(such as Asian Americans, new immigrants 
or foreign-born United States residents, 
and persons with one or both foreign-born 
parents) to aid in the early identification 
of chronically infected individuals. 
‘‘(ii) CONFIDENTIALITY OF THE TEST 
RESULTS.—The Secretary shall prohibit 
the use of the results of a hepatitis B test 
conducted by a testing program developed 
or supported under this subparagraph for 
any of the following: 
‘‘(I) Issues relating to health in-
surance. 
‘‘(II) To screen or determine 
suitability for employment. 
‘‘(III) To discharge a person 
from employment. 
‘‘(B) COUNSELING.—The Secretary shall 
support State, local, and tribal programs in a 
wide variety of settings, including those pro-
viding primary and specialty health care serv-
ices in the private and public sectors, to— 
‘‘(i) provide individuals with ongoing 
risk factors for hepatitis B infection with
client-centered education and counseling 
which concentrates on— 
‘‘(I) promoting testing of family 
members and their sexual partners; 
and 
‘‘(II) changing behaviors that 
place individuals at risk for infection; 
‘‘(ii) provide individuals chronically in-
fected with hepatitis B with education, 
health information, and counseling to re-
duce their risk of— 
‘‘(I) dying from end stage liver 
disease and liver cancer; and 
‘‘(II) transmitting viral hepatitis 
to others; and 
‘‘(iii) provide women chronically in-
fected with hepatitis B who are pregnant 
or in their child bearing age with culturally 
appropriate health information to alleviate 
their fears of becoming pregnant or raising 
a family. 
‘‘(C) IMMUNIZATION.—The Secretary shall 
support State, local, and tribal efforts to ex-
pand the current vaccination programs to pro-
tect every child in the country and all suscep-
tible adults, particularly those from the high- 
prevalence ethnic populations and other high 
risk groups, from the risks of acute and chronic 
hepatitis B infection by— 
‘‘(i) ensuring continued funding for 
hepatitis B vaccination for all children 19 
years of age or under through the Vaccines 
for Children Program; 
‘‘(ii) ensuring that the recommenda-
tions of the Advisory Committee on Immu-
nization Practices are followed regarding 
hepatitis B vaccinations for newborns; 
‘‘(iii) requiring proof of hepatitis B 
vaccination for entry into public or private 
day care, preschool, elementary school, sec-
ondary school, and institutions of higher 
education; 
‘‘(iv) expanding the availability of vac-
cines for all susceptible adults to protect 
them from becoming acutely or chronically 
infected, including ethnic populations with 
high prevalence rates of chronic hepatitis 
B infection; and 
‘‘(v) expanding the availability of vac-
cines for all susceptible adults, particularly
those in their reproductive age (women and 
men less than 45 years of age), from the 
risk of hepatitis B infection. 
‘‘(D) MEDICAL REFERRAL.—The Secretary 
shall support State, local, and tribal programs 
that support— 
‘‘(i) referral of persons chronically in-
fected with hepatitis B— 
‘‘(I) for medical evaluation to de-
termine 
the 
appropriateness 
for 
antiviral treatment to reduce the risk 
of progression to cirrhosis and liver 
cancer; and 
‘‘(II) for regular monitoring of 
liver function and screening for liver 
cancer; and 
‘‘(ii) referral of persons infected with 
acute or chronic hepatitis B for drug and 
alcohol abuse treatment where appropriate. 
‘‘(3) INCREASED
SUPPORT
FOR
HEPATITIS
B 
COORDINATORS.—The Secretary, acting through the 
Director of the Centers for Disease Control and Pre-
vention, shall provide hepatitis B coordinators to 
State, local, and tribal health departments in order 
to enhance the additional management, networking,
and technical expertise needed to ensure successful 
integration of hepatitis B prevention and control ac-
tivities into existing public health programs. 
‘‘(b) EDUCATION AND AWARENESS PROGRAMS.—The 
Secretary, acting through the Director of the Centers for 
Disease Control and Prevention, the Administrator of the 
Health Resources and Services Administration, and the 
Administrator of the Substance Abuse and Mental Health 
Services Administration, and in accordance with the plan 
developed under section 399AA, shall implement programs 
to increase awareness and enhance knowledge and under-
standing of hepatitis B. Such programs shall include— 
‘‘(1) the conduct of culturally and language ap-
propriate health education, public awareness cam-
paigns, and community outreach activities (especially 
to the ethnic communities with high rates of chronic 
hepatitis B and other high-risk groups) to promote 
public awareness and knowledge about the value of 
hepatitis B immunization, risk factors, the trans-
mission and prevention of hepatitis B, and the value 
of screening for the early detection of hepatitis B in-
fection; 
‘‘(2) the promotion of immunization programs 
that increase awareness and access to hepatitis B 
vaccines for susceptible adults and children;