241 
‘‘SEC. 2924. HEART DISEASE. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the National Heart, Lung and Blood Institute and the 
Centers for Disease Control, shall award competitive 
grants to eligible entities to provide for community-based 
interventions to encourage healthy lifestyles to reduce 
morbidity and mortality from heart disease. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under subsection (a), an entity shall— 
‘‘(1) be a community-based or non-profit orga-
nization, academic medical institution, hospital, 
health center, health plan, health department, or 
other health-related entity determined appropriate 
by the Secretary; and 
‘‘(2) prepare and submit to the Secretary an 
application 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 
received under a grant under this section to— 
‘‘(1) carry out interventions that address pri-
mary prevention of heart disease in the minority 
community, including educational outreach efforts 
concerning risk factors for, and the prevention of, 
heart disease;
242 
‘‘(2) carry out activities to facilitate healthy 
lifestyles in minority populations through— 
‘‘(A) behavioral change interventions to in-
crease physical activity and improve nutrition; 
‘‘(B) the increased use of community facili-
ties and public spaces for exercise; 
‘‘(C) school, after-school, or intramural 
physical activity or sports programs for children 
and youth; 
‘‘(D) employment-based interventions to 
increase physical activity or nutrition; or 
‘‘(3) expand or evaluate existing programs of 
the type described in paragraphs (1) and (2). 
‘‘(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 
2006 through 2011. 
‘‘SEC. 2925. STROKE EDUCATION CAMPAIGN. 
‘‘(a) IN GENERAL.—The Secretary shall carry out a 
national education and information campaign to promote 
stroke prevention and increase the number of stroke pa-
tients who seek immediate treatment. In implementing 
such education and information campaign, the Secretary 
shall avoid duplicating existing stroke education efforts by 
other Federal Government agencies and may consult with
243 
national and local associations that are dedicated to in-
creasing the public awareness of stroke, consumers of 
stroke awareness products, and providers of stroke care. 
‘‘(b) USE
OF FUNDS.—The Secretary may use 
amounts appropriated to carry out the campaign described 
in subsection (a)— 
‘‘(1) to make public service announcements 
about the warning signs of stroke and the impor-
tance of treating stroke as a medical emergency; 
‘‘(2) to provide education regarding ways to 
prevent stroke and the effectiveness of stroke treat-
ment; 
‘‘(3) to purchase media time and space; 
‘‘(4) to pay for advertising production costs; 
‘‘(5) to test and evaluate advertising and edu-
cational materials for effectiveness, especially among 
groups at high risk for stroke, including women, 
older adults, and African-Americans; 
‘‘(6) to develop alternative campaigns that are 
targeted to unique communities, including rural and 
urban communities, and States with a particularly 
high incidence of stroke; 
‘‘(7) to measure public awareness prior to the 
start of the campaign on a national level and in tar-
geted communities to provide baseline data that will
244 
be used to evaluate the effectiveness of the public 
awareness efforts; and 
‘‘(8) to carry out other activities that the Sec-
retary determines will promote prevention practices 
among the general public and increase the number 
of stroke patients who seek immediate care. 
‘‘(c) CONSULTATIONS.—In carrying out this section, 
the Secretary shall consult with medical, surgical, rehabili-
tation, and nursing specialty groups, hospital associations, 
voluntary health organizations, emergency medical serv-
ices, State directors, and associations, experts in the use 
of telecommunication technology to provide stroke care, 
national disability, minority health professional organiza-
tions and consumer organizations representing individuals 
with disabilities and chronic illnesses, concerned advo-
cates, and other interested parties. 
‘‘(d) STROKE.—In this section, the term ‘stroke’ 
means a ‘brain attack’ in which blood flow to the brain 
is interrupted or in which a blood vessel or aneurysm in 
the brain breaks or ruptures. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out subsection 
(b), such sums as may be necessary for each of fiscal years 
2006 through 2011.’’.
245 
Subtitle D—Studies, Reports, and 
Plans 
SEC. 461. IOM STUDY REQUEST. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall request that the Institute of Medi-
cine conduct, or contract with another entity to conduct, 
a study to investigate promising strategies for improving 
minority health and reducing and eliminating racial and 
ethnic disparities in health and healthcare. 
(b) CONTENT.—The study under subsection (a) 
shall— 
(1) identify key stakeholders for intervention in 
the public and private sector; 
(2) identify the barriers to eliminating racial 
and ethnic disparities in health and healthcare; 
(3) explore approaches for addressing dispari-
ties in health and healthcare using a quality im-
provement framework; 
(4) suggest an evaluation and research agenda 
that will advance effective strategies for reducing 
and eliminating racial and ethnic disparities in 
health and healthcare; and 
(5) assess the capacity of the Department of 
Health and Human Services, as currently struc-
tured, to implement and evaluate promising strate-
246 
gies to improve minority health and reduce and 
eliminate racial and ethnic disparities in health and 
healthcare. 
(c) AGENDA.—The agenda described in subsection 
(b)(4) shall include a focus on the following: 
(1) Observational studies of race-discordant and 
race-concordant physician-patient clinical encoun-
ters. 
(2) Studies of the behaviors and expressed atti-
tudes toward race and ethnicity during education 
and training of health professionals. 
(3) Expansion of prospective studies of dispari-
ties in care, combining clinical data with qualitative 
interviews with patients and providers. 
(4) Studies of the natural history of social cat-
egorization in medical education and practice. 
(5) Studies of the effectiveness of standard clin-
ical guidelines in reducing disparities across disease 
categories. 
(6) Exploration of health system characteristics 
that may contribute to or mitigate disparities in 
health care. 
(7) Evaluation of cultural competency programs 
and their impact on the attitudes, knowledge, skills, 
and behaviors of healthcare providers.
247 
(8) Expansion of community-participatory re-
search with a focus on such topics as increasing 
trust and patient empowerment. 
(9) Studies on appropriate indicators of socio- 
economic status, and methods for incorporating such 
indicators in patient records. 
(10) Interventional studies designed to elimi-
nate disparities. 
(d) REPORT.—Not later than 24 months after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall submit to the appropriate commit-
tees of Congress a report containing the results of the 
study conducted under subsection (a). 
(e) 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 and 2008. 
SEC. 462. STRATEGIC PLAN. 
(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Substance Abuse and Mental Health 
Services Administration, shall formulate a strategic plan 
for implementing the 2001 report by the Surgeon General 
of the Public Health Service entitled ‘‘Mental Health: Cul-
ture, Race, and Ethnicity—A Supplement to Mental 
Health: A Report of the Surgeon General’’ and the 2003
248 
report by the President’s New Freedom Commission on 
Mental Health entitled ‘‘Achieving the Promise: Trans-
forming Mental Health Care in America’’. 
(b) SUBMISSION.—Not later than 6 months after the 
date of the enactment of this title, the Secretary shall sub-
mit to the Congress the strategic plan formulated under 
this section. 
SEC. 463. ADVISORY COUNCIL FOR THE ELIMINATION OF 
TUBERCULOSIS. 
Section 317E(f) of the Public Health Service Act (42 
U.S.C. 247b–6(f)) is amended— 
(1) by redesignating paragraph (5) as para-
graph (6); and 
(2) by striking paragraphs (2) through (4), and 
inserting the following: 
‘‘(2) DUTIES.—For the purpose of making 
progress toward the goal of eliminating tuberculosis 
from the United States, the Council shall provide to 
the Secretary and other appropriate Federal officials 
advice on coordinating the activities of the Public 
Health Service and other Federal agencies that re-
late to such disease and on efficiently utilizing the 
Federal resources involved. 
‘‘(3) NATIONAL PLAN.—In carrying out para-
graph (2), the Council, in consultation with appro-
249 
priate public and private entities, shall make rec-
ommendations on the development, revision, and im-
plementation of a national plan to eliminate tuber-
culosis in the United States. In carrying out this 
paragraph, the Council shall— 
‘‘(A) consider the recommendations of the 
Institute of Medicine regarding the elimination 
of tuberculosis; 
‘‘(B) address the development and applica-
tion of new technologies; and 
‘‘(C) review the extent to which progress 
has been made toward eliminating tuberculosis. 
‘‘(4) GLOBAL
ACTIVITIES.—In carrying out 
paragraph (2), the Council, in consultation with ap-
propriate public and private entities, shall make rec-
ommendations for the development and implementa-
tion of a plan to guide the involvement of the United 
States in global and cross border tuberculosis-control 
activities, including recommendations regarding poli-
cies, strategies, objectives, and priorities. Such rec-
ommendations for the plan shall have a focus on 
countries where a high incidence of tuberculosis di-
rectly affects the United States, such as Mexico, and 
on access to a comprehensive package of tuberculosis 
control measures, as defined by the World Health
250 
Organization directly observed treatment, short 
course strategy (commonly known as DOTS). 
‘‘(5) COMPOSITION.—The Council shall be com-
posed of— 
‘‘(A) representatives from the Centers for 
Disease Control and Prevention, the National 
Institutes of Health, the Agency for Healthcare 
Research and Quality, the Health Resources 
and Services Administration, the U.S.-Mexico 
Border Health Commission, and other Federal 
departments and agencies that carry out signifi-
cant activities relating to tuberculosis; and 
‘‘(B) members appointed from among indi-
viduals who are not officers or employees of the 
Federal Government.’’. 
SEC. 464. NATIONAL PROGRAM FOR TUBERCULOSIS ELIMI-
NATION. 
Section 317E of the Public Health Service Act (42 
U.S.C. 247b–6) is amended— 
(1) by striking the heading for the section and 
inserting the following: ‘‘NATIONAL
PROGRAM 
FOR TUBERCULOSIS ELIMINATION’’; 
(2) by amending subsection (b) to read as fol-
lows:
251 
‘‘(b) RESEARCH, DEMONSTRATION PROJECTS, EDU-
CATION, AND TRAINING.—With respect to the prevention, 
control, and elimination of tuberculosis, the Secretary 
may, directly or through grants to public or nonprofit pri-
vate entities, carry out the following: 
‘‘(1) Research, with priority given to research 
concerning— 
‘‘(A) diagnosis and treatment of latent in-
fection of tuberculosis; 
‘‘(B) strains of tuberculosis resistant to 
drugs; 
‘‘(C) cases of tuberculosis that affect cer-
tain high-risk populations; and 
‘‘(D) clinical trials, including those con-
ducted through the Tuberculosis Trials Consor-
tium. 
‘‘(2) Demonstration projects, including for— 
‘‘(A) the development of regional capabili-
ties for the prevention, control, and elimination 
of tuberculosis particularly in low-incidence re-
gions; and 
‘‘(B) collaboration with the Immigration 
and Naturalization Service to identify and treat 
immigrants with active or latent tuberculosis in-
fection.
252 
‘‘(3) Public information and education pro-
grams. 
‘‘(4) Education, training and clinical skills im-
provement activities for health professionals, includ-
ing allied health personnel. 
‘‘(5) Support of model centers to carry out ac-
tivities under paragraphs (2) through (4). 
‘‘(6) Collaboration with international organiza-
tions and foreign countries, including Mexico, in co-
ordination with the United States Agency for Inter-
national Development, in carrying out such activi-
ties, including coordinating activities through the 
Advisory Council for the Elimination of Tuber-
culosis. 
‘‘(7) Capacity support to States and large cities 
for strengthening tuberculosis programs.’’; and 
(3) by striking subsection (g) and inserting the 
following: 
‘‘(g) REPORTS.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion and in consultation with the Advisory Council for the 
Elimination of Tuberculosis, shall biennially prepare and 
submit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives, a report
253 
on the activities carried out under this section. Each re-
port shall include the opinion of the Council on the extent 
to which its recommendations under section 317E(f)(3) 
regarding tuberculosis have been implemented. 
‘‘(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 2007 through 2012.’’. 
SEC. 465. INCLUSION OF INPATIENT HOSPITAL SERVICES 
FOR THE TREATMENT OF TB-INFECTED INDI-
VIDUALS. 
(a) IN GENERAL.—Section 1902(z)(2) of the Social 
Security Act (42 U.S.C. 1396a(z)(2)) is amended by add-
ing at the end the following: 
‘‘(G) Inpatient hospital services.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) takes effect on October 1, 2006. 
Subtitle E—Miscellaneous 
Provisions 
SEC. 471. HEALTH EMPOWERMENT ZONES. 
(a) HEALTH EMPOWERMENT ZONE PROGRAMS.— 
(1) GRANTS.—The Secretary, acting through 
the Administrator of the Health Resources and Serv-
ices Administration and the Director of the Office of 
Minority Health, and in cooperation with the Direc-
254 
tor of the Office of Community Services and the Di-
rector of the National Center for Minority Health 
and Health Disparities, shall make grants to part-
nerships of private and public entities to establish 
health empowerment zone programs in communities 
that disproportionately experience disparities in 
health status and healthcare for the purpose de-
scribed in paragraph (2). 
(2) USE OF FUNDS.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), the purpose of a health empower-
ment zone program under this section shall be 
to assist individuals, businesses, schools, minor-
ity health associations, non-profit organizations, 
community-based 
organizations, 
hospitals, 
healthcare clinics, foundations, and other enti-
ties in communities that disproportionately ex-
perience disparities in health status and 
healthcare which are seeking— 
(i) to improve the health or environ-
ment of minority individuals in the com-
munity and to reduce disparities in health 
status and healthcare by assisting individ-
uals in accessing Federal programs; and
255 
(ii) to coordinate the efforts of gov-
ernmental and private entities regarding 
the elimination of racial and ethnic dispari-
ties in health status and healthcare. 
(B) MEDICARE AND MEDICAID.—A health 
empowerment zone program under this section 
shall not provide any assistance (other than re-
ferral and follow-up services) that is duplicative 
of programs under title XVIII or XIX of the 
Social Security Act (42 U.S.C. 1395 and 1396 
et seq.). 
(3) DISTRIBUTION.—The Secretary shall make 
at least 1 grant under this section to a partnership 
for a health empowerment zone program in commu-
nities that disproportionately experience disparities 
in health status and healthcare that is located in a 
territory or possession of the United States. 
(4) APPLICATION.—To obtain a grant under 
this section, a partnership shall submit to the Sec-
retary an application in such form and in such man-
ner as the Secretary may require. An application 
under this paragraph shall— 
(A) demonstrate that the communities to 
be served by the health empowerment zone pro-
256 
gram are those that disproportionately experi-
ence disparities in health status and healthcare; 
(B) set forth a strategic plan for accom-
plishing the purpose described in paragraph (2), 
by— 
(i) describing the coordinated health, 
economic, human, community, and physical 
development plan and related activities 
proposed for the community; 
(ii) describing the extent to which 
local institutions and organizations have 
contributed and will contribute to the plan-
ning process and implementation; 
(iii) identifying the projected amount 
of Federal, State, local, and private re-
sources that will be available in the area 
and the private and public partnerships to 
be used (including any participation by or 
cooperation 
with 
universities, 
colleges, 
foundations, non-profit organizations, med-
ical centers, hospitals, health clinics, school 
districts, or other private and public enti-
ties);
257 
(iv) identifying the funding requested 
under any Federal program in support of 
the proposed activities; 
(v) identifying benchmarks for meas-
uring the success of carrying out the stra-
tegic plan; 
(vi) demonstrating the ability to reach 
and service the targeted underserved mi-
nority community populations in a cul-
turally appropriate and linguistically re-
sponsive manner; and 
(vii) demonstrating a capacity and in-
frastructure to provide long-term commu-
nity response that is culturally appropriate 
and linguistically responsive to commu-
nities that disproportionately experience 
disparities in health and healthcare; and 
(C) include such other information as the 
Secretary may require. 
(5) PREFERENCE.—In awarding grants under 
this subsection, the Secretary shall give preference 
to proposals from indigenous community entities 
that have an expertise in providing culturally appro-
priate and linguistically responsive services to com-
258 
munities that disproportionately experience dispari-
ties in health and health care. 
(b) FEDERAL ASSISTANCE FOR HEALTH EMPOWER-
MENT ZONE GRANT PROGRAMS.—The Secretary, the Ad-
ministrator of the Small Business Administration, the 
Secretary of Agriculture, the Secretary of Education, the 
Secretary of Labor, and the Secretary of Housing and 
Urban Development shall each— 
(1) where appropriate, provide entity-specific 
technical assistance and evidence-based strategies to 
communities that disproportionately experience dis-
parities in health status and healthcare to further 
the purposes served by a health empowerment zone 
program established with a grant under subsection 
(a); 
(2) identify all programs administered by the 
Department of Health and Human Services, Small 
Business Administration, Department of Agri-
culture, Department of Education, Department of 
Labor, and the Department of Housing and Urban 
Development, respectively, that may be used to fur-
ther the purpose of a health empowerment zone pro-
gram established with a grant under subsection (a); 
and
259 
(3) in administering any program identified 
under paragraph (2), consider the appropriateness of 
giving priority to any individual or entity located in 
communities that disproportionately experience dis-
parities in health status and healthcare served by a 
health empowerment zone program established with 
a grant under subsection (a), if such priority would 
further the purpose of the health empowerment zone 
program. 
(c) HEALTH EMPOWERMENT ZONE COORDINATING 
COMMITTEE.— 
(1) ESTABLISHMENT.—For each health em-
powerment zone program established with a grant 
under subsection (a), the Secretary acting through 
the Director of Office of Minority Health and the 
Administrator of the Health Resources and Services 
Administration shall establish a health empowerment 
zone coordinating committee. 
(2) DUTIES.—Each coordinating committee es-
tablished, in coordination with the Director of the 
Office of Minority Health and the Administrator of 
the Health Resources and Services Administration, 
shall provide technical assistance and evidence-based 
strategies to the grant recipient involved, including 
providing guidance on research, strategies, health
260 
outcomes, program goals, management, implementa-
tion, monitoring, assessment, and evaluation proc-
esses. 
(3) MEMBERSHIP.— 
(A) APPOINTMENT.—The Director of the 
Office of Minority Health and the Adminis-
trator of the Health Resources and Services Ad-
ministration, in consultation with the respective 
grant recipient shall appoint the members of 
each coordinating committee. 
(B) COMPOSITION.—The Director of the 
Office of Minority Health, and the Adminis-
trator of the Health Resources and Services Ad-
ministration shall ensure that each coordinating 
committee established— 
(i) has not more than 20 members; 
(ii) includes individuals from commu-
nities that disproportionately experience 
disparities in health status and healthcare; 
(iii) includes community leaders and 
leaders of community-based organizations; 
(iv) includes representatives of aca-
demia and lay and professional organiza-
tions and associations including those hav-
ing expertise in medicine, technical, social
261 
and behavioral science, health policy, advo-
cacy, cultural and linguistic competency, 
research management, and organization; 
and 
(v) represents a reasonable cross-sec-
tion of knowledge, views, and application 
of expertise on societal, ethical, behavioral, 
educational, policy, legal, cultural, lin-
guistic, and workforce issues related to 
eliminating 
disparities 
in 
health 
and 
healthcare. 
(C) INDIVIDUAL
QUALIFICATIONS.—The 
Director of the Office of Minority Health and 
the Administrator of the Health Resources and 
Services Administration may not appoint an in-
dividual to serve on a coordinating committee 
unless the individual meets the following quali-
fications: 
(i) The individual is not employed by 
the Federal Government. 
(ii) The individual has appropriate ex-
perience, including experience in the areas 
of community development, cultural and 
linguistic competency, reducing and elimi-
262 
nating racial and ethnic disparities in 
health and health care, or minority health. 
(D) SELECTION.—In selecting individuals 
to serve on a coordinating committee, the Di-
rector of Office of Minority Health and the Ad-
ministrator Health Resources and Services Ad-
ministration shall give due consideration to the 
recommendations of the Congress, industry 
leaders, the scientific community (including the 
Institute of Medicine), academia, community 
based non-profit organizations, minority health 
and related organizations, the education com-
munity, State and local governments, and other 
appropriate organizations. 
(E) CHAIRPERSON.—The Director of the 
Office of Minority Health and the Adminis-
trator of the Health Resources and Services Ad-
ministration, in consultation with the members 
of the coordinating committee involved, shall 
designate a chairperson of the coordinating 
committee, who shall serve for a term of 3 
years and who may be reappointed at the expi-
ration of each such term. 
(F) TERMS.—Each member of a coordi-
nating committee shall be appointed for a term
263 
of 1 to 3 years in overlapping staggered terms, 
as determined by the Director of the Office of 
Minority Health and the Administrator of the 
Health Resources and Services Administration 
at the time of appointment, and may be re-
appointed at the expiration of each such term. 
(G) VACANCIES.—A vacancy on a coordi-
nating committee shall be filled in the same 
manner in which the original appointment was 
made. 
(H) COMPENSATION.—Each member of a 
coordinating committee shall be compensated at 
a rate equal to the daily equivalent of the an-
nual rate of basic pay for level IV of the Execu-
tive Schedule for each day (including travel 
time) during which such member is engaged in 
the performance of the duties of the coordi-
nating committee. 
(I) TRAVEL EXPENSES.—Each member of 
a coordinating committee shall receive travel ex-
penses, including per diem in lieu of subsist-
ence, in accordance with applicable provisions 
under subchapter I of chapter 57 of title 5, 
United States Code.
264 
(4) MEETINGS.—A coordinating committee 
shall meet 3 to 5 times each year, at the call of the 
coordinating committee’s chairperson and in con-
sultation with the Director of Office of Minority 
Health and the Administrator Health Resources and 
Services Administration. 
(5) REPORT.—Each coordinating committee 
shall transmit to the Congress an annual report 
that, with respect to the health empowerment zone 
program involved, includes the following: 
(A) A review of the program’s effectiveness 
in achieving stated goals and outcomes. 
(B) A review of the program’s manage-
ment and the coordination of the entities in-
volved. 
(C) A review of the activities in the pro-
gram’s portfolio and components. 
(D) An identification of policy issues raised 
by the program. 
(E) An assessment of the program’s capac-
ity, infrastructure, and number of underserved 
minority communities reached. 
(F) Recommendations for new program 
goals, research areas, enhanced approaches, 
partnerships, coordination and management
265 
mechanisms, and projects to be established to 
achieve the program’s stated goals, to improve 
outcomes, monitoring, and evaluation. 
(G) A review of the degree of minority en-
tity participation in the program, and an identi-
fication of a strategy to increase such participa-
tion. 
(H) Any other reviews or recommendations 
determined to be appropriate by the coordi-
nating committee. 
(d) REPORT.—The Director of the Office of Minority 
Health and the Administrator of the Health Resources 
and Services Administration shall submit a joint annual 
report to the appropriate committees of Congress on the 
results of the implementation of programs under this sec-
tion. 
(e) 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. 472. OVERWEIGHT AND OBESITY PREVENTION AND 
TREATMENT. 
(a) IN GENERAL.—The Secretary, in collaboration 
with the Director of the Centers for Disease Control and 
Prevention, the Administrator of the National Center for
266 
Minority Health and Health Disparities, and the Adminis-
trator of the Health Resources and Services Administra-
tion, shall establish grant programs for the purpose of pre-
venting and treating overweight and obesity in under-
served minority populations. 
(b) DEFINITIONS.—In this section, with respect to an 
individual: 
(1) OBESITY.—The term ‘‘obesity’’ means a 
Body Mass Index greater than or equal to 30.0 kg/ 
m2. 
(2) OVERWEIGHT.—The term ‘‘overweight’’ 
means a Body Mass Index of 25 to 29.9 kg/m2. 
(c) CENTERS FOR DISEASE CONTROL AND PREVEN-
TION.—The Director of the Centers for Disease Control 
and Prevention shall expand overweight and obesity reduc-
tion activities that include the following: 
(1) Surveillance in minority racial and ethnic 
populations. 
(2) Communication strategies, including the use 
of social marketing for minority populations, about 
the dangers of obesity. 
(3) Creation of partnerships with State health 
departments in developing obesity prevention and 
treatment interventions.
267 
(4) Development of work-based wellness pro-
grams to encourage adoption of healthy lifestyles by 
employees. 
(d) NATIONAL CENTER FOR MINORITY HEALTH AND 
HEALTH DISPARITIES.—The Director of the Centers for 
Disease Control and Prevention shall establish and imple-
ment a grant program to support research in the following 
areas: 
(1) Behavioral and environmental causes of 
overweight and obesity in minority populations. 
(2) Prevention and treatment interventions for 
overweight and obesity, tailored for minority popu-
lations. 
(3) Disparities in the prevalence of overweight 
and obesity among racial and ethnic minority 
groups. 
(4) Development and dissemination of best 
practice guidelines for treatment of overweight and 
obesity, tailored for gender and age groups within 
minority populations. 
(5) Data collection and reporting relating to 
overweight and obesity in minority populations. 
(e) HEALTH RESOURCES AND SERVICES ADMINIS-
TRATION.—The Administrator of the Health Resources 
and Services Administration, in collaboration with the Di-
268 
rector of the Office of Minority Health, the Secretary of 
Education, and the Secretary of Agriculture, shall estab-
lish and implement a school-based obesity prevention and 
treatment program that may include the following activi-
ties: 
(1) Projects to change the perception of over-
weight and obesity of children from racially and eth-
nically diverse backgrounds at all ages. 
(2) Culturally appropriate student education 
about healthy eating habits, based on the Dietary 
Guidelines for Americans. 
(3) Student programs to increase knowledge, 
attitudes, skills, behaviors, and confidence needed to 
be physically active for life. 
(4) Student peer advisor programs to increase 
awareness and model healthy lifestyles among fellow 
students. 
(5) Teacher education using scientifically evalu-
ated physical education and nutrition curricula tai-
lored to minority populations. 
(6) Family-focused initiatives to encourage the 
adoption of strategies relating to healthy lifestyles 
for parents (or guardians) and children. 
(7) The creation of partnerships with commu-
nity, fitness, or health organizations that will pro-
269 
mote healthy eating and physical activity among 
children. 
(8) Incentive programs to ensure the provision 
of healthful foods and beverages on school campuses 
and at school events. 
(f) EVALUATION.—A grantee under this section shall 
submit to the Secretary an evaluation, in collaboration 
with an academic health center or other qualified entity, 
that describes activities carried out with funds received 
under the grant and the effectiveness of such activities in 
preventing or treating overweight and obesity. 
(g) 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. 
SEC. 473. BORDER HEALTH GRANTS. 
(a) ELIGIBLE ENTITY DEFINED.—In this section, 
the term ‘‘eligible entity’’ means a State, public institution 
of higher education, local government, tribal government, 
nonprofit health organization, community health center, or 
community clinic receiving assistance under section 330 
of the Public Health Service Act (42 U.S.C. 254b), that 
is located in the border area. 
(b) AUTHORIZATION.—From funds appropriated 
under subsection (f), the Secretary, acting through the
270 
United States members of the United States-Mexico Bor-
der Health Commission, shall award grants to eligible en-
tities to address priorities and recommendations to im-
prove the health of border area residents that are estab-
lished by— 
(1) the United States members of the United 
States-Mexico Border Health Commission; 
(2) the State border health offices; and 
(3) the Secretary. 
(c) APPLICATION.—An eligible entity that desires a 
grant under subsection (b) shall submit an application to 
the Secretary at such time, in such manner, and con-
taining such information as the Secretary may require. 
(d) USE OF FUNDS.—An eligible entity that receives 
a grant under subsection (b) shall use the grant funds 
for— 
(1) programs relating to— 
(A) maternal and child health; 
(B) primary care and preventative health; 
(C) public health and public health infra-
structure; 
(D) health education and promotion; 
(E) oral health; 
(F) mental and behavioral health; 
(G) substance abuse;
271 
(H) health conditions that have a high 
prevalence in the border area; 
(I) medical and health services research; 
(J) workforce training and development; 
(K) 
community 
health 
workers 
or 
promotoras; 
(L) health care infrastructure problems in 
the border area (including planning and con-
struction grants); 
(M) health disparities in the border area; 
(N) environmental health; and 
(O) outreach and enrollment services with 
respect to Federal programs (including pro-
grams authorized under titles XIX and XXI of 
the Social Security Act (42 U.S.C. 1396 and 
1397aa)); and 
(2) other programs determined appropriate by 
the Secretary. 
(e) SUPPLEMENT, NOT SUPPLANT.—Amounts pro-
vided to an eligible entity awarded a grant under sub-
section (b) shall be used to supplement and not supplant 
other funds available to the eligible entity to carry out the 
activities described in subsection (d). 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section,
272 
$200,000,000 for fiscal year 2007, and such sums as may 
be necessary for each succeeding fiscal year. 
SEC. 474. UNITED STATES-MEXICO BORDER HEALTH COM-
MISSION ACT AMENDMENTS. 
The United States-Mexico Border Health Commis-
sion Act (22 U.S.C. 290n et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 9. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this Act $10,000,000 for fiscal year 2007 and such sums 
as may be necessary for each succeeding fiscal year.’’. 
SEC. 475. PREVENTION AND CONTROL OF INJURIES. 
(a) IN GENERAL.—Section 394A of the Public 
Health Service Act (42 U.S.C. 280b–3) is amended— 
(1) by striking ‘‘and’’ after ‘‘1994,’’; 
(2) by striking ‘‘and’’ after ‘‘1998,’’; and 
(3) by striking ‘‘through 2005’’ and all that fol-
lows and inserting the following: ‘‘through 2006, 
$300,000,000 for fiscal year 2007, and such sums 
as may be necessary for each of the fiscal years 
2008 through 2012.’’. 
(b) DEMONSTRATION PROJECTS IN URBAN AREAS.— 
Section 394A of the Public Health Service Act (42 U.S.C. 
280b–3) is amended by adding at the end the following 
sentence: ‘‘For the purpose of carrying out section
273 
393(a)(6) in urban areas, there are authorized to be ap-
propriated such sums as may be necessary for each of the 
fiscal years 2007 through 2012, in addition to amounts 
available for such purpose pursuant to the preceding sen-
tence.’’. 
(c) DEMONSTRATION PROJECTS REGARDING VIO-
LENCE.—Section 393 of the Public Health Service Act (42 
U.S.C. 280b–1a) is amended— 
(1) by redesignating subsection (b) as sub-
section (c); and 
(2) by inserting after subsection (a) the fol-
lowing subsection: 
‘‘(b) Grants under subsection (a)(6) shall include 
grants to public or nonprofit private trauma centers for 
demonstration projects to reduce violence.’’. 
TITLE V—DATA COLLECTION 
AND REPORTING 
SEC. 501. AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT. 
(a) PURPOSE.—It is the purpose of this section to 
promote data collection, analysis, and reporting by race, 
ethnicity, and primary language among federally sup-
ported health programs.
274 
(b) AMENDMENT.—Title XXIX of the Public Health 
Service Act, as amended by titles II and III of this Act, 
is further amended by adding at the end the following: 
‘‘Subtitle 
C—Strengthening 
Data 
Collection, 
Improving 
Data 
Analysis, and Expanding Data 
Reporting 
‘‘SEC. 2931. DATA ON RACE, ETHNICITY, AND PRIMARY LAN-
GUAGE. 
‘‘(a) REQUIREMENTS.— 
‘‘(1) IN
GENERAL.—Each health-related pro-
gram operated by or that receives funding or reim-
bursement, in whole or in part, either directly or in-
directly from the Department of Health and Human 
Services shall— 
‘‘(A) require the collection, by the agency 
or program involved, of data on the race, eth-
nicity, and primary language of each applicant 
for and recipient of health-related assistance 
under such program— 
‘‘(i) using, at a minimum, the cat-
egories for race and ethnicity described in 
the 1997 Office of Management and Budg-
et Standards for Maintaining, Collecting,
275 
and Presenting Federal Data on Race and 
Ethnicity; 
‘‘(ii) using the standards developed 
under subsection (e) for the collection of 
language data; 
‘‘(iii) where practicable, collecting 
data for additional population groups if 
such groups can be aggregated into the 
minimum race and ethnicity categories; 
and 
‘‘(iv) where practicable, through self- 
report; 
‘‘(B) with respect to the collection of the 
data described in subparagraph (A) for appli-
cants and recipients who are minors or other-
wise legally incapacitated, require that— 
‘‘(i) such data be collected from the 
parent or legal guardian of such an appli-
cant or recipient; and 
‘‘(ii) the preferred language of the 
parent or legal guardian of such an appli-
cant or recipient be collected; 
‘‘(C) systematically analyze such data 
using the smallest appropriate units of analysis 
feasible to detect racial and ethnic disparities in
276 
health and healthcare and when appropriate, 
for men and women separately, and report the 
results of such analysis to the Secretary, the 
Director of the Office for Civil Rights, the Com-
mittee on Health, Education, Labor, and Pen-
sions and the Committee on Finance of the 
Senate, and the Committee on Energy and 
Commerce and the Committee on Ways and 
Means of the House of Representatives; 
‘‘(D) provide such data to the Secretary on 
at least an annual basis; and 
‘‘(E) ensure that the provision of assist-
ance to an applicant or recipient of assistance 
is not denied or otherwise adversely affected be-
cause of the failure of the applicant or recipient 
to provide race, ethnicity, and primary language 
data. 
‘‘(2) RULES
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to— 
‘‘(A) permit the use of information col-
lected under this subsection in a manner that 
would adversely affect any individual providing 
any such information; and 
‘‘(B) require health care providers to col-
lect data.
277 
‘‘(b) PROTECTION OF DATA.—The Secretary shall 
ensure (through the promulgation of regulations or other-
wise) that all data collected pursuant to subsection (a) is 
protected— 
‘‘(1) under the same privacy protections as the 
Secretary applies to other health data under the reg-
ulations promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act 
of 1996 (Public Law 104–191; 110 Stat. 2033) re-
lating to the privacy of individually identifiable 
health information and other protections; and 
‘‘(2) from all inappropriate internal use by any 
entity that collects, stores, or receives the data, in-
cluding use of such data in determinations of eligi-
bility (or continued eligibility) in health plans, and 
from other inappropriate uses, as defined by the 
Secretary. 
‘‘(c) NATIONAL PLAN OF THE DATA COUNCIL.—The 
Secretary shall develop and implement a national plan to 
improve the collection, analysis, and reporting of racial, 
ethnic, and primary language data at the Federal, State, 
territorial, Tribal, and local levels, including data to be 
collected under subsection (a). The Data Council of the 
Department of Health and Human Services, in consulta-
tion with the National Committee on Vital Health Statis-
278 
tics, the Office of Minority Health, and other appropriate 
public and private entities, shall make recommendations 
to the Secretary concerning the development, implementa-
tion, and revision of the national plan. Such plan shall 
include recommendations on how to— 
‘‘(1) implement subsection (a) while minimizing 
the cost and administrative burdens of data collec-
tion and reporting; 
‘‘(2) expand awareness among Federal agencies, 
States, territories, Indian tribes, health providers, 
health plans, health insurance issuers, and the gen-
eral public that data collection, analysis, and report-
ing by race, ethnicity, and primary language is legal 
and necessary to assure equity and non-discrimina-
tion in the quality of healthcare services; 
‘‘(3) ensure that future patient record systems 
have data code sets for racial, ethnic, and primary 
language identifiers and that such identifiers can be 
retrieved from clinical records, including records 
transmitted electronically; 
‘‘(4) improve health and healthcare data collec-
tion and analysis for more population groups if such 
groups can be aggregated into the minimum race 
and ethnicity categories, including exploring the fea-
sibility of enhancing collection efforts in States for