1799 
(ii) to provide technical assistance, 
training, and evaluation assistance to 
grantees under subsection (c); and 
(iii) to disseminate best practices to 
grantees under subsection (c). 
(D) Coordinating, supporting, and aligning 
activities of the Centers for Disease Control and 
Prevention related to social determinants of 
health with activities of other Federal agencies 
related to social determinants of health, includ-
ing such activities of agencies in the Depart-
ment of Health and Human Services such as 
the Centers for Medicare & Medicaid Services. 
(E) Collecting and analyzing data related 
to the social determinants of health. 
(c) GRANTS TO ADDRESS SOCIAL DETERMINANTS OF 
HEALTH.— 
(1) IN GENERAL.—The Director, as part of the 
Program, shall award grants to eligible entities to 
address social determinants of health in their com-
munities. 
(2) ELIGIBILITY.—To be eligible to apply for a 
grant under this subsection, an entity shall be— 
(A) a State, local, territorial, or Tribal 
health agency or organization; 
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1800 
(B) a qualified nongovernmental entity, as 
defined by the Director; or 
(C) a consortium of entities that includes 
a State, local, territorial, or Tribal health agen-
cy or organization. 
(3) USE OF FUNDS.— 
(A) IN GENERAL.—A grant under this sub-
section shall be used to address social deter-
minants of health in a target community by de-
signing and implementing innovative, evidence- 
based, cross-sector strategies. 
(B) TARGET
COMMUNITY.—For purposes 
of this subsection, a target community shall be 
a State, county, city, or other municipality. 
(4) PRIORITY.—In awarding grants under this 
subsection, the Director shall prioritize applicants 
proposing to serve target communities with signifi-
cant unmet health and social needs, as defined by 
the Director. 
(5) APPLICATION.—To seek a grant under this 
subsection, an eligible entity shall— 
(A) submit an application at such time, in 
such manner, and containing such information 
as the Director may require; 
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(B) propose a set of activities to address 
social determinants of health through evidence- 
based, cross-sector strategies, which activities 
may include— 
(i) collecting quantifiable data from 
health care, social services, and other enti-
ties regarding the most significant gaps in 
health-promoting social, economic, and en-
vironmental needs; 
(ii) identifying evidence-based ap-
proaches to meeting the nonmedical, social 
needs of populations identified by data col-
lection described in clause (i), such as un-
stable housing or food insecurity; 
(iii) developing scalable methods to 
meet patients’ social needs identified in 
clinical settings or other sites; 
(iv) convening entities such as local 
and State governmental and nongovern-
mental 
organizations, 
health 
systems, 
payors, and community-based organiza-
tions to review, plan, and implement com-
munity-wide interventions and strategies to 
advance health-promoting social conditions; 
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1802 
(v) monitoring and evaluating the im-
pact of activities funded through the grant 
on the health and well-being of the resi-
dents of the target community and on the 
cost of health care; and 
(vi) such other activities as may be 
specified by the Director; 
(C) demonstrate how the eligible entity will 
collaborate with— 
(i) health systems; 
(ii) payors, including, as appropriate, 
medicaid managed care organizations (as 
defined in section 1903(m)(1)(A) of the 
Social 
Security 
Act 
(42 
U.S.C. 
1396b(m)(1)(A))), 
Medicare 
Advantage 
plans under part C of title XVIII of such 
Act (42 U.S.C. 1395w–21 et seq.), and 
health insurance issuers and group health 
plans (as such terms are defined in section 
2791 of the Public Health Service Act); 
(iii) other relevant stakeholders and 
initiatives in areas of need, such as the Ac-
countable Health Communities Model of 
the Centers for Medicare & Medicaid Serv-
ices, health homes under the Medicaid pro-
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1803 
gram under title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.), commu-
nity-based organizations, and human serv-
ices organizations; 
(iv) other non-health care sector orga-
nizations, including organizations focusing 
on transportation, housing, or food access; 
and 
(v) local employers; and 
(D) identify key health inequities in the 
target community and demonstrate how the 
proposed efforts of the eligible entity would ad-
dress such inequities. 
(6) MONITORING AND EVALUATION.—As a con-
dition of receipt of a grant under this subsection, a 
grantee shall agree to submit an annual report to 
the Director describing the activities carried out 
through the grant and the outcomes of such activi-
ties. 
(7) INDEPENDENT NATIONAL EVALUATION.— 
(A) IN GENERAL.—Not later than 5 years 
after the first grants are awarded under this 
subsection, the Director shall provide for the 
commencement of an independent national eval-
uation of the program under this subsection. 
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(B) REPORT
TO
CONGRESS.—Not later 
than 60 days after receiving the results of such 
independent national evaluation, the Director 
shall report such results to the Congress. 
(d) RESEARCH AND TRAINING.—The Director, as 
part of the Program— 
(1) shall award grants to nonprofit organiza-
tions and public or other nonprofit institutions of 
higher education— 
(A) to conduct research on best practices 
to improve social determinants of health; 
(B) to provide technical assistance, train-
ing, and evaluation assistance to grantees under 
subsection (c); and 
(C) to disseminate best practices to grant-
ees under subsection (c); and 
(2) may require a grantee under paragraph (1) 
to provide technical assistance and capacity building 
to entities that are eligible entities under subsection 
(c) but not receiving funds through such section. 
(e) FUNDING.— 
(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section, $50,000,000 
for each of fiscal years 2023 through 2028. 
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(2) ALLOCATION.—Of the amount made avail-
able to carry out this section for a fiscal year, not 
less than 75 percent shall be used for grants under 
subsections (c) and (d). 
Subtitle B—Gun Violence 
SEC. 10101. REAFFIRMING RESEARCH AUTHORITY OF THE 
CENTERS FOR DISEASE CONTROL AND PRE-
VENTION. 
(a) IN GENERAL.—Section 391 of the Public Health 
Service Act (42 U.S.C. 280b) is amended— 
(1) in subsection (a)(1), by striking ‘‘research 
relating to the causes, mechanisms, prevention, diag-
nosis, treatment of injuries, and rehabilitation from 
injuries;’’ and inserting the following: ‘‘research, in-
cluding data collection, relating to— 
‘‘(A) the causes, mechanisms, prevention, 
diagnosis, and treatment of injuries, including 
with respect to gun violence; and 
‘‘(B) rehabilitation from such injuries;’’; 
and 
(2) by adding at the end the following new sub-
section: 
‘‘(c) NO ADVOCACY OR PROMOTION OF GUN CON-
TROL.—Nothing in this section shall be construed to— 
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‘‘(1) authorize the Secretary to give assistance, 
make grants, or enter into cooperative agreements or 
contracts for the purpose of advocating or promoting 
gun control; or 
‘‘(2) permit a recipient of any assistance, grant, 
cooperative agreement, or contract under this section 
to use such assistance, grant, agreement, or contract 
for the purpose of advocating or promoting gun con-
trol.’’. 
SEC. 10102. NATIONAL VIOLENT DEATH REPORTING SYS-
TEM. 
The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall improve the National Violent Death 
Reporting System (as authorized by sections 301(a) and 
391(a) of the Public Service Health Act (42 U.S.C. 
241(a), 280(b))), particularly through the inclusion of ad-
ditional States and activities to increase the quality, type, 
and timeliness of reported data. Participation in the Sys-
tem by the States shall be voluntary. 
SEC. 10103. REPORT ON EFFECTS OF GUN VIOLENCE ON 
PUBLIC HEALTH. 
Not later than one year after the date of the enact-
ment of this Act, and annually thereafter, the Surgeon 
General shall submit to Congress a report on the effects 
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1807 
on public health, including mental health, of gun violence 
in the United States during the preceding year, and the 
status of actions taken to address such effects. 
SEC. 10104. REPORT ON EFFECTS OF GUN VIOLENCE ON 
MENTAL 
HEALTH 
IN 
MINORITY 
COMMU-
NITIES. 
Not later than one year after the date of the enact-
ment of this Act, the Deputy Assistant Secretary for Mi-
nority Health in the Office of the Secretary of Health and 
Human Services shall submit to the Congress a report on 
the effects of gun violence on public health, including men-
tal health, in minority communities in the United States, 
and the status of actions taken to address such effects. 
Æ 
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