I

103D CONGRESS

2D SESSION H. R. 3896

To amend the Public Health Service Act to provide for demonstration projects

to improve the health of racial and ethnic minority groups by preventing

disease and death.

IN THE HOUSE OF REPRESENTATIVES

FEBRUARY 24, 1994

Miss COLLINS of Michigan introduced the following bill; which was referred

to the Committee on Energy and Commerce

A BILL

To amend the Public Health Service Act to provide for

demonstration projects to improve the health of racial

and ethnic minority groups by preventing disease and

death.

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 ‘‘Minority Health Pro5 motion and Disease Prevention Act of 1994’’.
2

•HR 3896 IH

1 SEC. 2. ESTABLISHMENT OF PROGRAM.

2 Title XVII of the Public Health Service Act (42

3 U.S.C. 300u et seq.) is amended by inserting after section

4 1707 the following section:

5 ‘‘DEMONSTRATION PROJECTS REGARDING MINORITY

6 HEALTH

7 ‘‘SEC. 1707A. (a) IN GENERAL.—

8 ‘‘(1) AUTHORITY FOR PROJECTS.—In providing

9 for demonstration projects under section 1707(b)(4),

10 the Secretary, acting through the Deputy Assistant

11 Secretary for Minority Health, may make grants to

12 public and nonprofit private entities for the purpose

13 of carrying out demonstration projects to provide

14 preventive health and health promotion services to

15 racial and ethnic minority groups.

16 ‘‘(2) PRIORITY REGARDING LOW-INCOME INDI17 VIDUALS.—Projects under paragraph (1) shall give

18 priority to low-income individuals.

19 ‘‘(3) ALLOCATION OF PROJECTS.—In making

20 the initial grants under paragraph (1), the Secretary

21 shall ensure that not less than 2 demonstration

22 projects under such paragraph are carried out in

23 urban, distressed communities and not less than 1

24 such project is carried out in a rural community.

25 ‘‘(b) USE OF FUNDS.—
3

•HR 3896 IH

1 ‘‘(1) IN GENERAL.—The purposes for which a

2 grant under subsection (a) may be expended include

3 the following:

4 ‘‘(A) Planning, coordination and provision

5 of health promotion and disease prevention

6 community services, including screening, detec7 tion, diagnosis, and risk-reduction activities.

8 ‘‘(B) Improving the recognition, assess9 ment, treatment, and clinical management of

10 preventable diseases.

11 ‘‘(C) Developing and disseminating health

12 education materials and curricula for patients,

13 for elementary and secondary students and

14 their parents.

15 ‘‘(D) Designing self-help programs for par16 ticipants to improve his or her individual capac17 ities to maintain health and manage and pre18 vent illness and disease.

19 ‘‘(E) Providing technical assistance to pro20 viders.

21 ‘‘(2) RESTRICTIONS.—A grant under subsection

22 (a) may not be expended—

23 ‘‘(A) for construction of facilities; or
4

•HR 3896 IH

1 ‘‘(B) for the provision of services to indi2 viduals for benefits covered, or for costs that

3 are reimbursed, by other Federal programs.

4 ‘‘(c) REQUIREMENTS.—Grantees shall be required

5 to—

6 ‘‘(1) submit an application assuring fulfillment

7 of the requirements of this section;

8 ‘‘(2) contribute 30 percent of the total project,

9 unless the Secretary waives such requirement upon

10 demonstration of extreme hardship or severe need;

11 ‘‘(3) develop a health assessment and health

12 promotion/disease prevention action plan, in con13 sultation with and with the agreement of, for each

14 person served;

15 ‘‘(4) develop a plan of self-sufficiency before the

16 third year under which the grantee would continue

17 the program without Federal funds;

18 ‘‘(5) provide assurance that funds will only be

19 used for the purposes specified in the application;

20 and

21 ‘‘(6) establish accounting procedures to assure

22 proper use or disbursement of funds.

23 ‘‘(d) EVALUATION.—Grants may be awarded for 3

24 years and may be renewed. For renewal, the Secretary

25 shall evaluate projects on the basis of their effectiveness
5

•HR 3896 IH

1 in reducing the incidence of disease and death among ra2 cial and ethnic minority groups.

3 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the

4 purpose of carrying out this section, there is authorized

5 to be appropriated $15,000,000 for each of the fiscal years

6 1995 through 1997. Such authorization is in addition to

7 the authorization of appropriations available for such pur8 pose under section 1707.

9 ‘‘(f) DEFINITIONS.—For purposes of this section:

10 ‘‘(1) The term ‘preventive health and health

11 promotion services’ includes medical and medical-re12 lated services intended to promote health mainte13 nance, prevent illness, eliminate health hazards,

14 produce early detection of disease, and inhibit dete15 rioration of health.

16 ‘‘(2) The term ‘distressed community’ means a

17 community in which a high percentage of families

18 are low-income and there is pervasive poverty, as de19 fined by the United States Department of Labor,

20 and general economic distress.’’.

Æ