‘‘(4) 
ACCOUNTABILITY.—The 
Administrator 
shall review and take into consideration performance 
measurement data previously collected from recipi-
ents of grants or contracts under this section or sec-
tion 736, 737, 738, or 739 when deciding to renew 
the grants or contracts of such recipients.’’. 
(b) COOPERATIVE AGREEMENTS FOR ONLINE DE-
GREE PROGRAMS AT SCHOOLS OF PUBLIC HEALTH AND 
SCHOOLS OF ALLIED HEALTH.—Part B of title VII of 
the Public Health Service Act (42 U.S.C. 293 et seq.) is 
amended by adding at the end the following: 
‘‘SEC. 742. COOPERATIVE AGREEMENTS FOR ONLINE DE-
GREE PROGRAMS. 
‘‘(a) COOPERATIVE AGREEMENTS.—The Secretary 
shall award cooperative agreements to accredited schools 
of public health, schools of allied health, and public health 
programs to design and implement a degree program over 
the Internet (referred to in this section as an ‘online de-
gree program’). 
‘‘(b) APPLICATION.—To be eligible to receive a coop-
erative agreement under subsection (a), an accredited 
school of public health, school of allied health, or public 
health program shall submit an application at such time, 
in such manner, and containing such information as the 
Secretary may require. 
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‘‘(c) PRIORITY.—In awarding cooperative agreements 
under this section, the Secretary shall give priority to any 
accredited school of public health, school of allied health, 
or public health program that serves a disproportionate 
number of individuals from racial and ethnic minority 
groups. 
‘‘(d) REQUIREMENTS.—Awardees shall use an award 
under subsection (a) to design and implement an online 
degree program that meets the following conditions: 
‘‘(1) Limiting enrollment to individuals who 
have obtained a secondary school diploma or a rec-
ognized equivalent. 
‘‘(2) Maintaining significant enrollment and 
graduation of underrepresented minorities in health 
professions.’’. 
(c) DEFINITION.—Part B of title VII of the Public 
Health Service Act (42 U.S.C. 293 et seq.) is amended 
by inserting after the part heading the following: 
‘‘SEC. 735A. APPLICATION OF DEFINITION. 
‘‘The definition contained in section 738(b)(5) shall 
apply for purposes of this part, except that such definition 
shall also apply in the case of references to ‘underrep-
resented minority students’, ‘underrepresented minority 
faculty members’, ‘underrepresented minority faculty ad-
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ministrators’, and ‘underrepresented minorities in health 
professions’.’’. 
SEC. 104. MID-CAREER HEALTH PROFESSIONS SCHOLAR-
SHIP PROGRAM. 
Subpart 2 of part E of title VII of the Public Health 
Service Act (42 U.S.C. 295 et seq.) is amended— 
(1) in section 770, by inserting ‘‘(other than 
section 771)’’ after ‘‘this subpart’’; 
(2) by redesignating section 770 as section 771; 
and 
(3) by inserting after section 769 the following: 
‘‘SEC. 770. MID-CAREER HEALTH PROFESSIONS SCHOLAR-
SHIP PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to eligible schools to award scholarships to eligible individ-
uals to attend the school involved, for the purpose of ena-
bling the individuals to make a career change from a non- 
health profession to a health profession. 
‘‘(b) APPLICATION.—To receive a grant under this 
section, an eligible school shall submit to the Secretary 
an application at such time, in such manner, and con-
taining such information as the Secretary may require. 
‘‘(c) USE OF FUNDS.—Amounts awarded as a schol-
arship under this section may be expended only for tuition 
expenses, other reasonable educational expenses, and rea-
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sonable living expenses incurred in the attendance of the 
school involved. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE
SCHOOL.—The term ‘eligible 
school’ means an accredited school of medicine, os-
teopathic medicine, dentistry, nursing, pharmacy, 
podiatric medicine, optometry, veterinary medicine, 
public health, chiropractic, allied health, a school of-
fering a graduate program in behavioral and mental 
health practice, or an entity providing programs for 
the training of physician assistants. 
‘‘(2) ELIGIBLE INDIVIDUAL.—The term ‘eligible 
individual’ means an individual who is an underrep-
resented minority who has obtained a secondary 
school diploma or its recognized equivalent.’’. 
SEC. 105. CULTURAL COMPETENCY TRAINING. 
Part B of title VII of the Public Health Service Act 
(42 U.S.C. 293 et seq.), as amended by section 104, is 
amended by adding at the end the following: 
‘‘SEC. 743. CULTURAL COMPETENCY TRAINING. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration and in collaboration with the Office of Mi-
nority Health and Agency for Healthcare Research and 
Quality, shall support the development, evaluation, and 
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dissemination of model curricula for cultural competency 
training for use in health professions schools and con-
tinuing education programs, and other purposes deter-
mined appropriate by the Secretary. 
‘‘(b) CURRICULA.—In carrying out subsection (a), 
the Secretary shall collaborate with health professional so-
cieties, licensing and accreditation entities, health profes-
sions schools, and experts in minority health and cultural 
competency, community-based organizations, and other 
organizations as determined appropriate by the Secretary. 
Such curricula shall include a focus on cultural com-
petency measures and cultural competency self-assessment 
methodology for health providers, systems and institu-
tions. 
‘‘(c) DISSEMINATION.— 
‘‘(1) IN
GENERAL.—Such model curricula 
should be disseminated through the Internet Clear-
inghouse under section 270 and other means as de-
termined appropriate by the Secretary. 
‘‘(2) EVALUATION.—The Secretary shall evalu-
ate adoption and the implementation of cultural 
competency training curricula, and facilitate inclu-
sion of cultural competency measures in quality 
measurement systems as appropriate.’’. 
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SEC. 106. AUTHORIZATION OF APPROPRIATIONS; REAU-
THORIZATIONS. 
(a) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated— 
(1) such sums as may be necessary for each of 
fiscal years 2008 through 2012, to carry out the 
amendments made by sections 101 and 102 of this 
title (adding sections 270 and 793 to the Public 
Health Service Act); 
(2) $45,000,000 for fiscal year 2008 and such 
sums as may be necessary for each of fiscal years 
2009 through 2012, to carry out the amendments 
made by section 103(a) (relating to centers of excel-
lence in section 736 of the Public Health Service 
Act); 
(3) such sums as may be necessary for each of 
fiscal years 2008 through 2012, to carry out the 
amendments made by section 103(b) (adding section 
742 to the Public Health Service Act); 
(4) such sums as may be necessary for each of 
fiscal years 2008 through 2012, to carry out the 
amendments made by section 104(b) (adding section 
770 to the Public Health Service Act); and 
(5) such sums as may be necessary for each of 
fiscal years 2008 through 2012, to carry out the 
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2002’’ and inserting ‘‘$1,700,000 for fiscal year 
2008, and such sums as may be necessary for each 
of fiscal years 2009 through 2012’’. 
(4) GRANTS FOR HEALTH PROFESSIONS EDU-
CATION.—Section 741 of the Public Health Service 
Act (42 U.S.C. 293e) is amended in subsection (b), 
by striking ‘‘$3,500,000’’ and all that follows 
through the period and inserting ‘‘such sums as may 
be necessary for each of fiscal years 2008 through 
2012.’’. 
TITLE II—PROMOTING HEALTH 
AND 
HEALTHCARE 
AWARE-
NESS AND ACCESS 
SEC. 201. CARE AND ACCESS. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399R. ACCESS, AWARENESS, AND OUTREACH ACTIVI-
TIES. 
‘‘(a) DEMONSTRATION PROJECTS.—The Secretary 
shall award multiyear contracts or competitive grants to 
eligible entities to support demonstration projects de-
signed to improve the health and healthcare of racial and 
ethnic minority groups through improved access to 
healthcare, patient navigators, primary prevention activi-
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ties, health promotion and disease prevention activities, 
and health literacy education and services. 
‘‘(b) ELIGIBILITY.—In this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means an organization or a community-based 
consortium. 
‘‘(2) ORGANIZATION.—The term ‘organization’ 
means— 
‘‘(A) a hospital, health plan, or clinic; 
‘‘(B) an academic institution; 
‘‘(C) a State health agency; 
‘‘(D) an Indian Health Service hospital or 
clinic, Indian tribal health facility, or urban In-
dian facility; 
‘‘(E) a nonprofit organization, including a 
faith-based organization or consortium, to the 
extent that a contract or grant awarded to such 
an entity is consistent with the requirements of 
section 1955; 
‘‘(F) a primary care practice-based re-
search network; and 
‘‘(G) any other similar entity determined 
to be appropriate by the Secretary. 
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‘‘(3) COMMUNITY-BASED
CONSORTIUM.—The 
term ‘community-based consortium’ means a part-
nership that— 
‘‘(A) includes— 
‘‘(i) individuals who are representa-
tives of organizations of racial and ethnic 
minority groups; 
‘‘(ii) community leaders and leaders of 
community-based organizations; 
‘‘(iii) healthcare providers, including 
providers who treat racial and ethnic mi-
nority groups; and 
‘‘(iv) experts in the area of social and 
behavioral science, who have knowledge, 
training, or practical experience in health 
policy, advocacy, cultural or linguistic com-
petency, or other relevant areas as deter-
mined by the Secretary; and 
‘‘(B) is located within a federally- or State- 
designated medically underserved area, a feder-
ally designated health provider shortage area, 
or an area with a significant population of ra-
cial and ethnic minorities. 
‘‘(c) APPLICATION.—An eligible entity seeking a con-
tract or grant under this section shall submit an applica-
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tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require, 
including assurances that the eligible entity will— 
‘‘(1) target populations that are members of ra-
cial and ethnic minority groups and health disparity 
populations through specific outreach activities; 
‘‘(2) collaborate with appropriate community 
organizations and include meaningful community 
participation in planning, implementation, and eval-
uation of activities; 
‘‘(3) demonstrate capacity to promote culturally 
competent and appropriate care for target popu-
lations with consideration for health literacy; 
‘‘(4) develop a plan for long-term sustainability; 
‘‘(5) evaluate the effectiveness of activities 
under this section, within an appropriate time 
frame, which shall include a focus on quality and 
outcomes performance measures to ensure that the 
activities are meeting the intended goals, and that 
the entity is able to disseminate findings from such 
evaluations; 
‘‘(6) provide ongoing outreach and education to 
the health disparity populations served; 
‘‘(7) demonstrate coordination between public 
and private entities; and 
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‘‘(8) assist individuals and groups in accessing 
public and private programs that will help eliminate 
disparities in health and healthcare. 
‘‘(d) PRIORITIES.—In awarding contracts and grants 
under this section, the Secretary shall give priority to ap-
plicants that are— 
‘‘(1) safety net hospitals, defined as hospitals 
with a low income utilization rate greater than 25 
percent (as defined in section 1923(b)(3) of the So-
cial Security Act (42 U.S.C. 1396r–4(b)(3))); 
‘‘(2) a federally qualified health center as de-
fined in section 1905(l)(2)(B) of the Social Security 
Act with the ability to establish and lead a collabo-
rative partnership; 
‘‘(3) a community-based consortium as de-
scribed in subsection (b)(3)(A) 
‘‘(4) safety net health plans that are in coordi-
nation with local health centers; 
‘‘(5) an Indian tribe, tribal organization, or 
urban Indian organization; and 
‘‘(6) other health systems that— 
‘‘(A) by legal mandate or explicitly adopted 
mission, provide patients with access to services 
regardless of their ability to pay; 
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‘‘(B) provide care or treatment for a sub-
stantial number of patients who are uninsured, 
are receiving assistance under a State program 
under title XIX of the Social Security Act, or 
are members of vulnerable populations, as de-
termined by the Secretary; 
‘‘(C) serve a disproportionate percentage of 
patients from racial and ethnic minority groups; 
‘‘(D) provide an assurance that amounts 
received under the grant or contract will be 
used to implement strategies that address pa-
tients’ linguistic needs, where necessary, and re-
cruit and maintain diverse staff and leadership; 
and 
‘‘(E) provide an assurance that amounts 
received under the grant or contract will be 
used to support quality improvement activities 
for patients from racial and ethnic minority 
groups. 
‘‘(e) USE OF FUNDS.—An eligible entity shall use 
such amounts received under this section for demonstra-
tion projects to— 
‘‘(1) address health disparities in the United 
States-Mexico Border Area, as defined in section 8 
of the United States-Mexico Border Health Commis-
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sion Act (22 U.S.C. 290n–6), relating to health dis-
parities in the areas of— 
‘‘(A) maternal and child health; 
‘‘(B) primary care and preventive health, 
including health education and promotion; 
‘‘(C) public health and the built environ-
ment; 
‘‘(D) oral health; 
‘‘(E) behavioral and mental health and 
substance abuse; 
‘‘(F) health conditions that have a dis-
proportionate impact on racial and ethnic mi-
norities and a high prevalence in the Border 
Area; 
‘‘(G) health services research; 
‘‘(H) environmental health; 
‘‘(I) workforce training and development; 
or 
‘‘(J) other areas determined appropriate by 
the Secretary; 
‘‘(2) implement the best practices in disease 
management, including those that address primary 
prevention and co-occurring chronic conditions, as 
defined by the public-private partnership established 
under section 918(b), that target patients with low 
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health literacy, and, as feasible, incorporate health 
information technology; 
‘‘(3) evaluate methods for strengthening the 
health coverage and continuity of coverage of migra-
tory and seasonal agricultural workers, as such 
terms are defined in section 330(g), and workers in 
other industries with traditionally low rates of em-
ployer-sponsored health insurance; and 
‘‘(4) identify, educate, and enroll eligible pa-
tients from racial and ethnic minorities and other 
health disparity populations into clinical trials. 
‘‘(f) REPORT.—Not later than 3 years after the date 
an entity receives a contract or grant under this section 
and annually thereafter, the entity shall provide to the 
Secretary a report containing the results of any evaluation 
conducted pursuant to subsection (c)(5). 
‘‘(g) DISSEMINATION OF FINDINGS.—The Secretary 
shall, as appropriate, disseminate to public and private en-
tities, including Congress, the findings made in evalua-
tions described under subsection (f). 
‘‘SEC. 399S. GRANTS TO PROMOTE POSITIVE HEALTH BE-
HAVIORS. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, in col-
laboration with the Director of the Centers for Disease 
Control and Prevention and other Federal officials deter-
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mined appropriate by the Secretary, may award grants to 
State or local governments, Indian tribes (including Alas-
ka Native villages), tribal organizations, or urban Indian 
organizations, to promote positive health behaviors for ra-
cial and ethnic minority populations, especially in medi-
cally underserved communities. 
‘‘(b) USE OF FUNDS.—Grants awarded under sub-
section (a) may be used to provide support to community 
health workers— 
‘‘(1) to educate, guide, and provide outreach in 
a community setting regarding health problems prev-
alent among racial and ethnic minority populations, 
especially in medically underserved communities; 
‘‘(2) to educate, guide, and provide experiential 
learning opportunities that target behavioral risk 
factors including— 
‘‘(A) poor nutrition; 
‘‘(B) physical inactivity; 
‘‘(C) being overweight or obese; 
‘‘(D) tobacco use; 
‘‘(E) alcohol and substance use; 
‘‘(F) injury and violence; 
‘‘(G) risky sexual behavior; 
‘‘(H) mental health problems; 
‘‘(I) poor oral health; 
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‘‘(3) to educate and provide guidance regarding 
effective strategies to promote positive health behav-
iors within the family; 
‘‘(4) to educate and provide outreach regarding 
enrollment in health insurance including the State 
Children’s Health Insurance Program under title 
XXI of the Social Security Act, Medicare under title 
XVIII of such Act and Medicaid under title XIX of 
such Act; 
‘‘(5) to promote community wellness and aware-
ness; 
‘‘(6) to educate and refer racial and ethnic mi-
norities to appropriate healthcare agencies and com-
munity-based programs and organizations in order 
to increase access to quality healthcare services, in-
cluding preventive health services; or 
‘‘(7) to educate, guide, and provide home visita-
tion services to improve maternal and child health 
outcomes. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—Each State or local govern-
ment, Indian tribe (including Alaska Native vil-
lages), tribal organizations, or urban Indian organi-
zations that desires to receive a grant under sub-
section (a) shall submit an application to the Sec-
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retary, at such time, in such manner, and accom-
panied by such information as the Secretary may re-
quire. 
‘‘(2) CONTENTS.—Each application submitted 
pursuant to paragraph (1) shall— 
‘‘(A) describe the activities for which as-
sistance is sought under this section; 
‘‘(B) contain an assurance that, with re-
spect to each community health worker pro-
gram receiving funds under the grant, such pro-
gram will provide training and supervision to 
community health workers to enable such work-
ers to provide authorized program services; 
‘‘(C) contain an assurance that the appli-
cant will evaluate the effectiveness of commu-
nity health worker programs receiving funds 
under the grant; 
‘‘(D) contain an assurance that each com-
munity health worker program receiving funds 
under the grant will provide services in the cul-
tural context most appropriate for the individ-
uals served by the program; 
‘‘(E) contain a plan to document and dis-
seminate project descriptions and results to 
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zation located in the neighborhood in which a partic-
ipant resides. 
‘‘(3) MEDICALLY UNDERSERVED COMMUNITY.— 
The term ‘medically underserved community’ means 
a community identified by a State— 
‘‘(A) that has a substantial number of in-
dividuals who are members of a medically un-
derserved population, as defined by section 
330(b)(3); and 
‘‘(B) a significant portion of which is a 
health professional shortage area as designated 
under section 332. 
‘‘(4) SUPPORT.—The term ‘support’ means the 
provision of training, supervision, and materials 
needed to effectively deliver the services described in 
subsection (b), reimbursement for services, and 
other benefits. 
‘‘SEC. 
399T. 
GRANTS 
FOR 
RACIAL 
AND 
ETHNIC 
AP-
PROACHES TO COMMUNITY HEALTH. 
‘‘(a) PURPOSE.—It is the purpose of this section to 
provide for the awarding of grants to assist communities 
in mobilizing and organizing resources in support of effec-
tive and sustainable programs that will reduce or eliminate 
disparities in health and healthcare experienced by racial 
and ethnic minority individuals. 
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‘‘(b) AUTHORITY TO AWARD GRANTS.—The Sec-
retary, acting through the Centers for Disease Control and 
Prevention, in consultation with the Office of Minority 
Health, shall award grants to eligible entities to assist in 
designing, implementing, and evaluating culturally and 
linguistically appropriate, evidence-based and community- 
driven sustainable strategies to eliminate racial and ethnic 
health and healthcare disparities. 
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall— 
‘‘(1) represent a coalition— 
‘‘(A) whose principal purpose is to develop 
and implement interventions to reduce or elimi-
nate a health or healthcare disparity in a tar-
geted racial or ethnic minority group in the 
community served by the coalition; and 
‘‘(B) that includes— 
‘‘(i) at least 3 members selected from 
among— 
‘‘(I) public health departments; 
‘‘(II) community-based organiza-
tions; 
‘‘(III) university and research or-
ganizations; 
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‘‘(IV) Indian tribes, tribal organi-
zations, urban Indian organizations, 
national or regional Indian organiza-
tions, or the Indian Health Service; 
‘‘(V) organizations serving Native 
Hawaiians; 
‘‘(VI) organizations serving Pa-
cific Islanders; and 
‘‘(VII) interested public or pri-
vate healthcare providers or organiza-
tions as deemed appropriate by the 
Secretary; and 
‘‘(ii) at least 1 member from a com-
munity-based organization that represents 
the targeted racial or ethnic minority 
group; and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require, which shall 
include— 
‘‘(A) a description of the targeted racial or 
ethnic populations in the community to be 
served under the grant; 
‘‘(B) a description of at least 1 health dis-
parity that exists in the racial or ethnic tar-
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geted populations, including infant mortality, 
breast and cervical cancer screening and man-
agement, cardiovascular disease, diabetes, child 
and adult immunization levels, HIV/AIDS, hep-
atitis B, tuberculosis, asthma, or other health 
priority areas as designated by the Secretary; 
and 
‘‘(C) a demonstration of a proven record of 
accomplishment of the coalition members in 
serving and working with the targeted commu-
nity. 
‘‘(d) SUSTAINABILITY.—The Secretary shall give pri-
ority to an eligible entity under this section if the entity 
agrees that, with respect to the costs to be incurred by 
the entity in carrying out the activities for which the grant 
was awarded, the entity (and each of the participating 
partners in the coalition represented by the entity) will 
maintain its expenditures of non-Federal funds for such 
activities at a level that is not less than the level of such 
expenditures during the fiscal year immediately preceding 
the first fiscal year for which the grant is awarded. 
‘‘(e) NONDUPLICATION.—Funds provided through 
this grant program should supplement, not supplant, ex-
isting Federal funding, and the funds should not be used 
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to duplicate the activities of the other health disparity 
grant programs in this Act. 
‘‘(f) TECHNICAL ASSISTANCE.—The Secretary may, 
either directly or by grant or contract, provide any entity 
that receives a grant under this section with technical and 
other non-financial assistance necessary to meet the re-
quirements of this section. 
‘‘(g) DISSEMINATION.—The Secretary shall encour-
age and enable grantees to share best practices, evaluation 
results, and reports using the Internet, conferences, and 
other pertinent information regarding the projects funded 
by this section, including the outreach efforts of the Office 
of Minority Health and the Centers for Disease Control 
and Prevention. Such information shall be publicly avail-
able, and posted on the Internet website of relevant gov-
ernment agencies. 
‘‘(h) ADMINISTRATIVE BURDENS.—The Secretary 
shall make every effort to minimize duplicative or unneces-
sary administrative burdens on grantees. 
‘‘SEC. 
399U. 
GRANTS 
FOR 
HEALTH 
DISPARITY 
COLLABORATIVES. 
‘‘(a) PURPOSE.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration, shall award grants to eligible entities to as-
sist in implementing systems of primary care practices to 
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‘‘(K) Other areas as designated by the Sec-
retary. 
‘‘(c) NONDUPLICATION.—Funds provided through 
this grant program should supplement, not supplant, ex-
isting Federal funding, and the funds should not be used 
to duplicate the activities of the other health disparity 
grant programs in this Act. 
‘‘(d) TECHNICAL ASSISTANCE.—The Secretary may, 
either directly or by grant or contract, provide any entity 
that receives a grant under this section with technical and 
other non-financial assistance necessary to meet the re-
quirements of this section. 
‘‘(e) ADMINISTRATIVE
BURDENS.—The Secretary 
shall make every effort to minimize duplicative or unneces-
sary administrative burdens on grantees. 
‘‘SEC. 399V. HEALTH ACTION ZONES. 
‘‘(a) PURPOSE.—The Secretary shall establish the 
Health Action Zone Initiative demonstration program to 
support comprehensive State, tribal, or local initiatives to 
improve the health of racial and ethnic minority groups. 
‘‘(b) HEALTH
ACTION
ZONE
INITIATIVE
PRO-
GRAM.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
Health Action Zone Initiative Program grants to 
State and local public health agencies and Indian 
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tribes and tribal organizations of eligible commu-
nities. Each grant shall be funded for 5 years. 
‘‘(2) ELIGIBLE COMMUNITIES.— 
‘‘(A) 
IDENTIFICATION.—The 
Secretary 
shall develop, after opportunity for public re-
view and comment, and implement a metric for 
identifying and notifying eligible communities 
pursuant to subparagraph (B), and report such 
findings to Congress and the public. 
‘‘(B) ELIGIBILITY.—Eligible communities 
shall be communities that are most at risk, or 
at greatest disproportionate risk, for adverse 
health outcomes, as measured by— 
‘‘(i) overall burden of disease and 
health conditions; 
‘‘(ii) accessibility to and availability of 
health and economic resources; 
‘‘(iii) proportion of individuals from 
racial and ethnic minority groups; and 
‘‘(iv) other factors as determined ap-
propriate by the Secretary. 
‘‘(3) AGENCY COLLABORATION.—The Secretary, 
in collaboration with the Deputy Assistant Secretary 
for Minority Health, the Director of the Centers for 
Disease Control and Prevention, the Administrator 
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of the Health Resources and Services Administra-
tion, the Director of the Indian Health Service, the 
Director of the Centers for Medicare & Medicaid 
Services, the Director of the Substance Abuse and 
Mental Health Services Administration, and heads 
of other Federal agencies as appropriate, shall deter-
mine, with respect to the Health Action Zone Initia-
tive Program— 
‘‘(A) core goals, objectives and reasonable 
time lines for implementing, evaluating and sus-
taining comprehensive and effective health and 
healthcare improvement activities in eligible 
communities; 
‘‘(B) current programmatic and research 
initiatives in which eligible communities may 
participate; 
‘‘(C) existing agency resources that can be 
targeted to eligible communities; and 
‘‘(D) mechanisms to facilitate joint appli-
cation, or establish a common application, to 
multiple grant programs, as appropriate. 
‘‘(4) APPLICATIONS.— 
‘‘(A) IN GENERAL.—The State and local 
public health agencies of eligible communities 
shall jointly submit an application to the Sec-
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retary at such time, in such manner, and ac-
companied by such information as the Secretary 
may require, including a strategic plan that 
shall— 
‘‘(i) describe the proposed activities 
pursuant to paragraph (5); 
‘‘(ii) report the extent to which local 
institutions and organizations and commu-
nity residents have participated in the stra-
tegic plan development; 
‘‘(iii) identify established public-pri-
vate partnerships, and State, local, and 
private resources that will be available; 
‘‘(iv) identify Federal funding needed 
to support the proposed activities; and 
‘‘(v) report the baselines, methods, 
and benchmarks for measuring the success 
of activities proposed in the strategic plan. 
‘‘(B) COMMUNITY ADVISORY BOARD.— 
‘‘(i) IN GENERAL.—In order to receive 
a Health Action Zone Initiative Program 
grant under this section, an eligible com-
munity shall have a community advisory 
board. 
‘‘(ii) MEMBERS.— 
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‘‘(I) COMMUNITY.—The majority 
of the members of a community advi-
sory board under clause (i) shall be 
individuals that will benefit from the 
activities or services provided by the 
grants under this section. 
‘‘(II) 
REPRESENTATIVES.—A 
community advisory board shall in-
clude representatives from the State 
health department and county or local 
health department, community-based 
organizations, environmental and pub-
lic health experts, healthcare profes-
sionals and providers, nonprofit lead-
ers, community organizers, elected of-
ficials, private payers, employers, and 
consumers. 
‘‘(iii) DUTIES.—A community advi-
sory board shall— 
‘‘(I) oversee the functions and 
operations of Health Action Zone Ini-
tiative Program grant activities; 
‘‘(II) assist in the evaluation of 
such activities; and 
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‘‘(III) prepare an annual report 
that describes the progress made to-
wards achieving stated goals and rec-
ommends 
time 
lines 
and 
future 
courses of action. 
‘‘(5) USE OF FUNDS.—An eligible community 
that receives a grant under this section shall use the 
funding to support activities to achieve stated core 
goals and objectives, pursuant to paragraph (3), 
which may include initiatives that— 
‘‘(A) promote disease prevention and 
health promotion for racial and ethnic minority 
groups; 
‘‘(B) 
facilitate 
partnerships 
between 
healthcare providers, public and health agen-
cies, academic institutions, community based or 
advocacy organizations, elected officials, profes-
sional societies, and other stakeholder groups; 
‘‘(C) enhance the local capacity for health 
data collection and reporting in a manner that 
can be aggregated and disaggregated to en-
hance understanding of the racial and ethnic di-
versity of the Health Action Zone; 
‘‘(D) coordinate and integrate community- 
based activities including education, city plan-
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ning, transportation initiatives, environmental 
changes, and other related activities at the local 
level that help improve public health and ad-
dress health concerns; 
‘‘(E) mobilize financial and other resources 
from the public and private sector to increase 
local capacity to address health issues; 
‘‘(F) support the training of staff in com-
munication and outreach to the general public, 
particularly those at disproportionate risk for 
health and healthcare disparities; 
‘‘(G) assist eligible communities in meeting 
Healthy People 2010 objectives; and 
‘‘(H) aid eligible communities in providing 
employment, and cultural and recreational re-
sources that enable healthy lifestyles. 
‘‘(6) EVALUATION.—The Secretary, directly or 
through contract, shall conduct and report an eval-
uation of the Health Action Zone Initiative Program 
that shall be available to the public. 
‘‘(7) SUPPLEMENT
NOT
SUPPLANT.—Grant 
funds received under this section shall be used to 
supplement, and not supplant, funding that would 
otherwise be used for activities described under this 
section. 
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‘‘(c) PUERTO RICO.—For purposes of this section, 
the term ‘State’ includes Puerto Rico. 
‘‘SEC. 399W. OUTREACH. 
‘‘(a) IN GENERAL.—The Secretary, in collaboration 
with the Office for Minority Health, the Centers for Medi-
care and Medicaid Services, the Indian Health Service, 
and the Health Resources and Services Administration, 
shall establish a grant program to improve outreach, par-
ticipation, and enrollment by eligible entities with respect 
to available healthcare programs. 
‘‘(b) ELIGIBILITY.—In this section, the term ‘eligible 
entity’ means any of the following: 
‘‘(1) A State or local government. 
‘‘(2) A Federal health safety net organization. 
‘‘(3) A national, local, or community-based pub-
lic or nonprofit private organization. 
‘‘(4) A faith-based organization or consortia, to 
the extent that a grant awarded to such an entity 
is consistent with the requirements of section 1955 
relating to a grant award to non-governmental enti-
ties. 
‘‘(5) An elementary or secondary school. 
‘‘(c) DEFINITION.—In this section: 
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‘‘(1) FEDERAL HEALTH SAFETY NET ORGANI-
ZATION.—The term ‘Federal health safety net orga-
nization’ means— 
‘‘(A) a health program operated by the In-
dian Health Service, an Indian tribe, tribal or-
ganization or urban Indian organization (as 
those terms are defined in section 4 of the In-
dian Health Care Improvement Act (25 U.S.C. 
1603); 
‘‘(B) a federally qualified health center, as 
defined in section 1905(l)(2)(B) of the Social 
Security Act, with the ability to establish and 
lead a collaborative partnership; 
‘‘(C) a safety net hospital, defined as a 
hospital with a low income utilization rate 
greater than 25 percent (as defined in section 
1923(b)(3) of the Social Security Act (42 
U.S.C. 1396r–4(b)(3))); 
‘‘(D) a covered entity described in section 
340B(a)(4); 
‘‘(E) a safety net health plan defined as a 
managed care organization that— 
‘‘(i) is exempt from or not subject to 
Federal income tax, or is owned by an en-
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tity or entities exempt from or not subject 
to Federal income tax; and 
‘‘(ii) enrolls not less than 75 percent 
of its members in a plan or program fund-
ed in whole or in part under a Federal, 
State, or local healthcare program (other 
than a program for government employ-
ees); and 
‘‘(F) any other entity or a consortium that 
serves children under a federally funded pro-
gram, including the special supplemental nutri-
tion program for women, infants, and children 
(WIC) established under section 17 of the Child 
Nutrition Act of 1966 (42 U.S.C. 1786), the 
head start and early head start programs under 
the Head Start Act (42 U.S.C. 9831 et seq.), 
the school lunch program established under the 
Richard B. Russell National School Lunch Act 
(42 U.S.C. 1751 et seq.), and an elementary or 
secondary school. 
‘‘(2) INDIANS; INDIAN TRIBE; TRIBAL ORGANI-
ZATION; URBAN INDIAN ORGANIZATION.—The terms 
‘Indian’, ‘Indian tribe’, ‘tribal organization’, and 
‘urban Indian organization’ have the meanings given 
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such terms in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603). 
‘‘(d) PRIORITY FOR AWARD OF GRANTS.— 
‘‘(1) IN
GENERAL.—In making grants under 
subsection (a), the Secretary shall give priority to— 
‘‘(A) eligible entities that propose to target 
geographic areas with high rates of— 
‘‘(i) eligible but unenrolled children, 
including such children who reside in rural 
areas; or 
‘‘(ii) racial and ethnic minorities and 
health disparity populations, including 
those proposals that address cultural and 
linguistic barriers to enrollment; and 
‘‘(B) eligible entities that plan to engage in 
outreach efforts with respect to individuals de-
scribed in subparagraph (A) and that are— 
‘‘(i) safety net hospitals, defined as 
hospitals with a low income utilization rate 
greater than 25 percent (as defined in sec-
tion 1923(b)(3) of the Social Security Act 
(42 U.S.C.1396r–4(b)(3))); 
‘‘(ii) federally qualified health centers 
as defined in section 1905(1)(2)(B) of the 
Social Security Act with the ability to es-
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tablish and lead a collaborative partner-
ship; 
‘‘(iii) community-based consortiums as 
described in section 399R(b)(3)(A) and 
(4); 
‘‘(iv) safety net health plans that are 
in coordination with local health centers; 
‘‘(v) Indian tribes, tribal organiza-
tions, or urban Indian organizations; 
‘‘(vi) other health systems that as de-
scribed in section 399R(d)(5); or 
‘‘(vii) faith-based organizations or 
consortia. 
‘‘(2) TEN PERCENT SET ASIDE FOR OUTREACH 
TO INDIAN CHILDREN.—An amount equal to 10 per-
cent of the funds appropriated under section 202(3) 
of the Minority Health Improvement and Health 
Disparity Elimination Act to carry out this section 
for a fiscal year shall be used by the Secretary to 
award grants to health programs operated by the In-
dian Health Service, an Indian tribe, tribal organiza-
tion, or urban Indian organization (as those terms 
are defined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)) for outreach to, 
and enrollment of, children who are Indians. 
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‘‘SEC. 399X. DELTA HEALTH INITIATIVE. 
‘‘(a) IN GENERAL.—The Secretary shall award a 
grant to fund the Delta Health Initiative Rural Health, 
Education, and Workforce Infrastructure Demonstration 
Program for the purpose of addressing longstanding, 
unmet health needs in the Mississippi Delta, including 
health education, access and research, and job training. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under this section, an entity shall— 
‘‘(1) include a nonprofit alliance of not less 
than 4 academic institutions that have a history of 
collaboration, along with their State Hospital Asso-
ciation and 2 community-based organizations; 
‘‘(2) solicit and fund proposals from local gov-
ernments, hospitals, healthcare clinics, academic in-
stitutions, and rural public health-related entities 
and organizations for research development, edu-
cational programs, healthcare services, job training, 
planning, construction, and the equipment of public 
health-related facilities; 
‘‘(3) have experience working with federally 
qualified health centers and local health depart-
ments; and 
‘‘(4) have experience in diabetes education and 
management, promoting healthy communities, health 
education, and wellness. 
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‘‘(c) DEFINITION.—In this section, the term ‘alliance’ 
means an entity composed of— 
‘‘(1) an academic health and research center. 
‘‘(2) at least 2 regional universities. 
‘‘(3) a school of nursing; and 
‘‘(4) a strong economic development entity, as 
determined by the Secretary. 
‘‘(d) FEDERAL INTEREST IN PROPERTY.—With re-
spect to funds used under this subsection for construction 
or alteration of property, the Federal interest in the prop-
erty shall last for a period of 1 year following completion 
or until the Federal Government is compensated for its 
proportionate interest in the property use changes or the 
property is transferred or sold, whichever time period is 
less. At the conclusion of such period, the notice of Fed-
eral interest in such property shall be removed.’’. 
SEC. 202. AUTHORIZATION OF APPROPRIATIONS. 
There are authorized to be appropriated— 
(1) such sums as may be necessary for each of 
fiscal years 2008 through 2012, to carry out section 
399R of the Public Health Service Act (as added by 
section 201); 
(2) $52,000,000 for fiscal year 2008, and such 
sums as may be necessary for each of fiscal years 
2009 through 2012, to carry out section 399T of the 
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Public Health Service Act (as added by section 201); 
and 
(3) such sums as necessary for each of fiscal 
years 2008 through 2012, to carry out sections 
399S, 399U, 399V, 399W, and 399X of the Public 
Health Service Act (as added by section 201). 
TITLE 
III—RESEARCH 
TO 
RE-
DUCE 
AND 
ELIMINATE 
HEALTH DISPARITIES 
SEC. 301. AGENCY FOR HEALTHCARE RESEARCH AND 
QUALITY. 
(a) IN GENERAL.—Part B of title IX of the Public 
Health Service Act (42 U.S.C. 299b et seq.) is amended 
by adding at the end the following: 
‘‘SEC. 918. ENHANCED RESEARCH WITH RESPECT TO 
HEALTHCARE DISPARITIES. 
‘‘(a) ACCELERATING THE ELIMINATION OF DISPARI-
TIES.— 
‘‘(1) STRATEGIC PLAN.—The Secretary, acting 
through the Director, and in collaboration with the 
Deputy Assistant Secretary for Minority Health, 
shall develop a strategic plan regarding research 
supported by the agency to improve healthcare and 
eliminate healthcare disparities among racial and 
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ethnic minority groups. In developing such plan, the 
Secretary shall— 
‘‘(A) determine which areas of research 
focus would have the greatest impact on 
healthcare improvement and elimination of dis-
parities, taking into consideration the overall 
health status of various populations, dispropor-
tionate burden of diseases or health conditions, 
and types of interventions for which data on ef-
fectiveness is limited; 
‘‘(B) establish measurable goals and objec-
tives which will allow assessment of progress; 
‘‘(C) solicit public review and comment 
from experts in healthcare, minority health and 
health disparities, health services research, and 
other areas as determined appropriate by the 
Secretary; 
‘‘(D) incorporate recommendations from 
the Institute of Medicine, pursuant to section 
303 of the Minority Health Improvement and 
Health Disparity Elimination Act, as appro-
priate; 
‘‘(E) complete such plan within 12 months 
of enactment of the Minority Health Improve-
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‘‘(VIII) The Office of Behavioral 
Health. 
‘‘(IX) Other agencies as des-
ignated by the Secretary. 
‘‘(ii) Representatives of health plans, 
employers, or other private entities that 
have implemented disease management 
programs. 
‘‘(iii) Representatives of hospitals; 
community health centers; large, small, or 
solo provider groups; or other organiza-
tions that provide healthcare and have im-
plemented disease management programs. 
‘‘(iv) Representatives of national mi-
nority advocacy organizations, as well as 
community-based representatives who have 
been involved with establishing, imple-
menting, or evaluating health promotion, 
disease prevention and disease manage-
ment programs. 
‘‘(v) Other individuals as designated 
by the Secretary. 
‘‘(C) PARTNERSHIP DUTIES.— 
‘‘(i) IN GENERAL.—Not later than 18 
months after the date of enactment of the 
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Minority Health Improvement and Health 
Disparity Elimination Act, the partnership 
shall release a best practices report with 
respect to disease management practices, 
with a particular focus on the following: 
‘‘(I) Self-management training. 
‘‘(II) Increasing patient partici-
pation 
in 
and 
satisfaction 
with 
healthcare encounters. 
‘‘(III) Helping patients use qual-
ity performance and cost information 
to choose appropriate healthcare pro-
viders for their care. 
‘‘(IV) Interventions outside of a 
traditional healthcare environment, in-
cluding the workplace, school, commu-
nity, or home. 
‘‘(V) Interventions utilizing com-
munity health workers and case man-
agers. 
‘‘(VI) Interventions that imple-
ment integrated disease management 
and treatment strategies to address 
multiple chronic co-occurring condi-
tions. 
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106 
other agencies of the National Institutes of 
Health, by establishing mechanisms for— 
‘‘(i) tracking minority health and 
health disparity research conducted within 
the agencies and assessing the appropriate-
ness of this research with regard to the 
overall goals and objectives of the Plan; 
‘‘(ii) the early identification of appli-
cations and proposals for grants, contracts, 
and cooperative agreements supporting ex-
tramural training, research, and develop-
ment, that are submitted to the agencies 
and that are within the mission of the Cen-
ter; 
‘‘(iii) providing the Center with the 
written descriptions and scientific peer re-
view results of such applications and pro-
posals; 
‘‘(iv) enabling the agencies to consult 
with the Director of the Center prior to 
final approval of such applications and 
proposals; and 
‘‘(v) reporting to the Director of the 
Center all such applications and proposals 
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