disaggregated data in a culturally and linguistically 
appropriate manner. 
‘‘(c) ELIGIBLE ENTITY.—To be eligible for grants 
under this section, an entity shall be a State, territory, 
Indian Tribe, municipality, county, health provider, health 
care organization, or health plan making a demonstrated 
effort to bring data collections into compliance with sec-
tion 3101. 
‘‘(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 
2023 through 2027. 
‘‘SEC. 
3432. 
OVERSAMPLING 
OF 
UNDERREPRESENTED 
GROUPS IN FEDERAL HEALTH SURVEYS. 
‘‘(a) NATIONAL STRATEGY.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the National Center for 
Health Statistics, and other officials within the De-
partment of Health and Human Services as the Sec-
retary determines appropriate, shall develop and im-
plement a sustainable national strategy for oversam-
pling underrepresented populations within the cat-
egories of race, ethnicity, sex, primary language, sex-
ual orientation, disability status, gender identity, 
and socioeconomic status as determined appropriate 
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by the Secretary in Federal health surveys and pro-
gram data collections. Such national strategy shall 
include a strategy for oversampling of Middle East-
erners and North Africans, Asian Americans, Native 
Hawaiians, and Pacific Islanders. 
‘‘(2) CONSULTATION.—In developing and imple-
menting a national strategy, as described in para-
graph (1), not later than 180 days after the date of 
the enactment of this section, the Secretary shall— 
‘‘(A) consult with representatives of com-
munity groups, nonprofit organizations, non-
governmental organizations, and government 
agencies working with underrepresented popu-
lations; 
‘‘(B) solicit the participation of representa-
tives from other Federal departments and agen-
cies, including subagencies of the Department 
of Health and Human Services; and 
‘‘(C) consult on, and use as models, the 
2014 National Health Interview Survey over-
sample of Native Hawaiian and Pacific Islander 
populations, the 2016 Behavioral Risk Factor 
Survey of Health Risk Behaviors Among Arab 
Adults Within the State of Michigan, and the 
2017 Behavioral Risk Factor Surveillance Sys-
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tem oversample of American Indian and Alaska 
Native communities. 
‘‘(b) PROGRESS REPORT.—Not later than 2 years 
after the date of enactment of this section, the Secretary 
shall submit to the Congress a progress report, which shall 
include the national strategy required by subsection 
(a)(1). 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2023 through 2027.’’. 
SEC. 1002. ELIMINATION OF PREREQUISITE OF DIRECT AP-
PROPRIATIONS FOR DATA COLLECTION AND 
ANALYSIS. 
Section 3101 of the Public Health Service Act (42 
U.S.C. 300kk), as amended by section 1001(a), is further 
amended— 
(1) by striking subsection (h); and 
(2) by redesignating subsection (i) as subsection 
(h). 
SEC. 1003. COLLECTION OF DATA FOR THE MEDICARE PRO-
GRAM. 
Part A of title XI of the Social Security Act (42 
U.S.C. 1301 et seq.) is amended by adding at the end 
the following: 
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‘‘COLLECTION OF DATA FOR THE MEDICARE PROGRAM 
‘‘SEC. 1150D. 
‘‘(a) REQUIREMENT.— 
‘‘(1) IN GENERAL.—The Commissioner of So-
cial Security, in consultation with the Administrator 
of the Centers for Medicare & Medicaid Services, 
shall collect data on the race, ethnicity, sex, primary 
language, sexual orientation, gender identity, socio-
economic status, and disability status of all appli-
cants for Social Security benefits under title II or 
Medicare benefits under title XVIII. 
‘‘(2) DATA COLLECTION STANDARDS.—In col-
lecting data under paragraph (1), the Commissioner 
of Social Security shall at least use the standards 
for data collection developed under section 3101 of 
the Public Health Service Act or the standards de-
veloped by the Office of Management and Budget, 
whichever is more disaggregated. In the event there 
are no standards for the demographic groups listed 
under paragraph (1), the Commissioner shall consult 
with stakeholder groups representing the various 
identities as well as with the Office of Minority 
Health within the Centers for Medicare & Medicaid 
Services to develop appropriate standards. 
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‘‘(3) DATA
FOR
ADDITIONAL
POPULATION 
GROUPS.—Where practicable, the information col-
lected by the Commissioner of Social Security under 
paragraph (1) shall include data for additional popu-
lation groups if such groups can be aggregated into 
the race and ethnicity categories outlined by the 
data collection standards described in paragraph (2). 
‘‘(4) COLLECTION OF DATA FOR MINORS AND 
LEGALLY
INCAPACITATED
INDIVIDUALS.—With re-
spect to the collection of the data described in para-
graph (1) of applicants who are under 18 years of 
age or otherwise legally incapacitated, the Commis-
sioner of Social Security shall require that— 
‘‘(A) such data be collected from the par-
ent or legal guardian of such an applicant; and 
‘‘(B) the primary language of the parent 
or legal guardian of such an applicant or recipi-
ent be used in collecting the data. 
‘‘(5) QUALITY OF DATA.—The Commissioner of 
Social Security shall periodically review the quality 
and completeness of the data collected under para-
graph (1) and make adjustments as necessary to im-
prove both. 
‘‘(6) TRANSMISSION
OF
DATA.—Upon enroll-
ment in Medicare benefits under title XVIII, the 
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