I 

116TH CONGRESS 

2D SESSION H. R. 8203 

To direct the Secretary of Health and Human Services to develop an action 

plan, make targeted grants, and develop public awareness campaigns 

with respect to COVID–19 and the disproportionate impact of the 

COVID–19 pandemic on racial and ethnic minorities and other vulnerable 

populations. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 11, 2020 

Mr. CA ́RDENAS (for himself and Mrs. WATSON COLEMAN) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To direct the Secretary of Health and Human Services to 

develop an action plan, make targeted grants, and develop public awareness campaigns with respect to 

COVID–19 and the disproportionate impact of the 

COVID–19 pandemic on racial and ethnic minorities and 

other vulnerable populations. 

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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘COVID–19 Health Disparities Action Act of 2020’’. 


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1 (b) TABLE OF CONTENTS.—The table of contents for 

2 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Health disparity-informed contact tracing grants. 

Sec. 3. COVID–19 health disparities action plan. 

Sec. 4. Federal public awareness campaigns to address health disparities. 

Sec. 5. Grant program for public awareness campaigns to address health disparities. 

Sec. 6. Vaccine safety public awareness campaign. 

Sec. 7. Addendum to testing plans to address disparities. 

Sec. 8. Definitions. 

3 SEC. 2. HEALTH DISPARITY-INFORMED CONTACT TRACING 

4 GRANTS. 

5 (a) IN GENERAL.—The Secretary of Health and 

6 Human Services (referred to in this section as the ‘‘Sec7 retary’’), acting through the Director of the Centers for 

8 Disease Control and Prevention and in coordination with 

9 the Office of Minority Health of the Department of Health 

10 and Human Services, and, as appropriate, in coordination 

11 with the relevant Offices of Minority Health of the Depart12 ment of Health and Human Services, the National Insti13 tute of Minority Health and Health Disparities, and the 

14 Indian Health Service, shall award grants to eligible enti15 ties to conduct contact tracing operations, using amounts 

16 appropriated under the heading ‘‘Public Health and Social 

17 Services Emergency Fund’’ under the heading ‘‘Office of 

18 the Secretary’’ under the heading ‘‘Department of Health 

19 and Human Services’’ of title I of division B of the Pay20 check Protection Program and Health Care Enhancement 

21 Act (Public Law 116–139). 


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1 (b) ELIGIBLE ENTITIES.— 

2 (1) IN GENERAL.—To be eligible for a grant 

3 under this section, an entity shall— 

4 (A) be a State, local, Tribal, or territorial 

5 health department, a nonprofit community6 based organization, a nonprofit faith-based or7 ganization, an urban Indian organization, a 

8 Tribal organization, or a health care provider, 

9 serving one or more of the grant regions de10 scribed in paragraph (2); and 

11 (B) submit an application to the Secretary 

12 at such time, in such manner, and containing 

13 such information as the Secretary may require, 

14 including demographic data on the entity’s em15 ployees or projected hires at the time of submis16 sion. 

17 (2) GRANT REGIONS.—The Secretary may 

18 award grants to eligible entities serving one or more 

19 of the following: 

20 (A) A State. 

21 (B) A territory. 

22 (C) An Indian Tribe. 

23 (D) A Tribal organization. 

24 (E) An urban Indian organization. 

25 (F) A county. 


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1 (G) A metropolitan statistical area. 

2 (H) Any other city, town, or other public 

3 body created by, or pursuant to, State law. 

4 (3) PROHIBITION ON DISCRIMINATION.—Pro5 grams funded under this section shall not discrimi6 nate on the basis of actual or perceived sex, race, 

7 color, ethnicity, national origin, disability, sexual ori8 entation, gender identity, or religion. Nothing in this 

9 section shall be construed to invalidate or limit 

10 rights, remedies, procedures, or legal standards 

11 available under any other Federal law or any law of 

12 a State or a political subdivision of a State, includ13 ing the Civil Rights Act of 1964 (42 U.S.C. 2000a 

14 et seq.), title IX of the Education Amendments of 

15 1972 (20 U.S.C. 1681 et seq.), section 504 of the 

16 Rehabilitation Act of 1973 (29 U.S.C. 794), the 

17 Americans with Disabilities Act of 1990 (42 U.S.C. 

18 12101 et seq.), and section 1557 of the Patient Pro19 tection and Affordable Care Act (42 U.S.C. 18116). 

20 (c) PRIORITIZATION.—In awarding grants under sub21 section (a), the Secretary shall give special consideration 

22 to eligible entities that have demonstrated a commitment 

23 to recruiting and retaining employees who are racial and 

24 ethnic minorities representative of the demographic 

25 groups of a grant area served by the entity, which may 


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1 include entities that employ, or plan to employ, community 

2 health workers, as defined in section 2113(f)(4) of the So3 cial Security Act (42 U.S.C. 1397mm(f)(4)). 

4 (d) REPORTING.— 

5 (1) BY ENTITIES.—An eligible entity receiving 

6 a grant under this section shall report to the Sec7 retary demographic information of employees di8 rectly involved in contact tracing operations sup9 ported by such grant not later than 60 days after 

10 receipt of such grant. 

11 (2) BY THE SECRETARY.—Beginning not later 

12 than 90 days after the date on which the first grant 

13 is awarded under this section, the Secretary, in co14 ordination with the Deputy Assistant Secretary for 

15 Minority Health, the Director of the Centers for 

16 Disease Control and Prevention, and the Director of 

17 the Office of Minority Health and Health Equity at 

18 the Centers for Disease Control and Prevention, 

19 shall make public the data reported under paragraph 

20 (1). 

21 SEC. 3. COVID–19 HEALTH DISPARITIES ACTION PLAN. 

22 (a) IN GENERAL.—The Secretary, acting through the 

23 Director of the Office of Minority Health of the Depart24 ment of Health and Human Services, shall develop an evi25 dence-based action plan (referred to in this section as the 


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1 ‘‘action plan’’) for addressing health disparities related to 

2 COVID–19 testing, infections, hospitalizations, ICU ad3 missions, and deaths among racial and ethnic minority, 

4 rural, and other vulnerable populations. 

5 (b) COORDINATION.—In developing the action plan 

6 described in subsection (a), the Director of the Office of 

7 Minority Health shall coordinate with— 

8 (1) the Director of the Office of Minority 

9 Health and Health Equity of the Centers for Dis10 ease Control and Prevention; 

11 (2) the Director of the Office of Extramural 

12 Research, Education, and Priority Populations of 

13 the Agency for Healthcare Research and Quality; 

14 (3) the Director of the Office of Minority 

15 Health of the Centers for Medicare & Medicaid Serv16 ices; 

17 (4) the Director of the Office of Minority 

18 Health and Health Equity of the Food and Drug 

19 Administration; 

20 (5) the Director of the Office of Health Equity 

21 of the Health Resources and Services Administra22 tion; 

23 (6) the Director of the Office of Behavioral 

24 Health Equity of the Substance Abuse and Mental 

25 Health Services Administration; 


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1 (7) the Director of the National Institute of Mi2 nority Health and Health Disparities; and 

3 (8) the Director of the Indian Health Service. 

4 (c) LITERATURE REVIEW AND CONSULTATION.—In 

5 developing the action plan described in subsection (a), the 

6 Secretary shall— 

7 (1) review peer-reviewed literature to identify 

8 evidence-informed and evidence-based best practices 

9 for addressing health disparities among racial and 

10 ethnic minority, rural, and other vulnerable popu11 lations; and 

12 (2) consult with— 

13 (A) community-based organizations with 

14 expertise in addressing health disparities that 

15 affect racial and ethnic minority, rural, and 

16 other vulnerable populations; and 

17 (B) State, local, Tribal, and territorial 

18 health officials that serve areas with high con19 centrations of racial and ethnic minority, rural, 

20 and other vulnerable populations that have been 

21 disproportionately impacted by the COVID–19 

22 pandemic. 

23 (d) REQUIREMENTS.—The action plan shall in24 clude— 


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1 (1) a quantitative and qualitative analysis of 

2 the current barriers to complete and accurate data 

3 collection on health disparities related to COVID–19 

4 testing, infections, hospitalizations, ICU admissions, 

5 and deaths among racial and ethnic minority, rural, 

6 and other vulnerable populations; 

7 (2) a description of the health disparities that 

8 have been identified with current data related to 

9 COVID–19 testing, infections, hospitalizations, ICU 

10 admissions, and deaths among racial and ethnic mi11 nority, rural, and other vulnerable populations, using 

12 existing metrics where possible; 

13 (3) a description of the actions that the Sec14 retary will take to address the barriers to complete 

15 and accurate data collection on health disparities re16 lated to COVID–19 testing, infections, hospitaliza17 tions, ICU admissions, and deaths among racial and 

18 ethnic minority, rural, and other vulnerable popu19 lations, including specific dates by when such actions 

20 will be completed and the metrics that will be used 

21 to evaluate the impact of such actions; 

22 (4) the actions that the Secretary will take to 

23 address the health disparities that have been identi24 fied with current data related to COVID–19 testing, 

25 infections, hospitalizations, ICU admissions, and 


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1 deaths among racial and ethnic minority, rural, and 

2 other vulnerable populations, including specific dates 

3 by when such actions will be taken and completed 

4 and the metrics that will be used to evaluate the im5 pact of such actions; and 

6 (5) a summary of any additional resources that 

7 the Secretary requires in order to fully identify and 

8 address health disparities related to COVID–19 test9 ing, infections, hospitalizations, ICU admissions, and 

10 deaths among racial and ethnic minority, rural, and 

11 other vulnerable populations. 

12 (e) SUBMISSION OF ACTION PLAN AND REPORTS ON

13 THE ACTION PLAN.— 

14 (1) INITIAL ACTION PLAN.—Not later than 30 

15 days after the date of enactment of this Act, the 

16 Secretary shall submit the action plan to the Com17 mittee on Health, Education, Labor, and Pensions 

18 and the Committee on Finance of the Senate and 

19 the Committee on Energy and Commerce and the 

20 Committee on Ways and Means of the House of 

21 Representatives, and make such plan publicly avail22 able on the internet website of the Department of 

23 Health and Human Services. 

24 (2) UPDATES.—Not later than 30 days after 

25 the date of publication of the initial action plan 


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1 under paragraph (1), and at least every 30 days 

2 thereafter until the date that is 6 months after the 

3 COVID–19 public health emergency has ended, the 

4 Secretary shall submit updates to the action plan to 

5 Congress. Each such update shall provide updates 

6 on the Secretary’s actions and the relevant evalua7 tion metrics, and shall include any actions that the 

8 Secretary has identified since issuance of the initial 

9 action plan under paragraph (1) and any previous 

10 updates under this paragraph, as necessary to ad11 dress health disparities related to COVID–19 test12 ing, infections, hospitalizations, ICU admissions, and 

13 deaths among racial and ethnic minority, rural, and 

14 other vulnerable populations. The Secretary shall 

15 make each update publicly available on the internet 

16 website of the Department of Health and Human 

17 Services. 

18 (3) FINAL REPORT ON ACTION PLANS.—Not 

19 later than 1 year after the end of the COVID–19 

20 public health emergency, the Secretary shall submit 

21 to Congress a final report analyzing the health dis22 parities related to COVID–19 testing, infections, 

23 hospitalizations, ICU admissions, and deaths among 

24 racial and ethnic minority, rural, and other vulner25 able populations, including an analysis of the social 


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1 determinants of health and the underlying causes of 

2 health disparities. The report shall include— 

3 (A) the Secretary’s long-term plan for ad4 dressing racial and ethnic health disparities, in5 cluding an assessment of any additional re6 sources that may be required for the Office of 

7 Minority Health of the Department of Health 

8 and Human Services, or such department in 

9 general, to sustain long-term initiatives to ad10 dress racial and ethnic health disparities; and 

11 (B) recommendations for Congress to ad12 dress the underlying causes and prevent health 

13 disparities among racial and ethnic minority, 

14 rural, and other vulnerable populations during 

15 future public health emergencies. 

16 (f) AUTHORIZATION OF APPROPRIATIONS.—There is 

17 authorized to be appropriated to carry out this section 

18 $1,000,000 for fiscal year 2020. 

19 SEC. 4. FEDERAL PUBLIC AWARENESS CAMPAIGNS TO AD20 DRESS HEALTH DISPARITIES. 

21 (a) IN GENERAL.—The Secretary, acting through the 

22 Director of the Centers for Disease Control and Preven23 tion and in coordination with the Office of Minority 

24 Health and, as appropriate, in coordination with the rel25 evant Offices of Minority Health in the Department of 


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1 Health and Human Services, the National Institute of Mi2 nority Health and Health Disparities, and the Indian 

3 Health Service, shall develop and implement accessible, 

4 multilingual and culturally competent public awareness 

5 campaigns about COVID–19 directed at racial and ethnic 

6 minority, rural, and other vulnerable populations that 

7 have experienced health disparities during the COVID–19 

8 public health emergency related to testing, infections, hos9 pitalizations, ICU admissions, and deaths. 

10 (b) REQUIREMENTS.—The public awareness cam11 paigns under this section shall— 

12 (1) prioritize communities where the greatest 

13 health disparities have been identified with respect 

14 to testing access and rates of infections, hospitaliza15 tions, and deaths related to COVID–19; 

16 (2)(A) provide information, based on scientific 

17 evidence, about the benefits of being tested for 

18 COVID–19, the availability of COVID–19 testing 

19 with no cost-sharing for most United States resi20 dents, and the actions that individuals can take to 

21 protect themselves from COVID–19, including mask22 ing and social distancing; and 

23 (B) dispel misinformation about COVID–19 

24 symptoms, testing, or treatment; and 


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1 (3) use print, radio, or internet media, or other 

2 forms of public communication, including local, inde3 pendent, or community-based written news and elec4 tronic publications. 

5 (c) COORDINATION.—The public awareness cam6 paigns under this section shall be complementary to, and 

7 coordinated with, any other Federal, State, and local ef8 forts, including the action plan described in section 3, as 

9 appropriate. 

10 (d) REPORT TO CONGRESS.—Not later than 45 days 

11 after the date on which appropriated funds are made avail12 able to the Secretary under this section, the Secretary 

13 shall submit to Congress a report on how such funds have 

14 been used during such 45-day period and a plan for using 

15 any remaining funds within the next 45 days. 

16 (e) AUTHORIZATION OF APPROPRIATIONS.—There is 

17 authorized to be appropriated to carry out this section 

18 $10,000,000 for fiscal year 2020. 

19 SEC. 5. GRANT PROGRAM FOR PUBLIC AWARENESS CAM20 PAIGNS TO ADDRESS HEALTH DISPARITIES. 

21 (a) IN GENERAL.—The Secretary, acting through the 

22 Director of the Centers for Disease Control and Preven23 tion and in coordination with the Office of Minority 

24 Health, and, as appropriate, in coordination with the rel25 evant Offices of Minority Health in the Department of 


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1 Health and Human Services, the National Institute of Mi2 nority Health and Health Disparities, and the Indian 

3 Health Service, shall award competitive grants to eligible 

4 entities to support such entities in developing and imple5 menting accessible, multilingual, and culturally competent 

6 public awareness campaigns about COVID–19 directed at 

7 racial and ethnic minority, rural, and other vulnerable 

8 populations that have experienced health disparities dur9 ing the COVID–19 public health emergency related to 

10 testing, infections, hospitalizations, ICU admissions, and 

11 deaths. 

12 (b) ELIGIBLE ENTITIES.—To be eligible to receive a 

13 grant under this section, an entity shall be a State, local, 

14 Tribal, or territorial health department, a nonprofit com15 munity-based organization, a Tribal organization, an 

16 urban Indian organization, or a health care provider, or 

17 a nonprofit faith-based organization. 

18 (c) PRIORITIZATION.—When awarding grants under 

19 this section, the Secretary shall prioritize entities serving 

20 communities where the greatest health disparities exist 

21 with respect to testing access, infections, hospitalizations, 

22 and deaths related to COVID–19, impacting racial and 

23 ethnic minority, rural, and other vulnerable populations. 


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1 (d) REQUIREMENTS.—An entity awarded a grant 

2 under this section shall conduct a public awareness cam3 paign that— 

4 (1)(A) provides to the public information, based 

5 on scientific evidence, about the benefits of being 

6 tested for COVID–19, the availability of COVID–19 

7 testing with no cost-sharing for most United States 

8 residents, and the actions that individuals can take 

9 to protect themselves from COVID–19, including 

10 masking and social distancing; and 

11 (B) dispels misinformation about COVID–19 

12 symptoms, testing, or treatment; 

13 (2) uses print, radio, or internet media, or 

14 other forms of public communication; and 

15 (3) communicates in the language or languages 

16 necessary to reach racial and ethnic minority, rural, 

17 and other vulnerable populations in the applicable 

18 region that have experienced health disparities dur19 ing the COVID–19 public health emergency related 

20 to testing, infections, hospitalizations, ICU admis21 sions, and deaths. 

22 (e) COORDINATION.—The public health campaigns 

23 supported by grants awarded under this section shall be 

24 complementary to, and coordinated with, any other FedVerDate Sep 11 2014 03:47 Sep 15, 2020 Jkt 099200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H8203.IH H8203

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1 eral, State, or local efforts, including the action plan de2 scribed in section 3, as appropriate. 

3 (f) TIMING.—The Secretary shall award the grants 

4 under this section not later than 60 days after the date 

5 of enactment of this Act. 

6 (g) AUTHORIZATION OF APPROPRIATIONS.—There is 

7 authorized to be appropriated to carry out this section 

8 $10,000,000 for fiscal year 2020. 

9 SEC. 6. VACCINE SAFETY PUBLIC AWARENESS CAMPAIGN. 

10 (a) IN GENERAL.—The Secretary, acting through the 

11 Director of the Centers for Disease Control and Preven12 tion and in coordination with the Office of Minority 

13 Health, and, as appropriate, the relevant Offices of Minor14 ity Health in the Department of Health and Human Serv15 ices, the National Institute of Minority Health and Health 

16 Disparities, and the Indian Health Service, shall establish 

17 grant funding opportunities for eligible entities to dissemi18 nate COVID–19 vaccination information. 

19 (b) ELIGIBLE ENTITIES.—To be eligible to receive a 

20 grant under this section, an entity shall be a State, local, 

21 Tribal, or territorial health department, an urban Indian 

22 organization, a nonprofit community-based organization, 

23 or a nonprofit faith-based organization. 

24 (c) USE OF FUNDS.— 


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1 (1) IN GENERAL.—Entities receiving a grant 

2 under this section shall use such grant funds to— 

3 (A) increase awareness to the benefit of re4 ceiving a COVID–19 vaccine, and include infor5 mation on where the vaccine can be obtained; 

6 and 

7 (B) create and disseminate culturally and 

8 linguistically appropriate messaging. 

9 (2) ADDITIONAL GRANT FUNDS.—The Sec10 retary shall have discretion to award additional 

11 grant funding under this section to broaden the 

12 grant recipient’s vaccine public safety awareness 

13 campaign to include routine immunizations and gen14 eral influenza vaccine messaging. 

15 (d) PRIORITIZATION.—In awarding grants under this 

16 section, the Secretary shall give priority to eligible entities 

17 in either urban or rural communities (or a combination 

18 of urban and rural communities) that serve vulnerable 

19 populations, including ethnic minority populations, which 

20 may include low-income, uninsured, and medically under21 served individuals or populations with historically low 

22 rates of receiving vaccines. 

23 (e) TIMING.—The Secretary shall awards the grants 

24 under this section not later than 60 days after the date 

25 on the earlier of the date on which the Food and Drug 


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1 Administration licenses a COVID–19 vaccine under sec2 tion 351 of the Public Health Service Act (42 U.S.C. 262) 

3 or the date on which a manufacturer begins to distribute 

4 a COVID–19 vaccine to public or private entities pursuant 

5 to an emergency use authorization under section 564 of 

6 the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 

7 360bbb–3). 

8 (f) AUTHORIZATION OF APPROPRIATIONS.—There is 

9 authorized to be appropriated to carry out this section 

10 $5,000,000 for fiscal year 2020. 

11 SEC. 7. ADDENDUM TO TESTING PLANS TO ADDRESS DIS12 PARITIES. 

13 (a) IN GENERAL.—The Secretary, acting through the 

14 Director of the Centers for Disease Control and Preven15 tion, shall report to the Committee on Appropriations and 

16 the Committee on Health, Education, Labor, and Pen17 sions of the Senate, and the Committee on Appropriations 

18 and the Committee on Energy and Commerce of the 

19 House of Representatives, on State testing plans referred 

20 to under the heading ‘‘Public Health and Social Services 

21 Emergency Fund’’ under the heading ‘‘Office of the Sec22 retary’’ under the heading ‘‘Department of Health and 

23 Human Services’’ of title I of division B of the Paycheck 

24 Protection Program and Health Care Enhancement Act 

25 (Public Law 116–139). 


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1 (b) REQUIREMENT TO DEVELOP ADDENDUM.— 

2 (1) IN GENERAL.—The Secretary shall solicit 

3 States, territories, and Indian tribes to develop an 

4 addendum to testing plans described in subsection 

5 (a), to specifically address testing plans for racial 

6 and ethnic minority, rural, and other vulnerable pop7 ulations experiencing health disparities related to 

8 COVID–19 testing, infections, hospitalizations, ICU 

9 admissions, or deaths. The Secretary shall model 

10 questions for the addendum based on the original 

11 testing plans. 

12 (2) FUNDING.—To carry out this subsection, 

13 the Secretary shall use amounts appropriated under 

14 the heading ‘‘Public Health and Social Services 

15 Emergency Fund’’ under the heading ‘‘Office of the 

16 Secretary’’ under the heading ‘‘Department of 

17 Health and Human Services’’ of title I of division B 

18 of the Paycheck Protection Program and Health 

19 Care Enhancement Act (Public Law 116–139). 

20 SEC. 8. DEFINITIONS. 

21 In this Act— 

22 (1) the term ‘‘COVID–19 public health emer23 gency’’ means the public health emergency first de24 clared by the Secretary of Health and Human Serv25 ices under section 319 of the Public Health Service 


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1 Act (42 U.S.C. 247d) on January 31, 2020, with re2 spect to COVID–19; 

3 (2) the term ‘‘ICU’’ means intensive care unit; 

4 (3) the terms ‘‘racial and ethnic minority 

5 group’’ and ‘‘racial and ethnic minority’’ have the 

6 meaning given the term ‘‘racial and ethnic minority 

7 group’’ in section 1707(g) of the Public Health Serv8 ice Act (42 U.S.C. 300u–6(g)); 

9 (4) the term ‘‘relevant Offices of Minority 

10 Health in the Department of Health and Human 

11 Services’’ may include— 

12 (A) the Office of Extramural Research, 

13 Education, and Priority Populations of the 

14 Agency for Healthcare Research and Quality; 

15 (B) the Office of Minority Health and 

16 Health Equity of the Centers for Disease Con17 trol and Prevention; 

18 (C) the Office of Minority Health of the 

19 Centers for Medicare & Medicaid Services; 

20 (D) the Office of Minority Health and 

21 Health Equity of the Food and Drug Adminis22 tration; 

23 (E) the Office of Health Equity of the 

24 Health Resources and Services Administration; 

25 and 


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1 (F) the Office of Behavioral Health Equity 

2 of the Substance Abuse and Mental Health 

3 Services Administration; and 

4 (5) the term ‘‘Secretary’’, unless indicated oth5 erwise, means the Secretary of Health and Human 

6 Services 

7 (6) the terms ‘‘Indian Tribe’’ and ‘‘Tribal orga8 nization’’ have the meanings given the terms ‘‘In9 dian tribe’’ and ‘‘tribal organization’’ in section 4 of 

10 the Indian Self-Determination and Education Assist11 ance Act (25 U.S.C. 5304); and 

12 (7) the term ‘‘urban Indian organization’’ has 

13 the meaning given the term in section 4 of the In14 dian Health Care Improvement Act (25 U.S.C. 

15 1603). 

Æ 


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