Both sides have signed this (Bill Ranking)
H.R. 3491 · 119th Congress (2025-2026)
19 members · Left 12 · Center 1 · Right 6 (Bill Ranking)
| Sponsor | Rep. DeGette, Diana (D-CO) (Introduced 05/19/2025) |
|---|---|
| Sponsor Voting Record | Lean left · DW-NOMINATE -0.43 · measured from every roll-call vote this member has cast (voteview.com) (Sponsor Ranking) |
| Support |
LLLCLRR support across the spectrum: 19 members signed on (Bill Ranking) this bill: sponsor + current cosponsors, each once |
| Committees | Senate - Health, Education, Labor, and Pensions Committee; House - Energy and Commerce Committee; House - Energy and Commerce Committee; House - Energy and Commerce Committee |
| Latest Action | 07/21/2026 Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions. |
| Roll Call Votes | There have been no roll call votes |
| Source | view on congress.gov → |
Reported to House (07/02/2026)
DeOndra Dixon INCLUDE Project Act of 2025
This bill provides statutory authority for a program of the National Institutes of Health (NIH) that carries out research and training relating to Down syndrome, including with respect to co-occurring conditions and improving the quality of life of affected individuals. The NIH must implement the program in consultation with relevant stakeholders and avoid duplicating existing NIH Down syndrome research.
Biennially, the NIH must submit to Congress a report cataloging the research, including results that may be used in medical care or clinical research.
119 HR 3491 EH: DeOndra Dixon INCLUDE Project Act of 2025 U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IB 119th CONGRESS2d Session H. R. 3491
IN THE HOUSE OF REPRESENTATIVES AN ACT 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.
1.Short titleThis Act may be cited as the DeOndra Dixon INCLUDE Project Act of 2025.
2.DeOndra Dixon INCLUDE ProjectPart 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: 409K.Down syndrome research (a)In generalThe 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. (b)Program elementsThe program under subsection (a) shall include— (1)high-risk, high-reward research on the effects of trisomy 21 on human development and health; (2)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; (3)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; (4)research on the biological mechanisms in individuals with Down syndrome pertaining to structural, functional, and behavioral anomalies and dysfunction as well as stunted growth; (5)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; (6)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 (7)research, training, and investigation on improving the quality of life of individuals with Down syndrome and their families. (c)Coordination; prioritizing nonduplicative researchThe Director of NIH shall ensure that— (1)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 (2)such institutes and centers, prioritize, as appropriate, Down syndrome research that does not duplicate existing research activities of the National Institutes of Health. (d)Consultation with stakeholdersIn 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. (e)Biennial reports to Congress (1)In generalThe 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. (2)ContentsEach report under paragraph (1) shall include— (A)identification of the institute or center involved; (B)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 (C)identification of any resulting real-world evidence that is or may be used for clinical research and medical care for patients with Down syndrome.. Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.
119 HR 3491 IH: DeOndra Dixon INCLUDE Project Act of 2025 U.S. House of Representatives 2025-05-19 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I119th CONGRESS1st SessionH. R. 3491IN THE HOUSE OF REPRESENTATIVESMay 19, 2025Ms. DeGette (for herself, Mr. Hudson, Ms. DeLauro, Mr. Cole, Ms. Norton, and Mr. Stauber) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo 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.
1.Short titleThis Act may be cited as the DeOndra Dixon INCLUDE Project Act of 2025.
2.DeOndra Dixon INCLUDE ProjectPart 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: 409K.Down syndrome research (a)In generalThe 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. (b)Program elementsThe program under subsection (a) shall include— (1)high-risk, high-reward research on the effects of trisomy 21 on human development and health; (2)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; (3)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; (4)research on the biological mechanisms in individuals with Down syndrome pertaining to structural, functional, and behavioral anomalies and dysfunction as well as stunted growth; (5)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; (6)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 (7)research, training, and investigation on improving the quality of life of individuals with Down syndrome and their families. (c)Coordination; prioritizing nonduplicative researchThe Director of NIH shall ensure that— (1)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 (2)such institutes and centers, prioritize, as appropriate, Down syndrome research that does not duplicate existing research activities of the National Institutes of Health. (d)Consultation with stakeholdersIn 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. (e)Biennial reports to Congress (1)In generalThe 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. (2)ContentsEach report under paragraph (1) shall include— (A)identification of the institute or center involved; (B)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 (C)identification of any resulting real-world evidence that is or may be used for clinical research and medical care for patients with Down syndrome..
119 HR 3491 : DeOndra Dixon INCLUDE Project Act of 2025 U.S. House of Representatives 2026-07-21 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IIB119th CONGRESS2d SessionH. R. 3491IN THE SENATE OF THE UNITED STATESJuly 21, 2026Received; read twice and referred to the Committee on Health, Education, Labor, and PensionsAN ACTTo 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.1.Short titleThis Act may be cited as the DeOndra Dixon INCLUDE Project Act of 2025.2.DeOndra Dixon INCLUDE ProjectPart 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:409K.Down syndrome research(a)In generalThe 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.(b)Program elementsThe program under subsection (a) shall include—(1)high-risk, high-reward research on the effects of trisomy 21 on human development and health;(2)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;(3)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;(4)research on the biological mechanisms in individuals with Down syndrome pertaining to structural, functional, and behavioral anomalies and dysfunction as well as stunted growth;(5)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;(6)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(7)research, training, and investigation on improving the quality of life of individuals with Down syndrome and their families.(c)Coordination; prioritizing nonduplicative researchThe Director of NIH shall ensure that—(1)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(2)such institutes and centers, prioritize, as appropriate, Down syndrome research that does not duplicate existing research activities of the National Institutes of Health.(d)Consultation with stakeholdersIn 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.(e)Biennial reports to Congress(1)In generalThe 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.(2)ContentsEach report under paragraph (1) shall include—(A)identification of the institute or center involved;(B)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(C)identification of any resulting real-world evidence that is or may be used for clinical research and medical care for patients with Down syndrome..Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.
119 HR 3491 RH: DeOndra Dixon INCLUDE Project Act of 2025 U.S. House of Representatives 2026-07-02 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IBUnion Calendar No. 627119th CONGRESS2d SessionH. R. 3491[Report No. 119–722]IN THE HOUSE OF REPRESENTATIVESMay 19, 2025Ms. DeGette (for herself, Mr. Hudson, Ms. DeLauro, Mr. Cole, Ms. Norton, and Mr. Stauber) introduced the following bill; which was referred to the Committee on Energy and CommerceJuly 2, 2026Additional sponsors: Mr. Tonko, Ms. Pettersen, Ms. Craig, Mr. Crow, Mr. Neguse, Mr. Pocan, Mrs. Wagner, Ms. Ross, Mr. Kustoff, Mr. Subramanyam, Mr. Nadler, Mr. Walkinshaw, and Mr. WittmanJuly 2, 2026Committed to the Committee of the Whole House on the State of the Union and ordered to be printedA BILLTo 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.1.Short titleThis Act may be cited as the DeOndra Dixon INCLUDE Project Act of 2025.2.DeOndra Dixon INCLUDE ProjectPart 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:409K.Down syndrome research(a)In generalThe 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.(b)Program elementsThe program under subsection (a) shall include—(1)high-risk, high-reward research on the effects of trisomy 21 on human development and health;(2)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;(3)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;(4)research on the biological mechanisms in individuals with Down syndrome pertaining to structural, functional, and behavioral anomalies and dysfunction as well as stunted growth;(5)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;(6)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(7)research, training, and investigation on improving the quality of life of individuals with Down syndrome and their families.(c)Coordination; prioritizing nonduplicative researchThe Director of NIH shall ensure that—(1)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(2)such institutes and centers, prioritize, as appropriate, Down syndrome research that does not duplicate existing research activities of the National Institutes of Health.(d)Consultation with stakeholdersIn 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.(e)Biennial reports to Congress(1)In generalThe 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.(2)ContentsEach report under paragraph (1) shall include—(A)identification of the institute or center involved;(B)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(C)identification of any resulting real-world evidence that is or may be used for clinical research and medical care for patients with Down syndrome..July 2, 2026Committed to the Committee of the Whole House on the State of the Union and ordered to be printed
The bill's own words, from our database (synced from the GPO BILLS XML); paragraph breaks added at the bill's section boundaries, nothing else changed.
| Date | Chamber | All Actions |
|---|---|---|
| 05/19/2025 | Library of Congress | Introduced in House |
| 05/19/2025 | Library of Congress | Introduced in House |
| 05/19/2025 | House floor actions | Referred to the House Committee on Energy and Commerce. |
| 05/21/2026 | House committee actions | Committee Consideration and Mark-up Session Held |
| 05/21/2026 | House committee actions | Ordered to be Reported by the Yeas and Nays: 46 - 0. |
| 07/02/2026 | Library of Congress | Reported by the Committee on Energy and Commerce. H. Rept. 119-722. |
| 07/02/2026 | House floor actions | Reported by the Committee on Energy and Commerce. H. Rept. 119-722. |
| 07/02/2026 | House floor actions | Placed on the Union Calendar, Calendar No. 627. |
| 07/20/2026 | House floor actions | Mr. Guthrie moved to suspend the rules and pass the bill. |
| 07/20/2026 | House floor actions | Considered under suspension of the rules. (consideration: CR H4649-4651) |
| 07/20/2026 | House floor actions | DEBATE - The House proceeded with forty minutes of debate on H.R. 3491. |
| 07/20/2026 | Library of Congress | Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H4649-4650) |
| 07/20/2026 | House floor actions | On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H4649-4650) |
| 07/20/2026 | House floor actions | Motion to reconsider laid on the table Agreed to without objection. |
| 07/21/2026 | Senate | Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions. |
| Title Type | Title |
|---|---|
| Short Titles from RFS (Referred to Senate) bill text | DeOndra Dixon INCLUDE Project Act of 2025 |
| Short Title(s) as Passed House | DeOndra Dixon INCLUDE Project Act of 2025 |
| Official Titles from EH (Engrossed in House) bill text | 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. |
| Short Title(s) as Reported to House | DeOndra Dixon INCLUDE Project Act of 2025 |
| Display Title | DeOndra Dixon INCLUDE Project Act of 2025 |
| Short Title(s) as Introduced | DeOndra Dixon INCLUDE Project Act of 2025 |
| Official Title as Introduced | 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. |
There are no amendments to this bill.
* = Original cosponsor
| Committee | Activity |
|---|---|
| Senate - Health, Education, Labor, and Pensions Committee | 07/21/2026 Referred To |
| House - Energy and Commerce Committee | 07/02/2026 Reported By |
| House - Energy and Commerce Committee | 05/21/2026 Markup By |
| House - Energy and Commerce Committee | 05/19/2025 Referred To |
Policy Area: Health
All data on this page comes from our own database (legislation.congress_* tables), synced daily from the GPO govinfo BILLSTATUS and BILLS collections. Formatted after congress.gov; nothing is generated. Member placement is their DW-NOMINATE score (voteview.com, Lewis et al.) - a measurement of roll-call voting behavior, not our judgement. Buckets: Left below −0.50 · Lean Left to −0.25 · Center to +0.25 · Lean Right to +0.50 · Right above +0.50. The bill's Support meter aggregates the people who signed the bill - sponsor and current cosponsors, each counted once - nothing else.