137 
SEC. 412. NATIONAL CENTER FOR MINORITY HEALTH AND 
HEALTH DISPARITIES REAUTHORIZATION. 
(a) IN GENERAL.—Section 485E of the Public 
Health Service Act (42 U.S.C. 287c-31) is amended— 
(1) by striking subsection (e) and inserting the 
following: 
‘‘(e) DUTIES OF THE DIRECTOR.— 
‘‘(1) INTERAGENCY COORDINATION OF MINOR-
ITY
HEALTH
AND
HEALTH
DISPARITIES
ACTIVI-
TIES.—With respect to minority health and health 
disparities, the Director of the Center shall plan, co-
ordinate, and evaluate research and other activities 
conducted or supported by the agencies of the Na-
tional Institutes of Health. In carrying out the pre-
ceding sentence, the Director of the Center shall 
evaluate the minority health and health disparity ac-
tivities of each of such agencies and shall provide for 
the timely periodic re-evaluation of such activities. 
‘‘(2) CONSULTATIONS.—The Director of the 
Center shall carry out this subpart (including devel-
oping and revising the plan and budget required in 
subsection (f)) in consultation with the Directors of 
the agencies (or a designee of the Directors) of the 
National Institutes of Health, with the advisory 
councils of the agencies, and with the advisory coun-
cil established under section (j). 
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‘‘(3) COORDINATION OF ACTIVITIES.—The Di-
rector of the Center shall act as the primary Federal 
official with responsibility for coordinating all minor-
ity health disparities research and other health dis-
parities research conducted or supported by the Na-
tional Institutes of Health and shall— 
‘‘(A) represent the health disparities re-
search program of the National Institutes of 
Health including the minority health disparities 
research program at all relevant executive 
branch task forces, committees, and planning 
activities; 
‘‘(B) maintain communications with all rel-
evant Public Health Service agencies, including 
the Indian Health Service and various other de-
partments of the Federal Government, to en-
sure the timely transmission of information con-
cerning advances in minority health disparities 
research and other health disparities research 
between these various agencies for dissemina-
tion to affected communities and health care 
providers; 
‘‘(C) undertake research to further refine 
and develop the conceptual, definitional, and 
methodological issues involved in health dispari-
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ties research and to further the understanding 
of the cause of disparities; and 
‘‘(D) engage with national and community- 
based organizations and health provider groups, 
led by and serving racial and ethnic minorities, 
to— 
‘‘(i) increase education, awareness, 
and participation with respect to the Cen-
ter’s activities and areas of research focus; 
and 
‘‘(ii) accelerate the translation of re-
search findings into programs including 
those carried out by community-based or-
ganizations.’’; 
(2) in subsection (f)— 
(A) by striking the subsection heading and 
inserting 
the 
following: 
‘‘COMPREHENSIVE 
PLAN FOR RESEARCH; BUDGET ESTIMATE; AL-
LOCATION OF APPROPRIATIONS.—’’; 
(B) in paragraph (1)— 
(i) by striking the paragraph designa-
tion, the paragraph heading, the matter 
preceding subparagraph (A), and subpara-
graph (A) and inserting the following: 
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‘‘(1) IN GENERAL.—Subject to the provisions of 
this section and other applicable law, the Director of 
the Center, in consultation with the Director of 
NIH, the Directors of the other agencies of the Na-
tional Institutes of Health, and the advisory council 
established under subsection (j) shall— 
‘‘(A) annually review and revise a com-
prehensive plan (referred to in this section as 
‘the plan’) and budget for the conduct and sup-
port of all minority health and health dispari-
ties research and other health disparities re-
search activities of the agencies of the National 
Institutes of Health that includes time-based 
targeted objectives with measurable outcomes 
and assure that the annual review and revision 
of the plan uses an established trans-NIH proc-
ess subject to timely review, approval, and dis-
semination;’’; 
(ii) in subparagraph (D), by striking 
‘‘, with respect to amounts appropriated 
for activities of the Center,’’; 
(iii) by striking subparagraph (F) and 
inserting the following: 
‘‘(F) ensure that the plan and budget are 
presented to and considered by the Director in 
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a clear and timely process during the formula-
tion of the overall annual budget for the Na-
tional Institutes of Health;’’; 
(iv) by redesignating subparagraphs 
(G) and (H) as subparagraphs (I) and (J), 
respectively; and 
(v) by inserting after subparagraph 
(F), the following: 
‘‘(G) annually submit to the Congress a re-
port on the progress made with respect to the 
plan; 
‘‘(H) create and implement a plan for the 
systematic review of research activities sup-
ported by the National Institutes of Health that 
are within the mission of both the Center and 
other agencies of the National Institutes of 
Health, by establishing mechanisms for— 
‘‘(i) tracking minority health and 
health disparity research conducted within 
the agencies and assessing the appropriate-
ness of this research with regard to the 
overall goals and objectives of the plan; 
‘‘(ii) the early identification of appli-
cations and proposals for grants, contracts, 
and cooperative agreements supporting ex-
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tramural training, research, and develop-
ment, that are submitted to the agencies 
and that are within the mission of the Cen-
ter; 
‘‘(iii) providing the Center with the 
written descriptions and scientific peer re-
view results of such applications and pro-
posals; 
‘‘(iv) enabling the agencies to consult 
with the Director of the Center prior to 
final approval of such applications and 
proposals; and 
‘‘(v) reporting to the Director of the 
Center all such applications and proposals 
that are approved for funding by the agen-
cies;’’; and 
(C) in paragraph (2)— 
(i) in subparagraph (D), by striking 
‘‘and’’ at the end; 
(ii) in subparagraph (E), by striking 
the period and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(F) the number and type of personnel 
needs of the Center.’’; 
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(3) in subsection (h)— 
(A) in paragraph (1), by striking ‘‘endow-
ments at centers of excellence under section 
736.’’ and inserting the following: ‘‘endowments 
at— 
‘‘(A) centers of excellence under section 
736; and 
‘‘(B) centers of excellence under section 
485F.’’; and 
(B) in paragraph (2)(A), by striking ‘‘aver-
age’’ and inserting ‘‘median’’; and 
(4) by inserting after subsection (j), the fol-
lowing: 
‘‘(k) REPRESENTATION OF MINORITIES AMONG RE-
SEARCHERS.—The Secretary, in collaboration with the Di-
rector of the Center, shall determine, by means of the col-
lection and reporting of aggregated and disaggregated 
data, the extent to which racial and ethnic minority groups 
are represented among senior physicians and scientists of 
the national research institutes and among physicians and 
scientists conducting research with funds provided by such 
institutes, and as appropriate, carry out activities to in-
crease the extent of such representation, including devel-
oping a pipeline of minority researchers interested in the 
study of health and health disparities, as well as attracting 
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minority scientists in social and behavioral science fields 
who can bring their expertise to the study of health dis-
parities. 
‘‘(l) CANCER RESEARCH.—The Secretary, in collabo-
ration with the Director of the Center, shall designate and 
support a cancer prevention, control, and population 
science center to address the significantly elevated rate of 
morbidity and mortality from cancer in racial and ethnic 
minority populations. Such designated center shall be 
housed within an existing, stand-alone cancer center at a 
minority-serving institution that has a demonstrable com-
mitment to and expertise in cancer research in the basic, 
clinical, and population sciences.’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—To carry out section 485E 
of the Public Health Service Act (42 U.S.C.287c– 
31), as amended by subsection (a), there are author-
ized to be appropriated $240,000,000 for fiscal year 
2008 and such sums as may be necessary for each 
of fiscal years 2009 through 2012. 
(2) EXPENDITURE.—The Director of the Na-
tional Center on Minority Health and Health Dis-
parities shall expend amounts appropriated for ac-
tivities under such section 485E in accordance with 
such section and other applicable law and in collabo-
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ration with the Director of National Institutes of 
Health and the directors of other institutes and cen-
ters of the National Institutes of Health. 
(3) MANAGEMENT.—All amounts expended for 
minority health and health disparities research ac-
tivities under this subsection shall be reported pro-
grammatically to and approved by the Director of 
the National Center on Minority Health and Health 
Disparities under such section 485E, in accordance 
with the plan described under subsection (f)(1)(A) of 
such section 485E. 
Subtitle B—Improving 
Environmental Justice 
SEC. 421. CODIFICATION OF EXECUTIVE ORDER 12898. 
(a) IN GENERAL.—The President of the United 
States is authorized and directed to execute, administer, 
and enforce as a matter of Federal law the provisions of 
Executive Order 12898, dated February 11, 1994, (‘‘Fed-
eral Actions To Address Environmental Justice In Minor-
ity Populations and Low-Income Populations’’) with such 
modifications as are provided in this section. 
(b) DEFINITION OF ENVIRONMENTAL JUSTICE.—For 
purposes of carrying out the provisions of Executive Order 
12898, the following definitions shall apply: 
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(1) The term ‘‘environmental justice’’ means 
the fair treatment and meaningful involvement of all 
people regardless of race, color, national origin, edu-
cational level, or income with respect to the develop-
ment, implementation, and enforcement of environ-
mental laws and regulations in order to ensure 
that— 
(A) minority and low-income communities 
have access to public information relating to 
human health and environmental planning, reg-
ulations, and enforcement; and 
(B) no minority or low-income population 
is forced to shoulder a disproportionate burden 
of the negative human health and environ-
mental impacts of pollution or other environ-
mental hazard. 
(2) The term ‘‘fair treatment’’ means policies 
and practices that ensure that no group of people, 
including racial, ethnic, or socioeconomic groups 
bear disproportionately high and adverse human 
health or environmental effects resulting from Fed-
eral agency programs, policies, and activities. 
(c) JUDICIAL REVIEW AND RIGHTS OF ACTION.— 
The provisions of section 6–609 of Executive Order 12898 
shall not apply for purposes of this Act. 
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147 
SEC. 422. IMPLEMENTATION OF RECOMMENDATIONS BY 
ENVIRONMENTAL PROTECTION AGENCY. 
(a) INSPECTOR GENERAL RECOMMENDATIONS.—The 
Administrator of the Environmental Protection Agency 
shall, as promptly as practicable, carry out each of the 
following recommendations of the Inspector General of the 
agency as set forth in Report No. 2006–P-00034 entitled 
‘‘EPA needs to conduct environmental justice reviews of 
its programs, policies and activities’’: 
(1) The recommendation that the Agency’s pro-
gram and regional offices identify which programs, 
policies, and activities need environmental justice re-
views and require these offices to establish a plan to 
complete the necessary reviews. 
(2) The recommendation that the Administrator 
of the Agency ensure that these reviews determine 
whether the programs, policies, and activities may 
have a disproportionately high and adverse health or 
environmental impact on minority and low-income 
populations. 
(3) The recommendation that each program 
and regional office develop specific environmental 
justice review guidance for conducting environmental 
justice reviews. 
(4) The recommendation that the Administrator 
designate a responsible office to compile results of 
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environmental justice reviews and recommend appro-
priate actions. 
(b) GAO RECOMMENDATIONS.—In developing rules 
under laws administered by the Environmental Protection 
Agency, the Administrator of the Agency shall, as prompt-
ly as practicable, carry out each of the following rec-
ommendations of the Comptroller General of the United 
States as set forth in GAO Report numbered GAO–05- 
289 entitled ‘‘EPA Should Devote More Attention to En-
vironmental Justice when Developing Clean Air Rules’’: 
(1) The recommendation that the Administrator 
ensure that workgroups involved in developing a rule 
devote attention to environmental justice while draft-
ing and finalizing the rule. 
(2) The recommendation that the Administrator 
enhance the ability of such workgroups to identify 
potential environmental justice issues through such 
steps as providing workgroup members with guid-
ance and training to helping them identify potential 
environmental justice problems and involving envi-
ronmental justice coordinators in the workgroups 
when appropriate. 
(3) The recommendation that the Administrator 
improve assessments of potential environmental jus-
tice impacts in economic reviews by identifying the 
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149 
data and developing the modeling techniques needed 
to assess such impacts. 
(4) The recommendation that the Administrator 
direct appropriate Agency officers and employees to 
respond fully when feasible to public comments on 
environmental justice, including improving the Agen-
cy’s explanation of the basis for its conclusions, to-
gether with supporting data. 
(c) 2004 INSPECTOR GENERAL REPORT.—The Ad-
ministrator of the Environmental Protection Agency shall, 
as promptly as practicable, carry out each of the following 
recommendations of the Inspector General of the Agency 
as set forth in the report entitled ‘‘EPA Needs to Consist-
ently Implement the Intent of the Executive Order on En-
vironmental Justice’’ (Report No. 2004–P–00007): 
(1) The recommendation that the Agency clear-
ly define the mission of the Office of Environmental 
Justice (OEJ) and provide Agency staff with an un-
derstanding of the roles and responsibilities of the 
Office. 
(2) The recommendation that the Agency estab-
lish (through issuing guidance or a policy statement 
from the Administrator) specific time frames for the 
development of definitions, goals, and measurements 
regarding environmental justice and provide the re-
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gions and program offices a standard and consistent 
definition for a minority and low-income community, 
with instructions on how the Agency will implement 
and operationalize environmental justice into the 
Agency’s daily activities. 
(3) The recommendation that the Agency en-
sure the comprehensive training program currently 
under development includes standard and consistent 
definitions of the key environmental justice concepts 
(such as ‘‘low-income’’, ‘‘minority’’, and ‘‘dispropor-
tionately impacted’’) and instructions for implemen-
tation of those concepts. 
(d) REPORT.—The Administrator shall submit an ini-
tial report to Congress within 6 months after the enact-
ment of this Act regarding the Administrator’s strategy 
for implementing the recommendations referred to in sub-
sections (a), (b), and (c). Thereafter, the Administrator 
shall provide semi-annual reports to Congress regarding 
the Administrator’s progress in implementing such rec-
ommendations and modifying the Administrator’s emer-
gency management procedures to incorporate environ-
mental justice in the Agency’s Incident Command Struc-
ture (in accordance with the December 18, 2006, letter 
from the Deputy Administrator to the Acting Inspector 
General of the agency). 
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151 
SEC. 423. GRANT PROGRAM. 
(a) DEFINITIONS.—In this section: 
(1) DIRECTOR.—The term ‘‘Director’’ means 
the Director of the Centers for Disease Control and 
Prevention, acting in collaboration with the Adminis-
trator of the Environmental Protection Agency and 
the Director of the National Institute of Environ-
mental Health Sciences. 
(2) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means a State or local community that— 
(A) bears a disproportionate burden of ex-
posure to environmental health hazards; 
(B) has established a coalition— 
(i) with not less than 1 community- 
based organization; and 
(ii) with not less than 1— 
(I) public health entity; 
(II) health care provider organi-
zation; or 
(III) academic institution, includ-
ing any minority-serving institution 
(including an Hispanic-serving institu-
tion, a historically Black college or 
university, and a tribal college or uni-
versity); 
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(C) ensures planned activities and funding 
streams are coordinated to improve community 
health; and 
(D) submits an application in accordance 
with subsection (c). 
(b) ESTABLISHMENT.—The Director shall establish a 
grant program under which eligible entities shall receive 
grants to conduct environmental health improvement ac-
tivities. 
(c) APPLICATION.—To receive a grant under this sec-
tion, an eligible entity shall submit an application to the 
Director at such time, in such manner, and accompanied 
by such information as the Director may require. 
(d) COOPERATIVE AGREEMENTS.—An eligible entity 
may use a grant under this section— 
(1) to promote environmental health; and 
(2) to address environmental health disparities. 
(e) AMOUNT OF COOPERATIVE AGREEMENT.— 
(1) IN
GENERAL.—The Director shall award 
grants to eligible entities at the 2 different funding 
levels described in this subsection. 
(2) LEVEL 1 COOPERATIVE AGREEMENTS.— 
(A) IN
GENERAL.—An eligible entity 
awarded a grant under this paragraph shall use 
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the funds to identify environmental health prob-
lems and solutions by— 
(i) 
establishing 
a 
planning 
and 
prioritizing council in accordance with sub-
paragraph (B); and 
(ii) 
conducting 
an 
environmental 
health assessment in accordance with sub-
paragraph (C). 
(B) PLANNING AND PRIORITIZING COUN-
CIL.— 
(i) IN GENERAL.—A prioritizing and 
planning council established under sub-
paragraph (A)(i) (referred to in this para-
graph as a ‘‘PPC’’) shall assist the envi-
ronmental health assessment process and 
environmental health promotion activities 
of the eligible entity. 
(ii) MEMBERSHIP.—Membership of a 
PPC shall consist of representatives from 
various organizations within public health, 
planning, development, and environmental 
services and shall include stakeholders 
from vulnerable groups such as children, 
the elderly, disabled, and minority ethnic 
groups that are often not actively involved 
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in democratic or decision-making proc-
esses. 
(iii) DUTIES.—A PPC shall— 
(I) identify key stakeholders and 
engage and coordinate potential part-
ners in the planning process; 
(II) establish a formal advisory 
group to plan for the establishment of 
services; 
(III) conduct an in-depth review 
of the nature and extent of the need 
for an environmental health assess-
ment, including a local epidemiological 
profile, an evaluation of the service 
provider capacity of the community, 
and a profile of any target popu-
lations; and 
(IV) define the components of 
care and form essential programmatic 
linkages with related providers in the 
community. 
(C) ENVIRONMENTAL
HEALTH
ASSESS-
MENT.— 
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(i) IN GENERAL.—A PPC shall carry 
out an environmental health assessment to 
identify environmental health concerns. 
(ii) 
ASSESSMENT
PROCESS.—The 
PPC shall— 
(I) define the goals of the assess-
ment; 
(II) generate the environmental 
health issue list; 
(III) analyze issues with a sys-
tems framework; 
(IV) develop appropriate commu-
nity environmental health indicators; 
(V) 
rank 
the 
environmental 
health issues; 
(VI) set priorities for action; 
(VII) develop an action plan; 
(VIII) implement the plan; and 
(IX) evaluate progress and plan-
ning for the future. 
(D) EVALUATION.—Each eligible entity 
that receives a grant under this paragraph shall 
evaluate, report, and disseminate program find-
ings and outcomes. 
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(E) TECHNICAL ASSISTANCE.—The Direc-
tor may provide such technical and other non- 
financial assistance to eligible entities as the 
Director determines to be necessary. 
(3) LEVEL 2 COOPERATIVE AGREEMENTS.— 
(A) ELIGIBILITY.— 
(i) IN GENERAL.—The Director shall 
award grants under this paragraph to eli-
gible entities that have already— 
(I) established broad-based col-
laborative partnerships; and 
(II) completed environmental as-
sessments. 
(ii) NO LEVEL 1 REQUIREMENT.—To 
be eligible to receive a grant under this 
paragraph, an eligible entity is not re-
quired to have successfully completed a 
Level 1 Cooperative Agreement (as de-
scribed in paragraph (2). 
(B) USE OF GRANT FUNDS.—An eligible 
entity awarded a grant under this paragraph 
shall use the funds to further activities to carry 
out environmental health improvement activi-
ties, including— 
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(i) addressing community environ-
mental health priorities in accordance with 
paragraph (2)(C)(ii), including— 
(I) air quality; 
(II) water quality; 
(III) solid waste; 
(IV) land use; 
(V) housing; 
(VI) food safety; 
(VII) crime; 
(VIII) injuries; and 
(IX) healthcare services; 
(ii) building partnerships between 
planning, public health, and other sectors, 
to address how the built environment im-
pacts food availability and access and 
physical activity to promote healthy behav-
iors and lifestyles and reduce overweight 
and obesity, asthma, respiratory condi-
tions, dental, oral and mental health condi-
tions, and related co-morbidities; 
(iii) establishing programs to ad-
dress— 
(I) how environmental and social 
conditions of work and living choices 
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influence physical activity and dietary 
intake; or 
(II) how those conditions influ-
ence the concerns and needs of people 
who have impaired mobility and use 
assistance devices, including wheel-
chairs and lower limb prostheses; and 
(iv) convening intervention programs 
that examine the role of the social environ-
ment in connection with the physical and 
chemical environment in— 
(I) determining access to nutri-
tional food; and 
(II) improving physical activity to 
reduce morbidity and increase quality 
of life. 
(f) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
(1) $25,000,000 for fiscal year 2008; and 
(2) such sums as may be necessary for fiscal 
years 2009 through 2012. 
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SEC. 424. ADDITIONAL RESEARCH ON THE RELATIONSHIP 
BETWEEN THE BUILT ENVIRONMENT AND 
THE HEALTH OF COMMUNITY RESIDENTS. 
(a) DEFINITION OF ELIGIBLE INSTITUTION.—In this 
section, the term ‘‘eligible institution’’ means a public or 
private nonprofit institution that submits to the Secretary 
of Health and Human Services (in this section referred 
to as the ‘‘Secretary’’) and the Administrator of the Envi-
ronmental Protection Agency (in this section referred to 
as the ‘‘Administrator’’) an application for a grant under 
the grant program authorized under subsection (b)(2) at 
such time, in such manner, and containing such agree-
ments, assurances, and information as the Secretary and 
Administrator may require. 
(b) RESEARCH GRANT PROGRAM.— 
(1) DEFINITION OF HEALTH.—In this section, 
the term ‘‘health’’ includes— 
(A) levels of physical activity; 
(B) consumption of nutritional foods; 
(C) rates of crime; 
(D) air, water, and soil quality; 
(E) risk of injury; 
(F) accessibility to healthcare services; and 
(G) other indicators as determined appro-
priate by the Secretary. 
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rwilkins on PROD1PC63 with BILLS
160 
(2) GRANTS.—The Secretary, in collaboration 
with the Administrator, shall provide grants to eligi-
ble institutions to conduct and coordinate research 
on the built environment and its influence on indi-
vidual and population-based health. 
(3) RESEARCH.—The Secretary shall support 
research that— 
(A) investigates and defines the causal 
links between all aspects of the built environ-
ment and the health of residents; 
(B) examines— 
(i) the extent of the impact of the 
built environment (including the various 
characteristics of the built environment) on 
the health of residents; 
(ii) the variance in the health of resi-
dents by— 
(I) location (such as inner cities, 
inner suburbs, and outer suburbs); 
and 
(II) population subgroup (such as 
children, the elderly, the disadvan-
taged); or 
(iii) the importance of the built envi-
ronment to the total health of residents, 
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E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS