under this section to pay any fees or costs resulting 
from any litigation, arbitration, mediation, or other 
proceeding to resolve a legal dispute. 
‘‘(d) GRANT PERIOD.— 
‘‘(1) IN GENERAL.—Subject to paragraphs (2) 
and (3), the Secretary may award grants under this 
section for periods of not more than 3 years. 
‘‘(2) EXTENSIONS.—Subject to paragraph (3), 
the Secretary may extend the period of a grant 
under this section. Each such extension shall be for 
a period of not more than 1 year. 
‘‘(3) LIMITATIONS ON GRANT PERIOD.—In car-
rying out this section, the Secretary— 
‘‘(A) shall ensure that the total period of 
a grant does not exceed 4 years; and 
‘‘(B) may not authorize any grant period 
ending after September 30, 2010. 
‘‘(e) APPLICATION.— 
‘‘(1) IN GENERAL.—To seek a grant under this 
section, an eligible entity shall submit an application 
to the Secretary in such form, in such manner, and 
containing such information as the Secretary may 
require. 
‘‘(2) CONTENTS.—At a minimum, the Secretary 
shall require each such application to outline how
the eligible entity will establish baseline measures 
and benchmarks that meet the Secretary’s require-
ments to evaluate program outcomes. 
‘‘(f) UNIFORM BASELINE MEASURES.—The Sec-
retary shall establish uniform baseline measures in order 
to properly evaluate the impact of the demonstration 
projects under this section. 
‘‘(g) PREFERENCE.—In making grants under this 
section, the Secretary shall give preference to eligible enti-
ties that demonstrate in their applications plans to utilize 
patient navigator services to overcome significant barriers 
in order to improve health care outcomes in their respec-
tive communities. 
‘‘(h) DUPLICATION OF SERVICES.—An eligible entity 
that is receiving Federal funds for activities described in 
subsection (b) on the date on which the entity submits 
an application under subsection (e) may not receive a 
grant under this section unless the entity can demonstrate 
that amounts received under the grant will be utilized to 
expand services or provide new services to individuals who 
would not otherwise be served. 
‘‘(i) COORDINATION WITH OTHER PROGRAMS.—The 
Secretary shall ensure coordination of the demonstration 
grant program under this section with existing authorized
programs in order to facilitate access to high-quality 
health care services. 
‘‘(j) STUDY; REPORTS.— 
‘‘(1) FINAL REPORT BY SECRETARY.—Not later 
than 6 months after the completion of the dem-
onstration grant program under this section, the 
Secretary shall conduct a study of the results of the 
program and submit to the Congress a report on 
such results that includes the following: 
‘‘(A) An evaluation of the program out-
comes, including— 
‘‘(i) quantitative analysis of baseline 
and benchmark measures; and 
‘‘(ii) aggregate information about the 
patients served and program activities. 
‘‘(B) Recommendations on whether patient 
navigator programs could be used to improve 
patient outcomes in other public health areas. 
‘‘(2) INTERIM REPORTS BY SECRETARY.—The 
Secretary may provide interim reports to the Con-
gress on the demonstration grant program under 
this section at such intervals as the Secretary deter-
mines to be appropriate. 
‘‘(3) REPORTS BY GRANTEES.—The Secretary 
may require grant recipients under this section to
submit interim and final reports on grant program 
outcomes. 
‘‘(k) RULE OF CONSTRUCTION.—This section shall 
not be construed to authorize funding for the delivery of 
health care services (other than the patient navigator du-
ties listed in subsection (b)). 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means a public 
or nonprofit private health center (including a Fed-
erally qualified health center (as that term is defined 
in section 1861(aa)(4) of the Social Security Act)), 
a health facility operated by or pursuant to a con-
tract with the Indian Health Service, a hospital, a 
cancer center, a rural health clinic, an academic 
health center, or a nonprofit entity that enters into 
a partnership or coordinates referrals with such a 
center, clinic, facility, or hospital to provide patient 
navigator services. 
‘‘(2) The term ‘health disparity population’ 
means a population that, as determined by the Sec-
retary, has a significant disparity in the overall rate 
of disease incidence, prevalence, morbidity, mor-
tality, or survival rates as compared to the health 
status of the general population.