II 

110TH CONGRESS 

1ST SESSION S. 866 

To provide for increased planning and funding for health promotion programs 

of the Department of Health and Human Services. 

IN THE SENATE OF THE UNITED STATES 

MARCH 13, 2007 

Mr. LUGAR (for himself and Mr. BINGAMAN) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To provide for increased planning and funding for health 

promotion programs of the Department of Health and 

Human Services. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Health Promotion 

5 Funding Integrated Research, Synthesis, and Training 

6 Act’’ or the ‘‘Health Promotion FIRST Act’’. 

7 SEC. 2. FINDINGS. 

8 Congress makes the following findings: 


pwalker on PROD1PC71 with BILLS
2 

•S 866 IS

1 (1) Lifestyle factors are responsible for almost 

2 half of the premature deaths in developed nations, 

3 and a large portion of the deaths in developing na4 tions. 

5 (2) Lifestyle factors are a primary cause of the 

6 6 leading causes of death in the United States, in7 cluding heart disease, cancer, stroke, respiratory dis8 eases, accidents, and diabetes, which account for al9 most 75 percent of all deaths in the United States. 

10 (3) A significant portion of the health dispari11 ties in the United States are caused by lifestyle fac12 tors, which could be improved by health promotion 

13 programs. 

14 (4) The United States is experiencing epidemics 

15 in diabetes and obesity among adults and children, 

16 at the same time a majority of the population is sed17 entary and eats an unhealthy diet. 

18 (5) Per capita medical care costs in the United 

19 States are more than double those of all but 2 other 

20 countries in the world, yet the United States ranks 

21 26th in terms of disability adjusted life expectancy, 

22 infant mortality, and other positive lifestyle meas23 ures. 

24 (6) Medical care costs are second only to edu25 cation in State government budgets. 


pwalker on PROD1PC71 with BILLS
3 

•S 866 IS

1 (7) Lifestyle factors are responsible for at least 

1 2 ⁄4 of employer’s medical care costs in the United 

3 States. 

4 (8) National costs of obesity account for 9.1 

5 percent of all medical costs, reaching $93,000,000 in 

2002. Approximately 1 6 ⁄2 of these costs were paid by 

7 the Medicare and Medicaid programs. 

8 (9) Significant gaps exist in the basic and ap9 plied research base of health promotion regarding 

10 how to best reach and serve people of color, low-in11 come people, people with little formal education, chil12 dren, and older adults, how to create long-term 

13 health improvements, how to create supportive envi14 ronments, and how to address gender issues. More 

15 focused research can reduce these gaps. 

16 (10) Significant gaps exist between the best and 

17 the typical health promotion programs. Better syn18 thesis and dissemination of results can reduce these 

19 gaps. 

20 (11) Health promotion is the art and science of 

21 motivating people to enhance their lifestyles to 

22 achieve complete health, not just the absence of dis23 ease. Complete health involves a balance of physical, 

24 mental, and social health. 


pwalker on PROD1PC71 with BILLS
4 

•S 866 IS

1 (12) Health promotion programs focus on prac2 tices such as exercising regularly, eating a nutritious 

3 diet, maintaining a healthy weight, managing stress, 

4 avoiding dangerous substances such as tobacco and 

5 illegal drugs, drinking alcohol in moderation or not 

6 at all, driving safely, being wise consumers of health 

7 care, and a number of other health related practices. 

8 (13) The most effective health promotion pro9 grams include a combination of strategies to in10 crease awareness, facilitate behavior change, and de11 velop cultures and physical environments that en12 courage and support healthy lifestyle practices. 

13 (14) Health promotion programs can be pro14 vided in family, clinical, child care, school, work15 place, Federal, State, and community settings. 

16 SEC. 3. HEALTH PROMOTION RESEARCH AND DISSEMINA17 TION. 

18 The Public Health Service Act (42 U.S.C. 201 et 

19 seq.) is amended by adding at the end the following: 


pwalker on PROD1PC71 with BILLS
5 

•S 866 IS

1 ‘‘TITLE XXX—HEALTH PRO2 MOTION RESEARCH AND DIS3 SEMINATION 

4 ‘‘Subtitle A—Coordination of Pro5 grams of the Department of 

6 Health and Human Services 

7 ‘‘SEC. 3001. PLAN FOR HEALTH PROMOTION PROGRAMS. 

8 ‘‘(a) IN GENERAL.—The Secretary shall develop, and 

9 periodically review and as appropriate revise, a plan in ac10 cordance with this section for activities of the Department 

11 of Health and Human Services relating to health pro12 motion. The plan shall include provisions for coordinating 

13 all such activities of the Department, including activities 

14 under section 1701 to— 

15 ‘‘(1) formulate national goals, and a strategy to 

16 achieve such goals, with respect to health informa17 tion and health promotion, preventive health serv18 ices, and education in the appropriate use of health 

19 care; 

20 ‘‘(2) analyze the necessary and available re21 source for implementing the goals and strategy for22 mulated pursuant to paragraph (1), and recommend 

23 appropriate educational and quality assurance poli24 cies for the needed manpower resources identified by 

25 such analysis; 


pwalker on PROD1PC71 with BILLS
6 

•S 866 IS

1 ‘‘(3) undertake and support necessary activities 

2 and programs to— 

3 ‘‘(A) incorporate appropriate health pro4 motion concepts into our society, especially into 

5 all aspects of education and health care; 

6 ‘‘(B) increase the application and use of 

7 health knowledge, skills, and practices by the 

8 general population in its patterns of daily liv9 ing; and 

10 ‘‘(C) establish systematic processes for the 

11 exploration, development, demonstration, and 

12 evaluation of innovative health promotion con13 cepts; and 

14 ‘‘(4) undertake and support research and dem15 onstration programs relating to health information 

16 and health promotion, preventive health services, 

17 and education in the appropriate use of health care. 

18 ‘‘(b) BASIC AND APPLIED SCIENCE.—The plan devel19 oped under subsection (a) shall contain provisions to ad20 dress how to best develop the basic and applied science 

21 of health promotion, including— 

22 ‘‘(1) a research agenda; 

23 ‘‘(2) an identification of the best combination of 

24 Federal agency, university, and other community reVerDate Aug 31 2005 22:33 Mar 14, 2007 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S866.IS S866

pwalker on PROD1PC71 with BILLS
7 

•S 866 IS

1 sources most qualified to pursue each of the compo2 nents of such agenda; 

3 ‘‘(3) protocols to facilitate ongoing cooperation 

4 and collaboration among the Federal agencies to 

5 pursue the agenda; and 

6 ‘‘(4) budgetary requirements with respect to the 

7 agenda. 

8 ‘‘(c) DISSEMINATION OF INFORMATION.—The plan 

9 developed under subsection (a) shall contain provisions to 

10 address how to best synthesize and disseminate health 

11 promotion research findings to scientists, professionals, 

12 and the public, including provisions for the following: 

13 ‘‘(1) Protocols for ongoing monitoring of all 

14 health promotion research. 

15 ‘‘(2) Preparation of systematic reviews and 

16 meta-analyses. 

17 ‘‘(3) Distillation of findings into practice guide18 lines for programs offered in clinical, workplace, 

19 school, home, neighborhood, municipal, and State 

20 settings. 

21 ‘‘(4) Strategies to incorporate findings into col22 lege, university, and continuing educational cur23 riculum for all related health professions. 

24 ‘‘(5) Communication of key findings to policy 

25 makers in business, government, educational and 


pwalker on PROD1PC71 with BILLS
8 

•S 866 IS

1 community settings who influence investment deci2 sions. 

3 ‘‘(6) Identification of the optimal combination 

4 of government agencies to coordinate the matters re5 ferred to in paragraphs (1) through (5). 

6 ‘‘(d) SUPPORT AND DEVELOPMENT OF PROFES7 SIONAL AND SCIENTIFIC COMMUNITY.—The plan devel8 oped under subsection (a) shall contain provisions to ad9 dress how to best support and develop the health pro10 motion professional and scientific community through en11 hancement of existing or development of new professional 

12 organizations. 

13 ‘‘(e) INTEGRATION OF HEALTH PROMOTION; INTER14 NAL DEPARTMENT ACTIVITIES.—The plan developed 

15 under subsection (a) shall contain provisions to address 

16 how resources, policies, structures, and legislation within 

17 the Department of Health and Human Services can best 

18 be modified or developed to integrate health promotion 

19 into all health professions and sectors of society and make 

20 health promoting opportunities available to all members 

21 of the public. 

22 ‘‘(f) INTEGRATION OF HEALTH PROMOTION EXTER23 NAL ACTIVITIES.—The plan developed under subsection 

24 (a) shall contain provisions to address how overall Federal 

25 Government policies, structures, and legislation external 


pwalker on PROD1PC71 with BILLS
9 

•S 866 IS

1 to the Department of Health and Human Services can 

2 best be modified or developed to integrate health pro3 motion into all health professions and sectors of society 

4 and to make health promoting opportunities available to 

5 all individuals. 

6 ‘‘(g) PERSPECTIVES.—Due to 30 years of experience 

7 showing that traditional medical and educational ap8 proaches are not sufficient to motivate people to make and 

9 sustain basic health behavior changes, in developing the 

10 plan under subsection (a), the Secretary shall seek per11 spectives from individuals representing a diverse range of 

12 disciplines, including the following areas: 

13 ‘‘(1) Agriculture. 

14 ‘‘(2) Anthropology. 

15 ‘‘(3) Child development. 

16 ‘‘(4) City planning. 

17 ‘‘(5) Commerce. 

18 ‘‘(6) Economics. 

19 ‘‘(7) Environmental planning and design. 

20 ‘‘(8) Exercise physiology. 

21 ‘‘(9) Financial analysis. 

22 ‘‘(10) Health education. 

23 ‘‘(11) Health policy. 

24 ‘‘(12) Individual psychology. 

25 ‘‘(13) Management. 


pwalker on PROD1PC71 with BILLS
10 

•S 866 IS

1 ‘‘(14) Medicine. 

2 ‘‘(15) Nursing. 

3 ‘‘(16) Nutrition. 

4 ‘‘(17) Organization psychology. 

5 ‘‘(18) Taxation. 

6 ‘‘(19) Transportation planning. 

7 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the 

8 purpose of carrying out this section, there are authorized 

9 to be appropriated $6,000,000 for fiscal year 2008, 

10 $4,000,000 for fiscal year 2009, and $3,000,000 for each 

11 of fiscal years 2010 through 2012. Such authorization is 

12 in addition to other authorizations that are available for 

13 carrying out such purpose. 

14 ‘‘Subtitle B—Science Programs 

15 Through National Institutes of 

16 Health 

17 ‘‘SEC. 3011. SCIENCE OF HEALTH PROMOTION. 

18 ‘‘(a) PLAN.—The Director of the National Institutes 

19 of Health (referred to in this subtitle as ‘NIH’), acting 

20 through the Office of Behavioral and Social Sciences Re21 search, shall develop, and periodically review and as appro22 priate revise, a plan on how to best develop the science 

23 of health promotion through the NIH agencies. The plan 

24 shall be consistent with and shall elaborate upon applicaVerDate Aug 31 2005 22:33 Mar 14, 2007 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\S866.IS S866

pwalker on PROD1PC71 with BILLS
11 

•S 866 IS

1 ble provisions of the Departmental plan under section 

2 3001(a). 

3 ‘‘(b) CERTAIN COMPONENTS OF PLAN.—The plan 

4 developed under subsection (a) shall include the following 

5 provisions: 

6 ‘‘(1) A research agenda to develop the science 

7 of health promotion. 

8 ‘‘(2) Recommendations on funding levels for the 

9 various areas of research on such agenda. 

10 ‘‘(3) Recommendations on the best combination 

11 of NIH agencies and non-Federal entities to carry 

12 out research under the agenda. 

13 ‘‘(c) ALLOCATION OF RESOURCES.—Subject to com14 pliance with appropriation Acts, the plan developed under 

15 subsection (a) shall provide for the allocation of resources 

16 for research under such plan relative to other areas of 

17 health, as appropriate taking into account the burden of 

18 lifestyle factors on morbidity and mortality, and the 

19 progress likely in advancing the science of health pro20 motion given the current and evolving level of science on 

21 health promotion, and the relative cost of conducting re22 search on health promotion compared to other areas of 

23 research. 


pwalker on PROD1PC71 with BILLS
12 

•S 866 IS

1 ‘‘SEC. 3012. EARLY RESEARCH PROGRAMS. 

2 ‘‘(a) PLAN.—The Director of NIH, acting through 

3 the Office of Behavioral and Social Sciences Research, 

4 shall conduct or support early research programs and re5 search training regarding health promotion. 

6 ‘‘(b) FUNDING.— 

7 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.— 

8 For the purpose of carrying out subsection (a), there 

9 is authorized to be appropriated $30,000,000 for fis10 cal year 2008. Such authorization is in addition to 

11 other authorizations that are available for carrying 

12 out such purpose. 

13 ‘‘(2) RESERVATION.—The Secretary shall re14 serve not less than 90 percent of the amount appro15 priated under paragraph (1) to carry out subsection 

16 (a) through the awarding of grants, cooperative 

17 agreements, or contracts to public and private enti18 ties, including universities, hospitals, research orga19 nizations and health promotion venders. Of the 

20 amounts so reserved, the Secretary shall designate a 

21 portion of such amounts to support research train22 ing under subsection (a) to enhance the skills and 

23 increase the numbers of scientists trained in health 

24 promotion. 


pwalker on PROD1PC71 with BILLS
13 

•S 866 IS

1 ‘‘Subtitle C—Applied Research Pro2 grams Through Centers for Dis3 ease Control and Prevention 

4 ‘‘SEC. 3021. RESEARCH AGENDA. 

5 ‘‘The Secretary, acting through the Director of the 

6 Centers for Disease Control and Prevention (referred to 

7 in this subtitle as the ‘Director of CDC’), shall develop, 

8 and periodically review and as appropriate revise, a plan 

9 that establishes for such Centers a research agenda re10 garding health promotion. The plan shall be consistent 

11 with and shall elaborate upon applicable provisions of the 

12 Departmental plan developed under section 3001(a). 

13 ‘‘SEC. 3022. PREVENTION RESEARCH CENTERS. 

14 ‘‘(a) IN GENERAL.—The Director of the National 

15 Center for Chronic Disease Prevention and Health Pro16 motion (referred to in this section as the ‘Director’) shall 

17 award grants, on a competitive basis, to eligible entities 

18 to enable such entities to develop Prevention Research 

19 Centers (referred to in this section as ‘Centers’). 

20 ‘‘(b) ELIGIBLE ENTITY.—In this section, the term 

21 ‘eligible entity’ includes— 

22 ‘‘(1) institutions of higher education; 

23 ‘‘(2) public and private research institutions; 

24 ‘‘(3) departments or schools of— 

25 ‘‘(A) business; 


pwalker on PROD1PC71 with BILLS
14 

•S 866 IS

1 ‘‘(B) city planning; 

2 ‘‘(C) education; 

3 ‘‘(D) nursing; 

4 ‘‘(E) psychology; 

5 ‘‘(F) public policy; 

6 ‘‘(G) transportation; 

7 ‘‘(H) social work; 

8 ‘‘(I) agriculture; 

9 ‘‘(J) nutrition; 

10 ‘‘(K) engineering; 

11 ‘‘(L) architecture; and 

12 ‘‘(M) any other program that can make a 

13 compelling connection to improving the health 

14 of the public; and 

15 ‘‘(4) private research, membership, or service 

16 organizations. 

17 ‘‘(c) APPLICATION.—An eligible entity that desires to 

18 receive a grant under this section shall submit an applica19 tion to the Director at such time, in such manner, and 

20 containing such information as the Director may require. 

21 An eligible entity may apply for not more than 3 grants 

22 each with a duration of 5 years. 

23 ‘‘(d) AWARDING OF GRANTS.— 


pwalker on PROD1PC71 with BILLS
15 

•S 866 IS

1 ‘‘(1) NUMBER OF CENTERS.—The Director 

2 shall award grants for the development of not more 

3 than— 

4 ‘‘(A) 8 new Centers in fiscal year 2008; 

5 ‘‘(B) 8 new Centers in fiscal year 2009; 

6 ‘‘(C) 8 new Centers in fiscal year 2010; 

7 ‘‘(D) 8 new Centers in fiscal year 2011; 

8 and 

9 ‘‘(E) 8 new Centers in fiscal year 2012. 

10 ‘‘(2) MINIMUM FUNDING OF EXISTING CEN11 TERS.—No new Centers shall be funded until each 

12 Center in existence before January 1, 2008 is 

13 awarded funding of not less than $1,000,000 per 

14 year. 

15 ‘‘(3) GRANT PERIOD.—Grants awarded under 

16 this section shall be for a period of 5 years. 

17 ‘‘(4) FUNDING NEW CENTERS.—A grant award 

18 to a new Center shall be in an amount not to ex19 ceed— 

20 ‘‘(A) $500,000 in the first year of the 

21 grant award; 

22 ‘‘(B) $1,000,000 in the second year of the 

23 grant award; and 

24 ‘‘(C) $2,000,000 in each of the third, 

25 fourth, and fifth years of the grant award. 


pwalker on PROD1PC71 with BILLS
16 

•S 866 IS

1 ‘‘(5) REQUIREMENT FOR FUNDING.—To qualify 

2 for funding that is more than $1,000,000 per year, 

3 Centers shall demonstrate collaborative efforts with 

4 community or other academic partners, and at least 

5 50 percent of the funding that exceeds $1,000,000 

6 shall be conveyed to those partners. Partners may 

7 include other schools or departments with the same 

8 university or other large organization. 

9 ‘‘(6) FOCUS OF CENTERS.—In awarding grants 

10 under this section, the Director shall ensure that— 

11 ‘‘(A) not less than 1 Center concentrates 

12 the Center’s efforts on developing the applied 

13 science of health promotion in each of the fol14 lowing areas: 

15 ‘‘(i) the workplace; 

16 ‘‘(ii) schools; 

17 ‘‘(iii) families; 

18 ‘‘(iv) clinical settings; and 

19 ‘‘(v) community settings; and 

20 ‘‘(B) not less than 1 other Center focuses 

21 the Center’s work on each of the following 

22 areas: 

23 ‘‘(i) program evaluation; 


pwalker on PROD1PC71 with BILLS
17 

•S 866 IS

1 ‘‘(ii) training and support of the 

2 health promotion professional workforce; 

3 and 

4 ‘‘(iii) health promotion policy at the 

5 Federal, State, and local level. 

6 ‘‘(7) REQUIREMENT.—In awarding grants 

7 under this section, the Director shall ensure that not 

8 less than 30 and not more than 50 of the Centers 

9 shall be schools of public health or departments of 

10 preventive medicine. 

11 ‘‘(e) USES OF FUNDS.— 

12 ‘‘(1) IN GENERAL.— 

13 ‘‘(A) PROVISION OF ADVICE AND ORGANI14 ZATION.—A Center that is developed from 

15 funds from a grant awarded under this section 

16 shall invest approximately 10 percent of the 

17 Center’s staff time and resources to— 

18 ‘‘(i) forming relationships with, and 

19 providing limited ongoing advice to, health 

20 departments in the county and State where 

21 the entity is located; and 

22 ‘‘(ii) organizing local networks of sci23 entists, program managers, vendors, and 

24 other professionals interested in health 

25 promotion and disease prevention. 


pwalker on PROD1PC71 with BILLS
18 

•S 866 IS

1 ‘‘(B) USE OF OUTSIDE PROVIDERS.—When 

2 conducting intervention research or research on 

3 other health promotion programs, a Center that 

4 is developed from funds from a grant awarded 

5 under this section shall review the capabilities 

6 of local nonprofit and for-profit program pro7 viders to provide the programming and services 

8 required for the programs. The Center shall use 

9 such program providers if the program pro10 viders provide a clear quality and cost advan11 tage relative to developing such capabilities in12 ternally. 

13 ‘‘(C) ADDRESSING PRIORITIES AND RE14 SEARCH AGENDA.—A Center that is developed 

15 from funds from a grant awarded under this 

16 section shall address the priorities identified in 

17 the health promotion research agendas devel18 oped by the Centers for Disease Control and 

19 Prevention, the National Science Foundation, 

20 and the Department of Health and Human 

21 Services. 

22 ‘‘(2) PERMISSIVE USES.—An eligible entity that 

23 receives a grant under this section may use the 

24 grant funds for faculty salaries, student fellowships, 


pwalker on PROD1PC71 with BILLS
19 

•S 866 IS

1 outreach to the local community, research, program 

2 development, or program administration. 

3 ‘‘(3) ADMINISTRATIVE COSTS.—An eligible enti4 ty that receives a grant under this section may ex5 pend not more than 15 percent of the grant funds 

6 on administrative costs. 

7 ‘‘(f) INTEGRATION WITH EXISTING PREVENTION RE8 SEARCH CENTER PROGRAM.—The Director of CDC shall 

9 integrate the implementation of this section with the Pre10 vention Research Centers Program of the Centers for Dis11 ease Control and Prevention that is in existence on the 

12 day before the date of enactment of the Health Promotion 

13 Funding Integrated Research, Synthesis, and Training 

14 Act. 

15 ‘‘SEC. 3023. EXTRAMURAL RESEARCH PROGRAM. 

16 ‘‘(a) OUTREACH.—In carrying out the Extramural 

17 Research Program of the Centers for Disease Control and 

18 Prevention, the Director of CDC shall make an effort to 

19 attract grant applications from groups with extensive ex20 perience in providing programs but limited experience in 

21 developing research grants or conducting research, or 

22 both. Such efforts shall include proactive outreach to such 

23 groups, providing planning grants to fund development of 

24 grant proposals, and providing technical assistance for the 

25 design portion of the grant application. 


pwalker on PROD1PC71 with BILLS
20 

•S 866 IS

1 ‘‘(b) APPLIED SCIENCE OF HEALTH PROMOTION.— 

2 In carrying out the Extramural Research Program of the 

3 Centers for Disease Control and Prevention, the Director 

4 of CDC shall devote a portion of research funding to devel5 oping the applied science of health promotion for work6 place, school, family, clinical, and community settings. 

7 ‘‘SEC. 3024. WORKPLACE HEALTH PROGRAM. 

8 ‘‘(a) IN GENERAL.—The Director of CDC shall carry 

9 out a program— 

10 ‘‘(1) to develop a research agenda for workplace 

11 health promotion and shall seek perspectives from a 

12 wide range of workplace health promotion program 

13 practitioners and scientists in developing such agen14 da; 

15 ‘‘(2) of research that addresses the important 

16 issues identified in the research agenda under para17 graph (1); and 

18 ‘‘(3) to support synthesis of findings made in 

19 such research and to disseminate information to 

20 educators, practitioners, business leaders, and health 

21 policy leaders. 

22 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the 

23 purpose of carrying out subsection (a), there are author24 ized to be appropriated $6,000,000 for fiscal year 2008, 

25 $8,000,000 for fiscal year 2009, $11,000,000 for fiscal 


pwalker on PROD1PC71 with BILLS
21 

•S 866 IS

1 year 2010, $15,000,000 for fiscal year 2011, and 

2 $20,000,000 for fiscal year 2012. 

3 ‘‘SEC. 3025. CERTAIN REQUIREMENTS. 

4 ‘‘(a) GENERAL GOAL OF PROGRAMS.—The Director 

5 of CDC shall ensure that programs carried out pursuant 

6 to this subtitle are consistent with the general goal of de7 veloping the most effective individual and group strategies 

8 for clinical, workplace, school, and community based pro9 grams regarding health promotion. 

10 ‘‘(b) RESERVATION FOR AWARD TO PUBLIC AND PRI11 VATE ENTITIES.— 

12 ‘‘(1) IN GENERAL.—Of the amounts made 

13 available under this subtitle, the Director of CDC 

14 shall reserve not less than 75 percent for the award15 ing of grants, cooperative agreements, or contracts 

16 to public and private entities, including universities, 

17 hospitals, research organizations, and local and na18 tional health promotion venders through collabo19 rative efforts. 

20 ‘‘(2) REQUIREMENT FOR STATE AND LOCAL

21 HEALTH DEPARTMENTS.—Awards made to State 

22 and local health departments pursuant to this title 

23 shall be made on the condition that the departments 

24 develop a basic staff infrastructure to manage the 

25 programs for which the awards are made. With reVerDate Aug 31 2005 22:33 Mar 14, 2007 Jkt 059200 PO 00000 Frm 00021 Fmt 6652 Sfmt 6201 E:\BILLS\S866.IS S866

pwalker on PROD1PC71 with BILLS
22 

•S 866 IS

1 spect to such condition, the departments may con2 tract with providers in the communities involved to 

3 secure programs and skills required to carry out the 

4 programs. 

5 ‘‘Subtitle D—Other Programs and 

6 Policies 

7 ‘‘SEC. 3031. MODIFICATION OF APPLICATIONS AWARD 

8 PROCESS TO ATTRACT MOST QUALIFIED SCI9 ENTISTS AND PRACTITIONERS; DEVELOPING 

10 HEALTH PROMOTION INFRASTRUCTURE. 

11 ‘‘(a) MODIFICATION OF AWARDS APPLICATION PROC12 ESS.—In awarding grants, cooperative agreements, and 

13 contracts under this title, the Secretary shall modify the 

14 application process to attract the most qualified individ15 uals and organizations, rather than those individuals and 

16 organizations that are most sophisticated with respect to 

17 the applications processes. 

18 ‘‘(b) GENERAL PRIORITY OF DEVELOPING HEALTH

19 PROMOTION INFRASTRUCTURE.—The Secretary shall en20 sure that programs carried out pursuant to this title are 

21 consistent with the general priority of developing the 

22 health promotion infrastructure among universities, non23 profit organizations, and for-profit organizations, rather 


pwalker on PROD1PC71 with BILLS
23 

•S 866 IS

1 than increasing the size of State or local governments or 

2 the Federal Government.’’. 

Æ 


pwalker on PROD1PC71 with BILLS