on Appropriations of the House of Representatives, and
to the Committee on Labor and Human Resources and
the Committee on Appropriations of the Senate,’’.
(d) CONFORMING AMENDMENT.—Section 1707(b) of
the Public Health Service Act (42 U.S.C. 300u-6(b)) is
amended in the matter preceding paragraph (1) by strik-
ing ‘‘racial and ethnic minorities’’ and inserting ‘‘racial
and ethnic minority groups’’.
SEC. 3. ESTABLISHMENT OF INDIVIDUAL OFFICES OF MI-
NORITY HEALTH WITHIN AGENCIES OF PUB-
LIC HEALTH SERVICE.
Title XVII of the Public Health Service Act (42
U.S.C. 300u et seq.), as amended by section 302 of Public
Law 102–531 (106 Stat. 3483), is amended by inserting
after section 1707 the following section:
‘‘INDIVIDUAL OFFICES OF MINORITY HEALTH WITHIN
PUBLIC HEALTH SERVICE
‘‘SEC. 1707A. (a) IN GENERAL.—The head of each
agency specified in subsection (b)(1) shall establish within
the agency an office to be known as the Office of Minority
Health. Each such Office shall be headed by a director,
who shall be appointed by the head of the agency within
which the Office is established and who shall report di-
rectly to the head of the agency. The head of such agency
shall carry out this section (as this section relates to the
agency) acting through such Director.
‘‘(b) SPECIFIED AGENCIES.—
‘‘(1) IN GENERAL.—The agencies referred to in
subsection (a) are the following:
‘‘(A) The Centers for Disease Control and
Prevention.
‘‘(B) The Agency for Health Care Policy
and Research.
‘‘(C) The Health Resources and Services
Administration.
‘‘(D) The Substance Abuse and Mental
Health Services Administration.
‘‘(2) NATIONAL INSTITUTES OF HEALTH.—For
purposes of subsection (c) and the subsequent provi-
sions of this section, the term ‘minority health of-
fice’’ includes the Office of Research on Minority
Health established within the National Institutes of
Health. The Director of the National Institutes of
Health shall carry out this section (as this section
relates to the agency) acting through the Director of
such Office.
‘‘(c) COMPOSITION.—The head of each specified
agency shall ensure that the officers and employees of the
minority health office of the agency are, collectively, expe-
rienced in carrying out community-based health programs
for each of the various racial and ethnic minority groups
and subgroups that are present in significant numbers in
the United States. The head of such agency shall ensure
that, of such officers and employees who are members of
racial and ethnic minority groups, no such group is dis-
proportionately represented.
‘‘(d) COLLABORATION WITH SECRETARY’S OFFICE
OF MINORITY HEALTH.—In carrying out section 1707 re-
garding a specified agency, the Secretary shall collaborate
with the Director of the minority health office of the agen-
cy. With respect to the health concerns of individuals who
are members of racial or ethnic minority groups, the ac-
tivities with respect to which such Director collaborates
under the preceding sentence shall be—
‘‘(1) establishing short-range and long-range
goals and objectives;
‘‘(2) coordinating all other activities within the
agency that relate to programs regarding the pre-
vention of diseases; the promotion of health; the de-
livery of health services; research; the health profes-
sions; and training and technical assistance regard-
ing such programs; and
‘‘(3) all other activities carried out under sec-
tion 1707.
‘‘(e) MONITORING
OF AGENCY PROGRAMS.—Each
Director of a minority health office shall monitor the pro-
grams of the specified agency of such office in order to—
‘‘(1) determine the extent to which the purposes
of the programs are being carried out with respect
to racial and ethnic minority groups;
‘‘(2) determine the extent to which members of
such groups are represented among the Federal offi-
cers and employees who administer the programs;
and
‘‘(3) make recommendations to the head of
such agency on carrying out the programs with re-
spect to such groups.
‘‘(f) REPORTS.—The head of each specified agency
shall submit to the Secretary a biennial report describ-
ing—
‘‘(1) the extent to which the minority health of-
fice of the agency employs individuals who are mem-
bers of racial and ethnic minority groups, including
a specification by racial and ethnic minority group
of the number of such individuals employed by such
office; and
‘‘(2) the extent to which the agency has com-
plied with Public Law 94–311 (relating to data on
Americans of Spanish origin or descent).
‘‘(g) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘‘minority health office’’ means
an office established under subsection (a), subject to
subsection (b)(2).
‘‘(2) The term ‘racial or ethnic minority group’
has the meaning given such term in section 1707(g).
‘‘(3) The term ‘specified agency’ means—
‘‘(A) an agency specified in subsection
(b)(1); and
‘‘(B) the National Institutes of Health.
‘‘(h) AUTHORIZATIONS OF APPROPRIATIONS.—
‘‘(1) INDIVIDUAL
AUTHORIZATIONS.—For the
purpose of carrying out activities under this section
through the minority health offices of the specified
agencies, there is authorized to be appropriated for
each such office for each of the fiscal years 1994
through 1996 an amount equal to 5 percent of the
amount appropriated for the preceding fiscal year
for the specified agency of such office, or
$3,000,000, whichever is greater.
‘‘(2) AVAILABILITY
OF
FUNDS
FOR
STAFF-
ING.—The purposes for which amounts appropriated
under paragraph (1) may be expended by a minority
health office include the costs of employing staff for
such office.’’.
SEC. 4. EQUITABLE ALLOCATIONS REGARDING CERTAIN
PROGRAMS.
(a) GENERALLY APPLICABLE PROVISIONS.—
(1) INCREASE IN AUTHORIZATIONS OF APPRO-
PRIATIONS.—
(A) For the purpose of carrying out the
programs specified in subparagraph (B), there
is authorized to be appropriated for each such
program for each of the fiscal years 1994
through 1996 an amount to 10 percent of the
amount appropriated for the program for fiscal
year 1993. The authorization established in the
preceding sentence for such a program for a fis-
cal year is in addition to any other authoriza-
tion of appropriations that is available for such
purpose.
(B) The programs referred to in subpara-
graph (A) are the following sections of the Pub-
lic Health Service Act: Section 340A, section
724, section 737, section 738(a), 738(b), and
740.
(2) PEER REVIEW.—
(A) In carrying out the designated pro-
grams, the Secretary shall ensure that each ap-
plication for any grant, cooperative agreement,
or contract authorized for the program is sub-
mitted to a peer review group for an evaluation
of the merits of the proposals made in the ap-
plication. The Secretary may not approve such
an application unless a peer review group has
recommended the application for approval.
(B) Each peer review group under sub-
paragraph (A) shall be composed principally of
individuals who are not officers or employees of
the Federal Government. Each such group shall
be composed of individuals who are experienced
in carrying out community-based health pro-
grams for each of the various racial and ethnic
minority groups and subgroups that are present
in significant numbers in the United States.
The Secretary shall ensure that, of individuals
comprising the peer review groups who are
members of racial and ethnic minority groups,
no racial or ethnic minority group is dispropor-
tionately represented.
(3) OUTREACH.—With respect to awards of
grants and contracts that are available under the
designated programs, the Secretary shall carry out a
program—
(A) to inform entities, as appropriate, that
the entities may be eligible for the awards;
(B) to provide technical assistance to such
entities in the process of preparing and submit-
ting applications for the awards in accordance
with the policies of the Secretary regarding
such applications; and
(C) to inform populations, as appropriate,
that members of the populations may be eligible
to receive services or otherwise participate in
the activities carried out with such awards.
(4) DEFINITIONS.—For purposes of this sub-
section:
(A) The term ‘racial or ethnic minority
group’ has the meaning given such term in sec-
tion 1707(g) of the Public Health Service Act.
(B) The term ‘‘designated program’’
means a program specified in paragraph (1)(B).
(C) The term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services.
(b) EQUITABLE ALLOCATIONS REGARDING RACIAL
AND ETHNIC GROUPS.—Section 1707 of the Public
Health Service Act, as amended by section 2 of this Act,
is amended—
(1) by redesignating subsections (c) through (e)
as subsections (d) through (f), respectively;
(2) in subsection (d) (as so redesignated)—
(A) by striking paragraph (1); and
(B) by redesignating paragraphs (2) and
(3) as paragraphs (1) and (2), respectively; and
(3) by inserting after subsection (b) the follow-
ing subsection:
‘‘(c) EQUITABLE ALLOCATIONS.—
‘‘(1) APPLICABILITY
TO
DESIGNATED
PRO-
GRAMS.—
‘‘(A) This subsection applies—
‘‘(i) to activities carried out under any
program established under this section;
and
‘‘(ii) to activities carried out under
any program of this Act that specifies that
this subsection is applicable to the pro-
gram (subject to such limitations as may
be established for the program involved).
‘‘(B) With respect to a designated pro-
gram, this subsection shall be carried out by the
Secretary, acting through the head of the agen-
cy that carries out the program.
‘‘(2) EQUITABLE
ALLOCATIONS.—In carrying
out activities under a designated program on behalf
of members of racial or ethnic minority groups, the
Secretary shall ensure that the activities are equi-
tably allocated among the various groups. In carry-
ing out the preceding sentence, the Secretary shall,
in the case of such a group, consider the following
factors:
‘‘(A) The extent to which the group has a
disproportionate incidence or prevalence of any
health condition relative to the incidence and
prevalence of the condition in the general popu-
lation.
‘‘(B) The extent to which there is evidence
that there has been discrimination against the
group on the basis of race or national origin.
‘‘(C) The percentage constituted by the
ratio of the number of individuals who are
members of the group to the number of individ-
uals in the general population.
‘‘(3) REPORTS.—
‘‘(A) Subject to subparagraph (C), not
later than February 1 of fiscal year 1995 and
of each subsequent fiscal year, the Secretary
shall submit to the Committee on Energy and
Commerce and the Committee on Appropria-
tions of the House of Representatives, and to
the Committee on Labor and Human Resources
and the Committee on Appropriations of the
Senate, a report describing the allocations that,
under paragraph (2), were made for the preced-
ing fiscal year under each designated program.
‘‘(B) A report under subparagraph (A)
shall specify the methodology that was used to
make the allocations involved, the total amount
that was expended on behalf of each of the ra-
cial and ethnic minority groups involved, and
the total amount that was expended to employ
staff to make the allocations.
‘‘(C) With respect to reports under sub-
paragraph (A), in any case in which a des-
ignated program is otherwise subject to a re-
quirement that annual reports concerning the
program be submitted to the Committees speci-
fied in such subparagraph, the reports under
such subparagraph may be incorporated into
such other reports.
‘‘(4) DEFINITIONS.—For purposes of this sub-
section:
‘‘(A) 
The 
term 
‘designated 
program’
means a program to which this subsection ap-
plies, as indicated pursuant to paragraph (1).