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H.R. 3131 — what changed

South Asian Heart Health Awareness and Research Act of 2020

From Introduced in House to Reported in House. 3 sections amended and 2 removed between Introduced in House and Reported in House.

Section 1 Short title

changed This Act may be cited as the “South Asian Heart Health Awareness and Research Act of 2019”.2020”.

Sec. 2 Heart health promotion grants

changed Congress finds Title III of the following:Public Health Service Act (42 U.S.C. 241 et seq.) is amended by inserting after section 317U (42 U.S.C. 247b–23) the following new section:

added “317V. Heart health promotion grants

added “(a) In general—The Secretary shall make grants to States for the purpose of promoting awareness of the increasing prevalence of heart disease, including, where appropriate, its relationship to type 2 diabetes, in communities disproportionately affected by heart disease such as South Asian communities in the United States.

added “(b) Use of funds—A State that receives a grant under subsection (a) shall use such grant funds—

added “(1) to develop culturally appropriate materials on evidence-based topics such as nutrition education, optimal diet plans, and programs for regular exercise;

added “(2) to support heart health promotion activities of community organizations that work with or serve communities disproportionately affected by heart disease, such as South Asian communities in the United States; or

added “(3) to support conferences or workshops on research practices, methodology, and design to include more members of communities disproportionately affected by heart disease, such as South Asian communities in the United States, in scientific studies.

added “(c) Annual report to congress—Not later than 180 days after the date of the enactment of the South Asian Heart Health Awareness and Research Act of 2020, and annually thereafter, the Director shall submit to Congress a report on outreach efforts and data relating to heart disease in communities disproportionately affected by heart disease, such as South Asian communities in the United States.

added “(d) Authorization of appropriations—For purposes of carrying out this section, there is authorized to be appropriated $1,000,000 for each of fiscal years 2020 through 2024.”

(1)
removed The South Asian diaspora population in the United States is primarily from India, Pakistan, Bangladesh, Nepal, Bhutan, Sri Lanka, Fiji, Maldives, East Africa, the West Indies, and the Caribbean.
(2)
removed Heart disease refers to several types of heart conditions; the most common form is coronary artery disease, which affects blood flow to the heart.
(3)
removed Heart disease is the leading cause of death for both men and women—one in every 4 deaths each year, according to the Centers for Disease Control and Prevention.
(4)
removed Risk factors for heart disease include diabetes, high blood pressure, smoking, and abnormal cholesterol levels.
(5)
removed Though the traditional South Asian diet consists of lentils, vegetables, grains, and spices, there is higher consumption of suboptimal nutritional elements including refined carbohydrates, trans fats, and sugar that have been associated with higher risk of type 2 diabetes and cardiovascular disease.
(6)
removed South Asians in the United States have four times the risk of heart disease than the general population and have a much greater chance of having a heart attack before age 50, according to the Stanford South Asian Translational Heart Initiative.
(7)
removed In addition, diabetes is one of the strongest risk factors for heart disease; South Asian Americans have among the highest rates of type 2 diabetes in the Nation.
(8)
removed A Mediators of Atherosclerosis in South Asians Living in America (MASALA) showed a 26-percent prevalence of diabetes among South Asians, compared to 6 percent among Whites, 18 percent among African-Americans, 17 percent among Latinos, and 13 percent among Chinese-Americans in the Multi-Ethnic Study of Atherosclerosis.
(9)
removed Early intervention and treatment through awareness campaigns, nutritional education, and instruction on physical activity can greatly reduce the burden of diabetes, risk of heart disease, decreased quality of life, and untimely death.
(10)
removed Successful efforts to prevent and combat heart disease in the South Asian population of the United States can serve as a model for the general population.

Sec. 3 Heart health research

changed Title III Part B of title IV of the Public Health Service Act (42 U.S.C. 241 284 et seq.) is amended by adding at the end the following new section:

changed “317U. South Asian heart “409K. Heart health promotion grantsresearch

changed “(a) In general—The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall make grants to States for the purpose of promoting awareness of the increasing prevalence of heart disease, including its relationship to type 2 diabetes, in South Asian communities in the United States.Secretary may—

changed “(b) Use of funds—A State that receives a grant under paragraph (1) shall use such grant funds—“(1) conduct or support research and related activities regarding cardiovascular disease, type 2 diabetes, and other heart health-related ailments among at-risk populations, including South Asian communities in the United States; and

changed “(1) to “(2) establish an Internet clearinghouse to catalog existing evidence-based heart health research and treatment options for communities disproportionately affected by heart disease, such as South Asian communities in the United States, to prevent, treat, or reverse heart disease and diabetes;diabetes.

changed “(2) “(b) Authorization of appropriations—For purposes of carrying out this section, there is authorized to develop culturally appropriate materials on topics such as nutrition education, optimal diet plans, and programs be appropriated $1,000,000 for regular exercise;each of fiscal years 2020 through 2024.”

removed “(3) to support heart health promotion activities of community organizations that work with or serve South Asian communities; or

removed “(4) to support conferences or workshops on research practices, methodology, and design to include more members of South Asian communities in scientific studies.

removed “(c) Annual report to congress—Not later than 180 days after the date of the enactment of the South Asian Heart Health Awareness and Research Act of 2019, and annually thereafter, the Director shall submit to Congress a report on outreach efforts and data relating to heart disease in South Asian communities in the United States.

removed “(d) Authorization of appropriations—For purposes of carrying out this section, there is authorized to be appropriated $1,000,000 for each of fiscal years 2020 through 2024.”

Sec. 4 Heart health research by National Institutes of Health and National Heart, Lung, and Blood Institute

removed

removed Part B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding at the end the following new section:

removed “409K. Heart health research

removed “(a) In general—For the purpose of conducting research and related activities with respect to cardiovascular disease, type 2 diabetes, and other heart health-related ailments among South Asian communities in the United States, the Director of the National Institutes of Health, in coordination with the Director of the National Heart, Lung, and Blood Institute—

removed “(1) may conduct or support, through funding opportunity announcements, grants, or cooperative agreements, basic, clinical, and translational research; and

removed “(2) may award grants and cooperative agreements to public or nonprofit private entities (including State health departments, political subdivisions of States, universities, and other medical or education entities).

removed “(b) Authorization of appropriations—For purposes of carrying out this section, there is authorized to be appropriated $1,000,000 for each of fiscal years 2020 through 2024.”

Sec. 5 Sense of Congress

removed

removed It is the sense of Congress that medical schools in the United States that are accredited by the Liaison Committee on Medical Education should include as part of their nutrition curriculum a focus on cultural differences in diets and ways to achieve optimal nutrition in communities that experience substantial heart disease.