Catalyst to Better Diabetes Care Act of 2007 - Requires the Secretary of Health and Human Services (the Secretary) to establish an outreach program to: (1) identify existing efforts to increase awareness of the diabetes and screening benefit among Medicare beneficiaries and providers; and (2) maximize economies of scale, cost-effectiveness, and resource allocation in increasing utilization of the Medicare diabetes screening program.
Requires the Secretary of Commerce to establish an advisory group to examine and recommend best practices of chronic illness employee wellness incentivization and disease management programs.
Directs the Secretary to prepare, biennially, a diabetes report card for the nation and for each state that: (1) is adaptable by state and local agencies in order to rate or report local diabetes care, costs, and prevalence; and (2) includes trend analysis in order to track progress in meeting established national goals and objectives and to inform policy and program development.
Requires the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC), to conduct, support, and promote the collection, analysis, and publication of data on the prevalence and incidence of type 1 and 2 diabetes and of pre-diabetes. Requires such activities to include an assessment of diabetes as a primary or underlying cause of death. Allows the Secretary to promote the addition to death certificates of language to improve the collection of diabetes mortality data.
Requires the Secretary to conduct a study of the impact of diabetes on the practice of medicine in the United Sates and the level of diabetes medical education that should be required prior to licensure, board certification, and board recertification.
[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3373 Introduced in House (IH)]
110th CONGRESS
1st Session
H. R. 3373
To catalyze change in the care and treatment of diabetes in the United
States.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
August 3, 2007
Mr. Space (for himself, Ms. DeGette, Mr. Gene Green of Texas, and Mr.
Castle) introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To catalyze change in the care and treatment of diabetes in the United
States.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS; FINDINGS.
(a) Short Title.--This Act may be cited as the ``Catalyst to Better
Diabetes Care Act of 2007''.
(b) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; table of contents; findings.
Sec. 2. Medicare diabetes screening collaboration and outreach program.
Sec. 3. Advisory group regarding diabetes and chronic employee wellness
incentivization and disease management best
practices.
Sec. 4. National diabetes report card.
Sec. 5. Improvement of diabetes mortality data collection.
Sec. 6. Study on appropriate level of diabetes medical education.
(c) Findings.--The Congress finds as follows:
(1) Diabetes is a chronic public health problem in the
United States that is getting worse.
(2) According to the Centers for Disease Control and
Prevention:
(A) One in three Americans born in 2005 will get
diabetes.
(B) One in two American minorities born in 2005
will get diabetes.
(C) 1,500,000 new cases of diabetes were diagnosed
in adults in 2005.
(D) In 2005, 20,800,000 Americans had diabetes,
which is 7 percent of the population of the United
States.
(E) 6,200,000 Americans are currently undiagnosed.
(F) About one in every 500 children and adolescents
have type 1 diabetes.
(G) African-Americans are nearly twice as likely as
whites to have diabetes.
(H) Nearly 13 percent of American Indians and
Alaska Natives over 20 years old have diagnosed
diabetes.
(I) In States with significant Asian populations,
Asians were 1.5 to 2 times as likely as whites to have
diagnosed diabetes.
(3) Diabetes carries staggering costs:
(A) In 2002, the total amount of the direct and
indirect costs of diabetes was estimated at
$132,000,000,000 according to the American Diabetes
Association.
(B) 18 percent of the Medicare population has
diabetes but spending on this group of people consumes
32 percent of the Medicare budget according to the
Center for Medicare & Medicaid Services.
(4) Diabetes is deadly. According to the Centers for
Disease Control and Prevention:
(A) In 2002, according to death certificate
reports, diabetes contributed to an official number of
224,092 deaths.
(B) Diabetes is likely to be seriously
underreported as studies have found that only 35
percent to 40 percent of decedents with diabetes had it
listed anywhere on the death certificate and only about
10 percent to 15 percent had it listed as the
underlying cause of death.
(5) Diabetes complications carry staggering economic and
human costs for our country and health system:
(A) According to death certificate reports,
diabetes contributes to over 224,000 deaths a year,
although this number is likely vastly underreported.
(B) The risk for stroke is 2 to 4 times higher
among people with diabetes.
(C) Diabetes is the leading cause of new blindness
in America, causing approximately 18,000 new cases of
blindness each year.
(D) Diabetes is the leading cause of kidney failure
in America, accounting for 44 percent of new cases in
2002.
(E) In 2002, 44,400 Americans with diabetes began
treatment for end-stage kidney disease and a total of
153,730 were living on chronic dialysis or with a
kidney transplant as a result of their diabetes.
(F) In 2002, approximately 82,000 amputations were
performed on Americans with diabetes.
(G) Poorly controlled diabetes before conception
and during the first trimester of pregnancy can cause
major birth defects in 5 percent to 10 percent of
pregnancies and spontaneous abortions in 15 percent to
20 percent of pregnancies.
(6) Diabetes is unique because its complications and
tremendous costs are preventable with currently available
medical treatment:
(A) According to the Agency for Healthcare Research
and Quality, appropriate primary care for diabetes
complications could have saved the Medicare and
Medicaid programs $2,500,000,000 in hospital costs in
2001 alone.
(B) According to the Diabetes Prevention Project
sponsored by the National Institutes of Health,
lifestyle interventions such as diet and moderate
physical activity for those with prediabetes reduced
the development of diabetes by 58 percent; among
Americans aged 60 and over, lifestyle interventions
reduced diabetes by 71 percent.
(C) Research shows detecting and treating diabetic
eye disease can reduce the development of severe vision
loss by 50 percent to 60 percent.
(D) Research shows comprehensive foot care programs
can reduce amputation rates by 45 percent to 85
percent.
(E) Research shows detecting and treating early
diabetic kidney disease by lowering blood pressure can
reduce the decline in kidney function by 30 percent to
70 percent.
SEC. 2. MEDICARE DIABETES SCREENING COLLABORATION AND OUTREACH PROGRAM.
(a) Establishment.--With respect to diabetes screening tests
provided for under the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (Public Law 108-173) and for the purposes of
reducing the number of undiagnosed beneficiaries with diabetes or
prediabetes in the Medicare program, the Secretary of Health and Human
Services (in this section referred to as the ``Secretary''), in
collaboration with the Director of the Centers for Disease Control and
Prevention (in this section referred to as the ``Director)'', shall
establish an outreach program--
(1) to identify existing efforts to increase awareness
among Medicare beneficiaries and providers of the diabetes
screening benefit;
(2) to maximize economies of scale, cost effectiveness, and
resource allocation in increasing utilization of the Medicare
diabetes screening program; and
(3) to build upon ongoing efforts of the private and
nonprofit sector.
(b) Consultation.--In carrying out this section, the Secretary and
the Director shall consult with--
(1) various units of the Federal Government, including the
Centers for Medicare & Medicaid Services, the Surgeon General
of the Public Health Service, the Agency for Health Research
and Quality, the Health Resources and Services Administration,
and the National Institutes of Health; and
(2) entities with an interest in diabetes, including
industry, voluntary health organization, trade associations,
and professional societies.
SEC. 3. ADVISORY GROUP REGARDING DIABETES AND CHRONIC EMPLOYEE WELLNESS
INCENTIVIZATION AND DISEASE MANAGEMENT BEST PRACTICES.
(a) Establishment.--The Secretary of Commerce shall establish an
advisory group consisting of representatives of the public and private
sector. The advisory group shall include representatives from the
Department of Commerce, the Department of Health and Human Services,
the Small Business Administration, and public and private sector
entities with experience in administering and operating employee
wellness and disease management programs.
(b) Duties.--The advisory group established under subsection (a)
shall examine and make recommendations of best practices of chronic
illness employee wellness incentivization and disease management
programs in order to--
(1) provide public and private sector entities with
improved information in assessing the role of employee wellness
incentivization and disease management programs in saving money
and improving quality of life for patients with chronic
illnesses; and
(2) encourage the adoption of effective chronic illness
employee wellness and disease management programs.
(c) Report.--Not later than 1 year after the date of the enactment
of this Act, the advisory group established under subsection (a) shall
submit to the Secretary of Health and Human Services, the Speaker and
Minority Leader of the House of Representatives, and the Majority
Leader and Minority Leader of the Senate, the results of the
examination under subsection (b)(1).
SEC. 4. NATIONAL DIABETES REPORT CARD.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary''), in collaboration
with the Director of the Centers for Disease Control and Prevention
(referred to in this section as the ``Director''), shall prepare a
national diabetes report card (referred to in this section as a
``Report Card'') for the Nation and, to the extent possible, for each
State on a biennial basis, that includes the statistically valid
aggregate health outcomes related to individuals diagnosed with
diabetes including--
(1) HbA1c level;
(2) LDL;
(3) blood pressure; and
(4) complications and comorbidities.
(b) Report.--The Secretary, in collaboration with the Director,
shall--
(1) submit each Report Card to Congress; and
(2) make each Report Card readily available in print and
electronically to each State and to the public.
(c) Adaptable.--Each Report Card shall be able to be adapted by
State and, where possible, local agencies in order to rate or report
local diabetes care, costs, and prevalence.
(d) Updated Report.--Each Report Card that is prepared after the
initial Report Card shall include trend analysis for the Nation, and,
to the extent possible, for each State, in order to track progress in
meeting established national goals and objectives for improving
diabetes care, costs, and prevalence (including Healthy People 2010),
and to inform policy and program development.
SEC. 5. IMPROVEMENT OF DIABETES MORTALITY DATA COLLECTION.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary''), acting through the
Director of the Centers for Disease Control and Prevention (in this
section referred to as the ``Director''), and in collaboration with
appropriate agencies, shall conduct, support, and promote the
collection, analysis, and publication of biennial data on the
prevalence and incidence of type 1 and 2 diabetes and of prediabetes.
(b) Improvement of Mortality Data Collection.--
(1) Assessment.--The activities described in subsection (a)
shall include an assessment of diabetes as a primary or
underlying cause of death and analysis of any under-reporting
of diabetes as a primary or underlying cause of death in order
to provide an accurate estimate of yearly deaths related to
diabetes.
(2) Death certificate additional language.--In carrying out
the activities described in paragraph (1), the Secretary may
promote the addition of language to death certificates to
improve collection of diabetes mortality data, including adding
questions for the individual certifying to the cause of death
regarding whether the deceased had diabetes and whether
diabetes was an immediate, underlying, or contributing cause of
or condition leading to death.
(c) Report.--
(1) In general.--The Secretary and the Director shall
submit to the Committee on Health, Education, Labor, and
Pensions of the Senate and the Committee on Energy and Commerce
of the House of Representatives annual reports describing the
activities undertaken under this section.
(2) Content.--The reports shall include an--
(A) analysis of any under-reporting of diabetes as
a primary or underlying cause of death in order to
provide an accurate estimate of yearly deaths related
to diabetes; and
(B) projections regarding trends in each of the
areas described in subparagraph (A).
(3) Availability.--The Secretary and the Director shall
make such reports publicly available in print and on the
Internet site of the Centers for Disease Control and
Prevention.
SEC. 6. STUDY ON APPROPRIATE LEVEL OF DIABETES MEDICAL EDUCATION.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary'') shall, in collaboration
with the Institute of Medicine and appropriate associations and
councils, conduct a study of the impact of diabetes on the practice of
medicine in the United States and the appropriateness of the level of
diabetes medical education that should be required prior to licensure,
board certification, and board recertification.
(b) Report.--Not later than 2 years after the date of the enactment
of this Act, the Secretary shall submit a report on the study under
subsection (a) to the Committees on Ways and Means and Energy and
Commerce of the House of Representatives and the Committees on Finance
and Health, Education, Labor, and Pensions of the Senate.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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