The House Energy and Commerce Committee has released an initial “discussion document” outlining proposals of its 21st Century Cures initiative to accelerate development and delivery of promising treatments, as well as streamline clinical trials and modernize medical product regulation.

The Republican-controlled committee announced that the 393-page document is a “starting point in the legislative process to spur discussion” and that it is seeking feedback on the proposals. The goal, lawmakers say, is to continue on “an aggressive schedule” to introduce 21st Century Cures legislation and ultimately send a bill to President Obama’s desk for signature by the end of the year.

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