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<meta><dc:title>113 HR 594 ENR: To amend the Public Health Service Act relating to Federal research on muscular dystrophy, and for other purposes.</dc:title>
<dc:type>House Bill</dc:type><docNumber>594</docNumber><citableAs>113 HR 594 ENR</citableAs>
<citableAs>113hr594enr</citableAs>
<citableAs>113 H.R. 594 ENR</citableAs>
<dc:creator>United States House of Representatives</dc:creator><dc:publisher>United States Government Publishing Office</dc:publisher><dc:format>text/xml</dc:format><dc:language>EN</dc:language><dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights><docStage>ENR</docStage>
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<congress>113</congress><session>2</session><publicPrivate>public</publicPrivate>
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<preface><dc:type>H. R.</dc:type><docNumber>594</docNumber>

<congress style="-uslm-lc:I665502" value="113">One Hundred Thirteenth Congress of the United States of America</congress><session style="-uslm-lc:I665503" value="2">A T T  H  E S  E  C  O  N  D S  E  S  S  I  O  N</session>
<enrolledDateline style="-uslm-lc:I665504">Begun and held at the City of Washington on Friday, the third day of January, two thousand and fourteen</enrolledDateline>
</preface>
<main>
<longTitle>
<docTitle class="centered fontsize18" style="-uslm-lc:I665505">An Act</docTitle>
<officialTitle class="centered fontsize8" style="-uslm-lc:I665511">To amend the Public Health Service Act relating to Federal research on muscular dystrophy, and for other purposes.<?GPOvSpace 08?></officialTitle>
</longTitle>
<enactingFormula style="-uslm-lc:I650120">  Be it enacted by the Senate and House of Representa­tives of the United States of America in Congress assembled,</enactingFormula>
<section id="d91455e62" identifier="/us/bill/113/hr/594/s1" style="-uslm-lc:I650146"><num value="1">SECTION 1. </num><heading>SHORT TITLE.</heading><content style="-uslm-lc:I650120">  This Act may be cited as the “<shortTitle role="act">Paul D. Wellstone Muscular Dystrophy Community Assistance, Research and Education Amendments of 2014</shortTitle>”.</content></section>
<section id="d91455e72" identifier="/us/bill/113/hr/594/s2" role="instruction" style="-uslm-lc:I650141"><num value="2">SEC. 2. </num><heading>INITIATIVE THROUGH THE DIRECTOR OF THE NATIONAL INSTITUTES OF HEALTH.</heading><chapeau class="indentUp0 firstIndent1 fontsize10" style="-uslm-lc:I650120">  Section 404E of the Public Health Service Act (<ref href="/us/usc/t42/s283g">42 U.S.C. 283g</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e84" identifier="/us/bill/113/hr/594/s2/1" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>in subsection (a)(1)—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e88" identifier="/us/bill/113/hr/594/s2/1/A" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>Muscoskeletal</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>Musculoskeletal</quotedText>”; and</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e99" identifier="/us/bill/113/hr/594/s2/1/B" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>Becker, congenital muscular dystrophy, limb-girdle muscular dystrophy,</quotedText>” after “<quotedText>Duchenne,</quotedText>”;</content></subparagraph></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e107" identifier="/us/bill/113/hr/594/s2/2" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>in subsection (b)—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e111" identifier="/us/bill/113/hr/594/s2/2/A" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in paragraph (2)—</chapeau><clause class="indentUp1 firstIndent1 fontsize10" id="d91455e115" identifier="/us/bill/113/hr/594/s2/2/A/i" style="-uslm-lc:I650126"><num style="-uslm-lc:emspace2" value="i">(i) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>genetics,</quotedText>” at the second place it appears; and</content></clause><clause class="indentUp1 firstIndent1 fontsize10" id="d91455e123" identifier="/us/bill/113/hr/594/s2/2/A/ii" style="-uslm-lc:I650126"><num style="-uslm-lc:emspace2" value="ii">(ii) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>cardiac and pulmonary function, and</quotedText>” after “<quotedText>imaging,</quotedText>”; and</content></clause></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e131" identifier="/us/bill/113/hr/594/s2/2/B" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (3), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>and sharing of data</quotedText>” after “<quotedText>regular communication</quotedText>”;</content></subparagraph></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e139" identifier="/us/bill/113/hr/594/s2/3" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="3">(3) </num><chapeau>in subsection (d)—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e143" identifier="/us/bill/113/hr/594/s2/3/A" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in paragraph (2)—</chapeau><clause class="indentUp1 firstIndent1 fontsize10" id="d91455e147" identifier="/us/bill/113/hr/594/s2/3/A/i" style="-uslm-lc:I650126"><num style="-uslm-lc:emspace2" value="i">(i) </num><content>in the matter preceding subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>15</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>18</quotedText>”; and</content></clause><clause class="indentUp1 firstIndent1 fontsize10" id="d91455e158" identifier="/us/bill/113/hr/594/s2/3/A/ii" style="-uslm-lc:I650126"><num style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>in subparagraph (A)—</chapeau><subclause class="indentUp1 firstIndent1 fontsize10" id="d91455e162" identifier="/us/bill/113/hr/594/s2/3/A/ii/I" style="-uslm-lc:I650128"><num style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>and the Food and Drug Administration</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>, the Food and Drug Administration, and the Administration for Community Living</quotedText>”;</content></subclause><subclause class="indentUp1 firstIndent1 fontsize10" id="d91455e173" identifier="/us/bill/113/hr/594/s2/3/A/ii/II" style="-uslm-lc:I650128"><num style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>and adults</quotedText>” after “<quotedText>children</quotedText>”; and</content></subclause><subclause class="indentUp1 firstIndent1 fontsize10" id="d91455e181" identifier="/us/bill/113/hr/594/s2/3/A/ii/III" style="-uslm-lc:I650128"><num style="-uslm-lc:emspace2" value="III">(III) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>such as the Department of Education</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>including the Department of Education and the Social Security Administration</quotedText>”; and</content></subclause></clause></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e192" identifier="/us/bill/113/hr/594/s2/3/B" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (4)(B), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>, but shall meet no fewer than two times per calendar year</quotedText>” before the period; and</content></subparagraph></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e200" identifier="/us/bill/113/hr/594/s2/4" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="4">(4) </num><chapeau>in subsection (e)—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e204" identifier="/us/bill/113/hr/594/s2/4/A" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>in paragraph (1)—</chapeau><clause class="indentUp1 firstIndent1 fontsize10" id="d91455e208" identifier="/us/bill/113/hr/594/s2/4/A/i" style="-uslm-lc:I650126"><num style="-uslm-lc:emspace2" value="i">(i) </num><content>in the matter preceding subparagraph (A), by <amendingAction type="delete">striking</amendingAction> “<quotedText>through the national research institutes</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>through the agencies represented on the Coordinating Committee pursuant to subsection (d)(2)(A)</quotedText>”; and</content></clause><clause class="indentUp1 firstIndent1 fontsize10" id="d91455e219" identifier="/us/bill/113/hr/594/s2/4/A/ii" style="-uslm-lc:I650126"><num style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>in subparagraph (A)—</chapeau><subclause class="indentUp1 firstIndent1 fontsize10" id="d91455e223" identifier="/us/bill/113/hr/594/s2/4/A/ii/I" style="-uslm-lc:I650128"><num style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>public services,</quotedText>” before “<quotedText>and rehabilitative issues</quotedText>”; and</content></subclause><subclause class="indentUp1 firstIndent1 fontsize10" id="d91455e231" identifier="/us/bill/113/hr/594/s2/4/A/ii/II" style="-uslm-lc:I650128"><num style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>, 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</quotedText>” after “<quotedText>including studies of the impact of such diseases in rural and underserved communities</quotedText>”; and</content></subclause></clause></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e239" identifier="/us/bill/113/hr/594/s2/4/B" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (2)(D), by <amendingAction type="insert">inserting</amendingAction> after “<quotedText>including new biological agents</quotedText>” the following: “<quotedText>and new clinical interventions to improve the health of those with muscular dystrophy</quotedText>”.</content></subparagraph></paragraph></section>
<section id="d91455e248" identifier="/us/bill/113/hr/594/s3" role="instruction" style="-uslm-lc:I650141"><num value="3">SEC. 3. </num><heading>SURVEILLANCE AND RESEARCH REGARDING MUSCULAR DYSTROPHY.</heading><content style="-uslm-lc:I650120">  The second sentence of section 317Q(b) of the Public Health Service Act (<ref href="/us/usc/t42/s247b–18/b">42 U.S.C. 247b–18(b)</ref>) <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> before the period the following: “<quotedText>and, to the extent possible, ensure that data be representative of all affected populations and shared in a timely manner</quotedText>”.</content></section>
<section id="d91455e265" identifier="/us/bill/113/hr/594/s4" role="instruction" style="-uslm-lc:I650141"><num value="4">SEC. 4. </num><heading>INFORMATION AND EDUCATION.</heading><chapeau class="indentUp0 firstIndent1 fontsize10" style="-uslm-lc:I650120">  Section 5(c) of the Muscular Dystrophy Community Assistance, Research and Education Amendments of 2001 (<ref href="/us/usc/t42/s247b–19/c">42 U.S.C. 247b–19(c)</ref>) <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e277" identifier="/us/bill/113/hr/594/s4/1" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>in paragraph (2)—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e281" identifier="/us/bill/113/hr/594/s4/1/A" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>for pediatric and adult patients, including acute care considerations,</quotedText>” after “<quotedText>issuance of care considerations</quotedText>”;</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e289" identifier="/us/bill/113/hr/594/s4/1/B" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="insert">inserting</amendingAction> “<quotedText>various</quotedText>” before “<quotedText>other forms of muscular dystrophy</quotedText>”; and</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d91455e297" identifier="/us/bill/113/hr/594/s4/1/C" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="C">(C) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>and</quotedText>” at the end;</content></subparagraph></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e305" identifier="/us/bill/113/hr/594/s4/2" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="2">(2) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> paragraph (3) as paragraph (4);</content></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e313" identifier="/us/bill/113/hr/594/s4/3" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="3">(3) </num><content>by <amendingAction type="insert">inserting</amendingAction> after paragraph (2) the following:<quotedContent><paragraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="3">“(3) </num><content>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”</content></paragraph></quotedContent>; and</content></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d91455e327" identifier="/us/bill/113/hr/594/s4/4" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="4">(4) </num><content>in paragraph (4), as redesignated, by <amendingAction type="insert">inserting</amendingAction> “<quotedText>various</quotedText>” before “<quotedText>other forms of muscular dystrophy</quotedText>”.</content></paragraph></section>
</main>
<signatures>
<signature><role style="-uslm-lc:I650114">Speaker of the House of Representatives.</role></signature>
<signature><role style="-uslm-lc:I650114">Vice President of the United States and  President of the Senate.</role></signature>
</signatures>
</bill>