755 
groups that are often not actively involved 
in democratic or decisionmaking processes. 
(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.— 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00755
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
756 
(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. 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00756
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
757 
(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— 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00757
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
758 
(i) addressing community environ-
mental health priorities in accordance with 
paragraph (2)(C)(ii), including— 
(I) geography; 
(II) the built environment; 
(III) air quality; 
(IV) water quality; 
(V) land use; 
(VI) solid waste; 
(VII) housing; 
(VIII) crime; 
(IX) socioeconomic status; 
(X) ethnicity, social construct 
and language preference; 
(XI) educational attainment; 
(XII) employment; 
(XIII) food safety; 
(XIV) nutrition; 
(XV) health care services; and 
(XVI) injuries; 
(ii) building partnerships between 
planning, public health, and other sectors, 
including child-serving institutions, to ad-
dress how the built environment impacts 
food availability and access and physical 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00758
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
759 
activity to promote healthy behaviors and 
lifestyles and reduce overweight and obe-
sity, musculoskeletal diseases, respiratory 
conditions, dental, oral and mental health 
conditions, 
poverty, 
and 
related 
co- 
morbidities; 
(iii) establishing programs to ad-
dress— 
(I) how environmental and social 
conditions of work and living choices 
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, lower limb prostheses, and hip, 
knee, and other joint replacements; 
and 
(iv) convening intervention and dem-
onstration programs that examine the role 
of the social environment in connection 
with the physical and chemical environ-
ment in— 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00759
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
760 
(I) determining access to nutri-
tional food; and 
(II) improving physical activity to 
reduce overweight, obesity, and co- 
morbidities and increase quality of 
life. 
(4) LEVEL 3 COOPERATIVE AGREEMENTS.— 
(A) IN
GENERAL.—An eligible entity 
awarded a grant under this paragraph shall use 
the funds to identify and address racial and 
ethnic disparities in social determinants of 
health by creating demonstration programs that 
assess the feasibility of establishing a federally 
funded comprehensive program and describe 
key outcomes that address racial and ethnic dis-
parities in social determinants of health. 
(B) PROGRAM DESIGN.— 
(i) EVALUATION.—No later than 1 
year after enactment of this Act, the Di-
rector shall evaluate the best practices of 
existing programs from the private, public, 
community based, and academically sup-
ported initiatives focused on reducing dis-
parities in the social determinants of 
health for racial and ethnic populations. 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00760
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
761 
(ii) 
DEMONSTRATION
PROJECTS.— 
Not later than two years after the date of 
enactment of this Act, the Director shall 
implement at least ten demonstration 
projects including at least one project for 
each major racial and ethnic minority 
group, each of which is unique to the cul-
tural and linguistic needs of each of the 
following groups: 
(I) Native Americans and Alaska 
Natives. 
(II) Asian-Americans. 
(III) African-Americans/Blacks. 
(IV) Hispanic/Latino-Americans. 
(V) Native Hawaiians and Pacific 
Islanders. 
(iii) REPORT TO CONGRESS.—No later 
than 2 years after the implementation of 
the initial demonstration projects, the Di-
rector shall submit to Congress a report 
which includes— 
(I) a description of each dem-
onstration project and design; 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00761
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS
762 
(II) an evaluation of the cost ef-
fectiveness of each project’s preven-
tion and treatment efforts; 
(III) an evaluation of the cultural 
and linguistic appropriateness of each 
project by racial and ethnic group; 
and 
(IV) an evaluation of the bene-
ficiary’s health status improvement 
under the demonstration project. 
(iv) 
ANY
OTHER
INFORMATION 
DEEMED
APPROPRIATE
BY
THE
DIREC-
TOR.—The Director shall require any other 
information deemed appropriate to be 
shared by or developed by eligible entities 
awarded a grant under this paragraph, in-
cluding the following: 
(I) Developing models and evalu-
ating methods that improve the cul-
tural and linguistically appropriate 
services provided through the Centers 
for Disease Control and Prevention to 
target individuals impacted by health 
disparities based on their race, eth-
nicity, and gender. 
VerDate Sep 11 2014 
08:12 Jun 15, 2016
Jkt 059200
PO 00000
Frm 00762
Fmt 6652
Sfmt 6201
E:\BILLS\H5475.IH
H5475
rmajette on DSK2TPTVN1PROD with BILLS