Diabetic Foot Complication and Lower Extremity Amputation Reduction Act of 2005 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to eligible multidisciplinary health care programs for: (1) providing a high-risk, underserved population with screening, education, and evidence-based medical treatment regarding diabetic foot complications that may lead to lower extremity amputations; and (2) evaluating the quality, cost effectiveness, parity, and patient satisfaction of medical interventions in the prevention of diabetic foot complications and lower extremity amputations.
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1719 Introduced in House (IH)]
109th CONGRESS
1st Session
H. R. 1719
To amend the Public Health Service Act to authorize grants for
education, screening, and treatment with the goal of preventing
diabetic foot complications and lower extremity amputations, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 20, 2005
Mr. Baker (for himself, Ms. Corrine Brown of Florida, Mr. Ford, Mr.
Hinojosa, Ms. Millender-McDonald, Mrs. McCarthy, Mr. Jefferson, Mrs.
Christensen, Mr. Terry, Mr. Cummings, Mr. Van Hollen, Mr. Alexander,
Mr. McCrery, Mr. Boustany, Mr. Smith of New Jersey, Mr. Fossella, Ms.
Ginny Brown-Waite of Florida, Mr. Renzi, and Mr. Weldon of
Pennsylvania) introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to authorize grants for
education, screening, and treatment with the goal of preventing
diabetic foot complications and lower extremity amputations, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Diabetic Foot Complication and Lower
Extremity Amputation Reduction Act of 2005''.
SEC. 2. FINDINGS.
The Congress finds the following:
(1) It is estimated that there are 17,000,000 patients with
diabetes in the United States and that diabetes costs the
United States $132,000,000,000 each year.
(2) There has been a 61 percent increase in the number of
Americans with diabetes since 1990.
(3) Fifteen percent of people with diabetes will experience
a foot ulcer, and between 14 and 24 percent of those with a
foot ulcer will require an amputation.
(4) The increased incidence of diabetes has resulted in
more lower extremity amputations. From 1980 to 1996, the number
of diabetes-related hospital discharges with lower extremity
amputations increased from 36,000 to 86,000 per year.
(5) The Medicare costs for diabetes patients with foot
ulcers is 3 times higher than for diabetes patients in general,
and inpatient care accounts for 74 percent of diabetic ulcer-
related costs. Therefore, cost effective ulcer prevention and
treatment interventions will reduce Medicare costs.
(6) Lower extremity amputations are devastating to the
patient, and with an average cost of $60,000, these procedures
are a costly burden on the health system.
(7) Research shows that a multidisciplinary approach,
including preventive strategies, patient and staff education,
and treatment of foot ulcers, has been reported to reduce
amputation rates by more than 50 percent at a fraction of the
cost.
SEC. 3. GRANTS FOR EDUCATION, SCREENING, AND TREATMENT REGARDING
DIABETIC FOOT COMPLICATIONS.
Title III of the Public Health Service Act (42 U.S.C. 241 et seq.)
is amended by inserting after section 330L the following:
``SEC. 330M. GRANTS FOR EDUCATION, SCREENING, AND TREATMENT REGARDING
DIABETIC FOOT COMPLICATIONS.
``(a) Grants.--Subject to subsection (b), the Secretary shall award
grants to eligible entities for the following:
``(1) Providing a high-risk, underserved population with
screening, education, and evidence-based medical treatment
regarding diabetic foot complications that may lead to lower
extremity amputations.
``(2) Evaluating the quality, cost effectiveness, parity,
and patient satisfaction of medical interventions in the
prevention of diabetic foot complications and lower extremity
amputations.
``(b) Restriction.--A grant under this section may be used to pay
for a treatment only if the treatment is preventive in nature or is
part of comprehensive outpatient care.
``(c) Eligible Entities.--For purposes of this section, the term
`eligible entity' means a multidisciplinary health care program, which
may be university-based, that demonstrates to the Secretary's
satisfaction the following:
``(1) An ability to provide high-quality, cost-effective,
and accessible treatment to a patient population that has a
high incidence of diabetes relative to the national average and
a general inability to access diabetic foot treatment programs.
``(2) An ability to successfully educate patients and
health care providers about preventive health care measures and
treatment methods for diabetic foot complications.
``(3) An ability to analyze and compile the results of
research on diabetic foot complications and conduct additional
research on diabetic foot complications.
``(d) Criteria.--The Secretary, in consultation with appropriate
professional organizations, shall develop criteria for carrying out the
grant program under this section and for collecting data to evaluate
the effectiveness of the grant program. These criteria shall ensure the
following:
``(1) The establishment of an authoritative, collaborative,
multi-center study on the impact of comprehensive prevention
and treatment of diabetic foot complications in high-risk,
underserved populations, upon which future determinations can
be based.
``(2) The establishment, in coordination with grant
recipients, of evidence-based guidelines and standardized
measurement outcomes that may be used to evaluate the overall
results of projects under this section.
``(3) The provision to grant recipients of the necessary
resources to develop programs that effectively treat patients.
``(e) Application.--To seek a grant under this section, an eligible
entity must submit an application to the Secretary in such form, in
such manner, and containing such information as the Secretary may
require.
``(f) Evaluations.--The Secretary may not award a grant to an
eligible entity under this section unless the entity agrees to submit
to the Secretary a yearly evaluation of the entity's operations and
activities carried out under the grant.
``(g) Study; Report.--Annually, the Secretary--
``(1) shall conduct an authoritative study on the results
of grants under this section, for the purpose of better
informing future determinations regarding education, screening,
and treatment of diabetic foot complications; and
``(2) shall submit a report on the findings and conclusions
of the study to the Congress.
``(h) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated $25,000,000
for fiscal year 2006 and such sums as may be necessary for each of
fiscal years 2007 through 2010.''.
<all>
Introduced in House
Introduced in House
Sponsor introductory remarks on measure. (CR 4/21/2005 E713-714)
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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