‘‘(4) For the purpose of carrying out this subsection, 
there are authorized to be appropriated such sums as may 
be necessary for fiscal year 2004 and each subsequent fis-
cal year.’’.
TITLE II—TREATMENT 
SEC. 201. TREATMENT. 
Part P of title III of the Public Health Service Act, 
as amended by section 101 of this Act, is amended by in-
serting after section 399O the following section: 
‘‘SEC. 399P. DIABETES; TREATMENT FOR MINORITY POPU-
LATIONS. 
‘‘(a) IN GENERAL.—The Secretary shall conduct and 
support programs to treat diabetes in minority popu-
lations. 
‘‘(b) NATIONAL INSTITUTES OF HEALTH.—With re-
spect to the National Institutes of Health, activities under 
subsection (a) regarding the treatment of diabetes in mi-
nority populations shall include the following: 
‘‘(1) Through the National Institute of Mental 
Health, providing for comprehensive mental health 
services and treatment for individuals within such 
populations who experience mental barriers to prop-
er diabetes care. 
‘‘(2) Through the National Center on Minority 
Health and Health Disparities, recommending and
disseminating the guidelines of the American Diabe-
tes Association for nutrition exercise and diet for di-
abetes treatment and prevention. 
‘‘(c) OTHER AGENCIES.—Activities under subsection 
(a) regarding the treatment of diabetes in minority popu-
lations shall include the following: 
‘‘(1) Through the Substance Abuse and Mental 
Health Services Administration and the National In-
stitute of Mental Health, providing for comprehen-
sive mental health services and treatment for minori-
ties who experience mental barriers to proper diabe-
tes care. 
‘‘(2) Promoting early detection as a cost-saving 
mechanism, including making grants to community 
health centers and clinics to specifically treat type 2 
diabetes and complications, including eye disease, 
kidney failure, heart disease and stroke, nerve dam-
age, and limb amputations. 
‘‘(3) Through the Health Resources and Serv-
ices Administration and the Centers for Disease 
Control and Prevention, carrying out a collaborative 
program to encourage preventive care. Such pro-
gram shall not be limited to primary prevention, and 
shall include secondary and tertiary prevention. Such 
program shall include the award of grants to com-
munity health centers and clinics to specifically treat 
diabetes, with an emphasis on type 2 diabetes, and 
diabetic complications, including eye disease, kidney
failure, heart disease and stroke, nerve damage, and 
limb amputation. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘minority populations’ means racial and ethnic mi-
nority groups within the meaning of section 1707. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—
‘‘(1) IN
GENERAL.—For the purpose of car-
rying out subsections (a) and (c), there are author-
ized to be appropriated such sums as may be nec-
essary for fiscal year 2004 and each subsequent fis-
cal year. 
‘‘(2) NATIONAL INSTITUTES OF HEALTH.—For 
the purpose of carrying out subsection (b), there are 
authorized to be appropriated such sums as may be 
necessary for fiscal year 2004 and each subsequent 
fiscal year.’’. 
TITLE III—EDUCATION 
SEC. 301. EDUCATION. 
Part P of title III of the Public Health Service Act, 
as amended by section 201 of this Act, is amended by in-
serting after section 399P the following section:
‘‘SEC. 399Q. DIABETES; EDUCATION REGARDING MINORITY 
POPULATIONS. 
‘‘(a) IN GENERAL.—The Secretary shall conduct and 
support programs to educate the public on the causes of 
effects of diabetes in minority populations. 
‘‘(b) NATIONAL INSTITUTES OF HEALTH.—With re-
spect to the National Institutes of Health, activities under 
subsection (a) regarding education on diabetes in minority 
populations shall include the following: 
‘‘(1) Through the National Center on Minority 
Health and Health Disparities—
‘‘(A) making grants to programs funded 
under section 485F (relating to centers of ex-
cellence) for the purpose of establishing a men-
toring program for health care professionals to 
be more involved in weight counseling, obesity 
research, and nutrition; 
‘‘(B) providing for the participation of mi-
nority health professionals in diabetes-focused 
research programs; and 
‘‘(C) providing for the participation of mi-
nority health professionals in diabetes-focused 
research programs. 
‘‘(2) Making grants for programs to establish a 
pipeline from high school to professional school that 
will increase minority representation in diabetes-fo-
cused health fields by expanding Minority Access to 
Research Careers (MARC) program internships and 
mentoring opportunities for recruitment. 
‘‘(c) CENTERS FOR DISEASE CONTROL AND PREVEN-
TION.—With respect to the Centers for Disease Control 
and Prevention, activities under subsection (a) regarding 
education on diabetes in minority populations shall include 
the following: 
‘‘(1) Making grants for diabetes-focused edu-
cation classes or training programs on cultural sen-
sitivity and patient care within such populations for 
health care providers. 
‘‘(2) Carrying out public awareness campaigns 
directed toward such populations to aggressively em-
phasize the importance and impact of physical activ-
ity and diet in regard to diabetes and diabetes-re-
lated complications. 
‘‘(d) HEALTH RESOURCES AND SERVICES ADMINIS-
TRATION.—With respect to the Health Resources and 
Services Administration, activities under subsection (a) re-
garding education on diabetes in minority populations 
shall include the following: 
‘‘(1) Providing additional funds for the Health 
Careers Opportunity Program, Centers for Excel-
lence, and the Minority Faculty Fellowship Program
to partner with the Office of Minority Health under 
section 1707 and the National Institutes of Health 
to strengthen programs for career opportunities 
within minority populations focused on diabetes 
treatment and care. 
‘‘(2) In partnership with the Health Resources 
and Services Administration, develop a diabetes 
focus within, and provide additional funds for, the 
National Health Service Corps Scholarship program 
to place individuals in areas that are disproportion-
ately affected by diabetes, to provide health care 
services. 
‘‘(3) Establishing a diabetes ambassador pro-
gram for recruitment efforts to increase the number 
of underrepresented minorities currently serving in 
student, faculty, or administrative positions in insti-
tutions of higher learning, hospitals, and community 
health centers. 
‘‘(4) Establishing a loan repayment program 
that focuses on diabetes care and prevention. 
‘‘(e) ADDITIONAL PROGRAMS.—Activities under sub-
section (a) regarding education on diabetes in minority 
populations shall include the following: 
‘‘(1) Through collaboration between the Health 
Resources and Services Administration and the In-
dian Health Service, establishing a joint scholarship 
and loan-repayment program for American Indians 
health profession students. 
‘‘(2) Providing funds for new and existing dia-
betes-focused education grants and programs for 
present and future students and clinicians in the 
medical field from minority populations, including 
the following: 
‘‘(A) Federal and State loan repayment 
programs for health profession students within 
communities of color. 
‘‘(B) Providing funds to the Office of Mi-
nority Health under section 1707 for training 
health profession students to focus on diabetes 
within such populations. 
‘‘(C) Providing funds to State and local 
entities to establish diabetes awareness week or 
day every month in schools, nursing homes, and 
colleges through partnerships with the Office of 
Minority Health under section 1707 and the 
Health Resources and Services Administration. 
‘‘(f) DEFINITION.—For purposes of this section, the 
term ‘minority populations’ means racial and ethnic mi-
nority groups within the meaning of section 1707. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—
‘‘(1) IN
GENERAL.—For the purpose of car-
rying out subsections (a) and (e), there are author-
ized to be appropriated such sums as may be nec-
essary for fiscal year 2004 and each subsequent fis-
cal year. 
‘‘(2) NATIONAL INSTITUTES OF HEALTH.—For 
the purpose of carrying out subsection (b), there are 
authorized to be appropriated such sums as may be 
necessary for fiscal year 2004 and each subsequent 
fiscal year. 
‘‘(3) CENTERS
FOR
DISEASE
CONTROL
AND 
PREVENTION.—For the purpose of carrying out sub-
section (c), there are authorized to be appropriated 
such sums as may be necessary for fiscal year 2004 
and each subsequent fiscal year. 
‘‘(4) HEALTH RESOURCES AND SERVICES AD-
MINISTRATION.—For the purpose of carrying out 
subsection (c), there are authorized to be appro-
priated such sums as may be necessary for fiscal 
year 2004 and each subsequent fiscal year.’’.
TITLE IV—HEALTH PROMOTION, 
PREVENTION 
ACTIVITIES, 
AND ACCESS 
SEC. 401. HEALTH PROMOTION, PREVENTION ACTIVITIES, 
AND ACCESS. 
Part P of title III of the Public Health Service Act, 
as amended by section 301 of this Act, is amended by in-
serting after section 399Q the following section: 
‘‘SEC. 399R. DIABETES; HEALTH PROMOTION, PREVENTION 
ACTIVITIES, AND ACCESS REGARDING MI-
NORITY POPULATIONS. 
‘‘(a) NATIONAL INSTITUTES OF HEALTH. 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the National Institutes of 
Health, shall provide access to proper care of diabe-
tes for minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding proper care of diabetes in 
minority populations shall include the following: 
‘‘(A) Providing funds for research to as-
sess and identify the number of individuals af-
fected by socioeconomic and environmental bar-
riers to diabetes health care access, including 
research regarding language, transportation, 
daily routine, lifestyle, and housing.
‘‘(B) Through the National Center on Mi-
nority Health and Health Disparities, identi-
fying the manner in which health care pro-
viders, community health centers, and hospitals 
provide proper options and education on avail-
able services for diabetes care, management, 
and prevention, including identifying the effects 
of differences in the cultures of staff and pa-
tients on clinical and other workforce encoun-
ters. 
‘‘(b) CENTERS FOR DISEASE CONTROL AND PREVEN-
TION. 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall carry out culturally 
appropriate diabetes health promotion and preven-
tion programs for minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding culturally appropriate dia-
betes health promotion and prevention programs for 
minority populations shall include the following: 
‘‘(A) Expanding the Diabetes Control Pro-
gram (currently existing in all the States and 
territories).
‘‘(B) Providing funds for the Diabetes 
Today program to adapt community planning 
tools within such populations. 
‘‘(C) Providing funds for Racial and Eth-
nic Approaches to Community Health (REACH 
2010) grants to develop and evaluate diabetes 
prevention and control community programs fo-
cused on such populations. 
‘‘(D) Providing funds to community health 
centers for a monthly diabetes week program of 
diabetes services, including screenings. 
‘‘(E) Providing funds for free diabetes self-
management education classes in hospitals, clin-
ics, and community health centers. 
‘‘(F) Providing funds for education and 
community outreach on diabetes. 
‘‘(G) Providing funds for the United States 
and Mexico Border Diabetes project to develop 
culturally appropriate diabetes prevention and 
control interventions for Minority populations in 
the border region. 
‘‘(H) Providing funds for an aggressive 
prevention campaign that focuses on physical 
inactivity and diet and its relation to type 2 di-
abetes within such populations.
‘‘(I) Providing funds for surveillance sys-
tems and strategies for strengthening existing 
systems to improve the quality, accuracy, and 
timelines of morbidity and mortality diabetes 
data for such populations. 
‘‘(c) DEFINITION.—For purposes of this section, the 
term ‘minority populations’ means racial and ethnic mi-
nority groups within the meaning of section 1707. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—
‘‘(1) NATIONAL INSTITUTES OF HEALTH.—For 
the purpose of carrying out subsection (b), there are 
authorized to be appropriated such sums as may be 
necessary for fiscal year 2004 and each subsequent 
fiscal year. 
‘‘(2) CENTERS
FOR
DISEASE
CONTROL
AND 
PREVENTION.—For the purpose of carrying out sub-
section (c), there are authorized to be appropriated 
such sums as may be necessary for fiscal year 2004 
and each subsequent fiscal year.’’. 
TITLE V—ADDITIONAL 
PROGRAMS 
SEC. 501. ADDITIONAL PROGRAMS. 
(a) EDUCATION REGARDING CLINICAL TRIALS.—The 
Secretary of Health and Human Services (referred to in 
this section as the ‘‘Secretary’’) shall carry out education
and awareness programs designed to increase participa-
tion of minority populations in clinical trials. 
(b) MINORITY RESEARCHERS.—The Secretary shall 
carry out mentorship programs for minority researchers 
who are conducting or intend to conduct research on dia-
betes in minority populations. 
(c) SUPPLEMENTING CLINICAL RESEARCH REGARD-
ING CHILDREN.—The Secretary shall make grants to sup-
plement clinical research programs to assist such pro-
grams in obtaining the services of health professionals and 
other resources to provide specialized care for children 
with type 1 and type 2 diabetes. 
(d) DEFINITION.—For purposes of this section, the 
term ‘‘minority populations’’ means racial and ethnic mi-
nority groups within the meaning of section 1707 of the 
Public Health Service Act. 
(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for fis-
cal year 2004 and each subsequent fiscal year. 
TITLE VI—STUDIES 
SEC. 601. STUDIES. 
(a) INSTITUTE
OF MEDICINE.—The Secretary of 
Health and Human Services (referred to in this section 
as the ‘‘Secretary’’) shall request the Institute of Medicine
to conduct a study to determine the extent and impact 
of the shortage of adult and pediatric endocrinologists spe-
cializing in diabetes, and to submit a report describing the 
findings of the study to the Secretary, to the Committee 
on Energy and Commerce of the House of Representa-
tives, and to the Committee on Health, Education, Labor, 
and Pensions of the Senate. The Secretary shall ensure 
that the report includes recommendations on changes in 
Federal policies that would increase the number of adult 
and pediatric endocrinologists specializing in diabetes. 
(b) AGENCY
FOR HEALTHCARE RESEARCH
AND 
QUALITY.—The Secretary, acting through the Director of 
the Agency for Healthcare Research and Quality, shall 
conduct a study to determine whether minority children 
with diabetes have better or worse outcomes than non-
minority children. The study shall include a determination 
of the extent to which minority children have access to 
and participate in disease management programs, and 
have access to and use medical devices such as continuous 
glucose monitoring systems, insulin pumps, and artificial 
pancreas.
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