I 
109TH CONGRESS 
1ST SESSION H. R. 3561 
To improve the health of minority individuals. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 28, 2005 
Mr. HONDA (for himself, Mrs. NAPOLITANO, Mr. WATT, Mr. KILDEE, Ms. 
BORDALLO, Ms. SOLIS, Mrs. CHRISTENSEN, Mr. PALLONE, Ms. PELOSI, 
Mr. MENENDEZ, Mr. HOYER, and Mr. CLYBURN) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committees on Education and the Work-
force, Resources, Judiciary, Ways and Means, and Agriculture, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To improve the health of minority individuals. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Healthcare Equality and Accountability Act’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings and purpose.
TITLE I—COVERAGE OF THE UNINSURED 
Subtitle A—FamilyCare 
Sec. 101. Short title. 
Sec. 102. Renaming of title XXI Program. 
‘‘TITLE XXI—FAMILYCARE PROGRAM 
Sec. 103. FamilyCare coverage of parents under the Medicaid Program and 
title XXI. 
‘‘Sec. 2111. Optional FamilyCare coverage of parents of targeted low-in-
come children. 
Sec. 104. Automatic enrollment of children born to title XXI parents. 
Sec. 105. Optional coverage of children through age 20 under the Medicaid 
Program and title XXI. 
Sec. 106. Allowing States to simplify rules for families. 
Sec. 107. Demonstration programs to improve Medicaid and CHIP outreach to 
homeless individuals and families. 
Sec. 108. Additional CHIP revisions. 
Sec. 109. Coordination of title XXI with the maternal and child Health Pro-
gram. 
Subtitle B—State Option to Provide Coverage for All Residents With Income 
at or Below the Poverty Line 
Sec. 121. State option to provide coverage for all residents with income at or 
below the poverty line. 
Subtitle C—Optional Coverage of Legal Immigrants Under the Medicaid 
Program and Title XXI, and to Extend Eligibility to Certain Legal Residents 
Sec. 131. Equal access to Health coverage for legal immigrants. 
Sec. 132. Exception for citizens of freely associated States. 
Subtitle D—Indian Healthcare Funding 
CHAPTER 1—GUARANTEED FUNDING 
Sec. 141. Guaranteed adequate funding for Indian Healthcare. 
‘‘Sec. 825. Funding. 
CHAPTER 2—INDIAN HEALTHCARE PROGRAMS 
Sec. 145. Programs operated by Indian Tribes and Tribal organizations. 
Sec. 146. Licensing. 
Sec. 147. Authorization for emergency contract Health services. 
Sec. 148. Prompt action on Payment of claims. 
Sec. 149. Liability for Payment. 
Sec. 150. Health services for ineligible persons. 
Sec. 151. Definitions. 
Sec. 152. Authorization of appropriations. 
Subtitle E—Territories 
Sec. 161. Funding for territories. 
Subtitle F—Migrant Workers and Farmworkers Health
Sec. 171. Demonstration project regarding continuity of coverage of migrant 
workers and farmworkers under Medicaid and CHIP. 
Subtitle G—Expanded Access to Health Care 
Sec. 181. National Commission for Expanded Access to Health Care. 
Sec. 182. Institute of Medicine evaluation and report on Health care perform-
ance measures. 
Subtitle H—FMAP Reimbursement for Native Hawaiians 
Sec. 191. 100 percent FMAP for medical assistance provided to a Native Ha-
waiian through a federally-qualified Health Center or a Native 
Hawaiian Health care system under the Medicaid Program. 
TITLE II—CULTURALLY AND LINGUISTICALLY APPROPRIATE 
HEALTHCARE 
Sec. 201. Amendment to the Public Health Service Act. 
‘‘TITLE XXIX—CULTURALLY AND LINGUISTICALLY APPROPRIATE 
HEALTHCARE 
‘‘Sec. 2900. Definitions. 
‘‘Sec. 2901. Improving access to services for individuals with Limited 
English proficiency. 
‘‘Sec. 2902. National Standards for culturally and linguistically appro-
priate services in Healthcare. 
‘‘Sec. 2903. Robert T. Matsui Center for Cultural and Linguistic Com-
petence in Healthcare. 
‘‘Sec. 2904. Innovations in language access grants. 
‘‘Sec. 2905. Research on language access. 
‘‘Sec. 2906. Information about Federal Health programs for Limited 
English proficient populations. 
Sec. 202. Standards for language access services. 
Sec. 203. Federal reimbursement for culturally and linguistically appropriate 
services under the medicare, Medicaid and State Children’s 
Health Insurance Program. 
Sec. 204. Increasing understanding of Health literacy. 
Sec. 205. Report on Federal efforts to provide culturally and linguistically ap-
propriate Healthcare services. 
Sec. 206. General Accounting Office report on impact of language access serv-
ices. 
Sec. 207. Definitions. 
TITLE III—HEALTH WORKFORCE DIVERSITY 
Sec. 301. Amendment to the Public Health Service Act. 
‘‘Subtitle A—Diversifying the Healthcare Workplace 
‘‘Sec. 2911. Report on workforce Diversity. 
‘‘Sec. 2912. National Working Group on Workforce Diversity. 
‘‘Sec. 2913. Technical Clearinghouse for Health workforce Diversity. 
‘‘Sec. 2914. Evaluation of workforce Diversity initiatives. 
‘‘Sec. 2915. Data collection and reporting by Health professional schools. 
‘‘Sec. 2916. Support for Institutions committed to workforce Diversity. 
‘‘Sec. 2917. Career development for scientists and researchers.
‘‘Sec. 2918. Career support for non-research Health professionals. 
‘‘Sec. 2919. Research on the effect of workforce Diversity on quality. 
‘‘Sec. 2920. Health disparities education Program. 
‘‘Sec. 2920A. Cultural competence training for Healthcare professionals. 
Sec. 302. Health Careers Opportunity Program. 
Sec. 303. Program of excellence in Health professions education for underrep-
resented minorities. 
Sec. 304. Hispanic-Serving Health Professions Schools. 
‘‘Sec. 742. Hispanic-Serving Health Professions Schools. 
Sec. 305. Health professions student loan fund; authorizations of appropria-
tions regarding students from disadvantaged backgrounds. 
Sec. 306. National Health Service Corps; recruitment and fellowships for indi-
viduals from disadvantaged backgrounds. 
Sec. 307. Loan repayment Program of Centers for Disease Control and Preven-
tion. 
Sec. 308. Cooperative agreements for online degree programs at schools of Pub-
lic Health and schools of allied Health. 
‘‘Sec. 743. Cooperative agreements for online degree programs. 
Sec. 309. Mid-career Health professions scholarship Program. 
‘‘Sec. 744. Mid-career Health professions scholarship Program. 
Sec. 310. Strengthening and expanding rural Health provider networks. 
Sec. 311. National report on the preparedness of Health professionals to care 
for diverse populations. 
Sec. 312. Scholarship and fellowship programs. 
‘‘Sec. 2920B. David Satcher Public Health and Health Services Corps. 
‘‘Sec. 2920C. Louis Stokes Public Health Scholars Program. 
‘‘Sec. 2920D. Patsy Mink Health and Gender Research Fellowship Pro-
gram. 
‘‘Sec. 2920E. Paul David Wellstone International Health Fellowship Pro-
gram. 
‘‘Sec. 2920F. Edward R. Roybal Healthcare Scholar Program. 
Sec. 313. Advisory Committee on Health Professions Training for Diversity. 
Sec. 314. Mcnair postbaccalaureate achievement Program. 
TITLE IV—REDUCING DISEASE AND DISEASE-RELATED 
COMPLICATIONS 
Subtitle A—Education and Outreach 
Sec. 401. Preventive Health services block grants; use of allotments. 
Sec. 402. Indigenous, racial and ethnic approaches to community Health. 
Sec. 403. Grants to promote positive Health behaviors in women. 
‘‘Sec. 399O. Grants to promote positive Health behaviors in women. 
Sec. 404. Provisions regarding National Asthma Education and Prevention 
Program of national heart, lung, and Blood Institute. 
Sec. 405. Asthma-related activities of Centers for Disease Control and Preven-
tion. 
Sec. 406. Grants for community outreach regarding asthma information, edu-
cation, and services. 
Sec. 407. Action plans of local educational agencies regarding asthma. 
Sec. 408. Programs of Centers for Disease Control and Prevention. 
‘‘Sec. 317H. Diabetes in children and youth. 
Sec. 409. Research with respect to uterine fibroids. 
Sec. 410. Information and education with respect to uterine fibroids. 
Subtitle B—Research and Training
Sec. 431. Innovative chronic disease management programs. 
Sec. 432. Research funding for autoimmune disease in minority populations. 
‘‘Sec. 490E–1. Research funding for autoimmune disease in minority pop-
ulations. 
Sec. 433. Research on effective messages for combatting stigma. 
Subtitle C—Innovative Treatment Modalities and Services Delivery Models 
Sec. 441. Guidelines for disease screening for minority patients. 
Sec. 442. Cancer reduction. 
‘‘Subtitle B—Reducing Disease and Disease-Related Complications 
‘‘Sec. 2921. Cancer prevention and treatment for underserved minority or 
other populations. 
Sec. 443. Monitoring the quality of and disparities in diabetes care. 
‘‘Sec. 904. Areas of special emphasis. 
Sec. 444. Diabetes prevention, treatment, and control. 
Sec. 445. Genetics of diabetes. 
‘‘Sec. 430A. Genetics of diabetes. 
Sec. 446. Research and training on diabetes in underserved and minority popu-
lations. 
‘‘Sec. 434B. Research on diabetes in underserved and minority popu-
lations. 
Sec. 447. Authorization of appropriations. 
‘‘Sec. 434C. Authorization of appropriations. 
Sec. 448. Prevention and control of sexually transmitted diseases. 
Sec. 449. Model community diabetes and chronic disease care and prevention 
among Pacific Islanders and Native Hawaiians. 
‘‘Sec. 399P. Model community diabetes and chronic disease care and pre-
vention among Pacific Islanders and Native Hawaiians. 
Sec. 450. Grants to improve the provision of dental services under Medicaid 
and SCHIP. 
‘‘Sec. 511. Grants to improve the provision of dental services under Med-
icaid and SCHIP. 
Sec. 451. State option to provide wrap-around SCHIP coverage to children who 
have other Health coverage. 
Sec. 452. Grants to improve the provision of dental Health services through 
community Health Centers and public Health departments. 
‘‘Sec. 329. Grant Program to expand the availability of services. 
Sec. 453. Priority substance abuse treatment needs of regional and national 
significance. 
Sec. 454. Fetal Alcohol Syndrome. 
‘‘Sec. 2922. Fetal Alcohol Syndrome. 
Sec. 455. HIV/AIDS reduction. 
‘‘Sec. 2923. HIV/AIDS reduction in the minority community. 
Sec. 456. Systems for heart disease and stroke. 
‘‘Sec. 2924. Heart disease. 
‘‘Sec. 2925. Stroke education campaign. 
Subtitle D—Studies, Reports, and Plans 
Sec. 461. IOM study request. 
Sec. 462. Strategic plan. 
Sec. 463. Advisory Council for the Elimination of Tuberculosis. 
Sec. 464. National Program for tuberculosis elimination.