183 
‘‘(i) the effectiveness of these pro-
grams; 
‘‘(ii) the cost of these programs; and 
‘‘(iii) the impact of the project on the 
health outcomes of the community resi-
dents. 
‘‘(D) Recommendations for sustaining the 
community health worker programs developed 
or assisted under this section. 
‘‘(E) Recommendations regarding training 
to enhance career opportunities for community 
health workers. 
‘‘(j) DEFINITIONS.—In this section: 
‘‘(1) COMMUNITY HEALTH WORKER.—The term 
‘community health worker’ means an individual who 
promotes health or nutrition within the community 
in which the individual resides— 
‘‘(A) by serving as a liaison between com-
munities and health care agencies; 
‘‘(B) by providing guidance and social as-
sistance to community residents; 
‘‘(C) by enhancing community residents’ 
ability to effectively communicate with health 
care providers;
184 
‘‘(D) by providing culturally and linguis-
tically appropriate health or nutrition edu-
cation; 
‘‘(E) by advocating for individual and com-
munity health or nutrition needs; and 
‘‘(F) by providing referral and follow-up 
services. 
‘‘(2) COMMUNITY SETTING.—The term ‘commu-
nity setting’ means a home or a community organi-
zation located in the neighborhood in which a partic-
ipant resides. 
‘‘(3) MEDICALLY UNDERSERVED COMMUNITY.— 
The term ‘medically underserved community’ means 
a community identified by a State— 
‘‘(A) that has a substantial number of in-
dividuals who are members of a medically un-
derserved population, as defined by section 
330(b)(3); and 
‘‘(B) a significant portion of which is a 
health professional shortage area as designated 
under section 332. 
‘‘(4) SUPPORT.—The term ‘support’ means the 
provision of training, supervision, and materials 
needed to effectively deliver the services described in
185 
subsection (b), reimbursement for services, and 
other benefits. 
‘‘(5) TARGET POPULATION.—The term ‘target 
population’ means women of reproductive age, re-
gardless of their current childbearing status. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2007 through 2012.’’. 
SEC. 404. PROVISIONS REGARDING NATIONAL ASTHMA 
EDUCATION AND PREVENTION PROGRAM OF 
NATIONAL HEART, LUNG, AND BLOOD INSTI-
TUTE. 
In addition to any other authorization of appropria-
tions that is available to the National Heart, Lung, and 
Blood Institute for the purpose of carrying out the Na-
tional Asthma Education and Prevention Program, there 
is authorized to be appropriated to such Institute for such 
purpose such sums as may be necessary for each of fiscal 
years 2007 through 2012. Amounts appropriated under 
the preceding sentence shall be expended to expand such 
Program.
186 
SEC. 405. ASTHMA-RELATED ACTIVITIES OF CENTERS FOR 
DISEASE CONTROL AND PREVENTION. 
(a) EXPANSION OF PUBLIC HEALTH SURVEILLANCE 
ACTIVITIES; PROGRAM
FOR PROVIDING INFORMATION 
AND EDUCATION TO PUBLIC.—The Secretary of Health 
and Human Services, acting through the Director of the 
Centers for Disease Control and Prevention, shall collabo-
rate with the States to expand the scope of— 
(1) activities that are carried out to determine 
the incidence and prevalence of asthma; and 
(2) activities that are carried out to prevent the 
health consequences of asthma, including through 
the provision of information and education to the 
public regarding asthma, which may include the use 
of public service announcements through the media 
and such other means as such Director determines 
to be appropriate. 
(b) COMPILATION
OF
DATA.—The Secretary of 
Health and Human Services, acting through the Director 
of the Centers for Disease Control and Prevention and in 
consultation with the National Asthma Education Preven-
tion Program Coordinating Committee, shall— 
(1) conduct local asthma surveillance activities 
to collect data on the prevalence and severity of 
asthma and the quality of asthma management, in-
cluding—
187 
(A) telephone surveys to collect sample 
household data on the local burden of asthma; 
and 
(B) health care facility specific surveillance 
to collect asthma data on the prevalence and se-
verity of asthma, and on the quality of asthma 
care; and 
(2) compile and annually publish data on— 
(A) the prevalence of children suffering 
from asthma in each State; and 
(B) the childhood mortality rate associated 
with asthma nationally and in each State. 
(c) ADDITIONAL FUNDING.—In addition to any other 
authorization of appropriations that is available to the 
Centers for Disease Control and Prevention for the pur-
pose of carrying out this section, there is authorized to 
be appropriated to such Centers for such purpose such 
sums as may be necessary for each of fiscal years 2007 
through 2012. 
SEC. 406. GRANTS FOR COMMUNITY OUTREACH REGARD-
ING 
ASTHMA 
INFORMATION, 
EDUCATION, 
AND SERVICES. 
(a) IN GENERAL.—The Secretary may make grants 
to nonprofit private entities for projects to carry out, in 
communities identified by entities applying for the grants,
188 
outreach activities to provide for residents of the commu-
nities the following: 
(1) Information and education on asthma. 
(2) Referrals to health programs of public and 
nonprofit private entities that provide asthma-re-
lated services, including such services for low-income 
individuals. The grant may be expended to make ar-
rangements to coordinate the activities of such enti-
ties in order to establish and operate networks or 
consortia regarding such referrals. 
(b) PREFERENCES IN MAKING GRANTS.—In making 
grants under subsection (a), the Secretary shall give pref-
erence to applicants that will carry out projects under such 
subsection in communities that are disproportionately af-
fected by asthma or underserved with respect to the activi-
ties described in such subsection and in which a significant 
number of low-income individuals reside. 
(c) EVALUATIONS.—A condition for a grant under 
subsection (a) is that the applicant for the grant agree 
to provide for the evaluation of the projects carried out 
under such subsection by the applicant to determine the 
extent to which the projects have been effective in carrying 
out the activities referred to in such subsection. 
(d) FUNDING.—For the purpose of carrying out this 
section, there is authorized to be appropriated such sums
189 
as may be necessary for each of fiscal years 2007 through 
2012. 
SEC. 407. ACTION PLANS OF LOCAL EDUCATIONAL AGEN-
CIES REGARDING ASTHMA. 
(a) IN GENERAL.— 
(1) SCHOOL-BASED ASTHMA ACTIVITIES.—The 
Secretary of Education (in this section referred to as 
the ‘‘Secretary’’), in consultation with the Director 
of the Centers for Disease Control and Prevention 
and the Director of the National Institutes of 
Health, may make grants to local educational agen-
cies for programs to carry out at elementary and 
secondary schools specified in paragraph (2) asthma- 
related activities for children who attend such 
schools. 
(2) ELIGIBLE SCHOOLS.—The elementary and 
secondary schools referred to in paragraph (1) are 
such schools that are located in communities with a 
significant number of low-income or underserved in-
dividuals (as defined by the Secretary). 
(b) DEVELOPMENT OF PROGRAMS.—Programs under 
subsection (a) shall include grants under which local edu-
cation agencies and State public health officials collabo-
rate to develop programs to improve the management of 
asthma in school settings.
190 
(c) CERTAIN GUIDELINES.—Programs under sub-
section (a) shall be carried out in accordance with applica-
ble guidelines or other recommendations of the National 
Institutes of Health (including the National Heart, Lung, 
and Blood Institute) and the Environmental Protection 
Agency. 
(d) CERTAIN ACTIVITIES.—Activities that may be 
carried out in programs under subsection (a) include the 
following: 
(1) Identifying and working directly with local 
hospitals, community clinics, advocacy organizations, 
parent-teacher associations, minority health organi-
zations, and asthma coalitions. 
(2) Identifying asthmatic children and training 
them and their families in asthma self-management. 
(3) Purchasing asthma equipment. 
(4) Hiring school nurses. 
(5) Training teachers, nurses, coaches, and 
other school personnel in asthma-symptom recogni-
tion and emergency responses. 
(6) Simplifying procedures to improve students’ 
safe access to their asthma medications. 
(7) Such other asthma-related activities as the 
Secretary determines to be appropriate.
191 
(e) DEFINITIONS.—For purposes of this section, the 
terms ‘‘elementary school’’, ‘‘local educational agency’’, 
and ‘‘secondary school’’ have the meanings given such 
terms in the Elementary and Secondary Education Act of 
1965. 
(f) FUNDING.—For the purpose of carrying out this 
section, there is authorized to be appropriated such sums 
as may be necessary for each of fiscal years 2007 through 
2012. 
SEC. 408. PROGRAMS OF CENTERS FOR DISEASE CONTROL 
AND PREVENTION. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by striking section 
317H and inserting the following: 
‘‘SEC. 317H. DIABETES IN CHILDREN AND YOUTH. 
‘‘(a) SURVEILLANCE ON TYPE 1 DIABETES.—The 
Secretary, acting through the Director of the Centers for 
Disease Control and Prevention and in consultation with 
the Director of the National Institutes of Health, shall de-
velop a sentinel system to collect data on type 1 diabetes, 
including the incidence and prevalence of type 1 diabetes 
and shall establish a national database for such data. 
‘‘(b) TYPE 2 DIABETES IN YOUTH.—The Secretary 
shall implement a national public health effort to address 
type 2 diabetes in youth, including—
192 
‘‘(1) enhancing surveillance systems and ex-
panding research to better assess the prevalence and 
incidence of type 2 diabetes in youth and determine 
the extent to which type 2 diabetes is incorrectly di-
agnosed as type 1 diabetes among children; 
‘‘(2) standardizing and improving methods to 
assist in diagnosis, treatment, and prevention of dia-
betes including developing less invasive ways to mon-
itor blood glucose to prevent hypoglycemia such as 
nonmydriatic retinal imaging and improving existing 
glucometers that measure blood glucose; and 
‘‘(3) developing methods to identify obstacles 
facing children in traditionally underserved popu-
lations to obtain care to prevent or treat type 2 dia-
betes. 
‘‘(c) LONG-TERM EPIDEMIOLOGICAL STUDIES ON DI-
ABETES IN CHILDREN.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention and the Director of the National Institute of Dia-
betes and Digestive and Kidney Diseases, shall conduct 
or support long-term epidemiology studies in children with 
diabetes or at risk for diabetes. Such studies shall inves-
tigate the causes and characteristics of the disease and 
its complications.
193 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2007 through 2012.’’. 
SEC. 
409. 
RESEARCH 
WITH 
RESPECT 
TO 
UTERINE 
FIBROIDS. 
(a) IN GENERAL.—The Director of the National In-
stitutes of Health (in this section referred to as the ‘‘Di-
rector of NIH’’) shall expand, intensify, and coordinate 
programs for the conduct and support of research with 
respect to uterine fibroids. 
(b) ADMINISTRATION.— 
(1) IN GENERAL.—The Director of NIH shall 
carry out this section through the appropriate insti-
tutes, offices, and centers, including the National In-
stitute of Child Health and Human Development, 
the National Institute of Environmental Health 
Sciences, the Office of Research on Women’s Health, 
the National Center on Minority Health and Health 
Disparities, and any other agencies that the Director 
of NIH determines to be appropriate. 
(2) COORDINATION OF ACTIVITIES.—The Office 
of Research on Women’s Health shall coordinate ac-
tivities under paragraph (1) among the institutes,
194 
offices, and centers of the National Institutes of 
Health. 
(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for 
each of the fiscal years 2007 through 2012. 
SEC. 410. INFORMATION AND EDUCATION WITH RESPECT 
TO UTERINE FIBROIDS. 
(a) UTERINE FIBROIDS PUBLIC EDUCATION PRO-
GRAM.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the 
‘‘Secretary’’), acting through the Director of the 
Centers for Disease Control and Prevention, shall 
develop and disseminate to the public information 
regarding uterine fibroids, including information 
on— 
(A) the incidence and prevalence of uterine 
fibroids; 
(B) the elevated risk for minority women; 
and 
(C) the availability, as medically appro-
priate, of a range of treatment options for 
symptomatic uterine fibroids.
195 
(2) DISSEMINATION.—The Secretary may dis-
seminate information under paragraph (1) directly, 
or through arrangements with nonprofit organiza-
tions, consumer groups, institutions of higher edu-
cation (as defined in section 101 of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1001)), Federal, 
State, or local agencies, or the media. 
(3) AUTHORIZATION OF APPROPRIATIONS.—For 
the purpose of carrying out this subsection, there 
are authorized to be appropriated such sums as may 
be necessary for each of the fiscal years 2007 
through 2012. 
(b) UTERINE FIBROIDS INFORMATION PROGRAM FOR 
HEALTH CARE PROVIDERS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Administrator of the Health Resources 
and Services Administration, shall develop and dis-
seminate to health care providers information on 
uterine fibroids, including information on the ele-
vated risk for minority women and the range of 
available options for the treatment of symptomatic 
uterine fibroids. 
(2) AUTHORIZATION OF APPROPRIATIONS.—For 
the purpose of carrying out this subsection, there 
are authorized to be appropriated such sums as may
196 
be necessary for each of the fiscal years 2007 
through 2012. 
(c) DEFINITION.—For purposes of this section, the 
term ‘‘minority’’, with respect to women, means women 
who are members of racial or ethnic minority groups with-
in the meaning of section 1707 of the Public Health Serv-
ice Act (42 U.S.C. 300u–6). 
Subtitle B—Research and Training 
SEC. 431. INNOVATIVE CHRONIC DISEASE MANAGEMENT 
PROGRAMS. 
(a) IN GENERAL.—The Secretary, acting in coordina-
tion with the Administrator of the Centers for Medicare 
and Medicaid Services, the Administrator of the Health 
Resources and Services Administration, the Director of 
the National Institutes of Health, the Director of the Cen-
ters for Disease Control and Prevention, and the Director 
of the Office of Minority Health, shall award grants to 
eligible entities for the identification, implementation, and 
evaluation of programs for patients with chronic disease. 
(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
(1) be a health center or clinic, public health 
department, health plan, hospital, health system, 
community-based or non-profit organization, or
197 
other health entity determined appropriate by the 
Secretary; and 
(2) prepare and submit to the Secretary an ap-
plication at such time, in such manner, and con-
taining such information as the Secretary may re-
quire. 
(c) USE OF FUNDS.—An entity shall use amounts re-
ceived under a grant under subsection (a) to identify, im-
plement, and evaluate chronic disease management pro-
grams that are tailored for racially and ethnically diverse 
populations. In carrying out such activities, an entity shall 
focus on— 
(1) self-management training; 
(2) patient empowerment; 
(3) group visits; 
(4) community health workers; 
(5) case management; 
(6) work- and school-based interventions; 
(7) home visitation; or 
(8) other activities determined appropriate by 
the Secretary. 
(d) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2007 through 2012.
198 
SEC. 432. RESEARCH FUNDING FOR AUTOIMMUNE DISEASE 
IN MINORITY POPULATIONS. 
Part B of title IV of the Public Health Service Act 
is amended by inserting after section 409E (42 U.S.C. 
284i) the following: 
‘‘SEC. 490E–1. RESEARCH FUNDING FOR AUTOIMMUNE DIS-
EASE IN MINORITY POPULATIONS. 
‘‘(a) EXPANSION AND INTENSIFICATION OF ACTIVI-
TIES REGARDING AUTOIMMUNE DISEASES ON MINORI-
TIES.—With respect to the plan under section 409E(c)(1), 
the Coordinating Committee shall ensure that provisions 
of the plan developed under paragraph (2) of such sub-
section include provisions for the following: 
‘‘(1)(A) Basic research, epidemiological re-
search, and other appropriate research concerning 
the etiology and causes of autoimmune diseases in 
all minorities, including genetic, hormonal, and envi-
ronmental factors. 
‘‘(B)(i) Giving priority under subparagraph (A) 
to research regarding environmental factors. 
‘‘(ii) The coordination of (to the extent prac-
ticable and appropriate), and providing additional 
support for, research described in clause (i) that is 
conducted by public or nonprofit private entities. 
‘‘(2)(A) The development of information and 
education programs for patients, healthcare pro-
199 
viders, and others as appropriate on genetic, hor-
monal, and environmental risk factors associated 
with autoimmune diseases in minorities, and on the 
importance of the prevention or control of such risk 
factors and timely referral with appropriate diag-
nosis and treatment. 
‘‘(B) The inclusion in programs under subpara-
graph (A) of information and education on the prev-
alence and nature of autoimmune diseases, on risk 
factors, and on health-related behaviors that can im-
prove health status in minority populations. 
‘‘(3) Outreach programs for purposes of para-
graphs (1) and (2) that— 
‘‘(A) are directed toward minority individ-
uals, particularly those who are at-risk for auto-
immune diseases; and 
‘‘(B) are carried out through community 
health centers, community clinics, or other 
health centers under section 330, through 
State, territory, or local health departments, In-
dian tribes, or through primary care physicians. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2007 through 2012.’’.
200 
SEC. 433. RESEARCH ON EFFECTIVE MESSAGES FOR COM-
BATTING STIGMA. 
(a) RESEARCH.—The Administrator of the Substance 
Abuse and Mental Health Services Administration (in this 
section referred to as the ‘‘Administrator’’) , in collabora-
tion with the Director of the National Institute of Mental 
Health, shall conduct research to determine— 
(1) the most effective messages for combating 
stigma in communities of color; and 
(2) the most effective media through which to 
convey those messages. 
(b) MEDIA.—In making a determination under sub-
section (a)(2), the Administrator shall consider a diverse 
selection of media, including— 
(1) newspapers; 
(2) radio and television stations, including sta-
tions in languages other than English; 
(3) posters or pamphlets in community health 
centers, emergency rooms, and primary health care 
settings; and 
(4) outreach in schools.
201 
Subtitle C—Innovative Treatment 
Modalities and Services Deliv-
ery Models 
SEC. 441. GUIDELINES FOR DISEASE SCREENING FOR MI-
NORITY PATIENTS. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the Agency for Healthcare Research and Qual-
ity, shall convene a series of meetings to develop guidelines 
for disease screening for minority patient populations 
which have a higher than average risk for many chronic 
diseases and cancers. 
(b) PARTICIPANTS.—In convening meetings under 
subsection (a), the Secretary shall ensure that meeting 
participants include representatives of— 
(1) professional societies and associations; 
(2) minority health organizations; 
(3) healthcare researchers and providers, in-
cluding those with expertise in minority health; 
(4) Federal health agencies, including the Of-
fice of Minority Health and the National Institutes 
of Health; and 
(5) other experts determined appropriate by the 
Secretary. 
(c) DISEASES.—Screening guidelines for minority 
populations shall be developed under subsection (a) for—
202 
(1) hypertension; 
(2) hypercholesterolemia; 
(3) diabetes; 
(4) cardiovascular disease; 
(5) prostate cancer; 
(6) breast cancer; 
(7) colon cancer; 
(8) kidney disease; 
(9) glaucoma; and 
(10) other diseases determined appropriate by 
the Secretary. 
(d) DISSEMINATION.—Not later than 24 months 
after the date of enactment of this title, the Secretary 
shall publish and disseminate to healthcare provider orga-
nizations the guidelines developed under subsection (a). 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
sums as may be necessary for each of fiscal years 2007 
through 2012. 
SEC. 442. CANCER REDUCTION. 
(a) PREVENTIVE HEALTH MEASURES WITH RE-
SPECT TO BREAST AND CERVICAL CANCER.— 
(1) IN GENERAL.—Section 1510(a) of the Pub-
lic Health Service Act (42 U.S.C. 300n–5(a)) is 
amended by striking ‘‘2005’’ and inserting ‘‘2012’’.
203 
(2) SUPPLEMENTAL GRANTS FOR ADDITIONAL 
PREVENTIVE
HEALTH
SERVICES.—Section 
1509(d)(1) of the Public Health Service Act (42 
U.S.C. 300n–4a(d)(1)) is amended by striking 
‘‘2005’’ and inserting ‘‘2012’’. 
(b) TREATMENT AND PREVENTION.—Title XXIX of 
the Public Health Service Act, as amended by section 312, 
is further amended by adding at the end the following: 
‘‘Subtitle B—Reducing Disease and 
Disease-related Complications 
‘‘SEC. 2921. CANCER PREVENTION AND TREATMENT FOR 
UNDERSERVED MINORITY OR OTHER POPU-
LATIONS. 
‘‘(a) GRANTS.—The Secretary may make grants to 
qualifying health centers, non-profit organizations, and 
public institutions for the development, expansion, or oper-
ation of programs that, for individuals otherwise served 
by such centers, provide— 
‘‘(1) information and education on cancer pre-
vention; 
‘‘(2) screenings for cancer; 
‘‘(3) counseling on cancer, including counseling 
upon a diagnosis of cancer; and 
‘‘(4) treatment for cancer.
204 
‘‘(b) QUALIFYING HEALTH CENTERS AND PUBLIC 
INSTITUTIONS.—For purposes of this section: 
‘‘(1) QUALIFYING
HEALTH
CENTERS.—The 
term ‘qualifying health center’ includes community 
health centers, migrant health centers, health cen-
ters for the homeless, health centers for residents of 
public housing, and community clinics. 
‘‘(2) QUALIFYING PUBLIC INSTITUTIONS.—The 
term ‘qualifying public institutions’ means an entity 
that meets the requirements of section 2971(b)(1). 
‘‘(c) PREFERENCE IN MAKING GRANTS.—In making 
grants under subsection (a), the Secretary shall give pref-
erence to applicants that— 
‘‘(1) have service populations that include a sig-
nificant number of low-income minority individuals 
who are at-risk for cancer; 
‘‘(2) will, through programs under subsection 
(b)— 
‘‘(A) emphasize early detection of and com-
prehensive treatment for cancer; 
‘‘(B) provide comprehensive treatment 
services for cancer in its earliest stages; and 
‘‘(C) carry out subparagraphs (A) and (B) 
for two or more types of cancer; and
205 
‘‘(3) in order to provide treatment for cancer, 
have established or will establish referral arrange-
ments with entities that provide screenings for low- 
income individuals. 
‘‘(d) APPROPRIATE CULTURAL CONTEXT.—As a con-
dition for the receipt of a grant under subsection (a), the 
applicant shall agree that, in the program carried out with 
the grant, services will be provided in the languages most 
appropriate for, and with consideration for the cultural 
background of, the individuals for whom the services are 
provided. 
‘‘(e) OUTREACH SERVICES.—As a condition for the 
receipt of a grant under subsection (a), the applicant shall 
agree to provide outreach activities to inform the public 
of the services of the program, and to provide information 
on cancer; and 
‘‘(f) APPLICATION FOR GRANT.—A grant may be 
made under subsection (a) only if an application for the 
grant is submitted to the Secretary and the application 
is in such form, is made in such manner, and contains 
such agreements, assurances, and information as the Sec-
retary determines to be necessary to carry out this section. 
‘‘(g) DESIGNATION OF TYPE OF CANCER.—In mak-
ing a grant under subsection (a), the Secretary shall des-
206 
ignate the type or types of cancer with respect to which 
the grant is being made. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for 
each of the fiscal years 2005 through 2010.’’. 
SEC. 443. MONITORING THE QUALITY OF AND DISPARITIES 
IN DIABETES CARE. 
Part A of title IX of the Public Health Service Act 
(42 U.S.C. 299 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 904. AREAS OF SPECIAL EMPHASIS. 
‘‘The Secretary, acting through the Director, shall in-
corporate within the annual quality report required under 
section 913(b)(2) and the annual disparities report re-
quired under section 903(a)(6), scientific evidence and in-
formation appropriate for monitoring the quality and safe-
ty of diabetes care and identifying, understanding, and re-
ducing disparities in care.’’. 
SEC. 444. DIABETES PREVENTION, TREATMENT, AND CON-
TROL. 
(a) DETERMINATION.—The Secretary, in consulta-
tion with Indian tribes and tribal organizations, shall de-
termine—