1.This Act may be cited as the
Diabetes Prevention Access and Care
Act of 2008
.
<enum>I</enum><header>National
Institutes of Health</header>
<section id="H5B58D1DBE24B4F8FA0AECA2E2F71AC"><enum>101.</enum><header>Research,
treatment, and education</header>
<subsection id="HD5ED3F03D8C94DBE82E7751C95E06D46"><enum>(a)</enum><header>In
general</header><text>Subpart 3 of part C of title IV of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/285c">42
U.S.C. 285c et seq.</external-xref>) is amended by adding at the end the
following new section:</text>
<quoted-block display-inline="no-display-inline" id="H85A2717D55EC40BCBEF92710DD9EFDC6" style="OLC">
<section id="HCFFD906F3FA14A91A9CC797743C9A400"><enum>434B.</enum><header>Diabetes in
minority populations</header>
<subsection id="HBD92DF1B24E34B2387408BC600A75CEB"><enum>(a)</enum><header>In
general</header><text>The Director of the National Institutes of Health shall
expand, intensify, conduct, coordinate, and support research and other
activities with respect to pre-diabetes and diabetes, particularly type 2, in
minority populations, including research to identify clinical, socioeconomic,
geographical, cultural, and organizational factors that contribute to type 2
diabetes in such populations.</text>
</subsection><subsection id="HA76307FDFB7D49DEB7004EDE60F0B9BA"><enum>(b)</enum><header>Certain
activities</header><text>Activities under subsection (a) regarding type 2
diabetes in minority populations shall include the following:</text>
<paragraph id="HB824403520C84E02B53656781B00FCC"><enum>(1)</enum><text>Research on
behavior and obesity, including research through the obesity research center
that is sponsored by the National Institutes of Health.</text>
</paragraph><paragraph id="H8DC39412154B487490F2722862F7F017"><enum>(2)</enum><text>Research on
environmental factors that may contribute to the increase in type 2 diabetes,
which shall be conducted or supported through the National Institute of
Environmental Health Sciences and the National Human Genome Research
Institute.</text>
</paragraph><paragraph id="H6F0C44578C6F441FA36B594EE0F70637"><enum>(3)</enum><text>Support for new
methods to identify environmental triggers and genetic interactions that lead
to the development of type 1 and type 2 diabetes in minority newborns with a
high genetic susceptibility to the disease. Such research should follow the
newborns through puberty, which is a high-risk period for developing type 1
diabetes, and—increasingly—type 2 diabetes.</text>
</paragraph><paragraph id="H5AE63B0F6AE945E4B427523CEC15D878"><enum>(4)</enum><text>Research to
identify genes that predispose individuals to the onset of developing type 1
and type 2 diabetes and to develop complications.</text>
</paragraph><paragraph id="H9F9A2F3654154C8398C471BD8F4CDC9D"><enum>(5)</enum><text>Research to
prevent complications in individuals who have already developed diabetes, such
as attempting to identify the genes that predispose individuals with diabetes
to the development of complications, as well as methods and alternative
therapies to control blood glucose.</text>
</paragraph><paragraph id="H2B199937B39E4138B251752B3E007BEB"><enum>(6)</enum><text>The support of
ongoing research efforts examining the level of glycemia at which adverse
outcomes develop during pregnancy and to address the many clinical issues
associated with minority mothers and fetuses during diabetic and gestational
diabetic pregnancies.</text>
</paragraph></subsection><subsection id="H31618504223E409F9C9E13D3B2F11B22"><enum>(c)</enum><header>Treatment</header>
<paragraph id="HB8A9440021CB4858AC1CFADC447F01D9"><enum>(1)</enum><header>In
general</header><text>The Director of the National Institutes of Health shall
conduct and support programs to treat diabetes in minority populations.</text>
</paragraph><paragraph id="H2D5D229B5ED14D72AC60C757B291F3EA"><enum>(2)</enum><header>Certain
activities</header><text>Activities under paragraph (1) regarding the treatment
of diabetes in minority populations shall include recommending and
disseminating, through the National Center on Minority Health and Health
Disparities, the guidelines of the American Diabetes Association for nutrition
exercise and diet for diabetes treatment and prevention.</text>
</paragraph></subsection><subsection id="H9094FD7840184D4680758900F244FF53"><enum>(d)</enum><header>Education</header><text display-inline="yes-display-inline">The Director of the National Institutes of
Health shall—</text>
<paragraph id="H8724AAF4FFE64DF5983579D73372FB79"><enum>(1)</enum><text>through the
National Center on Minority Health and Health Disparities—</text>
<subparagraph id="H9152393CA8B5450696B035484070BD2C"><enum>(A)</enum><text>make grants to
programs funded under section 485F (relating to centers of excellence) for the
purpose of establishing a mentoring program for health care professionals to be
more involved in weight counseling, obesity research, and nutrition; and</text>
</subparagraph><subparagraph id="H44957B0986B542BBA5E29E2967624B84"><enum>(B)</enum><text>provide for the
participation of minority health professionals in diabetes-focused research
programs; and</text>
</subparagraph></paragraph><paragraph id="HA5DBF1178E13450EA53C3DF48D572963"><enum>(2)</enum><text>make grants for
programs to establish a pipeline from high school to professional school that
will increase minority representation in diabetes-focused health fields by
expanding Minority Access to Research Careers (MARC) program internships and
mentoring opportunities for recruitment.</text>
</paragraph></subsection><subsection id="H6EC1BC86221F447189D13D9900F5D573"><enum>(e)</enum><header>Definition</header><text>For
purposes of this section, the term <term>minority populations</term> means
racial and ethnic minority groups within the meaning of section 1707.</text>
</subsection><subsection display-inline="no-display-inline" id="H0612DCA678624F28A683E9DA838CE7"><enum>(f)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may be necessary for
fiscal year 2009 and each subsequent fiscal
year.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H39FC56C3B4CC460E8906EB2E56D82E37"><enum>(b)</enum><header>Diabetes
Mellitus Interagency Coordinating Committee</header><text>Section 429 of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
285c–3) is amended by adding at the end the following subsection:</text>
<quoted-block act-name="Public" id="H4B5D29F531B34F428E25B1318B54D5C">
<subsection id="HE0084717512B4BA68F93A919F9C432CA"><enum>(c)</enum><paragraph commented="no" display-inline="yes-display-inline" id="HAE1201D6FD6F41AEBF26CB8EF71200CA"><enum>(1)</enum><text>In addition to other
duties established in this section for the Diabetes Mellitus Interagency
Coordinating Committee, such Committee shall—</text>
<subparagraph id="HF60BE107C98443C28E447D06F33FFB75" indent="up1"><enum>(A)</enum><text>assess the current activities of all
current Federal health programs to determine their adequacy as a systemic
method of addressing the impact of diabetes mellitus on minority
populations;</text>
</subparagraph><subparagraph id="HC7CFDE9511E24FF1AA40AEDEC85C9BB" indent="up1"><enum>(B)</enum><text>undertake strategic planning
activities to develop an effective and comprehensive Federal plan to address
diabetes mellitus within communities of color which will involve all
appropriate Federal health programs; and</text>
</subparagraph><subparagraph id="H596F169AA2E84937B6EB6ECCD7BCC71B" indent="up1"><enum>(C)</enum><text>conduct the implementation of such a
plan throughout all Federal health programs.</text>
</subparagraph></paragraph><paragraph id="HC3E849D0C88B49598982FE59E6F22DE4" indent="up1"><enum>(2)</enum><text>The Federal plan under paragraph
(1)(B) shall—</text>
<subparagraph id="H65E4C39E607748CCBD8DB06D2EB55524"><enum>(A)</enum><text>include steps to address issues
including, but not limited to, type 1 and type 2 diabetes in children and the
disproportionate impact of diabetes mellitus on minority populations;
and</text>
</subparagraph><subparagraph id="H9B002042FE574B54A96429606976D4B5"><enum>(B)</enum><text display-inline="yes-display-inline">remain consistent with the programs and
activities identified in section 399O, as well as remaining consistent with the
intent of the <short-title>Diabetes Prevention Access and
Care Act of 2008</short-title>.</text>
</subparagraph></paragraph><paragraph id="H7E04A03E40504B9384B2C29F519C8F09" indent="up1"><enum>(3)</enum><text>For purposes of this subsection, the
term <term>minority populations</term> means racial and ethnic minority groups
within the meaning of section 1707.</text>
</paragraph><paragraph id="H8DB913F79A4E4B8A9397772FADC6CD10" indent="up1"><enum>(4)</enum><text>For the purpose of carrying out this
subsection, there are authorized to be appropriated such sums as may be
necessary for fiscal year 2009 and each subsequent fiscal
year.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><enum>II</enum><header>Centers for
Disease Control and Prevention</header>
<section id="H71B6342BC18246B1849558D2F9C78800"><enum>201.</enum><header>Research,
education, and other activities</header>
<subsection id="H001BBC8D3AD344BCAD574DB405D1B3AF"><enum>(a)</enum><header>In
general</header><text>Part B of title III of the Public Health Service Act (42
U.S.C. 243 et seq.) is amended by inserting after section 317S the following
section:</text>
<quoted-block display-inline="no-display-inline" id="H1B92F6B360DB4443A0B43F69273900EB" style="OLC">
<section id="HFE8AFB1F87A74277B334D8BA6E8C2F03"><enum>317T.</enum><header>Diabetes in
minority populations</header>
<subsection id="H1925A978A386430F942167E56687B1E8"><enum>(a)</enum><header>Research and
other activities</header>
<paragraph id="H99C41FD8635D424B8CBE2386D6071009"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall conduct and support research and
other activities with respect to diabetes in minority populations.</text>
</paragraph><paragraph id="H3153E80FE3EC43EEB4D1CF97B370AE62"><enum>(2)</enum><header>Certain
activities</header><text>Activities under paragraph (1) regarding diabetes in
minority populations shall include the following:</text>
<subparagraph id="H2C14CB66DBC94E8E8E353398AE273B20"><enum>(A)</enum><text>Expanding the
National Diabetes Laboratory for translational research, and the identification
of genetic and immunological risk factors associated with diabetes.</text>
</subparagraph><subparagraph id="H161329DDB3A34E0EA5D76C00937B0929"><enum>(B)</enum><text>Enhancing the
National Health and Nutrition Examination Survey on eating and dietary habits,
with a focus, including cultural and socioeconomic factors, on Hispanic
American, African-American, American Indian and Alaskan Native, and Asian
American and Pacific Islander communities.</text>
</subparagraph><subparagraph id="H1EC32F5DF8C44A8DA735EA6E0037F500"><enum>(C)</enum><text display-inline="yes-display-inline">Further enhancing the National Health and
Nutrition Examination Survey by over-sampling Asian American and Pacific
Islanders in appropriate geographic areas to better determine the prevalence of
diabetes in these populations as well as to improve the data collection of
diabetes penetration disaggregated into major ethnic groups within this
population.</text>
</subparagraph><subparagraph id="H9EA364A22A3143628212FCBBA330670"><enum>(D)</enum><text>Within the Division
of Diabetes Translation, providing for prevention research to better understand
how to influence health care systems changes to improve quality of care being
delivered to such populations, and within the Division of Diabetes Translation,
carrying out model demonstration projects to design, implement, and evaluate
effective diabetes prevention and control intervention for these
populations.</text>
</subparagraph><subparagraph id="H24879B03C819464381BB718DBDDD80"><enum>(E)</enum><text>Through the Division
of Diabetes Translation, carrying out culturally appropriate community-based
interventions designed to address issues and problems experienced by these
populations.</text>
</subparagraph><subparagraph id="HFD845EC6A0EF4414925C8C7477C8B8F"><enum>(F)</enum><text>Conducting applied
research within the Division of Diabetes Translation to reduce health
disparities within these populations with diabetes.</text>
</subparagraph><subparagraph id="H91EEEE0F18774723A57144F0A52D305"><enum>(G)</enum><text display-inline="yes-display-inline">Conducting applied research on primary
prevention within the Division of Diabetes Translation to specifically focus on
these populations with pre-diabetes.</text>
</subparagraph></paragraph></subsection><subsection id="H6D937F9A43224387B4BEAD30C4CCC573"><enum>(b)</enum><header>Education</header>
<paragraph display-inline="no-display-inline" id="HF10F34385A8544A0A4DD779FF240991"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary, acting
through the Director of the Centers for Disease Control and Prevention, shall
direct the Division of Diabetes Translation to conduct and support programs to
educate the public on the causes and effects of diabetes in minority
populations.</text>
</paragraph><paragraph id="H58C7BD6F77FE4F059F2E8827002894CB"><enum>(2)</enum><header>Certain
activities</header><text>Activities under paragraph (1) regarding education on
diabetes in minority populations shall include the following:</text>
<subparagraph id="HB08154D0E160438AA72FB3E3B96099E3"><enum>(A)</enum><text>Making grants for
diabetes-focused education classes or training programs on cultural sensitivity
and patient care within such populations for health care providers.</text>
</subparagraph><subparagraph id="H30EA2C2AD2AA4289ABC763A1F312CECC"><enum>(B)</enum><text>Carrying out
public awareness campaigns directed toward such populations to aggressively
emphasize the importance and impact of physical activity and diet in regard to
diabetes and diabetes-related complications.</text>
</subparagraph></paragraph></subsection><subsection id="H114A406D71F14581B4F0E1B4005255BC"><enum>(c)</enum><header>Diabetes; health
promotion, prevention activities, and access</header>
<paragraph id="H0927E742C0D543328B67004914D1CDE2"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall carry out culturally appropriate
diabetes health promotion and prevention programs for minority
populations.</text>
</paragraph><paragraph id="HF477CDB93920467D8217A4ED6DABD1CC"><enum>(2)</enum><header>Certain
activities</header><text>Activities under paragraph (1) regarding culturally
appropriate diabetes health promotion and prevention programs for minority
populations shall include the following:</text>
<subparagraph id="H819A79969D6946F4943B3BC49CEEEE86"><enum>(A)</enum><text>Expanding the
Diabetes Prevention and Control Program (currently existing in all the States
and territories).</text>
</subparagraph><subparagraph id="HB07275BA265B4BC500F12300ADE3ADF8"><enum>(B)</enum><text>Providing funds
for the Diabetes Today program to adapt community planning tools within such
populations.</text>
</subparagraph><subparagraph id="H63CAF061358D4BF0B8D661AFC3433611"><enum>(C)</enum><text>Providing funds
for Racial and Ethnic Approaches to Community Health (REACH 2010) grants to
develop and evaluate diabetes prevention and control community programs focused
on such populations.</text>
</subparagraph><subparagraph id="H1375A9F8C9ED4AB0A714C61BC8E14520"><enum>(D)</enum><text>Providing funds to
community health centers for a monthly diabetes week program of diabetes
services, including screenings.</text>
</subparagraph><subparagraph id="HD2A89A66BC464C20AC50CD7920B5B4AC"><enum>(E)</enum><text>Providing funds
for education and community outreach on diabetes.</text>
</subparagraph><subparagraph id="HCD857BCCEA874349BA95E24B2CBCA92E"><enum>(F)</enum><text>Providing funds
for the United States and Mexico Border Diabetes project to develop culturally
appropriate diabetes prevention and control interventions for minority
populations in the border region.</text>
</subparagraph><subparagraph id="HC25332DAF3974B41A1EF829F6C8DC872"><enum>(G)</enum><text>Providing funds
for an aggressive prevention campaign that focuses on physical inactivity and
diet and its relation to type 2 diabetes within such populations.</text>
</subparagraph><subparagraph id="HD72D1855492647D9BD0152CF00ACB7A5"><enum>(H)</enum><text>Providing funds
for surveillance systems and strategies for strengthening existing systems to
improve the quality, accuracy, and timelines of morbidity and mortality
diabetes data for such populations.</text>
</subparagraph></paragraph></subsection><subsection display-inline="no-display-inline" id="HF9F660B677CC47AD987D50D73BCC6FB4"><enum>(d)</enum><header>Definition</header><text>For
purposes of this section, the term <term>minority populations</term> means
racial and ethnic minority groups within the meaning of section 1707.</text>
</subsection><subsection id="H66DB1FEEF0D247D58FA12B6480BA260"><enum>(e)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may be necessary for
fiscal year 2009 and each subsequent fiscal
year.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><enum>III</enum><header>Additional
programs</header>
<section id="H6CA4FE543EAA449DB12D06AC50AF6E43"><enum>301.</enum><header>Research,
education, and other activities</header><text display-inline="no-display-inline">Part P of title III of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
280g et seq.) is amended by inserting after section 399N the following
section:</text>
<quoted-block display-inline="no-display-inline" id="H44629B372F1A4988999440627CB47D6B" style="OLC">
<section id="H38FD8667D44A48510063C8402E073F1D"><enum>399O.</enum><header>Research,
education, and other activities regarding diabetes in minority
populations</header>
<subsection display-inline="no-display-inline" id="HE9A6A9DC550C4EB195C02505ABC6BD24"><enum>(a)</enum><header>Research and
other activities</header>
<paragraph id="H7539327752964102A1E3C4A47B70C959"><enum>(1)</enum><header>In
general</header><text>In addition to activities under sections 317T and 434B,
the Secretary shall conduct and support research and other activities with
respect to diabetes within minority populations.</text>
</paragraph><paragraph id="HFDAF0135DA6A4C96A96700191099C69D"><enum>(2)</enum><header>Certain
activities</header><text>Activities under paragraph (1) regarding diabetes in
minority populations shall include the following:</text>
<subparagraph id="HC7341389EA9748D29600A273383E368D"><enum>(A)</enum><text>Expanding the
National Diabetes Education Program.</text>
</subparagraph><subparagraph id="H5BB07C1D9ED5453C82CD62E62C2234D7"><enum>(B)</enum><text>Through the
National Center on Minority Health and Health Disparities, the Office of
Minority Health under section 1707, the Health Resources and Services
Administration, the Centers for Disease Control and Prevention, and the Indian
Health Service, establishing partnerships within minority populations to
conduct studies on cultural, familial, and social factors that may influence
health promotion, diabetes management, and prevention.</text>
</subparagraph><subparagraph id="HF36356D7B4734C0CAB6DDD0046D0BC26"><enum>(C)</enum><text>Through the Indian
Health Service, in collaboration with other appropriate Federal agencies,
conducting research on ethnic and culturally appropriate diabetes treatment,
care, prevention, and services by health care professionals to the American
Indian population.</text>
</subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H7BD2D573D2E0428EB3D9091604030035"><enum>(3)</enum><header>Programs
relating to clinical research</header>
<subparagraph id="H4BE203EE7DFE4B6096F0D3222039D9B8"><enum>(A)</enum><header>Education
regarding clinical trials</header><text>The Secretary shall carry out education
and awareness programs designed to increase participation of minority
populations in clinical trials.</text>
</subparagraph><subparagraph id="HEBE98C1F7A434A0DB93CD54F42BBA032"><enum>(B)</enum><header>Minority
researchers</header><text>The Secretary shall carry out mentorship programs for
minority researchers who are conducting or intend to conduct research on
diabetes in minority populations.</text>
</subparagraph><subparagraph id="HAA72A26E190745F199BD8C622F54AB05"><enum>(C)</enum><header>Supplementing
clinical research regarding children</header><text>The Secretary shall make
grants to supplement clinical research programs to assist such programs in
obtaining the services of health professionals and other resources to provide
specialized care for children with type 1 and type 2 diabetes.</text>
</subparagraph></paragraph></subsection><subsection id="HA8D047406188415EA4DEE863BA96CBF4"><enum>(b)</enum><header>Education</header>
<paragraph id="H4BF86258907B44EAAF004700FC5D77D4"><enum>(1)</enum><header>In
general</header><text>The Secretary shall conduct and support programs to
educate the public on the causes of effects of diabetes in minority
populations.</text>
</paragraph><paragraph display-inline="no-display-inline" id="HFA5B3AFEFA3144ACA78EF17895EC00D4"><enum>(2)</enum><header>Health resources
and services administration</header><text>With respect to the Health Resources
and Services Administration, activities under paragraph (1) regarding education
on diabetes in minority populations shall include the following:</text>
<subparagraph id="H838ED9F4AEDA4DCDB57C2CD200246011"><enum>(A)</enum><text>Providing
additional funds for the Health Careers Opportunity Program, Centers for
Excellence, and the Minority Faculty Fellowship Program to partner with the
Office of Minority Health under section 1707 and the National Institutes of
Health to strengthen programs for career opportunities within minority
populations focused on diabetes treatment and care.</text>
</subparagraph><subparagraph id="HBD14698E20C843FD9086EE98A7A438EA"><enum>(B)</enum><text>In partnership
with the Health Resources and Services Administration, develop a diabetes focus
within, and provide additional funds for, the National Health Service Corps
Scholarship program to place individuals in areas that are disproportionately
affected by diabetes, to provide health care services.</text>
</subparagraph><subparagraph id="H674F72E8752B41BAA7843E10D1EC78B"><enum>(C)</enum><text>Establishing a
diabetes ambassador program for recruitment efforts to increase the number of
underrepresented minorities currently serving in student, faculty, or
administrative positions in institutions of higher learning, hospitals, and
community health centers.</text>
</subparagraph><subparagraph id="HE0C052846A074956B97C07A8EC207206"><enum>(D)</enum><text>Establishing a
loan repayment program that focuses on diabetes care and prevention.</text>
</subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H934CD3F6E2A7465FA300CDF0A100C226"><enum>(3)</enum><header>Additional
programs</header><text>Activities under paragraph (1) regarding education on
diabetes in minority populations shall include the following:</text>
<subparagraph id="HB18647553C6646FEBB0925B0F5F8674B"><enum>(A)</enum><text>Through
collaboration between the Health Resources and Services Administration and the
Indian Health Service, establishing a joint scholarship and loan-repayment
program for American Indians health profession students.</text>
</subparagraph><subparagraph id="HD67F8FCF94154667A3AA34F20431AF2F"><enum>(B)</enum><text>Providing funds
for new and existing diabetes-focused education grants and programs for present
and future students and clinicians in the medical field from minority
populations, including the following:</text>
<clause id="H33E9FECA7D894F6DB7BEF75BD200D847"><enum>(i)</enum><text>Federal and State
loan repayment programs for health profession students within communities of
color.</text>
</clause><clause id="HE320CE43E75F418AA8D431004357F2CD"><enum>(ii)</enum><text>Providing funds
to the Office of Minority Health under section 1707 for training health
profession students to focus on diabetes within such populations.</text>
</clause><clause id="H991557DD634A4ADC9CA443EEA52DA48D"><enum>(iii)</enum><text>Providing funds
to State and local entities to establish diabetes awareness week or day every
month in schools, nursing homes, and colleges through partnerships with the
Office of Minority Health under section 1707 and the Health Resources and
Services Administration.</text>
</clause></subparagraph></paragraph></subsection><subsection id="HF52397093A4E40A0A131C7B5EC9C0082"><enum>(c)</enum><header>Definition</header><text>For
purposes of this section, the term <term>minority populations</term> means
racial and ethnic minority groups within the meaning of section 1707.</text>
</subsection><subsection id="H1DC6BFB922724B8794C19F64008D54E7"><enum>(d)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may be necessary for
fiscal year 2009 and each subsequent fiscal
year.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>IV</enum><header>Studies</header>
<section id="H5671937607754E3AADEE006EF16706B2"><enum>401.</enum><header>Studies</header>
<subsection id="H334047611F1A4AFEAAE2AA5E8FE6136C"><enum>(a)</enum><header>Institute of
Medicine</header><text>The Secretary of Health and Human Services (referred to
in this section as the <quote>Secretary</quote>) shall request the Institute of
Medicine to conduct a study to determine the extent and impact of the shortage
of adult and pediatric endocrinologists specializing in diabetes, and to submit
a report describing the findings of the study to the Secretary, to the
Committee on Energy and Commerce of the House of Representatives, and to the
Committee on Health, Education, Labor, and Pensions of the Senate. The
Secretary shall ensure that the report includes recommendations on changes in
Federal policies that would increase the number of adult and pediatric
endocrinologists specializing in diabetes.</text>
</subsection><subsection id="H847FA0172C564C57A200F47CBEA3F63"><enum>(b)</enum><header>Agency for
Healthcare Research and Quality</header><text>The Secretary, acting through the
Director of the Agency for Healthcare Research and Quality, shall conduct a
study to determine whether minority children with diabetes have better or worse
outcomes than nonminority children. The study shall include a determination of
the extent to which minority children have access to and participate in disease
management programs, and have access to and use medical devices such as
continuous glucose monitoring systems, insulin pumps, and artificial
pancreas.</text>
</subsection></section>