<?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="Introduced-in-House" bill-type="olc" dms-id="H8E45DEF26B594C30837FD1CBF441086F" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 1816</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20090331">March 31, 2009</action-date>
			<action-desc><sponsor name-id="B000410">Mr. Berman</sponsor> (for
			 himself, <cosponsor name-id="H000067">Mr. Hall of Texas</cosponsor>,
			 <cosponsor name-id="B001245">Ms. Bordallo</cosponsor>,
			 <cosponsor name-id="L000551">Ms. Lee of California</cosponsor>,
			 <cosponsor name-id="V000128">Mr. Van Hollen</cosponsor>,
			 <cosponsor name-id="M000312">Mr. McGovern</cosponsor>,
			 <cosponsor name-id="M000404">Mr. McDermott</cosponsor>,
			 <cosponsor name-id="B000657">Mr. Boucher</cosponsor>,
			 <cosponsor name-id="K000210">Mr. King of New York</cosponsor>,
			 <cosponsor name-id="G000410">Mr. Gene Green of Texas</cosponsor>,
			 <cosponsor name-id="W000672">Mr. Wolf</cosponsor>, <cosponsor name-id="K000372">Ms. Kilroy</cosponsor>, <cosponsor name-id="B001149">Mr.
			 Burton of Indiana</cosponsor>, <cosponsor name-id="I000057">Mr.
			 Israel</cosponsor>, <cosponsor name-id="H000627">Mr. Hinchey</cosponsor>,
			 <cosponsor name-id="S001169">Mr. Sestak</cosponsor>,
			 <cosponsor name-id="D000216">Ms. DeLauro</cosponsor>,
			 <cosponsor name-id="S001170">Ms. Shea-Porter</cosponsor>,
			 <cosponsor name-id="M000087">Mrs. Maloney</cosponsor>,
			 <cosponsor name-id="M001174">Mr. McMahon</cosponsor>,
			 <cosponsor name-id="W000797">Ms. Wasserman Schultz</cosponsor>,
			 <cosponsor name-id="C001036">Mrs. Capps</cosponsor>,
			 <cosponsor name-id="S000248">Mr. Serrano</cosponsor>,
			 <cosponsor name-id="F000030">Mr. Farr</cosponsor>, and
			 <cosponsor name-id="E000290">Ms. Edwards of Maryland</cosponsor>) introduced
			 the following bill; which was referred to the
			 <committee-name committee-id="HIF00">Committee on Energy and
			 Commerce</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend the Public Health Service Act to authorize the
		  Director of the National Cancer Institute to make grants for the discovery and
		  validation of biomarkers for use in risk stratification for, and the early
		  detection and screening of, ovarian cancer.</official-title>
	</form>
	<legis-body id="H21A0EDB7DFBB424DB96B711EF7369C89" style="OLC">
		<section id="HFC2F95315AF04BE1A305776B73003402" 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>Ovarian Cancer Biomarker Research Act
			 of 2009</short-title></quote>.</text>
		</section><section id="H0885B11557524635872976B5844DA13B"><enum>2.</enum><header>Grants for
			 establishment and operation of research centers for the study of ovarian cancer
			 biomarkers</header><text display-inline="no-display-inline">Subpart 1 of part C
			 of the Public Health Service Act is amended by adding at the end the following
			 new section:</text>
			<quoted-block display-inline="no-display-inline" id="HE09ACEA484D74A569D86BD7CD75C3782" style="OLC">
				<section id="HF76356C802E94C86B598E074E9EDC16D"><enum>417G.</enum><header>Grants for
				establishment and operation of research centers for the study of ovarian cancer
				biomarkers</header>
					<subsection id="H41A1E31124414BAD004F798EA300BC26"><enum>(a)</enum><header>In
				general</header><text display-inline="yes-display-inline">The Director of the
				Institute, in consultation with the directors of other relevant institutes and
				centers of the National Institutes of Health and the Department of Defense
				Ovarian Cancer Research Program, shall enter into cooperative agreements with,
				or make grants to, public or nonprofit entities to establish and operate
				centers to conduct research on biomarkers for use in risk stratification for,
				and the early detection and screening of, ovarian cancer, including fallopian
				tube cancer or primary peritoneal cancer. Each center shall be known as an
				Ovarian Cancer Biomarker Center of Excellence, and shall focus on translational
				research of ovarian cancer biomarkers.</text>
					</subsection><subsection id="HF68D57F1B3C248F9AF2847C7F7D6833E"><enum>(b)</enum><header>Research
				funded</header><text display-inline="yes-display-inline">Federal payments made
				under a cooperative agreement or grant under subsection (a) may be used for
				research on any of the following:</text>
						<paragraph id="H0D917D54392D4FFBB721947480C100A8"><enum>(1)</enum><text>The development
				and characterization of new biomarkers, and the refinement of existing
				biomarkers, for ovarian cancer.</text>
						</paragraph><paragraph id="H4CA777B0D27E40A3A678787EFB435442"><enum>(2)</enum><text>The clinical and
				laboratory validation of such biomarkers, including technical development,
				standardization of assay methods, sample preparation, reagents,
				reproducibility, portability, and other refinements.</text>
						</paragraph><paragraph id="H296A177CC442482B902D22607B6F4C3B"><enum>(3)</enum><text>The development
				and implementation of clinical and epidemiological research on the utilization
				of biomarkers for the early detection and screening of ovarian cancer.</text>
						</paragraph><paragraph id="HDF8A14FD66D448DABAEC019245881DBB"><enum>(4)</enum><text display-inline="yes-display-inline">The development and implementation of
				repositories for new tissue, urine, serum, and other biological specimens (such
				as ascites and pleural fluids).</text>
						</paragraph><paragraph id="HEDD57ABE0CF149E1ADECA5F18E7EEA02"><enum>(5)</enum><text display-inline="yes-display-inline">Genetics, proteomics, and pathways of
				ovarian cancer as they relate to the discovery and development of
				biomarkers.</text>
						</paragraph></subsection><subsection id="H37DD120AC4874B5089007D00B94E268E"><enum>(c)</enum><header>First agreement
				or grant</header><text>Not later than 1 year after the date of the enactment of
				this section, the Director of the Institute shall enter into the first
				cooperative agreement or make the first grant under this section.</text>
					</subsection><subsection id="H50700A911F90486EB2C8D92B2BDA0012"><enum>(d)</enum><header>Availability of
				banked specimens</header><text>The Director of the Institute shall make
				available for research conducted under this section banked serum and tissue
				specimens from clinical research regarding ovarian cancer that was funded by
				the Department of Health and Human Services.</text>
					</subsection><subsection id="H784352F667434172BB8C87E084C3EFCF"><enum>(e)</enum><header>Report</header><text>Not
				later than the end of fiscal year 2010, and annually thereafter, the Director
				of the Institute shall submit a report to the Congress on the cooperative
				agreements entered into and the grants made under this section.</text>
					</subsection><subsection id="HCE2992CACBE44A65884E112437440067"><enum>(f)</enum><header>Authorization of
				appropriations</header><text display-inline="yes-display-inline">For the
				purpose of carrying out this section, there are authorized to be appropriated
				$25,000,000 for each of the fiscal years 2010 through 2013, and such sums as
				may be necessary for each of the fiscal years 2014 through 2020. Such
				authorization of appropriations is in addition to any other authorization of
				appropriations that is available for such
				purpose.</text>
					</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section id="HCBEA54833E4949F595CC5E256579ADDC"><enum>3.</enum><header>Ovarian Cancer
			 Biomarker Clinical Trial Committee</header><text display-inline="no-display-inline">Subpart 1 of part C of the Public Health
			 Service Act, as amended by section 2, is further amended by adding at the end
			 the following new section:</text>
			<quoted-block display-inline="no-display-inline" id="H11252543AAFD4924801B0355D8004442" style="OLC">
				<section id="H2493C05FE470462687057CED020071B6"><enum>417H.</enum><header>Ovarian Cancer
				Biomarker Clinical Trial Committee</header>
					<subsection id="HE0D791F63DB1413B80A433B12CAC7D2F"><enum>(a)</enum><header>Ovarian Cancer
				Biomarker Research Committee established</header><text>The Director of the
				Institute shall establish an Ovarian Cancer Biomarker Clinical Trial Committee
				(in this section referred to as the <quote>Committee</quote>) to assist the
				Director to design and implement one or more national clinical trials, in
				accordance with this section, to determine the utility of using biomarkers
				validated pursuant to the research conducted under section 417E for risk
				stratification for, and early detection and screening of, ovarian
				cancer.</text>
					</subsection><subsection id="HA705DC277BDB4EEEBFDC056BFE72CC43"><enum>(b)</enum><header>Membership</header>
						<paragraph id="H99D5BA8A79B64EE3B06520C6EEC6C46F"><enum>(1)</enum><header>Number</header><text>The
				Committee shall consist of 11 voting members and such number of nonvoting
				members as the Director of the Institute determines appropriate.</text>
						</paragraph><paragraph id="H590D5A1F2B88439A82812F8863181BCA"><enum>(2)</enum><header>Appointment</header><text>The
				members of the Committee shall be appointed by the Director of the Institute,
				in consultation with appropriate national medical societies, research
				societies, and patient advocate organizations, as follows:</text>
							<subparagraph id="H97718A6EEB994E19A8AA330061B33EAE"><enum>(A)</enum><header>Voting
				members</header><text>The voting members of the Committee shall be appointed by
				the Director of the Institute as follows:</text>
								<clause id="HD8F0D49B98D749EEA4002228C926722D"><enum>(i)</enum><text>Two patient
				advocates.</text>
								</clause><clause id="H67D364A4919942B29388AEAAA2151C1F"><enum>(ii)</enum><text>Two national
				experts in statistical analysis, clinical trial design, and patient
				recruitment.</text>
								</clause><clause id="HB92B01F755364E32B38FFA57B500F2C3"><enum>(iii)</enum><text>Two
				representatives from the Gynecologic Oncology Group.</text>
								</clause><clause id="H297342E804214CA800F0FFE8D3C54189"><enum>(iv)</enum><text>One
				representative from the Department of Defense Ovarian Cancer Research
				Program.</text>
								</clause><clause id="HB7944A31B66E40A4BD7FE78BA72DBC0"><enum>(v)</enum><text>Four ovarian cancer
				researchers.</text>
								</clause></subparagraph><subparagraph id="H6089F20874714BADBAA08F2068005DA1"><enum>(B)</enum><header>Nonvoting
				members</header><text>The nonvoting members of the Committee shall include such
				individuals as the Director of the Institute determines to be
				appropriate.</text>
							</subparagraph></paragraph><paragraph id="H05365E3492EC41D4B4AA2E641B49F9A9"><enum>(3)</enum><header>Pay</header><text display-inline="yes-display-inline">Members of the Committee shall serve
				without pay and those members who are full time officers or employees of the
				United States shall receive no additional pay by reason of their service on the
				Committee, except that members of the Committee shall receive travel expenses,
				including per diem in lieu of subsistence, in accordance with applicable
				provisions under chapter I of chapter 57 of title 5, United States Code.</text>
						</paragraph></subsection><subsection display-inline="no-display-inline" id="H72D6F959C92348FBA3CDED5400FEE29E"><enum>(c)</enum><header>Chairperson</header><text display-inline="yes-display-inline">The voting members of the Committee
				appointed under subsection (b)(2) shall select a chairperson from among such
				members.</text>
					</subsection><subsection display-inline="no-display-inline" id="H5FBF1A47B5A244A19DEAA593426FC7AD"><enum>(d)</enum><header>Meetings</header><text>The
				Committee shall meet at the call of the chairperson or upon the request of the
				Director of the Institute, but at least four times each year.</text>
					</subsection><subsection commented="no" display-inline="no-display-inline" id="H83BD4E03E76B4FF981DFD6E080E57872"><enum>(e)</enum><header>Clinical trial
				specifications</header><text display-inline="yes-display-inline">In designing
				and implementing the clinical trials under this section, the Director of the
				Institute shall provide for the following:</text>
						<paragraph commented="no" id="HB5FB068DB73D4B4A84FFFD4E71F635C0"><enum>(1)</enum><header>Participation in
				trial</header><text>To the greatest extent possible, all academic centers,
				community cancer centers, and individual physician investigators (as defined in
				subsection (f)) shall have the opportunity to participate in the trials under
				this section and to enroll women at risk for ovarian cancer in the
				trials.</text>
						</paragraph><paragraph commented="no" id="H9B8993D25B374C70A102C06D81EF818"><enum>(2)</enum><header>Costs for
				enrollments</header><text>Subject to the availability of appropriations, all
				the costs to the centers and offices described in paragraph (1) for enrolling
				women in the trials under this section shall be reimbursed by the
				Institute.</text>
						</paragraph><paragraph commented="no" id="H3801FBCDCDA149AAB426329DC9A4F23F"><enum>(3)</enum><header>National data
				center</header><text display-inline="yes-display-inline">A national data center
				shall be established in and supported by the Institute to conduct statistical
				analyses of the data derived from the trials under this section and to store
				such analyses and data.</text>
						</paragraph><paragraph commented="no" id="H363B4156FA354FC58EE06DD7ADDEB4B3"><enum>(4)</enum><header>Guidelines for
				medical community</header><text display-inline="yes-display-inline">Data and
				statistical analyses of the clinical trials under this section shall be used to
				establish clinical guidelines to provide the medical community with information
				regarding the use of biomarkers validated pursuant to the research conducted
				under section 417E for risk stratification for, and early detection and
				screening of, ovarian cancer.</text>
						</paragraph></subsection><subsection id="H821BEC49BF854B6688708D9F0065D7B"><enum>(f)</enum><header>Individual
				physician investigator defined</header><text display-inline="yes-display-inline">For purposes of subsection (e)(1), the term
				<term>individual physician investigator</term> means a physician—</text>
						<paragraph id="HE3B3A661118041BC8B58610663F44D98"><enum>(1)</enum><text display-inline="yes-display-inline">who is a faculty member at an academic
				institution or who is in a private medical practice; and</text>
						</paragraph><paragraph id="HD359207665394B449563144560118DFE"><enum>(2)</enum><text>who provides
				health care services to women at risk for ovarian cancer.</text>
						</paragraph></subsection><subsection id="H367192C38E2147CCB0E029B13193588"><enum>(g)</enum><header>Report</header><text>Not
				later than the end of fiscal year 2010, and annually thereafter, the Director
				of the Institute shall submit a report to the Congress on the activities
				conducted under this section.</text>
					</subsection><subsection display-inline="no-display-inline" id="H9EB2029183D1446DB9E2A56B581C10ED"><enum>(h)</enum><header>Authorization of
				appropriations</header><text>For the purpose of carrying out this section,
				there are authorized to be appropriated $5,000,000 for each of the fiscal years
				2010 through 2013, and such sums as may be necessary for each of the fiscal
				years 2014 through 2020. Such authorization of appropriations is in addition to
				any other authorization of appropriations that is available for such
				purpose.</text>
					</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section></legis-body>
</bill>
