H. R. 1812—3 
in their applications plans to utilize patient navigator services 
to overcome significant barriers in order to improve health care 
outcomes in their respective communities. 
‘‘(h) DUPLICATION
OF SERVICES.—An eligible entity that is 
receiving Federal funds for activities described in subsection (b) 
on the date on which the entity submits an application under 
subsection (e) may not receive a grant under this section unless 
the entity can demonstrate that amounts received under the grant 
will be utilized to expand services or provide new services to individ-
uals who would not otherwise be served. 
‘‘(i) COORDINATION WITH OTHER PROGRAMS.—The Secretary 
shall ensure coordination of the demonstration grant program under 
this section with existing authorized programs in order to facilitate 
access to high-quality health care services. 
‘‘(j) STUDY; REPORTS.— 
‘‘(1) FINAL REPORT BY SECRETARY.—Not later than 6 months 
after the completion of the demonstration grant program under 
this section, the Secretary shall conduct a study of the results 
of the program and submit to the Congress a report on such 
results that includes the following: 
‘‘(A) 
An 
evaluation 
of 
the 
program 
outcomes, 
including— 
‘‘(i) quantitative analysis of baseline and bench-
mark measures; and 
‘‘(ii) aggregate information about the patients 
served and program activities. 
‘‘(B) Recommendations on whether patient navigator 
programs could be used to improve patient outcomes in 
other public health areas. 
‘‘(2) INTERIM REPORTS BY SECRETARY.—The Secretary may 
provide interim reports to the Congress on the demonstration 
grant program under this section at such intervals as the 
Secretary determines to be appropriate. 
‘‘(3) REPORTS BY GRANTEES.—The Secretary may require 
grant recipients under this section to submit interim and final 
reports on grant program outcomes. 
‘‘(k) RULE OF CONSTRUCTION.—This section shall not be con-
strued to authorize funding for the delivery of health care services 
(other than the patient navigator duties listed in subsection (b)). 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means a public or nonprofit 
private health center (including a Federally qualified health 
center (as that term is defined in section 1861(aa)(4) of the 
Social Security Act)), a health facility operated by or pursuant 
to a contract with the Indian Health Service, a hospital, a 
cancer center, a rural health clinic, an academic health center, 
or a nonprofit entity that enters into a partnership or coordi-
nates referrals with such a center, clinic, facility, or hospital 
to provide patient navigator services. 
‘‘(2) The term ‘health disparity population’ means a popu-
lation that, as determined by the Secretary, has a significant 
disparity in the overall rate of disease incidence, prevalence, 
morbidity, mortality, or survival rates as compared to the 
health status of the general population. 
‘‘(3) The term ‘patient navigator’ means an individual who 
has completed a training program approved by the Secretary 
to perform the duties listed in subsection (b). 
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H. R. 1812—4 
‘‘(m) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN
GENERAL.—To carry out this section, there are 
authorized to be appropriated $2,000,000 for fiscal year 2006, 
$5,000,000 for fiscal year 2007, $8,000,000 for fiscal year 2008, 
$6,500,000 for fiscal year 2009, and $3,500,000 for fiscal year 
2010. 
‘‘(2) AVAILABILITY.—The amounts appropriated pursuant to 
paragraph (1) shall remain available for obligation through 
the end of fiscal year 2010.’’. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate. 
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