I
103D CONGRESS
2D SESSION
H. R. 3896
To amend the Public Health Service Act to provide for demonstration projects
to improve the health of racial and ethnic minority groups by preventing
disease and death.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 24, 1994
Miss COLLINS of Michigan introduced the following bill; which was referred
to the Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to provide for
demonstration projects to improve the health of racial
and ethnic minority groups by preventing disease and
death.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Minority Health Pro-
motion and Disease Prevention Act of 1994’’.
SEC. 2. ESTABLISHMENT OF PROGRAM.
Title XVII of the Public Health Service Act (42
U.S.C. 300u et seq.) is amended by inserting after section
1707 the following section:
‘‘DEMONSTRATION PROJECTS REGARDING MINORITY
HEALTH
‘‘SEC. 1707A. (a) IN GENERAL.—
‘‘(1) AUTHORITY FOR PROJECTS.—In providing
for demonstration projects under section 1707(b)(4),
the Secretary, acting through the Deputy Assistant
Secretary for Minority Health, may make grants to
public and nonprofit private entities for the purpose
of carrying out demonstration projects to provide
preventive health and health promotion services to
racial and ethnic minority groups.
‘‘(2) PRIORITY REGARDING LOW-INCOME INDI-
VIDUALS.—Projects under paragraph (1) shall give
priority to low-income individuals.
‘‘(3) ALLOCATION
OF
PROJECTS.—In making
the initial grants under paragraph (1), the Secretary
shall ensure that not less than 2 demonstration
projects under such paragraph are carried out in
urban, distressed communities and not less than 1
such project is carried out in a rural community.
‘‘(b) USE OF FUNDS.—
‘‘(1) IN GENERAL.—The purposes for which a
grant under subsection (a) may be expended include
the following:
‘‘(A) Planning, coordination and provision
of health promotion and disease prevention
community services, including screening, detec-
tion, diagnosis, and risk-reduction activities.
‘‘(B) Improving the recognition, assess-
ment, treatment, and clinical management of
preventable diseases.
‘‘(C) Developing and disseminating health
education materials and curricula for patients,
for elementary and secondary students and
their parents.
‘‘(D) Designing self-help programs for par-
ticipants to improve his or her individual capac-
ities to maintain health and manage and pre-
vent illness and disease.
‘‘(E) Providing technical assistance to pro-
viders.
‘‘(2) RESTRICTIONS.—A grant under subsection
(a) may not be expended—
‘‘(A) for construction of facilities; or
‘‘(B) for the provision of services to indi-
viduals for benefits covered, or for costs that
are reimbursed, by other Federal programs.
‘‘(c) REQUIREMENTS.—Grantees shall be required
to—
‘‘(1) submit an application assuring fulfillment
of the requirements of this section;
‘‘(2) contribute 30 percent of the total project,
unless the Secretary waives such requirement upon
demonstration of extreme hardship or severe need;
‘‘(3) develop a health assessment and health
promotion/disease prevention action plan, in con-
sultation with and with the agreement of, for each
person served;
‘‘(4) develop a plan of self-sufficiency before the
third year under which the grantee would continue
the program without Federal funds;
‘‘(5) provide assurance that funds will only be
used for the purposes specified in the application;
and
‘‘(6) establish accounting procedures to assure
proper use or disbursement of funds.
‘‘(d) EVALUATION.—Grants may be awarded for 3
years and may be renewed. For renewal, the Secretary
shall evaluate projects on the basis of their effectiveness
in reducing the incidence of disease and death among ra-
cial and ethnic minority groups.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there is authorized
to be appropriated $15,000,000 for each of the fiscal years
1995 through 1997. Such authorization is in addition to
the authorization of appropriations available for such pur-
pose under section 1707.
‘‘(f) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘preventive health and health
promotion services’ includes medical and medical-re-
lated services intended to promote health mainte-
nance, prevent illness, eliminate health hazards,
produce early detection of disease, and inhibit dete-
rioration of health.
‘‘(2) The term ‘distressed community’ means a
community in which a high percentage of families
are low-income and there is pervasive poverty, as de-
fined by the United States Department of Labor,
and general economic distress.’’.
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