383 
(2) 
CORRESPONDING
REDUCTION.—The 
amount authorized to be appropriated by provisions 
of law other than this section for the period of fiscal 
years 2012 through 2016 for Federal research and 
health care program activities related to prostate 
cancer is reduced by the amount of Federal savings 
projected to be achieved over such period by imple-
mentation of subsection (c)(2)(C) of this section. 
SEC. 703. IMPROVED MEDICAID COVERAGE FOR CERTAIN 
BREAST AND CERVICAL CANCER PATIENTS 
IN THE TERRITORIES. 
(a) ELIMINATION OF FUNDING LIMITATIONS.— 
(1) IN GENERAL.—Section 1108(g)(4) of the 
Social Security Act (42 U.S.C. 1308(g)(4)) is 
amended by adding at the end the following: ‘‘With 
respect to fiscal years beginning with fiscal year 
2012, payment for medical assistance for individuals 
who are eligible for such assistance only on the basis 
of section 1902(a)(10)(A)(ii)(XVIII) shall not be 
taken into account in applying subsection (f) (as in-
creased in accordance with paragraphs (1), (2), and 
(3) of this subsection) to such commonwealth or ter-
ritory for such fiscal year.’’. 
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384 
(2) TECHNICAL AMENDMENT.—Such section is 
further amended by striking ‘‘(3), and (4)’’ and in-
serting ‘‘and (3)’’. 
(b) APPLICATION OF ENHANCED FMAP FOR HIGH-
EST STATE.—Section 1905(b) of such Act (42 U.S.C. 
1396d(b)) is amended by adding at the end the following: 
‘‘Notwithstanding the first sentence of this subsection, 
with respect to medical assistance described in clause (4) 
of such sentence that is furnished in Puerto Rico, the 
United States Virgin Islands, Guam, the Commonwealth 
of the Northern Mariana Islands, or American Samoa in 
a fiscal year, the Federal medical assistance percentage 
is equal to the highest such percentage applied under such 
clause for such fiscal year for any of the 50 States or the 
District of Columbia that provides such medical assistance 
for any portion of such fiscal year.’’ 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to payment for medical assistance 
for items and services furnished on or after October 1, 
2011. 
SEC. 704. CANCER PREVENTION AND TREATMENT DEM-
ONSTRATION FOR ETHNIC AND RACIAL MI-
NORITIES. 
(a) DEMONSTRATION.— 
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385 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the 
‘‘Secretary’’) shall conduct demonstration projects 
(in this section referred to as ‘‘demonstration 
projects’’) for the purpose of developing models and 
evaluating methods that— 
(A) improve the quality of items and serv-
ices provided to target individuals in order to 
facilitate reduced disparities in early detection 
and treatment of cancer; 
(B) improve clinical outcomes, satisfaction, 
quality of life, and appropriate use of Medicare- 
covered services and referral patterns among 
those target individuals with cancer; 
(C) eliminate disparities in the rate of pre-
ventive cancer screening measures, such as Pap 
smears, prostate cancer screenings, and CT 
scans for lung cancer among target individuals; 
(D) promote collaboration with community- 
based organizations to ensure cultural com-
petency of health care professionals and lin-
guistic access for persons with limited-English 
proficiency; and 
(E) encourage the incorporation of commu-
nity health workers to increase the efficiency 
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and appropriateness of cervical cancer pro-
grams. 
(2) COMMUNITY HEALTH WORKER DEFINED.— 
In this section, the term ‘‘community health worker’’ 
includes a community health advocate, a lay health 
worker, a community health representative, a peer 
health promotor, a community health outreach work-
ers, and promotores de salud, who promotes health 
or nutrition within the community in which the indi-
vidual resides. 
(3) TARGET
INDIVIDUAL
DEFINED.—In this 
section, the term ‘‘target individual’’ means an indi-
vidual of a racial and ethnic minority group, as de-
fined in section 1707(g)(1) of the Public Health 
Service Act (42 U.S.C. 300u–6(g)(1)), who is enti-
tled to benefits under part A, and enrolled under 
part B, of title XVIII of the Social Security Act. 
(b) PROGRAM DESIGN.— 
(1) INITIAL DESIGN.—Not later than 1 year 
after the date of the enactment of this Act, the Sec-
retary shall evaluate best practices in the private 
sector, community programs, and academic research 
of methods that reduce disparities among individuals 
of racial and ethnic minority groups in the preven-
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tion and treatment of cancer and shall design the 
demonstration projects based on such evaluation. 
(2) NUMBER AND PROJECT AREAS.—Not later 
than 2 years after the date of the enactment of this 
Act, the Secretary shall implement at least nine 
demonstration projects, including the following: 
(A) Two projects for each of the four fol-
lowing major racial and ethnic minority groups: 
(i) American Indians and Alaska Na-
tives, Eskimos and Aleuts. 
(ii) Asian-Americans. 
(iii) Blacks/African-Americans. 
(iv) Hispanic/Latin-Americans. 
(v) Native Hawaiians and other Pa-
cific Islanders. 
The two projects must target different ethnic 
subpopulations. 
(B) One project within the Pacific Islands 
or United States insular areas. 
(C) At least one project each in a rural 
area and inner-city area. 
(3) EXPANSION
OF
PROJECTS; IMPLEMENTA-
TION
OF
DEMONSTRATION
PROJECT
RESULTS.—If 
the initial report under subsection (c) contains an 
evaluation that demonstration projects— 
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