States and the Director of the Office of Management and 
Budget, shall establish procedures for the Council to— 
(1) ensure that adequate resources are available 
to effectively execute the responsibilities of the 
Council; 
(2) effectively coordinate with other relevant ad-
visory bodies and working groups to avoid unneces-
sary duplication; 
(3) create transparency to the public and Con-
gress with regard to Council membership, costs, and 
activities, including through use of modern tech-
nology and social media to disseminate information; 
and 
(4) avoid conflicts of interest that would jeop-
ardize the ability of the Council to make decisions 
and provide recommendations. 
SEC. 4. SOCIAL DETERMINANTS ACCELERATOR GRANTS TO 
STATES OR LOCAL GOVERNMENTS. 
(a) GRANTS TO STATES, LOCAL GOVERNMENTS, AND 
TRIBES.—Not later than 180 days after the date of the 
enactment of this Act, the Administrator, in consultation 
with the Secretary and the Council, shall award on a com-
petitive basis not more than 25 grants to eligible appli-
cants described in subsection (b), for the development of 
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social determinants accelerator plans, as described in sub-
section (f). 
(b) ELIGIBLE APPLICANT.—An eligible applicant de-
scribed in this section is a State, local, or Tribal health 
or human services agency that— 
(1) demonstrates the support of relevant parties 
across relevant State, local, or Tribal jurisdictions; 
and 
(2) in the case of an applicant that is a local 
government agency, provides to the Secretary a let-
ter of support from the lead State health or human 
services agency for the State in which the local gov-
ernment is located. 
(c) AMOUNT OF GRANT.—The Administrator, in co-
ordination with the Council, shall determine the total 
amount that the Administrator will make available to each 
grantee under this section. 
(d) APPLICATION.—An eligible applicant seeking a 
grant under this section shall include in the application 
the following information: 
(1) The target population (or populations) that 
would benefit from implementation of the social de-
terminants accelerator plan proposed to be developed 
by the applicant. 
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(2) A description of the objective or objectives 
and outcome goals of such proposed plan, which 
shall include at least one health outcome and at 
least one other important social outcome. 
(3) The sources and scope of inefficiencies that, 
if addressed by the plan, could result in improved 
cost-effectiveness of or return on investment from 
Federal, State, local, and Tribal governments. 
(4) A description of potential interventions that 
could be designed or enabled using such proposed 
plan. 
(5) The State, local, Tribal, academic, non-
profit, community-based organizations, and other 
private sector partners that would participate in the 
development of the proposed plan and subsequent 
implementation of programs or initiatives included 
in such proposed plan. 
(6) Such other information as the Adminis-
trator, in consultation with the Secretary and the 
Council, determines necessary to achieve the pur-
poses of this Act. 
(e) USE OF FUNDS.—A recipient of a grant under 
this section may use funds received through the grant for 
the following purposes: 
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(1) To convene and coordinate with relevant 
government entities and other stakeholders across 
sectors to assist in the development of a social deter-
minant accelerator plan. 
(2) To identify populations of individuals receiv-
ing medical assistance under a State plan (or a 
waiver of such plan) under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) who may ben-
efit from the proposed approaches to improving the 
health and well-being of such individuals through the 
implementation of the proposed social determinants 
accelerator plan. 
(3) To engage qualified research experts to ad-
vise on relevant research and to design a proposed 
evaluation plan, in accordance with the standards 
and guidelines issued by the Administrator. 
(4) To collaborate with the Council to support 
the development of social determinants accelerator 
plans. 
(5) To prepare and submit a final social deter-
minants accelerator plan to the Council. 
(f) CONTENTS OF PLANS.—A social determinant ac-
celerator plan developed under this section shall include 
the following: 
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(1) A description of the target population (or 
populations) that would benefit from implementation 
of the social determinants accelerator plan, including 
an analysis describing the projected impact on the 
well-being of individuals described in subsection 
(e)(2). 
(2) A description of the interventions or ap-
proaches designed under the social determinants ac-
celerator plan and the evidence for selecting such 
interventions or approaches. 
(3) The objectives and outcome goals of such 
interventions or approaches, including at least one 
health outcome and at least one other important so-
cial outcome. 
(4) A plan for accessing and linking relevant 
data to enable coordinated benefits and services for 
the jurisdictions described in subsection (b)(1) and 
an evaluation of the proposed interventions and ap-
proaches. 
(5) A description of the State, local, Tribal, 
academic, nonprofit, or community-based organiza-
tions, or any other private sector organizations that 
would participate in implementing the proposed 
interventions or approaches, and the role each would 
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play to contribute to the success of the proposed 
interventions or approaches. 
(6) The identification of the funding sources 
that would be used to finance the proposed interven-
tions or approaches. 
(7) A description of any financial incentives 
that may be provided, including outcome-focused 
contracting approaches to encourage service pro-
viders and other partners to improve outcomes of, 
cost-effectiveness of, and return on investment from, 
Federal, State, local, or Tribal government spending. 
(8) The identification of the applicable Federal, 
State, local, or Tribal statutory and regulatory au-
thorities, including waiver authorities, to be lever-
aged to implement the proposed interventions or ap-
proaches. 
(9) A description of potential considerations 
that would enhance the impact, scalability, or sus-
tainability of the proposed interventions or ap-
proaches and the actions the grant awardee would 
take to address such considerations. 
(10) A proposed evaluation plan, to be carried 
out by an independent evaluator, to measure the im-
pact of the proposed interventions or approaches on 
the outcomes of, cost-effectiveness of, and return on 
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investment from, Federal, State, local, and Tribal 
governments. 
(11) Precautions for ensuring that vulnerable 
populations will not be denied access to Medicaid or 
other essential services as a result of implementing 
the proposed plan. 
SEC. 5. FUNDING. 
(a) IN GENERAL.—Out of any money in the Treasury 
not otherwise appropriated, there is appropriated to carry 
out this Act $25,000,000, of which up to $5,000,000 may 
be used to carry out this Act, to remain available for obli-
gation until the date that is 5 years after the date of en-
actment of this Act. 
(b) RESERVATION OF FUNDS.— 
(1) IN GENERAL.—Of the funds made available 
under subsection (a), the Secretary shall reserve not 
less than 20 percent to award grants to eligible ap-
plicants for the development of social determinants 
accelerator plans under section 4 intended to serve 
rural populations. 
(2) EXCEPTION.—In the case of a fiscal year 
for which the Secretary determines that there are 
not sufficient eligible applicants to award up to 25 
grants under section 4 that are intended to serve 
rural populations and the Secretary cannot satisfy 
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the 20-percent requirement, the Secretary may re-
serve an amount that is less than 20 percent of 
amounts made available under subsection (a) to 
award grants for such purpose. 
(c) RULE OF CONSTRUCTION.—Nothing in this Act 
shall prevent Federal agencies represented on the Council 
from contributing additional funding from other sources 
to support activities to improve the effectiveness of the 
Council. 
Æ 
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