‘‘(2) 
improving 
communication 
between 
healthcare providers, staff, and their patients, in-
cluding those patients with low health literacy; 
‘‘(3) improving healthcare quality and patient 
satisfaction; 
‘‘(4) reducing medical errors and healthcare 
costs; and 
‘‘(5) reducing duplication of effort regarding 
translation of materials. 
‘‘(b) INTERNET CLEARINGHOUSE.—Not later than 1 
year after the date of enactment of this section the Sec-
retary, acting through the Deputy Assistant Secretary for 
Minority Health, and in consultation with the Director of 
the Office for Civil Rights, shall carry out subsection (a) 
by— 
‘‘(1) developing and maintaining, through the 
Office of Minority Health, an accessible library and 
database on the Internet with easily searchable, 
clinically-relevant information regarding culturally 
competent healthcare for racial and ethnic minority 
groups, including Internet links to additional re-
sources that fulfill the purpose of this section; 
‘‘(2) developing and making templates for vis-
ual aids and standard documents with clear expla-
nations that can help patients and consumers access 
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and make informed decisions about healthcare, in-
cluding— 
‘‘(A) administrative and legal documents, 
including informed consent and advanced direc-
tives; 
‘‘(B) clinical information, including infor-
mation pertaining to treatment adherence, self- 
management training for chronic conditions, 
preventing transmission of disease, and dis-
charge instructions; 
‘‘(C) patient education and outreach mate-
rials, including immunization or screening no-
tices and health warnings; and 
‘‘(D) Federal health forms and notices; 
‘‘(3) ensuring that documents described in 
paragraph (2) are posted in English and non- 
English languages and are culturally appropriate; 
‘‘(4) encouraging healthcare providers to cus-
tomize such documents for their use; 
‘‘(5) facilitating access to such documents, in-
cluding distribution in both paper and electronic for-
mats; 
‘‘(6) providing technical assistance to healthcare 
providers with respect to the access and use of infor-
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mation described in paragraph (1) including infor-
mation to help healthcare providers— 
‘‘(A) understand the concept of cultural 
competence; 
‘‘(B) implement culturally competent prac-
tices; 
‘‘(C) care for patients with low health lit-
eracy, including helping such patients under-
stand and participate in healthcare decisions; 
‘‘(D) understand and apply Federal guid-
ance and directives regarding healthcare for ra-
cial and ethnic minority groups; 
‘‘(E) obtain reimbursement for provision of 
culturally competent services; 
‘‘(F) 
understand 
and 
implement 
bioinformatics and health information tech-
nology in order to improve healthcare for racial 
and ethnic minority groups; and 
‘‘(G) conduct other activities determined 
appropriate by the Secretary; 
‘‘(7) providing culturally appropriate dissemina-
tion strategies to provide educational materials to 
patients, representatives of community-based organi-
zations, and the public with respect to the access 
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and use of information described in paragraph (1), 
including— 
‘‘(A) information to help such individ-
uals— 
‘‘(i) understand the concept of cul-
tural competence, and the role of cultural 
competence in the delivery of healthcare; 
‘‘(ii) work with healthcare providers to 
implement culturally competent practices; 
‘‘(iii) provide options for providers 
and consumers to promote increased un-
derstanding of health literacy and self- 
management concepts, as well as the bene-
fits of improved provider-patient commu-
nications; and 
‘‘(iv) understand the concept of low 
health literacy, and the barriers it presents 
to care; and 
‘‘(B) if determined appropriate, materials 
and information identified by community-based 
organizations, including other non-profit organi-
zations, 
that 
are 
beneficial 
in 
assisting 
healthcare providers and patients in making de-
cisions regarding health, healthcare, and patient 
recovery; and 
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‘‘(C) other material determined appro-
priate by the Secretary; and 
‘‘(8) supporting initiatives that the Secretary 
determines to be useful to fulfill the purposes of the 
Internet Clearinghouse. 
‘‘(c) DEFINITIONS.—The definitions contained in sec-
tion 2 of the Minority Health Improvement and Health 
Disparity Elimination Act shall apply for purposes of this 
section.’’. 
SEC. 102. HEALTHCARE WORKFORCE COMPOSITION AND 
PLACEMENT. 
(a) IN GENERAL.—Part F of title VII of the Public 
Health Service Act (42 U.S.C. 295j et seq.) is amended 
by inserting after section 792 the following: 
‘‘SEC. 793. HEALTHCARE WORKFORCE, EDUCATION, AND 
TRAINING. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration and the Deputy Assistant Secretary for 
Minority Health, shall establish a database that can 
produce aggregated and disaggregated statistics on health 
professional students, including applicants, matriculates, 
and graduates. 
‘‘(b) REQUIREMENT TO COLLECT DATA.— 
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‘‘(1) IN
GENERAL.—Each health professions 
school described in paragraph (2) that receives Fed-
eral funds shall collect race and ethnicity data, pri-
mary language data, and where feasible, other health 
disparity data pursuant to subsection (d), con-
cerning the students described in subsection (a), as 
well as intended geographical site of practice and in-
tended discipline of practice for graduates. In col-
lecting race and ethnicity data, a school shall— 
‘‘(A) at a minimum, use the categories for 
race and ethnicity established by the Director of 
the Office of Management and Budget in effect 
on the date of enactment of the Minority 
Health Improvement and Health Disparity 
Elimination Act; and 
‘‘(B) if practicable, collect data on addi-
tional population groups if such data can be ag-
gregated into the minimum race and ethnicity 
data categories. 
‘‘(2) HEALTH PROFESSIONS SCHOOL.—A health 
professions school described under this paragraph is 
a school of medicine or osteopathic medicine, public 
health, nursing, dentistry, optometry, pharmacy, al-
lied health, podiatric medicine, or veterinary medi-
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cine, or a graduate program in mental health prac-
tice. 
‘‘(c) REPORTING.—Each school or program described 
under subsection (b), shall, on an annual basis, report 
data on race and ethnicity and primary language collected 
under this section to the Secretary for inclusion in the 
database established under subsection (a). The Secretary 
shall ensure that such disparity data is reported to Con-
gress and made available to the public. 
‘‘(d) HEALTH DISPARITY MEASURES.—The Sec-
retary shall develop, report, and disseminate measures of 
the other health data referenced in section 793(b)(1), to 
ensure uniform and consistent collection and reporting of 
these measures by health professions schools. In devel-
oping such measures, the Secretary shall take into consid-
eration health disparity indicators developed pursuant to 
section 2901(c). 
‘‘(e) USE OF DATA.—Data reported pursuant to sub-
section (c) shall be used by the Secretary to conduct ongo-
ing short- and long-term analyses of diversity within 
health professions schools and the health professions. The 
Secretary shall ensure that such analyses are reported to 
Congress and made available to the public. 
‘‘(f) CULTURAL COMPETENCY TRAINING.—The Sec-
retary shall mandate the collection and reporting of data 
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from health professions schools regarding the extent to 
which cultural competency training is provided to health 
professions students, that may include the duration, con-
tent and timing of the training, and conduct periodic as-
sessments regarding the preparedness of such students to 
care for patients from racial and ethnic minority groups. 
‘‘(g) PRIVACY.—The Secretary shall ensure that all 
data collected under this section is protected from inap-
propriate internal and external use by any entity that col-
lects, stores, or receives the data and that such data is 
collected without personally identifiable information. 
‘‘(h) PARTNERSHIP.—The Secretary may contract 
with external entities to fulfill the requirements under this 
section if such entities have demonstrated expertise and 
experience collecting, analyzing, and reporting data re-
quired under this section for health professional stu-
dents.’’. 
(b) NATIONAL
HEALTH
SERVICE
CORPS
PRO-
GRAM.— 
(1) ASSIGNMENT OF CORPS PERSONNEL.—Sec-
tion 333(a)(3) of the Public Health Service Corps 
(42 U.S.C. 254f(a)(3)) is amended to read as fol-
lows: 
‘‘(3)(A) In approving applications for assign-
ment of members of the Corps, the Secretary shall 
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not discriminate against application from entities 
which are not receiving Federal financial assistance 
under this Act. 
‘‘(B) In approving such applications, the Sec-
retary shall— 
‘‘(i) give preference to applications in 
which a nonprofit entity or public entity shall 
provide a site to which Corps members may be 
assigned; and 
‘‘(ii) give highest preference to applica-
tions— 
‘‘(I) from entities described in clause 
(i) that are federally qualified health cen-
ters as defined in section 1905(l)(2)(B) of 
the Social Security Act; and 
‘‘(II) from entities described in clause 
(i) that primarily serve racial and ethnic 
minority groups with annual incomes at or 
below twice those set forth in the most re-
cent poverty guidelines issued by the Sec-
retary pursuant to section 673(2) of the 
Community Services Block Grant Act (42 
U.S.C. 9902(2)).’’. 
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(2) PRIORITIES IN ASSIGNMENT OF CORPS PER-
SONNEL.—Section 333A of the Public Health Serv-
ice Act (42 U.S.C. 254f–1) is amended— 
(A) in subsection (a)— 
(i) by redesignating paragraphs (1), 
(2), and (3) as paragraphs (2), (3), and 
(4), respectively; and 
(ii) by striking ‘‘shall—’’ and insert-
ing ‘‘shall— 
‘‘(1) give preference to applications as set forth 
in subsection (a)(3) of section 333;’’; and 
(B) by striking ‘‘subsection (a)(1)’’ each 
place it appears and inserting ‘‘subsection 
(a)(2)’’. 
(3) 
CONFORMING
AMENDMENT.—Section 
338I(c)(3)(B)(ii) of the Public Health Service Act 
(42 U.S.C. 254q–1(c)(3)(B)(ii)) is amended by 
striking ‘‘section 333A(a)(1)’’ and inserting ‘‘section 
333A(a)(2)’’. 
SEC. 103. WORKFORCE TRAINING TO ACHIEVE DIVERSITY. 
(a) CENTERS OF EXCELLENCE.—Section 736 of the 
Public Health Service Act (42 U.S.C. 293) is amended— 
(1) by striking subsection (a) and inserting the 
following: 
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‘‘(a) IN GENERAL.—The Secretary shall make grants 
to, and enter into contracts with, public and nonprofit pri-
vate health or educational entities, including designated 
health professions schools described in subsection (c), for 
the purpose of assisting the entities in supporting pro-
grams of excellence in health professions education for 
underrepresented minorities in health professions.’’; 
(2) by striking subsection (b) and inserting the 
following: 
‘‘(b) REQUIRED USE
OF FUNDS.—The Secretary 
may not make a grant under subsection (a) unless the des-
ignated health professions school agrees, subject to sub-
section (c)(1)(C), to use the funds awarded under the 
grant to— 
‘‘(1) develop a large competitive applicant pool 
through linkages with institutions of higher edu-
cation, local school districts, and other community- 
based entities and establish an education pipeline for 
health professions careers; 
‘‘(2) establish, strengthen, or expand programs 
to enhance the academic performance of underrep-
resented minority in health professions students at-
tending the school; 
‘‘(3) improve the capacity of such school to 
train, recruit, and retain underrepresented minority 
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faculty members including the payment of such sti-
pends and fellowships as the Secretary may deter-
mine appropriate; 
‘‘(4) carry out activities to improve the informa-
tion resources, clinical education, curricula, and cul-
tural and linguistic competence of the graduates of 
the school, as it relates to minority health issues; 
‘‘(5) facilitate faculty and student research on 
health issues particularly affecting racial and ethnic 
minority groups, including research on issues relat-
ing to the delivery of culturally competent healthcare 
(as defined in section 270); 
‘‘(6) establish and implement a program to 
train students of the school in providing health serv-
ices to racial and ethnic minority individuals through 
training provided to such students at community- 
based health facilities that— 
‘‘(A) provide such health services; and 
‘‘(B) are located at a site remote from the 
main site of the teaching facilities of the school; 
‘‘(7) provide stipends as the Secretary deter-
mines appropriate, in amounts as the Secretary de-
termines appropriate; and 
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‘‘(8) conduct accountability and other reporting 
activities, as required by the Secretary in subsection 
(i).’’; 
(3) in subsection (c)— 
(A) by amending paragraph (1) to read as 
follows: 
‘‘(1) DESIGNATED SCHOOLS.— 
‘‘(A) IN GENERAL.—The designated health 
professions schools referred to in subsection (a) 
are such schools that meet each of the condi-
tions specified in subparagraphs (B) and (C), 
and that— 
‘‘(i) meet each of the conditions speci-
fied in paragraph (2)(A); 
‘‘(ii) meet each of the conditions spec-
ified in paragraph (3); 
‘‘(iii) meet each of the conditions 
specified in paragraph (4); or 
‘‘(iv) meet each of the conditions spec-
ified in paragraph (5). 
‘‘(B) GENERAL CONDITIONS.—The condi-
tions specified in this subparagraph are that a 
designated health professions school— 
‘‘(i) has a significant number of 
underrepresented minority in health pro-
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fessions students enrolled in the school, in-
cluding individuals accepted for enrollment 
in the school; 
‘‘(ii) has been effective in assisting 
such students of the school to complete the 
program of education and receive the de-
gree involved; 
‘‘(iii) has been effective in recruiting 
such students to enroll in and graduate 
from the school, including providing schol-
arships and other financial assistance to 
such students and encouraging such stu-
dents from all levels of the educational 
pipeline to pursue health professions ca-
reers; and 
‘‘(iv) has made significant recruitment 
efforts to increase the number of underrep-
resented minority in health professions in-
dividuals serving in faculty or administra-
tive positions at the school. 
‘‘(C) CONSORTIUM.—The condition speci-
fied in this subparagraph is that, in accordance 
with subsection (e)(1), the designated health 
profession school involved has with other health 
profession schools (designated or otherwise) 
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formed a consortium to carry out the purposes 
described in subsection (b) at the schools of the 
consortium. 
‘‘(D) 
APPLICATION
OF
CRITERIA
TO 
OTHER PROGRAMS.—In the case of any criteria 
established by the Secretary for purposes of de-
termining whether schools meet the conditions 
described in subparagraph (B), this section may 
not, with respect to racial and ethnic minorities, 
be construed to authorize, require, or prohibit 
the use of such criteria in any program other 
than the program established in this section.’’; 
(B) by amending paragraph (2) to read as 
follows: 
‘‘(2) CENTERS
OF
EXCELLENCE
AT
CERTAIN 
HISTORICALLY
BLACK
COLLEGES
AND
UNIVER-
SITIES.— 
‘‘(A) CONDITIONS.—The conditions speci-
fied in this subparagraph are that a designated 
health professions school is a school described 
in section 799B(1). 
‘‘(B) USE OF GRANT.—In addition to the 
purposes described in subsection (b), a grant 
under subsection (a) to a designated health pro-
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fessions school meeting the conditions described 
in subparagraph (A) may be expended— 
‘‘(i) to develop a plan to achieve insti-
tutional improvements, including financial 
independence, to enable the school to sup-
port programs of excellence in health pro-
fessions education for underrepresented 
minority individuals; and 
‘‘(ii) to provide improved access to the 
library and informational resources of the 
school. 
‘‘(C) EXCEPTION.—The requirements of 
paragraph (1)(C) shall not apply to a histori-
cally black college or university that receives 
funding under this paragraph or paragraph 
(5).’’; and 
(C) by amending paragraphs (3) through 
(5) to read as follows: 
‘‘(3) HISPANIC
CENTERS
OF
EXCELLENCE.— 
The conditions specified in this paragraph are 
that— 
‘‘(A) with respect to Hispanic individuals, 
each of clauses (i) through (iv) of paragraph 
(1)(B) applies to the designated health profes-
sions school involved; 
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‘‘(B) the school agrees, as a condition of 
receiving a grant under subsection (a) of this 
section, that the school will, in carrying out the 
duties described in subsection (b) of this sec-
tion, give priority to carrying out the duties 
with respect to Hispanic individuals; and 
‘‘(C) the school agrees, as a condition of 
receiving a grant under subsection (a) of this 
section, that— 
‘‘(i) the school will establish an ar-
rangement with 1 or more public or non-
profit community-based Hispanic serving 
organizations, or public or nonprofit pri-
vate institutions of higher education, in-
cluding schools of nursing, whose enroll-
ment of students has traditionally included 
a significant number of Hispanic individ-
uals, the purposes of which will be to carry 
out a program— 
‘‘(I) to identify Hispanic students 
who are interested in a career in the 
health profession involved; and 
‘‘(II) to facilitate the educational 
preparation of such students to enter 
the health professions school; and 
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‘‘(ii) the school will make efforts to 
recruit Hispanic students, including stu-
dents who have participated in the under-
graduate or other matriculation program 
carried out under arrangements established 
by the school pursuant to clause (i)(II) and 
will assist Hispanic students regarding the 
completion of the educational requirements 
for a degree from the school. 
‘‘(4) NATIVE AMERICAN CENTERS OF EXCEL-
LENCE.—Subject to subsection (e), the conditions 
specified in this paragraph are that— 
‘‘(A) with respect to Native Americans, 
each of clauses (i) through (iv) of paragraph 
(1)(B) applies to the designated health profes-
sions school involved; 
‘‘(B) the school agrees, as a condition of 
receiving a grant under subsection (a) of this 
section, that the school will, in carrying out the 
duties described in subsection (b) of this sec-
tion, give priority to carrying out the duties 
with respect to Native Americans; and 
‘‘(C) the school agrees, as a condition of 
receiving a grant under subsection (a) of this 
section, that— 
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‘‘(i) the school will establish an ar-
rangement with 1 or more public or non-
profit private institutions of higher edu-
cation, including schools of nursing, whose 
enrollment of students has traditionally in-
cluded a significant number of Native 
Americans, the purpose of which arrange-
ment will be to carry out a program— 
‘‘(I) to identify Native American 
students, from the institutions of 
higher education referred to in clause 
(i), who are interested in health pro-
fessions careers; and 
‘‘(II) to facilitate the educational 
preparation of such students to enter 
the 
designated 
health 
professions 
school; and 
‘‘(ii) the designated health professions 
school will make efforts to recruit Native 
American students, including students who 
have participated in the undergraduate 
program carried out under arrangements 
established by the school pursuant to 
clause (i) and will assist Native American 
students regarding the completion of the 
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educational requirements for a degree from 
the designated health professions school. 
‘‘(5) OTHER CENTERS OF EXCELLENCE.—The 
conditions specified in this paragraph are— 
‘‘(A) with respect to other centers of excel-
lence, the conditions described in clauses (i) 
through (iv) of paragraph (1)(B); and 
‘‘(B) that the health professions school in-
volved has an enrollment of underrepresented 
minorities in health professions significantly 
above the national average for such enrollments 
of health professions schools.’’; and 
(4) by striking subsection (h) and inserting the 
following: 
‘‘(h) FORMULA FOR ALLOCATIONS.— 
‘‘(1) ALLOCATIONS.—Based on the amount ap-
propriated under section 106(a) of the Minority 
Health Improvement and Health Disparity Elimi-
nation Act for a fiscal year, the following subpara-
graphs shall apply as appropriate: 
‘‘(A) IN GENERAL.—If the amounts appro-
priated under section 106(a) of the Minority 
Health Improvement and Health Disparity 
Elimination 
Act 
for 
a 
fiscal 
year 
are 
$24,000,000 or less— 
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‘‘(i) the Secretary shall make available 
$12,000,000 for grants under subsection 
(a) to health professions schools that meet 
the conditions described in subsection 
(c)(2)(A); and 
‘‘(ii) and available after grants are 
made with funds under clause (i), the Sec-
retary shall make available— 
‘‘(I) 60 percent of such amount 
for grants under subsection (a) to 
health professions schools that meet 
the conditions described in paragraph 
(3) or (4) of subsection (c) (including 
meeting the conditions under sub-
section (e)); and 
‘‘(II) 40 percent of such amount 
for grants under subsection (a) to 
health professions schools that meet 
the conditions described in subsection 
(c)(5). 
‘‘(B) 
FUNDING
IN
EXCESS
OF 
$24,000,000.—If amounts appropriated under 
section 106(a) of the Minority Health Improve-
ment and Health Disparity Elimination Act for 
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a fiscal year exceed $24,000,000 but are less 
than $30,000,000— 
‘‘(i) 
percent 
of 
such 
excess 
amounts shall be made available for grants 
under subsection (a) to health professions 
schools that meet the requirements de-
scribed in paragraph (3) or (4) of sub-
section (c) (including meeting conditions 
pursuant to subsection (e)); and 
‘‘(ii) 20 percent of such excess 
amount shall be made available for grants 
under subsection (a) to health professions 
schools that meet the conditions described 
in subsection (c)(5). 
‘‘(C) 
FUNDING
IN
EXCESS
OF 
$30,000,000.—If amounts appropriated under 
section 106(a) of the Minority Health Improve-
ment and Health Disparity Elimination Act for 
a fiscal year exceed $30,000,000 but are less 
than $40,000,000, the Secretary shall make 
available— 
‘‘(i) not less than $12,000,000 for 
grants under subsection (a) to health pro-
fessions schools that meet the conditions 
described in subsection (c)(2)(A); 
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‘‘(ii) not less than $12,000,000 for 
grants under subsection (a) to health pro-
fessions schools that meet the conditions 
described in paragraph (3) or (4) of sub-
section (c) (including meeting conditions 
pursuant to subsection (e)); 
‘‘(iii) not less than $6,000,000 for 
grants under subsection (a) to health pro-
fessions schools that meet the conditions 
described in subsection (c)(5); and 
‘‘(iv) after grants are made with 
funds under clauses (i) through (iii), any 
remaining excess amount for grants under 
subsection (a) to health professions schools 
that meet the conditions described in para-
graph (2)(A), (3), (4), or (5) of subsection 
(c). 
‘‘(D) 
FUNDING
IN
EXCESS
OF 
$40,000,000.—If amounts appropriated under 
section 106(a) of the Minority Health Improve-
ment and Health Disparity Elimination Act for 
a fiscal year are $40,000,000 or more, the Sec-
retary shall make available— 
‘‘(i) not less than $16,000,000 for 
grants under subsection (a) to health pro-
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fessions schools that meet the conditions 
described in subsection (c)(2)(A); 
‘‘(ii) not less than $16,000,000 for 
grants under subsection (a) to health pro-
fessions schools that meet the conditions 
described in paragraph (3) or (4) of sub-
section (c) (including meeting conditions 
pursuant to subsection (e)); 
‘‘(iii) not less than $8,000,000 for 
grants under subsection (a) to health pro-
fessions schools that meet the conditions 
described in subsection (c)(5); and 
‘‘(iv) after grants are made with 
funds under clauses (i) through (iii), any 
remaining funds for grants under sub-
section (a) to health professions schools 
that meet the conditions described in para-
graph (2)(A), (3), (4), or (5) of subsection 
(c). 
‘‘(2) NO
LIMITATION.—Nothing in this sub-
section shall be construed as limiting the centers of 
excellence referred to in this section to the des-
ignated amount, or to preclude such entities from 
competing for grants under this section. 
‘‘(3) MAINTENANCE OF EFFORT.— 
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‘‘(A) IN GENERAL.—With respect to activi-
ties for which a grant made under this part are 
authorized to be expended, the Secretary may 
not make such a grant to a center of excellence 
for any fiscal year unless the center agrees to 
maintain expenditures of non-Federal amounts 
for such activities at a level that is not less 
than the level of such expenditures maintained 
by the center for the fiscal year preceding the 
fiscal year for which the school receives such a 
grant. 
‘‘(B) USE OF FEDERAL FUNDS.—With re-
spect to any Federal amounts received by a cen-
ter of excellence and available for carrying out 
activities for which a grant under this part is 
authorized to be expended, the center shall, be-
fore expending the grant, expend the Federal 
amounts obtained from sources other than the 
grant, unless given prior approval from the Sec-
retary. 
‘‘(i) EVALUATIONS.— 
‘‘(1) ADVISORY COMMITTEE.— 
‘‘(A) IN
GENERAL.—Not later than 90 
days after the date of enactment of the Minor-
ity Health Improvement and Health Disparity 
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