110 HR 3333 IH: Minority Health Improvement and Health
U.S. House of Representatives
2007-08-02
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.
1.Short title; table of
contents
(a)This Act may be cited
as the Minority Health Improvement and
Health Disparity Elimination Act
.
(b)
Sec. 1. Short title; table of contents.
Sec. 2. Definitions.
TITLE I—Increasing diversity and cultural competency in the
healthcare workforce through education and training
Sec. 101. Cultural competency and communication for
providers.
Sec. 102. Healthcare workforce composition and
placement.
Sec. 103. Workforce training to achieve diversity.
Sec. 104. Mid-career health professions scholarship
program.
Sec. 105. Cultural competency training.
Sec. 106. Authorization of appropriations;
reauthorizations.
TITLE II—Promoting health and healthcare awareness and
access
Sec. 201. Care and access.
Sec. 202. Authorization of appropriations.
TITLE III—Research to reduce and eliminate health
disparities
Sec. 301. Agency for healthcare research and
quality.
Sec. 302. Genetic variation and health.
Sec. 303. Evaluations by the Institute of Medicine.
Sec. 304. National Center for Minority Health and Health
Disparities reauthorization.
Sec. 305. Authorization of appropriations.
TITLE IV—Data collection, analysis, and quality
Sec. 401. Data collection, analysis, and quality.
TITLE V—Leadership, collaboration, and national action
plan
Sec. 501. Office of Minority Health.
2.In this Act and the amendments made by this
Act:
(1)The term
culturally competent—
(A)with respect to health-related services,
means the ability to provide healthcare tailored to meet the social, cultural,
and linguistic needs of patients from diverse backgrounds; and
(B)when used to describe education or
training, means education or training designed to prepare those receiving the
education or training to provide health-related services tailored to meet the
social, cultural, and linguistic needs of patients from diverse
backgrounds.
(2)Health disparity
populationThe term health disparity population has
the meaning given such term in section 903(d)(1) of the
Public Health Service Act (42 U.S.C.
299a–1(d)(1)).
(3)The term health literacy means the degree
to which an individual has the capacity to obtain, communicate, process, and
understand health information (including the register and language in which the
information is provided) and services in order to make appropriate health
decisions.
(4)Indians; Indian
tribe; tribal organization; urban Indian organizationThe terms
Indian, Indian tribe, tribal
organization, and urban Indian organization have the
meanings given such terms in section 4 of the Indian Health Care Improvement
Act (25 U.S.C. 1603).
(5)The term minority group has the meaning given
the term racial and ethnic minority group in section 1707 of the
Public Health Service Act (42 U.S.C.
300u–6) (as amended by section 501).
(6)Practice-based
research networksThe term practice-based research
network means a group of ambulatory practices devoted principally to the
primary care of patients, and affiliated in their mission to investigate
questions related to community-based practice and to improve the quality of
primary care.
(7)The
term Secretary means the Secretary of Health and Human
Services.
<enum>I</enum><header>Increasing
diversity and cultural competency in the healthcare workforce through education
and training</header>
<section id="H33A4FA6C28BD47CFB99E98BCF6B20E1"><enum>101.</enum><header>Cultural
competency and communication for providers</header><text display-inline="no-display-inline">Title II of the Public Health Service Act
(<external-xref legal-doc="usc" parsable-cite="usc/42/202">42 U.S.C. 202 et seq.</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H05DC282838984983A19312DC2FF9D88E" style="OLC">
<section id="HA8216182D99641D080EB1BFA4C744F00"><enum>270.</enum><header>Internet
clearinghouse to improve cultural competency and communication by healthcare
providers</header>
<subsection id="HFA10EE8A4AFC42CCA8444284CA0328E4"><enum>(a)</enum><header>Establishment</header><text>Not
later than 1 year after the date of enactment of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>, the Secretary, acting through the
Deputy Assistant Secretary for Minority Health, shall develop and maintain an
Internet Clearinghouse within the Office of Minority Health to assist providers
in improving the health and healthcare of racial and ethnic minority groups,
with the goal of—</text>
<paragraph id="H3449ED8B2B724AA292862D033DE8796D"><enum>(1)</enum><text>increasing
cultural competency;</text>
</paragraph><paragraph id="HF04933876E9F4490970705B13CE01EB9"><enum>(2)</enum><text>improving
communication between healthcare providers, staff, and their patients,
including those patients with low health literacy;</text>
</paragraph><paragraph id="HA8816CB403E24A2C93279CF656F054F1"><enum>(3)</enum><text>improving
healthcare quality and patient satisfaction;</text>
</paragraph><paragraph id="HF3E4D1F16EDD4ADC998DACF93E6E0722"><enum>(4)</enum><text>reducing medical
errors and healthcare costs; and</text>
</paragraph><paragraph id="HC495A18952334C11A43744272178C853"><enum>(5)</enum><text>reducing
duplication of effort regarding translation of materials.</text>
</paragraph></subsection><subsection id="HF4605A4003A140B39EDE00F9A600E200"><enum>(b)</enum><header>Internet
clearinghouse</header><text>Not later than 1 year after the date of enactment
of this section the Secretary, acting through the Deputy Assistant Secretary
for Minority Health, and in consultation with the Director of the Office for
Civil Rights, shall carry out subsection (a) by—</text>
<paragraph id="H0C878BA1017E4D639F3EE3DD359219DF"><enum>(1)</enum><text>developing and
maintaining, through the Office of Minority Health, an accessible library and
database on the Internet with easily searchable, clinically-relevant
information regarding culturally competent healthcare for racial and ethnic
minority groups, including Internet links to additional resources that fulfill
the purpose of this section;</text>
</paragraph><paragraph id="H0DE9753C9B564394A4DFCD6BFB10B9B0"><enum>(2)</enum><text>developing and
making templates for visual aids and standard documents with clear explanations
that can help patients and consumers access and make informed decisions about
healthcare, including—</text>
<subparagraph id="HA43D6C3B298A4DDFAAFD08A393574300"><enum>(A)</enum><text>administrative and
legal documents, including informed consent and advanced directives;</text>
</subparagraph><subparagraph id="H48BA33E9FEB84696B0B27F73AB42766E"><enum>(B)</enum><text>clinical
information, including information pertaining to treatment adherence,
self-management training for chronic conditions, preventing transmission of
disease, and discharge instructions;</text>
</subparagraph><subparagraph id="H35C843950CF349348C58946C3311B9B"><enum>(C)</enum><text>patient education
and outreach materials, including immunization or screening notices and health
warnings; and</text>
</subparagraph><subparagraph id="H96DC6411D4FE462F895F94F9D32862A6"><enum>(D)</enum><text>Federal health
forms and notices;</text>
</subparagraph></paragraph><paragraph id="H35349AEBD30C402D9D9E811CB47269F5"><enum>(3)</enum><text>ensuring that
documents described in paragraph (2) are posted in English and non-English
languages and are culturally appropriate;</text>
</paragraph><paragraph id="H9CDC37001BA24CE3B29152C471DE3E28"><enum>(4)</enum><text>encouraging
healthcare providers to customize such documents for their use;</text>
</paragraph><paragraph id="HD2B4F387F52E4BC996E210643338DAF5"><enum>(5)</enum><text>facilitating
access to such documents, including distribution in both paper and electronic
formats;</text>
</paragraph><paragraph id="H3E69202E27D44DCDA872C3FA47DEC2EC"><enum>(6)</enum><text>providing
technical assistance to healthcare providers with respect to the access and use
of information described in paragraph (1) including information to help
healthcare providers—</text>
<subparagraph id="H63169785CF8B4C21B434D263DFC92906"><enum>(A)</enum><text>understand the
concept of cultural competence;</text>
</subparagraph><subparagraph id="HD8266F0E0D474628A7E40201E4003EEB"><enum>(B)</enum><text>implement
culturally competent practices;</text>
</subparagraph><subparagraph id="HA58B06EBBE7440B6AB936D812756BF8B"><enum>(C)</enum><text>care for patients
with low health literacy, including helping such patients understand and
participate in healthcare decisions;</text>
</subparagraph><subparagraph id="HEE86DA6EF6274D8D94D1B682276B37E0"><enum>(D)</enum><text>understand and
apply Federal guidance and directives regarding healthcare for racial and
ethnic minority groups;</text>
</subparagraph><subparagraph id="HC0F2B9D62FEE4F3F00E2C957DD6B861"><enum>(E)</enum><text>obtain
reimbursement for provision of culturally competent services;</text>
</subparagraph><subparagraph id="H1D98461861564F63824FF1DF00E02E18"><enum>(F)</enum><text>understand and
implement bioinformatics and health information technology in order to improve
healthcare for racial and ethnic minority groups; and</text>
</subparagraph><subparagraph id="H2071C0EFB065464F8C00001DD3993EEA"><enum>(G)</enum><text>conduct other
activities determined appropriate by the Secretary;</text>
</subparagraph></paragraph><paragraph id="H573A31B21E474A64B9701BD955F60424"><enum>(7)</enum><text>providing
culturally appropriate dissemination strategies to provide educational
materials to patients, representatives of community-based organizations, and
the public with respect to the access and use of information described in
paragraph (1), including—</text>
<subparagraph id="H244D5A23B6AF4435B78D07E084E93CC9"><enum>(A)</enum><text>information to
help such individuals—</text>
<clause id="H521A7A5B920E49F5882D8F4E89C54476"><enum>(i)</enum><text>understand the
concept of cultural competence, and the role of cultural competence in the
delivery of healthcare;</text>
</clause><clause id="HE4D6C4E80A7748A99D437816451595B6"><enum>(ii)</enum><text>work with
healthcare providers to implement culturally competent practices;</text>
</clause><clause id="H9DCF581CADE24D0E92A17B006BDAE09F"><enum>(iii)</enum><text>provide options
for providers and consumers to promote increased understanding of health
literacy and self-management concepts, as well as the benefits of improved
provider-patient communications; and</text>
</clause><clause id="H854467A41A2540D79B381304623ED801"><enum>(iv)</enum><text>understand the
concept of low health literacy, and the barriers it presents to care;
and</text>
</clause></subparagraph><subparagraph id="H58B2813E463A4E4E8C2EFDC854460066"><enum>(B)</enum><text>if determined
appropriate, materials and information identified by community-based
organizations, including other non-profit organizations, that are beneficial in
assisting healthcare providers and patients in making decisions regarding
health, healthcare, and patient recovery; and</text>
</subparagraph><subparagraph id="H3C5B0DC5FE6C49F5A2509949D90BDFC"><enum>(C)</enum><text>other material
determined appropriate by the Secretary; and</text>
</subparagraph></paragraph><paragraph id="HD5ED824F485D41D9AF00A45E446C2DE4"><enum>(8)</enum><text>supporting
initiatives that the Secretary determines to be useful to fulfill the purposes
of the Internet Clearinghouse.</text>
</paragraph></subsection><subsection id="H03A206BF253149B7AAA2FD6800497D06"><enum>(c)</enum><header>Definitions</header><text>The
definitions contained in section 2 of the <short-title>Minority Health Improvement and Health Disparity
Elimination Act</short-title> shall apply for purposes of this
section.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HEF95CA67DEA04218B0D6E3018323BF9"><enum>102.</enum><header>Healthcare
workforce composition and placement</header>
<subsection id="H40C6D04C59C545358206DB210087659F"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Part F of title VII
of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/295j">42 U.S.C. 295j et seq.</external-xref>) is amended by
inserting after section 792 the following:</text>
<quoted-block display-inline="no-display-inline" id="HA1D20D194A514185A12E76FCB4887BBB" style="OLC">
<section id="H6F6894EE2FCC497B8C9FF4C73DFFD3"><enum>793.</enum><header>Healthcare
workforce, education, and training</header>
<subsection id="H01672E3E68184B948B0000A6DEA45DB"><enum>(a)</enum><header>In
general</header><text>The Secretary, acting through the Administrator of the
Health Resources and Services Administration and the Deputy Assistant Secretary
for Minority Health, shall establish a database that can produce aggregated and
disaggregated statistics on health professional students, including applicants,
matriculates, and graduates.</text>
</subsection><subsection id="H62AD96AB53C24E89A9B68C3BCA8F4B67"><enum>(b)</enum><header>Requirement To
collect data</header>
<paragraph id="HEED94797A96A4591B381EE33CF885E"><enum>(1)</enum><header>In
general</header><text>Each health professions school described in paragraph (2)
that receives Federal funds shall collect race and ethnicity data, primary
language data, and where feasible, other health disparity data pursuant to
subsection (d), concerning the students described in subsection (a), as well as
intended geographical site of practice and intended discipline of practice for
graduates. In collecting race and ethnicity data, a school shall—</text>
<subparagraph id="H6F69CD3ADF4D4ABC90A2D414FD346500"><enum>(A)</enum><text>at a minimum, use
the categories for race and ethnicity established by the Director of the Office
of Management and Budget in effect on the date of enactment of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>; and</text>
</subparagraph><subparagraph id="H9298186BBC1F482495F3DF02DC53FCF3"><enum>(B)</enum><text>if practicable,
collect data on additional population groups if such data can be aggregated
into the minimum race and ethnicity data categories.</text>
</subparagraph></paragraph><paragraph id="H71269F51F52D42DEA66B5F600127695E"><enum>(2)</enum><header>Health
professions school</header><text>A health professions school described under
this paragraph is a school of medicine or osteopathic medicine, public health,
nursing, dentistry, optometry, pharmacy, allied health, podiatric medicine, or
veterinary medicine, or a graduate program in mental health practice.</text>
</paragraph></subsection><subsection id="HF5E43F964E814AC8B907B91C7E431632"><enum>(c)</enum><header>Reporting</header><text>Each
school or program described under subsection (b), shall, on an annual basis,
report data on race and ethnicity and primary language collected under this
section to the Secretary for inclusion in the database established under
subsection (a). The Secretary shall ensure that such disparity data is reported
to Congress and made available to the public.</text>
</subsection><subsection id="HE3F569E41DEB4C9D96EB4F4049592F72"><enum>(d)</enum><header>Health disparity
measures</header><text>The Secretary shall develop, report, and disseminate
measures of the other health data referenced in section 793(b)(1), to ensure
uniform and consistent collection and reporting of these measures by health
professions schools. In developing such measures, the Secretary shall take into
consideration health disparity indicators developed pursuant to section
2901(c).</text>
</subsection><subsection id="H588049805902455EAFD445ACE4F2DC93"><enum>(e)</enum><header>Use of
data</header><text>Data reported pursuant to subsection (c) shall be used by
the Secretary to conduct ongoing short- and long-term analyses of diversity
within health professions schools and the health professions. The Secretary
shall ensure that such analyses are reported to Congress and made available to
the public.</text>
</subsection><subsection id="H39020DC904C9450F8D6609E3EA1227A9"><enum>(f)</enum><header>Cultural
competency training</header><text>The Secretary shall mandate the collection
and reporting of data from health professions schools regarding the extent to
which cultural competency training is provided to health professions students,
that may include the duration, content and timing of the training, and conduct
periodic assessments regarding the preparedness of such students to care for
patients from racial and ethnic minority groups.</text>
</subsection><subsection id="HE05F5008907744EC897B07B3B80DA70"><enum>(g)</enum><header>Privacy</header><text>The
Secretary shall ensure that all data collected under this section is protected
from inappropriate internal and external use by any entity that collects,
stores, or receives the data and that such data is collected without personally
identifiable information.</text>
</subsection><subsection id="H1C5B78A5BF7E48FAA922387CF9C89CC9"><enum>(h)</enum><header>Partnership</header><text>The
Secretary may contract with external entities to fulfill the requirements under
this section if such entities have demonstrated expertise and experience
collecting, analyzing, and reporting data required under this section for
health professional
students.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HAE4944BEFDCB44B1A2F7AA41FC223012"><enum>(b)</enum><header>National Health
Service Corps Program</header>
<paragraph id="HC13078B47C0D429F880910F357FB3D1"><enum>(1)</enum><header>Assignment of
corps personnel</header><text>Section 333(a)(3) of the Public Health Service
Corps (<external-xref legal-doc="usc" parsable-cite="usc/42/254f">42 U.S.C. 254f(a)(3)</external-xref>) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H9AAEE3C2BDA2454B95402B72AAF0AE09" style="OLC">
<paragraph id="HB212772809814D2B866F8F8700F05D23"><enum>(3)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="H33EC58C64394436FB4C50060BA5F6C00"><enum>(A)</enum><text>In approving
applications for assignment of members of the Corps, the Secretary shall not
discriminate against application from entities which are not receiving Federal
financial assistance under this Act.</text>
</subparagraph><subparagraph id="H01DE4632B2C6450991B35C5E903D992F" indent="up1"><enum>(B)</enum><text>In approving such applications, the
Secretary shall—</text>
<clause id="H19E4464E831F4AB49544789F0858A11C"><enum>(i)</enum><text>give preference to applications in
which a nonprofit entity or public entity shall provide a site to which Corps
members may be assigned; and</text>
</clause><clause id="H75B78806046A41E898759EEBC7C42C"><enum>(ii)</enum><text>give highest preference to
applications—</text>
<subclause id="HF1CC575AAB4F4B29B1A443F0F5665FD1"><enum>(I)</enum><text>from entities described in clause (i)
that are federally qualified health centers as defined in section 1905(l)(2)(B)
of the Social Security Act; and</text>
</subclause><subclause id="H89DA85C8DE9B45BFB07F597CCA4335A8"><enum>(II)</enum><text>from entities described in clause (i)
that primarily serve racial and ethnic minority groups with annual incomes at
or below twice those set forth in the most recent poverty guidelines issued by
the Secretary pursuant to section 673(2) of the Community Services Block Grant
Act (42 U.S.C.
9902(2)).</text>
</subclause></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H62B331F1CDD64F67B1703EAE0029E953"><enum>(2)</enum><header>Priorities in
assignment of corps personnel</header><text>Section 333A of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254f-1">42 U.S.C. 254f–1</external-xref>) is amended—</text>
<subparagraph id="HA1BC449A50FA4731B8A772C565CB743"><enum>(A)</enum><text>in subsection
(a)—</text>
<clause id="H7D06C87CF7D548A283B738C8C1AA35D1"><enum>(i)</enum><text>by
redesignating paragraphs (1), (2), and (3) as paragraphs (2), (3), and (4),
respectively; and</text>
</clause><clause id="HB52C5462A72042989FFAC71682909DE6"><enum>(ii)</enum><text>by
striking <quote>shall—</quote> and inserting “shall—</text>
<quoted-block display-inline="no-display-inline" id="H0E4873F248934BB1AF923BDF3EA6667E" style="OLC">
<paragraph id="HFE68424F22944EFAB429AC31D67BBC88"><enum>(1)</enum><text>give preference to
applications as set forth in subsection (a)(3) of section
333;</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="H2BDAE085BC544104A5C9998E4925A0D5"><enum>(B)</enum><text>by striking
<quote>subsection (a)(1)</quote> each place it appears and inserting
<quote>subsection (a)(2)</quote>.</text>
</subparagraph></paragraph><paragraph id="HE1ED7B17F074417DADC5F9F4B1FBF783"><enum>(3)</enum><header>Conforming
amendment</header><text>Section 338I(c)(3)(B)(ii) of the Public Health Service
Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254q-1">42 U.S.C. 254q–1(c)(3)(B)(ii)</external-xref>) is amended by striking <quote>section
333A(a)(1)</quote> and inserting <quote>section 333A(a)(2)</quote>.</text>
</paragraph></subsection></section><section id="H6765816B706D4231B9B9FD7DE99709F1"><enum>103.</enum><header>Workforce
training to achieve diversity</header>
<subsection id="H107859CE71E24EF58B928E37044DB748"><enum>(a)</enum><header>Centers of
excellence</header><text>Section 736 of the Public Health Service Act (42
U.S.C. 293) is amended—</text>
<paragraph id="H0F16C13E1DB240F187ADD56F86BF00A1"><enum>(1)</enum><text>by striking
subsection (a) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H49A142E262114B339267224EA72816D9" style="OLC">
<subsection id="H16227C1BFAFB479390E0206200AD7176"><enum>(a)</enum><header>In
general</header><text>The Secretary shall make grants to, and enter into
contracts with, public and nonprofit private health or educational entities,
including designated health professions schools described in subsection (c),
for the purpose of assisting the entities in supporting programs of excellence
in health professions education for underrepresented minorities in health
professions.</text>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="H52DEA70315104E3DB828509CFFE36ECB"><enum>(2)</enum><text>by striking
subsection (b) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H51039C8384EF46DE8CA46C9DC7009690" style="OLC">
<subsection id="HF6EAB4813BC04C6AA6A97D4512F97594"><enum>(b)</enum><header>Required Use of
Funds</header><text>The Secretary may not make a grant under subsection (a)
unless the designated health professions school agrees, subject to subsection
(c)(1)(C), to use the funds awarded under the grant to—</text>
<paragraph id="HA2FFBA21A90E4DBA918CBBED5564DB9D"><enum>(1)</enum><text>develop a large
competitive applicant pool through linkages with institutions of higher
education, local school districts, and other community-based entities and
establish an education pipeline for health professions careers;</text>
</paragraph><paragraph id="HD46C4911B2B84E019E94A6868F6E93EF"><enum>(2)</enum><text>establish,
strengthen, or expand programs to enhance the academic performance of
underrepresented minority in health professions students attending the
school;</text>
</paragraph><paragraph id="HDC217FB6F92A4B779E7605C282F833F4"><enum>(3)</enum><text>improve the
capacity of such school to train, recruit, and retain underrepresented minority
faculty members including the payment of such stipends and fellowships as the
Secretary may determine appropriate;</text>
</paragraph><paragraph id="H34C4B3FAD33F4E4A8F73F65807A44700"><enum>(4)</enum><text>carry out
activities to improve the information resources, clinical education, curricula,
and cultural and linguistic competence of the graduates of the school, as it
relates to minority health issues;</text>
</paragraph><paragraph id="HAA2A11E8AA4A47578515958431043CC9"><enum>(5)</enum><text>facilitate faculty
and student research on health issues particularly affecting racial and ethnic
minority groups, including research on issues relating to the delivery of
culturally competent healthcare (as defined in section 270);</text>
</paragraph><paragraph id="H50752C6246E34D4FA5C2872EFD23392F"><enum>(6)</enum><text>establish and
implement a program to train students of the school in providing health
services to racial and ethnic minority individuals through training provided to
such students at community-based health facilities that—</text>
<subparagraph id="HCF2FA412E1C548B799CE1A58B58A451"><enum>(A)</enum><text>provide such health
services; and</text>
</subparagraph><subparagraph id="HC6E1BEA459404C3DA99BC11D99FEC8B4"><enum>(B)</enum><text>are located at a
site remote from the main site of the teaching facilities of the school;</text>
</subparagraph></paragraph><paragraph id="H1A30DB8354FF4495851BF300E1CAC1A"><enum>(7)</enum><text>provide stipends as
the Secretary determines appropriate, in amounts as the Secretary determines
appropriate; and</text>
</paragraph><paragraph commented="no" id="H05E79FB77EC74ACBA7A6C08E02A1F51F"><enum>(8)</enum><text>conduct
accountability and other reporting activities, as required by the Secretary in
subsection
(i).</text>
</paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="HDBCFC8FA67E34BEE9F349F77C66E1F38"><enum>(3)</enum><text>in subsection
(c)—</text>
<subparagraph id="H8C523A48D1EB4A498D530971E241D6E6"><enum>(A)</enum><text>by amending
paragraph (1) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H591E5B7F54534E5BAE1C1932EEE0D0" style="OLC">
<paragraph id="H2740E7C5D5324AFA8194516554EA6EEC"><enum>(1)</enum><header>Designated
schools</header>
<subparagraph id="H49698D192CAB4FCE921EF579B63D5200"><enum>(A)</enum><header>In
general</header><text>The designated health professions schools referred to in
subsection (a) are such schools that meet each of the conditions specified in
subparagraphs (B) and (C), and that—</text>
<clause id="H10FD3ABFE2824895A597763CBD58DF6D"><enum>(i)</enum><text>meet each of the
conditions specified in paragraph (2)(A);</text>
</clause><clause id="H2C518981DBBE41D095FA52BBD36000E5"><enum>(ii)</enum><text>meet each of the
conditions specified in paragraph (3);</text>
</clause><clause id="HE396764B73E44B27BB4735F6939E423E"><enum>(iii)</enum><text>meet each of the
conditions specified in paragraph (4); or</text>
</clause><clause id="H2F53BE3388E54F6BADF54DC8670987BC"><enum>(iv)</enum><text>meet each of the
conditions specified in paragraph (5).</text>
</clause></subparagraph><subparagraph id="HB972674490A44F37A1997700C98300F5"><enum>(B)</enum><header>General
conditions</header><text>The conditions specified in this subparagraph are that
a designated health professions school—</text>
<clause id="H97E28DE4175E42E7BEC9E882F1832B80"><enum>(i)</enum><text>has a significant
number of underrepresented minority in health professions students enrolled in
the school, including individuals accepted for enrollment in the school;</text>
</clause><clause id="HC26D5467B0814887B63D57EE578EA6D1"><enum>(ii)</enum><text>has been
effective in assisting such students of the school to complete the program of
education and receive the degree involved;</text>
</clause><clause id="H40D2EB35D34640628C48BD698E9385E2"><enum>(iii)</enum><text>has been
effective in recruiting such students to enroll in and graduate from the
school, including providing scholarships and other financial assistance to such
students and encouraging such students from all levels of the educational
pipeline to pursue health professions careers; and</text>
</clause><clause id="HEA812923485C4700BEE61E7029009E3E"><enum>(iv)</enum><text>has made
significant recruitment efforts to increase the number of underrepresented
minority in health professions individuals serving in faculty or administrative
positions at the school.</text>
</clause></subparagraph><subparagraph id="H758412D49B5C4A3C9EBB2E790385D61B"><enum>(C)</enum><header>Consortium</header><text>The
condition specified in this subparagraph is that, in accordance with subsection
(e)(1), the designated health profession school involved has with other health
profession schools (designated or otherwise) formed a consortium to carry out
the purposes described in subsection (b) at the schools of the
consortium.</text>
</subparagraph><subparagraph id="HDE3EBFFB701A4BE39DF4CC9F538519DC"><enum>(D)</enum><header>Application of
criteria to other programs</header><text>In the case of any criteria
established by the Secretary for purposes of determining whether schools meet
the conditions described in subparagraph (B), this section may not, with
respect to racial and ethnic minorities, be construed to authorize, require, or
prohibit the use of such criteria in any program other than the program
established in this
section.</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="H8EA5F97E9AEA4C4AA481FA64492819B3"><enum>(B)</enum><text>by amending
paragraph (2) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H073EBADF143B4781AEC7FC36B12D7B56" style="OLC">
<paragraph id="H2BFCBC63876E456AAF1C08BB61EF757E"><enum>(2)</enum><header>Centers of
excellence at certain historically black colleges and universities</header>
<subparagraph id="HB394EAA647274921904501EE773A960"><enum>(A)</enum><header>Conditions</header><text>The
conditions specified in this subparagraph are that a designated health
professions school is a school described in section 799B(1).</text>
</subparagraph><subparagraph id="H2A73901143D54AABBEA645A59E772590"><enum>(B)</enum><header>Use of
grant</header><text>In addition to the purposes described in subsection (b), a
grant under subsection (a) to a designated health professions school meeting
the conditions described in subparagraph (A) may be expended—</text>
<clause id="HF2EB20FDBCF24320A2F5C9E1A0E4C70"><enum>(i)</enum><text>to
develop a plan to achieve institutional improvements, including financial
independence, to enable the school to support programs of excellence in health
professions education for underrepresented minority individuals; and</text>
</clause><clause id="H1C56D5F23B314580951DCC586C798732"><enum>(ii)</enum><text>to provide
improved access to the library and informational resources of the
school.</text>
</clause></subparagraph><subparagraph id="HB7E6ACAA2C4845E794522700439848BD"><enum>(C)</enum><header>Exception</header><text>The
requirements of paragraph (1)(C) shall not apply to a historically black
college or university that receives funding under this paragraph or paragraph
(5).</text>
</subparagraph></paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="H332AF1EB95F3430293834D587F8CE3C9"><enum>(C)</enum><text>by amending
paragraphs (3) through (5) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H32D071CEE2044A0585CE36A9EAF5D375" style="OLC">
<paragraph id="H0E02670BCF89450695FB264D8CCF9C32"><enum>(3)</enum><header>Hispanic centers
of excellence</header><text>The conditions specified in this paragraph are
that—</text>
<subparagraph id="HB493C1F962874B9EB823166C7266FF63"><enum>(A)</enum><text>with respect to
Hispanic individuals, each of clauses (i) through (iv) of paragraph (1)(B)
applies to the designated health professions school involved;</text>
</subparagraph><subparagraph id="H7C3D401F272B43CF92F6FE313E475653"><enum>(B)</enum><text>the school agrees,
as a condition of receiving a grant under subsection (a) of this section, that
the school will, in carrying out the duties described in subsection (b) of this
section, give priority to carrying out the duties with respect to Hispanic
individuals; and</text>
</subparagraph><subparagraph id="H76B702E30E1C42D2AF4CACFCB8DCD696"><enum>(C)</enum><text>the school agrees,
as a condition of receiving a grant under subsection (a) of this section,
that—</text>
<clause id="H7CFBB25E21AC4B079046AAB639B9F122"><enum>(i)</enum><text>the school will
establish an arrangement with 1 or more public or nonprofit community-based
Hispanic serving organizations, or public or nonprofit private institutions of
higher education, including schools of nursing, whose enrollment of students
has traditionally included a significant number of Hispanic individuals, the
purposes of which will be to carry out a program—</text>
<subclause id="HB24AA16ADA76416BA0006EB8ACE5A66C"><enum>(I)</enum><text>to identify
Hispanic students who are interested in a career in the health profession
involved; and</text>
</subclause><subclause id="HAFEA68957554444BA8CA4F978987E7E"><enum>(II)</enum><text>to facilitate the
educational preparation of such students to enter the health professions
school; and</text>
</subclause></clause><clause id="H3763D82E19274B52994E82F2B75FB7CC"><enum>(ii)</enum><text>the school will
make efforts to recruit Hispanic students, including students who have
participated in the undergraduate or other matriculation program carried out
under arrangements established by the school pursuant to clause (i)(II) and
will assist Hispanic students regarding the completion of the educational
requirements for a degree from the school.</text>
</clause></subparagraph></paragraph><paragraph id="H404FEFC73D494FA4A8C55000044052DA"><enum>(4)</enum><header>Native american
centers of excellence</header><text>Subject to subsection (e), the conditions
specified in this paragraph are that—</text>
<subparagraph id="H97145EA9D3394625AE12FC071C506F05"><enum>(A)</enum><text>with respect to
Native Americans, each of clauses (i) through (iv) of paragraph (1)(B) applies
to the designated health professions school involved;</text>
</subparagraph><subparagraph id="H978453CF06A4410EA6929D81D0B7CA1C"><enum>(B)</enum><text>the school agrees,
as a condition of receiving a grant under subsection (a) of this section, that
the school will, in carrying out the duties described in subsection (b) of this
section, give priority to carrying out the duties with respect to Native
Americans; and</text>
</subparagraph><subparagraph id="H82EF17162E5A4FD3BE9ED68EA9F9B46F"><enum>(C)</enum><text>the school agrees,
as a condition of receiving a grant under subsection (a) of this section,
that—</text>
<clause id="HECD35C8BA3F54662951EAF0068DEB3D6"><enum>(i)</enum><text>the school will
establish an arrangement with 1 or more public or nonprofit private
institutions of higher education, including schools of nursing, whose
enrollment of students has traditionally included a significant number of
Native Americans, the purpose of which arrangement will be to carry out a
program—</text>
<subclause id="HCD01DB4A0CF04222A541FA11F77917DB"><enum>(I)</enum><text>to identify Native
American students, from the institutions of higher education referred to in
clause (i), who are interested in health professions careers; and</text>
</subclause><subclause id="H68BF590F332F4F8E95F1D6761BB5EB6E"><enum>(II)</enum><text>to facilitate the
educational preparation of such students to enter the designated health
professions school; and</text>
</subclause></clause><clause id="HF5C6C8EBAD714A4197ACCCF9B747C6CB"><enum>(ii)</enum><text>the designated
health professions school will make efforts to recruit Native American
students, including students who have participated in the undergraduate program
carried out under arrangements established by the school pursuant to clause (i)
and will assist Native American students regarding the completion of the
educational requirements for a degree from the designated health professions
school.</text>
</clause></subparagraph></paragraph><paragraph id="H270634052B9D4E63BE16D806382CFE72"><enum>(5)</enum><header>Other centers of
excellence</header><text>The conditions specified in this paragraph are—</text>
<subparagraph id="HB2AFC197C44B467DBBDBF1B6C05B758B"><enum>(A)</enum><text>with respect to
other centers of excellence, the conditions described in clauses (i) through
(iv) of paragraph (1)(B); and</text>
</subparagraph><subparagraph id="H77D4C73BB6D34589800303C84411E310"><enum>(B)</enum><text>that the health
professions school involved has an enrollment of underrepresented minorities in
health professions significantly above the national average for such
enrollments of health professions
schools.</text>
</subparagraph></paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H2C842B2DA2644EF9B9F12878DCE1C94E"><enum>(4)</enum><text>by striking
subsection (h) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H4F8C286524A34718B8B5CDAB24A000B8" style="OLC">
<subsection id="H23E6924F78E441E7B08763704B7400D"><enum>(h)</enum><header>Formula for
allocations</header>
<paragraph id="H786CCD4318E94AB986A1171C92403F75"><enum>(1)</enum><header>Allocations</header><text>Based
on the amount appropriated under section 106(a) of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title> for a fiscal year, the following
subparagraphs shall apply as appropriate:</text>
<subparagraph id="H7B45C5E7DE7C4A38BD98005534C47DF6"><enum>(A)</enum><header>In
general</header><text>If the amounts appropriated under section 106(a) of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title> for a fiscal year are $24,000,000 or
less—</text>
<clause id="H91CA54240AA14912A2BB63D68725B230"><enum>(i)</enum><text>the Secretary
shall make available $12,000,000 for grants under subsection (a) to health
professions schools that meet the conditions described in subsection (c)(2)(A);
and</text>
</clause><clause id="H8A485344D24B4621A1F75DCB00A15647"><enum>(ii)</enum><text>and available
after grants are made with funds under clause (i), the Secretary shall make
available—</text>
<subclause id="H15D650116AE04931AFDFC4E565E055BF"><enum>(I)</enum><text>60 percent of such
amount for grants under subsection (a) to health professions schools that meet
the conditions described in paragraph (3) or (4) of subsection (c) (including
meeting the conditions under subsection (e)); and</text>
</subclause><subclause id="H68DB93CD84BD4830BAAC4D43606D0010"><enum>(II)</enum><text>40 percent of
such amount for grants under subsection (a) to health professions schools that
meet the conditions described in subsection (c)(5).</text>
</subclause></clause></subparagraph><subparagraph id="H71405B3D28BF47FC82C8A0CDCBB89789"><enum>(B)</enum><header>Funding in
excess of $24,000,000</header><text>If amounts appropriated under section
106(a) of the <short-title>Minority Health Improvement and
Health Disparity Elimination Act</short-title> for a fiscal year exceed
$24,000,000 but are less than $30,000,000—</text>
<clause id="H6DA6B29EB5834F7CAC079D92229B4002"><enum>(i)</enum><text>80
percent of such excess amounts shall be made available for grants under
subsection (a) to health professions schools that meet the requirements
described in paragraph (3) or (4) of subsection (c) (including meeting
conditions pursuant to subsection (e)); and</text>
</clause><clause id="H243760CB514B4F3AACDF897DDCF20063"><enum>(ii)</enum><text>20 percent of
such excess amount shall be made available for grants under subsection (a) to
health professions schools that meet the conditions described in subsection
(c)(5).</text>
</clause></subparagraph><subparagraph id="H7074DDC8B73F46CE96FB54AA602EDA25"><enum>(C)</enum><header>Funding in
excess of $30,000,000</header><text>If amounts appropriated under section
106(a) of the <short-title>Minority Health Improvement and
Health Disparity Elimination Act</short-title> for a fiscal year exceed
$30,000,000 but are less than $40,000,000, the Secretary shall make
available—</text>
<clause id="HFF45192A69A6444EB2C7DFB2BE001500"><enum>(i)</enum><text>not less than
$12,000,000 for grants under subsection (a) to health professions schools that
meet the conditions described in subsection (c)(2)(A);</text>
</clause><clause id="H8D1E36F393AF4B2B81A8BAB3F51978F4"><enum>(ii)</enum><text>not less than
$12,000,000 for grants under subsection (a) to health professions schools that
meet the conditions described in paragraph (3) or (4) of subsection (c)
(including meeting conditions pursuant to subsection (e));</text>
</clause><clause id="HD7D4D37E08FB4F25975CA6C852A9C15D"><enum>(iii)</enum><text>not less than
$6,000,000 for grants under subsection (a) to health professions schools that
meet the conditions described in subsection (c)(5); and</text>
</clause><clause id="H04050DEA0DE447C2B000BBC0947304F9"><enum>(iv)</enum><text>after grants are
made with funds under clauses (i) through (iii), any remaining excess amount
for grants under subsection (a) to health professions schools that meet the
conditions described in paragraph (2)(A), (3), (4), or (5) of subsection
(c).</text>
</clause></subparagraph><subparagraph id="H16BFD1FA77FA4AF4B9CF3FB904AE8DE"><enum>(D)</enum><header>Funding in excess
of $40,000,000</header><text>If amounts appropriated under section 106(a) of
the <short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title> for a fiscal year are $40,000,000 or
more, the Secretary shall make available—</text>
<clause id="HD6D14046B1384B6CBF64AC4B45434F0"><enum>(i)</enum><text>not
less than $16,000,000 for grants under subsection (a) to health professions
schools that meet the conditions described in subsection (c)(2)(A);</text>
</clause><clause id="H2D8CE8C6896140C5BE9DAFDBE8EDD875"><enum>(ii)</enum><text>not less than
$16,000,000 for grants under subsection (a) to health professions schools that
meet the conditions described in paragraph (3) or (4) of subsection (c)
(including meeting conditions pursuant to subsection (e));</text>
</clause><clause id="H119C823EBC6045B5ADAEBD19BF21E006"><enum>(iii)</enum><text>not less than
$8,000,000 for grants under subsection (a) to health professions schools that
meet the conditions described in subsection (c)(5); and</text>
</clause><clause id="HB7C6A405B07645F5BB02DFCEBA32D1EB"><enum>(iv)</enum><text>after grants are
made with funds under clauses (i) through (iii), any remaining funds for grants
under subsection (a) to health professions schools that meet the conditions
described in paragraph (2)(A), (3), (4), or (5) of subsection (c).</text>
</clause></subparagraph></paragraph><paragraph id="H794A3C8C0B5C46B892F2901326F7EE47"><enum>(2)</enum><header>No
limitation</header><text>Nothing in this subsection shall be construed as
limiting the centers of excellence referred to in this section to the
designated amount, or to preclude such entities from competing for grants under
this section.</text>
</paragraph><paragraph id="H454F6BE0EBE6487CB9F1CA1791AEB851"><enum>(3)</enum><header>Maintenance of
effort</header>
<subparagraph id="HA79507D03EAF46C3A79CE6DF8F04DC57"><enum>(A)</enum><header>In
general</header><text>With respect to activities for which a grant made under
this part are authorized to be expended, the Secretary may not make such a
grant to a center of excellence for any fiscal year unless the center agrees to
maintain expenditures of non-Federal amounts for such activities at a level
that is not less than the level of such expenditures maintained by the center
for the fiscal year preceding the fiscal year for which the school receives
such a grant.</text>
</subparagraph><subparagraph id="HEFEBED1FCAA6493AAB0000DF27BE2E98"><enum>(B)</enum><header>Use of Federal
funds</header><text>With respect to any Federal amounts received by a center of
excellence and available for carrying out activities for which a grant under
this part is authorized to be expended, the center shall, before expending the
grant, expend the Federal amounts obtained from sources other than the grant,
unless given prior approval from the Secretary.</text>
</subparagraph></paragraph></subsection><subsection id="H483819FA4BB84D46A64346E9F0810258"><enum>(i)</enum><header>Evaluations</header>
<paragraph id="H52ABB7CC11F249269160EFB5E974E3AE"><enum>(1)</enum><header>Advisory
committee</header>
<subparagraph id="H4D9AA796DBB84C7898C66CC757E581E1"><enum>(A)</enum><header>In
general</header><text>Not later than 90 days after the date of enactment of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>, the Secretary shall establish and
appoint the members of an advisory committee composed of representatives of
government agencies, including the Health Resources and Services
Administration, the Office of Minority Health, and the Indian Health Service,
community stakeholders and experts in identifying and addressing the health
concerns of racial and ethnic minority groups, and designees from health
professions schools described in subsection (b).</text>
</subparagraph><subparagraph id="HAA9710EB5CEA4FE5A94EF6168C5BF877"><enum>(B)</enum><header>Duties</header><text>The
advisory committee shall develop and recommend performance measures with which
to assess, based on data to be compiled by recipients of grants or contracts
under this section or section 736, 737, 738, or 739, the extent to which the
program described in this section and sections 736, 737, 738, and 739 has met
the purpose of this part. The advisory committee shall submit such
recommendations to the Administrator of the Health Resources and Services
Administration not later than 6 months after the appointment of the advisory
committee.</text>
</subparagraph><subparagraph id="H0F229C8F9CC8498A8F9DDD13073C2FE2"><enum>(C)</enum><header>Notification</header><text>Not
later than 30 days after the submission of the recommendations, the
Administrator of the Health Resources and Services Administration shall review
the recommendations and establish performance measures described in
subparagraph (B), and the Administrator shall notify recipients of grants or
contracts under this section or section 736, 737, 738, or 739 of the new
performance measures and make requirements related to the performance measures
publicly available both on the website of the Administration and as part of any
notifications of awards released to entities receiving the grants or
contracts.</text>
</subparagraph></paragraph><paragraph id="H1A8F5F26C6D543B28BC1CD49DA7AD33"><enum>(2)</enum><header>Data collection
and annual evaluations</header>
<subparagraph id="H34E6E96E6B764047A2D1EF8D02EA44EB"><enum>(A)</enum><header>In
general</header><text>The Administrator of the Health Resources and Services
Administration shall collect data on an annual basis from recipients of grants
or contracts under this section or section 736, 737, 738, or 739 on the
performance measures established under paragraph (1).</text>
</subparagraph><subparagraph id="HB24101127B0F40D500F2F157F830A57C"><enum>(B)</enum><header>Biannual
meeting</header><text>The Administrator of the Health Resources and Services
Administration shall convene a meeting of the advisory committee established
under paragraph (1) not less than twice per year. At the meeting, the advisory
committee shall recommend any necessary changes to such performance measures to
improve data collection and short-term evaluation with respect to the programs
carried out under this section or section 736, 737, 738, or 739, and provide
technical assistance as necessary.</text>
</subparagraph></paragraph><paragraph id="H488EAD40C84F4EF79FE2E94945B3CF28"><enum>(3)</enum><header>Updates</header><text>The
Administrator of the Health Resources and Services Administration shall
determine whether to incorporate the recommended changes as described in
paragraph (2)(B) and provide technical assistance as necessary. The
Administrator shall not penalize a current recipient of a grant or contract
under this section or section 736, 737, 738, or 739 for failing to comply with
the revised data collection or performance measure requirements if the
recipient demonstrates an inability to provide additional data mandated under
the requirements.</text>
</paragraph><paragraph id="HBE73748C9E274B478EC23EA3F4F811B9"><enum>(4)</enum><header>Accountability</header><text>The
Administrator shall review and take into consideration performance measurement
data previously collected from recipients of grants or contracts under this
section or section 736, 737, 738, or 739 when deciding to renew the grants or
contracts of such recipients.</text>
</paragraph></subsection><after-quoted-block>.
</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H3B11A285EC1E478E8FAA11C131D62025"><enum>(b)</enum><header>Cooperative
agreements for online degree programs at schools of public health and schools
of allied health</header><text>Part B of title VII of the Public Health Service
Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293">42 U.S.C. 293 et seq.</external-xref>) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="H2D6DD16AF76B441E872FB785BF881918" style="OLC">
<section id="H1586825AF50A4EBD96CB18148B73F6F6"><enum>742.</enum><header>Cooperative
agreements for online degree programs</header>
<subsection id="HFFC0A21C27384B86BF37BE7E1E29BC27"><enum>(a)</enum><header>Cooperative
agreements</header><text>The Secretary shall award cooperative agreements to
accredited schools of public health, schools of allied health, and public
health programs to design and implement a degree program over the Internet
(referred to in this section as an <quote>online degree
program</quote>).</text>
</subsection><subsection id="H59AD312B7F754F000025850936D9C138"><enum>(b)</enum><header>Application</header><text>To
be eligible to receive a cooperative agreement under subsection (a), an
accredited school of public health, school of allied health, or public health
program shall submit an application at such time, in such manner, and
containing such information as the Secretary may require.</text>
</subsection><subsection id="HEDD66EB9F82F469BB68597F757ADDF1"><enum>(c)</enum><header>Priority</header><text>In
awarding cooperative agreements under this section, the Secretary shall give
priority to any accredited school of public health, school of allied health, or
public health program that serves a disproportionate number of individuals from
racial and ethnic minority groups.</text>
</subsection><subsection id="H3C09625AA3854FC3A5C97C9B2E981806"><enum>(d)</enum><header>Requirements</header><text>Awardees
shall use an award under subsection (a) to design and implement an online
degree program that meets the following conditions:</text>
<paragraph id="H6CA799D667224E6F96427C63663375C0"><enum>(1)</enum><text>Limiting
enrollment to individuals who have obtained a secondary school diploma or a
recognized equivalent.</text>
</paragraph><paragraph id="H500C40C7A4664BD6935DE146D68BCAAE"><enum>(2)</enum><text>Maintaining
significant enrollment and graduation of underrepresented minorities in health
professions.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H459A624FE94043D5B4C6F4B86BC388C8"><enum>(c)</enum><header>Definition</header><text>Part
B of title VII of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293">42 U.S.C. 293 et seq.</external-xref>) is
amended by inserting after the part heading the following:</text>
<quoted-block display-inline="no-display-inline" id="H38BBAEB8B07E44B8897BF15B2D12ABEE" style="OLC">
<section id="H250A796602EE43C98448DF57E9C3C4AF"><enum>735A.</enum><header>Application of
definition</header><text display-inline="no-display-inline">The definition
contained in section 738(b)(5) shall apply for purposes of this part, except
that such definition shall also apply in the case of references to
<quote>underrepresented minority students</quote>, <quote>underrepresented
minority faculty members</quote>, <quote>underrepresented minority faculty
administrators</quote>, and <quote>underrepresented minorities in health
professions</quote>.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="HEC1B9E1AE18646279F8030EFF2DAE49D"><enum>104.</enum><header>Mid-career
health professions scholarship program</header><text display-inline="no-display-inline">Subpart 2 of part E of title VII of the
Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/295">42 U.S.C. 295 et seq.</external-xref>) is amended—</text>
<paragraph id="H67F532BFAFE343058D8812D4E66F0850"><enum>(1)</enum><text>in section 770, by
inserting <quote>(other than section 771)</quote> after <quote>this
subpart</quote>;</text>
</paragraph><paragraph id="HD4A26ACA999C410F84A1FF7721D5C143"><enum>(2)</enum><text>by redesignating
section 770 as section 771; and</text>
</paragraph><paragraph id="HB2628BFC04D241E28D5BFFDD7BC6C6C8"><enum>(3)</enum><text>by inserting after
section 769 the following:</text>
<quoted-block display-inline="no-display-inline" id="H28E4049604174C52B8B9E45CB63788BF" style="OLC">
<section id="HE6A78C32EE184B6E941E59744EF03C18"><enum>770.</enum><header>Mid-career
health professions scholarship program</header>
<subsection id="H6BE595027B36482789396BED13AABDBF"><enum>(a)</enum><header>In
general</header><text>The Secretary may make grants to eligible schools to
award scholarships to eligible individuals to attend the school involved, for
the purpose of enabling the individuals to make a career change from a
non-health profession to a health profession.</text>
</subsection><subsection id="H26781EC090824C7088BC6B75DE6957F9"><enum>(b)</enum><header>Application</header><text>To
receive a grant under this section, an eligible school shall submit to the
Secretary an application at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subsection><subsection id="HE3CF4E2BEEFD47DF8D1707CF181E3886"><enum>(c)</enum><header>Use of
funds</header><text>Amounts awarded as a scholarship under this section may be
expended only for tuition expenses, other reasonable educational expenses, and
reasonable living expenses incurred in the attendance of the school
involved.</text>
</subsection><subsection commented="no" id="H95F6ACEDACB14FE8ADBAE26FB7E7FD4E"><enum>(d)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph commented="no" id="H6F39F79348E3408CB7690006D87B3665"><enum>(1)</enum><header>Eligible
school</header><text>The term <term>eligible school</term> means an accredited
school of medicine, osteopathic medicine, dentistry, nursing, pharmacy,
podiatric medicine, optometry, veterinary medicine, public health,
chiropractic, allied health, a school offering a graduate program in behavioral
and mental health practice, or an entity providing programs for the training of
physician assistants.</text>
</paragraph><paragraph commented="no" id="H124B1766184A4E31B473E0812E1DAF60"><enum>(2)</enum><header>Eligible
individual</header><text>The term <term>eligible individual</term> means an
individual who is an underrepresented minority who has obtained a secondary
school diploma or its recognized
equivalent.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H4D7BCD4DDC294AC393F7B7A982FC4C7D"><enum>105.</enum><header>Cultural
competency training</header><text display-inline="no-display-inline">Part B of
title VII of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293">42 U.S.C. 293 et seq.</external-xref>), as amended
by section 104, is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H68DF3AAA8CB0409AA1025B2F234F5474" style="OLC">
<section id="HAE565033DEC1494887094862FE03564E"><enum>743.</enum><header>Cultural
competency training</header>
<subsection id="HA85E357EF4834CAA92BEABEDAF005EB2"><enum>(a)</enum><header>In
general</header><text>The Secretary, acting through the Administrator of the
Health Resources and Services Administration and in collaboration with the
Office of Minority Health and Agency for Healthcare Research and Quality, shall
support the development, evaluation, and dissemination of model curricula for
cultural competency training for use in health professions schools and
continuing education programs, and other purposes determined appropriate by the
Secretary.</text>
</subsection><subsection id="HA39FB949C3B64DADA417B8B9EA55349"><enum>(b)</enum><header>Curricula</header><text>In
carrying out subsection (a), the Secretary shall collaborate with health
professional societies, licensing and accreditation entities, health
professions schools, and experts in minority health and cultural competency,
community-based organizations, and other organizations as determined
appropriate by the Secretary. Such curricula shall include a focus on cultural
competency measures and cultural competency self-assessment methodology for
health providers, systems and institutions.</text>
</subsection><subsection id="HF9F2EB8643114BFB822E39E4935C3CEF"><enum>(c)</enum><header>Dissemination</header>
<paragraph id="H24E16337F9F94E24BEA2B423CF68CEC1"><enum>(1)</enum><header>In
general</header><text>Such model curricula should be disseminated through the
Internet Clearinghouse under section 270 and other means as determined
appropriate by the Secretary.</text>
</paragraph><paragraph id="H10A885EE4AA242318378A9B415A111B1"><enum>(2)</enum><header>Evaluation</header><text>The
Secretary shall evaluate adoption and the implementation of cultural competency
training curricula, and facilitate inclusion of cultural competency measures in
quality measurement systems as
appropriate.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HE27691AF54CD4BFF9C004F46D890E6E"><enum>106.</enum><header>Authorization of
appropriations; reauthorizations</header>
<subsection id="H375BDE56D689475E9C00A343756F42B"><enum>(a)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated—</text>
<paragraph id="H2276025209D04E83AA1EB2C5840051BF"><enum>(1)</enum><text>such sums as may
be necessary for each of fiscal years 2008 through 2012, to carry out the
amendments made by sections 101 and 102 of this title (adding sections 270 and
793 to the Public Health Service Act);</text>
</paragraph><paragraph id="H66E9BFE3B2524ACEAAAFA9D38BBFEE7C"><enum>(2)</enum><text>$45,000,000 for
fiscal year 2008 and such sums as may be necessary for each of fiscal years
2009 through 2012, to carry out the amendments made by section 103(a) (relating
to centers of excellence in section 736 of the Public Health Service
Act);</text>
</paragraph><paragraph id="HF759BF076A2545F2BBA568BAACBB8541"><enum>(3)</enum><text>such sums as may
be necessary for each of fiscal years 2008 through 2012, to carry out the
amendments made by section 103(b) (adding section 742 to the Public Health
Service Act);</text>
</paragraph><paragraph id="HD9FD2983C41E4EFCA3891C15DAC73418"><enum>(4)</enum><text>such sums as may
be necessary for each of fiscal years 2008 through 2012, to carry out the
amendments made by section 104(b) (adding section 770 to the Public Health
Service Act); and</text>
</paragraph><paragraph id="HB00091DA69D6426E85CA1BE824BEEFE1"><enum>(5)</enum><text>such sums as may
be necessary for each of fiscal years 2008 through 2012, to carry out the
amendment made by section 105 (adding section 743 to the Public Health Service
Act).</text>
</paragraph></subsection><subsection id="H57B3F1F0CAD34040BB6401A8441B1607"><enum>(b)</enum><header>Reauthorizations</header><text>The
following programs are reauthorized as follows:</text>
<paragraph id="HD19F4F7764B24F9A8EFFD09BBB00009D"><enum>(1)</enum><header>Educational
assistance in the health professions regarding individuals from disadvantaged
background</header><text>Section 740(c) of the Public Health Service Act (42
U.S.C. 293a(c)) is amended by striking the first sentence and inserting the
following: <quote>For the purpose of grants and contracts under section
739(a)(1), there is authorized to be appropriated $60,000,000 for fiscal year
2008 and such sums as may be necessary for each of fiscal years 2009 through
2012.</quote>.</text>
</paragraph><paragraph id="H735602021BDD447D9F10C5CF214478DA"><enum>(2)</enum><header>Scholarships for
disadvantaged students</header><text>Section 740(a) of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293a">42 U.S.C. 293a(a)</external-xref>) is amended by striking
<quote>$37,000,000</quote> and all that follows through <quote>through
2002</quote> and inserting <quote>$51,000,000 for fiscal year 2008, and such
sums as may be necessary for each of fiscal years 2009 through
2012</quote>.</text>
</paragraph><paragraph id="HBFD8EAEA009E4B0988BCF922F5AFCC35"><enum>(3)</enum><header>Loan repayments
and fellowships</header><text>Section 740(b) of the Public Health Service Act
(<external-xref legal-doc="usc" parsable-cite="usc/42/293a">42 U.S.C. 293a(b)</external-xref>) is amended by striking <quote>$1,100,000</quote> and all
that follows through <quote>through 2002</quote> and inserting
<quote>$1,700,000 for fiscal year 2008, and such sums as may be necessary for
each of fiscal years 2009 through 2012</quote>.</text>
</paragraph><paragraph id="H6CEBB3B961CE444BA23368156618CDA6"><enum>(4)</enum><header>Grants for
health professions education</header><text>Section 741 of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/293e">42 U.S.C. 293e</external-xref>) is amended in subsection (b), by striking
<quote>$3,500,000</quote> and all that follows through the period and inserting
<quote>such sums as may be necessary for each of fiscal years 2008 through
2012.</quote>.</text>
</paragraph></subsection></section><enum>II</enum><header>Promoting health
and healthcare awareness and access</header>
<section id="HC2A5647925D94B1C8E682B079B6350DB"><enum>201.</enum><header>Care and
access</header><text display-inline="no-display-inline">Part P of title III of
the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280g">42 U.S.C. 280g et seq.</external-xref>) is amended by adding at
the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HF31B17C2DECB4BE8ACD269FE26F4FC24" style="OLC">
<section id="H308B7E4A590F40F4B8E7A9F5F28556D0"><enum>399R.</enum><header>Access,
awareness, and outreach activities</header>
<subsection id="HFE2977B7FF114145AEC6BFCA4509C1C"><enum>(a)</enum><header>Demonstration
projects</header><text>The Secretary shall award multiyear contracts or
competitive grants to eligible entities to support demonstration projects
designed to improve the health and healthcare of racial and ethnic minority
groups through improved access to healthcare, patient navigators, primary
prevention activities, health promotion and disease prevention activities, and
health literacy education and services.</text>
</subsection><subsection id="H565BDBFAE8364E01958764F5FF19D53E"><enum>(b)</enum><header>Eligibility</header><text>In
this section:</text>
<paragraph id="H950D0DAE1ACD4F9CA4D39BFD9DB23BFA"><enum>(1)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means an
organization or a community-based consortium.</text>
</paragraph><paragraph id="H2393EC068F25442CAC5F006324005FDE"><enum>(2)</enum><header>Organization</header><text>The
term <term>organization</term> means—</text>
<subparagraph id="H1D2BFDC1B9CF40E9A5487D02ECA205DE"><enum>(A)</enum><text>a hospital, health
plan, or clinic;</text>
</subparagraph><subparagraph id="H1212A4999DF94A3592B6549DCEFBFB21"><enum>(B)</enum><text>an academic
institution;</text>
</subparagraph><subparagraph id="HE21661233CE44EC59DA4E53EBCD52EB"><enum>(C)</enum><text>a State health
agency;</text>
</subparagraph><subparagraph id="HEB01DA3039F24C09B77BB700006C966F"><enum>(D)</enum><text>an Indian Health
Service hospital or clinic, Indian tribal health facility, or urban Indian
facility;</text>
</subparagraph><subparagraph id="H0D3F28AEA82B4E018012AD33AB6BCE9B"><enum>(E)</enum><text>a nonprofit
organization, including a faith-based organization or consortium, to the extent
that a contract or grant awarded to such an entity is consistent with the
requirements of section 1955;</text>
</subparagraph><subparagraph id="HAD38DCA93A234025847BFF46C812A00"><enum>(F)</enum><text>a primary care
practice-based research network; and</text>
</subparagraph><subparagraph id="HABB97E5D8F9A41AE911740DE96D130E5"><enum>(G)</enum><text>any other similar
entity determined to be appropriate by the Secretary.</text>
</subparagraph></paragraph><paragraph id="HE95D942F401C4004A996341EA6C679F7"><enum>(3)</enum><header>Community-based
consortium</header><text>The term <term>community-based consortium</term> means
a partnership that—</text>
<subparagraph id="H6E8A4FA6DC9B4650AA346D2662305C01"><enum>(A)</enum><text>includes—</text>
<clause id="H6D61AA5BA5614FCC81375248FC45B9AA"><enum>(i)</enum><text>individuals who
are representatives of organizations of racial and ethnic minority
groups;</text>
</clause><clause id="H36223207DFF240738B2735E6F6BDC14F"><enum>(ii)</enum><text>community leaders
and leaders of community-based organizations;</text>
</clause><clause id="H94BD6D501CA6442BB37CD70070DD9755"><enum>(iii)</enum><text>healthcare
providers, including providers who treat racial and ethnic minority groups;
and</text>
</clause><clause id="H3B16BD3477A147C79352AEDD5054F4FB"><enum>(iv)</enum><text>experts in the
area of social and behavioral science, who have knowledge, training, or
practical experience in health policy, advocacy, cultural or linguistic
competency, or other relevant areas as determined by the Secretary; and</text>
</clause></subparagraph><subparagraph id="H257FEB2B54F048DEA318352B6036C0A9"><enum>(B)</enum><text>is located within
a federally- or State-designated medically underserved area, a federally
designated health provider shortage area, or an area with a significant
population of racial and ethnic minorities.</text>
</subparagraph></paragraph></subsection><subsection id="H9F4F843F23F8449C8356A5BAB6F77E96"><enum>(c)</enum><header>Application</header><text>An
eligible entity seeking a contract or grant under this section shall submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require, including assurances that the
eligible entity will—</text>
<paragraph id="H62C73F3869EF423FA368C906051616C"><enum>(1)</enum><text>target populations
that are members of racial and ethnic minority groups and health disparity
populations through specific outreach activities;</text>
</paragraph><paragraph id="HA0A2F383AE394BDA81A331B59BC80011"><enum>(2)</enum><text>collaborate with
appropriate community organizations and include meaningful community
participation in planning, implementation, and evaluation of activities;</text>
</paragraph><paragraph id="HB9E4354236CD4E778171AB5F171E22FA"><enum>(3)</enum><text>demonstrate
capacity to promote culturally competent and appropriate care for target
populations with consideration for health literacy;</text>
</paragraph><paragraph id="HCB0534F3AABC4674AB6925C89F4526FE"><enum>(4)</enum><text>develop a plan for
long-term sustainability;</text>
</paragraph><paragraph id="HD243A8C8A5224E5AA6840459BE82591E"><enum>(5)</enum><text>evaluate the
effectiveness of activities under this section, within an appropriate time
frame, which shall include a focus on quality and outcomes performance measures
to ensure that the activities are meeting the intended goals, and that the
entity is able to disseminate findings from such evaluations;</text>
</paragraph><paragraph id="HBE17EF8AD46243E8857550FF37800F6"><enum>(6)</enum><text>provide ongoing
outreach and education to the health disparity populations served;</text>
</paragraph><paragraph id="HB9AB491690CC45D08634E987C0B822B1"><enum>(7)</enum><text>demonstrate
coordination between public and private entities; and</text>
</paragraph><paragraph id="H6050045BDE74405E9E5F5EF732AD7FC2"><enum>(8)</enum><text>assist individuals
and groups in accessing public and private programs that will help eliminate
disparities in health and healthcare.</text>
</paragraph></subsection><subsection id="H03BFCB5FD8DF4BB1A1B4BD0629ACB0D4"><enum>(d)</enum><header>Priorities</header><text>In
awarding contracts and grants under this section, the Secretary shall give
priority to applicants that are—</text>
<paragraph id="H5305DA39456C4D4C8E006D3B552047B3"><enum>(1)</enum><text>safety net
hospitals, defined as hospitals with a low income utilization rate greater than
25 percent (as defined in section 1923(b)(3) of the Social Security Act (42
U.S.C. 1396r–4(b)(3)));</text>
</paragraph><paragraph id="HEA26F379AF6C4EAE9C226B5B8BA9E076"><enum>(2)</enum><text>a federally
qualified health center as defined in section 1905(l)(2)(B) of the Social
Security Act with the ability to establish and lead a collaborative
partnership;</text>
</paragraph><paragraph id="H7E0C514CC3F942CBAAE3C2CFCC4A1B3"><enum>(3)</enum><text>a community-based
consortium as described in subsection (b)(3)(A)</text>
</paragraph><paragraph id="HE83460598E634101B1D4D553A13CC864"><enum>(4)</enum><text>safety net health
plans that are in coordination with local health centers;</text>
</paragraph><paragraph id="H5CA91A722E344C9C8DE513D5BA90946"><enum>(5)</enum><text>an Indian tribe,
tribal organization, or urban Indian organization; and</text>
</paragraph><paragraph id="HDB16B7BC1A4743A6AF43F77F55B2D296"><enum>(6)</enum><text>other health
systems that—</text>
<subparagraph id="HABDD6B212FC64C7B93F7FB746C07706D"><enum>(A)</enum><text>by legal mandate
or explicitly adopted mission, provide patients with access to services
regardless of their ability to pay;</text>
</subparagraph><subparagraph id="H965939D360BF4C2A91C8450445E892E2"><enum>(B)</enum><text>provide care or
treatment for a substantial number of patients who are uninsured, are receiving
assistance under a State program under title XIX of the Social Security Act, or
are members of vulnerable populations, as determined by the Secretary;</text>
</subparagraph><subparagraph id="HE8665090355A4ECB90CFDB58D5BD2F43"><enum>(C)</enum><text>serve a
disproportionate percentage of patients from racial and ethnic minority
groups;</text>
</subparagraph><subparagraph id="H55A9AEC1F96E403A852959E07D468075"><enum>(D)</enum><text>provide an
assurance that amounts received under the grant or contract will be used to
implement strategies that address patients’ linguistic needs, where necessary,
and recruit and maintain diverse staff and leadership; and</text>
</subparagraph><subparagraph id="H3CE4F1947F4E46CFB9FB90BAA0D1C346"><enum>(E)</enum><text>provide an
assurance that amounts received under the grant or contract will be used to
support quality improvement activities for patients from racial and ethnic
minority groups.</text>
</subparagraph></paragraph></subsection><subsection id="H8062CCBEB96840B99910AA70033CA4A9"><enum>(e)</enum><header>Use of
funds</header><text>An eligible entity shall use such amounts received under
this section for demonstration projects to—</text>
<paragraph id="H159E0337BB9041E2BB161BDE82CD6D37"><enum>(1)</enum><text>address health
disparities in the United States-Mexico Border Area, as defined in section 8 of
the United States-Mexico Border Health Commission Act (<external-xref legal-doc="usc" parsable-cite="usc/22/290n-6">22 U.S.C. 290n–6</external-xref>),
relating to health disparities in the areas of—</text>
<subparagraph id="HB7BE41F4AC154506A7CF53A8E8D42981"><enum>(A)</enum><text>maternal and child
health;</text>
</subparagraph><subparagraph id="H49352F6910364ECDBB2C00104E58E0BF"><enum>(B)</enum><text>primary care and
preventive health, including health education and promotion;</text>
</subparagraph><subparagraph id="HF5A53F38A6EE47D0BC69F8D052D1E59F"><enum>(C)</enum><text>public health and
the built environment;</text>
</subparagraph><subparagraph id="HE03EF782DF1C4365A1B469F46C67FFBA"><enum>(D)</enum><text>oral
health;</text>
</subparagraph><subparagraph id="H044BE1CF20AC4228A09F27DD6C521C24"><enum>(E)</enum><text>behavioral and
mental health and substance abuse;</text>
</subparagraph><subparagraph id="H66B2B3374E374D94AB4CECA95F37FD12"><enum>(F)</enum><text>health conditions
that have a disproportionate impact on racial and ethnic minorities and a high
prevalence in the Border Area;</text>
</subparagraph><subparagraph id="HF0D1706CFB464C7693FF3F2966D66B00"><enum>(G)</enum><text>health services
research;</text>
</subparagraph><subparagraph commented="no" id="HD94A753BF2944090905BB2D4CFA9EE00"><enum>(H)</enum><text>environmental
health;</text>
</subparagraph><subparagraph id="HB457CC5699174B5B8C90523400919590"><enum>(I)</enum><text>workforce training
and development; or</text>
</subparagraph><subparagraph id="H9E9F356942054CCC9DBA9E0800E0E3CB"><enum>(J)</enum><text>other areas
determined appropriate by the Secretary;</text>
</subparagraph></paragraph><paragraph id="H3F43B3AF91034B86BEF8ABE26FE551E4"><enum>(2)</enum><text>implement the best
practices in disease management, including those that address primary
prevention and co-occurring chronic conditions, as defined by the
public-private partnership established under section 918(b), that target
patients with low health literacy, and, as feasible, incorporate health
information technology;</text>
</paragraph><paragraph id="HAAAE9B2F268F4263A1C1F99E41DCFEED"><enum>(3)</enum><text>evaluate methods
for strengthening the health coverage and continuity of coverage of migratory
and seasonal agricultural workers, as such terms are defined in section 330(g),
and workers in other industries with traditionally low rates of
employer-sponsored health insurance; and</text>
</paragraph><paragraph id="H2F7214FDE40A4F2BA7CF76E6A8642E29"><enum>(4)</enum><text>identify, educate,
and enroll eligible patients from racial and ethnic minorities and other health
disparity populations into clinical trials.</text>
</paragraph></subsection><subsection id="HF2DACC0CBCB44067AC007B41EFD524E1"><enum>(f)</enum><header>Report</header><text>Not
later than 3 years after the date an entity receives a contract or grant under
this section and annually thereafter, the entity shall provide to the Secretary
a report containing the results of any evaluation conducted pursuant to
subsection (c)(5).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H0F5C36D4F62B4A26963CFAF39DD6C039"><enum>(g)</enum><header>Dissemination of
findings</header><text>The Secretary shall, as appropriate, disseminate to
public and private entities, including Congress, the findings made in
evaluations described under subsection (f).</text>
</subsection></section><section id="H46E50BC5F52A4567AF8BBBA457FC9DC4"><enum>399S.</enum><header>Grants to
promote positive health behaviors</header>
<subsection id="HDE4A0BC6EC4F4096B99E953D295906AC"><enum>(a)</enum><header>Grants
authorized</header><text>The Secretary, in collaboration with the Director of
the Centers for Disease Control and Prevention and other Federal officials
determined appropriate by the Secretary, may award grants to State or local
governments, Indian tribes (including Alaska Native villages), tribal
organizations, or urban Indian organizations, to promote positive health
behaviors for racial and ethnic minority populations, especially in medically
underserved communities.</text>
</subsection><subsection id="H14A2C9E895404BA5A511000078BF727E"><enum>(b)</enum><header>Use of
funds</header><text>Grants awarded under subsection (a) may be used to provide
support to community health workers—</text>
<paragraph id="HBE4F9D579E5D4F1BAD337E27CB40C6A0"><enum>(1)</enum><text>to educate, guide,
and provide outreach in a community setting regarding health problems prevalent
among racial and ethnic minority populations, especially in medically
underserved communities;</text>
</paragraph><paragraph id="H2AA0B032D5334128B6AB91C580E8ADE2"><enum>(2)</enum><text>to educate, guide,
and provide experiential learning opportunities that target behavioral risk
factors including—</text>
<subparagraph id="H81D61B2BE89E494787631413311EB7AA"><enum>(A)</enum><text>poor
nutrition;</text>
</subparagraph><subparagraph id="H1ABD82435ABD4D839000548689AFFE6B"><enum>(B)</enum><text>physical
inactivity;</text>
</subparagraph><subparagraph id="H6353BA91602D4F0BB8733F188B25A9DC"><enum>(C)</enum><text>being overweight
or obese;</text>
</subparagraph><subparagraph id="H2562106E04DB47A4B179466F519BEE00"><enum>(D)</enum><text>tobacco
use;</text>
</subparagraph><subparagraph id="HD9948D4CD80F4067AE07309231587874"><enum>(E)</enum><text>alcohol and
substance use;</text>
</subparagraph><subparagraph id="HF7B9C51946CF4767B62500005C0094D7"><enum>(F)</enum><text>injury and
violence;</text>
</subparagraph><subparagraph id="H21B972351A4D42309F1BE813A8145079"><enum>(G)</enum><text>risky sexual
behavior;</text>
</subparagraph><subparagraph id="H637ED372BB0548FD9F1BAF99B203CA4E"><enum>(H)</enum><text>mental health
problems;</text>
</subparagraph><subparagraph id="H99183535DB22471E8091F26C20BC2B5"><enum>(I)</enum><text>poor oral
health;</text>
</subparagraph></paragraph><paragraph id="H10BC61A1E14945578E245EDE7CCAE4C8"><enum>(3)</enum><text>to educate and
provide guidance regarding effective strategies to promote positive health
behaviors within the family;</text>
</paragraph><paragraph id="H38309C3F821D4688AC1657E1D2C669CB"><enum>(4)</enum><text>to educate and
provide outreach regarding enrollment in health insurance including the State
Children’s Health Insurance Program under title XXI of the Social Security Act,
Medicare under title XVIII of such Act and Medicaid under title XIX of such
Act;</text>
</paragraph><paragraph id="H35A0A6453CDF497698F588469F9DD03C"><enum>(5)</enum><text>to promote
community wellness and awareness;</text>
</paragraph><paragraph id="H88A1C5D962544D3A8750826E615C7121"><enum>(6)</enum><text>to educate and
refer racial and ethnic minorities to appropriate healthcare agencies and
community-based programs and organizations in order to increase access to
quality healthcare services, including preventive health services; or</text>
</paragraph><paragraph id="H1AD65CF1AB794034B83EAEB24BCC14BD"><enum>(7)</enum><text>to educate, guide,
and provide home visitation services to improve maternal and child health
outcomes.</text>
</paragraph></subsection><subsection id="H66D362024A804DE7AFF9C49FFD5EBBB7"><enum>(c)</enum><header>Application</header>
<paragraph id="H32409D14077444B38DD9C579F5FB00E6"><enum>(1)</enum><header>In
general</header><text>Each State or local government, Indian tribe (including
Alaska Native villages), tribal organizations, or urban Indian organizations
that desires to receive a grant under subsection (a) shall submit an
application to the Secretary, at such time, in such manner, and accompanied by
such information as the Secretary may require.</text>
</paragraph><paragraph id="H009C65D8068A45A9B98C0081DB03CD7C"><enum>(2)</enum><header>Contents</header><text>Each
application submitted pursuant to paragraph (1) shall—</text>
<subparagraph id="HFF6A12CCB348430384B3421FCD2DF86F"><enum>(A)</enum><text>describe the
activities for which assistance is sought under this section;</text>
</subparagraph><subparagraph id="H06D4C3EFF312485FBC4E1040E3D39D6D"><enum>(B)</enum><text>contain an
assurance that, with respect to each community health worker program receiving
funds under the grant, such program will provide training and supervision to
community health workers to enable such workers to provide authorized program
services;</text>
</subparagraph><subparagraph id="HBA0E2A5A3B364C349341EC9714B900F9"><enum>(C)</enum><text>contain an
assurance that the applicant will evaluate the effectiveness of community
health worker programs receiving funds under the grant;</text>
</subparagraph><subparagraph id="HB63F51A8D88945F0A7BE2C133B7460E4"><enum>(D)</enum><text>contain an
assurance that each community health worker program receiving funds under the
grant will provide services in the cultural context most appropriate for the
individuals served by the program;</text>
</subparagraph><subparagraph id="H520419CA55AF43B28B004C9E7BAE50C5"><enum>(E)</enum><text>contain a plan to
document and disseminate project descriptions and results to other States and
organizations as identified by the Secretary; and</text>
</subparagraph><subparagraph id="HA6DF950D413C4970B7A04864CEE3B81"><enum>(F)</enum><text>describe plans to
enhance the capacity of individuals to utilize health services and
health-related social services under Federal, State, and local programs
by—</text>
<clause id="H694B5CC6A9E8416199A193DFC8584B30"><enum>(i)</enum><text>assisting
individuals in establishing eligibility under the programs and in receiving the
services or other benefits of the programs; and</text>
</clause><clause id="HFB7512F88E3845B9BA85E197C340AF16"><enum>(ii)</enum><text>providing other
services as the Secretary determines to be appropriate, that may include
transportation and translation services.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H6B769DEC0ADB4921A025DF1C92571DCF"><enum>(d)</enum><header>Priority</header><text>In
awarding grants under subsection (a), the Secretary shall give priority to
applicants that—</text>
<paragraph id="H41D61653088E4D61A7CE29617234F0CB"><enum>(1)</enum><text>propose to target
geographic areas—</text>
<subparagraph id="HBC833C531112400FBBE59D4800454C4F"><enum>(A)</enum><text>with a high
percentage of residents who are eligible for health insurance but are uninsured
or underinsured; and</text>
</subparagraph><subparagraph id="HECD89F696F884FBBB926820785A02FEF"><enum>(B)</enum><text>with a high
percentage of families for whom English is not their primary language;</text>
</subparagraph></paragraph><paragraph id="H896F3C01D2BD4EE8838C925569644846"><enum>(2)</enum><text>have experience in
providing health or health-related social services to individuals who are
underserved with respect to such services; and</text>
</paragraph><paragraph id="H94ECA3880BE842A6ACD1A844010469ED"><enum>(3)</enum><text>have documented
community activity and experience with community health workers.</text>
</paragraph></subsection><subsection id="H026D9E2F8410498E8B57B0E42ED0EDBF"><enum>(e)</enum><header>Collaboration
with academic institutions</header><text>The Secretary shall encourage
community health worker programs receiving funds under this section to
collaborate with academic institutions. Nothing in this section shall be
construed to require such collaboration.</text>
</subsection><subsection id="H1B831C04A32D4A6699F7EB7C437DF1B2"><enum>(f)</enum><header>Quality
assurance and cost effectiveness</header><text>The Secretary shall establish
guidelines for assuring the quality of the training and supervision of
community health workers under the programs funded under this section and for
assuring the cost-effectiveness of such programs.</text>
</subsection><subsection id="H63FA1426E2D747C892F2DAD9A726F97D"><enum>(g)</enum><header>Monitoring</header><text>The
Secretary shall monitor community health worker programs identified in approved
applications under this section and shall determine whether such programs are
in compliance with the guidelines established under subsection (f).</text>
</subsection><subsection id="HBFA07525272749CF9E1FEEEB79D54920"><enum>(h)</enum><header>Technical
assistance</header><text>The Secretary may provide technical assistance to
community health worker programs identified in approved applications under this
section with respect to planning, developing, and operating programs under the
grant.</text>
</subsection><subsection id="HFA2A62E2E5E8459386ABFC10FA1B25DD"><enum>(i)</enum><header>Report to
congress</header>
<paragraph id="H11492C507714418290E00E5F9D7C9B7"><enum>(1)</enum><header>In
general</header><text>Not later than 4 years after the date on which the
Secretary first awards grants under subsection (a), the Secretary shall submit
to Congress a report regarding the grant project.</text>
</paragraph><paragraph id="HA0425050E7944ADEA9577E63A9921836"><enum>(2)</enum><header>Contents</header><text>The
report required under paragraph (1) shall include the following:</text>
<subparagraph id="H315A338B33B842B3B065C8159FEAFEF1"><enum>(A)</enum><text>A description of
the programs for which grant funds were used.</text>
</subparagraph><subparagraph id="H3DB72F7ECA56461BB156CAF4EF38FBD"><enum>(B)</enum><text>The number of
individuals served under such programs.</text>
</subparagraph><subparagraph id="H9B0A84B6E47F4E56BC3EE2065B7947E5"><enum>(C)</enum><text>An evaluation
of—</text>
<clause id="H25B910A57CF042C08947E7B5CA70343"><enum>(i)</enum><text>the
effectiveness of such programs;</text>
</clause><clause id="HFD4CD59A38BA4593A7A2B1DF713DFCC"><enum>(ii)</enum><text>the cost of such
programs; and</text>
</clause><clause id="HEE8D918062F84A07B69DEE2F6DEE2342"><enum>(iii)</enum><text>the impact of
the programs on the health outcomes of the community residents.</text>
</clause></subparagraph><subparagraph id="HA0DC8AB7D7F14F148F618C09553F97B5"><enum>(D)</enum><text>Recommendations
for sustaining the community health worker programs developed or assisted under
this section.</text>
</subparagraph><subparagraph id="HA256E0CA9613472CB723239738C5B5F0"><enum>(E)</enum><text>Recommendations
regarding training to enhance career opportunities for community health
workers.</text>
</subparagraph></paragraph></subsection><subsection id="H135DFF740D16449F9C18B0A2A82700B"><enum>(j)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="HB79F777270804DA2A5512FED89C30442"><enum>(1)</enum><header>Community health
worker</header><text>The term <term>community health worker</term> means an
individual who promotes health or nutrition within the community in which the
individual resides—</text>
<subparagraph id="HD771EB604F804A7B816688FA39A9DE55"><enum>(A)</enum><text>by serving as a
liaison between communities and healthcare agencies;</text>
</subparagraph><subparagraph id="H2F5C0CE20966439297A5A31700692FF"><enum>(B)</enum><text>by providing
guidance and social assistance to community residents;</text>
</subparagraph><subparagraph id="H09F145847AEA4FE686066F762DC3AD92"><enum>(C)</enum><text>by enhancing
community residents’ ability to effectively communicate with healthcare
providers;</text>
</subparagraph><subparagraph id="HB1829D9ECDE74051B902EE7658DD970"><enum>(D)</enum><text>by providing
culturally and linguistically appropriate health or nutrition education;</text>
</subparagraph><subparagraph id="HB709F7DC95FC474F82C1E5BE0044CFC4"><enum>(E)</enum><text>by advocating for
individual and community health, including oral and mental, and nutrition
needs; and</text>
</subparagraph><subparagraph id="HA948D6DF973B4F649C70674B08BAFD0"><enum>(F)</enum><text>by providing
referral and follow-up services.</text>
</subparagraph></paragraph><paragraph id="HE80116609EAA4FEDAFEE08F75F379000"><enum>(2)</enum><header>Community
setting</header><text>The term <term>community setting</term> means a home or a
community organization located in the neighborhood in which a participant
resides.</text>
</paragraph><paragraph id="H7DAEFA1CD85A4B64B204BCCC01C64216"><enum>(3)</enum><header>Medically
underserved community</header><text>The term <term>medically underserved
community</term> means a community identified by a State—</text>
<subparagraph id="H8FBA1F09E2F347AB97CD447E5F3353F3"><enum>(A)</enum><text>that has a
substantial number of individuals who are members of a medically underserved
population, as defined by section 330(b)(3); and</text>
</subparagraph><subparagraph id="HCD32A6ACD0A241AA82FC2D271B839D36"><enum>(B)</enum><text>a significant
portion of which is a health professional shortage area as designated under
section 332.</text>
</subparagraph></paragraph><paragraph id="HF005A0F858924DB3B45F95ADD0BCEF7B"><enum>(4)</enum><header>Support</header><text>The
term <term>support</term> means the provision of training, supervision, and
materials needed to effectively deliver the services described in subsection
(b), reimbursement for services, and other benefits.</text>
</paragraph></subsection></section><section id="H45FF6AB5F4FC42CFAB18A7FAE6F8B527"><enum>399T.</enum><header>Grants for
racial and ethnic approaches to community health</header>
<subsection id="HB50F4BD3B588410B9303D949B0DAD7BA"><enum>(a)</enum><header>Purpose</header><text>It
is the purpose of this section to provide for the awarding of grants to assist
communities in mobilizing and organizing resources in support of effective and
sustainable programs that will reduce or eliminate disparities in health and
healthcare experienced by racial and ethnic minority individuals.</text>
</subsection><subsection id="H72A620D103CD433580669822A14CA4AC"><enum>(b)</enum><header>Authority To
award grants</header><text>The Secretary, acting through the Centers for
Disease Control and Prevention, in consultation with the Office of Minority
Health, shall award grants to eligible entities to assist in designing,
implementing, and evaluating culturally and linguistically appropriate,
evidence-based and community-driven sustainable strategies to eliminate racial
and ethnic health and healthcare disparities.</text>
</subsection><subsection id="H6FF71D766C2B413AA058F5E8027595BD"><enum>(c)</enum><header>Eligible
entities</header><text>To be eligible to receive a grant under this section, an
entity shall—</text>
<paragraph id="H99DD256A512844FE8DF5E0E596787809"><enum>(1)</enum><text>represent a
coalition—</text>
<subparagraph id="H819CD6E297CB4FE380FEFFC5595E394"><enum>(A)</enum><text>whose principal
purpose is to develop and implement interventions to reduce or eliminate a
health or healthcare disparity in a targeted racial or ethnic minority group in
the community served by the coalition; and</text>
</subparagraph><subparagraph id="H38FE01EC00524885AE6195AF925C6549"><enum>(B)</enum><text>that
includes—</text>
<clause id="H777BD38D379C48008EE8238200074B14"><enum>(i)</enum><text>at
least 3 members selected from among—</text>
<subclause id="H5348EB12B2B0421FA667533EC35CBD2D"><enum>(I)</enum><text>public health
departments;</text>
</subclause><subclause id="H6B77508980F74A88A6E7B6C8DC0669C5"><enum>(II)</enum><text>community-based
organizations;</text>
</subclause><subclause id="HA6F364A5437E41BB8B9DF22384B30035"><enum>(III)</enum><text>university and
research organizations;</text>
</subclause><subclause id="H001FCF5EBA0C4FA3A0813034741500FA"><enum>(IV)</enum><text>Indian tribes,
tribal organizations, urban Indian organizations, national or regional Indian
organizations, or the Indian Health Service;</text>
</subclause><subclause commented="no" id="H6CDF8924B7244786815580FDD68832F2"><enum>(V)</enum><text>organizations
serving Native Hawaiians;</text>
</subclause><subclause commented="no" id="HF8E6D88BBBB84D49BA62EA0006DB6488"><enum>(VI)</enum><text>organizations
serving Pacific Islanders; and</text>
</subclause><subclause id="HEC3DDBBE9DE448B4B6C3EEE711AC13E"><enum>(VII)</enum><text>interested public
or private healthcare providers or organizations as deemed appropriate by the
Secretary; and</text>
</subclause></clause><clause id="HBD5DDC142031426895CDAC56D7475248"><enum>(ii)</enum><text>at least 1 member
from a community-based organization that represents the targeted racial or
ethnic minority group; and</text>
</clause></subparagraph></paragraph><paragraph id="HF457A89064C34E078C9C00D3311BD326"><enum>(2)</enum><text>submit to the
Secretary an application at such time, in such manner, and containing such
information as the Secretary may require, which shall include—</text>
<subparagraph id="HDEA296E1F32C4D6598C7AED9A7A912A2"><enum>(A)</enum><text>a description of
the targeted racial or ethnic populations in the community to be served under
the grant;</text>
</subparagraph><subparagraph id="HD9BDF154FC594C7B87AD15AEBCA9F57D"><enum>(B)</enum><text>a description of
at least 1 health disparity that exists in the racial or ethnic targeted
populations, including infant mortality, breast and cervical cancer screening
and management, cardiovascular disease, diabetes, child and adult immunization
levels, HIV/AIDS, hepatitis B, tuberculosis, asthma, or other health priority
areas as designated by the Secretary; and</text>
</subparagraph><subparagraph id="HA709581C3D5041B5AE6EBDCCDFB3143D"><enum>(C)</enum><text>a demonstration of
a proven record of accomplishment of the coalition members in serving and
working with the targeted community.</text>
</subparagraph></paragraph></subsection><subsection id="H287F2F659AC4466EBC88EA8EB0C39C4B"><enum>(d)</enum><header>Sustainability</header><text>The
Secretary shall give priority to an eligible entity under this section if the
entity agrees that, with respect to the costs to be incurred by the entity in
carrying out the activities for which the grant was awarded, the entity (and
each of the participating partners in the coalition represented by the entity)
will maintain its expenditures of non-Federal funds for such activities at a
level that is not less than the level of such expenditures during the fiscal
year immediately preceding the first fiscal year for which the grant is
awarded.</text>
</subsection><subsection id="HA84828C6D44C470FB382350063E461A4"><enum>(e)</enum><header>Nonduplication</header><text>Funds
provided through this grant program should supplement, not supplant, existing
Federal funding, and the funds should not be used to duplicate the activities
of the other health disparity grant programs in this Act.</text>
</subsection><subsection id="H85FE7D04A2514370AE384FFBE600179B"><enum>(f)</enum><header>Technical
assistance</header><text>The Secretary may, either directly or by grant or
contract, provide any entity that receives a grant under this section with
technical and other non-financial assistance necessary to meet the requirements
of this section.</text>
</subsection><subsection id="H40B316D7E2C747FB89BA2C3D74504200"><enum>(g)</enum><header>Dissemination</header><text>The
Secretary shall encourage and enable grantees to share best practices,
evaluation results, and reports using the Internet, conferences, and other
pertinent information regarding the projects funded by this section, including
the outreach efforts of the Office of Minority Health and the Centers for
Disease Control and Prevention. Such information shall be publicly available,
and posted on the Internet website of relevant government agencies.</text>
</subsection><subsection id="HF1696DB031B64BB3A584B3BA5D42B93D"><enum>(h)</enum><header>Administrative
burdens</header><text>The Secretary shall make every effort to minimize
duplicative or unnecessary administrative burdens on grantees.</text>
</subsection></section><section id="HDA9C7F816EEA4108AA8097E57C0716A1"><enum>399U.</enum><header>Grants for
health disparity collaboratives</header>
<subsection id="H2CCFEFB650914C5690804BB5D05F657F"><enum>(a)</enum><header>Purpose</header><text>The
Secretary, acting through the Administrator of the Health Resources and
Services Administration, shall award grants to eligible entities to assist in
implementing systems of primary care practices to eliminate disparities in the
delivery of healthcare and improve the healthcare provided to all
patients.</text>
</subsection><subsection id="HFED7E59C9AD2473F00533DDAC6A70099"><enum>(b)</enum><header>Eligible
entities</header><text>To be eligible to receive a grant under this section, an
entity shall—</text>
<paragraph id="HCDB3CFA8A32641C89FD662188FF34BF"><enum>(1)</enum><text>be a federally
qualified health center as defined in section 1861(aa)(4) or 1905(l)(2)(B) of
the Social Security Act with the ability to establish and lead a collaborative
partnership; and</text>
</paragraph><paragraph id="H0715BF7062BE4879B511C7E1F3BECD03"><enum>(2)</enum><text>submit to the
Secretary an application, at such time, in such manner, and containing such
information as the Secretary may require, which shall include plans to
implement collaboratives in one or more of the following areas:</text>
<subparagraph id="H2F0668CB47DA430E935347D386A9B6FA"><enum>(A)</enum><text>Diabetes.</text>
</subparagraph><subparagraph id="H129154C6112644988B6DC297C0CE9C51"><enum>(B)</enum><text>Asthma.</text>
</subparagraph><subparagraph id="H90C3B5415D324B3BA68BF90001CB02C"><enum>(C)</enum><text>Depression.</text>
</subparagraph><subparagraph id="H5A2474FC6C5F495C8F669BC0EAEC6DB1"><enum>(D)</enum><text>Cardiovascular
disease.</text>
</subparagraph><subparagraph id="H03D329A237A9415284728E22A4964DB2"><enum>(E)</enum><text>Cancer.</text>
</subparagraph><subparagraph id="H44E05461EE1741D7873D2DD083E30020"><enum>(F)</enum><text>Preventive health,
including screenings.</text>
</subparagraph><subparagraph id="H36CF793889FB42F6B729E3E19BCD07DB"><enum>(G)</enum><text>Perinatal
health.</text>
</subparagraph><subparagraph id="H00E68C146B5A4E2988261E1D555D12B1"><enum>(H)</enum><text>Patient
safety.</text>
</subparagraph><subparagraph id="H2AE73D3DDA524E98AD07EAC90072E00"><enum>(I)</enum><text>Oral health.</text>
</subparagraph><subparagraph id="HBEBB77D04BF5402E97B8C8276ED754C1"><enum>(J)</enum><text>Finance and
redesign of health centers to implement planned care.</text>
</subparagraph><subparagraph id="H4C083C72EF4C473685E619DC7D8F66D6"><enum>(K)</enum><text>Other areas as
designated by the Secretary.</text>
</subparagraph></paragraph></subsection><subsection id="H7FD9DD22CE5B48869FE7D617239FB408"><enum>(c)</enum><header>Nonduplication</header><text display-inline="yes-display-inline">Funds provided through this grant program
should supplement, not supplant, existing Federal funding, and the funds should
not be used to duplicate the activities of the other health disparity grant
programs in this Act.</text>
</subsection><subsection id="H5CD951AB0F4943E7A32B785B43BBAC78"><enum>(d)</enum><header>Technical
assistance</header><text>The Secretary may, either directly or by grant or
contract, provide any entity that receives a grant under this section with
technical and other non-financial assistance necessary to meet the requirements
of this section.</text>
</subsection><subsection id="HD37B063AD8594EF2ADA8DF592826CB21"><enum>(e)</enum><header>Administrative
burdens</header><text>The Secretary shall make every effort to minimize
duplicative or unnecessary administrative burdens on grantees.</text>
</subsection></section><section id="H0BAEE5A0D6D94DDB9ED34F9C6F4C60E2"><enum>399V.</enum><header>Health action
zones</header>
<subsection id="H6F91343A1BF44D89B61263B2C7388038"><enum>(a)</enum><header>Purpose</header><text>The
Secretary shall establish the Health Action Zone Initiative demonstration
program to support comprehensive State, tribal, or local initiatives to improve
the health of racial and ethnic minority groups.</text>
</subsection><subsection id="H9428D74559A041E8B3416C2C8C9772D4"><enum>(b)</enum><header>Health action
zone initiative program</header>
<paragraph id="H4B2806ED588E400E9334AECFE50040F4"><enum>(1)</enum><header>In
general</header><text>The Secretary shall award Health Action Zone Initiative
Program grants to State and local public health agencies and Indian tribes and
tribal organizations of eligible communities. Each grant shall be funded for 5
years.</text>
</paragraph><paragraph id="H0A4E9DF480D64D7600E949F6CB84ED5F"><enum>(2)</enum><header>Eligible
communities</header>
<subparagraph id="H6229029AC85F4BB6895363D143F1A9A"><enum>(A)</enum><header>Identification</header><text>The
Secretary shall develop, after opportunity for public review and comment, and
implement a metric for identifying and notifying eligible communities pursuant
to subparagraph (B), and report such findings to Congress and the
public.</text>
</subparagraph><subparagraph id="HD80486D2053C48888B5158A5D5E3F7FE"><enum>(B)</enum><header>Eligibility</header><text>Eligible
communities shall be communities that are most at risk, or at greatest
disproportionate risk, for adverse health outcomes, as measured by—</text>
<clause id="H73CDB3E3570848BDBFC4912922E9EB00"><enum>(i)</enum><text>overall burden of
disease and health conditions;</text>
</clause><clause id="HB133F9D3612F4254A7B009F12F57FDA3"><enum>(ii)</enum><text>accessibility to
and availability of health and economic resources;</text>
</clause><clause id="H17C76E4CB2F740B2AFBF2064BB1B7867"><enum>(iii)</enum><text>proportion of
individuals from racial and ethnic minority groups; and</text>
</clause><clause id="H90FB531DC341433083451BBDCDA951F"><enum>(iv)</enum><text>other factors as
determined appropriate by the Secretary.</text>
</clause></subparagraph></paragraph><paragraph id="H55FFB690AFDD47D5872CFFAF78A6DE39"><enum>(3)</enum><header>Agency
collaboration</header><text>The Secretary, in collaboration with the Deputy
Assistant Secretary for Minority Health, the Director of the Centers for
Disease Control and Prevention, the Administrator of the Health Resources and
Services Administration, the Director of the Indian Health Service, the
Director of the Centers for Medicare & Medicaid Services, the Director of
the Substance Abuse and Mental Health Services Administration, and heads of
other Federal agencies as appropriate, shall determine, with respect to the
Health Action Zone Initiative Program—</text>
<subparagraph id="H0DB573D9C93B4BCEBBCA866DAA2FD851"><enum>(A)</enum><text>core goals,
objectives and reasonable time lines for implementing, evaluating and
sustaining comprehensive and effective health and healthcare improvement
activities in eligible communities;</text>
</subparagraph><subparagraph id="HF1CB7DA33D344766B804F16B16DE07C"><enum>(B)</enum><text>current
programmatic and research initiatives in which eligible communities may
participate;</text>
</subparagraph><subparagraph id="HBCD7F5F3A8F749C6B6EFC3C5C2375300"><enum>(C)</enum><text>existing agency
resources that can be targeted to eligible communities; and</text>
</subparagraph><subparagraph id="H53A00B0460FA4D1E86C6CD996CEF3B8F"><enum>(D)</enum><text>mechanisms to
facilitate joint application, or establish a common application, to multiple
grant programs, as appropriate.</text>
</subparagraph></paragraph><paragraph id="H79E63D7D1B76431487C7FBF0C9F0F9AB"><enum>(4)</enum><header>Applications</header>
<subparagraph id="H704934E293034549B98E63A730D7D581"><enum>(A)</enum><header>In
general</header><text>The State and local public health agencies of eligible
communities shall jointly submit an application to the Secretary at such time,
in such manner, and accompanied by such information as the Secretary may
require, including a strategic plan that shall—</text>
<clause id="H4B73534C582F4CB597D9B42B657E99FA"><enum>(i)</enum><text>describe the
proposed activities pursuant to paragraph (5);</text>
</clause><clause id="HA4BD99337BCC406ABC2DF6F0B46C4875"><enum>(ii)</enum><text>report the extent
to which local institutions and organizations and community residents have
participated in the strategic plan development;</text>
</clause><clause id="H710BEF8F5FF14558BF3CCFD0506DF685"><enum>(iii)</enum><text>identify
established public-private partnerships, and State, local, and private
resources that will be available;</text>
</clause><clause id="H81B20A48610D4A1CBD5E007B7BAEB41E"><enum>(iv)</enum><text>identify Federal
funding needed to support the proposed activities; and</text>
</clause><clause id="H55FDEC6E432345B8876F50790021B67"><enum>(v)</enum><text>report the
baselines, methods, and benchmarks for measuring the success of activities
proposed in the strategic plan.</text>
</clause></subparagraph><subparagraph id="H183FCC7B59D843C396CF013B3CBFE8E5"><enum>(B)</enum><header>Community
advisory board</header>
<clause id="H57198B2141F84B20B186A3381EB5DF7E"><enum>(i)</enum><header>In
general</header><text>In order to receive a Health Action Zone Initiative
Program grant under this section, an eligible community shall have a community
advisory board.</text>
</clause><clause id="HF5E32C7F44EE44C1AFC3A0FA3F004C51"><enum>(ii)</enum><header>Members</header>
<subclause id="H200792027AEA4678BAC27FA190136B66"><enum>(I)</enum><header>Community</header><text>The
majority of the members of a community advisory board under clause (i) shall be
individuals that will benefit from the activities or services provided by the
grants under this section.</text>
</subclause><subclause id="H7E4A28AE57664BF3813C9447B85C9BF"><enum>(II)</enum><header>Representatives</header><text>A
community advisory board shall include representatives from the State health
department and county or local health department, community-based
organizations, environmental and public health experts, healthcare
professionals and providers, nonprofit leaders, community organizers, elected
officials, private payers, employers, and consumers.</text>
</subclause></clause><clause id="H0825EA7DD6B241F1996C9C007043AD07"><enum>(iii)</enum><header>Duties</header><text>A
community advisory board shall—</text>
<subclause id="H6128CCA4403C4A9091D87420DCC19006"><enum>(I)</enum><text>oversee the
functions and operations of Health Action Zone Initiative Program grant
activities;</text>
</subclause><subclause id="HF64B143DB2774FB2B02450578131BD7F"><enum>(II)</enum><text>assist in the
evaluation of such activities; and</text>
</subclause><subclause id="H6D26A2D821024B2194CB6D45F63C7ED1"><enum>(III)</enum><text>prepare an
annual report that describes the progress made towards achieving stated goals
and recommends time lines and future courses of action.</text>
</subclause></clause></subparagraph></paragraph><paragraph id="H768739FA815C468489052B583EF18D22"><enum>(5)</enum><header>Use of
funds</header><text>An eligible community that receives a grant under this
section shall use the funding to support activities to achieve stated core
goals and objectives, pursuant to paragraph (3), which may include initiatives
that—</text>
<subparagraph id="H5B552006CCA6430BA952BC231F472925"><enum>(A)</enum><text>promote disease
prevention and health promotion for racial and ethnic minority groups;</text>
</subparagraph><subparagraph id="HB2AD19727B704C23AC426506CCCD00"><enum>(B)</enum><text>facilitate
partnerships between healthcare providers, public and health agencies, academic
institutions, community based or advocacy organizations, elected officials,
professional societies, and other stakeholder groups;</text>
</subparagraph><subparagraph id="HC61CB7E19F864B7B89B24D00CE8607B8"><enum>(C)</enum><text>enhance the local
capacity for health data collection and reporting in a manner that can be
aggregated and disaggregated to enhance understanding of the racial and ethnic
diversity of the Health Action Zone;</text>
</subparagraph><subparagraph id="HEEAD8CE64E1A4123946917E79155A041"><enum>(D)</enum><text>coordinate and
integrate community-based activities including education, city planning,
transportation initiatives, environmental changes, and other related activities
at the local level that help improve public health and address health
concerns;</text>
</subparagraph><subparagraph id="H78D60264C48043B2BC99471836007779"><enum>(E)</enum><text>mobilize financial
and other resources from the public and private sector to increase local
capacity to address health issues;</text>
</subparagraph><subparagraph id="H9AB2B03B7F264BC7A2218C768D4454A5"><enum>(F)</enum><text>support the
training of staff in communication and outreach to the general public,
particularly those at disproportionate risk for health and healthcare
disparities;</text>
</subparagraph><subparagraph id="HC3106550CEF9417B9EB88EEA87C8F261"><enum>(G)</enum><text>assist eligible
communities in meeting Healthy People 2010 objectives; and</text>
</subparagraph><subparagraph id="HBF34C7FFD0DF4ED0A848431C70F1A54F"><enum>(H)</enum><text>aid eligible
communities in providing employment, and cultural and recreational resources
that enable healthy lifestyles.</text>
</subparagraph></paragraph><paragraph id="HFCA5AAF195874D689900805100839F83"><enum>(6)</enum><header>Evaluation</header><text>The
Secretary, directly or through contract, shall conduct and report an evaluation
of the Health Action Zone Initiative Program that shall be available to the
public.</text>
</paragraph><paragraph id="HE4C5E430E4BC4041A1DC3605E5368F7F"><enum>(7)</enum><header>Supplement not
supplant</header><text>Grant funds received under this section shall be used to
supplement, and not supplant, funding that would otherwise be used for
activities described under this section.</text>
</paragraph></subsection><subsection id="H8215B46268D8419F8190C2F5F9FD7CD0"><enum>(c)</enum><header>Puerto
Rico</header><text>For purposes of this section, the term <term>State</term>
includes Puerto Rico.</text>
</subsection></section><section id="H3380215191D4482B991103444CB116C6"><enum>399W.</enum><header>Outreach</header>
<subsection id="H1A242606CEBC43219F35B7957F8156FF"><enum>(a)</enum><header>In
general</header><text>The Secretary, in collaboration with the Office for
Minority Health, the Centers for Medicare and Medicaid Services, the Indian
Health Service, and the Health Resources and Services Administration, shall
establish a grant program to improve outreach, participation, and enrollment by
eligible entities with respect to available healthcare programs.</text>
</subsection><subsection id="HEE058B20498E45F8A4D14DEDD55AF9B"><enum>(b)</enum><header>Eligibility</header><text>In
this section, the term <term>eligible entity</term> means any of the
following:</text>
<paragraph id="H9C614EA455664D338131978BBF006163"><enum>(1)</enum><text>A State or local
government.</text>
</paragraph><paragraph id="HF86635136B1647E190952D3C8B4302E4"><enum>(2)</enum><text>A Federal health
safety net organization.</text>
</paragraph><paragraph id="HBB8D433C51254F1B9099B0D1EEE9604F"><enum>(3)</enum><text>A national, local,
or community-based public or nonprofit private organization.</text>
</paragraph><paragraph id="H29A79E11FAF1448EA068FF6E4BA506A6"><enum>(4)</enum><text>A faith-based
organization or consortia, to the extent that a grant awarded to such an entity
is consistent with the requirements of section 1955 relating to a grant award
to non-governmental entities.</text>
</paragraph><paragraph id="HAC173227F8C448E98B39077C147E90D4"><enum>(5)</enum><text>An elementary or
secondary school.</text>
</paragraph></subsection><subsection id="H493F2169DFA540079F98045FE806DEF2"><enum>(c)</enum><header>Definition</header><text>In
this section:</text>
<paragraph id="HA8603FF1D4A0407790124F6EFAAEE7B3"><enum>(1)</enum><header>Federal health
safety net organization</header><text>The term <term>Federal health safety net
organization</term> means—</text>
<subparagraph id="H7DB91083BDFB43989097953974A1F1D9"><enum>(A)</enum><text>a health program
operated by the Indian Health Service, an Indian tribe, tribal organization or
urban Indian organization (as those terms are defined in section 4 of the
Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1603">25 U.S.C. 1603</external-xref>);</text>
</subparagraph><subparagraph id="H22E9C3C5AC7B415D00A292D609AFDF3"><enum>(B)</enum><text>a federally
qualified health center, as defined in section 1905(l)(2)(B) of the Social
Security Act, with the ability to establish and lead a collaborative
partnership;</text>
</subparagraph><subparagraph id="H09E78D7337DB4481983C24508B1E30F8"><enum>(C)</enum><text>a safety net
hospital, defined as a hospital with a low income utilization rate greater than
25 percent (as defined in section 1923(b)(3) of the Social Security Act (42
U.S.C. 1396r–4(b)(3)));</text>
</subparagraph><subparagraph id="H284C99B1BEFB46438E01957F52EE6800"><enum>(D)</enum><text>a covered entity
described in section 340B(a)(4);</text>
</subparagraph><subparagraph id="HED20CDACA37149669F1DC38ABB9F3F6"><enum>(E)</enum><text>a safety net health
plan defined as a managed care organization that—</text>
<clause id="H7FAD3591010F4B2DB5C25CB86B67618"><enum>(i)</enum><text>is
exempt from or not subject to Federal income tax, or is owned by an entity or
entities exempt from or not subject to Federal income tax; and</text>
</clause><clause id="HA56A179676104A67860055EDCE3E644D"><enum>(ii)</enum><text>enrolls not less
than 75 percent of its members in a plan or program funded in whole or in part
under a Federal, State, or local healthcare program (other than a program for
government employees); and</text>
</clause></subparagraph><subparagraph id="H4DC71CFF4FCA4EB39084491D7EF6CA4F"><enum>(F)</enum><text>any other entity
or a consortium that serves children under a federally funded program,
including the special supplemental nutrition program for women, infants, and
children (WIC) established under section 17 of the Child Nutrition Act of 1966
(<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786</external-xref>), the head start and early head start programs under the Head
Start Act (<external-xref legal-doc="usc" parsable-cite="usc/42/9831">42 U.S.C. 9831 et seq.</external-xref>), the school lunch program established under
the Richard B. Russell National School Lunch Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1751">42 U.S.C. 1751 et seq.</external-xref>), and
an elementary or secondary school.</text>
</subparagraph></paragraph><paragraph id="H22BF7E5DD2CA441A002165F97F08AFE0"><enum>(2)</enum><header>Indians; Indian
tribe; tribal organization; urban Indian organization</header><text>The terms
<term>Indian</term>, <term>Indian tribe</term>, <term>tribal
organization</term>, and <term>urban Indian organization</term> have the
meanings given such terms in section 4 of the Indian Health Care Improvement
Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1603">25 U.S.C. 1603</external-xref>).</text>
</paragraph></subsection><subsection id="H729B6D852C41478E91A16B413371B869"><enum>(d)</enum><header>Priority for
award of grants</header>
<paragraph id="H548B3E36768541FD93A2E55F7E973875"><enum>(1)</enum><header>In
general</header><text>In making grants under subsection (a), the Secretary
shall give priority to—</text>
<subparagraph id="H33E3B30F889F430F9B2985A5D0003E66"><enum>(A)</enum><text>eligible entities
that propose to target geographic areas with high rates of—</text>
<clause id="HCE51EEC5B2754675AEEE9D18E9DFD851"><enum>(i)</enum><text>eligible but
unenrolled children, including such children who reside in rural areas;
or</text>
</clause><clause id="HC8CA3DA925774EFFA20765CBD37EAF90"><enum>(ii)</enum><text>racial and ethnic
minorities and health disparity populations, including those proposals that
address cultural and linguistic barriers to enrollment; and</text>
</clause></subparagraph><subparagraph id="H79CCF9211CB84C0087169818A7049BAE"><enum>(B)</enum><text>eligible entities
that plan to engage in outreach efforts with respect to individuals described
in subparagraph (A) and that are—</text>
<clause id="H29E65982FF88434F8412419B18A5FFA6"><enum>(i)</enum><text>safety net
hospitals, defined as hospitals with a low income utilization rate greater than
25 percent (as defined in section 1923(b)(3) of the Social Security Act (42
U.S.C.1396r–4(b)(3)));</text>
</clause><clause id="HFF25D45779AD4BBB81B887DBFDCEFEAF"><enum>(ii)</enum><text>federally
qualified health centers as defined in section 1905(1)(2)(B) of the Social
Security Act with the ability to establish and lead a collaborative
partnership;</text>
</clause><clause id="HBBBDDEF3CB01432A9DCC229EB9AFE055"><enum>(iii)</enum><text>community-based
consortiums as described in section 399R(b)(3)(A) and (4);</text>
</clause><clause id="H358AC45F62D2450FBF154000D79C7591"><enum>(iv)</enum><text>safety net health
plans that are in coordination with local health centers;</text>
</clause><clause id="HD69C0B578B024EB187EC31F1607F7262"><enum>(v)</enum><text>Indian tribes,
tribal organizations, or urban Indian organizations;</text>
</clause><clause id="H624DAF69DF504452B920BAE61BBE94B9"><enum>(vi)</enum><text>other health
systems that as described in section 399R(d)(5); or</text>
</clause><clause id="H9291FB7BEF3F47DD9BB0DC88B4268337"><enum>(vii)</enum><text>faith-based
organizations or consortia.</text>
</clause></subparagraph></paragraph><paragraph id="H0FA0C792EF96493DA374B761F0F675B2"><enum>(2)</enum><header>Ten percent set
aside for outreach to indian children</header><text>An amount equal to 10
percent of the funds appropriated under section 202(3) of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title> to carry out this section for a fiscal
year shall be used by the Secretary to award grants to health programs operated
by the Indian Health Service, an Indian tribe, tribal organization, or urban
Indian organization (as those terms are defined in section 4 of the Indian
Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1603">25 U.S.C. 1603</external-xref>)) for outreach to, and enrollment
of, children who are Indians.</text>
</paragraph></subsection></section><section id="HCEEC4D515FF342C4A2FED4343D2B47E"><enum>399X.</enum><header>Delta health
initiative</header>
<subsection id="H7DCB1C80DFE94809A1D50D8FD2EECC4"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary shall
award a grant to fund the Delta Health Initiative Rural Health, Education, and
Workforce Infrastructure Demonstration Program for the purpose of addressing
longstanding, unmet health needs in the Mississippi Delta, including health
education, access and research, and job training.</text>
</subsection><subsection id="H71683C974E124973BB1F9FFA91C2CE3C"><enum>(b)</enum><header>Eligibility</header><text>To
be eligible to receive a grant under this section, an entity shall—</text>
<paragraph id="H3D6B24C41F9348E186CF1ED474B45CC4"><enum>(1)</enum><text>include a
nonprofit alliance of not less than 4 academic institutions that have a history
of collaboration, along with their State Hospital Association and 2
community-based organizations;</text>
</paragraph><paragraph id="HE81EF1A55E62405FBBA37336A331D0EB"><enum>(2)</enum><text>solicit and fund
proposals from local governments, hospitals, healthcare clinics, academic
institutions, and rural public health-related entities and organizations for
research development, educational programs, healthcare services, job training,
planning, construction, and the equipment of public health-related
facilities;</text>
</paragraph><paragraph id="H20A98FA563EF4E03BDF464359953B7B4"><enum>(3)</enum><text>have experience
working with federally qualified health centers and local health departments;
and</text>
</paragraph><paragraph id="HD8B0F33B25E14A61BFC00741C878E85"><enum>(4)</enum><text>have experience in
diabetes education and management, promoting healthy communities, health
education, and wellness.</text>
</paragraph></subsection><subsection id="HD36353BEE4324BF59925DE77D09BC29F"><enum>(c)</enum><header>Definition</header><text>In
this section, the term <term>alliance</term> means an entity composed
of—</text>
<paragraph id="HFA3AAFB9DC9246D382542E46BBFD7B23"><enum>(1)</enum><text>an academic health
and research center.</text>
</paragraph><paragraph id="HFB050D5642404509AEEDDCA3BCAA99C4"><enum>(2)</enum><text>at least 2
regional universities.</text>
</paragraph><paragraph id="HACE2FE3AD40F4D72A73FCAE2EB6EECF6"><enum>(3)</enum><text>a school of
nursing; and</text>
</paragraph><paragraph id="H6C62DF0854CC4965B6B9ED93B5F5EB06"><enum>(4)</enum><text>a strong economic
development entity, as determined by the Secretary.</text>
</paragraph></subsection><subsection id="HFC42BD834ACC4663A44FA70038A9078D"><enum>(d)</enum><header>Federal interest
in property</header><text>With respect to funds used under this subsection for
construction or alteration of property, the Federal interest in the property
shall last for a period of 1 year following completion or until the Federal
Government is compensated for its proportionate interest in the property use
changes or the property is transferred or sold, whichever time period is less.
At the conclusion of such period, the notice of Federal interest in such
property shall be
removed.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HA0C7FB48D48048DEB2001F2BC02F42B3"><enum>202.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">There are
authorized to be appropriated—</text>
<paragraph id="H18BF6C0F123A49F0A431A0FB5E496EC"><enum>(1)</enum><text>such sums as may be
necessary for each of fiscal years 2008 through 2012, to carry out section 399R
of the Public Health Service Act (as added by section 201);</text>
</paragraph><paragraph id="H06F129AB67CE437CA53B2890790455E0"><enum>(2)</enum><text>$52,000,000 for
fiscal year 2008, and such sums as may be necessary for each of fiscal years
2009 through 2012, to carry out section 399T of the Public Health Service Act
(as added by section 201); and</text>
</paragraph><paragraph id="H35AADB767D4B4E6D00C52EC71CA9FBC6"><enum>(3)</enum><text>such sums as
necessary for each of fiscal years 2008 through 2012, to carry out sections
399S, 399U, 399V, 399W, and 399X of the Public Health Service Act (as added by
section 201).</text>
</paragraph></section><enum>III</enum><header>Research to
reduce and eliminate health disparities</header>
<section id="HB8EDC36CC91A4895929D479B00CD3968"><enum>301.</enum><header>Agency for
healthcare research and quality</header>
<subsection id="HFCA90190A842489BA15D11D88474A528"><enum>(a)</enum><header>In
general</header><text>Part B of title IX of the Public Health Service Act (42
U.S.C. 299b et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HADE6E41AC6AC444482375271E581E786" style="OLC">
<section id="HD4C33403BFCC42EFA66F0052F961641E"><enum>918.</enum><header>Enhanced
research with respect to healthcare disparities</header>
<subsection id="H990A412DDF0E4C7FA06479EBF6C98648"><enum>(a)</enum><header>Accelerating the
elimination of disparities</header>
<paragraph id="H4F13CD0F447A42849B7FF7BF65B8D000"><enum>(1)</enum><header>Strategic
plan</header><text>The Secretary, acting through the Director, and in
collaboration with the Deputy Assistant Secretary for Minority Health, shall
develop a strategic plan regarding research supported by the agency to improve
healthcare and eliminate healthcare disparities among racial and ethnic
minority groups. In developing such plan, the Secretary shall—</text>
<subparagraph id="HCAACBFF789CA4A10A6A800B9006E2E7F"><enum>(A)</enum><text>determine which
areas of research focus would have the greatest impact on healthcare
improvement and elimination of disparities, taking into consideration the
overall health status of various populations, disproportionate burden of
diseases or health conditions, and types of interventions for which data on
effectiveness is limited;</text>
</subparagraph><subparagraph id="HCD205BDB2F1C48BB8200F9F74F294310"><enum>(B)</enum><text>establish
measurable goals and objectives which will allow assessment of progress;</text>
</subparagraph><subparagraph id="H17DA364C63E341578D30A4297DD86B48"><enum>(C)</enum><text>solicit public
review and comment from experts in healthcare, minority health and health
disparities, health services research, and other areas as determined
appropriate by the Secretary;</text>
</subparagraph><subparagraph id="H238BE874CC6C48DAB37674B3F5C345DF"><enum>(D)</enum><text>incorporate
recommendations from the Institute of Medicine, pursuant to section 303 of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>, as appropriate;</text>
</subparagraph><subparagraph id="H2871CD4A17494C2BA700EF1D2930060"><enum>(E)</enum><text>complete such plan
within 12 months of enactment of the <short-title>Minority
Health Improvement and Health Disparity Elimination Act</short-title>;
and</text>
</subparagraph><subparagraph id="H75D93D7EE14E4A3CA29300BB105283C3"><enum>(F)</enum><text>update such plan
and report on progress in meeting established goals and objectives
incorporating recommendations from the Institute of Medicine as described in
section 303(b) and (c) of the <short-title>Minority Health
Improvement and Health Disparity Elimination Act</short-title> not less than
every 2 years and include in annual performance budget submissions, an update
of progress in meeting plan goals and objectives;</text>
</subparagraph><subparagraph id="HCF94C5428D214A469FD4FFF83FBDF00"><enum>(G)</enum><text>ensure coordination
and integration with the National Plan to Improve Minority Health and Eliminate
Health Disparities, as described in section 1707(c) and other Department-wide
initiatives, as feasible; and</text>
</subparagraph><subparagraph id="H9F8FB68945FD49A7B1C629F22242E9E6"><enum>(H)</enum><text>report the plan to
the Congress and make available to the public in print and electronic
format.</text>
</subparagraph></paragraph><paragraph id="HF7226B5DFB6E4BFBA83598F862AFE69"><enum>(2)</enum><header>Establishment of
grants</header><text>The Secretary, acting through the Director, and in
collaboration with the Deputy Assistant Secretary for Minority Health, may
award grants or contracts to eligible entities for research to improve the
health of racial and ethnic minority groups.</text>
</paragraph><paragraph id="H2A06226DB30247C686D52510F71E5519"><enum>(3)</enum><header>Application;
eligible entities</header>
<subparagraph id="H2903101A032849A99169DB1DB2E80044"><enum>(A)</enum><header>Application</header><text>To
receive a grant or contract under this section, an eligible entity shall submit
to the Secretary an application at such time, in such manner, and containing
such information as the Secretary may require.</text>
</subparagraph><subparagraph id="HEF7DACC1996A4F0A94FD9E09C60368A3"><enum>(B)</enum><header>Eligible
entities</header><text>To be eligible to receive a grant or contract under this
section, an entity shall be a health center, hospital, health system, community
clinic, university, community-based organization, or other health entity
determined appropriate by the Secretary, that—</text>
<clause id="HDAC452BFC2EE4F23BE00314C005DCF2B"><enum>(i)</enum><text>by
legal mandate or explicitly adopted mission, provides patients with access to
services regardless of their ability to pay;</text>
</clause><clause id="H8EF15D4C44F64EC2B2BCA49D157B44B6"><enum>(ii)</enum><text>provides care or
treatment for a substantial number of patients who are uninsured, are receiving
assistance under a State program under title XIX of the Social Security Act, or
are members of vulnerable populations, as determined by the Secretary;</text>
</clause><clause id="H359FC152962A4411B3689BE08C909D9F"><enum>(iii)</enum><text>serves a
disproportionate percentage of patients from racial and ethnic minority
groups;</text>
</clause><clause id="H53FA1F9E6BB34C2AB268F63454AAB1A0"><enum>(iv)</enum><text>provides an
assurance that amounts received under the grant or contract will be used to
implement strategies that address patients’ linguistic needs, where necessary,
and recruit and maintain diverse staff and leadership; and</text>
</clause><clause id="HC53E71A58952430CAECD1F004F00A6C2"><enum>(v)</enum><text>include a focus on
community-based participation in research and demonstrations, as well as
research analysis, interpretation, solutions and partnerships for patients from
racial and ethnic minority groups.</text>
</clause></subparagraph><subparagraph id="H15977B2544EC45A1A2C6E613F4D226CC"><enum>(C)</enum><header>Preference</header><text>Consortia
of 3 or more eligible entities, particularly those entities that partner with
health plans, shall be given a preference for grant or contract funding.</text>
</subparagraph></paragraph><paragraph id="HA906D29854BE4FA48C135B1919FBFFDB"><enum>(4)</enum><header>Research</header><text>The
research funded under paragraph (2), with respect to racial and ethnic minority
groups, shall—</text>
<subparagraph id="H6493FB412C7F4937A3E34526DA4B3C93"><enum>(A)</enum><text>prioritize the
translation of existing research into practical interventions for improving
health and healthcare and reducing disparities;</text>
</subparagraph><subparagraph id="H88D094C955FC4191B69457E51D435B88"><enum>(B)</enum><text>target areas of
need as identified in the strategic plan pursuant to subsection (a)(1), the
National Healthcare Disparities Report published by the Agency for Healthcare
Research and Quality, the Unequal Treatment: Confronting Racial and Ethnic
Disparities in Health Care Report, and other relevant reports by the Institute
of Medicine, and other reports issued by Federal health agencies;</text>
</subparagraph><subparagraph id="H93AE15F35B97444BA60632F749DADF41"><enum>(C)</enum><text>include a focus on
community-based participatory research solutions and partnerships as
appropriate;</text>
</subparagraph><subparagraph id="HC82F38B34EDB4BEC9D61176771C500C9"><enum>(D)</enum><text>expand
practice-based research networks (primary care and larger delivery systems) to
include networks of delivery sites serving large numbers of minority and health
disparity populations including—</text>
<clause id="H4D23C037BD6948FE837D6D626B5041ED"><enum>(i)</enum><text>public hospitals
and private non-profit hospitals;</text>
</clause><clause id="H30A03E5D20D0414CBB741FF3EDCB4069"><enum>(ii)</enum><text>health
centers;</text>
</clause><clause id="HB51D4478B6CC441B821027C3E0D3D783"><enum>(iii)</enum><text>health
plans;</text>
</clause><clause id="HDA715AC648304DB2ADF6371924D7AB10"><enum>(iv)</enum><text>an Indian tribe,
tribal organization, or urban Indian organization; and</text>
</clause><clause id="H66E5F49EC2C0449B8086474B08A11BB6"><enum>(v)</enum><text>other sites as
determined appropriate by the Director.</text>
</clause></subparagraph></paragraph><paragraph id="HB90EB19B996943AA9583F11F0032F583"><enum>(5)</enum><header>Dissemination of
research findings</header><text>To ensure that findings from the research
described in paragraph (4) are disseminated and applied promptly, the Director
shall—</text>
<subparagraph id="HE31EC1F5105849089269DE28A9E62000"><enum>(A)</enum><text>develop outreach
and training programs for healthcare providers with respect to the practical
and effective interventions that result from research programs carried out with
grants or contracts awarded under this section; and</text>
</subparagraph><subparagraph id="H1C9B8CDDFE1B457CAE3FAAA6337D8C"><enum>(B)</enum><text>provide technical
assistance for the implementation of evidence-based practices that will improve
health and healthcare and reduce disparities.</text>
</subparagraph></paragraph></subsection><subsection id="HB9B24942D6F343628050B2F0BAD642EA"><enum>(b)</enum><header>Realizing the
potential of disease management</header>
<paragraph id="HF08D6304FA3D439695BC00EC1F1C9191"><enum>(1)</enum><header>Public-private
sector partnership to assess effectiveness of existing disease management
strategies</header>
<subparagraph id="HF5948E21140545D9BE5E3D7350003262"><enum>(A)</enum><header>In
general</header><text>The Secretary shall establish a public-private
partnership to identify, evaluate, and disseminate effective disease management
strategies, tailored to improve healthcare and health outcomes for patients
from racial and ethnic minority groups. Such strategies shall reflect
established healthcare quality standards and benchmarks and other
evidence-based recommendations.</text>
</subparagraph><subparagraph id="HF8E308D3CAA74BFA9E459D9E05F4C4B8"><enum>(B)</enum><header>Partnership
composition</header><text>The partnership’s members shall include the
following:</text>
<clause id="H112C4668F76D4BAFA0006B190253B06B"><enum>(i)</enum><text>Representatives
from the following:</text>
<subclause id="HBAC79E404CDF4F2CB54185DC0048EF54"><enum>(I)</enum><text>The Office of
Minority Health.</text>
</subclause><subclause id="HF2BCB9407EBC410CBAFAEDD0EEC0973C"><enum>(II)</enum><text>The Centers for
Disease Control and Prevention.</text>
</subclause><subclause id="HE4A794AF7332484597B1B6078E977F42"><enum>(III)</enum><text>The Agency for
Healthcare Research and Quality.</text>
</subclause><subclause id="H46D781AD495B485C834F75D5717C7EC0"><enum>(IV)</enum><text>The Centers for
Medicare and Medicaid Services.</text>
</subclause><subclause id="HE7AEFE7FCEC54B3897B31CA9CF916065"><enum>(V)</enum><text>The Health
Resources and Services Administration.</text>
</subclause><subclause id="HDB0DFB4D606948F3A5AD71B0007BD7B5"><enum>(VI)</enum><text>The Indian Health
Service.</text>
</subclause><subclause id="H35742965DE704278A48B36D070CF972F"><enum>(VII)</enum><text>The Substance
Abuse and Mental Health Services Administration.</text>
</subclause><subclause id="H6027900E6EF14858B2150431A59B54F5"><enum>(VIII)</enum><text>The Office of
Behavioral Health.</text>
</subclause><subclause id="H89A3E9D490FF46A99CA34CF00B0EC20"><enum>(IX)</enum><text>Other agencies as
designated by the Secretary.</text>
</subclause></clause><clause id="HB508C37419DC44C482AFB5B88821DEA7"><enum>(ii)</enum><text>Representatives
of health plans, employers, or other private entities that have implemented
disease management programs.</text>
</clause><clause id="HFD2C5CAB7F2C4FA8B2DE4F77FCCFA046"><enum>(iii)</enum><text>Representatives
of hospitals; community health centers; large, small, or solo provider groups;
or other organizations that provide healthcare and have implemented disease
management programs.</text>
</clause><clause id="H4BF2374348744E1AAA22BA536B2CDF7D"><enum>(iv)</enum><text>Representatives
of national minority advocacy organizations, as well as community-based
representatives who have been involved with establishing, implementing, or
evaluating health promotion, disease prevention and disease management
programs.</text>
</clause><clause id="H19739B82D9D444C5A0D468D8D37FEEE"><enum>(v)</enum><text>Other individuals
as designated by the Secretary.</text>
</clause></subparagraph><subparagraph id="HE730EC56D7124EFA89E2B2F684201F6D"><enum>(C)</enum><header>Partnership
duties</header>
<clause id="HB4A6C72AE9274BCA88B9C640ACE3291"><enum>(i)</enum><header>In
general</header><text>Not later than 18 months after the date of enactment of
the <short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>, the partnership shall release a best
practices report with respect to disease management practices, with a
particular focus on the following:</text>
<subclause id="H08B09622CC4940039780A7443FE7BC1"><enum>(I)</enum><text>Self-management
training.</text>
</subclause><subclause id="H873D65FCE9834A0C95C5011422E96D29"><enum>(II)</enum><text>Increasing
patient participation in and satisfaction with healthcare encounters.</text>
</subclause><subclause id="HCEB272E5A0D341479FF700ED76BF3C43"><enum>(III)</enum><text>Helping patients
use quality performance and cost information to choose appropriate healthcare
providers for their care.</text>
</subclause><subclause id="H28DC607D84F54C9AAE5647A2CDB1D007"><enum>(IV)</enum><text>Interventions
outside of a traditional healthcare environment, including the workplace,
school, community, or home.</text>
</subclause><subclause id="H33FB38910DCF4AA0A077E0224810065C"><enum>(V)</enum><text>Interventions
utilizing community health workers and case managers.</text>
</subclause><subclause id="H9719B463E79E4EC3992D862802774B3F"><enum>(VI)</enum><text>Interventions
that implement integrated disease management and treatment strategies to
address multiple chronic co-occurring conditions.</text>
</subclause><subclause id="H409774505B8142A0AAC42D231BD4B8"><enum>(VII)</enum><text>Other
interventions as identified by the Secretary.</text>
</subclause></clause></subparagraph></paragraph><paragraph id="H3511F5CCB2AA433AA200B3F334F9A890"><enum>(2)</enum><header>Report</header>
<subparagraph id="H2EBC6189B1C44A60B4B34564D2AC7C59"><enum>(A)</enum><header>In
general</header><text>Not later than September 30, 2010, the partnership shall
submit to the Secretary and the relevant committees of Congress a report that
describes the extent to which the activities and research funded under this
section have been successful in reducing and eliminating disparities in health
and healthcare in targeted populations.</text>
</subparagraph><subparagraph id="HE7C4FCF5BD4A47919BB2D1327E31CB15"><enum>(B)</enum><header>Availability</header><text>The
Secretary shall ensure that the report is made available on the Internet
websites of the Office of Minority Health, the Agency for Healthcare Research
and Quality, and other agencies as
appropriate.</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H7344209524654F7481B7B5F162815F2"><enum>(b)</enum><header>Annual
reports</header><text>The Secretary, acting through the Director of the Agency
for Healthcare Research and Quality, shall continue to carry out the reporting
requirements of sections 903(a)(6) and 913(b)(2) of the Public Health Service
Act.</text>
</subsection></section><section id="HAA41B388E8614EF1AC47E143DAD9AE69"><enum>302.</enum><header>Genetic
variation and health</header>
<subsection id="HC781120D896240F48808CEC6622344E0"><enum>(a)</enum><header>In
general</header><text>The Secretary shall ensure that any current, proposed, or
future research and programmatic activities regarding genomics include focus on
genetic variation within and between populations, with a focus on racial and
ethnic minority populations, that may affect risk of disease or response to
drug therapy and other treatments, in order to ensure that all populations are
able to derive full benefit from genomic tests and treatments that may improve
their health and healthcare. The Secretary shall encourage, with respect to
racial and ethnic minority populations, efforts to—</text>
<paragraph id="HC6FD5154C4C54E8BA25E2691EE59E00"><enum>(1)</enum><text>increase awareness,
access, availability, and utilization of genomic tests and treatments;</text>
</paragraph><paragraph id="HE8123628741F44A3A08D044173829D65"><enum>(2)</enum><text>determine and
monitor appropriateness of use of genomic tests and treatments;</text>
</paragraph><paragraph id="H5C8B51BD9A0C4BB98C9C925D85E71123"><enum>(3)</enum><text>increase awareness
of the importance of knowing one’s family history and the relationships between
genes, the social and physical environment, and health; and</text>
</paragraph><paragraph id="H9EF5C371B80C4FC0AC0017608CE302B0"><enum>(4)</enum><text>expand genomics
research that would help to—</text>
<subparagraph id="H595AB32D0DF440AF8B0563DE007C58C5"><enum>(A)</enum><text>improve tests to
facilitate earlier and more accurate diagnoses;</text>
</subparagraph><subparagraph id="HA2C89A5353BC4F5F8E17005FFFFEFA8E"><enum>(B)</enum><text>enhance the safety
of drugs, particularly for drugs that pose an elevated risk for adverse drug
events in such populations;</text>
</subparagraph><subparagraph id="H50D2A4F38CEC4D3C88FC67D594F7AF82"><enum>(C)</enum><text>increase the
effectiveness of drugs, particularly for diseases and conditions that
disproportionately affect such populations; and</text>
</subparagraph><subparagraph id="HF2D0297F7D954C5C8557AC7EE1D79CB0"><enum>(D)</enum><text>augment the
current understanding of the interactions between genomic, social and physical
environmental factors, and their influence on the causality, prevention,
control, and treatment of diseases common in such populations.</text>
</subparagraph></paragraph></subsection><subsection id="H7F85E235B15441FFA69E6BF157D0FDAD"><enum>(b)</enum><header>Genetic
variation, environment, and health summit</header>
<paragraph id="H26466A32433E4A4890C541400CF1110"><enum>(1)</enum><header>Summit</header><text>Not
later than 1 year after the date of enactment of this Act, the Director of the
National Human Genome Research Institute, in collaboration with the Director of
the Office of Genomics and Disease Prevention at the Centers for Disease
Control and Prevention, the Director of the Office of Behavioral and Social
Science Research at the National Institutes of Health, and the Deputy Assistant
Secretary of the Office of Minority Health, shall convene a Summit for the
purpose of providing leadership and guidance to Secretary, Congress, and other
public and private entities on current and future areas of focus for genomics
research, including translation of findings from such research, relating to
improving the health of racial and ethnic minority populations and reducing
health disparities.</text>
</paragraph><paragraph id="H101A08CDF2FC42E384D124E5244E9700"><enum>(2)</enum><header>Participation</header><text>The
Summit shall include—</text>
<subparagraph id="H87BF7D03906F4D60BCDE0051E0998F85"><enum>(A)</enum><text>representatives
from the Federal health agencies, including the National Institutes of Health,
the Centers for Disease Control and Prevention, the Office of Minority Health,
the Food and Drug Administration, the Health Resources and Services
Administration, the Centers for Medicare & Medicaid Services, the Substance
Abuse and Mental Health Services Administration, and additional agencies and
departments as determined appropriate by the Secretary;</text>
</subparagraph><subparagraph id="H3B7AD86B0C8C4492BCE9A311748484F1"><enum>(B)</enum><text>independent
experts and stakeholders from relevant industry and academic institutions,
particularly those that have demonstrated expertise in both genomics and
minority health and serve a disproportionate number of racial and ethnic
minority patients; and</text>
</subparagraph><subparagraph id="HA722C76CDE1D4F61A93D5DC8BDF563FD"><enum>(C)</enum><text>leaders of
community organizations and Indian tribal epidemiology centers that work to
reduce and eliminate health disparities.</text>
</subparagraph></paragraph><paragraph id="H4B349E22A63E412CB4001E7C983CA6E2"><enum>(3)</enum><header>Report</header><text>Not
later than 90 days after the conclusion of the Summit, the Director of the
National Human Genome Research Institute shall submit to Congress and make
available to the public a report detailing recommendations on—</text>
<subparagraph id="H18A657AD29724C28A8BB5DC8A4F89300"><enum>(A)</enum><text>an appropriate
description of human diversity, incorporating available information on
genetics, for use in genomic research and programs operated or supported by the
Federal Government;</text>
</subparagraph><subparagraph id="HC1FA106755004507932FBED475E8311"><enum>(B)</enum><text>guiding ethics,
principles, and protocols for the inclusion and designation of racial and
ethnic minority populations in genomics research, particularly clinical trials
programs operated or supported by the Federal Government;</text>
</subparagraph><subparagraph id="H5A7DC77D3FB9492EB23E486FF7ABD1C0"><enum>(C)</enum><text>ways to increase
awareness of, access to, and utilization of effective pharmacogenomic and other
genetic screening and services for racial and ethnic minority
populations;</text>
</subparagraph><subparagraph id="H262B6E262F8447E6BE16B592912B3C7F"><enum>(D)</enum><text>research
opportunities and funding support in the area of genomic variation that may
improve the health and healthcare of minority populations;</text>
</subparagraph><subparagraph id="H84B66DF32678492EB518B7F03861DD5C"><enum>(E)</enum><text>ways to enhance
integration of Federal Government-wide efforts and activities pertaining to
genetic variation, environment, and health; and</text>
</subparagraph><subparagraph id="H2FB6B6BED0DC4477826DCFC8D000BCA1"><enum>(F)</enum><text>need for
additional privacy protections in preventing stigmatization and inappropriate
use of genetic information.</text>
</subparagraph></paragraph></subsection><subsection id="H0BFDFE2AD2B146ADB771DC510003FE7"><enum>(c)</enum><header>Pharmacogenomics
and emerging issues advisory committee</header>
<paragraph id="H0D77B89A40034098AF9B73C9D75FCFBA"><enum>(1)</enum><header>In
general</header><text>The Secretary, under section 222 of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/217a">42 U.S.C. 217a</external-xref>), shall convene and consult an advisory committee
on issues relating to pharmacogenomics (referred to in this subsection as the
<quote>Advisory Committee</quote>).</text>
</paragraph><paragraph id="H98A4279A74F945BDB9C7A89382A653F5"><enum>(2)</enum><header>Duties</header>
<subparagraph id="H80CF4729A4234891B2DC4107CD51E1E4"><enum>(A)</enum><header>In
general</header><text>The Advisory Committee shall advise and make
recommendations to the Secretary, through the Commissioner of Food and Drugs
and in consultation with the Director of the National Institutes of Health, on
the evolving science of pharmacogenomics and inter-individual variability in
drug response, as it relates to the health of racial and ethnic
minorities.</text>
</subparagraph><subparagraph commented="no" id="H78801DD1342E4E2FABC9B99381FF49A2"><enum>(B)</enum><header>Matters
considered</header><text>The recommendations under subparagraph (A) shall
include recommendations on—</text>
<clause id="HE8DE89A74F894F8D8DFC7EE477F006A0"><enum>(i)</enum><text>the
ethics, design, and analysis of clinical trials involving racial and ethnic
minorities conducted under section 351, 409I, or 499 of the Public Health
Service Act or section 505(i), 505A, 505B, or 515(g) of the Federal Food, Drug,
and Cosmetic Act;</text>
</clause><clause id="H60D13E6F8D3845E0BBF1F4C2F02D17CF"><enum>(ii)</enum><text>general policy
and guidance with respect to the development, approval or clearance, and
labeling of medical products for racial and ethnic minorities;</text>
</clause><clause id="HFE2900BEFC45430B0000A6535715ABD1"><enum>(iii)</enum><text>the role of
pharmacogenomics during the development of drugs, biological products, and
diagnostics;</text>
</clause><clause id="H61978C2970B24741B560772000CEC000"><enum>(iv)</enum><text>the
understanding of inter-individual variability in drug response;</text>
</clause><clause id="H30C63306834D4C2692C120414D24EFD"><enum>(v)</enum><text>diagnostics or
treatments for diseases or conditions common in racial and ethnic minorities;
and</text>
</clause><clause id="HD5F1C3479B804F5398F6E0C1B08F46B3"><enum>(vi)</enum><text>the
identification of other areas of unmet medical need.</text>
</clause></subparagraph></paragraph><paragraph id="HD1B5325AB114459B972B5DB0CC40FF98"><enum>(3)</enum><header>Composition</header><text>The
Advisory Committee shall include—</text>
<subparagraph id="HE717D62C88C44EE3A78511823235841E"><enum>(A)</enum><text>experts in the
fields of—</text>
<clause id="H0588333C46654F109C00F082DF96B8CE"><enum>(i)</enum><text>minority health
and health disparities;</text>
</clause><clause id="H9D90587775874266BD51C1A221E751EC"><enum>(ii)</enum><text>genomics;</text>
</clause><clause id="H7C80392906CA48CD8099C7F6D57D6697"><enum>(iii)</enum><text>pharmaceutical
and diagnostic research and development;</text>
</clause><clause id="H9A7E1A34063B4B7293CF02E03D5A530"><enum>(iv)</enum><text>ethical, legal,
and social issues relating to clinical trials; and</text>
</clause><clause id="H77E00536BB094ED480BF37A74ED6352B"><enum>(v)</enum><text>bioinformatics and
information technology;</text>
</clause></subparagraph><subparagraph id="HA1687DE29C02449FBA00E1625104711C"><enum>(B)</enum><text>representatives
from minority health organizations and relevant patient organizations;
and</text>
</subparagraph><subparagraph id="H093D68BC4CF043F1A600F22449EA33E3"><enum>(C)</enum><text>other experts as
deemed appropriate by the Secretary.</text>
</subparagraph></paragraph><paragraph id="HDDCBCBDEE8AE48D9BEF1E3F4FFC8D6D3"><enum>(4)</enum><header>Coordination
with other advisory committees</header><text>The Advisory Committee may consult
and coordinate with other advisory committees of the Department of Health and
Human Services as determined appropriate by the Secretary.</text>
</paragraph><paragraph id="HEB076A786AED4AA0B35E1D45E30393AF"><enum>(5)</enum><header>Recommendations</header><text>The
Advisory Committee shall submit recommendations to the Secretary with respect
to each of the matters described under paragraph (2)(B) prior to the
development of the report by the Secretary as described under paragraph
(6).</text>
</paragraph><paragraph id="HF20A3EBEC5304F00ADD787FF6300C1E3"><enum>(6)</enum><header>Report</header><text>Not
later than 180 days after the date of enactment of this Act, the
Secretary—</text>
<subparagraph id="H539226C1FB1343678DA41D4104218911"><enum>(A)</enum><text>shall, acting
through the Commissioner of Food and Drugs and in consultation with the
Director of the National Institutes of Health, and taking into consideration
the recommendations of the Advisory Committee submitted under paragraph (5),
submit to the Committee on Health, Education, Labor, and Pensions of the Senate
and the Committee on Energy and Commerce of the House of Representatives, a
report on the evolving science of pharmacogenomics as it relates to racial and
ethnic minorities, including a review of the guidance of the Food and Drug
Administration on the participation of racial and ethnic minorities in clinical
trials; and</text>
</subparagraph><subparagraph id="HAF09B26E826643379BACF70524BF15A4"><enum>(B)</enum><text>shall ensure that
such report is made publicly available in both paper and electronic
formats.</text>
</subparagraph></paragraph></subsection></section><section id="HFCF7A3323EBB4DADA32546F87455FB95"><enum>303.</enum><header>Evaluations by
the Institute of Medicine</header>
<subsection id="H6CECC6333F8D498FB448E01D6F4F1CEF"><enum>(a)</enum><header>Health
disparities summit</header>
<paragraph id="HC81F553DF9114C3A83C1306008EAECF0"><enum>(1)</enum><header>In
general</header><text>Not later than 270 days after the date of enactment of
this Act, the Institute of Medicine shall convene a summit on health
disparities (referred to this section as the <quote>Summit</quote>).</text>
</paragraph><paragraph id="HD6BE0D342E704D53A789E5B1D3500FD"><enum>(2)</enum><header>Purpose</header><text>The
purposes of the Summit include—</text>
<subparagraph id="H3791226832D3456C911E858BBEE640F6"><enum>(A)</enum><text>reviewing current
activities of the Federal Government in addressing health and healthcare
disparities as experienced by racial and ethnic minority populations, and the
outcomes of those activities, as practicable; and</text>
</subparagraph><subparagraph id="H9753D607B4EA460BB05EF16B3CAB7DCD"><enum>(B)</enum><text>assessing progress
made since the 2002 Institute of Medicine National Healthcare Disparities
Report and the 2002 Institute of Medicine Unequal Treatment: Confronting Racial
and Ethnic Disparities in Health Care.</text>
</subparagraph></paragraph><paragraph id="HE5845F0A6EED44DB98758BDE4C23D953"><enum>(3)</enum><header>Areas of
focus</header><text>The Summit shall examine the activities of the Federal
Government to reduce and eliminate health disparities, with a focus on—</text>
<subparagraph id="H2F86FFB3E76C4B678125C98B4028F4C"><enum>(A)</enum><text>education and
training, including health professions programs that increase minority
representation in medicine, the health professions, and health-related research
careers;</text>
</subparagraph><subparagraph id="HE6EF9EC5664A49AFBC3071CA606B4B6E"><enum>(B)</enum><text>aggregated and
disaggregated data collection and analysis, including successful strategies to
collect and report data on minority small or sub-populations for whom data are
limited;</text>
</subparagraph><subparagraph id="H9DD0A89C307142918B793F364B580790"><enum>(C)</enum><text>coordination among
agencies and departments in addressing healthcare disparities;</text>
</subparagraph><subparagraph id="H23367644CE204778A0A429674B51EDA5"><enum>(D)</enum><text>research into the
causes of and strategies to eliminate health disparities; and</text>
</subparagraph><subparagraph id="H34E75ED12FD943D5A41E701C47898B6C"><enum>(E)</enum><text>programs that
increase access to care and improve health outcomes for health disparity
populations.</text>
</subparagraph></paragraph><paragraph id="H226F88F408594711A4D1197F0096B13F"><enum>(4)</enum><header>Participation</header><text>Summit
participants shall include—</text>
<subparagraph id="H51AA42FEA6E34F19B81DFAE9CA24AA8D"><enum>(A)</enum><text>representatives of
the Federal Government;</text>
</subparagraph><subparagraph id="H31B7A46CFD4F41AF8F984D583F2897E7"><enum>(B)</enum><text>experts with
research experience in identifying and addressing healthcare disparities among
racial and ethnic minority groups; and</text>
</subparagraph><subparagraph id="HD9F2F82E975D4CC3BF00495DA2D2C709"><enum>(C)</enum><text>representatives
from community-based organizations, Indian tribal epidemiology centers, and
nonprofit groups that address the issues of racial and ethnic minority
groups.</text>
</subparagraph></paragraph><paragraph id="H3F09387B01D448B780057EF4D9F556C"><enum>(5)</enum><header>Summit
proceedings</header><text>Not later than 180 days after the conclusion of the
Summit, the Secretary shall offer to enter into a contract with the Institute
of Medicine to publish a report summarizing the discussions of the Summit and
review of current Federal activities to address healthcare disparities for
racial and ethnic minority groups.</text>
</paragraph></subsection><subsection id="H1AB72F426A92455C9555BBA4E3CD10FC"><enum>(b)</enum><header>National plan To
eliminate disparities</header>
<paragraph id="HFDF5B03497F1409082180183200031B3"><enum>(1)</enum><header>Plan</header><text>Not
later than 2 years after the date of enactment of this Act, the Institute of
Medicine shall develop an evidence-based, strategic, national plan to eliminate
disparities which shall—</text>
<subparagraph id="HF5594423D551431587DC42FD6BD381B0"><enum>(A)</enum><text>include goals,
interventions, and resources needed to eliminate disparities;</text>
</subparagraph><subparagraph id="H42B8C184F77E4B8286C31B2ED973AF0"><enum>(B)</enum><text>establish a
reasonable timetable to reach selected priorities;</text>
</subparagraph><subparagraph id="H364CB75FE2734C6DB0E543D88C3CA1F5"><enum>(C)</enum><text>inform and
complement the National Plan to Improve Minority Health and Eliminate Health
Disparities, pursuant to section 1707(c)(2) of the Public Health Service Act
(as added by section 501 of this Act); and</text>
</subparagraph><subparagraph id="H910FEAF9F5F84A5CAFB20000F548ECC6"><enum>(D)</enum><text>inform the
development of criteria for evaluation of the effectiveness of programs
authorized under this Act (and the amendments made by this Act), pursuant to
subsection (c).</text>
</subparagraph></paragraph><paragraph id="H5B3F3756649649D795D25B52E7A87D0"><enum>(2)</enum><header>Report</header><text>The
Secretary shall offer to enter into a contract with the Institute of Medicine
to publish the National Plan to Eliminate Disparities.</text>
</paragraph></subsection><subsection id="HE68E39BC0D34450481ADF448ADEED5A2"><enum>(c)</enum><header>Institute of
medicine evaluation</header>
<paragraph id="H02E3C226C0A147FA8D963E57B3F6A4F5"><enum>(1)</enum><header>In
general</header><text>Not later than 3 years after the date of enactment of
this Act, the Secretary shall offer to enter into a contract with the Institute
of Medicine to evaluate the effectiveness of the programs authorized under this
Act (and the amendments made by this Act) in addressing and reducing health
disparities experienced by racial and ethnic minority groups. In making such an
evaluation, the Institute of Medicine shall consult—</text>
<subparagraph id="HC8F1EA2EA3F04A82AD93390421C14DA3"><enum>(A)</enum><text>representatives of
the Federal Government;</text>
</subparagraph><subparagraph id="HB1410D66D33A4016A3D6DAA25F2930D1"><enum>(B)</enum><text>experts with
research and policy experience in identifying and addressing healthcare
disparities among racial and ethnic minority groups; and</text>
</subparagraph><subparagraph id="HF6CC90D5D5DC48588D007EBA19A418D6"><enum>(C)</enum><text>representatives
from community-based organizations and nonprofit groups that address racial and
ethnic minority health disparity issues.</text>
</subparagraph></paragraph><paragraph id="HCA515B043A0343088B27E2A7C34900BF"><enum>(2)</enum><header>Report</header><text>Not
later than 2 years after the Secretary enters into the contract under paragraph
(1), the Institute of Medicine shall submit to the Secretary and relevant
committees of Congress a report that contains the results of the evaluation
described under such subparagraph, and any recommendations of such
Institute.</text>
</paragraph><paragraph id="HD6BCE372FF394D9BBD366DACE80D72"><enum>(3)</enum><header>Response</header><text>Not
later than 180 days after the date the Institute of Medicine submits the report
under this subsection, the Secretary shall publish a response to such
recommendations, which shall be provided to the relevant committees of Congress
and made publicly available through the Internet Clearinghouse under section
270 of the Public Health Service Act (as added by section 101).</text>
</paragraph></subsection><subsection id="H20AF8E4C8FAF4ABBAF4DC984B10235C"><enum>(d)</enum><header>Health
information technology</header>
<paragraph id="H706FC5A28FD44CB39C062DB3F3DF4E3F"><enum>(1)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
this Act, the Secretary, acting through the Director of the National Library of
Medicine and the head of the Office of the National Coordinator for Health
Information Technology and in consultation with the Director of the Office of
Mental Health and the Director of the Agency for Healthcare Research and
Quality, shall offer to enter into a contract with the Institute of Medicine to
study and make recommendations regarding the use of health information
technology and bioinformatics to improve the health and healthcare of racial
and ethnic minority groups.</text>
</paragraph><paragraph id="HEEAD0A6DEB484F759CD100D6237300B"><enum>(2)</enum><header>Study</header><text>The
study under paragraph (1), with respect to increasing access and quality of
healthcare for racial and ethnic minority groups, shall assess and make
recommendations regarding—</text>
<subparagraph id="H181C3440DEF64E909C616599D336201F"><enum>(A)</enum><text>effective
applications of health information technology, including telemedicine and
telepsychiatry;</text>
</subparagraph><subparagraph id="H33B90A3F22AC4737BD526523FF766C6B"><enum>(B)</enum><text>status of
development of health information technology standards that will permit
healthcare information of the type required to support patient care;</text>
</subparagraph><subparagraph id="H219605C0414D41AFA8905FB7F6B82D00"><enum>(C)</enum><text>inclusion of
organizations with expertise in minority health and health disparities in the
development and implementation of health information technology policies,
standards, applications, and monitoring;</text>
</subparagraph><subparagraph id="H51044BDCAD0B4FF9B7C000A728CFFF00"><enum>(D)</enum><text>priority areas for
research to improve the dissemination, management, and use of biomedical
knowledge that address identified and unmet needs;</text>
</subparagraph><subparagraph id="HC1A4E43790F34869886DAB6B54521434"><enum>(E)</enum><text>educational and
training needs and opportunities to assist health professionals understand and
apply health information technology;</text>
</subparagraph><subparagraph id="H15EB08B7D01A45A0BCB1AC8EB9E01B50"><enum>(F)</enum><text>ways to increase
recruitment and retention of racial and ethnic minorities into the field of
medical informatics; and</text>
</subparagraph><subparagraph id="H3669A8AB28C145DF001489487FB1AF3C"><enum>(G)</enum><text>ways to increase
and ensure the privacy of health information technology.</text>
</subparagraph></paragraph><paragraph id="H009911F32D2542CCA97CCC72DFE698CB"><enum>(3)</enum><header>Report</header><text>Not
later than 2 years after the Secretary enters into the contract under paragraph
(1), the Institute of Medicine shall submit to the Secretary and relevant
committees of Congress a report that contains the findings and recommendations
of this study.</text>
</paragraph></subsection></section><section commented="no" id="HE7C9935287EF4C1FAD69B03012D5EFE1"><enum>304.</enum><header>National Center
for Minority Health and Health Disparities Reauthorization</header><text display-inline="no-display-inline">Section 485E of the Public Health Service
Act (<external-xref legal-doc="usc" parsable-cite="usc/42/287c-31">42 U.S.C. 287c–31</external-xref>) is amended—</text>
<paragraph commented="no" id="H6C34ECD7AAC64921BB85A433A300D7E"><enum>(1)</enum><text display-inline="yes-display-inline">by striking subsection (e) and inserting
the following:</text>
<quoted-block display-inline="no-display-inline" id="HB13FF954E9E748ACAC701B431F919F79" style="OLC">
<subsection id="HE97BE9712BE244B2B2C8939E90A31E83"><enum>(e)</enum><header>Duties of the
Director</header>
<paragraph id="H481B935EA18B4AB99DAD533B135F6D45"><enum>(1)</enum><header>Interagency
coordination of minority health and health disparities
activities</header><text>With respect to minority health and health
disparities, the Director of the Center shall plan, coordinate, and evaluate
research and other activities conducted or supported by the agencies of the
National Institutes of Health. In carrying out the preceding sentence, the
Director of the Center shall evaluate the minority health and health disparity
activities of each of such agencies and shall provide for the timely periodic
re-evaluation of such activities.</text>
</paragraph><paragraph id="H7B74EEA5120C4869006BCE36E386B605"><enum>(2)</enum><header>Consultations</header><text>The
Director of the Center shall carry out this subpart (including developing and
revising the plan and budget required in subsection (f)) in consultation with
the Directors of the agencies (or a designee of the Directors) of the National
Institutes of Health, with the advisory councils of the agencies, and with the
advisory council established under section (j).</text>
</paragraph><paragraph id="H1C7097CBFEFE4BB2A61645FB9815F8E6"><enum>(3)</enum><header>Coordination of
activities</header><text>The Director of the Center shall act as the primary
Federal official with responsibility for coordinating all minority health
disparities research and other health disparities research conducted or
supported by the National Institutes of Health and shall—</text>
<subparagraph id="H8D293E20E18E4D0BB3ADD22FB19AEF7"><enum>(A)</enum><text>represent the
health disparities research program of the National Institutes of Health
including the minority health disparities research program at all relevant
executive branch task forces, committees, and planning activities;</text>
</subparagraph><subparagraph id="H1D2002300AF04AE198814DBCB5838CA3"><enum>(B)</enum><text>maintain
communications with all relevant Public Health Service agencies, including the
Indian Health Service and various other departments of the Federal Government,
to ensure the timely transmission of information concerning advances in
minority health disparities research and other health disparities research
between these various agencies for dissemination to affected communities and
healthcare providers;</text>
</subparagraph><subparagraph id="H94ECDB39A6CE44CCAC4EEC9930DE0455"><enum>(C)</enum><text>undertake research
to further refine and develop the conceptual, definitional, and methodological
issues involved in health disparities research and to further the understanding
of the cause of disparities; and</text>
</subparagraph><subparagraph id="H8C491E4EA6B74E84897BCBF900F313BD"><enum>(D)</enum><text>engage with
national and community-based organizations and health provider groups, led by
and serving racial and ethnic minorities, to—</text>
<clause id="H3593F81EE1184713B06F113EA38F34D1"><enum>(i)</enum><text>increase
education, awareness, and participation with respect to the Center’s activities
and areas of research focus; and</text>
</clause><clause id="HB1860B1C0355460A8F912E4F3B26EC79"><enum>(ii)</enum><text>accelerate the
translation of research findings into programs including those carried out by
community-based
organizations.</text>
</clause></subparagraph></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="HEA3416D1E41D4920A6BB367DA4F9E0B"><enum>(2)</enum><text>in subsection
(f)—</text>
<subparagraph commented="no" id="H52306924DCE840B88F6B0073B05C4881"><enum>(A)</enum><text>by striking the
subsection heading and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H6DAE490E39EF437591E1130129AB9B7B" style="OLC">
<subsection commented="no" id="H967CF1C86290447B8EA9E7B041B6836E"><enum>(f)</enum><header>Comprehensive
plan for research; budget estimate; allocation of
appropriations</header>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="H715E5364AF424749B7B562FE3D7F2335"><enum>(B)</enum><text>in paragraph
(1)—</text>
<clause commented="no" id="H2A43CA2DB2634E609B78703F7D747127"><enum>(i)</enum><text>by striking the
matter preceding subparagraph (A) and subparagraph (A) and inserting the
following:</text>
<quoted-block display-inline="no-display-inline" id="H53B66707F60C45A8A65D6B6E8DE73175" style="OLC">
<paragraph commented="no" id="H2FB62B753BE7480EBE4B4D592ECD1F5C"><enum>(1)</enum><header>In
general</header><text>Subject to the provisions of this section and other
applicable law, the Director of the Center, in consultation with the Director
of NIH, the Directors of the other agencies of the National Institutes of
Health, and the advisory council established under subsection (j) shall—</text>
<subparagraph id="H3F788F3668EF4BD2B495E5DAB433D9D8"><enum>(A)</enum><text>annually review
and revise a comprehensive plan (referred to in this section as <quote>the
Plan</quote>) and budget for the conduct and support of all minority health and
health disparities research and other health disparities research activities of
the agencies of the National Institutes of Health that includes time-based
targeted objectives with measurable outcomes and assure that the annual review
and revision of the Plan uses an established trans-NIH process subject to
timely review, approval, and
dissemination;</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause><clause commented="no" id="HE4607BA24142461393F046FC4CA117C9"><enum>(ii)</enum><text>in subparagraph
(D), by striking <quote>, with respect to amounts appropriated for activities
of the Center,</quote>;</text>
</clause><clause commented="no" id="HA2BEDF39CBC149AAA7C79551DAC64821"><enum>(iii)</enum><text>by striking
subparagraph (F) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="HA887EACFBD504B63B557BF48826FCA84" style="OLC">
<subparagraph id="H017CC08B013E44429B5600AA64ACB029"><enum>(F)</enum><text>ensure that the
Plan and budget are presented to and considered by the Director in a clear and
timely process during the formulation of the overall annual budget for the
National Institutes of
Health;</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause><clause commented="no" id="H588128B893634F60862D66B0B905DBA3"><enum>(iv)</enum><text>by redesignating
subparagraphs (G) and (H) as subparagraphs (I) and (J), respectively;
and</text>
</clause><clause commented="no" id="HCDD3A0E7BC4745248603F1B4D797FECF"><enum>(v)</enum><text>by inserting after
subparagraph (F), the following:</text>
<quoted-block display-inline="no-display-inline" id="HD0482746B2F14DC08400A665BAD0C549" style="OLC">
<subparagraph id="HE7DA1E0D70C144E8A84BBCF9302998F6"><enum>(G)</enum><text>annually submit to
Congress a report on the progress made with respect to the Plan;</text>
</subparagraph><subparagraph id="H398A560AF52F42D4870525F74F6D80C9"><enum>(H)</enum><text>creating and
implementing a plan for the systematic review of research activities supported
by the National Institutes of Health that are within the mission of both the
Center and other agencies of the National Institutes of Health, by establishing
mechanisms for—</text>
<clause id="H86F537FE5FF6469AB2E01100E7424B10"><enum>(i)</enum><text>tracking minority
health and health disparity research conducted within the agencies and
assessing the appropriateness of this research with regard to the overall goals
and objectives of the Plan;</text>
</clause><clause id="HDA944766E6A04A788962C87F93982DE6"><enum>(ii)</enum><text>the early
identification of applications and proposals for grants, contracts, and
cooperative agreements supporting extramural training, research, and
development, that are submitted to the agencies and that are within the mission
of the Center;</text>
</clause><clause id="H903E1028CA604CE8B3C4C7175CEE3CCF"><enum>(iii)</enum><text>providing the
Center with the written descriptions and scientific peer review results of such
applications and proposals;</text>
</clause><clause id="HFDBE1F4952AD46E19213CEA68F96E97F"><enum>(iv)</enum><text>enabling the
agencies to consult with the Director of the Center prior to final approval of
such applications and proposals; and</text>
</clause><clause id="HFBB99B9F52AC4B2D86FCACB77B265089"><enum>(v)</enum><text>reporting to the
Director of the Center all such applications and proposals that are approved
for funding by the agencies;</text>
</clause></subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="HF68F73C097AE497692C25F26B2309288"><enum>(C)</enum><text>in paragraph
(2)—</text>
<clause commented="no" id="HC84BED4E9B2B433EAADBAFD9D45852C1"><enum>(i)</enum><text>in subparagraph
(D), by striking <quote>and</quote> at the end;</text>
</clause><clause commented="no" id="HE1F0B93B02064504A74B97BFD6A71892"><enum>(ii)</enum><text>in subparagraph
(E), by striking the period and inserting <quote>; and</quote>; and</text>
</clause><clause commented="no" id="H54B541CB49DB4B05A4DC1304F0F2C5D4"><enum>(iii)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H747CA016A9324BCCAC39D8EC6FAB16C4" style="OLC">
<subparagraph commented="no" id="H9A72F567F57F457DAB64CBBBDD446702"><enum>(F)</enum><text>the number and
type of personnel needs of the
Center.</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph commented="no" id="H8AF270BD57BE44F88BB923C24024D3BD"><enum>(3)</enum><text>in subsection
(h)—</text>
<subparagraph commented="no" id="H959D2D363F224D4EB6B370A77E2032A9"><enum>(A)</enum><text>in paragraph (1),
by striking <quote>endowments at centers of excellence under section
736.</quote> and inserting the following: “endowments at—</text>
<quoted-block display-inline="no-display-inline" id="HF43DEC1A1EB74E9DACADA5F7D3B8B872" style="OLC">
<subparagraph commented="no" id="H197C9503D8A8497E895E56A5EDB55CC0"><enum>(A)</enum><text>centers of
excellence under section 736; and</text>
</subparagraph><subparagraph commented="no" id="H9E2849D2C06448CD96BF64171424A0B7"><enum>(B)</enum><text>centers of
excellence under section 485F.</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="H1EB1D1F120E64B71B48C5C76FB7728F2"><enum>(B)</enum><text>in paragraph
(2)(A), by striking <quote>average</quote> and inserting
<quote>median</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" id="HCF299E96F2B441D1AAA1A72B00811233"><enum>(4)</enum><text>by redesignating
subsections (k) and (l) as subsections (m) and (n), respectively;</text>
</paragraph><paragraph commented="no" id="H2FA4D511F4CB4736A7E182F966E6F756"><enum>(5)</enum><text>by inserting after
subsection (j), the following:</text>
<quoted-block display-inline="no-display-inline" id="HC5A92939C5154052A35D49E231E7FD15" style="OLC">
<subsection id="H11F1FD907D5B402786A83DF9A28900DA"><enum>(k)</enum><header>Representation
of minorities among researchers</header><text>The Secretary, in collaboration
with the Director of the Center, shall determine, by means of the collection
and reporting of aggregated and disaggregated data, the extent to which racial
and ethnic minority groups are represented among senior physicians and
scientists of the national research institutes and among physicians and
scientists conducting research with funds provided by such institutes, and as
appropriate, carry out activities to increase the extent of such
representation, including developing a pipeline of minority researchers
interested in the study of health and health disparities, as well as attracting
minority scientists in social and behavioral science fields who can bring their
expertise to the study of health disparities.</text>
</subsection><subsection id="HE8DFFD24176A493D811115034C67BF41"><enum>(l)</enum><header>Cancer
research</header><text>The Secretary, in collaboration with the Director of the
Center, shall designate and support a cancer prevention, control, and
population science center to address the significantly elevated rate of
morbidity and mortality from cancer in racial and ethnic minority populations.
Such designated center shall be housed within an existing, stand-alone cancer
center at a historically black college and university that has a demonstrable
commitment to and expertise in cancer research in the basic, clinical, and
population
sciences.</text>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H9FCAC92E3FE1496FA426DF0180F7393"><enum>(6)</enum><text>in subsection
(l)(1) (as so redesignated), by inserting before the semicolon the following:
<quote>, with a particular focus on evaluation of progress made toward
fulfillment of the goals of the Plan</quote>; and</text>
</paragraph><paragraph commented="no" id="H35311C7F41174C0397B8FF2D1C5074BE"><enum>(7)</enum><text>by striking
subsection (m) (as so redesignated).</text>
</paragraph></section><section commented="no" id="H08CDD62E3F5A45FC891DD8AFB2434064"><enum>305.</enum><header>Authorization
of appropriations</header>
<subsection commented="no" id="HFB8E462E97FC4E1390A54705079FDF12"><enum>(a)</enum><header>Sections 301,
302, and 303</header><text>There are authorized to be appropriated such sums as
may be necessary for each of fiscal years 2008 through 2012, to carry out
sections 301, 302, and 303 (and the amendments made by such sections).</text>
</subsection><subsection commented="no" id="HE9C5BC5A12834474BBAFA1999FD6BC7F"><enum>(b)</enum><header>Section
304</header>
<paragraph commented="no" id="H21E606DF61DC48DE006C22AF88177D9F"><enum>(1)</enum><header>In
general</header><text>There are authorized to be appropriated $240,000,000 for
fiscal year 2008, such sums as may be necessary for each of fiscal years 2009
through 2012, to carry out section 304.</text>
</paragraph><paragraph id="HF550EE2D9C1A4B8F8D83D965D94A0F4"><enum>(2)</enum><header>Allocation of
funds</header><text>Subject to section 485E of the Public Health Service Act
(as amended by section 304) and other applicable law, the Director of the
Center under such section 485E shall direct all amounts appropriated for
activities under such section and in collaboration with the Director of
National Institutes of Health and the directors of other institutes and centers
of the National Institutes of Health.</text>
</paragraph><paragraph id="H67E56BE87AAC438DBE00252740F64979"><enum>(3)</enum><header>Management of
allocations</header><text>All amounts allocated or expended for minority health
and health disparities research activities under this subsection shall be
reported programmatically to and approved by the Director of the Center under
such section 485E, in accordance with the Plan described under such section
485E.</text>
</paragraph></subsection></section><enum>IV</enum><header>Data
collection, analysis, and quality</header>
<section id="H868132308BED4EB18F4167A6CC841648"><enum>401.</enum><header>Data
collection, analysis, and quality</header><text display-inline="no-display-inline">The Public Health Service Act (42 U.S.C. 201
et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H6330AD9710C140AB918F0417F2F82804" style="OLC">
<title id="H5AADD9D8236141BA8180BCB18054A889"><enum>XXX</enum><header>Data collection,
analysis, and quality</header>
<section id="HDDFCA79FD36644338704EEFAA8107F4E"><enum>3001.</enum><header>Data
collection, analysis, and quality</header>
<subsection id="H8B8DCA595B58488286EB8827EC33F3C9"><enum>(a)</enum><header>Data collection
and reporting</header><text>The Secretary shall ensure that not later than 3
years after the date of enactment of the <short-title>Minority Health Improvement and Health Disparity
Elimination Act</short-title> any ongoing or new federally conducted or
supported health programs (including surveys) achieve the—</text>
<paragraph id="H8A13C28C372747158D8DD072814006F"><enum>(1)</enum><text>collection and
reporting of data by race and ethnicity using, at a minimum, Office of
Management and Budget standards in effect on the date of enactment of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>;</text>
</paragraph><paragraph id="HF5C8F9645BD74D5FBA008D1356CF8334"><enum>(2)</enum><text>collection and
reporting of data by geographic location, socioeconomic position (such as
employment, income, and education), primary language, and, when determined
practicable by the Secretary, health literacy;</text>
</paragraph><paragraph id="HB8DED7B617C14C3BB15861D079C7A2FA"><enum>(3)</enum><text>if practicable,
collection and reporting of race and ethnicity data on additional population
groups if such data can be aggregated into the minimum race and ethnicity data
categories; and</text>
</paragraph><paragraph id="HAAA9F343CFB8451AB7CD3E0128D27D6F"><enum>(4)</enum><text>collection and
reporting of data at the smallest practicable geographic level such as State,
local, or institutional levels if such data can be aggregated.</text>
</paragraph></subsection><subsection id="H38F82DD90A174C35882D16A688E76B67"><enum>(b)</enum><header>Data analysis
and dissemination</header>
<paragraph id="HDEC3BC9FC95443B697DE7B2252789E99"><enum>(1)</enum><header>Data
analysis</header>
<subparagraph id="H6E6AD3B9A50C4D2F85FFF625246D5F81"><enum>(A)</enum><header>In
general</header><text>For each federally conducted or supported program, the
Secretary shall analyze data collected under subsection (a) to detect and
monitor trends in disparities in health and healthcare, including those
reported under subparagraph (B), for racial and ethnic minority groups at the
Federal and State levels, and examine the interaction between various disparity
indicators.</text>
</subparagraph><subparagraph id="HCB74AFA232B643D29F291D88952F2771"><enum>(B)</enum><header>Quality
analysis</header><text>The Secretary shall ensure that the analyses under
subparagraph (A) incorporate data reported according to quality measurement
systems.</text>
</subparagraph></paragraph><paragraph id="H74BC3CE7FFA74EC09C37D7F7C345E208"><enum>(2)</enum><header>Quality
measures</header><text>When the Secretary, by statutory or regulatory
authority, adopts and implements any quality measures or any quality
measurement system, the Secretary shall ensure the quality measures or quality
measurement system comply with the following:</text>
<subparagraph id="HBDA43D4980524B158B2EA66BA2824005"><enum>(A)</enum><header>Measures</header><text>Measures
selected shall, to the extent practicable—</text>
<clause id="HA609F0E75FA543DA9944D075E131009B"><enum>(i)</enum><text>assess the
effectiveness, timeliness, patient self-management, patient centeredness,
equity, and efficiency of care received by patients, including patients from
racial and ethnic minority groups;</text>
</clause><clause id="H30646288721049ACB1822C947C91C433"><enum>(ii)</enum><text>are
evidence-based, reliable, and valid; and</text>
</clause><clause id="H55CD800E08B741A9BA9CE9F2100D2E3"><enum>(iii)</enum><text>include measures
of clinical processes and outcomes, patient experience and efficiency.</text>
</clause></subparagraph><subparagraph id="HCC97CC72D131461F81C565C3B9D800F4"><enum>(B)</enum><header>Consultation</header><text>In
selecting quality measures or a quality measurement system or systems for
adoption and implementation, the Secretary shall consult with—</text>
<clause id="HC8DDAACFB2CC46DA84DBB8AC33D8CDD4"><enum>(i)</enum><text>individuals from
racial and ethnic minority groups; and</text>
</clause><clause id="H1F205543A4BA4EB7A45250C0156F2807"><enum>(ii)</enum><text>experts in the
identification and elimination of disparities in health and healthcare among
racial and ethnic minority groups.</text>
</clause></subparagraph></paragraph><paragraph id="H534FA8ABE76E4ECA9FF95E8F0859F530"><enum>(3)</enum><header>Dissemination</header>
<subparagraph id="H9A382BF45709428FA5832F007739D14D"><enum>(A)</enum><header>In
general</header><text>The Secretary shall make the measures, data, and analyses
described in paragraphs (1) and (2) available to—</text>
<clause id="HC932C2E5FCB9471C939BCCA25562ECDA"><enum>(i)</enum><text>the Office of
Minority Health;</text>
</clause><clause id="H0FEB7B3745074285A8A4A955A0AE2B55"><enum>(ii)</enum><text>the National
Center on Minority Health and Health Disparities;</text>
</clause><clause id="H02CD73AF342645998DD25EAE30D8F92B"><enum>(iii)</enum><text>the Agency for
Healthcare Research and Quality for inclusion in the Agency's reports;</text>
</clause><clause id="H0F4C741105234769BF7CBFECFFA0897D"><enum>(iv)</enum><text>the Centers for
Disease Control and Prevention;</text>
</clause><clause id="H786838D994014E9FB3BB8D6700F3B8F2"><enum>(v)</enum><text>the Centers for
Medicare and Medicaid Services;</text>
</clause><clause id="HB73BED086CD24F3BACADD00BE4938DF"><enum>(vi)</enum><text>the Indian Health
Service;</text>
</clause><clause id="H28C748AC98C24B8CA87266FF6E4B50BD"><enum>(vii)</enum><text>other agencies
within the Department of Health and Human Services;</text>
</clause><clause id="HF5498C4E80054097892BD50022BCF800"><enum>(viii)</enum><text>the public
through posting on the Secretary's Internet website; and</text>
</clause><clause id="H5225E89EFD564B59BADAEB995495F9C6"><enum>(ix)</enum><text>other entities as
determined appropriate by the Secretary.</text>
</clause></subparagraph><subparagraph id="H5E49D83D0B4745A4BE16F14B406D6E4E"><enum>(B)</enum><header>Additional
research</header><text>The Secretary may, as the Secretary determines
appropriate, make the measures, data, and analysis described in paragraphs (1)
and (2) available for additional research, analysis, and dissemination to
non-governmental entities and the public.</text>
</subparagraph></paragraph></subsection><subsection id="H1EFAE69A11DE47129C5E94BA13555175"><enum>(c)</enum><header>Research</header>
<paragraph id="H7D487FD4E1F745EC9B00F7C3ADDF1DDF"><enum>(1)</enum><header>Disparity
indicators</header>
<subparagraph id="H35EF9F2A2E4E4684AFAC1D66A8BAF7A5"><enum>(A)</enum><header>In
general</header><text>The Secretary shall award grants or contracts for
research to develop appropriate methods, indicators, and measures that will
enable the detection and assessment of disparities in healthcare. Such research
shall prioritize research with respect to the following:</text>
<clause id="H2B0ABFDE1C1441F7821E12A5FEBD8C2"><enum>(i)</enum><text>Race and
ethnicity.</text>
</clause><clause id="H93E3D616CD6C4447B097C4CAF15CCE00"><enum>(ii)</enum><text>Geographic
location (such as geocoding).</text>
</clause><clause id="H604E5573C7074C5688B09F5141BCF7B2"><enum>(iii)</enum><text>Socioeconomic
position (such as income or education level).</text>
</clause><clause id="HBB231D3AAB4540F6B1C3E810785C1698"><enum>(iv)</enum><text>Health
literacy.</text>
</clause><clause id="H003D1277E7C2479FB777AACD2E10BF1F"><enum>(v)</enum><text>Cultural
competency.</text>
</clause><clause id="HF3832ABE73B74FE1AE00F5CB8B0085D7"><enum>(vi)</enum><text>Additional
measures as determined appropriate by the Secretary.</text>
</clause></subparagraph><subparagraph id="HAABA492E3A334CEC889BC704FD6068BB"><enum>(B)</enum><header>Applied
research</header><text>The Secretary shall use the results of the research from
grants awarded under subparagraph (A) to improve the data collection described
under subsection (a).</text>
</subparagraph></paragraph><paragraph id="H09A5D211C7DF479A99914DC5C8AFD044"><enum>(2)</enum><header>Strategic
partnerships to encourage and improve data collection</header>
<subparagraph id="H9F386049ADCB4482974D8DEE61C58C7B"><enum>(A)</enum><header>In
general</header><text>The Secretary may award not more than 20 grants to
eligible entities for the purposes of—</text>
<clause id="H0C686625A36D463EBAE4A3CE3B4571B3"><enum>(i)</enum><text>enhancing and
improving methods for the collection, reporting, analysis, and dissemination of
data, as required under the <short-title>Minority Health
Improvement and Health Disparity Elimination Act</short-title>; and</text>
</clause><clause id="H93A0BA716710480B98A95FCF4F589A9"><enum>(ii)</enum><text>encouraging the
collection, reporting, analysis, and dissemination of data to identify and
address disparities in health and healthcare.</text>
</clause></subparagraph><subparagraph id="H627803C2D4C74616BC98073EC61148C"><enum>(B)</enum><header>Definition of
eligible entity</header><text>In this paragraph, the term <term>eligible
entity</term> means a health plan, federally qualified health center, hospital,
rural health clinic, academic institution, policy research organization, or
other entity, including an Indian Health Service hospital or clinic, Indian
tribal health facility, or urban Indian facility, that the Secretary determines
to be appropriate.</text>
</subparagraph><subparagraph id="H62D73BF11FDD401698CA31A94390A500"><enum>(C)</enum><header>Application</header><text>An
eligible entity desiring a grant under this paragraph shall submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subparagraph><subparagraph id="HDEF1B4CD4F3B4D59A9251BD2D6BFFC2"><enum>(D)</enum><header>Priority in
awarding grants</header><text>In awarding grants under this paragraph, the
Secretary shall give priority to eligible entities that represent
collaboratives with—</text>
<clause id="HDA800D5AEA1F4EC2B0E58C5F00F2E04D"><enum>(i)</enum><text>hospitals, health
plans, or health centers; and</text>
</clause><clause id="H5E4688ACC82B4CBA84C2A0963CF7148D"><enum>(ii)</enum><text>at least 1
community-based organization or patient advocacy group.</text>
</clause></subparagraph><subparagraph id="H1C1C7508A86A493D8FB943AA0078CBEB"><enum>(E)</enum><header>Use of
funds</header><text>An eligible entity that receives a grant under this
paragraph shall use grant funds to—</text>
<clause id="HF0AECDF9305949F3BD69EA3BB82340CA"><enum>(i)</enum><text>collect, analyze,
or report data by race, ethnicity, geographic location, socioeconomic position,
health literacy, primary language, or other health disparity indicator;</text>
</clause><clause id="H8680C7E10D8B4A53A3A8BEEE9D708371"><enum>(ii)</enum><text>conduct and
report analyses of quality of healthcare and disparities in health and
healthcare for racial and ethnic minority groups, including disparities in
diagnosis, management and treatment, and health outcomes for acute and chronic
disease;</text>
</clause><clause id="HD6D330B4718642C18CA669E322956E10"><enum>(iii)</enum><text>improve health
data collection, analysis, and reporting for subpopulations and
categories;</text>
</clause><clause id="HE6F852917F8A4DF9A2F5FD928B1BE29"><enum>(iv)</enum><text>modify, implement,
and evaluate use of health information technology systems that facilitate data
collection, analysis and reporting for racial and ethnic minority groups, and
support healthcare interventions;</text>
</clause><clause id="H921D23882F4F4AAB88186675E3ED0986"><enum>(v)</enum><text>develop
educational programs to inform patients, providers, purchasers, and other
individuals served about the legality and importance of the collection,
analysis, and reporting of data by race, ethnicity, socioeconomic position,
geographic location, and health literacy, for eliminating disparities in
health; and</text>
</clause><clause id="H4E9BD6B62C2041F4B95EE18EB59828A2"><enum>(vi)</enum><text>evaluate the
activities conducted under this paragraph.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H4BEE61C5C2074C89BC0812CED562CCE9"><enum>(d)</enum><header>Technical
assistance</header><text>The Secretary may provide technical assistance to
promote compliance with the data collection and reporting requirements of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>.</text>
</subsection><subsection id="HD9BC6ECC76F64C97A7D439B818095600"><enum>(e)</enum><header>Privacy and
security</header><text>The Secretary shall ensure all appropriate privacy and
security protections for health data collected, reported, analyzed, and
disseminated pursuant to the <short-title>Minority Health
Improvement and Health Disparity Elimination Act</short-title>.</text>
</subsection><subsection id="H86D2DF2D9B6040639B1587932500B62E"><enum>(f)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may be necessary for each
of fiscal years 2008 through
2012.</text>
</subsection></section>.
<enum>V</enum><header>Leadership,
collaboration, and national action plan</header>
<section id="H4DD6B0927CC641819EB924E696267EC4"><enum>501.</enum><header>Office of
minority health</header><text display-inline="no-display-inline">Section 1707
of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300u-6">42 U.S.C. 300u–6</external-xref>) is amended to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="H2AB576CFCF314C529B07AB2483CE865B" style="OLC">
<section id="HBF938DC059D34E59858C7F26D52BC5D8"><enum>1707.</enum><header>Office of
minority health</header>
<subsection id="HE3C64112571F43280020C0B25663A006"><enum>(a)</enum><header>Duties</header><text>With
respect to racial and ethnic minority groups, the Secretary, acting through the
Deputy Assistant Secretary, shall carry out the following:</text>
<paragraph id="H83F63B5055494C399F78A7DBA28556C4"><enum>(1)</enum><text>Coordinate and
provide input on activities within the Public Health Service that relate to
disease prevention, health promotion, health service delivery, health
workforce, and research concerning racial and ethnic minority groups. The
Secretary shall ensure that the heads of each of the agencies of the Service
collaborate with the Deputy Assistant Secretary on the development and conduct
of such activities.</text>
</paragraph><paragraph id="H5B65A9EEC64C441BAB00B7B4FE1465E"><enum>(2)</enum><text>Not later than 1
year after the date of enactment of the <short-title>Minority Health Improvement and Health Disparity
Elimination Act</short-title>, develop and implement a comprehensive
Department-wide plan to improve minority health and eliminate health
disparities in the United States, to be known as the National Plan to Improve
Minority Health and Eliminate Health Disparities, (referred to in this section
as the <quote>National Plan</quote>). With respect to development and
implementation of the National Plan, the Secretary shall carry out the
following:</text>
<subparagraph id="HFA757DB2336B46CF9C56F714449283CA"><enum>(A)</enum><text>Consult with the
following:</text>
<clause id="HB52872DCB7944B3B8647C3DD4D839599"><enum>(i)</enum><text>The Director of
the Centers for Disease Control and Prevention.</text>
</clause><clause id="HF529755FE4BF463580FF0642DACD593D"><enum>(ii)</enum><text>The Director of
the National Institutes of Health.</text>
</clause><clause id="HB2B067B318544E669C35D702F0ECF9F3"><enum>(iii)</enum><text>The Director of
the National Center on Minority Health and Health Disparities of the National
Institutes of Health.</text>
</clause><clause id="H757C49FF17444D0094AE217DEE70E2CC"><enum>(iv)</enum><text>The Director of
the Agency for Healthcare Research and Quality.</text>
</clause><clause id="H590A3FEF98184DCFA46664D9C2F8FA4D"><enum>(v)</enum><text>The National
Coordinator for Health Information Technology.</text>
</clause><clause id="HEFAE08E60AD14205BE82984C9853B82F"><enum>(vi)</enum><text>The Administrator
of the Health Resources and Services Administration.</text>
</clause><clause id="HC3665BBAC20D43438D9EE2AEF366548"><enum>(vii)</enum><text>The Administrator
of the Centers for Medicare & Medicaid Services.</text>
</clause><clause id="HB9B3734B5D944721BF49CA45DE1EA44"><enum>(viii)</enum><text>The Director of
the Office for Civil Rights.</text>
</clause><clause id="HB9790ACB38104F708836D191254B06DF"><enum>(ix)</enum><text>The Secretary of
Veterans Affairs.</text>
</clause><clause id="HE5B0D007AB3A4C95BD66715D00B73F2E"><enum>(x)</enum><text>The Administrator
of the Substance Abuse and Mental Health Services Administration.</text>
</clause><clause id="H26AAAC1ACEA34A2A9DB711B24663A229"><enum>(xi)</enum><text>The Secretary of
Defense.</text>
</clause><clause id="H53E3A3B75406479AAD4E08492BE567E3"><enum>(xii)</enum><text>The Commissioner
of the Food and Drug Administration.</text>
</clause><clause id="H9B069D17458D4794BE4111FCF7BC2CFE"><enum>(xiii)</enum><text>The Director of
the Indian Health Service.</text>
</clause><clause id="H7D887EDB023C4F47B0F0D6D0A4A04DC3"><enum>(xiv)</enum><text>The Secretary of
Education.</text>
</clause><clause id="HC7F4922AE66F44F8929687477B876C76"><enum>(xv)</enum><text>The Secretary of
Labor.</text>
</clause><clause id="H07313727035C40EEB27B5B33E0E171CF"><enum>(xvi)</enum><text>The heads of
other public and private entities, as determined appropriate by the
Secretary.</text>
</clause></subparagraph><subparagraph id="HE89575C5D2234F2CAFACAF89CA7CCDA6"><enum>(B)</enum><text>Review and
integrate existing information and recommendations as appropriate, such as
Healthy People 2010, Institute of Medicine studies, and Surgeon General
Reports.</text>
</subparagraph><subparagraph id="H8097355FFD9A49D5A36EF64C34DCC98E"><enum>(C)</enum><text>Ensure inclusion
of measurable short- and long-range goals and objectives, a description of the
means for achieving such goals and objectives, and a designated date by which
such goals and objectives are expected to be achieved.</text>
</subparagraph><subparagraph id="H1112F1324D04496AAAAC0099587C0498"><enum>(D)</enum><text>Ensure that all
amounts appropriated for such activities are expended in accordance with the
National Plan.</text>
</subparagraph><subparagraph id="H75AB65A07AEA48D0B1DC28BDBD4CCDE"><enum>(E)</enum><text>Review the National
Plan on at least an annual basis, and report to the public and appropriate
committees of Congress on progress.</text>
</subparagraph><subparagraph id="HBB31A4C1427549FCBD1C9E9D585E2468"><enum>(F)</enum><text>Revise such Plan
as appropriate.</text>
</subparagraph><subparagraph id="HBF719BA6BACE49CFBF9D2EEE032413F5"><enum>(G)</enum><text>Ensure that the
National Plan will serve as a binding statement of policy with respect to the
agencies’ activities related to improving health and eliminating disparities in
health and healthcare.</text>
</subparagraph></paragraph><paragraph id="HDC549C5405DA4C19B7E2CE0321B12629"><enum>(3)</enum><text>Work with Federal
agencies and departments outside of the Department of Health and Human Services
as appropriate to maximize resources available to increase understanding about
why disparities exist, and effective ways to improve health and eliminate
health disparities.</text>
</paragraph><paragraph id="H8289F88448FF449C987CCBE0A0700E7"><enum>(4)</enum><text>In cooperation with
the appropriate agencies, support research, demonstrations, and evaluations to
test new and innovative models for—</text>
<subparagraph id="H57770FA1C5B5478B8FBFEF168200A664"><enum>(A)</enum><text>expanding
healthcare access;</text>
</subparagraph><subparagraph id="H07863B347447459D84004D3D1703F46B"><enum>(B)</enum><text>improving
healthcare quality;</text>
</subparagraph><subparagraph id="HF4811048517D43E68020094047295EFF"><enum>(C)</enum><text>increasing
educational opportunity in the field of healthcare; and</text>
</subparagraph><subparagraph id="H89DF071D42D0429A00511F18E37C615C"><enum>(D)</enum><text>increasing the
capacity of racial and ethnic minority organizations to improve health and
eliminate health disparities.</text>
</subparagraph></paragraph><paragraph id="HC50DF7837E864B9C90B2709EFCB80011"><enum>(5)</enum><text>Develop mechanisms
that support better dissemination of information, education, prevention, and
service delivery to individuals from disadvantaged backgrounds, including
individuals who are members of racial or ethnic minority groups.</text>
</paragraph><paragraph id="H75BDA153E87D463DAF9E705404408E11"><enum>(6)</enum><text>Increase awareness
of disparities in healthcare, and knowledge and understanding of health risk
factors, and ways to reduce and eliminate health disparities, among healthcare
providers, health plans, and the public.</text>
</paragraph><paragraph id="HA1B6B67493534F8C982C857432CCA9E"><enum>(7)</enum><text>Advise in matters
related to the development, implementation, and evaluation of health
professions education on improving healthcare outcomes and decreasing
disparities in healthcare outcomes, with a focus on cultural competence.</text>
</paragraph><paragraph id="H7DA61F601BD9460BA477854D04DDD32F"><enum>(8)</enum><text>Assist healthcare
professionals, community and advocacy organizations, academic medical centers
and other health entities and public health departments in the design and
implementation of programs that will improve health outcomes by strengthening
the patient-provider relationship.</text>
</paragraph><paragraph id="H13353A087AAB417CBB4777DB894CCF93"><enum>(9)</enum><text>Carry out programs
to improve access to healthcare services and to improve the quality of
healthcare services for individuals with low health literacy.</text>
</paragraph><paragraph id="H7470DE89F26B4790B1183BCDB767F83E"><enum>(10)</enum><text>Facilitate the
classification and collection of healthcare data to allow for ongoing analysis
to identify and determine the causes of disparities and the monitoring of
progress toward improving health and eliminating health disparities.</text>
</paragraph><paragraph id="H4B2D33A3F26F474BA07DCC22FF94B91D"><enum>(11)</enum><text>Ensure that the
National Center for Health Statistics collects data on the health status of
each racial or ethnic minority group pursuant to section 2901.</text>
</paragraph><paragraph id="H7BC0276F5ABC4E17005254A35194E0A"><enum>(12)</enum><text>Support a national
minority health resource center to carry out the following:</text>
<subparagraph id="H024701187BD84A8BA31C1D887DFE9470"><enum>(A)</enum><text>Facilitate the
exchange of information regarding matters relating to health information and
health promotion, preventive health services, and education in the appropriate
use of healthcare.</text>
</subparagraph><subparagraph id="HB1BBB4D7017043BAABDFCD065DB3E1B0"><enum>(B)</enum><text>Facilitate access
to such information.</text>
</subparagraph><subparagraph id="HC351F3F63D8C42C5A341865CD8001E46"><enum>(C)</enum><text>Assist in the
analysis of issues and problems relating to such matters.</text>
</subparagraph><subparagraph id="H367A926DAF4B40BEB4138E95C4F4EDEB"><enum>(D)</enum><text>Provide technical
assistance with respect to the exchange of such information (including
facilitating the development of materials for such technical
assistance).</text>
</subparagraph></paragraph><paragraph id="HD90A50590861468CB11C9458A3A27EF3"><enum>(13)</enum><text>Support a center
for cultural and linguistic competence to carry out the following:</text>
<subparagraph id="H9D7ADBB8F914469A9E091D6DA5DD706D"><enum>(A)</enum><text>With respect to
individuals who lack proficiency in speaking the English language, enter into
contracts with public and nonprofit private providers of primary health
services for the purpose of increasing the access of such individuals to such
services by developing and carrying out programs to improve health literacy and
cultural competency.</text>
</subparagraph><subparagraph id="HF7ADEA3FA23048A4B03398BB5EC386F4"><enum>(B)</enum><text>Carry out programs
to improve access to healthcare services for individuals with limited
proficiency in speaking the English language. Activities under this
subparagraph shall include developing and evaluating model projects.</text>
</subparagraph></paragraph><paragraph id="H1342A97EE43B45CFA140001714CF8529"><enum>(14)</enum><text>At the discretion
of the Director, support a center or program for the improvement of geographic
minority health and health disparities to carry out the following for rural
disadvantaged minority populations:</text>
<subparagraph id="HFF993D36593341D6AA04650171A00D2"><enum>(A)</enum><text>Increase awareness
on health care issues impacting and effective interventions for these
populations.</text>
</subparagraph><subparagraph id="H8233BFC6F00547CB87412D05598C845E"><enum>(B)</enum><text>Increase access to
quality healthcare.</text>
</subparagraph><subparagraph id="H868AC2821F8B4F68ABEDBC405DF03EB5"><enum>(C)</enum><text>Increase access to
quality healthcare personnel available to provide services to these
populations.</text>
</subparagraph><subparagraph id="H7C07732BD6E9498A9D50A89602596966"><enum>(D)</enum><text>Improve health
care outcomes.</text>
</subparagraph><subparagraph id="HAEA57B9BB42147A3AED4AA62E2F64E8B"><enum>(E)</enum><text>Develop a model
that can be replicated to address national policies and programs to improve the
health of these rural disadvantaged minority communities. This model should
include research, health services, education/awareness, and health information
components, with priority given to existing programs or programs in areas with
the most need and have a Community Advisory Board to provide recommendations on
projects to benefit the health of minority populations.</text>
</subparagraph></paragraph><paragraph id="H8094A587401649A2BDCD54B3485B05D6"><enum>(15)</enum><text>Enter into
interagency agreements with other agencies of the Public Health Service, as
appropriate.</text>
</paragraph><paragraph id="H717E776293344AD28BFDF32031AD135D"><enum>(16)</enum><text>Collaborate with
the Office for Civil Rights to—</text>
<subparagraph id="H004179CCEA374207B8E130D186942C52"><enum>(A)</enum><text>assist healthcare
providers with application of guidance and directives regarding healthcare for
racial and ethnic minority groups, including—</text>
<clause id="H7CD21ED74B714000B7E399855F879C45"><enum>(i)</enum><text>reviewing cases
that have been closed without a finding of discrimination with the Office of
Inspector General and the Office for Civil Rights to determine if there exists
a pattern or practice of activities that could lead to discrimination, and if
such a pattern or practice is identified, provide technical assistance or
education, as applicable, to the relevant provider or to a group of providers
located within a particular geographic area;</text>
</clause><clause id="H28C94381493C4EA3B6C033F689344D9"><enum>(ii)</enum><text>biannually
publishing information on cases filed with the Office for Civil Rights which
have resulted in a finding of discrimination, including the name and location
of the entity found to have discriminated, and any findings and agreements
entered into between the Office for Civil Rights and the entity; and</text>
</clause><clause id="HD5FBAAA30460443D001D1DBFD95E8E47"><enum>(iii)</enum><text>monitoring and
analysis of trends in cases reported to the Office for Civil Rights to ensure
that the Office of Minority Health acts to educate and assist healthcare
providers as necessary; and</text>
</clause></subparagraph><subparagraph id="H1EFCA936A13A4A52B4F75857BE201289"><enum>(B)</enum><text>provide technical
assistance or education, as applicable, to the relevant provider or to a group
of providers located within a particular geographic area.</text>
</subparagraph></paragraph><paragraph id="HFC6A5EE2A58D43C4927DBFE030085F3"><enum>(17)</enum><text>Promote and expand
efforts to increase racial and ethnic minority enrollment in clinical
trials.</text>
</paragraph><paragraph id="HF269026E4822438E9481556FC73340C5"><enum>(18)</enum><text>Establish working
groups—</text>
<subparagraph id="H143F406F944A46CC9536A7DFF7B931EB"><enum>(A)</enum><text>to examine and
report recommendations to the Secretary regarding—</text>
<clause id="H86E54FFBE3DF4DB6A0EAB9BBC97174B2"><enum>(i)</enum><text>emergency
preparedness and response for underserved populations;</text>
</clause><clause id="HB2505E2265524158B11CAA80FC17D202"><enum>(ii)</enum><text>development and
implementation of health information technology that can assist providers to
deliver culturally competent healthcare;</text>
</clause><clause id="H1D2D08A41AB44CC2B83ECABCB84E7C6"><enum>(iii)</enum><text>outreach and
education of health disparity groups about new Federal health programs, as
appropriate, including the programs under part D of title XVIII of the Social
Security Act and chronic care management programs under the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (and the
amendments made by such Act);</text>
</clause><clause id="HE71AD1A4540F4AC8BBE879E258D8DD4F"><enum>(iv)</enum><text>leadership
development in public health;</text>
</clause><clause id="HCE85B74036C54ADC870018027F40D941"><enum>(v)</enum><text>the training of
behavioral and social science researchers to address health disparities;
and</text>
</clause><clause id="H02BF75EE6C044E828924081442F2B7EB"><enum>(vi)</enum><text>other emerging
health issues at the discretion of the Secretary; and</text>
</clause></subparagraph><subparagraph id="H0DB00D4AC6494F9697CBC46D74780053"><enum>(B)</enum><text>that include
representation from the relevant health agencies, centers and offices, as well
as public and private entities as appropriate.</text>
</subparagraph></paragraph></subsection><subsection id="HF6C491145E18472F8BDC073598D42517"><enum>(b)</enum><header>Advisory
committee</header>
<paragraph id="HBD4AFF3F6B2A47F39B4B49329EB5BD00"><enum>(1)</enum><header>In
general</header><text>The Secretary shall establish an advisory committee to be
known as the Advisory Committee on Minority Health (in this subsection referred
to as the <quote>Committee</quote>).</text>
</paragraph><paragraph id="HBF27A81405F14BBCA4E581C857D4B410"><enum>(2)</enum><header>Duties</header><text>The
Committee shall provide advice to the Deputy Assistant Secretary carrying out
this section, including advice on the development of goals and specific program
activities under subsection (c) for racial and ethnic minority groups and
health disparity population.</text>
</paragraph><paragraph id="HE15E745A1E25422D85BC1FBDAEE4D0"><enum>(3)</enum><header>Chair</header><text>The
chairperson of the Committee shall be selected by the Secretary from among the
members of the voting members of the Committee. The term of office of the
chairperson shall be 2 years.</text>
</paragraph><paragraph id="H3F631AEF6B1941E2B0F8DDF7CD6B633"><enum>(4)</enum><header>Composition</header>
<subparagraph id="HDDB6B4877DDC4EF8956C2DC1E474422E"><enum>(A)</enum><text>The Committee
shall be composed of 12 voting members appointed in accordance with
subparagraph (B), and nonvoting, ex-officio members designated in subparagraph
(C).</text>
</subparagraph><subparagraph id="HC13323FA6EC045D592A78E9B8F076062"><enum>(B)</enum><text>The voting members
of the Committee shall be appointed by the Secretary from among individuals who
are not officers or employees of the Federal Government and who have expertise
regarding issues of minority health and health disparities. Racial and ethnic
minority groups shall be appropriately represented among such members.</text>
</subparagraph><subparagraph id="HA9A5B0A42C3D49048E9CA2ABCD5B7590"><enum>(C)</enum><text>The nonvoting, ex
officio members of the Committee shall be such officials of the Department of
Health and Human Services, including the Director of the Office of Minority
Health and the Office for Civil Rights, and other officials as the Secretary
determines to be appropriate.</text>
</subparagraph><subparagraph id="H8AA19CB90C804B5D8EF29922FE9E974D"><enum>(D)</enum><text>The Secretary
shall provide an opportunity for the Chairman and Ranking Member of the
Committee on Health, Education, Labor, and Pensions of the Senate to submit to
the Secretary names of potential Committee members under this section for
consideration.</text>
</subparagraph></paragraph><paragraph id="H1689E1A81E27469AB65CBDDBB5E5E458"><enum>(5)</enum><header>Terms</header><text>Each
member of the Committee shall serve for a term of 4 years, except that the
Secretary shall initially appoint a portion of the members to terms of 1 year,
2 years, and 3 years.</text>
</paragraph><paragraph id="H827AA6D4F5F244B598242FB636785488"><enum>(6)</enum><header>Vacancies</header><text>If
a vacancy occurs on the Committee, a new member shall be appointed by the
Secretary within 90 days from the date that the vacancy occurs, and serve for
the remainder of the term for which the predecessor of such member was
appointed. The vacancy shall not affect the power of the remaining members to
execute the duties of the Committee.</text>
</paragraph><paragraph id="H66242F1AF874461899AFA7B27130DD29"><enum>(7)</enum><header>Compensation</header><text>Members
of the Committee who are officers or employees of the United States shall serve
without additional compensation. Members of the Committee who are not officers
or employees of the United States shall receive compensation, for each day
(including travel time) they are engaged in the performance of the functions of
the Committee. Such compensation may not be in an amount in excess of the daily
equivalent of the annual maximum rate of basic pay payable under the General
Schedule for positions above GS–15 under title 5, United States Code.</text>
</paragraph></subsection><subsection id="H889503C8C63844DABF95FEC6BA60ADBF"><enum>(c)</enum><header>Certain
requirements regarding duties</header>
<paragraph id="H8D1626AB02B446FD806FD826003F9672"><enum>(1)</enum><header>Recommendations
regarding language</header>
<subparagraph id="H656A60CB3C0C45D782437EB4990035FD"><enum>(A)</enum><header>Proficiency in
speaking english</header><text>The Deputy Assistant Secretary shall consult
with the Director of the Office of International and Refugee Health, the
Director of the Office for Civil Rights, and the Directors of other appropriate
departmental entities regarding recommendations for carrying out activities
under subsection (c)(9).</text>
</subparagraph><subparagraph id="H0B8B11CB6D994355886C9500BC256C9"><enum>(B)</enum><header>Health
professions education regarding health disparities</header><text>The Deputy
Assistant Secretary shall carry out the duties under subsection (a)(7) in
collaboration with appropriate personnel of the Department of Health and Human
Services, other Federal agencies, and other offices, centers, and institutions,
as appropriate, that have responsibilities under the Minority Health and Health
Disparities Research and Education Act of 2000.</text>
</subparagraph></paragraph><paragraph id="HD41F2DDC3ABF4D97A28F5806E279B193"><enum>(2)</enum><header>Equitable
allocation regarding activities</header><text>In carrying out subsection (b),
the Secretary shall ensure that services provided under such subsection are
equitably allocated among all groups served under this section by the
Secretary.</text>
</paragraph><paragraph id="HC0818BFFDD714D3CB4773CE3DFEDAA1"><enum>(3)</enum><header>Cultural
competency of services</header><text>The Secretary shall ensure that
information and services provided pursuant to subsection (c) consider the
unique cultural or linguistic issues facing such populations and are provided
in the language, educational, and cultural context that is most appropriate for
the individuals for whom the information and services are intended.</text>
</paragraph><paragraph id="HD2D26730B7114173A48F80449396BB64"><enum>(4)</enum><header>Agency
coordination</header><text>In carrying out subsection (c), the Secretary shall
ensure that new or existing agency offices of minority health report current
and proposed activities to the Deputy Assistant Secretary, and provide, to the
extent practicable, an opportunity for input in the development of such
activities by the Deputy Assistant Secretary.</text>
</paragraph></subsection><subsection id="H619C8381AB8A4503AD6DE8D3B6232A5"><enum>(d)</enum><header>Grants and
contracts regarding duties</header>
<paragraph id="HA70F4F9FCC0D4611AF06A305ECF782C"><enum>(1)</enum><header>In
general</header><text>In carrying out subsection (c), the Secretary acting
through the Deputy Assistant Secretary, may make awards of grants, cooperative
agreements, and contracts to public and nonprofit private entities.</text>
</paragraph><paragraph id="H6A94C52C91404A0999798491367F2C48"><enum>(2)</enum><header>Process for
making awards</header><text>The Deputy Assistant Secretary shall ensure that
awards under paragraph (1) are made, to the extent practicable, only on a
competitive basis, and that a grant is awarded for a proposal only if the
proposal has been recommended for such an award through a process of peer
review.</text>
</paragraph><paragraph id="HB7A29DF36DF6440785D9A6442B081D3"><enum>(3)</enum><header>Evaluation and
dissemination</header><text>The Deputy Assistant Secretary, directly or through
contracts with public and private entities, shall provide for evaluations of
projects carried out with awards made under paragraph (1) during the preceding
2 fiscal years. The report shall be included in the report required under
subsection (g) for the fiscal year involved.</text>
</paragraph></subsection><subsection id="HEB23FF3181F84AA6AE742806D98279B2"><enum>(e)</enum><header>State offices of
minority health</header><text>The Deputy Assistant Secretary shall assist the
voluntary establishment and functions of State offices of minority health in
order to expand and coordinate State efforts to improve the health of racial
and ethnic minority groups.</text>
<paragraph id="H5EC51F299AEB458F002695D83E2DF361"><enum>(1)</enum><header>Priorities</header><text>The
Deputy Assistant Secretary may facilitate, with respect to racial and ethnic
minority groups—</text>
<subparagraph id="H72C61E4367C541780092508448C5A632"><enum>(A)</enum><text>integration and
coordination of State and national efforts, including those pertaining to the
National Plan pursuant to subsection (b);</text>
</subparagraph><subparagraph id="H9AA8248A06C44933AF00E2C2A931A4CD"><enum>(B)</enum><text>strategic plan
development within States to assess and respond to local health
concerns;</text>
</subparagraph><subparagraph id="HB99418A75F1A49ACA2AF16372D70005D"><enum>(C)</enum><text>education and
engagement of key stakeholders within States, including representatives from
public health agencies, hospitals, clinics, provider groups, elected officials,
community-based organizations, advocacy groups, media, and the private
sector;</text>
</subparagraph><subparagraph id="H6C2A220C168C44ECB4994E32ABCA9FF7"><enum>(D)</enum><text>development and
implementation of accepted standards, core competencies, and minimum
infrastructure requirements for State offices;</text>
</subparagraph><subparagraph id="H41547B78AB224D2E9425000398BEC04D"><enum>(E)</enum><text>access to State
level health data for racial and ethnic minority groups, which may include
State data collection and analysis;</text>
</subparagraph><subparagraph id="HE67C65050C0A4FD4BEACB8C6B310027"><enum>(F)</enum><text>development,
implementation, and evaluation of State programs and policies, as
appropriate;</text>
</subparagraph><subparagraph id="H44E8077D3A9D4DF78B5DC9F5BAB2FFCF"><enum>(G)</enum><text>communication and
networking among States to share effective policies, programs and practices
with respect to increasing access and quality of care;</text>
</subparagraph><subparagraph id="H634052D9A9A04A34ACC85FF400EAF9E0"><enum>(H)</enum><text>recognition and
reporting of State successes and challenges; and</text>
</subparagraph><subparagraph id="H48F95EDBEEB44278BECEAB23845C2462"><enum>(I)</enum><text>identification of
Federal grant programs and other funding for which States could apply to carry
out health improvement activities.</text>
</subparagraph></paragraph><paragraph id="HB78ACFE8AC7947EF9D558B14C3E8BFF6"><enum>(2)</enum><header>Resources</header><text>The
Deputy Assistant Secretary may provide grants and technical assistance for the
voluntary establishment or capacity development of State offices of minority
health.</text>
</paragraph><paragraph id="HED9FE66D868641FD868B3FE5CBF2586E"><enum>(3)</enum><header>Collaboration</header><text>To
the extent practicable, the Deputy Assistant Secretary may encourage and
facilitate collaboration between State offices of minority health and State
offices addressing the needs of other health disparity or disadvantaged
populations, including offices of rural health.</text>
</paragraph><paragraph id="HD54DD88FBD4F4B9AB4A9CCF700254ED2"><enum>(4)</enum><header>Definition</header><text>For
the purpose of this subsection, <quote>State offices of minority health</quote>
include offices, councils, commissions, or advisory panels designated by States
or territories to address the health of minority populations.</text>
</paragraph></subsection><subsection id="HDE95E790A59F4D8CBCF6EC375E6373D"><enum>(f)</enum><header>Reports</header>
<paragraph id="H4F5ED0F2457747FE998196436600AC42"><enum>(1)</enum><header>In
general</header><text>Not later than 1 year after the date of enactment of the
<short-title>Minority Health Improvement and Health
Disparity Elimination Act</short-title>, the Secretary shall submit to the
appropriate committees of Congress, a report on the National Plan developed
under subsection (c).</text>
</paragraph><paragraph id="HB96177D312FB4AA78D21E0F250B37D5F"><enum>(2)</enum><header>Report on
Activities</header><text>Not later than February 1 of fiscal year 2009 and of
each second year thereafter, the Secretary shall submit to the appropriate
committees of Congress, a report describing the activities carried out under
this section during the preceding 2 fiscal years and evaluating the extent to
which such activities have been effective in improving the health of racial and
ethnic minority groups. Each such report shall include the biennial reports
submitted under subsection (f)(3) for such years by the heads of the Public
Health Service agencies.</text>
</paragraph><paragraph id="H6F64C28DF9FE417591CFA6965D050505"><enum>(3)</enum><header>Agency
reports</header><text>Not later than February 1, 2009, and on a biannual basis
thereafter, the heads of the Public Health Service shall submit to the Deputy
Assistant Secretary a report that summarizes the minority health and health
disparity activities of each of the respective agencies.</text>
</paragraph></subsection><subsection commented="no" id="H93CD47A3732D42DC91ECF052691C9EDF"><enum>(g)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H2A01952AC5CD4AB39026CFF12FBAA2CF"><enum>(1)</enum><text>The term
<term>racial and ethnic minority group</term> means American Indians (including
Alaska Natives, Eskimos, and Aleuts), Asian Americans, Native Hawaiians and
other Pacific Islanders, Blacks, and Hispanics.</text>
</paragraph><paragraph id="H474810FB4A5C4F24961279F2E291A300"><enum>(2)</enum><text>The term
<term>Hispanic</term> means individuals whose origin is Mexican, Puerto Rican,
Cuban, Central or South American, or of any other Spanish-speaking
country.</text>
</paragraph></subsection><subsection commented="no" id="H8FCFB21026D8405F878C1131E8F5A500"><enum>(h)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated $110,000,000 for fiscal year 2008, such
sums as may be necessary for each of fiscal years 2009 through
2012.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section>