HR 3491
DeOndra Dixon INCLUDE Project Act of 2025
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Bill overview
This bill, the DeOndra Dixon INCLUDE Project Act of 2025, authorizes the National Institutes of Health (NIH) to establish a comprehensive research program focused on Down syndrome. The program will investigate the causes and co-occurring conditions associated with the condition, promote clinical trials inclusive of individuals with Down syndrome, and improve diagnosis, treatment, and quality of life. It also requires the NIH to coordinate research efforts and report on progress to Congress.
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119th CONGRESS — 1st Session
H. R. 3491
IN THE HOUSE OF REPRESENTATIVES
A BILL
To amend the Public Health Service Act to authorize the Secretary of Health and Human Services to carry out a program of research, training, and investigation related to Down syndrome, and for other purposes.
This Act may be cited as the DeOndra Dixon INCLUDE Project Act of 2025
.
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:
The Director of NIH shall carry out a program of research, training, and investigation related to Down syndrome to be known as the INvestigation of Co-occurring conditions across the Lifespan to Understand Down syndromE Project
or the INCLUDE Project
.
The program under subsection (a) shall include—
high-risk, high-reward research on the effects of trisomy 21 on human development and health;
promoting research for participants with Down syndrome across the lifespan, including cohort studies to facilitate improved understanding of Down syndrome and co-occurring conditions and development of new interventions;
expanding the number of clinical trials that are inclusive of, or expressly for, participants with Down syndrome, including novel biomedical and pharmacological interventions and other therapies designed to promote or enhance activities of daily living;
research on the biological mechanisms in individuals with Down syndrome pertaining to structural, functional, and behavioral anomalies and dysfunction as well as stunted growth;
supporting research to improve diagnosis and treatment of conditions co-occurring with Down syndrome, including the identification of biomarkers related to risk factors, diagnosis, and clinical research and therapeutics;
research on the causes of increased prevalence, and concurrent treatment, of co-occurring conditions, such as Alzheimer’s disease and related dementias and autoimmunity, in individuals with Down syndrome; and
The Director of NIH shall ensure that—
the programs and activities of the institutes and centers of the National Institutes of Health relating to Down syndrome and co-occurring conditions are coordinated, including through the Office of the Director of NIH and priority-setting reviews conducted pursuant to section 402(b)(3); and
such institutes and centers, prioritize, as appropriate, Down syndrome research that does not duplicate existing research activities of the National Institutes of Health.
In carrying out activities under this section, the Director of NIH shall, as appropriate and to the maximum extent feasible, consult with relevant stakeholders, including patient advocates, to ensure that such activities take into consideration the needs of individuals with Down syndrome.
The Director of NIH shall submit, on a biennial basis, to the Committee on Energy and Commerce and the Subcommittee on Labor, Health and Human Services, Education, and Related Agencies of the Committee on Appropriations of the House of Representatives and the Committee on Health, Education, Labor, and Pensions and the Subcommittee on Labor, Health and Human Services, Education, and Related Agencies of the Committee on Appropriations of the Senate, a report that catalogs the research conducted or supported under this section.
Each report under paragraph (1) shall include—
identification of the institute or center involved;
a statement of whether the research is or was being carried out directly by such institute or center or by multiple institutes and centers; and
identification of any resulting real-world evidence that is or may be used for clinical research and medical care for patients with Down syndrome.