To establish grant programs to improve the health of border area residents and for bioterrorism preparedness in the border area, and for other purposes.

Summary: Border Health Security Act of 2003 - Directs the Secretary of Health and Human Services, acting through the United States members of the United States-Mexico Border Health Commission (the members), to award grants to eligible entities (as defined by this section) to address priorities and recommendations to improve the health of border residents that are established by the Secretary, the members, and the State border health offices. Sets forth uses for grant funds, including for programs relating to: (1) maternal and child health; (2) substance abuse; and (3) environmental health.

Directs the Secretary to award grants to eligible entities (as defined by this section) for bioterrorism preparedness in the border area. Sets forth uses for grant funds, including for the: (1) improvement of infrastructure; and (2) education and training of clinicians, epidemiologists, laboratories, and emergency personnel.

Allows the Secretary to coordinate with the Secretary of Homeland Security a health alert system that: (1) alerts clinicians and public health officials of emerging disease clusters and syndromes along the border area; and (2) is alerted to health threats or bioterrorism along the border area.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Border Health Security Act of 
2003''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Border area.--The term ``border area'' has the meaning 
        given the term ``United States-Mexico Border Area'' in section 
        8 of the United States-Mexico Border Health Commission Act (22 
        U.S.C. 290n-6).
            (2) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.

SEC. 3. BORDER HEALTH GRANTS.

    (a) Eligible Entity Defined.--In this section, the term ``eligible 
entity'' means a State, public institution of higher education, local 
government, tribal government, nonprofit health organization, or 
community health center receiving assistance under section 330 of the 
Public Health Service Act (42 U.S.C. 254b), that is located in the 
border area.
    (b) Authorization.--From funds appropriated under subsection (f), 
the Secretary, acting through the United States members of the United 
States-Mexico Border Health Commission, shall award grants to eligible 
entities to address priorities and recommendations to improve the 
health of border area residents that are established by--
            (1) the United States members of the United States-Mexico 
        Border Health Commission;
            (2) the State border health offices; and
            (3) the Secretary.
    (c) Application.--An eligible entity that desires a grant under 
subsection (b) shall submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may require.
    (d) Use of Funds.--An eligible entity that receives a grant under 
subsection (b) shall use the grant funds for--
            (1) programs relating to--
                    (A) maternal and child health;
                    (B) primary care and preventative health;
                    (C) public health and public health infrastructure;
                    (D) health promotion;
                    (E) oral health;
                    (F) behavioral and mental health;
                    (G) substance abuse;
                    (H) health conditions that have a high prevalence 
                in the border area;
                    (I) medical and health services research;
                    (J) workforce training and development;
                    (K) community health workers or promotoras;
                    (L) health care infrastructure problems in the 
                border area (including planning and construction 
                grants);
                    (M) health disparities in the border area;
                    (N) environmental health;
                    (O) health education; and
                    (P) outreach and enrollment services with respect 
                to Federal programs (including programs authorized 
                under titles XIX and XXI of the Social Security Act (42 
                U.S.C. 1396 and 1397aa)); and
            (2) other programs determined appropriate by the Secretary.
    (e) Supplement, Not Supplant.--Amounts provided to an eligible 
entity awarded a grant under subsection (b) shall be used to supplement 
and not supplant other funds available to the eligible entity to carry 
out the activities described in subsection (d).
    (f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $200,000,000 for fiscal year 
2004, and such sums as may be necessary for each succeeding fiscal 
year.

SEC. 4. BORDER BIOTERRORISM PREPAREDNESS GRANTS.

    (a) Eligible Entity Defined.--In this section, the term ``eligible 
entity'' means a State, local government, tribal government, or public 
health entity.
    (b) Authorization.--From funds appropriated under subsection (e), 
the Secretary shall award grants to eligible entities for bioterrorism 
preparedness in the border area.
    (c) Application.--An eligible entity that desires a 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.
    (d) Uses of Funds.--An eligible entity that receives a grant under 
subsection (b) shall use the grant funds to--
            (1) develop and implement bioterror preparedness plans and 
        readiness assessments and purchase items necessary for such 
        plans;
            (2) coordinate bioterrorism and emergency preparedness 
        planning in the region;
            (3) improve infrastructure, including syndrome surveillance 
        and laboratory capacity;
            (4) create a health alert network, including risk 
        communication and information dissemination;
            (5) educate and train clinicians, epidemiologists, 
        laboratories, and emergency personnel; and
            (6) carry out such other activities identified by the 
        Secretary, the United States-Mexico Border Health Commission, 
        State and local public health offices, and border health 
        offices.
    (e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $25,000,000 for fiscal year 2004 
and such sums as may be necessary for each succeeding fiscal year.

SEC. 5. UNITED STATES-MEXICO BORDER HEALTH COMMISSION ACT AMENDMENTS.

    The United States-Mexico Border Health Commission Act (22 U.S.C. 
290n et seq.) is amended by adding at the end the following:

``SEC. 9. AUTHORIZATION OF APPROPRIATIONS.

    ``There is authorized to be appropriated to carry out this Act 
$10,000,000 for fiscal year 2004 and such sums as may be necessary for 
each succeeding fiscal year.''.

SEC. 6. COORDINATION OF HEALTH SERVICES AND SURVEILLANCE.

    The Secretary may coordinate with the Secretary of Homeland 
Security in establishing a health alert system that--
            (1) alerts clinicians and public health officials of 
        emerging disease clusters and syndromes along the border area; 
        and
            (2) is alerted to signs of health threats or bioterrorism 
        along the border area.