Sec. 3. National Strategy To Increase Life Expectancy
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The Public Health Service Act is amended by inserting after section 310A of such Act ( 42 U.S.C. 242s ) the following new section: The Secretary shall develop and maintain a national strategy to be known as the National Strategy To Increase Life Expectancy (in this section referred to as the National Strategy ) for increasing life expectancy in the United States to, at minimum, the average life expectancy in the member countries of the Organization for Economic Cooperation and Development.
The Secretary shall— develop the National Strategy and each update thereto in consultation with— other Federal departments and agencies as appropriate; and medical professionals, patient advocates, and experts in public health and other subject matter areas impacting life expectancy; and shall publish a proposed version of the National Strategy and each update thereto in the Federal Register and provide a period of at least 30 days for the public to submit comments on each such proposal before finalizing the National Strategy or update, respectively.
Not later than 2 years after the date of enactment of the National Strategy To Increase Life Expectancy Act of 2018 , the Secretary shall— transmit the final National Strategy to the appropriate congressional committees; and release the final National Strategy to the public. Every 2 years following the transmittal under paragraph
(2)of the initial National Strategy, the Secretary shall— make updates, as the Secretary determines appropriate, to the National Strategy pursuant to the process described in paragraph (1); transmit the updated National Strategy to the appropriate congressional committees; and release the updated National Strategy to the public. The Secretary shall designate a senior official at the Department of Health and Human Services to be responsible for coordinating the development, updating, and implementation of the National Strategy. The duties of the official designated under paragraph
(1)shall include— acting as a liaison with all Federal agencies regarding the development, updating, and implementation of the National Strategy; working to ensure that there is proper coordination among agencies in developing, updating, and implementing the National Strategy; being knowledgeable about budget priorities and familiar with all efforts within the Department of Health and Human Services impacting life expectancy; and communicating the National Strategy to Congress and being available to answer questions related to the National Strategy at congressional hearings, if requested by committees of appropriate jurisdiction, on the contents of the National Strategy and the progress of the Department of Health and Human Services in implementing the National Strategy. The National Strategy shall include the following: An identification of the most significant causes of premature death in the United States, including an analysis of the relative importance of the opioid epidemic, smoking, obesity, insufficient exercise, infant mortality, maternal mortality, affordable access to high-quality health care, gun violence, economic inequality, social isolation, and such other factors or causes as the Secretary determines to be significant, in preventing the life expectancy in the United States from being as high as the average life expectancy in the member countries of the Organization for Economic Cooperation and Development. A discussion of and data regarding— in the initial National Strategy, the absolute decline of life expectancy in the United States preceding the enactment of the National Strategy To Increase Life Expectancy Act of 2018 ; and in each update to the National Strategy, any absolute decline of life expectancy in the United States over the period since the previous transmittal of the National Strategy pursuant to subsection (b). A discussion of and data regarding the inequality in life expectancy within the United States. A discussion of and data regarding differences in life expectancy, including differing causes of premature death, between men and women. A discussion of and data regarding differing causes of premature death for Americans of different age groups, and how such differing causes have contributed to the gap between the life expectancy in the United States and the average life expectancy in the member countries of the Organization for Economic Cooperation and Development. An assessment of the effectiveness of and ways in which the Federal Government is addressing the causes identified under paragraphs (1), (2), (3), (4), and
(5)which shall include a projection of life expectancy in the United States in each of the next 10 years. A discussion of comprehensive, research-based, long-range, quantifiable proposed changes to efforts in order to— expeditiously increase the life expectancy in the United States to, at a minimum, the average life expectancy in the member countries of the Organization for Economic Cooperation and Development; and significantly reduce the inequality in life expectancy within the United States. A projection of life expectancy in the United States in each year of implementation of the changes proposed in the National Strategy, and a projection of the life expectancy in the member countries of the Organization for Economic Cooperation and Development in each of those years, until such year as the projected life expectancy in the United States equals or exceeds the projected average life expectancy in the member countries of the Organization for Economic Cooperation and Development. A proposed budget that identifies sufficient resources needed to successfully execute the National Strategy until such year as the projected life expectancy in the United States equals or exceeds the projected average life expectancy in the member countries of the Organization for Economic Cooperation and Development. For each change proposed in the National Strategy, a determination of which, if any, Federal department or agency should be responsible for implementing such change and whether the department or agency has the authority and resources to do so. The head of each Federal department or agency shall, pursuant to authority vested in the department or agency by provisions of law other than this section, work to implement each proposed recommendation in the National Strategy, as applicable, unless the National Strategy indicates that the department or agency needs additional resources or authorities to undertake such implementation. To carry out this section, there are authorized to be appropriated— $2,000,000 for each of fiscal years 2020 and 2021; and $1,000,000 for each of fiscal years 2022 through 2029. .
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Sec. 3
National Strategy To Increase Life Expectancy
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