[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3896 Introduced in House (IH)]

103d CONGRESS
  2d Session
                                H. R. 3896

  To amend the Public Health Service Act to provide for demonstration 
projects to improve the health of racial and ethnic minority groups by 
                     preventing disease and death.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 24, 1994

   Miss Collins of Michigan introduced the following bill; which was 
            referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To amend the Public Health Service Act to provide for demonstration 
projects to improve the health of racial and ethnic minority groups by 
                     preventing disease and death.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Minority Health Promotion and 
Disease Prevention Act of 1994''.

SEC. 2. ESTABLISHMENT OF PROGRAM.

    Title XVII of the Public Health Service Act (42 U.S.C. 300u et 
seq.) is amended by inserting after section 1707 the following section:

           ``demonstration projects regarding minority health

    ``Sec. 1707A. (a) In General.--
            ``(1) Authority for projects.--In providing for 
        demonstration projects under section 1707(b)(4), the Secretary, 
        acting through the Deputy Assistant Secretary for Minority 
        Health, may make grants to public and nonprofit private 
        entities for the purpose of carrying out demonstration projects 
        to provide preventive health and health promotion services to 
        racial and ethnic minority groups.
            ``(2) Priority regarding low-income individuals.--Projects 
        under paragraph (1) shall give priority to low-income 
        individuals.
            ``(3) Allocation of projects.--In making the initial grants 
        under paragraph (1), the Secretary shall ensure that not less 
        than 2 demonstration projects under such paragraph are carried 
        out in urban, distressed communities and not less than 1 such 
        project is carried out in a rural community.
    ``(b) Use of Funds.--
            ``(1) In general.--The purposes for which a grant under 
        subsection (a) may be expended include the following:
                    ``(A) Planning, coordination and provision of 
                health promotion and disease prevention community 
                services, including screening, detection, diagnosis, 
                and risk-reduction activities.
                    ``(B) Improving the recognition, assessment, 
                treatment, and clinical management of preventable 
                diseases.
                    ``(C) Developing and disseminating health education 
                materials and curricula for patients, for elementary 
                and secondary students and their parents.
                    ``(D) Designing self-help programs for participants 
                to improve his or her individual capacities to maintain 
                health and manage and prevent illness and disease.
                    ``(E) Providing technical assistance to providers.
            ``(2) Restrictions.--A grant under subsection (a) may not 
        be expended--
                    ``(A) for construction of facilities; or
                    ``(B) for the provision of services to individuals 
                for benefits covered, or for costs that are reimbursed, 
                by other Federal programs.
    ``(c) Requirements.--Grantees shall be required to--
            ``(1) submit an application assuring fulfillment of the 
        requirements of this section;
            ``(2) contribute 30 percent of the total project, unless 
        the Secretary waives such requirement upon demonstration of 
        extreme hardship or severe need;
            ``(3) develop a health assessment and health promotion/
        disease prevention action plan, in consultation with and with 
        the agreement of, for each person served;
            ``(4) develop a plan of self-sufficiency before the third 
        year under which the grantee would continue the program without 
        Federal funds;
            ``(5) provide assurance that funds will only be used for 
        the purposes specified in the application; and
            ``(6) establish accounting procedures to assure proper use 
        or disbursement of funds.
    ``(d) Evaluation.--Grants may be awarded for 3 years and may be 
renewed. For renewal, the Secretary shall evaluate projects on the 
basis of their effectiveness in reducing the incidence of disease and 
death among racial and ethnic minority groups.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there is authorized to be appropriated $15,000,000 
for each of the fiscal years 1995 through 1997. Such authorization is 
in addition to the authorization of appropriations available for such 
purpose under section 1707.
    ``(f) Definitions.--For purposes of this section:
            ``(1) The term `preventive health and health promotion 
        services' includes medical and medical-related services 
        intended to promote health maintenance, prevent illness, 
        eliminate health hazards, produce early detection of disease, 
        and inhibit deterioration of health.
            ``(2) The term `distressed community' means a community in 
        which a high percentage of families are low-income and there is 
        pervasive poverty, as defined by the United States Department 
        of Labor, and general economic distress.''.

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