HR 2365 United States House · 118th Congress

Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton National Plan to End Parkinson’s Act

This bill (HR 2365, Public Law 118-66) directs the U.S. Department of Health and Human Services (HHS) to establish the National Parkinson’s Project. It requires HHS to create and update a coordinated national plan for preventing, diagnosing, treating, and researching Parkinson’s disease and related disorders (including multiple system atrophy and progressive supranuclear palsy), while coordinating federal research and care efforts across agencies like the NIH, CDC, and VA. The law mandates annual progress assessments, an advisory council with patient advocates and diverse experts, and annual reports to Congress on federal Parkinson’s programs and recommendations for improvement. It affects federal agencies managing Parkinson’s-related programs and aims to improve care coordination and research efficiency for patients and caregivers, with the law sunsetting in 2035.
Bill status signed all 5 stages cleared
Introduction
Mar 2023
Committee Review
May 2024
House Passage
Dec 2023
Senate Passage
May 2024
Signed into Law
Jul 2024
Introduced Mar 29, 2023 Signed Jul 2, 2024
Maddy AI version diff · 1 comparison

What changed between versions

Introduced in House Engrossed in House · 11 edits · Dec 14, 2023
MAJOR
The Engrossed version of HR 2365 broadens the National Parkinson's Project goals to explicitly include diagnosis and treatment (not just prevention and cure), shifts from biannual to annual reporting by the Advisory Council, adds new federal agency members (AHRQ, NSF, Surgeon General), requires representation of minority and underrepresented communities on the council, and consolidates two separate reporting mechanisms into a single Advisory Council annual report. The bill is also now named after Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton.
SCOPE

The Project's stated goals expanded from 'prevent and cure' to 'prevent, diagnose, treat, and cure,' making diagnosis and treatment explicit federal priorities throughout the bill.

Advisory Council federal membership added the Agency for Healthcare Research and Quality, the National Science Foundation, and the Office of the Surgeon General; removed NINDS and NIEHS as separate line items (subsumed under NIH).

The Advisory Council annual report now includes a recommendation to improve quality of care for Parkinson's beneficiaries under Medicare and Medicaid, and a recommendation to research underlying factors contributing to Parkinson's - both new items not in the introduced version.

DEFINITION

The definition of Parkinson's removed 'Lewy body disease' from the enumerated list of related disorders and changed 'including, but not limited to' to simply 'including,' while adding the word 'all' before 'other neurodegenerative Parkinsonisms.'

REQUIREMENT

A new activity requires the Secretary to collaborate with other entities to prevent duplication of existing research activities for related disorders.

Advisory Council membership changed from 'diverse and inclusive representatives' to 'experts, to be appointed by the Secretary, who collectively are from various backgrounds and perspectives,' giving the Secretary more discretion over appointments.

FISCAL

The information provision now requires an estimate of current Federal investment in Parkinson's, and separately, if applicable, an estimate of additional investment necessary to achieve prevention, diagnosis, treatment, and cure.

ELIGIBILITY

Non-Federal Advisory Council members must now include representatives of minority communities, communities disproportionately affected by Parkinson's, and communities underrepresented in Parkinson's research.

TIMELINE

Advisory Council meetings changed from permanently quarterly to quarterly only during the first 2 years, then at the Secretary's discretion. The research meeting changed from biannual to annual. The Advisory Council report changed from biannual to annual.

ENFORCEMENT

The separate Secretary biannual report (former subsection g) was eliminated entirely. Its content was largely folded into the Advisory Council annual report, reducing the number of distinct reporting obligations.

TECHNICAL

Data sharing requirements were renamed 'information sharing,' broadened to cover every Federal department and agency (not just HHS and outside-HHS agencies), and tied specifically to enabling the Advisory Council report rather than a separate Secretary report.

Floor votes · House Dec 14, 2023

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
27
Key actions
10
Committee
9
Amendments
4
Jul 2, 2024
Signed into law
Signed by President.
executive
May 23, 2024
Upper · Passed
Passed Senate without amendment by Voice Vote. (consideration: CR S3897)
upper
May 23, 2024
Upper · Passed
Passed/agreed to in Senate: Passed Senate without amendment by Voice Vote. (consideration: CR S3897)
upper
May 23, 2024
Upper · Passed
Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent.
upper
Dec 14, 2023
Committee
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
upper
Dec 14, 2023
Introduced
The title of the measure was amended. Agreed to without objection.
lower
Dec 14, 2023
Introduced
On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 407 - 9 (Roll no. 724). (text: 12/13/2023 CR H6916-6917)
lower
Dec 14, 2023
Lower · Passed
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 407 - 9 (Roll no. 724). (text: 12/13/2023 CR H6916-6917)
lower
Dec 13, 2023
Introduced
Mr. Bilirakis moved to suspend the rules and pass the bill, as amended.
lower
Dec 12, 2023
Lower · Passed
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-313.
lower
Dec 6, 2023
Introduced
Ordered to be Reported (Amended) by the Yeas and Nays: 47 - 0.
lower
Dec 6, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Dec 5, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Jul 13, 2023
Lower · Passed
Forwarded by Subcommittee to Full Committee by Voice Vote.
lower
Jul 13, 2023
Lower · Passed
Subcommittee Consideration and Mark-up Session Held
lower
Apr 7, 2023
Committee
Referred to the Subcommittee on Health.
lower
Mar 29, 2023
Committee
Referred to the House Committee on Energy and Commerce.
lower
Mar 29, 2023
Introduced
Introduced in House
lower
1 primary · 172 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Gus M. Bilirakis
Gus M. Bilirakis
RRepublican
FL
12
Co
Photo of Aaron Bean
Aaron Bean
RRepublican
FL
4
Co
Photo of Adam Smith
Adam Smith
DDemocratic
WA
9
Co
Photo of Alexander X. Mooney
Alexander X. Mooney
RRepublican
WV
2
Co
Photo of Alma S. Adams
Alma S. Adams
DDemocratic
NC
12
Co
Photo of Andrea Salinas
Andrea Salinas
DDemocratic
OR
6
Co
Photo of Andrew R. Garbarino
Andrew R. Garbarino
RRepublican
NY
2
Co
Photo of Andy Kim
Andy Kim
DDemocratic
NJ
n/a
Co
Photo of Angie Craig
Angie Craig
DDemocratic
MN
2
Co
Photo of Ann M. Kuster
Ann M. Kuster
DDemocratic
NH
2
Co
Photo of Austin Scott
Austin Scott
RRepublican
GA
8