177 
(i) ADMINISTRATIVE BURDENS.—The Secretary shall 
make every effort to minimize duplicative or unnecessary 
administrative burdens on grantees in the process of ap-
plying for grants under subsection (d), (e), or (f). 
(j) REPORT.—Not later than September 30, 2009, 
the Secretary shall publish a report that describes the ex-
tent to which the activities funded under this section have 
been successful in reducing and eliminating disparities in 
health and healthcare in targeted populations, and pro-
vides examples of best practices or model programs funded 
under this section. 
(k) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated such sums as may be nec-
essary to carry out this section for each of fiscal years 
2007 through 2012. 
SEC. 403. GRANTS TO PROMOTE POSITIVE HEALTH BEHAV-
IORS IN WOMEN. 
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. 399O. GRANTS TO PROMOTE POSITIVE HEALTH BE-
HAVIORS IN WOMEN. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, in col-
laboration with the Director of the Centers for Disease 
Control and Prevention and other Federal officials deter-
178 
mined appropriate by the Secretary, is authorized to 
award grants to States or local or tribal units, to promote 
positive health behaviors for women in target populations, 
especially racial and ethnic minority women in medically 
underserved communities. 
‘‘(b) USE OF FUNDS.—Grants awarded pursuant to 
subsection (a) may be used to support community health 
workers— 
‘‘(1) to educate, guide, and provide outreach in 
a community setting regarding health problems prev-
alent among women including racial and ethnic mi-
nority women; 
‘‘(2) to educate, guide, and provide experiential 
learning opportunities that target behavioral risk 
factors; 
‘‘(3) to educate and guide regarding effective 
strategies to promote positive health behaviors with-
in 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;
179 
‘‘(5) to promote community wellness and aware-
ness; and 
‘‘(6) to educate and refer target populations to 
appropriate health care agencies and community- 
based programs and organizations in order to in-
crease access to quality health care services, includ-
ing preventive health services. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—Each State or local or trib-
al unit (including federally recognized tribes and 
Alaska native villages) that desires to receive a grant 
under subsection (a) shall submit an application to 
the Secretary, at such time, in such manner, and ac-
companied by such additional information as the 
Secretary may require. 
‘‘(2) CONTENTS.—Each application submitted 
pursuant to paragraph (1) shall— 
‘‘(A) describe the activities for which as-
sistance under this section is sought; 
‘‘(B) contain an assurance that with re-
spect to each community health worker pro-
gram receiving funds under the grant awarded, 
such program provides training and supervision 
to community health workers to enable such 
workers to provide authorized program services;
180 
‘‘(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 description and results to 
other States and organizations as identified by 
the Secretary; and 
‘‘(F) describe plans to enhance the capac-
ity of individuals to utilize health services and 
health-related social services under Federal, 
State, and local programs by— 
‘‘(i) assisting individuals in estab-
lishing eligibility under the programs and 
in receiving the services or other benefits 
of the programs; and 
‘‘(ii) providing other services as the 
Secretary determines to be appropriate, 
that may include transportation and trans-
lation services.
181 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Secretary shall give priority to those appli-
cants— 
‘‘(1) who propose to target geographic areas— 
‘‘(A) with a high percentage of residents 
who are eligible for health insurance but are 
uninsured or underinsured; 
‘‘(B) with a high percentage of families for 
whom English is not their primary language; 
and 
‘‘(C) that encompass the United States- 
Mexico border region; 
‘‘(2) with experience in providing health or 
health-related social services to individuals who are 
underserved with respect to such services; and 
‘‘(3) with documented community activity and 
experience with community health workers. 
‘‘(e) COLLABORATION WITH ACADEMIC INSTITU-
TIONS.—The Secretary shall encourage community health 
worker programs receiving funds under this section to col-
laborate with academic institutions. Nothing in this sec-
tion shall be construed to require such collaboration. 
‘‘(f) QUALITY ASSURANCE
AND COST-EFFECTIVE-
NESS.—The Secretary shall establish guidelines for assur-
ing the quality of the training and supervision of commu-
182 
nity health workers under the programs funded under this 
section and for assuring the cost-effectiveness of such pro-
grams. 
‘‘(g) MONITORING.—The Secretary shall monitor 
community health worker programs identified in approved 
applications and shall determine whether such programs 
are in compliance with the guidelines established under 
subsection (e). 
‘‘(h) TECHNICAL ASSISTANCE.—The Secretary may 
provide technical assistance to community health worker 
programs identified in approved applications with respect 
to planning, developing, and operating programs under the 
grant. 
‘‘(i) REPORT TO CONGRESS.— 
‘‘(1) IN
GENERAL.—Not later than 4 years 
after the date on which the Secretary first awards 
grants under subsection (a), the Secretary shall sub-
mit to Congress a report regarding the grant 
project. 
‘‘(2) CONTENTS.—The report required under 
paragraph (1) shall include the following: 
‘‘(A) A description of the programs for 
which grant funds were used. 
‘‘(B) The number of individuals served. 
‘‘(C) An evaluation of—