<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Referred-in-Senate" bill-type="olc" dms-id="H97854EF5107A46109200F39BBCF77200" public-private="public" stage-count="1">
	<form>
		<distribution-code display="yes">IIB</distribution-code>
		<congress display="yes">111th CONGRESS</congress>
		<session display="yes">2d Session</session>
		<legis-num>H. R. 1210</legis-num>
		<current-chamber display="yes">IN THE SENATE OF THE UNITED
		  STATES</current-chamber>
		<action>
			<action-date date="20101115">November 15, 2010</action-date>
			<action-desc>Received; read twice and referred to the
			 <committee-name committee-id="SSHR00">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<legis-type>AN ACT</legis-type>
		<official-title display="yes">To amend the Public Health Service Act to
		  provide for arthritis research and public health, and for other
		  purposes.</official-title>
	</form>
	<legis-body display-enacting-clause="yes-display-enacting-clause" id="H1B5CA95631B7408C947E87D18298FCB0" style="OLC">
		<section id="HF0873A99E3F3450D802B8515A31FB1A2" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Arthritis Prevention, Control, and
			 Cure Act of 2010</short-title></quote>.</text>
		</section><section id="H98A100260D434BFAB5A7DFEAF34F8D3D"><enum>2.</enum><header>Enhancing public
			 health activities related to arthritis through the national arthritis action
			 plan</header><text display-inline="no-display-inline">Part B of title III of
			 the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/243">42 U.S.C. 243 et seq.</external-xref>) is amended by
			 inserting after section 314 the following:</text>
			<quoted-block id="H51547AB8A31D4C0BA9A53083D06CB646" style="OLC">
				<section id="H5FB7FFDA6F604CC39B760951F0929242"><enum>315.</enum><header>National
				arthritis action plan</header>
					<subsection id="H4FE942B1FB9D4BE2B882C7CF2553782F"><enum>(a)</enum><header>Establishment of
				plan</header><text display-inline="yes-display-inline">The Secretary may
				develop and implement a National Arthritis Action Plan (in this section
				referred to as the <quote>Plan</quote>) consistent with this section.</text>
					</subsection><subsection id="H46193C4001B04960BC095FDF3E0E9268"><enum>(b)</enum><header>Control,
				prevention, and surveillance</header>
						<paragraph id="HBAD594B361154D3F82A2BF0CF50C939F"><enum>(1)</enum><header>In
				general</header><text>Under the Plan, the Secretary may, directly or through
				competitive grants to eligible entities, conduct, support, and promote the
				coordination of research, investigations, demonstrations, training, and studies
				relating to the control, prevention, and surveillance of arthritis and other
				rheumatic diseases.</text>
						</paragraph><paragraph id="H7CA604344837426AB5B9F51DFD6869A3"><enum>(2)</enum><header>Training and
				technical assistance</header>
							<subparagraph id="H7560955C0C164405BF72A6A45335076D"><enum>(A)</enum><header>Provision</header><text>Upon
				the request of an applicant receiving a grant under paragraph (1), the
				Secretary may, subject to subparagraph (B), provide training, technical
				assistance, supplies, equipment, or services for the purpose of aiding the
				applicant in carrying out grant activities and, for such purpose, may detail to
				the applicant any officer or employee of the Department of Health and Human
				Services.</text>
							</subparagraph><subparagraph id="HCCFD3F4F4A024F72A2E098A45EB66C27"><enum>(B)</enum><header>Corresponding
				reduction in payments</header><text>With respect to a request described in
				subparagraph (A), the Secretary shall reduce the amount of payments under the
				grant under paragraph (1) to the applicant involved by an amount equal to the
				costs of detailing personnel (including pay, allowances, and travel expenses)
				and the fair market value of any supplies, equipment, or services provided by
				the Secretary.</text>
							</subparagraph></paragraph><paragraph id="HEE2D98BFA4E34F1F8D701C4C56AD5391"><enum>(3)</enum><header>Arthritis
				prevention research at the centers for disease control and
				prevention</header><text>The Secretary may provide additional grant support
				under this subsection to encourage the expansion of research related to the
				prevention and management of arthritis at the Centers for Disease Control and
				Prevention.</text>
						</paragraph><paragraph id="H08DE2CD8E0344BD09CC4F135F74E1542"><enum>(4)</enum><header>Eligible
				entity</header><text>For purposes of this subsection, the term <quote>eligible
				entity</quote> means a public or private nonprofit entity that demonstrates to
				the satisfaction of the Secretary, in the application described in subsection
				(e), the ability of the entity to carry out the activities described in
				paragraph (1).</text>
						</paragraph></subsection><subsection id="H8FE0C660199C48B8A1D6E302D1FBF3FA"><enum>(c)</enum><header>Education and
				outreach</header>
						<paragraph id="HE78F445AB8454FF1B0409961AD714911"><enum>(1)</enum><header>In
				general</header><text>Under the Plan, the Secretary may coordinate and carry
				out national education and outreach activities, directly or through the
				provision of grants to eligible entities, to support, develop, and implement
				education initiatives and outreach strategies appropriate for arthritis and
				other rheumatic diseases.</text>
						</paragraph><paragraph id="H083C558BE125490EBE96E06C71E41915"><enum>(2)</enum><header>Initiatives and
				strategies</header><text>Initiatives and strategies implemented under paragraph
				(1) may include public awareness campaigns, public service announcements, and
				community partnership workshops, as well as programs targeted to businesses and
				employers, managed care organizations, and health care providers.</text>
						</paragraph><paragraph id="HB4DB18B73FE847B18E6194718D3D19BF"><enum>(3)</enum><header>Priority</header><text>In
				carrying out paragraph (1), the Secretary—</text>
							<subparagraph id="H02D90037464D4DCAB0E85A8269F1783C"><enum>(A)</enum><text>may emphasize
				prevention, early diagnosis, and appropriate management of arthritis, and
				opportunities for effective patient self-management; and</text>
							</subparagraph><subparagraph id="H1E8AE06FCDA7462BBD12AD19AF6ECCE8"><enum>(B)</enum><text>may give priority
				to reaching high-risk or underserved populations.</text>
							</subparagraph></paragraph><paragraph id="HD59F899891AF4C55B92185F86EDDE5A0"><enum>(4)</enum><header>Collaboration</header><text>In
				carrying out this subsection, the Secretary shall consult and collaborate with
				stakeholders from the public, private, and nonprofit sectors with expertise
				relating to arthritis control, prevention, and treatment.</text>
						</paragraph><paragraph id="H33BCB031F11C4A9FBEB3D70AAF682F14"><enum>(5)</enum><header>Eligible
				entity</header><text>For purposes of this subsection, the term <quote>eligible
				entity</quote> means a public or private nonprofit entity that demonstrates to
				the satisfaction of the Secretary, in the application described in subsection
				(e), the ability of the entity to carry out the activities described in
				paragraph (1).</text>
						</paragraph></subsection><subsection id="H5187DC6F606B427BB74F944BE0343872"><enum>(d)</enum><header>Comprehensive
				State grants</header>
						<paragraph id="H6ABEED3A8E724E05B7EA58D365B1BE4A"><enum>(1)</enum><header>In
				general</header><text>Under the Plan, the Secretary may award grants to
				eligible entities to provide support for comprehensive arthritis control and
				prevention programs and to enable such entities to provide public health
				surveillance, prevention, and control activities related to arthritis and other
				rheumatic diseases.</text>
						</paragraph><paragraph id="H8B2273A67FD246749B2715D075AB1B12"><enum>(2)</enum><header>Application</header><text>The
				Secretary may only award a grant under this subsection to an eligible entity
				that submits to the Secretary an application at such time, in such manner, and
				containing such agreements, assurances, and information as the Secretary may
				require, including a comprehensive arthritis control and prevention plan
				that—</text>
							<subparagraph id="H9228F4CD85CC46428D7ACDE3F758A8B5"><enum>(A)</enum><text>is developed with
				the advice of stakeholders from the public, private, and nonprofit sectors that
				have expertise relating to arthritis control, prevention, and treatment that
				increase the quality of life and decrease the level of disability;</text>
							</subparagraph><subparagraph id="H0C8584E4424D4DE1862FC210E9B42BE4"><enum>(B)</enum><text>is intended to
				reduce the morbidity of arthritis, with priority on preventing and controlling
				arthritis in at-risk populations and reducing disparities in arthritis
				prevention, diagnosis, management, and quality of care in underserved
				populations;</text>
							</subparagraph><subparagraph id="H45443AF371DE4B8C952D7023B88FF4CD"><enum>(C)</enum><text>describes the
				arthritis-related services and activities to be undertaken or supported by the
				entity; and</text>
							</subparagraph><subparagraph id="HA478F40BA450429082DFEAECFABF302E"><enum>(D)</enum><text>demonstrates the
				relationship the entity has with the community and local entities and how the
				entity plans to involve such community and local entities in carrying out the
				activities described in paragraph (1).</text>
							</subparagraph></paragraph><paragraph id="H8BE48041703C4CFEAFB132F505686545"><enum>(3)</enum><header>Use of
				funds</header><text>An eligible entity may use amounts received under a grant
				awarded under this subsection to conduct, in a manner consistent with the
				comprehensive arthritis control and prevention plan submitted by the entity in
				the application under paragraph (2)—</text>
							<subparagraph id="HB7C1DA7451D04E4FB248EA51AB23D3A9"><enum>(A)</enum><text>public health
				surveillance and epidemiological activities relating to the prevalence of
				arthritis and assessment of disparities in arthritis prevention, diagnosis,
				management, and care;</text>
							</subparagraph><subparagraph id="H9FDC394C54144799917499F012806562"><enum>(B)</enum><text>public information
				and education programs; and</text>
							</subparagraph><subparagraph id="H0631191B0ADE4DC0AB7C9D24EBFFCCBD"><enum>(C)</enum><text>education,
				training, and clinical skills improvement activities for health professionals,
				including allied health personnel.</text>
							</subparagraph></paragraph><paragraph id="H087E28ED580146D8BBE43F29ABD73F51"><enum>(4)</enum><header>Eligible
				entity</header><text>For purposes of this subsection, the term <quote>eligible
				entity</quote> means a State or an Indian tribe.</text>
						</paragraph></subsection><subsection id="HB9D2F6623FB54E90B5EF9336E0D6D2C6"><enum>(e)</enum><header>General
				application</header><text>The Secretary may only award a grant under subsection
				(b) or (c) to an entity that submits to the Secretary an application at such
				time, in such manner, and containing such agreements, assurances, and
				information as the Secretary may require, including a description of how funds
				received under a grant awarded under such subsection will supplement or fulfill
				unmet needs identified in a comprehensive arthritis control and prevention plan
				of the entity.</text>
					</subsection><subsection id="H121AA178F0E446509A87CF79BCCB3698"><enum>(f)</enum><header>Definitions</header><text>For
				purposes of this section:</text>
						<paragraph id="H2DEE136957E0446EB8E806A82A00FC80"><enum>(1)</enum><header>Indian
				tribe</header><text>The term <quote>Indian tribe</quote> has the meaning given
				such term in section 4(e) of the Indian Self-Determination and Education
				Assistance Act.</text>
						</paragraph><paragraph id="H1F4E602947234A5EB89E6733F4F34F8B"><enum>(2)</enum><header>State</header><text>The
				term <quote>State</quote> means any of the 50 States, the District of Columbia,
				the Commonwealth of Puerto Rico, the Virgin Islands, American Samoa, Guam, and
				the Northern Mariana Islands.</text>
						</paragraph></subsection><subsection id="H4984957511E64B80B3A6B183BDF701AE"><enum>(g)</enum><header>Authorization of
				appropriations</header><text>There are authorized to be appropriated to carry
				out this section—</text>
						<paragraph id="H0DDC7072EB9F49C39F74335FC137A0F0"><enum>(1)</enum><text>for fiscal year
				2012, $14,600,000;</text>
						</paragraph><paragraph id="HD9A7CCB4E92A422A9F702493EFEF77E9"><enum>(2)</enum><text>for fiscal year
				2013, $16,000,000;</text>
						</paragraph><paragraph id="H871AE96214D14DA28223219BE4A442D9"><enum>(3)</enum><text>for fiscal year
				2014, $17,700,000;</text>
						</paragraph><paragraph id="HF7E50E6B87EF4362B4FA3488A5687F84"><enum>(4)</enum><text>for fiscal year
				2015, $19,400,000; and</text>
						</paragraph><paragraph id="H392D65698C404466B3434461FBC86575"><enum>(5)</enum><text>for fiscal year
				2016,
				$21,400,000.</text>
						</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section id="HA72E6343C04E46C3AC80B9337F0065CD"><enum>3.</enum><header>Activities of the
			 Department of Health and Human Services with respect to juvenile arthritis and
			 related conditions</header><text display-inline="no-display-inline">Part B of
			 title IV of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/284">42 U.S.C. 284 et seq.</external-xref>) is amended by
			 adding at the end the following:</text>
			<quoted-block display-inline="no-display-inline" id="HF8B2CB7A02F8400AB5DE556E20F5CB9C" style="OLC">
				<section id="HE3951FCD272A477F8A15B01BE903AB61"><enum>409K.</enum><header>Juvenile
				arthritis and related conditions</header>
					<subsection id="HC06D24FF405D4D5C8271D6E7DC0BFD5B"><enum>(a)</enum><header>In
				general</header><text>The Secretary, in coordination with the Director of NIH,
				may expand and intensify programs of the National Institutes of Health with
				respect to research and related activities designed to improve the outcomes and
				quality of life for children with arthritis and other rheumatic
				diseases.</text>
					</subsection><subsection id="H1EBE48363F8B4666BB1EA87F1AD313B2"><enum>(b)</enum><header>Coordination</header><text>The
				Director of NIH may coordinate the programs referred to in subsection (a) and
				consult with additional Federal officials, voluntary health associations,
				medical professional societies, and private entities, as
				appropriate.</text>
					</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section id="HFB8A8DA3CCDF45CB95B507303CA4537E"><enum>4.</enum><header>Investment in
			 tomorrow’s pediatric rheumatologists</header><text display-inline="no-display-inline">Subpart I of part C of title VII of the
			 Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293k">42 U.S.C. 293k et seq.</external-xref>) is amended
			 by adding at the end the following:</text>
			<quoted-block display-inline="no-display-inline" id="HF38060028BD247E58E33235F88BBEEDA" style="OLC">
				<section id="H825A7EAC035F4DDB888F2F1F6B3F5C33"><enum>749A–1.</enum><header>Pediatric
				rheumatologists</header><text display-inline="no-display-inline">In order to
				ensure an adequate future supply of pediatric rheumatologists, the Secretary,
				in consultation with the Administrator of the Health Resources and Services
				Administration, may award institutional training grants to institutions to
				support pediatric rheumatology
				training.</text>
				</section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section></legis-body>
	<attestation>
		<attestation-group>
			<attestation-date chamber="House" date="20100930" legis-day="20100929">Passed the House of Representatives September 30
			 (legislative day September 29), 2010.</attestation-date>
			<attestor display="yes">Lorraine C. Miller,</attestor>
			<role>Clerk</role>
		</attestation-group>
	</attestation>
</bill>
