<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-TAM21480-DPX-HL-VXD"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>117 S465 IS: COVID–19 Health Disparities Action Act of 2021</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2021-02-25</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>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.</dc:rights>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">II</distribution-code><congress>117th CONGRESS</congress><session>1st Session</session><legis-num>S. 465</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20210225">February 25, 2021</action-date><action-desc><sponsor name-id="S306">Mr. Menendez</sponsor> (for himself, <cosponsor name-id="S308">Mr. Cardin</cosponsor>, <cosponsor name-id="S324">Mrs. Shaheen</cosponsor>, <cosponsor name-id="S341">Mr. Blumenthal</cosponsor>, <cosponsor name-id="S322">Mr. Merkley</cosponsor>, <cosponsor name-id="S402">Ms. Rosen</cosponsor>, <cosponsor name-id="S311">Ms. Klobuchar</cosponsor>, <cosponsor name-id="S390">Mr. Van Hollen</cosponsor>, <cosponsor name-id="S380">Mr. Peters</cosponsor>, <cosponsor name-id="S327">Mr. Warner</cosponsor>, <cosponsor name-id="S313">Mr. Sanders</cosponsor>, <cosponsor name-id="S409">Mr. Luján</cosponsor>, <cosponsor name-id="S385">Ms. Cortez Masto</cosponsor>, <cosponsor name-id="S370">Mr. Booker</cosponsor>, <cosponsor name-id="S284">Ms. Stabenow</cosponsor>, and <cosponsor name-id="S394">Ms. Smith</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To establish and support public awareness campaigns to address COVID–19-related health disparities and promote vaccination.</official-title></form><legis-body><section id="idb9fedf4ed14f4d598be2e96097ea364f" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>COVID–19 Health Disparities Action Act of 2021</short-title></quote>.</text></section><section section-type="subsequent-section" id="id6F852CEC9CD548E0A574C8F6D7FF0B5C"><enum>2.</enum><header>Federal public awareness campaigns to address COVID–19-related health disparities and promote vaccination</header><subsection id="id3781c6f4ef3241e5a6494ddc46dd6982"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Director of the Centers for Disease Control and Prevention and in coordination with the White House COVID–19 Health Equity Task Force, the Office of Minority Health of the Department of Health and Human Services, the Surgeon General, the National Vaccine Program Office, and, as appropriate, in coordination with the relevant Offices of Minority Health in the Department of Health and Human Services, the National Institute on Minority Health and Health Disparities, the Indian Health Service, and other relevant Federal offices and agencies, shall, subject to the availability of funding, develop and implement public awareness campaigns about COVID–19 vaccination and other relevant information about COVID–19 directed at racial and ethnic minority, rural, and other vulnerable populations that have experienced health disparities during the COVID–19 public health emergency related to rates of vaccination, testing, infection, hospitalization, and death.</text></subsection><subsection id="id12ddca92f95342a3b259cb4e67a3456b"><enum>(b)</enum><header>Requirements</header><text>The public awareness campaigns under this section shall—</text><paragraph id="id94c2b85baf3e45db9c668fae32568bc5"><enum>(1)</enum><text>prioritize communities where the greatest health disparities have been identified with respect to rates of vaccination, testing, infection, hospitalization, and death related to COVID–19, with a focus on disparities affecting racial and ethnic minority, rural, and other vulnerable populations;</text></paragraph><paragraph id="id87b0ed475d644b84ada170b9f635db1b"><enum>(2)</enum><text>be accessible, culturally competent, and, as appropriate, multilingual;</text></paragraph><paragraph id="id45ffde05492a4840b33c9cc40936b584"><enum>(3)</enum><text>use print, radio, or internet media, including partnerships with social media influencers and thought leaders, or other forms of public communication, including local, independent, or community-based written news and electronic publications; and</text></paragraph><paragraph id="id5c5fadafed9a43ed901d1a1f3ac81629"><enum>(4)</enum><text>provide information based on scientific evidence, dispel misinformation, and promote transparency regarding—</text><subparagraph id="id2982e7c90be441efad63089797a6997f"><enum>(A)</enum><text>COVID–19 vaccination, which may include information regarding—</text><clause id="idb22bc88c16ef4b02a87fca1186d3f2ad"><enum>(i)</enum><text>the effects of COVID–19 vaccination on disease transmission and severity, and the associated health impacts for individuals, communities, or the Nation;</text></clause><clause id="idb553ff0b2b1745eb878a91f12bc9e7a0"><enum>(ii)</enum><text>the effects of COVID–19 vaccination on the economic health of communities or the Nation;</text></clause><clause id="id3e6d0838243144969664dfbd08917f91"><enum>(iii)</enum><text>the current or upcoming availability of COVID–19 vaccination with no cost-sharing for most United States residents;</text></clause><clause id="id4dd03ae2b7d541a3b9c9d21cf2a5a601"><enum>(iv)</enum><text>locations where COVID–19 vaccinations are or will be available;</text></clause><clause id="id724e8fbde1d543f2bd9411623ca71464"><enum>(v)</enum><text>any relevant information regarding vaccination allocation or populations that are prioritized for vaccination in the region; and</text></clause><clause id="id05a629586a274c00b0ff9858d76e6a22"><enum>(vi)</enum><text>any other information regarding COVID–19 vaccination, as the Secretary determines appropriate;</text></clause></subparagraph><subparagraph id="id4567f8b55cde45e6aa40cec92e0c076c"><enum>(B)</enum><text>COVID–19 testing, which may include information regarding—</text><clause id="id5c2325c5205a4a05844c9f1e5fdfb027"><enum>(i)</enum><text>the effects of COVID–19 testing on disease transmission;</text></clause><clause id="id2428f7026e86471cb4886ef78a079a94"><enum>(ii)</enum><text>the availability of COVID–19 testing with no cost-sharing for most United States residents; and</text></clause><clause id="idbc24e1274fe54f6a83cc12b6a1437860"><enum>(iii)</enum><text>locations where COVID–19 testing is available in the region;</text></clause></subparagraph><subparagraph id="id2c7cb885a52e42de81ca962bfcbfc54e"><enum>(C)</enum><text>the actions that individuals may take to protect themselves from COVID–19, which may include masking and social distancing; or</text></subparagraph><subparagraph id="id114f21736a08472e86847d137c4fbe3d"><enum>(D)</enum><text>any other topics related to COVID–19, as the Secretary determines appropriate.</text></subparagraph></paragraph></subsection><subsection id="idf35a919cf5b54c248263eac4019a8309"><enum>(c)</enum><header>Coordination</header><text>The public awareness campaigns under this section shall be complementary to, and coordinated with, any other Federal, State, Tribal, and local efforts, including the grant program described in section 3, as appropriate.</text></subsection><subsection id="idc468d0e750c542d8bf15c2410b79841b"><enum>(d)</enum><header>Report to Congress</header><text>Not later than 45 days after the date on which amounts are made available to the Secretary under this section, the Secretary shall submit to Congress a report on how such funds have been used during such 45-day period and a plan for using any remaining funds within the next 45 days.</text></subsection><subsection id="id8c359ba6b41946a8ad6220aca89614f6"><enum>(e)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section $50,000,000 for fiscal year 2021.</text></subsection></section><section id="id7d19c68d644840c7b441caca892c3905"><enum>3.</enum><header>Grant program for public awareness campaigns to address COVID–19-related health disparities and promote vaccination</header><subsection id="iddd7a49d0de0943348a27f19065aca6cc"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Director of the Centers for Disease Control and Prevention and in coordination with the White House COVID–19 Health Equity Task Force, the Office of Minority Health of the Department of Health and Human Services, the Surgeon General, the National Vaccine Program Office, and, as appropriate, in coordination with the relevant Offices of Minority Health in the Department of Health and Human Services, the National Institute on Minority Health and Health Disparities, the Indian Health Service, and other relevant Federal offices and agencies, shall award competitive grants to State, Tribal, and territorial health departments to support public awareness campaigns about COVID–19 directed at racial and ethnic minority, rural, and other vulnerable populations that have experienced health disparities during the COVID–19 public health emergency related to rates of vaccination, testing, infection, hospitalization, and death.</text></subsection><subsection id="idf5a531e9e14d42018dc0c1c352e9197f"><enum>(b)</enum><header>Eligible local entities</header><text>Recipients of grants under this section may disseminate the grant funding to eligible local entities, which may include local health departments, nonprofit community-based organizations, Tribal organizations, urban Indian organizations, health care providers, institutions of higher education, and nonprofit faith-based organizations, to develop and implement the public awareness campaigns described in subsection (a).</text></subsection><subsection id="idc554babad7ad4506932431e075e547ad"><enum>(c)</enum><header>Prototypes</header><text>The Secretary shall develop prototype campaign materials and make such materials available on the internet website of the Department of Health and Human Services for grant recipients and eligible local entities to adapt as needed to meet the needs of local communities.</text></subsection><subsection id="id3365e6f649004f3fabf3c476344f666a"><enum>(d)</enum><header>Requirements</header><text>The public awareness campaigns under this section shall—</text><paragraph id="id0420613521ad48ca944eb906bc8b3e61"><enum>(1)</enum><text>prioritize communities where the greatest health disparities have been identified with respect to rates of vaccination, testing, infection, hospitalization, and death related to COVID–19, with a focus on disparities affecting racial and ethnic minority, rural, and other vulnerable populations;</text></paragraph><paragraph id="idb305df21d3b7407e89fd15dc4bf8dc58"><enum>(2)</enum><text>be accessible, culturally competent, and, as appropriate, multilingual;</text></paragraph><paragraph id="id19e4722f500d49c09d5f71470018e946"><enum>(3)</enum><text>use print, radio, or internet media, including partnerships with social media influencers and thought leaders, or other forms of public communication, including local, independent, or community-based written news and electronic publications; and</text></paragraph><paragraph id="id3e723bf81c8340d8adb39299c50c93f5"><enum>(4)</enum><text>provide information based on scientific evidence, dispel misinformation, and promote transparency regarding—</text><subparagraph id="idb23555e29d364e4a9b4e0aad497321c8"><enum>(A)</enum><text>COVID–19 vaccination, which may include information regarding—</text><clause id="id11474a988c5b4acfb77bfb7c9cf7c911"><enum>(i)</enum><text>the effects of COVID–19 vaccination on disease transmission and severity, and the associated health impacts for individuals, communities, or the Nation;</text></clause><clause id="id4274efa0bd4c4ef29c7d0562b573dc5c"><enum>(ii)</enum><text>the effects of COVID–19 vaccination on the economic health of communities or the Nation;</text></clause><clause id="ida5cc428440ca4564b9e093aa7dbd6a52"><enum>(iii)</enum><text>the current or upcoming availability of COVID–19 vaccination with no cost-sharing for most United States residents;</text></clause><clause id="idaf92003a44bf46458a2092ca801ef6f5"><enum>(iv)</enum><text>locations where COVID–19 vaccinations are or will be available;</text></clause><clause id="idda10901680384d4ea9ae46d525cf55b8"><enum>(v)</enum><text>any relevant information regarding vaccination allocation or populations that are prioritized for vaccination in the region; and</text></clause><clause id="idf84bd3d858104354adb46237b2932f88"><enum>(vi)</enum><text>any other information regarding COVID–19 vaccination, as the Secretary determines appropriate;</text></clause></subparagraph><subparagraph id="id7341342a28aa43c39c0572ad0b5fbaec"><enum>(B)</enum><text>COVID–19 testing, which may include information regarding—</text><clause id="id2051fd3e0bde49299ad66de7425b2e23"><enum>(i)</enum><text>the effects of COVID–19 testing on disease transmission;</text></clause><clause id="id6b296a49c48e498db3be5784e4866524"><enum>(ii)</enum><text>the availability of COVID–19 testing with no cost-sharing for most United States residents; and</text></clause><clause id="id3a5c8a43d371429397456a885ccaac4d"><enum>(iii)</enum><text>locations where COVID–19 testing is available in the region;</text></clause></subparagraph><subparagraph id="id61ed1e83438546d2aefdb35c52865b0f"><enum>(C)</enum><text>the actions that individuals may take to protect themselves from COVID–19, which may include masking and social distancing; or</text></subparagraph><subparagraph id="ide8722486463b404e842a0f36557d4f71"><enum>(D)</enum><text>any other topics related to COVID–19, as the Secretary determines appropriate.</text></subparagraph></paragraph></subsection><subsection id="id52d45d1e6eb541919ed759301e89e5ce"><enum>(e)</enum><header>Coordination</header><text>The public health campaigns supported by grants awarded under this section shall be complementary to, and coordinated with, any other Federal, State, or local efforts, including the public awareness campaigns described in section 2, as appropriate.</text></subsection><subsection id="idfcd4a985a9c3489aadf7b2a24191c9e2"><enum>(f)</enum><header>Timing</header><text display-inline="yes-display-inline">The Secretary shall award the grants under this section not later than 60 days after the date of enactment of this Act.</text></subsection><subsection id="idee984401407a46d28e7d9f0d6bdc55f6"><enum>(g)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There is authorized to be appropriated to carry out this section $50,000,000 for fiscal year 2021 and $25,000,000 for fiscal year 2022.</text></subsection></section><section id="id08196c199956488ea42434337b127a19"><enum>4.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act—</text><paragraph id="id281b334b6a094d8fb0adbf153c9ac963"><enum>(1)</enum><text>the term <term>COVID–19 public health emergency</term> means the public health emergency first declared by the Secretary of Health and Human Services under section 319 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/247d">42 U.S.C. 247d</external-xref>) on January 31, 2020, with respect to COVID–19;</text></paragraph><paragraph id="idef2822165fab4a56b5fab63c4eadd562"><enum>(2)</enum><text>the term <term>racial and ethnic minority</term> has the meaning given the term <term>racial and ethnic minority group</term> in section 1707(g) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300u-6">42 U.S.C. 300u–6(g)</external-xref>);</text></paragraph><paragraph id="idfcb5f8150d6c42f5a8d175eec686718b"><enum>(3)</enum><text>the term <term>relevant Offices of Minority Health in the Department of Health and Human Services</term> may include—</text><subparagraph id="idb4a0b12bc03c42f8a4ad2ff9dc055b4d"><enum>(A)</enum><text>the Office of Extramural Research, Education, and Priority Populations of the Agency for Healthcare Research and Quality;</text></subparagraph><subparagraph id="iddb476854a71148f48e53cc782925161a"><enum>(B)</enum><text>the Office of Minority Health and Health Equity of the Centers for Disease Control and Prevention;</text></subparagraph><subparagraph id="ida30c73963f2a4fcaae5bda9872351579"><enum>(C)</enum><text>the Office of Minority Health of the Centers for Medicare &amp; Medicaid Services;</text></subparagraph><subparagraph id="id8fe3866a597f44cd8e28553012f52303"><enum>(D)</enum><text>the Office of Minority Health and Health Equity of the Food and Drug Administration;</text></subparagraph><subparagraph id="id408eaafd86394c05a61941ebd4c5d3d1"><enum>(E)</enum><text>the Office of Health Equity of the Health Resources and Services Administration; and</text></subparagraph><subparagraph id="idf3d43064a33e4989b0e2e655e153c05d"><enum>(F)</enum><text>the Office of Behavioral Health Equity of the Substance Abuse and Mental Health Services Administration;</text></subparagraph></paragraph><paragraph id="ida26878b3d6e4430ca793a521bb29ed48"><enum>(4)</enum><text>the term <term>Secretary</term> means the Secretary of Health and Human Services;</text></paragraph><paragraph id="idac59fa9304e4459c86e646e77ce52b95"><enum>(5)</enum><text>the term <term>Tribal organization</term> has the meanings given the term <term>tribal organization</term> in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>); and</text></paragraph><paragraph id="id78826ae32f544cefae23a92bf638ece6"><enum>(6)</enum><text>the term <term>urban Indian organization</term> has the meaning given the term 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></section></legis-body></bill> 

