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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H06B00FFDD8244D37AAE8E08D59A3A2D9" key="H" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>116 HR 4667 IH: Biomedical Innovation Expansion Act of 2019</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-10-11</dc:date>
<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>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4667</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20191011">October 11, 2019</action-date><action-desc><sponsor name-id="S001207">Ms. Sherrill</sponsor> (for herself, <cosponsor name-id="L000593">Mr. Levin of California</cosponsor>, and <cosponsor name-id="S001209">Ms. Spanberger</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 display="yes">To amend the 21st Century Cures Act to reauthorize funding for NIH innovation projects, and for
			 other purposes.</official-title></form>
	<legis-body id="HEBC6ECDE2E1A4EB5883CB47FA186DB65" style="OLC">
 <section id="HA6FC3AB30FA14646B46BC7676B59C32F" 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>Biomedical Innovation Expansion Act of 2019</short-title></quote>.</text> </section><section id="H9501A06B54E346DC81909D926B772A53"><enum>2.</enum><header>Reauthorization of NIH innovation proj­ects</header> <subsection id="H0F3BB3561812453798F2E0854BCFC20D"><enum>(a)</enum><header>Transfers</header><text display-inline="yes-display-inline">Section 1001(b)(2)(A) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking clauses (v) through (x) and inserting the following:</text>
				<quoted-block display-inline="no-display-inline" id="H50E302969CFE438FAA7DDF0E4C49958A" style="OLC">
 <clause id="HBA548402406948C581D01015AC9A80EB"><enum>(v)</enum><text>For fiscal year 2021, $854,000,000.</text> </clause><clause id="H6C121FCF3ECB49869EF3664F2384125C"><enum>(vi)</enum><text>For fiscal year 2022, $1,051,000,000.</text>
 </clause><clause id="H149F10439F4E4781922BFE09898C5226"><enum>(vii)</enum><text>For fiscal year 2023, $1,345,000,000.</text> </clause><clause id="H27012EB267714E10B76AD103BDA19DC6"><enum>(viii)</enum><text>For fiscal year 2024, $1,271,000,000.</text>
 </clause><clause id="HEB282277AC1D43CD9E4E6E1D64990D76"><enum>(ix)</enum><text>For fiscal year 2025, $1,301,000,000.</text> </clause><clause id="H82F438B01AEF463F8FE3AB3ECD4D0829"><enum>(x)</enum><text>For fiscal year 2026, $1,306,000,000.</text>
 </clause><clause id="HDAA541D3B8D94A628541CB25B67A6FAB"><enum>(xi)</enum><text>For fiscal year 2027, $1,336,000,000.</text> </clause><clause id="H0AD93ADFCFEA47B580F89BE8FFD61474"><enum>(xii)</enum><text>For fiscal year 2028, $1,376,000,000.</text>
 </clause><clause id="H2BB2FABD53A74DF4B83D20520D471AAF"><enum>(xiii)</enum><text>For fiscal year 2029, $1,436,000,000.</text> </clause><clause id="HFEA63A71800048DB88DCB202DB041FB9"><enum>(xiv)</enum><text>For fiscal year 2030, $1,469,000,000.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block>
 </subsection><subsection id="H6D0D1181A3F04EEAA5F777B626370E67"><enum>(b)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">Section 1001(b)(3)(A) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2030</quote>.</text> </subsection><subsection id="HCAEF789719CA467F9C533A0811796D70"><enum>(c)</enum><header>Offsetting future appropriations</header><text display-inline="yes-display-inline">Section 1001(b)(3)(B) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2030</quote>.</text>
 </subsection><subsection id="H313281E174B64EFDB3C667D7B3DFE613"><enum>(d)</enum><header>NIH innovation projects</header><text display-inline="yes-display-inline">Section 1001(b)(4) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended—</text> <paragraph id="H251DBE81D8564AD0AB6A5C5718E33669"><enum>(1)</enum><text>in the matter preceding subparagraph (A), by striking <quote>2026</quote> and inserting <quote>2030</quote>;</text>
 </paragraph><paragraph id="HEBAAF3C20DB347B68A8CDDD4B635F3F2"><enum>(2)</enum><text>in subparagraph (A)—</text> <subparagraph id="H4A83EB93A3E3419B85E66EDDC1F5BD80"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>$1,455,000,000</quote> and inserting <quote>$4,413,000,000</quote>; and</text>
 </subparagraph><subparagraph id="H6083E0CCD6BD4877ABCBB489CBC6CAF6"><enum>(B)</enum><text display-inline="yes-display-inline">by striking clauses (v) through (x) and inserting the following:</text> <quoted-block display-inline="no-display-inline" id="HA3DA14EE12214A1D82975F488A64EB4E" style="OLC"> <clause id="HC9F15E0B0227414082DEBC8A5F782E63"><enum>(v)</enum><text>For fiscal year 2021, $209,000,000.</text>
 </clause><clause id="HB24B511306F5414BA7131F4315874222"><enum>(vi)</enum><text>For fiscal year 2022, $300,000,000.</text> </clause><clause id="HB2036A26FAB4414A850AA6666DA87696"><enum>(vii)</enum><text>For fiscal year 2023, $419,000,000.</text>
 </clause><clause id="H3983C32A809949E185FFC0D26BEA45B9"><enum>(viii)</enum><text>For each fiscal years 2024 through 2030, $430,000,000.</text></clause><after-quoted-block>;</after-quoted-block></quoted-block> </subparagraph></paragraph><paragraph id="H3DFA793C4DD343E1816D1F8E522B5B56"><enum>(3)</enum><text>in subparagraph (B)—</text>
 <subparagraph id="HEDA68004AA8648449B7FD3980A78C400"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>$1,511,000,000</quote> and inserting <quote>$4,428,000,000</quote>; and</text> </subparagraph><subparagraph id="HC70F352DD00A422392977DE27A19CCDA"><enum>(B)</enum><text display-inline="yes-display-inline">by striking clauses (v) through (x) and inserting the following:</text>
						<quoted-block display-inline="no-display-inline" id="HDBED5068723E42949843444DAAEB62DE" style="OLC">
 <clause id="HF063A25FCADA49CBAF119FBD036F73F2"><enum>(v)</enum><text>For fiscal year 2021, $250,000,000.</text> </clause><clause id="H388989879CD54D4FBFB95051F802A356"><enum>(vi)</enum><text>For fiscal year 2022, $302,000,000.</text>
 </clause><clause id="HE8764B22587B4337A16A589647B4EB01"><enum>(vii)</enum><text>For fiscal year 2023, $450,000,000.</text> </clause><clause id="H6A92DAC2F1EB4B018DF6F3D6FA85C53A"><enum>(viii)</enum><text>For each of fiscal years 2024, 2025, and 2026, $400,000,000.</text>
 </clause><clause id="H750EAEA48C814CE6A10DAD51661E7B34"><enum>(ix)</enum><text>For fiscal year 2027, $425,000,000.</text> </clause><clause id="H2D5716A69B0F439E9EEE98BF87E90682"><enum>(x)</enum><text>For fiscal years 2028, $450,000,000.</text>
 </clause><clause id="HA8B4E71EF5CE463584C7C58C57459A1E"><enum>(xi)</enum><text>For each of fiscal years 2029 and 2030, $500,000,000.</text></clause><after-quoted-block>;</after-quoted-block></quoted-block> </subparagraph></paragraph><paragraph id="HFC2F04FC01584497B3A06FA9A025FDF3"><enum>(4)</enum><text>in subparagraph (C)—</text>
 <subparagraph id="H9F118EC8A149405FBF96A28FC5B29F0E"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>$1,800,000,000</quote> and inserting <quote>$3,312,000,000</quote>; and</text> </subparagraph><subparagraph id="H1706AC8D6B96452C9F3A46F21C5F7C3B"><enum>(B)</enum><text display-inline="yes-display-inline">by amending clause (vii) to read as follows:</text>
						<quoted-block display-inline="no-display-inline" id="H73D05A541C54401E8C015985FF3F9C18" style="OLC">
 <clause id="HC58EEFB77AED4D48845F87F5B062A26C"><enum>(vii)</enum><text>For each of fiscal years 2023 through 2030, $216,000,000.</text></clause><after-quoted-block>;</after-quoted-block></quoted-block> </subparagraph></paragraph><paragraph id="H12B36B835B854DBAA512983572EA6921"><enum>(5)</enum><text>in subparagraph (D)—</text>
 <subparagraph id="H6CB85219A5084150B8D156B9C30D9857"><enum>(A)</enum><text>in the matter preceding clause (i), by striking <quote>$30,000,000</quote> and inserting <quote>$250,000,000</quote>; and</text> </subparagraph><subparagraph id="H9F3697F5B82647D8AE4BA672126B135F"><enum>(B)</enum><text display-inline="yes-display-inline">by striking clause (iv) and inserting the following:</text>
						<quoted-block display-inline="no-display-inline" id="HE39E74612E084A0A8849194BC34F8B44" style="OLC">
 <clause id="H8320614FB9EF4638B5B0D7CA3BCCF938"><enum>(iv)</enum><text>For each of fiscal years 2021, 2022, and 2023, $50,000,000.</text> </clause><clause id="H7E49C17D4EC7405D91FF72F9A1E779D3"><enum>(v)</enum><text>For each of fiscal years 2024 through 2030, $10,000,000.</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block>
 </subparagraph></paragraph><paragraph id="H37358655CE984F2C8F56E637240EA6A3"><enum>(6)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="HC4EBBF527AF54E168392971A9598F137" style="OLC"> <subparagraph id="H7A8D3A1F4DD1407085F28E5A95CAA72D"><enum>(E)</enum><text>To support research related to combating antimicrobial resistance and antibiotic resistant bacteria, not to exceed a total of $1,635,000,000, as follows:</text>
 <clause id="HD2759E71C7914EACA8810CC2139BE542"><enum>(i)</enum><text>For fiscal year 2021, $100,000,000.</text> </clause><clause id="HA1DC96E29C854866807749B002CC38C6"><enum>(ii)</enum><text>For each of fiscal years 2022 through 2024, $150,000,000.</text>
 </clause><clause id="H63AB5086929240DEBA7E98DC3D01C043"><enum>(iii)</enum><text>For each of fiscal years 2025 through 2027, $175,000,000.</text> </clause><clause id="HFFBA191F8A524EA89D9949F1365264FD"><enum>(iv)</enum><text>For each of fiscal years 2028 and 2029, $180,000,000.</text>
 </clause><clause id="H4F225F6F331B4FD08672FF5A3AA87308"><enum>(v)</enum><text>For fiscal year 2030, $200,000,000.</text> </clause></subparagraph><subparagraph id="HDF25455D1BA648B68D40AE7165C8147E"><enum>(F)</enum><text>To support research and research activities related to rare diseases or conditions, not to exceed a total of $758,000,000, as follows:</text>
 <clause id="HD7B8CC02DC884987AF4C01B9AD21CB77"><enum>(i)</enum><text>For fiscal year 2021, $50,000,000.</text> </clause><clause id="H04927F0D00FB4B05AAFF4313470AA73C"><enum>(ii)</enum><text>For fiscal year 2022, $55,000,000.</text>
 </clause><clause id="HF4B5347F19834BDD9E79720A49BBB7EF"><enum>(iii)</enum><text>For fiscal year 2023, $60,000,000.</text> </clause><clause id="H91D98F6C84E046A695F0E4873119F1E6"><enum>(iv)</enum><text>For fiscal year 2024, $65,000,000.</text>
 </clause><clause id="HC524CFF1ECDB4A3AB0E64463CE7221A2"><enum>(v)</enum><text>For fiscal year 2025, $70,000,000.</text> </clause><clause id="HF7325BF900EB42F1B3B9903B1022E2E5"><enum>(vi)</enum><text>For fiscal year 2026, $75,000,000.</text>
 </clause><clause id="HA55A170B49D7487CB92E25720A6DE9E9"><enum>(vii)</enum><text>For fiscal year 2027, $80,000,000.</text> </clause><clause id="H5E69585CA1AA4993A6A1CB82CC706456"><enum>(viii)</enum><text>For fiscal year 2028, $90,000,000.</text>
 </clause><clause id="H35760978353A492E9604E2DF177B6E2D"><enum>(ix)</enum><text>For fiscal year 2029, $100,000,000.</text> </clause><clause id="H5699776CA0B548D9B6854258570ADECC"><enum>(x)</enum><text>For fiscal year 2030, $113,000,000.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph></subsection><subsection id="H660903E32A944D53814E635790FDF142"><enum>(e)</enum><header>Workplan</header><text display-inline="yes-display-inline">Section 1001(c)(1)(A) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2030</quote>.</text> </subsection><subsection id="H8211F5387640443F87FB13AA6BE6E9CB"><enum>(f)</enum><header>Recommendations</header><text display-inline="yes-display-inline">Section 1001(c)(1)(C)(i) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2030</quote>.</text>
 </subsection><subsection id="H3F6475E1A9B648669DCC03BECE989172"><enum>(g)</enum><header>Annual reports</header><text display-inline="yes-display-inline">Section 1001(c)(2)(A) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking <quote>2027</quote> and inserting <quote>2030</quote>.</text> </subsection><subsection id="H922E931BF9694C79ABFDB52AC368714A"><enum>(h)</enum><header>Sunset</header><text display-inline="yes-display-inline">Section 1001(e) of the 21st Century Cures Act (<external-xref legal-doc="public-law" parsable-cite="pl/114/255">Public Law 114–255</external-xref>) is amended by striking <quote>September 30, 2026</quote> and inserting <quote>September 30, 2030</quote>.</text>
			</subsection></section></legis-body></bill>


