510 
ditional protocols to be carried out in the centers 
that address the needs of children and young adults 
who are infected with the disease and are 
transitioning from childhood to adulthood. 
‘‘(7) Incentive payments to health care pro-
viders supported by the Health Resources and Serv-
ices Administration to implement HIV/AIDS testing 
consistent with the guidelines issued in 2006 by the 
Centers for Disease Control and Prevention entitled 
‘Revised Recommendations for HIV Testing of 
Adults, Adolescents, and Pregnant Women in 
Health-Care Settings’. 
‘‘(b) DEFINITION.—In this section, the term ‘HIV/ 
AIDS’ has the meaning given to such term in section 
2689. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $100,000,000 for fiscal year 2012, and such sums 
as may be necessary for fiscal years 2013 through 2016.’’. 
SEC. 753. REPORT ON IMPACT OF HIV/AIDS IN RACIAL AND 
ETHNIC MINORITY COMMUNITIES. 
(a) IN GENERAL.—The Secretary shall submit to the 
Congress and the President an annual report on the im-
pact of HIV/AIDS in racial and ethnic minority commu-
nities. 
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(b) CONTENTS.—The report under subsection (a) 
shall include information on the— 
(1) progress that has been made in reducing 
the impact of HIV/AIDS in such communities; 
(2) opportunities that exist to make additional 
progress in reducing the impact of HIV/AIDS in 
such communities; 
(3) challenges that may impede such additional 
progress; and 
(4) Federal funding necessary to achieve sub-
stantial reductions in HIV/AIDS in racial and ethnic 
minority communities. 
SEC. 754. STUDY ON STATUS OF HIV/AIDS EPIDEMIC AMONG 
AFRICAN-AMERICANS. 
(a) IN GENERAL.—The Secretary shall— 
(1) seek to enter into an agreement with the In-
stitute of Medicine to document, in collaboration 
with an academic organization which specializes in 
the identification and reduction of health disparities 
within the African-American community, all aspects 
of the HIV/AIDS epidemic among African-Ameri-
cans, including the role that historical racial or eth-
nic barriers play in sustaining the epidemic among 
African-Americans; 
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(2) submit a report to the President, the Direc-
tor of the Office of National AIDS Policy Coordina-
tion, the Director of the White House Domestic Pol-
icy Council, the Director of White House Office of 
Faith-Based and Neighborhood Partnerships, key 
Federal agencies, and the relevant committees of the 
Congress on the status of the HIV/AIDS epidemic 
among African-Americans in the United States; and 
(3) include in such report— 
(A) specific recommendations on the imple-
mentation of Federal policies to reduce the bur-
den of HIV/AIDS in the African-American com-
munity; and 
(B) a special focus on the Black clergy and 
the church as a unique resource in the African- 
American community. 
(b) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $2,000,000 
for each of fiscal years 2012 and 2013. 
(2) SPECIAL RULE.—Of the amount of funds 
appropriated to carry out this section for a fiscal 
year— 
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(A) 45 percent shall be allocated to the In-
stitutes of Medicine pursuant to the agreement 
entered into under subsection (a)(1); 
(B) 45 percent shall be allocated to an 
academic organization which specializes in the 
identification and reduction of health disparities 
within the African-American community pursu-
ant to such agreement; and 
(C) 10 percent shall be allocated for ad-
ministrative costs and other activities under 
this subsection. 
Subtitle F—Diabetes 
SEC. 755. TREATMENT OF DIABETES IN MINORITY COMMU-
NITIES. 
(a) SHORT TITLE.—This subtitle may be cited as the 
‘‘Minority Diabetes Initiative Act’’. 
(b) GRANTS REGARDING TREATMENT OF DIABETES 
IN MINORITY COMMUNITIES.—Part D of title III of the 
Public Health Service Act (42 U.S.C. 254b et seq.) is 
amended by inserting after section 330L the following: 
‘‘SEC. 330M. GRANTS REGARDING TREATMENT OF DIABE-
TES IN MINORITY COMMUNITIES. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to public and nonprofit private health care providers for 
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the purpose of providing treatment for diabetes in minor-
ity communities. 
‘‘(b) RECIPIENTS OF GRANTS.—The public and non-
profit private health care providers to whom grants may 
be made under subsection (a) include physicians, podia-
trists, community-based organizations, health care organi-
zations, community health centers, and State, local, and 
tribal health departments. 
‘‘(c) SCOPE OF TREATMENT ACTIVITIES.—The Sec-
retary shall ensure that grants under subsection (a) cover 
a variety of diabetes-related health care services, including 
routine care for diabetic patients, public education on dia-
betes prevention and control, eye care, foot care, and 
treatment for kidney disease and other complications of 
diabetes. 
‘‘(d) APPROPRIATE CULTURAL CONTEXT.—A condi-
tion for the receipt of a grant under subsection (a) is that 
the applicant involved agrees that, in the program carried 
out with the grant, services will be provided in the lan-
guages most appropriate for, and with consideration for 
the cultural backgrounds of, the individuals for whom the 
services are provided. 
‘‘(e) OUTREACH SERVICES.—A condition for the re-
ceipt of a grant under subsection (a) is that the applicant 
involved agrees to provide outreach activities to inform the 
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public of the services of the program, and to provide offsite 
information on diabetes. 
‘‘(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) 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 2012 through 2017.’’. 
SEC. 756. ELIMINATING DISPARITIES IN DIABETES PREVEN-
TION ACCESS AND CARE. 
(a) RESEARCH, TREATMENT, AND EDUCATION.— 
(1) IN GENERAL.—Subpart 3 of part C of title 
IV of the Public Health Service Act (42 U.S.C. 285c 
et seq.) is amended by adding at the end the fol-
lowing new section: 
‘‘SEC. 434B. DIABETES IN MINORITY POPULATIONS. 
‘‘(a) IN GENERAL.—The Director of the National In-
stitutes of Health shall expand, intensify, and support on-
going research and other activities with respect to pre-dia-
betes and diabetes, particularly type 2, in minority popu-
lations, including research to identify clinical, socio-
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economic, geographical, cultural, and organizational fac-
tors that contribute to type 2 diabetes in such populations. 
‘‘(b) CERTAIN ACTIVITIES.—Activities under sub-
section (a) regarding type 2 diabetes in minority popu-
lations shall include the following: 
‘‘(1) Continuing research on behavior and obe-
sity, including through the obesity research center 
that is sponsored by the National Institutes of 
Health. 
‘‘(2) Research on environmental factors that 
may contribute to the increase in type 2 diabetes. 
‘‘(3) Support for new methods to identify envi-
ronmental triggers and genetic interactions that lead 
to the development of type 2 diabetes in minority 
newborns. Such research should follow the newborns 
through puberty, an increasingly high-risk period for 
developing type 2 diabetes. 
‘‘(4) Research to identify genes that predispose 
individuals to the onset of developing type 1 and 
type 2 diabetes and to the development of complica-
tions. 
‘‘(5) Research to prevent complications in indi-
viduals who have already developed diabetes, such as 
research that attempts to identify the genes that 
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predispose individuals with diabetes to the develop-
ment of complications. 
‘‘(6) Research methods and alternative thera-
pies to control blood glucose. 
‘‘(7) Support of ongoing research efforts exam-
ining the level of glycemia at which adverse out-
comes develop during pregnancy and to address the 
many clinical issues associated with minority moth-
ers and fetuses during diabetic and gestational dia-
betic pregnancies. 
‘‘(c) EDUCATION.—The Director of the National In-
stitutes of Health shall— 
‘‘(1) through the National Institute on Minority 
Health and Health Disparities and the National Di-
abetes Education Program— 
‘‘(A) make grants to programs funded 
under section 485F (relating to centers of ex-
cellence) for the purpose of establishing a men-
toring program for health care professionals to 
be more involved in weight counseling, obesity 
research, and nutrition; and 
‘‘(B) provide for the participation of mi-
nority health professionals in diabetes-focused 
research programs; and 
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‘‘(2) make grants for programs to establish a 
pipeline from high school to professional school that 
will increase minority representation in diabetes-fo-
cused health fields by expanding Minority Access to 
Research Careers (MARC) program internships and 
mentoring opportunities for recruitment. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘minority population’ means a racial and ethnic mi-
nority group, as defined in section 1707(g). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as are necessary for fiscal 
year 2012 and each subsequent fiscal year.’’. 
(2) DIABETES
MELLITUS
INTERAGENCY
CO-
ORDINATING COMMITTEE.—Section 429 of the Pub-
lic Health Service Act (42 U.S.C. 285c–3) is amend-
ed by adding at the end the following new sub-
section: 
‘‘(c)(1) The Diabetes Mellitus Interagency Coordi-
nating Committee shall submit to the Secretary a biennial 
report that shall include an assessment of the Federal ac-
tivities and programs related to diabetes in minority popu-
lations. Such assessment shall— 
‘‘(A) compile the current activities of all current 
Federal health programs to allow for the assessment 
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of their adequacy as a systemic method of address-
ing the impact of diabetes mellitus on minority pop-
ulations; 
‘‘(B) develop strategic planning activities to de-
velop an effective and comprehensive Federal plan to 
address diabetes mellitus within minority popu-
lations which will involve all appropriate Federal 
health programs and shall— 
‘‘(i) include steps to address issues includ-
ing type 1 and type 2 diabetes in children and 
the disproportionate impact of diabetes mellitus 
on minority populations; and 
‘‘(ii) remain consistent with the programs 
and activities identified in section 399O, as well 
as remaining consistent with the intent of the 
Eliminating Disparities in Diabetes Prevention 
Access and Care Act of 2010; and 
‘‘(C) assess the implementation of such a plan 
throughout Federal health programs. 
‘‘(2) For the purposes of this subsection, the term 
‘minority population’ means a racial and ethnic minority 
group, as defined in section 1707(g). 
‘‘(3) For the purpose of carrying out this subsection, 
there are authorized to be appropriated such sums as are 
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necessary for fiscal year 2012 and each subsequent fiscal 
year.’’. 
(b) RESEARCH, EDUCATION, AND OTHER ACTIVI-
TIES.—Part B of title III of the Public Health Service 
Act (42 U.S.C. 243 et seq.) is amended by inserting after 
section 317T the following section: 
‘‘SEC. 317U. DIABETES IN MINORITY POPULATIONS. 
‘‘(a) RESEARCH AND OTHER ACTIVITIES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall conduct and support 
research and other activities with respect to diabetes 
in minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding diabetes in minority popu-
lations shall include the following: 
‘‘(A) Expanding the National Diabetes 
Laboratory capacity for translational research 
and 
the 
identification 
of 
genetic 
and 
immunological risk factors associated with dia-
betes. 
‘‘(B) Improving the understanding of dia-
betes prevalence among Asian-American, Native 
Hawaiian and other Pacific Islanders by en-
hancing data in the National Health and Nutri-
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tion Examination Survey by oversampling these 
populations in appropriate geographic areas, or 
by another method determined appropriate to 
collect this data. 
‘‘(C) Within the Division of Diabetes 
Translation, providing for prevention research 
to better understand how to influence health 
care systems changes to improve quality of care 
being delivered to such populations, and within 
the Division of Diabetes Translation, carrying 
out model demonstration projects to design, im-
plement, and evaluate effective diabetes preven-
tion and control intervention for such popu-
lations. 
‘‘(D) Through the Division of Diabetes 
Translation, carrying out culturally appropriate 
community-based interventions designed to ad-
dress issues and problems experienced by such 
populations. 
‘‘(E) Conducting applied research within 
the Division of Diabetes Translation to reduce 
health disparities within such populations with 
diabetes. 
‘‘(F) Conducting applied research on pri-
mary prevention within the Division of Diabetes 
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Translation to specifically focus on such popu-
lations with pre-diabetes. 
‘‘(b) EDUCATION.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall direct the Division of 
Diabetes Translation to conduct and support pro-
grams to educate the public on the causes and ef-
fects of diabetes in minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Programs under 
paragraph (1) regarding education on diabetes in 
minority populations shall include carrying out pub-
lic awareness campaigns directed toward such popu-
lations to aggressively emphasize the importance and 
impact of physical activity and diet in regard to dia-
betes and diabetes-related complications through the 
National Diabetes Education Program. 
‘‘(c) DIABETES; HEALTH PROMOTION, PREVENTION 
ACTIVITIES, AND ACCESS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall carry out culturally 
appropriate diabetes health promotion and preven-
tion programs for minority populations. 
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‘‘(2) CERTAIN
ACTIVITIES.—Activities regard-
ing culturally appropriate diabetes health promotion 
and prevention programs for minority populations 
shall include the following: 
‘‘(A) Expanding the Diabetes Prevention 
and Control Program (currently existing in all 
the States and territories) and providing funds 
for education and community outreach on dia-
betes. 
‘‘(B) Providing funds for an expansion of 
the Diabetes Prevention Program Initiative that 
focuses on physical inactivity and diet and its 
relation to type 2 diabetes within such popu-
lations. 
‘‘(C) Providing funds to strengthen exist-
ing surveillance systems to improve the quality, 
accuracy, and timeliness of morbidity and mor-
tality diabetes data for such populations. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘minority population’ means a racial and ethnic mi-
nority group, as defined in section 1707(g). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as are necessary for fiscal 
year 2012 and each subsequent fiscal year.’’. 
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(c) RESEARCH, EDUCATION, AND OTHER ACTIVI-
TIES.—Part P of title III of the Public Health Service 
Act is amended— 
(1) by redesignating the section 399R inserted 
by section 2 of Public Law 110–373 as section 
399S; 
(2) by redesignating the section 399R inserted 
by section 3 of Public Law 110–374 as section 
399T; and 
(3) by adding at the end the following new sec-
tion: 
‘‘SEC. 399V–6. PROGRAMS TO EDUCATE HEALTH PRO-
VIDERS ON THE CAUSES AND EFFECTS OF DI-
ABETES IN MINORITY POPULATIONS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Health Resources and Services Admin-
istration, shall conduct and support programs described 
in subsection (b) to educate health professionals on the 
causes and effects of diabetes in minority populations. 
‘‘(b) PROGRAMS.—Programs described in this sub-
section, with respect to education on diabetes in minority 
populations, shall include the following: 
‘‘(1) Making grants for diabetes-focused edu-
cation classes or training programs on cultural sen-
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sitivity and patient care within such populations for 
health care providers. 
‘‘(2) Providing funds to community health cen-
ters for programs that provide diabetes services and 
screenings. 
‘‘(3) Providing additional funds for the Health 
Careers Opportunity Program, Centers for Excel-
lence, and the Minority Faculty Fellowship Program 
to partner with the Office of Minority Health under 
section 1707 and the National Institutes of Health 
to strengthen programs for career opportunities 
within minority populations focused on diabetes 
treatment and care. 
‘‘(4) Developing a diabetes focus within, and 
providing additional funds for, the National Health 
Service Corps Scholarship program to place individ-
uals in areas that are disproportionately affected by 
diabetes and to provide health care services to such 
areas. 
‘‘(5) Establishing a diabetes ambassador pro-
gram for recruitment efforts to increase the number 
of underrepresented minorities currently serving in 
student, faculty, or administrative positions in insti-
tutions of higher learning, hospitals, and community 
health centers. 
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‘‘(6) Establishing a loan repayment program 
that focuses on diabetes care and prevention in mi-
nority populations.’’. 
(d) RESEARCH, EDUCATION, AND OTHER ACTIVI-
TIES.—Part P of title III of the Public Health Service 
Act (42 U.S.C. 280g et seq.), as amended by subsection 
(c), is further amended by adding at the end the following 
section: 
‘‘SEC. 399V–7. RESEARCH, EDUCATION, AND OTHER ACTIVI-
TIES REGARDING DIABETES IN MINORITY 
POPULATIONS. 
‘‘(a) RESEARCH AND OTHER ACTIVITIES.— 
‘‘(1) IN
GENERAL.—In addition to activities 
under sections 317U and 434B, the Secretary shall 
conduct and support research and other activities 
with respect to diabetes within minority populations. 
‘‘(2) CERTAIN
ACTIVITIES.—Activities under 
paragraph (1) regarding diabetes in minority popu-
lations shall include the following: 
‘‘(A) Through the National Center on Mi-
nority Health and Health Disparities, the Office 
of Minority Health under section 1707, the 
Health Resources and Services Administration, 
the Centers for Disease Control and Prevention, 
and the Indian Health Service, establishing 
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partnerships within minority populations to 
conduct studies on cultural, familial, and social 
factors that may influence health promotion, di-
abetes management, and prevention. 
‘‘(B) Through the Indian Health Service, 
in collaboration with other appropriate Federal 
agencies, coordinating the collection of data on 
ethnic and culturally appropriate diabetes treat-
ment, care, prevention, and services by health 
care professionals to the American Indian popu-
lation. 
‘‘(3) PROGRAMS
RELATING
TO
CLINICAL
RE-
SEARCH.— 
‘‘(A) EDUCATION
REGARDING
CLINICAL 
TRIALS.—The Secretary shall carry out edu-
cation and awareness programs designed to in-
crease participation of minority populations in 
clinical trials. 
‘‘(B) MINORITY RESEARCHERS.—The Sec-
retary shall carry out mentorship programs for 
minority researchers who are conducting or in-
tend to conduct research on diabetes in minor-
ity populations. 
‘‘(C) 
SUPPLEMENTING
CLINICAL
RE-
SEARCH
REGARDING
CHILDREN.—The Sec-
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retary shall make grants to supplement clinical 
research programs to assist such programs in 
obtaining the services of health professionals 
and other resources to provide specialized care 
for children with type 1 and type 2 diabetes. 
‘‘(4) ADDITIONAL PROGRAMS.—Activities under 
paragraph (1) regarding education on diabetes shall 
include providing funds for new and existing diabe-
tes-focused education grants and programs for 
present and future students and clinicians in the 
medical field from minority populations, including 
for the following: 
‘‘(A) For Federal and State loan repay-
ment programs for health profession students 
within communities of color. 
‘‘(B) For the Office of Minority Health 
under section 1707 for training health profes-
sion students to focus on diabetes within such 
populations. 
‘‘(b) DEFINITION.—For purposes of this section, the 
term ‘minority population’ means a racial and ethnic mi-
nority group as defined in section 1707(g). 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
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to be appropriated such sums as are necessary for fiscal 
year 2012 and each subsequent fiscal year.’’. 
(e) SENSE OF THE CONGRESS.—It is the sense of the 
Congress that States and localities are encourage to recog-
nize established times of diabetes awareness, such as 
American Diabetes Month (November), American Diabe-
tes Alert Day (annually on the 4th Tuesday of March), 
and World Diabetes Day (November 14th). 
Subtitle G—Lung Disease 
SEC. 761. EXPANSION OF THE NATIONAL ASTHMA EDU-
CATION AND PREVENTION PROGRAM. 
(a) IN GENERAL.—Not later than 2 years after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall convene a working group com-
prised of patient groups, nonprofit organizations, medical 
societies, and other relevant governmental and nongovern-
mental entities, including those that participate in the Na-
tional Asthma Education and Prevention Program, to de-
velop a report to Congress that— 
(1) catalogs, with respect to asthma prevention, 
management, and surveillance— 
(A) the activities of the Federal Govern-
ment, including identifying all Federal pro-
grams that carry out asthma-related activities, 
as well as assessment of the progress of the 
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Federal Government and States, with respect to 
achieving the goals of the Healthy People 2020 
initiative; and 
(B) the activities of other entities that par-
ticipate in the program, including nonprofit or-
ganizations, patient advocacy groups, and med-
ical societies; and 
(2) makes recommendations for the future di-
rection of asthma activities, in consultation with re-
searchers from the National Institutes of Health and 
other member bodies of the National Asthma Edu-
cation and Prevention Program who are qualified to 
review and analyze data and evaluate interventions, 
including— 
(A) description of how the Federal Govern-
ment may better coordinate and improve its re-
sponse to asthma including identifying any bar-
riers that may exist; 
(B) description of how the Federal Govern-
ment may continue, expand, and improve its 
private-public partnerships with respect to asth-
ma including identifying any barriers that may 
exist; 
(C) identification of steps that may be 
taken to reduce the— 
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(i) morbidity, mortality, and overall 
prevalence of asthma; 
(ii) financial burden of asthma on so-
ciety; 
(iii) burden of asthma on dispropor-
tionately affected areas, particularly those 
in medically underserved populations (as 
defined in section 330(b)(3) of the Public 
Health 
Service 
Act 
(42 
U.S.C. 
254b(b)(3)); and 
(iv) burden of asthma as a chronic 
disease; 
(D) identification of programs and policies 
that have achieved the steps described in sub-
paragraph (C), and steps that may be taken to 
expand such programs and policies to benefit 
larger populations; and 
(E) recommendations for future research 
and interventions. 
(b) REPORT TO CONGRESS.—At the end of the 5-year 
period following the submission of the report under sub-
section (a), the National Asthma Education and Preven-
tion Program shall evaluate the analyses and rec-
ommendations under such report and determine whether 
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a new report to the Congress is necessary, and make ap-
propriate recommendations to the Congress. 
SEC. 762. ASTHMA-RELATED ACTIVITIES OF THE CENTERS 
FOR DISEASE CONTROL AND PREVENTION. 
Section 317I of the Public Health Service Act (42 
U.S.C. 247b–10) is amended to read as follows: 
‘‘SEC. 317I. ASTHMA-RELATED ACTIVITIES OF THE CENTERS 
FOR DISEASE CONTROL AND PREVENTION. 
‘‘(a) PROGRAM FOR PROVIDING INFORMATION AND 
EDUCATION
TO
THE PUBLIC.—The Secretary, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall collaborate with State and local 
health departments to conduct activities, including the 
provision of information and education to the public re-
garding asthma including— 
‘‘(1) deterring the harmful consequences of un-
controlled asthma; and 
‘‘(2) disseminating health education and infor-
mation regarding prevention of asthma episodes and 
strategies for managing asthma. 
‘‘(b) DEVELOPMENT OF STATE ASTHMA PLANS.— 
The Secretary, acting through the Director of the Centers 
for Disease Control and Prevention, shall collaborate with 
State and local health departments to develop State plans 
incorporating public health responses to reduce the burden 
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