than 2 years after the final promulgation of such stand-
ards. 
SEC. 108. DISPARITIES DATA COLLECTED BY THE FEDERAL 
GOVERNMENT. 
(a) REPOSITORY OF GOVERNMENT DATA.—The Sec-
retary of Health and Human Services, in coordination 
with the departments, agencies, or offices described in 
subsection (b), shall establish a centralized electronic re-
pository of Government data on factors related to the 
health and well-being of the population of the United 
States. 
(b) COLLECTION; SUBMISSION.—Not later than 180 
days after the date of the enactment of this Act, and Jan-
uary 31 of each year thereafter, each department, agency, 
and office of the Federal Government that has collected 
data on race, ethnicity, sex, primary language, sexual ori-
entation, disability status, gender identity, age, or socio-
economic status during the preceding calendar year shall 
submit such data to the repository of Government data 
established under subsection (a). 
(c) ANALYSIS; PUBLIC AVAILABILITY; REPORTING.— 
Not later than April 30, 2021, and April 30 of each year 
thereafter, the Secretary of Health and Human Services, 
acting through the Assistant Secretary for Planning and 
Evaluation, the Assistant Secretary for Health, the Direc-
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00046
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
tor of the Agency for Healthcare Research and Quality, 
the Director of the National Center for Health Statistics, 
the Administrator of the Centers for Medicare & Medicaid 
Services, the Director of the National Institute on Minor-
ity Health and Health Disparities, and the Deputy Assist-
ant Secretary for Minority Health, shall— 
(1) prepare and make available datasets for 
public use that relate to disparities in health status, 
health care access, health care quality, health out-
comes, public health, and other areas of health and 
well-being by factors that include race, ethnicity, 
sex, primary language, sexual orientation, disability 
status, gender identity, and socioeconomic status; 
(2) ensure that these datasets are publicly iden-
tified on the repository established under subsection 
(a) as ‘‘disparities’’ data; and 
(3) submit a report to the Congress on the 
availability and use of such data by public stake-
holders. 
SEC. 109. STANDARDS FOR MEASURING SEXUAL ORIENTA-
TION, 
GENDER 
IDENTITY, 
AND 
SOCIO-
ECONOMIC 
STATUS 
IN 
COLLECTION 
OF 
HEALTH DATA. 
Section 3101(a) of the Public Health Service Act (42 
U.S.C. 300kk(a)) is amended— 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00047
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
(1) in paragraph (1)(A), by inserting ‘‘sexual 
orientation, gender identity, socioeconomic status,’’ 
before ‘‘and disability status’’; 
(2) in paragraph (1)(C), by inserting ‘‘sexual 
orientation, gender identity, socioeconomic status,’’ 
before ‘‘and disability status’’; and 
(3) in paragraph (2)(B), by inserting ‘‘sexual 
orientation, gender identity, socioeconomic status,’’ 
before ‘‘and disability status’’. 
SEC. 110. IMPROVING HEALTH DATA REGARDING NATIVE 
HAWAIIANS AND OTHER PACIFIC ISLANDERS. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317U the following: 
‘‘SEC. 317V. NATIVE HAWAIIAN AND OTHER PACIFIC IS-
LANDER HEALTH DATA. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) COMMUNITY GROUP.—The term ‘commu-
nity group’ means a group of NHOPI who are orga-
nized at the community level, and may include a 
church group, social service group, national advocacy 
organization, or cultural group. 
‘‘(2) NONPROFIT, NONGOVERNMENTAL ORGANI-
ZATION.—The term ‘nonprofit, nongovernmental or-
ganization’ means a group of NHOPI with a dem-
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00048
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
onstrated history of addressing NHOPI issues, in-
cluding a NHOPI coalition. 
‘‘(3) DESIGNATED
ORGANIZATION.—The term 
‘designated organization’ means an entity estab-
lished to represent NHOPI populations and which 
has statutory responsibilities to provide, or has com-
munity support for providing, health care. 
‘‘(4) 
GOVERNMENT
REPRESENTATIVES
OF 
NHOPI POPULATIONS.—The term ‘government rep-
resentatives of NHOPI populations’ means rep-
resentatives from Hawaii, American Samoa, the 
Commonwealth of the Northern Mariana Islands, 
the Federated States of Micronesia, Guam, the Re-
public of Palau, and the Republic of the Marshall Is-
lands. 
‘‘(5) NATIVE HAWAIIANS AND OTHER PACIFIC 
ISLANDERS (NHOPI).—The term ‘Native Hawaiians 
and Other Pacific Islanders’ or ‘NHOPI’ means peo-
ple having origins in any of the original peoples of 
American Samoa, the Commonwealth of the North-
ern Mariana Islands, the Federated States of Micro-
nesia, Guam, Hawaii, the Republic of the Marshall 
Islands, the Republic of Palau, or any other Pacific 
Island. 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00049
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
‘‘(6) INSULAR AREA.—The term ‘insular area’ 
means Guam, the Commonwealth of Northern Mar-
iana Islands, American Samoa, the United States 
Virgin Islands, the Federated States of Micronesia, 
the Republic of Palau, or the Republic of the Mar-
shall Islands. 
‘‘(b) NATIONAL STRATEGY.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the National Center for 
Health Statistics (referred to in this section as 
‘NCHS’) of the Centers for Disease Control and 
Prevention, and other agencies within the Depart-
ment of Health and Human Services as the Sec-
retary determines appropriate, shall develop and im-
plement an ongoing and sustainable national strat-
egy for identifying and evaluating the health status 
and health care needs of NHOPI populations living 
in the continental United States, Hawaii, American 
Samoa, the Commonwealth of the Northern Mariana 
Islands, the Federated States of Micronesia, Guam, 
the Republic of Palau, and the Republic of the Mar-
shall Islands. 
‘‘(2) CONSULTATION.—In developing and imple-
menting a national strategy, as described in para-
graph (1), not later than 180 days after the date of 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00050
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
enactment of the Ending Health Disparities During 
COVID–19 Act of 2020, the Secretary— 
‘‘(A) shall consult with representatives of 
community groups, designated organizations, 
and nonprofit, nongovernmental organizations 
and with government representatives of NHOPI 
populations; and 
‘‘(B) may solicit the participation of rep-
resentatives from other Federal departments. 
‘‘(c) PRELIMINARY HEALTH SURVEY.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of NCHS, shall conduct a pre-
liminary health survey in order to identify the major 
areas and regions in the continental United States, 
Hawaii, American Samoa, the Commonwealth of the 
Northern Mariana Islands, the Federated States of 
Micronesia, Guam, the Republic of Palau, and the 
Republic of the Marshall Islands in which NHOPI 
people reside. 
‘‘(2) CONTENTS.—The health survey described 
in paragraph (1) shall include health data and any 
other data the Secretary determines to be— 
‘‘(A) useful in determining health status 
and health care needs; or 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00051
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
‘‘(B) required for developing or imple-
menting a national strategy. 
‘‘(3) METHODOLOGY.—Methodology for the 
health survey described in paragraph (1), including 
plans for designing questions, implementation, sam-
pling, and analysis, shall be developed in consulta-
tion with community groups, designated organiza-
tions, nonprofit, nongovernmental organizations, and 
government representatives of NHOPI populations, 
as determined by the Secretary. 
‘‘(4) TIMEFRAME.—The survey required under 
this subsection shall be completed not later than 18 
months after the date of enactment of the Ending 
Health Disparities During COVID–19 Act of 2020. 
‘‘(d) PROGRESS REPORT.—Not later than 2 years 
after the date of enactment of the Ending Health Dispari-
ties During COVID–19 Act of 2020, the Secretary shall 
submit to Congress a progress report, which shall include 
the national strategy described in subsection (b)(1). 
‘‘(e) STUDY AND REPORT BY THE HEALTH AND 
MEDICINE DIVISION.— 
‘‘(1) IN GENERAL.—The Secretary shall enter 
into an agreement with the Health and Medicine Di-
vision of the National Academies of Sciences, Engi-
neering, and Medicine to conduct a study, with input 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00052
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
from stakeholders in insular areas, on each of the 
following: 
‘‘(A) The standards and definitions of 
health care applied to health care systems in in-
sular areas and the appropriateness of such 
standards and definitions. 
‘‘(B) The status and performance of health 
care systems in insular areas, evaluated based 
upon standards and definitions, as the Sec-
retary determines appropriate. 
‘‘(C) The effectiveness of donor aid in ad-
dressing health care needs and priorities in in-
sular areas. 
‘‘(D) The progress toward implementation 
of recommendations of the Committee on 
Health Care Services in the United States—As-
sociated Pacific Basin that are set forth in the 
1998 report entitled ‘Pacific Partnerships for 
Health: Charting a New Course’. 
‘‘(2) REPORT.—An agreement described in 
paragraph (1) shall require the Health and Medicine 
Division to submit to the Secretary and to Congress, 
not later than 2 years after the date of the enact-
ment of the Ending Health Disparities During 
COVID–19 Act of 2020, a report containing a de-
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00053
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
scription of the results of the study conducted under 
paragraph (1), including the conclusions and rec-
ommendations of the Health and Medicine Division 
for each of the items described in subparagraphs (A) 
through (D) of such paragraph. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2021 through 2025.’’. 
Subtitle B—Improvements and 
Modernization 
SEC. 121. FEDERAL MODERNIZATION FOR HEALTH INEQUI-
TIES DATA. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall work with covered agencies to sup-
port the modernization of data collection methods and in-
frastructure at such agencies for the purpose of increasing 
data collection related to health inequities, such as racial, 
ethnic (including breakdowns of major ethnic groups and 
Tribal affiliations within minority populations), socio-
economic, sex, gender, age, geographic region, primary 
written and spoken language, sexual orientation, occupa-
tion, and disability status disparities. 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00054
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
(b) COVERED AGENCY DEFINED.—In this section, 
the term ‘‘covered agency’’ means each of the following 
Federal agencies: 
(1) The Agency for Healthcare Research and 
Quality. 
(2) The Centers for Disease Control and Pre-
vention. 
(3) The Centers for Medicare & Medicaid Serv-
ices. 
(4) The Food and Drug Administration. 
(5) The Office of the National Coordinator for 
Health Information Technology. 
(6) The National Institutes of Health. 
(c) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to each covered agency to 
carry out this section $4,000,000, to remain available 
until expended. 
SEC. 122. MODERNIZATION OF STATE AND LOCAL HEALTH 
INEQUITIES DATA. 
(a) IN GENERAL.—Not later than 6 months after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’), acting through the Director of the Centers for 
Disease Control and Prevention, shall award grants to 
State, local, Tribal, and territorial health departments in 
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00055
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS
267 
relevant programs consider and incorporate so-
cial determinants of health in grant awards and 
other activities. 
(B) Awarding grants under subsection (c) 
to State, local, territorial, and Tribal health 
agencies and organizations, and to other eligible 
entities, to address social determinants of 
health in target communities. 
(C) Awarding grants under subsection (d) 
to nonprofit organizations and public or other 
nonprofit institutions of higher education— 
(i) to conduct research on best prac-
tices to improve social determinants of 
health; 
(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-
VerDate Sep 11 2014 
00:31 Nov 13, 2020
Jkt 019200
PO 00000
Frm 00267
Fmt 6652
Sfmt 6201
E:\BILLS\H8200.IH
H8200
kjohnson on DSK79L0C42PROD with BILLS