1658 
profit private entities, including State, local, 
territorial, and Tribal health agencies and orga-
nizations, for the research and collection, anal-
ysis, and reporting of data on the topics de-
scribed in subparagraph (A). 
‘‘(C) Establish, through grants or coopera-
tive agreements, at least 3 regional centers of 
excellence, located in racial and ethnic minority 
communities, in antiracism for the purpose of 
developing new knowledge in the science and 
practice of antiracism in health by researching, 
understanding, and identifying the mechanisms 
by which racism operates in the health space, 
racial and ethnic inequities in health care ac-
cess and outcomes, the history of successful 
antiracist movements in health, and other 
antiracist public health work. 
‘‘(D) Establish a clearinghouse within the 
Centers for Disease Control and Prevention for 
the collection and storage of data generated 
under the programs implemented under this 
section for which there is not an otherwise ex-
isting surveillance system at the Centers for 
Disease Control and Prevention. Such data 
shall— 
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‘‘(i) 
be 
comprehensive 
and 
disaggregated, to the extent practicable, by 
including racial, ethnic, primary language, 
sex, gender identity, sexual orientation, 
age, socioeconomic status, and disability 
disparities; 
‘‘(ii) be made publicly available; 
‘‘(iii) protect the privacy of individuals 
whose information is included in such data; 
and 
‘‘(iv) comply with privacy protections 
under the regulations promulgated under 
section 264(c) of the Health Insurance 
Portability and Accountability Act of 1996. 
‘‘(E) Provide information and education to 
the public on the public health impacts of struc-
tural racism and on antiracist public health 
interventions. 
‘‘(F) Consult with other Centers and Na-
tional Institutes within the Centers for Disease 
Control and Prevention, including the Office of 
Health Equity, the Office of Tribal Affairs and 
Strategic Alliances, the Office of Rural Health, 
and the Office of Island Affairs, to ensure that 
scientific and programmatic activities initiated 
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by the agency consider structural racism in 
their designs, conceptualizations, and execu-
tions, which shall include— 
‘‘(i) putting measures of racism in 
population-based surveys; 
‘‘(ii) establishing a Federal Advisory 
Committee on racism and health for the 
Centers for Disease Control and Preven-
tion; 
‘‘(iii) developing training programs, 
curricula, and seminars for the purposes of 
training public health professionals and re-
searchers around issues of race, racism, 
and antiracism; 
‘‘(iv) providing standards and best 
practices for programming and grant re-
cipient compliance with Federal data col-
lection standards, including section 3101 
of the Public Health Service Act; and 
‘‘(v) establishing leadership and stake-
holder councils with experts and leaders in 
racism and public health disparities. 
‘‘(G) Coordinate with the Indian Health 
Service and with the Tribal Advisory Committee 
of the Centers for Disease Control and Preven-
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tion to ensure meaningful Tribal consultation, 
the gathering of information from Tribal au-
thorities, and respect for Tribal data sov-
ereignty. 
‘‘(H) Engage in government to government 
consultation with Indian Tribes and Tribal or-
ganizations. 
‘‘(I) At least every 2 years, produce and 
publicly post on the Centers for Disease Control 
and Prevention’s website a report on antiracist 
activities completed by the Center, which may 
include newly identified antiracist public health 
practices. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) ANTIRACISM.—The term ‘antiracism’ is a 
collection of antiracist policies that lead to racial eq-
uity, and are substantiated by antiracist ideas. 
‘‘(2) ANTIRACIST.—The term ‘antiracist’ is any 
measure that produces or sustains racial equity be-
tween racial groups. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated such sums as may be nec-
essary to carry out this section.’’. 
(b) PUBLIC HEALTH RESEARCH AND INVESTMENT 
IN POLICE VIOLENCE.— 
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(1) IN GENERAL.—The Secretary shall establish 
within the National Center for Injury Prevention 
and Control of the Centers for Disease Control and 
Prevention (referred to in this subsection as the 
‘‘Center’’) a law enforcement violence prevention 
program. 
(2) GENERAL
DUTIES.—In implementing the 
program under paragraph (1), the Center shall con-
duct research into, and provide leadership and co-
ordination for— 
(A) the understanding and promotion of 
knowledge about the public health impacts of 
uses of force by law enforcement, including po-
lice brutality and violence; 
(B) developing public health interventions 
and perspectives for eliminating deaths, injury, 
trauma, and negative mental health effects 
from police presence and interactions, including 
police brutality and violence; and 
(C) ensuring comprehensive data collection, 
analysis, and reporting regarding police violence 
and misconduct, in consultation with the De-
partment of Justice and independent research-
ers. 
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(3) FUNCTIONS.—Under the program under 
paragraph (1), the Center shall— 
(A) summarize and enhance the knowledge 
of the distribution, status, and characteristics 
of law enforcement-related death, trauma, and 
injury; 
(B) conduct research and prepare, with the 
assistance of State public health departments— 
(i) statistics on law enforcement-re-
lated death, injury, and brutality; 
(ii) studies of the factors, including 
legal, socioeconomic, discrimination, and 
other factors that correlate with or influ-
ence police brutality; 
(iii) public information about uses of 
force by law enforcement, including police 
brutality and violence, for the practical use 
of the public health community, including 
publications that synthesize information 
relevant to the national goal of under-
standing police violence and methods for 
its control; 
(iv) information to identify socio-
economic groups, communities, and geo-
graphic areas in need of study, and a stra-
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tegic plan for research necessary to com-
prehend the extent and nature of police 
uses of force by law enforcement, including 
police brutality and violence, and deter-
mine what options exist to reduce or eradi-
cate death and injury that result; and 
(v) best practices in police violence 
prevention in other countries; 
(C) award grants, contracts, and coopera-
tive agreements to provide for the conduct of 
epidemiologic research on uses of force by law 
enforcement, including police brutality and vio-
lence, by Federal, State, local, and private 
agencies, institutions, organizations, and indi-
viduals; 
(D) award grants, contracts, and coopera-
tive agreements to community groups, inde-
pendent research organizations, academic insti-
tutions, and other entities to support, execute, 
or conduct research on interventions to reduce 
or eliminate uses of force by law enforcement, 
including police brutality and violence; 
(E) coordinate with the Department of 
Justice and other Federal, State, and local 
agencies on the standardization of data collec-
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tion, storage, and retrieval necessary to collect, 
evaluate, analyze, and disseminate information 
about the extent and nature of uses of force by 
law enforcement, including police brutality and 
violence, as well as options for the eradication 
of such practices; 
(F) submit an annual report to Congress 
on research findings with recommendations to 
improve data collection and standardization and 
to disrupt processes in policing that preserve 
and reinforce racism and racial disparities in 
public health; 
(G) conduct primary research and explore 
uses of force by law enforcement, including po-
lice brutality and violence, and options for its 
control; and 
(H) study alternatives to law enforcement 
response as a method of reducing police vio-
lence. 
(4) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated such sums as 
may be necessary to carry out this subsection. 
SEC. 10013. LGBTQ ESSENTIAL DATA. 
(a) IMPROVING DATA COLLECTION ON THE SEXUAL 
ORIENTATION AND GENDER IDENTITY OF DECEASED IN-
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DIVIDUALS THROUGH THE NATIONAL VIOLENT DEATH 
REPORTING SYSTEM.— 
(1) COLLECTION OF SEXUAL ORIENTATION AND 
GENDER IDENTITY DATA.— 
(A) IN
GENERAL.—Not later than 120 
days after the date of enactment of this Act, 
the Director of the Centers for Disease Control 
and Prevention shall take measures to improve 
the incidence of the collection of information on 
the sexual orientation and gender identity of de-
ceased individuals through the National Violent 
Death Reporting System or any successor pro-
grams. 
(B) CONFIDENTIALITY.—Any information 
collected relating to the sexual orientation or 
gender identity of a decedent shall be main-
tained in accordance with the confidentiality 
and privacy standards and policies for the pro-
tection of individuals applicable to all other 
data collected for purposes of the National Vio-
lent Death Reporting System. 
(2) DEFINITIONS.—In this subsection: 
(A) GENDER IDENTITY.—The term ‘‘gen-
der identity’’ means an individual’s sense of 
being male, female, transgender, or another 
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gender, as distinct from the individual’s sex as-
signed at birth. 
(B) SEXUAL
ORIENTATION.—The term 
‘‘sexual orientation’’ means how a person iden-
tifies in terms of their emotional, romantic, or 
sexual attractions, and includes identification as 
straight, heterosexual, gay, lesbian, or bisexual, 
among other terms. 
(3) AUTHORIZATION.—There is authorized to 
be appropriated $25,000,000 for fiscal year 2025 to 
carry out this subsection. 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) the Centers for Disease Control and Preven-
tion has made significant efforts to encourage States 
and other jurisdictions to collect data on sexual ori-
entation and gender identity through the National 
Violent Death Reporting System; and 
(2) jurisdictions that participate in the collec-
tion of such data through the National Violent 
Death Reporting System should be commended for 
their participation. 
SEC. 10014. SOCIAL DETERMINANTS ACCELERATOR. 
(a) PURPOSES.—The purposes of this section are as 
follows: 
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(1) To establish effective, coordinated Federal 
technical assistance to help State and local govern-
ments to improve outcomes and cost-effectiveness of, 
and return on investment from, health and social 
services programs. 
(2) To build a pipeline of State and locally de-
signed, cross-sector interventions and strategies that 
generate rigorous evidence about how to improve 
health and social outcomes, and increase the cost-ef-
fectiveness of, and return on investment from, Fed-
eral, State, local, and Tribal health and social serv-
ices programs. 
(3) To enlist State and local governments and 
the service providers of such governments as part-
ners in identifying Federal statutory, regulatory, and 
administrative challenges in improving the health 
and social outcomes of, cost-effectiveness of, and re-
turn on investment from, Federal spending on indi-
viduals enrolled in the Medicaid program under title 
XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.). 
(4) To develop strategies to improve health and 
social outcomes without denying services to, or re-
stricting the eligibility of, vulnerable populations. 
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(b) SOCIAL DETERMINANTS ACCELERATOR COUN-
CIL.— 
(1) ESTABLISHMENT.—The Secretary, in co-
ordination with the Administrator of the Centers for 
Medicare & Medicaid Services (referred to in this 
section as the ‘‘Administrator’’), shall establish an 
interagency council, to be known as the Social De-
terminants Accelerator Interagency Council (referred 
to in this section as the ‘‘Council’’), to achieve the 
purposes listed in subsection (a). 
(2) MEMBERSHIP.— 
(A) FEDERAL COMPOSITION.—The Council 
shall be composed of at least one designee from 
each of the following Federal agencies: 
(i) The Office of Management and 
Budget. 
(ii) The Department of Agriculture. 
(iii) The Department of Education. 
(iv) The Indian Health Service. 
(v) The Department of Housing and 
Urban Development. 
(vi) The Department of Labor. 
(vii) The Department of Transpor-
tation. 
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(viii) Any other Federal agency the 
Chair of the Council determines necessary. 
(B) DESIGNATION.— 
(i) IN GENERAL.—The head of each 
agency specified in subparagraph (A) shall 
designate at least one employee described 
in clause (ii) to serve as a member of the 
Council. 
(ii) RESPONSIBILITIES.—An employee 
described in this clause shall be a senior 
employee of the agency— 
(I) whose responsibilities relate 
to authorities, policies, and procedures 
with respect to the health and well- 
being of individuals receiving medical 
assistance under a State plan (or a 
waiver of such plan) under title XIX 
of the Social Security Act (42 U.S.C. 
1396 et seq.); or 
(II) who has authority to imple-
ment and evaluate transformative ini-
tiatives that harness data or conducts 
rigorous evaluation to improve the im-
pact and cost-effectiveness of federally 
funded services and benefits. 
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(C) HHS REPRESENTATION.—In addition 
to the designees under subparagraph (A), the 
Council shall include designees from at least 
three agencies within the Department of Health 
and Human Services, including the Centers for 
Medicare & Medicaid Services, at least one of 
whom shall meet the criteria under subpara-
graph (B)(ii). 
(D) OMB ROLE.—The Director of the Of-
fice of Management and Budget shall facilitate 
the timely resolution of Government-wide and 
multiagency issues to help the Council achieve 
consensus recommendations described under 
paragraph (3)(A). 
(E) NON-FEDERAL
COMPOSITION.—The 
Comptroller General of the United States may 
designate up to 6 Council designees— 
(i) who have relevant subject matter 
expertise, including expertise implementing 
and evaluating transformative initiatives 
that harness data and conduct evaluations 
to improve the impact and cost-effective-
ness of Federal Government services; and 
(ii) that each represent— 
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(I) State, local, and Tribal health 
and human services agencies; 
(II) public housing authorities or 
State housing finance agencies; 
(III) State and local government 
budget offices; 
(IV) State Medicaid agencies; or 
(V) national consumer advocacy 
organizations. 
(F) CHAIR.— 
(i) IN GENERAL.—The Secretary shall 
select the Chair of the Council from among 
the members of the Council. 
(ii) 
INITIATING
GUIDANCE.—The 
Chair, on behalf of the Council, shall iden-
tify and invite individuals from diverse en-
tities to provide the Council with advice 
and information pertaining to addressing 
social determinants of health, including— 
(I) individuals from State and 
local government health and human 
services agencies; 
(II) individuals from State Med-
icaid agencies; 
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SEC. 
10015. 
IMPROVING 
SOCIAL 
DETERMINANTS 
OF 
HEALTH. 
(a) SOCIAL
DETERMINANTS
OF
HEALTH
PRO-
GRAM.— 
(1) PROGRAM.—To the extent and in the 
amounts made available in advance in appropriations 
Acts, the Director of the Centers for Disease Control 
and Prevention (in this section referred to as the 
‘‘Director’’) shall carry out a program, to be known 
as the Social Determinants of Health Program (in 
this section referred to as the ‘‘Program’’), to 
achieve the following goals: 
(A) Improve health outcomes and reduce 
health inequities by coordinating social deter-
minants of health activities across the Centers 
for Disease Control and Prevention. 
(B) Improve the capacity of public health 
agencies and community organizations to ad-
dress social determinants of health in commu-
nities. 
(2) ACTIVITIES.—To achieve the goals listed in 
paragraph (1), the Director shall carry out activities 
including the following: 
(A) Coordinating across the Centers for 
Disease Control and Prevention to ensure that 
relevant programs consider and incorporate so-
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