National Diabetes Research and Education Act
PL 93-354 (S.2830), enacted 07/23/1974

88 STAT. ] 
PUBLIC LAW 93-354-JULY 23, 1974 
373 
42 use 280b. 
ing into appropriate contracts'' and inserting in lieu thereof "To 
carrj out the purposes of section 390(b) (6), the Secretary, with the 
advice of the Board, shall make grants to, and enter into appropriate 
contracts". 
SEC. 204. Section 399b is repealed; and sections 394 through 399a Js^^'gc 280b-i2. 
are redesignated as sections 393 through 399, respectively. 
SEC. 205. The amendments made by sections 202, 203, and 204 shall J^l^^^'^ ^*°^ 
apply with respect to appropriations under part J of the Public 
42 use 280b. 
Health Service Act for fiscal years beginning after June 30, 1974. 
Approved July 23, 1974. 
Public Law 93-354 
AN A C T 
July 23, 1974 
rs 28301 
To amend the Public Health Service Act to provide for greater and more effective 
'. 
efforts in research and public education with regard to diabetes mellitus. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled, 
. '^^*'°"1|.P'^" 
•' 
i' 
' 
betes MelUtus 
Research and 
SHORT TITLE 
Education Act. 
SECTION 1. This Act may be cited as the "National Diabetes Mellitus „o{e.^^^ 289c-2 
Research and Education Act". 
FINDINGS AND DECLARATION OF PURPOSE 
SEC. 2. (a) The Congress makes the following 
findings: 
^'^ use 289c-2 
(1) Diabetes mellitus is a major health problem in the United 
States which directly affects perhaps as many as ten million Amer-
icans and indirectly affects perhaps as many as fifty million 
Americans who will pass the tendency to develop diabetes mellitus 
to their children or grandchildren or to both. 
(2) Diabetes mellitus is a family of diseases that has an impact 
on virtually all biological systems of the human body. 
(3) Diabetes mellitus is the fifth leading cause of death from 
disease, and it is the second leading cause of new cases of blindness. 
(4) The severity of diabetes mellitus in children and most 
adolescents is greater than in adults, which in most cases involves 
greater problems in the management of the disease. 
(5) The complications of diabetes mellitus, particularly cardio-
vascular degeneration, lead to many other serious health problems. 
(6) Uncontrolled diabetes mellitus significantly decreases life 
expectancy. 
(7) There is convincing evidence that the known prevalence of 
diabetes mellitus has increased dramatically in the past decade. 
(8) The citizens of the United States should have a full under-
standing of the nature of the impact of diabetes mellitus. 
(9) The attainment of better methods of diagnosis and treat-
ment of diabetes mellitus deserves the highest priority. 
(10) The establishment of regional diabetes research and train-
ing centers throughout the country is essential for the development 
of scientific information and appropriate therapies to deal with 
diabetes mellitus. 
(11) In order to provide for the most effective program against 
diabetes mellitus it is important to mobilize the resources of the 
National Institutes of Health as well as the public and private 
organizations capable of the necessary research and public educa-
tion in the disease. 
38-1S4 n - 76 - 27 Pt. 1
374 
PUBLIC LAW 93-354-JULY 23, 1974 
[88 STAT. 
(b) It is the purpose of this Act to— 
(1) expand the authority of the National Institutes of Health 
to advance the national attack on diabetes mellitus; and 
(2) as part of that attack, to establish a long-range plan to— 
(A) expand and coordinate the national research effort 
against diabetes mellitus; 
(B) advance activities of patient education, professional 
education, and public education which will alert the citizens 
of the United States to the early indications of diabetes 
mellitus; and 
(C) to emphasize the significance of early detection, proper 
control, and complications which may evolve from the disease. 
DIABETES PLAN 
mi^slon^on m^-' 
SEC 3. (a) The Director of the National Institutes of Health shall, 
betes. 
within sixty days of the date of the enactment of this section, establish 
4
2
^ usc^2'89c"2" ^' ^^^ional Commission on Diabetes (hereinafter in this section referred 
note. 
to as the "Commission"). 
Membership. 
(b) The Commlssiou shall be composed of seventeen members as 
follows: 
(1) The Directors of the seven Institutes referred to in subsec-
tion (e). 
(2) Six members appointed by the Secretary of Health, Educa-
tion, and Welfare from scientists or physicians who are not in the 
employment of the Federal Government and who represent the 
various specialties and disciplines involving diabetes mellitus and 
related endocrine and metabolic diseases. 
(3) Four members appointed by the Secretary of Health, Edu-
cation, and Welfare from the general public. At least two of the 
members appointed pursuant to this paragraph sl;iall be diabetics 
or parents of diabetics. 
The members of the Commission shall select a chairman from among 
their own number. 
(c) The Commission may appoint an executive director and such 
additional personnel as it determines are necessary for the perform-
ance of the Commission's functions. 
Compensation. 
((j^ Mcmbcrs of the Commission who are officers or employees of the 
Federal Government shall serve as members of the Commission with-
out 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 each receive the daily 
5 use 5332 
equivalent of the rate in effect for grade GS-18 of the General Schedule 
for each day (including traveltime) they are engaged in the perform-
Travei 
aucB of their duties as members of the Commission. All members of 
the Commission shall be entitled to reimbursement for travel, sub-
sistence, and other necessary expenses incurred by them in the perform-
ance of their duties as members of the Commission. 
(e) The Commission shall formulate a long-range plan to combat 
diabetes mellitus with specific recommendations for the utilization and 
organization of national resources for that purpose. Such a plan shall 
be based on a comprehensive survey investigating the magnitude of 
diabetes mellitus, its epidemiology, and its economic and social conse-
quences and on an evaluation of available scientific information and 
the national resources capable of dealing with the problem. The plan 
shall include a plan for a coordinated research program encompassing 
programs of the National Institute of Arthritis, Metabolism, and 
Digestive Diseases, the National Eye Institute, the National Institute 
of Neurological Diseases, the National Heart and Lung Institute, the 
Director and 
personnel. 
note. 
expenses. 
88 STAT. ] 
PUBLIC LAW 93-354-JULY 23, 1974 
375 
National Institute of General Medical Sciences, the National Institute 
of Child Health and Human Development, and the National Institute 
of Dental Eesearch, and other Federal and non-Federal programs. The 
coordinated research program shall provide for— 
(1) investigation in the epidemiology, etiology, prevention, 
and control of diabetes mellitus, including investigation into the grams 
social, environmental, behavioral, nutritional, biological, and 
genetic determinants and influences involved in the epidemiology, 
etiology, prevention, and control of diabetes mellitus; 
(2) studies and research into the basic biological processes and 
mechanisms involved in the underlying normal and abnormal 
phenomena associated with diabetes mellitus, including abnor-
malities of the skin, cardiovascular system, kidneys, eyes, and 
nervous system, and evaluation of influences of other endocrine 
hormones on the etiology, treatment, and complications of dia-
betes mellitus; 
(3) research into the development, trial, and evaluation of 
techniques and drugs used in, and approaches to, the diagnosis, 
treatment, and prevention of diabetes mellitus; 
(4) establishment of programs that will focus and apply scien-
tific and technological efforts involving biological, physical, and 
engineering science to all facets of diabetes mellitus; 
(5) establishment of programs for the conduct and direction 
of field studies, large-scale testing and evaluation, and demonstra-
tion of preventive diagnostic, therapeutic, rehabilitative, and con-
trol approaches to diabetes mellitus; 
(6) the education and training of scientists, clinicians, edu-
cators, and allied health personnel in the fields and specialties 
requisite to the conduct of programs respecting diabetes mellitus; 
(7) a system for the collection, analysis, and dissemination of 
all data useful in the prevention, diagnosis, and treatment of 
diabetes mellitus; 
(8^ appropriate distribution of resources between basic and 
applied research. 
The long-range plan formulated under this subsection shall also 
include within its scope related endocrine and metabolic diseases and 
basic biological processes and mechanisms, the better understanding of 
which is essential to the solution of the problem of diabetes mellitus. 
(f) In the development of the long-range plan under subsection (e), 
attention shall be given to means to assure continued development of 
knowledge, and dissemination of such knowledge to the public, which 
would form the basis of future advances in the understanding, treat-
ment, and control of diabetes mellitus. 
(g) The Commission may hold such hearings, take such testimony, 
and sit and act at such time and places as the Commission deems advis-
able to develop the long-range plan required by subsection (e). 
(h)(1) The Commission shall prepare for each of the Institutes 
whose programs are to be encompassed by the plan for a coordinated 
diabetes research program described in subsection (e) budget estimates 
for each Institute's part of such program. The budget estimates shall 
be prepared for the fiscal year ending June 30, 1976, and for each of 
the next two fiscal years. 
(2) Within five days after the Budget for the fiscal year ending 
June 30, 1976, and the Budget for each of the next two fiscal years is 
transmitted by the President to the Congress the Secretary shall trans-
mit to the Committees on Appropriations of the House of Representa-
tives and the Senate, the Committee on Labor and Public Welfare 
Investigation, 
studies and 
research pro-
Hearings. 
Budget esti-
mates. 
Budget esti-
mates from HEW, 
transmittal to 
congressional 
committees. 
376 
PUBLIC LAW 93-354^JULY 23, 1974 
[88 STAT. 
Final report to 
Congress. 
Termination. 
Appropriation. 
of the Senate, and the Committee on Interstate and Foreign Commerce 
of the House of Representatives an estimate of the amounts recjuested 
for each of the Institutes for diabetes research, and a comparison of 
such amounts with the budget estimates prepared by the Commission 
under paragraph (1). 
(i) (1) The Commission shall publish and transmit directly to the 
Congress (without prior administrative approval) a final report 
within nine months after the date funds are first appropriated for 
the implementation of this section. Such report shall contain the long-
range plan required by subsection (e), the budget estimates required 
by subsection (h), and any recommendations of the Commission for 
legislation. 
(2) The Commission shall cease to exist on the thirtieth day follow-
ing the date of the submission of its final report pursuant to paragraph 
(1) of this subsection. 
(j) There are authorized to be appropriated to carry out the pur-
poses of this section $1,000,000. 
42 u s e 247b. 
DIABETES MELLTTUS PREVENTION AND CONTROL PROGRAMS 
SEC. 4. Section 317 of the Public Health Service Act is amended— 
(1) by striking out "communicable disease control" each place 
it occurs and inserting in lieu thereof "communicable and other 
disease control"; 
(2) by striking out "communicable diseases" in subsection (a) 
and inserting in lieu thereof "communicable or other diseases"; 
(3) by striking out "communicable disease program" in sub-
section (a) and inserting in lieu thereof "communicable or other 
disease control program"; 
(4) by striking out "communicable disease" in subsection (b) 
(2) (C) (i) and inserting in lieu thereof "communicable or other 
disease"; 
(5) by striking out "Rh disease," in subsection (h) (1) and by 
inserting "diabetes mellitus and Rh disease and" before "tubercu-
losis" in that subsection; and 
(6) by striking out "COMMUNICABLE" in the section hea^pig. 
RESEARCH AND TRAINING CENTERS; DIABETES COORDINATING COMMITTEE 
AND GENERAL AUTHORITY 
SEC 5. (a) Part D of title IV of the Public Health Service Act is 
amended by adding at the end thereof the following new sections: 
42 u s e 289c-2. 
" D I A B E T E S RESEARCH AND TRAINING CENTERS 
"SEC. 435. (a) Consistent with applicable recommendations of the 
National Commission on Diabetes, the Secretary shall provide for the 
development, or substantial expansion, of centers for research and 
training in diabetes mellitus and related endocrine and metabolic dis-
orders. Each center developed or expanded under this section shall (1) 
utilize the facilities of a single institution, or be formed from a consor-
tium of cooperating institutions, meeting such research and training 
qualifications as may be prescribed by the Secretary; and (2) conduct 
(A) research in the diagnosis and treatment of diabetes mellitus and 
related endocrine and metabolic disorders and the complications result-
ing from such disease or disorders, (B) training programs for physi-
cians and allied health personnel in current methods of diagnosis and 
treatment of such disease, disorders, and complications, and (C) infor-
mation programs for physicians and allied health personnel who 
provide primary care for patients with such disease, disorders, or com-
88 STAT. ] 
PUBLIC LAW 93-354-JULY 23, 1974 
377 
plications. Insofar as practicable, centers developed or expanded under 
this section shall be located geographically on the basis of population 
density throughout the United States and in environments with proven 
research capabilities. 
"(b) The Secretary shall evaluate on an annual basis the activities cfrfres's!" 
of centers developed or expanded under this section and shall report 
to the Congress (on or before June 30 of each year) the results of his 
evaluation. 
"(c) There are authorized to be appropriated to carry out this sec- 
Appropriation. 
tion $8,000,000 for fiscal year ending June 30, 1975, $12,000,000 for 
fiscal year ending June 30, 1976, and $20,000,000 for fiscal year ending 
June 30, 1977. 
"DIABETES COORDINATING COMMITTEE 
•
• 
"SEC. 436. For the purpose of— 
Diabetes Meiii-
"(1) better coordination of the total National Institutes of c'omnuttee?^*'"^ 
Health research activities relating to diabetes mellitus; and 
Establishment. 
"(2) coordinating those aspects of all Federal health programs 
'^^ use 289c-3. 
and activities relating to diabetes mellitus to assure the adequacy 
and technical soundness of such programs and activities and to 
provide for the full communication and exchange of information 
necessary to maintain adequate coordination of such programs 
and activities, 
the Director of the National Institutes of Health shall establish a 
Diabetes Mellitus Coordinating Committee. The Committee shall be 
composed of the Directors (or their designated representatives) of 
each of the Institutes and divisions involved in diabetes-related 
research and shall include representation from all Federal depart-
ments and agencies whose programs involve health functions or respon-
sibilities as determined by the Secretary. The Committee shall be 
chairman. 
chaired by the Director of the National Institutes of Health (or his 
designated representative). The Committee shall prepare a report as 
Report. 
soon after the end of each fiscal year as possible for the Director of 
the National Institutes of Health detailing the work of the Committee 
in carrying out the coordinating activities described in paragraphs (1) 
and (2)." 
(b) Section 434 of the Public Health Service Act is amended by 
^2 use 289c.i. 
adding at the end the following new subsection: 
"(d) The Director of the National Institute of Arthritis, Metabo-
lism, and Digestive Diseases, working through the Associate Director 
for Diabetes (if that position is established), shall (1) carry out pro-
grams of support for research and training in the diagnosis, preven-
tion, and treatment of diabetes mellitus and related endocrine and 
metabolic diseases, and (2) establish programs of evaluation, plan-
ning, and dissemination of knowledge related to research and training 
in diabetes mellitus and related endocrine and metabolic diseases." 
ASSOCIATE DIRECTOR FOR DIABETES 
SEC. 6. The Secretary of Health, Education, and Welfare may estab- 
'^^ use 289c-ia. 
lish within the National Institute of Arthritis, Metabolism, and Diges-
tive Diseases the position of Associate Director for Diabetes who would 
report directly to the Director of the Institute and who, under the 
supervision of the Director of the Institute, would be responsible for 
programs with regard to diabetes mellitus within the Institute. 
Approved July 23, 1974.