATION PROJECTS AND DATA SYSTEM 
SEC. 101. (a) Section 438(a) is amended— 
(1) by striking out "prevention,"; and 
(2) by striking out "data bank" and inserting in lieu thereof 
"data system". 
(b) Section 438(b) is amended— 
(1) by striking out "and" at the end of paragraph (3); 
(2) by striking out the period at the end of paragraph (4) and 
inserting in lieu thereof "; and"; and 
(3) by adding after paragraph 
(4) the following new 
paragraph: 
" (5) emphasize the development and demonstration of new and 
improved methods for the dissemination to the general public 
of information— 
"(A) on the importance of early detection of arthritis, of 
seeking prompt treatment, and of following an appropriate 
regimen; and 
(B) to discourage the promotion and use of unapproved 
and ineffective diagnostic, preventive, treatment, and con-
trol methods for arthritis and unapproved and ineffective 
drugs and devices for arthritis.". 
(c) Section 438(c)(1) is amended— 
(1) by striking out "Screening and Detection Data Bank" and 
inserting in lieu thereof "Data System"; and 
(2) by striking out "useful in screening, prevention, and early 
detection involving" and inserting in lieu thereof "derived from". 
(d) Section 438(d) is amended— 
(1) by inserting "(1)" after "(d)",-and 
(2) by inserting at the end thereof the following new 
paragraphs: 
42 u s e 289 c-5. 
90 STAT. 2646 
PUBLIC LAW 94-562—OCT. 19, 1976 
Appropriation 
autnorization. 
42 use 289C-5. 
"(2) There are authorized to be appropriated to carry out subsec-
tions (a) and (b) $3,000,000 for the fiscal year ending September 30, 
1978, $4,000,000 for the fiscal year ending September 30, 1979, and 
$5,000,000 for the fiscal year ending September 30,1980. 
"(3) There are authorized to be appropriated to carry out subsec-
tion (c) $1,000,000 for the fiscal year ending September 30, 1978, 
$1,250,000 for the fiscal year ending September 30,1979, and $1,500,000 
for the fiscal year ending September 30,1980.". 
(e) The heading to section 438 is amended to read as follows: 
"ARTHRITIS DEMONSTRATION PROJECTS AND DATA SYSTEM". 
MULTIPURPOSE ARTHRITIS CENTERS 
42USC289C-6. 
SEC. 102. Section 439 is amended— 
(1) by inserting ", and in research in arthritis" in subsection 
(b)(2)(B) before the semicolon at the end thereof; 
(2) by amending subsection (f^ to read as follows: 
Limitatioii. 
"(f) Support of a center under this section may be for a period of 
not to exceed three years and may be extended by the Director of the 
National Institute of Arthritis, Metabolism, and Digestive Diseases 
for additional periods of not more than three years each, after review 
of the operations of such center by an appropriate scientific review 
group established by the Director of the National Institute of 
Arthritis, Metabolism, and Digestive Diseases."; 
(3) by inserting "the" before "fiscal year" each place it appears 
in subsection (g); 
(4) bv striking out "and" in subsection (g) before "$20,000,000"; 
(5) by inserting "$18,700,000 for the fiscal year ending Septem-
ber 30, 1978, $19,000,000 for the fiscal year ending September 30, 
1979, and $20,000,000 for the fiscal year ending September 30, 
1980" before the period at the end of the first sentence of subsec-
tion (g); and 
(6) by amending the heading to read as follows: "MULTIPUR-
POSE ARTHRITIS CENTERS". 
NATIONAL A R T H R I T I S ADVISORY BOARD 
SEC. 103. (a) Part D of title IV is amended by inserting after 
section 439 the following new section: 
Establishment. 
42 use 289C-7. 
"NATIONAL ARTHRITIS ADVISORY BOARD 
"SEC. 440. (a) The Secretary shall establish a National Arthritis 
Advisory Board (hereinafter in this section referred to as the 'Board') 
to be composed of twenty-four members as follows: 
"(1) Eight members shall be appointed by the Secretary from 
individuals who are scientists, physicians, or other health pro-
fessionals, who are not employed by the Federal Govermnent, and 
who represent the various specialties and disciplines involved in 
arthritis. Of the members appointed pursuant to this paragraph, 
three shall be clinical rheumatologists, two shall be orthopedic 
surgeons, two shall be rheumatology investigators, and one shall 
be an allied health professional. 
"(2) Six members shall be appointed by the Secretary from 
individuals, who are not employed by the Federal Government, 
PUBLIC LAW 94-562—OCT. 19, 1976 
90 STAT. 2647 
with an interest in arthritis and who as a group have knowledge 
and experience in the fields of medical education, nursing, com-
munity program development, health education, data systems, and 
public information. 
"(3) One member shall be appointed by the Secretary from 
individuals who are members of the National Arthritis, Metabo-
•
^ lism, and Digestive Diseases Advisory Council and who are expert 
in the field of arthritis. 
"(4) Four members shall be appointed by the Secretary from 
..the general public. At least two of such members shall be persons 
" who have arthritis and one shall be the parent of a child who has 
arthritis. 
"(5) The Assistant Secretary of Health or his designee, the 
Director of the National Institutes of Health or his designee, the 
Associate Director for Arthritis of the National Institute of 
Arthritis, Metabolism, and Digestive Diseases or his designee, the 
Chief Medical Director of the Veterans' Administration or his 
designee, and the Secretary of Defense or his designee shall each 
be ex ofiicio members. 
"(b) The members of the Board shall select a Chairperson from 
among the appointed members. 
"(c) The Secretary shall, after consultation with and considera-
tion of the recommendations of the Board, provide the Board with 
an executive director and one other professional staff member. In addi-
tion, the Secretary shall, after consultation with and consideration of 
the recommendations of the Board, provide the Board with such 
additional professional staff members, such clerical staff members, and 
(through contracts or other arrangements) with such administrative 
support services and facilities, such information, and such services 
of consultants, as the Secretary determines are necessary for the 
Board to carry out its functions. 
"(d) Members of the Board who are officers or employees of the Compensation. 
Federal Government shall serve as members of the Board without 
compensation in addition to that received in their regular public 
employment. Other members of the Board shall receive compensation 
at rates not to exceed the daily equivalent of the annual rate in effect 
for grade GS-18 of the General Schedule for each day (including 5 USC 5332 note, 
traveltime) they are engaged in the performance of their duties as 
members of the Board. While away from their homes or regular places Travel expenses, 
of business in the performance of services for the Board, members of 
the Board shall be allowed travel expenses, including per diem in lieu 
of subsistence, in the same manner as persons employed intermittently 
in the Government service are allowed expenses under section 5703(b) 
of title 5 of the United States Code. 
"(e) The appointed members of the Board shall be appointed to 
serve until the expiration of the Board (as provided in subsection 
(1)). 
"(f) The Board shall— 
"(1) review and evaluate the implementation of the Arthritis 
Plan (formulated under section 3(g) of the National Arthritis 
Act of 1974); and 
" (2) for the purpose of assuring the most effective utilization 
and organization of arthritis resources, advise and make recom-
mendations to Congress, the Secretary, and the heads of other 
appropriate Federal agencies with respect to the Arthritis Plan 
Duties. 
42 USC 289C-1 
note. 
90 STAT. 264S 
PUBLIC LAW 94-562—OCT. 19, 1976 
Subcommittees. 
Report to 
Secretary of 
HEW and 
Congress. 
Appropriation 
authorization. 
Expiration. 
Effective date. 
42 u s e 289c-7 
note. 
and with respect to the guidelines, policies and procedures of 
Federal programs relating to arthritis. 
"(g) The Board may collect such data as it deems advisable and 
necessary to enable it to perform the functions required by subsection 
"(h) The Board may, from time to time, establish Subcommittees. 
Such Subcommittees may be composed of Board members and non-
member consultants with expertise in the particular area addressed by 
such Subcommittees. 
"(i) The full Board shall hold regular quarterly meetings. In addi-
tion, the full Board or any of its Subcommittees may hold such addi-
tional meetings as are necessary in order to enable the Board to carry 
out its activities. 
"(j) One year after the date of its establishment and each year 
thereafter the Board shall submit to the Secretary and to the Congress 
a report— 
" (1) which describes the Board's activities during the year for 
which the report is made; 
"(2) which describes and evaluates the progress made in such 
year in arthritis research, treatment, education, and training; 
" (3) which summarizes and analyzes expenditures made by the 
Federal Government for arthritis-related activities during the 
year for which the report is made: and 
"(4) which contains the Board's recommendations (if any) for 
changes in the Arthritis Plan. 
The annual arthritis report shall be made available to the public at 
the same time it is transmitted to Congress and the Secretary. 
"(k) There are authorized to be appropriated to carry out the pur-
poses of this section $300,000 for the fiscal year ending September 30, 
1978, $300,000 for the fiscal year ending September 30, 1979, and 
$300,000 for the fiscal year ending September 30,1980. 
"(1) The Board shall expire on September 30, 1980.". 
(b) The Secretary of Health, Education, and Welfare shall estab-
lish the National Arthritis Advisory Board (established by the 
amendment made by subsection (a)) not later than ninety days after 
the date of enactment of this section. 
TITLE II—DIABETES 
NATIONAL DIABETES ADVISORY BOARD 
SEC. 201. (a) Part D of title IV is amended by inserting after 
section 436 the following new section: 
Establishment. 
42 u s e 289c-3a. 
"NATIONAL DIABETES ADVISORY BOARD 
"SEC. 436A. {&,) The Secretary shall establish a National Diabetes 
Advisory Board (hereinafter in this section referred to as the 'Board') 
to be composed of twenty-three members as follows: 
"(1) The following ex officio men/bers: The Assistant Secre-
tary for Health or his designee, the Director of the National 
Institutes of Health or his designee, the Director of the National 
Institute of Arthritis, Metabolism and Digestive Disease or his 
designee, the Director of the National Heart, Lung, and Blood 
Institute or his designee, the Director of the National Eye 
Institute or his designee, the Director of the Center for Disease 
PUBLIC LAW 94^562—OCT. 19, 1976 
90 STAT. 2649 
Control or his designee, the Administrator of the Health Services 
Administration or his designee, the Administrator of the Health 
Resources Administration or his designee, the Associate Director 
for Diabetes of the National Institute of Arthritis, Metabolism, 
and Digestive Diseases or his designee, the Chief Medical Director 
of the Veterans' Administration or his designee, and the Secretary 
of Defense or his designee. 
"(2) Seven members shall be appointed by the Secretary from 
individuals who are not in the employ of the Federal Government 
and who are health and allied health professionals or scientists 
representing the various specialties and disciplines involved with 
diabetes mellitus and related endocrine and metabolic diseases. 
"(3) Five members shall be appointed by the Secretary from 
the general public, including at least one person with diabetes and 
two persons each of whom is a parent of a diabetic child. 
"(b) The members of the Board shall select a Chairperson from 
among the appointed members. 
"(c) The Secretary shall, after consultation with and consideration 
of the recommendations of the Board, provide the Board with an 
executive director and one other professional staff member. In addi-
tion, the Secretary shall, after consultation with and consideration 
of the recommendations of the Board, provide the Board with such 
additional professional staff members, such clerical staff members, 
and (through contracts or other arrangements) with such administra-
tive support services and facilities, such information, and such serv-
ices of consultants, as the Secretary determines are necessary for the 
Board to carry out its functions. 
"(d) Members of the Board who are officers or employees of the Compensation. 
Federal Government shall serve as members of the Board without 
compensation in addition to that received in their regular public 
employment. Other members of the Board shall receive compensation 
at rates not to exceed the daily equivalent of the annual rate in effect 
for grade GS-18 of the General Schedule for each day (including 5 U
S
C 5332 note, 
traveltime) they are engaged in the performance of their duties as 
members of the Board, While away from their homes or regular 
places of business in the performance of services for the Board, mem-
bers of the Board shall be allowed travel expenses including per diem 
in lieu of subsistence, in the same manner as persons employed inter-
mittently in the Government service are allowed expenses under sec-
tion 5703(b) of title 5 of the United States Code. 
"(e) The appointed members of the Board shall be appointed to 
serve until the expiration of the Board (as provided in subsec-
tion (1)). 
"(f) The Board shall— 
"(1) review and evaluate the implementation of the long range 
plan to combat diabetes mellitus (hereinafter in this section 
referred to as the "Diabetes Plan") formulated by the National 
Commission on Diabetes under section 3(e) of the National Dia-
betes Mellitus Research and Education Act, and 
"(2) for the purpose of assuring the most effective utilization 
and organization of diabetes resources, advise and make recom-
mendations to Congress, the Secretary, and the heads of other 
appropriate Federal agencies with respect to the Diabetes Plan 
and with respect to the guidelines, policies and procedures of 
Federal programs relating to diabetes. 
Travel 
expenses. 
Duties. 
42 USC 289c-2 
note. 
90 STAT. 2650 
PUBLIC LAW 94-562—OCT. 19, 1976 
Subcommittees. 
Report to 
Secretary of 
HEW and 
Appropriation 
auUiorization. 
Expiration. 
Effective date. 
42 u s e 289c-3a 
note. 
"(g) The Board may collect such data as it deems advisable and 
necessary to enable it to perform the functions required by subsection 
"(h) The Board may, from time to time, establish Subcommittees. 
Such Subcommittees may be composed of Board members and non-
member consultants with expertise in the particular area addressed 
by such Subcommittees. 
"(i) The full Board shall hold regular quarterly meetings. In addi-
tion, the full Board or any of its Subcommittees may hold such addi-
tional meetings as are necessary in order to enable the Board to carry 
out its activities. 
" (j) One year after the date of its establishment and each year 
thereafter the Board shall submit to the Secretary and to the Con-
gress a report— 
"(1) which describes the Board's activities during the year for 
which the report is made; 
"(2) which describes and evaluates the progress made in such 
year in diabetes research, treatment, education, and training; 
"(3) which summarizes and analyzes expenditures made by the 
Federal Government for diabetes-related activities during the 
year for which the report is made; and 
"(4) which contains the Board's recommendations (if any) for 
changes in the Diabetes Plan. 
The annual diabetes report shall be made available to the public at 
the same time it is transmitted to C!ongress and the Secretary. 
"(k) There are authorized to be appropriated to carry out the 
purposes of this section $300,000 for the fiscal year ending Septem-
ber 30, 1978, $300,000 for the fiscal year ending September 30, 1979, 
and $300,000 for the fiscal year ending September 30, 1980. 
"(1) The Board shall expire on September 30, 1980.". 
(b) The Secretary of Health, Education, and Welfare shall estab-
lish the National Diabetes Advisory Board (established by the 
amendment made by subsection (a)) not later than ninety days after 
the date of enactment of this section. 
DIABETES RESEARCH AND TRAINING CENTERS 
42 use 289C-2. 
SEC. 202. Section 435 (c) is amended— 
a^ by striking out "and" after "1976,", and 
(2) by inserting before the period at the end thereof ", 
$12,000,000 for the fiscal year ending September 30, 1978, 
$20,000,000 for the fiscal year ending September 30, 1979, and 
$20,000,000 for the fiscal year ending September 30, 1980". 
TITLE 
III—DIGESTIVE 
DISEASES 
Establishment. 
42 u s e 289a 
note. 
Membership. 
NATIONAL C0M2kIISSI0N ON DIGESTIVE DISEASES 
SEC. 301. (a) The Secretary of Health, Education, and Welfare 
(hereafter in this section referred to as the "Secretary") after consult-
ing with the Director of the National Institutes of Health, shall, within 
sixty days of the date of enactment of this section, establish a National 
Commission on Digestive Diseases (hereafter in this section referred 
to as the "Commission"). 
(b) The Commission shall be composed of twenty-six members as 
follows: 
PUBLIC LAW 94-562—OCT. 19, 1976 
90 STAT. 2651 
(1) Ten members, appointed by the Secretary from scientists, 
physicians, and other health professionals, not in the employment 
of the Federal Government, as follows: Two shall be practicing 
clinical gastroenterologists, two shall be gastroenterologists 
involved primarily in research on digestive diseases, one shall be 
a surgeon, one shall be an expert in liver disease, one shall be an 
epidemiologist, one shall be an allied health professional, and 
two shall be basic biomedical scientists (such as biochemists, 
physiologists, microbiologists, nutritionists, pharmacologists, 
or immunologists). 
(2) Six members, appointed by the Secretary from the gen-
eral public, of whom at least three shall have personal or close 
family experience with digestive diseases. 
(3) One member, appointed by the Secretary from the mem-
bers of the National Arthritis, Metabolism, and Digestive Diseases 
Advisory Council whose primary interest is in the field of diges-
tive diseases. 
(4) The Director of the National Institutes of Health or his 
designee; the Director of the National Institute of Arthritis, 
Metabolism, and Digestive Diseases or his designee; the Directors, 
or their designees, of the National Institute of Allergy and 
Infectious Diseases, the National Cancer Institute, the National 
Institute of General Medical Sciences; the Associate Director 
for Digestive Diseases and Nutrition of the National Institute of 
Arthritis, Metabolism, and Digestive Diseases; the Director of 
the Center for Disease Control or his designee; the Chief Medical 
Director of the Veterans' Administration or his designee; and 
the Secretary of Defense or his designee shall each be ex officio 
members of the Commission. 
(c) The members of the Commission shall select a Chairperson from 
among the appointed members of the Commission. 
(d) The Commission shall first meet as directed by the Secretary, 
not later than sixty days after the Commission is established, and 
thereafter shall meet at the call of the Chairperson of the Commission, 
but not less often than three times during the life of the Commission. 
The Commission may hold such hearings, take such testimony, and sit 
and act at such time and places as the Commission deems advisable. 
(e) (1) The Commission may appoint and fix the pay of an execu-
tive secretary to effectively carry out its functions. The executive 
secretary shall be appointed subject to the provisions of title 5, United 
States Code, governing appointments in tne competitive service, and 5 USC101 et seq. 
shall be paid in accordance with the provisions of chapter 51 and sub-
chapter III of chapter 53 of such title relating to classification and 5 USC 5101, 
General Schedule pay rates. 
5331. 
(2) The Secretary shall provide the Commission with such addi- Additional staff, 
tional professional and clerical staff, such information, and the 
services of such consultants as the Secretary determines to be neces-
sary for the Commission to carry out effectively its functions. 
(f) Members of the Commission who are officers or employees of Compensation, 
the Federal Government shall serve as members of the Commission 
without compensation in addition to that received in their regular 
public employment. Members of the Commission who are not officers 
or employees of the Federal Government shall receive compensation 
at a rate not to exceed the daily equivalent of the annual rate in 
effect for Grade GS-18 of the General Schedule for each day (includ- 5 USC 5332 
ing traveltime) they are engaged in the performance of tlieir duties °ote. 
90 STAT. 2652 
PUBLIC LAW 94-562—OCT. 19, 1976 
Travel expenses. 
as members of the Commission. All members, while serving away from 
their homes or regular places of business in the performance of serv-
ices for the Commission, shall be allowed travel expenses, including 
per diem in lieu of subsistence, in the same manner as such expenses 
are authorized by section 5703 of title 5, United States Code, for per-
sons in Government service employed intermittently. 
Duties. 
(g) (1) The Commission shall— 
(A) conduct a comprehensive study of the present state of 
knowledge of the incidence, duration, and morbidity of, and 
mortality rates resulting from, digestive diseases and of the social 
and economic impact of such diseases; 
(B) evaluate the public and private facilities and resources 
(including trained personnel and research activities) for the 
diagnosis, prevention, and treatment of, and research in, such 
diseases; and 
(C) 
identify programs (including biological, behavioral, 
nutritional, environmental, and social programs) in which, and 
the means by which, improvement in the management of digestive 
diseases can be accomplished. 
Each Federal entity administering health programs and activities 
related to digestive diseases shall, upon request, assist the Commission 
in carrying out its duties under this paragraph. 
Long-range 
(2) Based on the study, evaluation, and identification made pur-
plan. 
suant to paragraph (1), the Commission shall develop and recommend 
a long-range plan for the use and organization of national resources 
to effectively deal with digestive diseases. The plan shall provide for— 
(A) research studies into the basic biological processes and 
mechanisms related to digestive diseases; 
(B) investigations into the epidemiology, etiology, diagnosis, 
treatment, prevention, and control of digestive diseases; 
(C) development of preventive measures (including education 
programs, programs for the elimination of environmental hazards 
related to digestive diseases, and clinical programs) to be taken 
against digestive diseases; 
(D) detection of digestive diseases in the presymptomatic 
stages and development and evaluation of new and improved 
methods of screening for digestive diseases; 
(E) development of criteria for the diagnosis and the clinical 
management and control of digestive diseases; 
(F) development of coordinated health care systems for dealing 
with digestive diseases; 
(G) education and training (including continuing education 
programs) of scientists, clinicians, educators, and allied health 
professionals in the fields and specialties requisite to the conduct 
of programs related to digestive diseases with special emphasis on 
training for careers in research, teaching, and all aspects of 
patient care; 
(H) the conduct and direction of field studies and clinical trials 
for testing, evaluating, and demonstrating preventive, diagnostic, 
therapeutic, rehabilitative, and control measures in digestive 
diseases; 
(I) establishment of a standardized nomenclature of all diges-
tive diseases for use in basic and clinical research and to facilitate 
collaborative studies; and 
(J) establishment of a system of periodic surveillance of the 
research potential and research needs in digestive diseases corre-
PUBLIC LAW 94-562—OCT. 19, 1976 
90 STAT. 2()53 
spending with the recently completed survey organized by the 
National Institute of Arthritis, Metabolism, and Digestive 
Diseases. 
The long-range plan formulated under this paragraph shall also 
include within its scope related nutritional disorders and basic biolog-
ical processes and mechanisms in nutrition which are related to diges-
tive diseases. 
(h) The Commission shall recommend for each of the Institutes of 
the National Institutes of Health whose activities are to be affected 
by the long-range plan estimates of the expenditures needed to carry 
out each Institute's part of the overall program. Such estimates shall 
be prepared for the fiscal year beginning immediately after comple-
tion of the Commission's plan and for each of the next two fiscal years. 
(i)(l) Within eighteen months following its initial meeting (as Report to 
prescribed by subsection (d)), the Commission shall publish and 
transmit directly to the Congress a final report respecting its activi-
ties under this section. The report shall contain (A) the long-range 
plan required by subsection (g), (B) the expenditure estimates 
required by subsection (h), and (C) any recommendations of the 
Commission for legislation. 
(2) The Commission shall cease to exist on the thirtieth day follow-
ing the date of submission of the final report to Congress. 
(j) There are authorized to be appropriated without fiscal year 
limitation $1,500,000 to carry out the purposes of this section. 
Tenninatioii. 
Appropriation 
audiorization. 
COORDINATING COMMITTEE FOR DIGESTIVE DISEASES 
SEC. 302. Part D of title IV is amended by adding after section 440 
(as added by section 103 of this Act) the following new section: 
"COORDINATING COMMITTEE FOR DIGESTIVE DISEASES 
"SEC. 440A. (a) The Secretary shall establish a Coordinating Com-
mittee for Digestive Diseases (hereafter in this section referred to as 
the 'Committee') to be composed of the Directors (or their designated 
representatives) of each of the Institutes of the National Institutes 
of Health involved in digestive disease research; and the head (or his 
designated representative) of the Alcohol, Drug Abuse and Mental 
Health Administration, the National Institute of Occupational Safety 
and Health, the Food and Drug Administration, the Department of 
Medicine and Surgery of the Veterans' Administration, the Center for 
Disease Control, the Department of Defense, the Department of Agri-
culture, the Health Services Administration, the Health Resources 
Administration, the Social Security Administration, and the Institute 
of Medicine of the National Academy of Sciences. The Committee 
shall be chaired by the Director of the National Institute of Arthritis, 
Metabolism, and Digestive Diseases and the Associate Director for 
Digestive Diseases and Nutrition of that Institute shall serve as vice 
chairman. The Committee shall meet at the call of the Chairman, but 
not less often than three times a year. 
Establishment 
42 u s e 289c-«. 
90 STAT. 2654 
PUBLIC LAW 94^562—OCT. 19, 1976 
"(b) The Committee shall be responsible for the coordination of 
the activities of the entities represented on the Committee respecting 
Report to 
digestive diseases. The Committee shall submit to the Secretary an 
Secretary 
annual report detailing the manner in which the Committee has coor-
of HEW. 
dinated such activities.". 
Approved October 19, 1976. 
LEGISLATIVE HISTORY: 
CONGRESSIONAL RECORD, Vol. 122 (1976): 
Oct 1, considered and passed Senate and House. 
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, VoL 12, No. 43: 
Oct. 20, Presidential statement.