116 HR 5014 IH: Improving Diagnosis in Medicine Act of 2019
U.S. House of Representatives
2019-11-08
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I116th CONGRESS1st SessionH. R. 5014IN THE HOUSE OF REPRESENTATIVESNovember 8, 2019Mr. Luján (for himself and Mr. Bilirakis) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo improve the quality, appropriateness, and effectiveness of diagnosis in health care, and for
			 other purposes.

 1.Short titleThis Act may be cited as the Improving Diagnosis in Medicine Act of 2019. 2.Research centers of diagnostic excellence (a)In generalSection 912 of the Public Health Service Act (42 U.S.C. 299b–1) is amended—
 (1)in subsection (c), by inserting after part C the following: and subsection (d); and (2)by adding at the end the following:

						(d)Research Centers of Diagnostic Excellence
 (1)In generalThe Director shall award grants for the establishment and maintenance of centers, to be known as Research Centers of Diagnostic Excellence, that advance research and progress in diagnostic quality, safety, and value in clinical care and population health through implementing the activities specified in paragraph (3).
 (2)ConsiderationsIn awarding grants under paragraph (1), the Director shall take into consideration— (A)the level of development within the field of research on improving diagnosis in health care; and
 (B)the need to plan and establish new Research Centers of Diagnostic Excellence. (3)Activities (A)Required activitiesEach Research Center of Diagnostic Excellence receiving funds pursuant to paragraph (1) shall use such funds to—
 (i)serve as an interdisciplinary core diagnostic research hub for conducting diagnostic safety and quality research;
 (ii)support research and public health initiatives on improving diagnosis in medicine; and (iii)foster high-impact research on novel solutions to improve diagnosis that will significantly reduce patient harm.
 (B)Permissible activitiesIn addition to the required activities listed in subparagraph (A), each Research Center of Diagnostic Excellence receiving funds pursuant to paragraph (1) may use such funds to—
 (i)build capacity by cultivating, training, and developing a highly qualified diagnostic research workforce;
 (ii)develop and validate operationally viable measures of diagnostic error to assess which approaches are effective for monitoring the diagnosis process of identifying, analyzing, and reducing diagnostic errors; and
 (iii)utilize strategic partnerships that capitalize on the capabilities of both academic research institutions and non-academic health care, public health, science, and technology stakeholders..
				3.Interagency Council on Improving Diagnosis in Health Care
 (a)EstablishmentThe Secretary of Health and Human Services (in this section referred to as the Secretary) shall establish within the Office of the Secretary an interagency council to be known as the Interagency Council on Improving Diagnosis in Health Care (in this section referred to as the Council).
 (b)ObjectivesThe objectives of the Council shall be the following: (1)Enhance the quality, appropriateness, and effectiveness of diagnosis in health care through—
 (A)the establishment and support of a broad base of scientific research; (B)the dissemination and implementation of the results of such research; and
 (C)the promotion of improvements in clinical and health system practices. (2)Identify and eliminate systemic barriers to supporting research in improving diagnosis in health care.
 (3)Identify knowledge gaps, research needs, and deficiencies in clinical and health system delivery, associated with the diagnostic process, with an emphasis on clarifying needs across the diagnostic research continuum.
 (4)Create core diagnostic research services and interdisciplinary teams to facilitate diagnostic research.
 (5)Build capacity by training and developing a highly-qualified diagnostic research workforce. (6)Establish valid operational measures of diagnostic error.
				(c)Membership
 (1)ChairpersonThe Director of the Agency for Healthcare Research and Quality (or the Director’s designee) shall be the Chairperson of the Council.
				(2)Members
 (A)In generalIn addition to the Chairperson, the Council shall be comprised of at least 1 designee from each of the following, appointed by the head of the applicable department or agency:
 (i)The Centers for Disease Control and Prevention. (ii)The Centers for Medicare & Medicaid Services.
 (iii)The Department of Veterans Affairs. (iv)The Congressionally Directed Medical Research Program of the Department of Defense.
 (v)The National Institutes of Health, including designees from— (I)the National Cancer Institute;
 (II)the National Center for Advancing Translational Sciences; (III)the National Institute of Allergy and Infectious Diseases;
 (IV)the National Heart, Lung, and Blood Institute; (V)the National Institute of Neurological Disorders and Stroke;
 (VI)the National Library of Medicine; and (VII)such other national research institutes and national centers as may be appropriate, as determined by the Director of the National Institutes of Health.
 (B)Additional membersIn addition to the designees under subparagraph (A), the Council may include such other designees from Federal departments or agencies as the Chairperson of the Council deems appropriate.
 (C)DesignationA person appointed to the Council as a designee shall be a senior official or employee of the department or agency whose responsibilities and subject matter expertise are relevant to the Council’s objectives listed in subsection (b), as determined by the designating official.
					(d)Strategic plan; reports
 (1)Strategic Federal Plan to Improve Diagnosis in Health CareNot later than 18 months after the date of enactment of this Act, the Council shall develop, submit to the Secretary and Congress, and make publicly available a strategic plan, to be known as the Strategic Federal Plan to Improve Diagnosis, that, consistent with the objectives listed in subsection (b)—
 (A)identifies coordinated opportunities to enhance scientific research and reduce systemic barriers in order to improve diagnosis in health care; and
 (B)includes legislative and administrative policy recommendations. (2)Reports to CongressNot later than July 31 of every odd-numbered year beginning with the first such year after the date of submission of the first Strategic Federal Plan to Improve Diagnosis under paragraph (1), the Council shall prepare, submit to the Secretary and Congress, and make publicly available an updated Strategic Federal Plan to Improve Diagnosis that includes—
 (A)such updates as the Council determines to be appropriate; (B)information on the overall progress of the Federal Government in reducing barriers to research on, and supporting projects to improve, diagnosis in health care; and
 (C)legislative and administrative policy recommendations, including addressing any needs for greater legislative authority to meet the objectives listed in subsection (b).
 4.Authorization of appropriationsThere is authorized to be appropriated to carry out this Act (including the amendments made by this Act) $8,000,000 for each of fiscal years 2021 through 2025, to remain available until expended.


		IV
		111th CONGRESS
		2d Session
		H. RES. 1124
		IN THE HOUSE OF REPRESENTATIVES

			February 26, 2010
			Mr. Mack (for himself
			 and Ms. Ros-Lehtinen) submitted the
			 following resolution; which was referred to the
			 Committee on Ways and
			 Means

		RESOLUTION
		Supporting President Obama and his agenda
		  to strengthen United States trade relations in Asia and with key partners like
		  South Korea, Panama, and Colombia.

		Whereas, on November 22, 2006, the United States and
			 Colombia signed the United States–Colombia Free Trade Agreement;
		Whereas, on June 28, 2007, the United States and Panama
			 signed the United States–Panama Free Trade Agreement;
		Whereas, on June 30, 2007, the United States and South
			 Korea signed the United States–Korea Free Trade Agreement;
		Whereas during the State of the Union on January 27, 2010,
			 President Obama declared that the more products we make and sell to
			 other countries, the more jobs we support right here in
			 America.;
		Whereas the United States International Trade Commission
			 (USITC) has concluded that the United States–Panama Free Trade Agreement would
			 significantly increase United States exports to Panama;
		Whereas 88 percent of United States commercial and
			 industrial exports to Panama would become duty-free upon implementation of the
			 United States–Panama Free Trade Agreement, and approximately 50 percent of
			 United States farm exports to Panama would achieve immediate duty-free
			 status;
		Whereas the USITC has concluded that a free trade
			 agreement with Colombia would significantly increase market access for United
			 States goods and services in Colombia;
		Whereas currently more than 90 percent of Colombian
			 exports to the United States enter duty-free, while United States exports to
			 Colombia face duties of up to 20 percent;
		Whereas the United States–Colombia Free Trade Agreement
			 would immediately eliminate duties on 80 percent of United States exports of
			 consumer and industrial products to Colombia;
		Whereas the USITC has concluded that United States gross
			 domestic product would increase by $10 billion to $12 billion annually once the
			 United States–Korea Free Trade Agreement is fully implemented;
		Whereas under the United States–Korea Free Trade
			 Agreement, almost 95 percent of trade in consumer and industrial products would
			 become duty-free within 3 years, with most remaining tariffs eliminated within
			 10 years;
		Whereas during the State of the Union, President Obama
			 also said that [w]e have to seek new markets aggressively, just as our
			 competitors are. If America sits on the sidelines while other nations sign
			 trade deals, we will lose the chance to create jobs on our
			 shores.;
		Whereas Colombia has concluded free trade agreements with
			 Canada and countries throughout Latin America and is currently negotiating a
			 free trade agreement with the European Union;
		Whereas Panama has negotiated free trade agreements with
			 Canada, Singapore, Taiwan, Chile, El Salvador, the Dominican Republic, Costa
			 Rica, Nicaragua, Guatemala, and Honduras;
		Whereas, on October 15, 2009, the European Union and South
			 Korea signed the world’s biggest free trade agreement since 1994;
		Whereas United States competitors continue to expand their
			 presence in regions where the United States has traditionally been the
			 principal trade partner, as exemplified by the tenfold increase in China’s
			 trade with Latin America from 2000 to 2007, which reached $142 billion in 2008;
			 and
		Whereas during his State of the Union, President Obama
			 declared that we will strengthen our trade relations in Asia and with
			 key partners like South Korea and Panama and Colombia.: Now, therefore,
			 be it

		That the House of Representatives—
			(1)strongly supports President Obama and his
			 agenda to strengthen United States trade relations in Asia and with key
			 partners like South Korea, Panama, and Colombia;
			(2)remains concerned that the United States
			 risks losing markets in Colombia, Panama, and South Korea to its competitors
			 due to its inaction as these and other countries continue to move forward with
			 their respective free trade agreements; and
			(3)calls on President Obama to submit to
			 Congress the trade agreements the United States has signed with Colombia,
			 Panama, and South Korea and work to ensure that they secure passage as quickly
			 as possible.


109 HR 451 IH: To allow a period in which members of the clergy may revoke their exemption from Social Security coverage.
U.S. House of Representatives
2005-02-01
text/xml
EN
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I
109th CONGRESS
1st Session
H. R. 451
IN THE HOUSE OF REPRESENTATIVES

February 1, 2005
Mr. Camp introduced the following bill; which was referred to the Committee on Ways and Means

A BILL
To allow a period in which members of the clergy may revoke their exemption from Social Security coverage.

1.Revocation by members of the clergy of exemption from social security coverage
(a)In generalNotwithstanding section 1402(e)(4) of the Internal Revenue Code of 1986, any exemption which has been received under section 1402(e)(1) of such Code by a duly ordained, commissioned, or licensed minister of a church, a member of a religious order, or a Christian Science practitioner, and which is effective for the taxable year in which this Act is enacted, may be revoked by filing an application therefor (in such form and manner, and with such official, as may be prescribed by the Commissioner of Internal Revenue), if such application is filed no later than the due date of the Federal income tax return (including any extension thereof) for the applicant's second taxable year beginning after December 31, 2004. Any such revocation shall be effective (for purposes of chapter 2 of the Internal Revenue Code of 1986 and title II of the Social Security Act (42 U.S.C. 401 et seq.)), as specified in the application, either with respect to the applicant's first taxable year beginning after December 31, 2004, or with respect to the applicant's second taxable year beginning after such date, and for all succeeding taxable years; and the applicant for any such revocation may not thereafter again file application for an exemption under such section 1402(e)(1). If the application is filed after the due date of the applicant's Federal income tax return for a taxable year and is effective with respect to that taxable year, it shall include or be accompanied by payment in full of an amount equal to the total of the taxes that would have been imposed by section 1401 of the Internal Revenue Code of 1986 with respect to all of the applicant's income derived in that taxable year which would have constituted net earnings from self-employment for purposes of chapter 2 of such Code (notwithstanding paragraphs (4) and (5) of section 1402(c)) except for the exemption under section 1402(e)(1) of such Code.
(b)Effective dateSubsection (a) shall apply with respect to service performed (to the extent specified in such subsection) in taxable years beginning after December 31, 2004, and with respect to monthly insurance benefits payable under title II of the Social Security Act on the basis of the wages and self-employment income of any individual for months in or after the calendar year in which such individual's application for revocation (as described in such subsection) is effective (and lump-sum death payments payable under such title on the basis of such wages and self-employment income in the case of deaths occurring in or after such calendar year).


		I
		112th CONGRESS
		1st Session
		H. R. 1542
		IN THE HOUSE OF REPRESENTATIVES

			April 14, 2011
			Mr. Cohen (for
			 himself, Ms. Fudge,
			 Ms. Richardson,
			 Mr. Johnson of Georgia,
			 Mr. Clarke of Michigan,
			 Ms. Norton,
			 Mr. Brady of Pennsylvania, and
			 Mr. Boswell) introduced the following
			 bill; which was referred to the Committee
			 on Ways and Means

		A BILL
		To amend the Internal Revenue Code of 1986 to provide tax
		  incentives for the establishment of supermarkets in certain underserved
		  areas.

		1.Short titleThis Act may be cited as the
			 Supermarket Tax Credit for Underserved
			 Areas Act.
		2.Tax incentives
			 for establishment of supermarkets in certain underserved areas
			(a)In
			 generalSubchapter Y of
			 chapter 1 of the Internal Revenue Code of 1986 is amended by adding at the end
			 the following new part:

					IVTax
				incentives for supermarkets in underserved areas

							Sec. 1400V–1. Increased rehabilitation credit.
							Sec. 1400V–2. Increased work opportunity tax
				  credit.
							Sec. 1400V–3. Credit for sales of locally grown fresh fruits
				  and vegetables.
							Sec. 1400V–4. Definitions.

						1400V–1.Increased
				rehabilitation credit
							(a)In
				generalIn the case of a
				qualified rehabilitated building (as defined in section 47) which is an
				underserved area supermarket, subsection (a) of section 47 shall be
				applied—
								(1)by substituting
				12 percent for 10 percent in paragraph (1),
				and
								(2)by substituting
				24 percent for 20 percent in paragraph
				(2).
								(b)Underserved area
				supermarketFor purposes of subsection (a), a qualified
				rehabilitated building shall be treated as meeting the requirements of
				subparagraphs (A), (B), (C), and (D) of section 1400V–4(a)(2) if it is
				reasonable to believe that such building will meet such requirements as of the
				close of the taxable year in which such building is placed in service.
							(c)TerminationSubsection
				(a) shall only apply to buildings placed in service after December 31, 2011,
				and before January 1, 2014.
							1400V–2.Increased
				work opportunity tax credit
							(a)In
				generalIn the case of an
				individual employed in the trade or business of operating a new underserved
				area supermarket, the limitation otherwise in effect under paragraph (3) of
				section 51(b) with respect to such individual shall be increased by
				$1,000.
							(b)TerminationSubsection
				(a) shall only apply to wages paid in taxable years beginning after December
				31, 2011, and before January 1, 2017.
							1400V–3.Credit for
				sales of locally grown fresh fruits and vegetables
							(a)In
				generalFor purposes of
				section 38, the underserved area supermarket fruit and vegetable credit
				determined under this section for the taxable year is 15 percent of the gross
				receipts from the retail sale of locally grown fresh fruits and vegetables in
				the trade or business of operating a new underserved area supermarket.
							(b)TerminationSubsection
				(a) shall only apply to taxable years beginning after December 31, 2012, and
				before January 1, 2017.
							1400V–4.DefinitionsFor purposes of this part—
							(1)Underserved area
				supermarketThe term underserved area supermarket
				means any supermarket located in an underserved area.
							(2)New underserved
				area supermarketThe term new underserved area
				supermarket means any underserved area supermarket which—
								(A)is placed in
				service after December 31, 2011, and
								(B)was not a
				supermarket at any time during the 3-year period ending on the date such
				underserved area supermarket is placed in service.
								(3)SupermarketThe
				term supermarket means any building if—
								(A)not less than
				12,000 square feet and not more than 80,000 square feet of such building is
				used for selling items at retail,
								(B)at least 7 percent
				of the square feet of such building which is used for selling items at retail
				is used for selling produce, meat, fish, deli, and dairy items,
								(C)gross sales of
				items sold at retail from such building exceed $2,000,000 annually, and
								(D)at least 7 percent
				of such gross sales are attributable to sales of produce, meat, fish, deli, and
				dairy items.
								(4)Underserved
				areaThe term underserved area means—
								(A)any enterprise
				community or empowerment zone with a designation in effect under section 1391,
				and
								(B)any renewal
				community with respect to which a designation was in effect under section 1400E
				on December 31,
				2009.
								.
			(b)Credit To be
			 part of general business creditSubsection (b) of section 38 of
			 such Code (relating to general business credit) is amended by striking
			 plus at the end of paragraph (35), by striking the period at the
			 end of paragraph (36) and inserting , plus, and by adding at the
			 end the following new paragraph:

					(37)the underserved
				area supermarket fruit and vegetable credit determined under section
				1400V–3.
					.
			(c)Clerical
			 amendmentThe table of parts for subchapter Y of chapter 1 of
			 such Code is amended by adding at the end the following new item:

						Part IV. Tax incentives for supermarkets in
				underserved
				areas

					.


114 S2306 : To require the Secretary of the Army, acting through the Chief of Engineers, to undertake remediation oversight of the West Lake Landfill located in Bridgeton, Missouri.
U.S. Senate

text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

IC
114th CONGRESS2d Session
S. 2306
IN THE HOUSE OF REPRESENTATIVES

February 3, 2016
Referred to the Committee on Energy and Commerce and in addition to the Committee on Transportation and Infrastructure, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

AN ACT
To require the Secretary of the Army, acting through the Chief of Engineers, to undertake remediation oversight of the West Lake Landfill located in Bridgeton, Missouri.

1.Transfer of oversight authority from EPA to Corps of Engineers
(a)DefinitionsIn this section: (1)SecretaryThe term Secretary means the Secretary of the Army, acting through the Chief of Engineers.
(2)SiteThe term site means the West Lake Landfill located in Bridgeton, Missouri.  (b)TransferNotwithstanding any other provision of law, as soon as practicable after the date of enactment of this Act, the Secretary shall—
(1)under the Formerly Utilized Sites Remedial Action Program, undertake the functions and activities described in section 611 of the Energy and Water Development Appropriations Act, 2000 (10 U.S.C. 2701 note; 113 Stat. 502) as the lead agency responding to radioactive contamination at the site; and  (2)carry out remediation activities at the site in accordance with that section.
(c)Cost recoveryThe Secretary, in coordination with the Administrator of the Environmental Protection Agency and the Attorney General, shall— (1)seek to recover any response costs incurred by the Secretary in carrying out this section in accordance with the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (42 U.S.C. 9601 et seq.); and
(2)return any funds that are recovered under paragraph (1) to be used to carry out the Formerly Utilized Sites Remedial Action Program of the Corps of Engineers.  (d)FundingThe Secretary shall use amounts made available to the Secretary to carry out the Formerly Utilized Sites Remedial Action Program to carry out this section.
(e)Savings provisions
(1)No liabilityNothing in subsection (b) creates liability for— (A)the Secretary for—
(i)contamination at the site; or  (ii)any actions or failures to act by any past, current, or future licensees, owners, operators, or users of the site; or
(B)any other party involved with the site.  (2)No effect on liability under other lawNothing in subsection (b) alters the liability of any party relating to the site under any other provision of law.
(3)No effect on Superfund status; national priorities list designationNothing in this Act affects the designation of the site as a Superfund site under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (42 U.S.C. 9601 et seq.) or the listing of the site on the national priorities list under section 105 of that Act (42 U.S.C. 9605). Passed the Senate February 2, 2016.Julie E. Adams,Secretary


I
112th CONGRESS
2d Session
H. R. 4549
IN THE HOUSE OF REPRESENTATIVES

April 24, 2012
Mr. Jones introduced the following bill; which was referred to the Committee on Ways and Means

A BILL
To extend the temporary suspension of duty on certain acrylic fiber tow.

1.Certain acrylic fiber tow
(a)In generalHeading 9902.40.14 of the Harmonized Tariff Schedule of the United States (relating to certain acrylic fiber tow) is amended by striking 12/31/2012 and inserting 12/31/2015.
(b)Effective dateThe amendments made by subsection (a) apply with respect to goods entered, or withdrawn from warehouse for consumption, on or after the 15th day after the date of enactment of this Act.


114 HR 3928 IH: Ending the Sanctuary Capitol Policy Act of 2015
U.S. House of Representatives
2015-11-04
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

		I
		114th CONGRESS
		1st Session
		H. R. 3928
		IN THE HOUSE OF REPRESENTATIVES

			November 4, 2015
			Mr. King of Iowa (for himself, Mr. Barletta, Mr. Gohmert, Mr. Gosar, Mr. Brooks of Alabama, Mr. Duncan of South Carolina, Mr. Smith of Texas, and Mr. Babin) introduced the following bill; which was referred to the Committee on House Administration

		A BILL
		To authorize the Capitol Police to enforce the immigration laws, and for other purposes.

 1.Short titleThis Act may be cited as the Ending the Sanctuary Capitol Policy Act of 2015. 2.Capitol police authorized to enforce the immigration lawsSection 9B of the Act entitled An Act to define the area of the United States Capitol Grounds, to regulate the use thereof, and for other purposes, approved July 31, 1946 (2 U.S.C. 1967), is amended—
 (1)in paragraph (4), by striking and; (2)in paragraph (5)(B), by striking the period at the end and inserting ; and; and
 (3)by inserting after paragraph (5) the following:  (6)within the District of Columbia, including the area described under subsection (b), with respect to any violation of the immigration laws, if the officer is in the performance of official duties when the authority is exercised..


110 HR 605 IH: Seniors Taking on Phony Marketers Act of 2007
U.S. House of Representatives
2007-01-22
text/xml
EN
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I
110th CONGRESS
1st Session
H. R. 605
IN THE HOUSE OF REPRESENTATIVES

January 22, 2007
Mr. Hayes introduced the following bill; which was referred to the Committee on the Judiciary, and in addition to the Committees on Oversight and Government Reform and Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL
To amend title 18, United States Code, to provide an increased maximum penalty for telemarketing fraud targeting seniors, and for other purposes.

1.Short titleThis Act may be cited as the Seniors Taking on Phony Marketers Act of 2007.
2.Increased maximum penalty for telemarketing fraud targeting seniorsSection 2326 of title 18, United States Code, is amended by striking 10 years and inserting 15 years.
3.Authorization of appropriationsThere are authorized to be appropriated for fiscal year 2008 for the purposes of enforcing chapter 113A of title 18, United States Code, and related matters—
(1)$10,000,000 for the Postal Inspection Service to hire, equip, and train no fewer than 50 postal inspectors and support staff to investigate telemarketing fraud cases;
(2)$3,500,000 to hire, equip, and train no fewer than 30 Department of Justice attorneys, assistant United States Attorneys, and support staff to prosecute telemarketing fraud cases;
(3)$5,000,000 for the Postal Inspection Service to conduct, in cooperation with State and local law enforcement agencies and senior citizen advocacy organizations, public awareness and prevention initiatives for senior citizens, such as seminars and training; and
(4)$2,500,000 for the Federal Trade Commission to conduct public information awareness campaigns and prevention initiatives for senior citizens and to publicize available assistance such as 1877–FTC–HELP.


116 HR 1649 PCS: Small Business Development Center Cyber Training Act of 2019
U.S. House of Representatives

text/xml
EN
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		II
		Calendar No. 150116th CONGRESS1st Session
		H. R. 1649
		IN THE SENATE OF THE UNITED STATES
		July 16, 2019Received; read twice and placed on the calendarAN ACT
		To amend the Small Business Act to require cyber certification for small business development
			 center counselors, and for other purposes.

 1.Short titleThis Act may be cited as the Small Business Development Center Cyber Training Act of 2019. 2.Duties of small business development center counselorsSection 21 of the Small Business Act (15 U.S.C. 648) is amended by adding at the end the following:

				(o)Cyber strategy training for small business development centers
 (1)DefinitionsIn this subsection— (A)the term cyber strategy means resources and tactics to assist in planning for cybersecurity and defending against cyber risks and cyber attacks; and
 (B)the term lead small business development center means a small business development center that has received a grant from the Administration. (2)Certification programThe Administrator shall establish a cyber counseling certification program, or approve a similar existing program, to certify the employees of lead small business development centers to provide cyber planning assistance to small business concerns.
 (3)Number of certified employeesThe Administrator shall ensure that the number of employees of each lead small business development center who are certified in providing cyber planning assistance under this subsection is not fewer than the lesser of—
 (A)5; or (B)10 percent of the total number of employees of the lead small business development center.
 (4)Consideration of Small Business Development Center Cyber StrategyIn carrying out this subsection, the Administrator, to the extent practicable, shall consider any cyber strategy methods included in the Small Business Development Center Cyber Strategy developed under section 1841(a) of the National Defense Authorization Act for Fiscal Year 2017 (Public Law 114–328; 130 Stat. 2662).
					(5)Reimbursement for certification
 (A)In generalSubject to the availability of appropriations and subparagraph (B), the Administrator shall reimburse a lead small business development center for costs relating to the certification of an employee of the lead small business development center under the program established under paragraph (2).
 (B)LimitationThe total amount reimbursed by the Administrator under subparagraph (A) may not exceed $350,000 in any fiscal year..
		Passed the House of Representatives July 15, 2019.Cheryl L. Johnson,Clerk.
	July 16, 2019Received; read twice and placed on the calendar


		IV
		112th CONGRESS
		1st Session
		H. CON. RES. 49
		IN THE HOUSE OF REPRESENTATIVES

			May 4, 2011
			Mr. Payne (for
			 himself and Mr. Fortenberry) submitted
			 the following concurrent resolution; which was referred to the
			 Committee on Foreign
			 Affairs

		CONCURRENT RESOLUTION
		Supporting the goals and ideals of World
		  Malaria Day, and reaffirming United States leadership and support for efforts
		  to combat malaria as a critical component of the President’s Global Health
		  Initiative.

		Whereas April 25th of each year is recognized
			 internationally as World Malaria Day;
		Whereas malaria is a leading cause of death and disease in
			 many developing countries, despite being completely preventable and
			 treatable;
		Whereas, according to the Centers for Disease Control and
			 Prevention, 35 countries, the majority of them in sub-Saharan Africa, account
			 for 98 percent of global malaria deaths;
		Whereas young children and pregnant women are particularly
			 vulnerable and disproportionately affected by malaria;
		Whereas malaria greatly affects child health, with
			 estimates that children under the age of 5 account for 85 percent of malaria
			 deaths each year;
		Whereas malaria poses great risks to maternal health,
			 causing complications during delivery, anemia, and low birth weights, with
			 estimates that malaria infection causes 400,000 cases of severe maternal anemia
			 and from 75,000 to 200,000 infant deaths annually in sub-Saharan Africa;
		Whereas heightened national, regional, and international
			 efforts to prevent and treat malaria over recent years have made measurable
			 progress and have helped save hundreds of thousands of lives;
		Whereas the World Health Organization’s World Malaria
			 Report 2010 reports that in 2010, more African households (42 percent) owned at
			 least one insecticide-treated mosquito net (ITN), more children under 5 years
			 of age (35 percent) were using an ITN compared to previous years, and household
			 ITN ownership reached more than 50 percent in 19 African countries;
		Whereas the World Health Organization’s World Malaria
			 Report 2010 further states that a total of 11 countries and one area in the
			 African Region showed a reduction of more than 50 percent in either confirmed
			 malaria cases or malaria admissions and deaths in recent years (Algeria,
			 Botswana, Cape Verde, Eritrea, Madagascar, Namibia, Rwanda, Sao Tome and
			 Principe, South Africa, Swaziland, Zambia, and Zanzibar, United Republic of
			 Tanzania), and that in all countries, the decreases are associated with intense
			 malaria control interventions;
		Whereas continued national, regional, and international
			 investment is critical to continue to reduce malaria deaths and to prevent
			 backsliding in those areas where progress has been made;
		Whereas the United States Government has played a major
			 leadership role in the recent progress made toward reducing the global burden
			 of malaria, particularly through the President's Malaria Initiative (PMI) and
			 the United States contribution to the Global Fund to Fight AIDS, Tuberculosis,
			 and Malaria;
		Whereas, on World Malaria Day in 2009, President Barack
			 Obama stated, The U.S. stands with our global partners and people around
			 the world to reaffirm our commitment to make the U.S. a leader in ending deaths
			 from malaria by 2015. … It is time to redouble our efforts to rid the world of
			 a disease that does not have to take lives.;
		Whereas, under the Global Health Initiative (GHI), the
			 United States Government is pursuing a comprehensive, whole-of-government
			 approach to global health, focused on helping partner countries to achieve
			 major improvements in overall health outcomes through transformational advances
			 in access to, and the quality of, healthcare services in resource-poor
			 settings; and
		Whereas recognizing the burden of malaria on many partner
			 countries, PMI has set the target for 2015 of reducing the burden of malaria by
			 50 percent for 450,000,000 people, representing 70 percent of the at-risk
			 population in Africa: Now, therefore, be it

		That Congress—
			(1)supports the goals
			 and ideals of World Malaria Day, including the achievable target of ending
			 malaria deaths by 2015;
			(2)recognizes the
			 importance of reducing malaria prevalence and deaths to improve overall child
			 and maternal health, especially in sub-Saharan Africa;
			(3)commends the
			 recent progress made toward reducing global malaria deaths and prevalence,
			 particularly through the efforts of the President's Malaria Initiative and the
			 Global Fund to Fight AIDS, Tuberculosis, and Malaria;
			(4)welcomes ongoing
			 public-private partnerships to research and develop more effective and
			 affordable tools for malaria diagnosis, treatment, and vaccination;
			(5)reaffirms the
			 goals and commitments to combat malaria in the Tom Lantos and Henry J. Hyde
			 United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria
			 Reauthorization Act of 2008 (Public Law 110–293);
			(6)supports continued
			 leadership and investment by the United States in bilateral and multilateral
			 efforts to combat malaria as a critical part of the President's Global Health
			 Initiative; and
			(7)encourages other
			 members of the international community to sustain and scale up their support
			 and financial contributions for efforts worldwide to combat malaria.


117 HR 957 IH: Protecting Moms and Babies Against Climate Change Act
U.S. House of Representatives
2021-02-08
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I117th CONGRESS1st SessionH. R. 957IN THE HOUSE OF REPRESENTATIVESFebruary 8, 2021Ms. Underwood (for herself, Ms. Adams, Mr. Khanna, Ms. Velázquez, Mrs. McBath, Mr. Smith of Washington, Ms. Scanlon, Mr. Lawson of Florida, Mrs. Hayes, Mr. Butterfield, Ms. Moore of Wisconsin, Ms. Strickland, Mr. Ryan, Mr. Schiff, Mr. Johnson of Georgia, Mr. Horsford, Ms. Wasserman Schultz, Ms. Barragán, Mr. Deutch, Mr. Payne, Mr. Blumenauer, Mr. Moulton, Mr. Soto, Mr. Nadler, Mr. Trone, Ms. Clarke of New York, Ms. Schakowsky, Ms. Bass, Ms. Pressley, Mr. Evans, Ms. Blunt Rochester, Ms. Castor of Florida, Ms. Sewell, and Ms. Williams of Georgia) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo direct the Secretary of Health and Human Services to establish a grant program to protect vulnerable mothers and babies from climate change risks, and for other purposes.1.Short title; table of contents(a)Short titleThis Act may be cited as the Protecting Moms and Babies Against Climate Change Act. (b)Table of contentsThe table of contents for this Act is as follows:Sec. 1. Short title; table of contents.Sec. 2. Grant program to protect vulnerable mothers and babies from climate change risks.Sec. 3. Grant program for education and training at health profession schools.Sec. 4. NIH Consortium on Birth and Climate Change Research.Sec. 5. Strategy for identifying climate change risk zones for vulnerable mothers and babies.Sec. 6. Definitions.2.Grant program to protect vulnerable mothers and babies from climate change risks(a)In generalNot later than 180 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall establish a grant program (in this section referred to as the Program) to protect vulnerable individuals from risks associated with climate change.(b)Grant authorityIn carrying out the Program, the Secretary may award, on a competitive basis, grants to 10 covered entities. (c)ApplicationsTo be eligible for a grant under the Program, a covered entity shall submit to the Secretary an application at such time, in such form, and containing such information as the Secretary may require, which shall include, at a minimum, a description of the following:(1)Plans for the use of grant funds awarded under the Program and how patients and stakeholder organizations were involved in the development of such plans.(2)How such grant funds will be targeted to geographic areas that have disproportionately high levels of risks associated with climate change for vulnerable individuals.(3)How such grant funds will be used to address racial and ethnic disparities in—(A)adverse maternal and infant health outcomes; and(B)exposure to risks associated with climate change for vulnerable individuals. (4)Strategies to prevent an initiative assisted with such grant funds from causing—(A)adverse environmental impacts; (B)displacement of residents and businesses;(C)rent and housing price increases; or(D)disproportionate adverse impacts on racial and ethnic minority groups and other underserved populations. (d)Selection of grant recipients(1)TimingNot later than 270 days after the date of the enactment of this Act, the Secretary shall select the recipients of grants under the Program.(2)ConsultationIn selecting covered entities for grants under the Program, the Secretary shall consult with—(A)representatives of stakeholder organizations;(B)the Administrator of the Environmental Protection Agency;(C)the Administrator of the National Oceanic and Atmospheric Administration; and(D)from the Department of Health and Human Services—(i)the Deputy Assistant Secretary for Minority Health;(ii)the Administrator of the Centers for Medicare & Medicaid Services;(iii)the Administrator of the Health Resources and Services Administration; (iv)the Director of the National Institutes of Health; and(v)the Director of the Centers for Disease Control and Prevention.(3)PriorityIn selecting a covered entity to be awarded a grant under the Program, the Secretary shall give priority to covered entities that serve a county— (A)designated, or located in an area designated, as a nonattainment area pursuant to section 107 of the Clean Air Act (42 U.S.C. 7407) for any air pollutant for which air quality criteria have been issued under section 108(a) of such Act (42 U.S.C. 7408(a));(B)with a level of vulnerability of moderate-to-high or higher, according to the Social Vulnerability Index of the Centers for Disease Control and Prevention; or(C)with temperatures that pose a risk to human health, as determined by the Secretary, in consultation with the Administrator of the National Oceanic and Atmospheric Administration and the Chair of the United States Global Change Research Program, based on the best available science.(4)LimitationA recipient of grant funds under the Program may not use such grant funds to serve a county that is served by any other recipient of a grant under the Program. (e)Use of fundsA covered entity awarded grant funds under the Program may only use such grant funds for the following: (1)Initiatives to identify risks associated with climate change for vulnerable individuals and to provide services and support to such individuals that address such risks, which may include— (A)training for health care providers, doulas, and other employees in hospitals, birth centers, midwifery practices, and other health care practices that provide prenatal or labor and delivery services to vulnerable individuals on the identification of, and patient counseling relating to, risks associated with climate change for vulnerable individuals;(B)hiring, training, or providing resources to community health workers and perinatal health workers who can help identify risks associated with climate change for vulnerable individuals, provide patient counseling about such risks, and carry out the distribution of relevant services and support;(C)enhancing the monitoring of risks associated with climate change for vulnerable individuals, including by—(i)collecting data on such risks in specific census tracts, neighborhoods, or other geographic areas; and(ii)sharing such data with local health care providers, doulas, and other employees in hospitals, birth centers, midwifery practices, and other health care practices that provide prenatal or labor and delivery services to local vulnerable individuals; and (D)providing vulnerable individuals—(i)air conditioning units, residential weatherization support, filtration systems, household appliances, or related items;(ii)direct financial assistance; and(iii)services and support, including housing and transportation assistance, to prepare for or recover from extreme weather events, which may include floods, hurricanes, wildfires, droughts, and related events.(2)Initiatives to mitigate levels of and exposure to risks associated with climate change for vulnerable individuals, which shall be based on the best available science and which may include initiatives to— (A)develop, maintain, or expand urban or community forestry initiatives and tree canopy coverage initiatives;(B)improve infrastructure, including buildings and paved surfaces;(C)develop or improve community outreach networks to provide culturally and linguistically appropriate information and notifications about risks associated with climate change for vulnerable individuals; and(D)provide enhanced services to racial and ethnic minority groups and other underserved populations.(f)Length of awardA grant under this section shall be disbursed over 4 fiscal years.(g)Technical assistanceThe Secretary shall provide technical assistance to a covered entity awarded a grant under the Program to support the development, implementation, and evaluation of activities funded with such grant.(h)Reports to Secretary(1)Annual reportFor each fiscal year during which a covered entity is disbursed grant funds under the Program, such covered entity shall submit to the Secretary a report that summarizes the activities carried out by such covered entity with such grant funds during such fiscal year, which shall include a description of the following:(A)The involvement of stakeholder organizations in the implementation of initiatives assisted with such grant funds.(B)Relevant health and environmental data, disaggregated, to the extent practicable, by race, ethnicity, gender, and pregnancy status.(C)Qualitative feedback received from vulnerable individuals with respect to initiatives assisted with such grant funds.(D)Criteria used in selecting the geographic areas assisted with such grant funds.(E)Efforts to address racial and ethnic disparities in adverse maternal and infant health outcomes and in exposure to risks associated with climate change for vulnerable individuals.(F)Any negative and unintended impacts of initiatives assisted with such grant funds, including—(i)adverse environmental impacts;(ii)displacement of residents and businesses;(iii)rent and housing price increases; and(iv)disproportionate adverse impacts on racial and ethnic minority groups and other underserved populations.(G)How the covered entity will address and prevent any impacts described in subparagraph (F).(2)PublicationNot later than 30 days after the date on which a report is submitted under paragraph (1), the Secretary shall publish such report on a public website of the Department of Health and Human Services.(i)Report to CongressNot later than the date that is 5 years after the date on which the Program is established, the Secretary shall submit to Congress and publish on a public website of the Department of Health and Human Services a report on the results of the Program, including the following:(1)Summaries of the annual reports submitted under subsection (h).(2)Evaluations of the initiatives assisted with grant funds under the Program.(3)An assessment of the effectiveness of the Program in—(A)identifying risks associated with climate change for vulnerable individuals;(B)providing services and support to such individuals;(C)mitigating levels of and exposure to such risks; and(D)addressing racial and ethnic disparities in adverse maternal and infant health outcomes and in exposure to such risks.(4)A description of how the Program could be expanded, including— (A)monitoring efforts or data collection that would be required to identify areas with high levels of risks associated with climate change for vulnerable individuals;(B)how such areas could be identified using the strategy developed under section 5; and(C)recommendations for additional funding.(j)Covered entity definedIn this section, the term covered entity means a consortium of organizations serving a county that—(1)shall include a community-based organization; and(2)may include—(A)another stakeholder organization; (B)the government of such county;(C)the governments of one or more municipalities within such county;(D)a State or local public health department or emergency management agency;(E)a local health care practice, which may include a licensed and accredited hospital, birth center, midwifery practice, or other health care practice that provides prenatal or labor and delivery services to vulnerable individuals;(F)an Indian tribe or tribal organization (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304));(G)an Urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)); and(H)an institution of higher education.(k)Authorization of appropriationsThere is authorized to be appropriated to carry out this section $100,000,000 for fiscal years 2022 through 2025.3.Grant program for education and training at health profession schools(a)In generalNot later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall establish a grant program (in this section referred to as the Program) to provide funds to health profession schools to support the development and integration of education and training programs for identifying and addressing risks associated with climate change for vulnerable individuals.(b)Grant authorityIn carrying out the Program, the Secretary may award, on a competitive basis, grants to health profession schools.(c)ApplicationTo be eligible for a grant under the Program, a health profession school shall submit to the Secretary an application at such time, in such form, and containing such information as the Secretary may require, which shall include, at a minimum, a description of the following:(1)How such health profession school will engage with vulnerable individuals, and stakeholder organizations representing such individuals, in developing and implementing the education and training programs supported by grant funds awarded under the Program. (2)How such health profession school will ensure that such education and training programs will address racial and ethnic disparities in exposure to, and the effects of, risks associated with climate change for vulnerable individuals.(d)Use of fundsA health profession school awarded a grant under the Program shall use the grant funds to develop, and integrate into the curriculum and continuing education of such health profession school, education and training on each of the following:(1)Identifying risks associated with climate change for vulnerable individuals and individuals with the intent to become pregnant.(2)How risks associated with climate change affect vulnerable individuals and individuals with the intent to become pregnant.(3)Racial and ethnic disparities in exposure to, and the effects of, risks associated with climate change for vulnerable individuals and individuals with the intent to become pregnant.(4)Patient counseling and mitigation strategies relating to risks associated with climate change for vulnerable individuals.(5)Relevant services and support for vulnerable individuals relating to risks associated with climate change and strategies for ensuring vulnerable individuals have access to such services and support.(6)Implicit and explicit bias, racism, and discrimination. (7)Related topics identified by such health profession school based on the engagement of such health profession school with vulnerable individuals and stakeholder organizations representing such individuals.(e)PartnershipsIn carrying out activities with grant funds, a health profession school awarded a grant under the Program may partner with one or more of the following: (1)A State or local public health department.(2)A health care professional membership organization.(3)A stakeholder organization.(4)A health profession school.(5)An institution of higher education.(f)Reports to Secretary(1)Annual reportFor each fiscal year during which a health profession school is disbursed grant funds under the Program, such health profession school shall submit to the Secretary a report that describes the activities carried out with such grant funds during such fiscal year. (2)Final reportNot later than the date that is 1 year after the end of the last fiscal year during which a health profession school is disbursed grant funds under the Program, the health profession school shall submit to the Secretary a final report that summarizes the activities carried out with such grant funds.(g)Report to CongressNot later than the date that is 6 years after the date on which the Program is established, the Secretary shall submit to Congress and publish on a public website of the Department of Health and Human Services a report that includes the following:(1)A summary of the reports submitted under subsection (f). (2)Recommendations to improve education and training programs at health profession schools with respect to identifying and addressing risks associated with climate change for vulnerable individuals.(h)Health profession school definedIn this section, the term health profession school means an accredited—(1)medical school;(2)school of nursing;(3)midwifery program; (4)physician assistant education program;(5)teaching hospital;(6)residency or fellowship program; or (7)other school or program determined appropriate by the Secretary.(i)Authorization of AppropriationsThere is authorized to be appropriated to carry out this section $5,000,000 for fiscal years 2022 through 2025.4.NIH Consortium on Birth and Climate Change Research(a)EstablishmentNot later than 1 year after the date of the enactment of this Act, the Director of the National Institutes of Health shall establish the Consortium on Birth and Climate Change Research (in this section referred to as the Consortium).(b)Duties(1)In generalThe Consortium shall coordinate, across the institutes, centers, and offices of the National Institutes of Health, research on the risks associated with climate change for vulnerable individuals.(2)Required activitiesIn carrying out paragraph (1), the Consortium shall— (A)establish research priorities, including by prioritizing research that—(i)identifies the risks associated with climate change for vulnerable individuals with a particular focus on disparities in such risks among racial and ethnic minority groups and other underserved populations; and(ii)identifies strategies to reduce levels of, and exposure to, such risks, with a particular focus on risks among racial and ethnic minority groups and other underserved populations; (B)identify gaps in available data related to such risks;(C)identify gaps in, and opportunities for, research collaborations;(D)identify funding opportunities for community-based organizations and researchers from racially, ethnically, and geographically diverse backgrounds; and(E)publish annual reports on the work and findings of the Consortium on a public website of the National Institutes of Health.(c)MembershipThe Director shall appoint to the Consortium representatives of such institutes, centers, and offices of the National Institutes of Health as the Director considers appropriate, including, at a minimum, representatives of—(1)the National Institute of Environmental Health Sciences;(2)the National Institute on Minority Health and Health Disparities;(3)the Eunice Kennedy Shriver National Institute of Child Health and Human Development; (4)the National Institute of Nursing Research; and(5)the Office of Research on Women’s Health.(d)ChairpersonThe Chairperson of the Consortium shall be designated by the Director and selected from among the representatives appointed under subsection (c).(e)ConsultationIn carrying out the duties described in subsection (b), the Consortium shall consult with—(1)the heads of relevant Federal agencies, including—(A)the Environmental Protection Agency; (B)the National Oceanic and Atmospheric Administration; (C)the Occupational Safety and Health Administration; and(D)from the Department of Health and Human Services—(i)the Office of Minority Health in the Office of the Secretary;(ii)the Centers for Medicare & Medicaid Services;(iii)the Health Resources and Services Administration;(iv)the Centers for Disease Control and Prevention; (v)the Indian Health Service; and(vi)the Administration for Children and Families; and (2)representatives of—(A)stakeholder organizations;(B)health care providers and professional membership organizations with expertise in maternal health or environmental justice;(C)State and local public health departments;(D)licensed and accredited hospitals, birth centers, midwifery practices, or other health care practices that provide prenatal or labor and delivery services to vulnerable individuals; and(E)institutions of higher education, including such institutions that are minority-serving institutions or have expertise in maternal health or environmental justice.5.Strategy for identifying climate change risk zones for vulnerable mothers and babies(a)In generalThe Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall develop a strategy (in this section referred to as the Strategy) for designating areas that the Secretary determines to have a high risk of adverse maternal and infant health outcomes among vulnerable individuals as a result of risks associated with climate change.(b)Strategy requirements(1)In generalIn developing the Strategy, the Secretary shall establish a process to identify areas where vulnerable individuals are exposed to a high risk of adverse maternal and infant health outcomes as a result of risks associated with climate change in conjunction with other factors that can impact such health outcomes, including—(A)the incidence of diseases associated with air pollution, extreme heat, and other environmental factors;(B)the availability and accessibility of maternal and infant health care providers; (C)English-language proficiency among women of reproductive age; (D)the health insurance status of women of reproductive age;(E)the number of women of reproductive age who are members of racial or ethnic groups with disproportionately high rates of adverse maternal and infant health outcomes;(F)the socioeconomic status of women of reproductive age, including with respect to—(i)poverty;(ii)unemployment;(iii)household income; and(iv)educational attainment; and(G)access to quality housing, transportation, and nutrition.(2)ResourcesIn developing the Strategy, the Secretary shall identify, and incorporate a description of, the following:(A)Existing mapping tools or Federal programs that identify—(i)risks associated with climate change for vulnerable individuals; and(ii)other factors that can influence maternal and infant health outcomes, including the factors described in paragraph (1).(B)Environmental, health, socioeconomic, and demographic data relevant to identifying risks associated with climate change for vulnerable individuals.(C)Existing monitoring networks that collect data described in subparagraph (B), and any gaps in such networks.(D)Federal, State, and local stakeholders involved in maintaining monitoring networks identified under subparagraph (C), and how such stakeholders are coordinating their monitoring efforts.(E)Additional monitoring networks, and enhancements to existing monitoring networks, that would be required to address gaps identified under subparagraph (C), including at the subcounty and census tract level. (F)Funding amounts required to establish the monitoring networks identified under subparagraph (E) and recommendations for Federal, State, and local coordination with respect to such networks.(G)Potential uses for data collected and generated as a result of the Strategy, including how such data may be used in determining recipients of grants under the program established by section 2 or other similar programs.(H)Other information the Secretary considers relevant for the development of the Strategy.(c)Coordination and consultationIn developing the Strategy, the Secretary shall—(1)coordinate with the Administrator of the Environmental Protection Agency and the Administrator of the National Oceanic and Atmospheric Administration; and(2)consult with—(A)stakeholder organizations;(B)health care providers and professional membership organizations with expertise in maternal health or environmental justice;(C)State and local public health departments;(D)licensed and accredited hospitals, birth centers, midwifery practices, or other health care providers that provide prenatal or labor and delivery services to vulnerable individuals; and(E)institutions of higher education, including such institutions that are minority-serving institutions or have expertise in maternal health or environmental justice.(d)Notice and commentAt least 240 days before the date on which the Strategy is published in accordance with subsection (e), the Secretary shall provide—(1)notice of the Strategy on a public website of the Department of Health and Human Services; and(2)an opportunity for public comment of at least 90 days.(e)PublicationNot later than 18 months after the date of the enactment of this Act, the Secretary shall publish on a public website of the Department of Health and Human Services—(1)the Strategy;(2)the public comments received under subsection (d); and(3)the responses of the Secretary to such public comments.6.DefinitionsIn this Act, the following definitions apply:(1)Adverse maternal and infant health outcomesThe term adverse maternal and infant health outcomes includes the outcomes of preterm birth, low birth weight, stillbirth, infant or maternal mortality, and severe maternal morbidity.(2)Institution of higher educationThe term institution of higher education has the meaning given such term in section 101 of the Higher Education Act of 1965 (20 U.S.C. 1001).(3)Minority-serving institutionThe term minority-serving institution means an entity specified in any of paragraphs (1) through (7) of section 371(a) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a)).(4)Racial and ethnic minority groupThe term racial and ethnic minority group has the meaning given such term in section 1707(g) of the Public Health Service Act (42 U.S.C. 300u–6(g)).(5)Risks associated with climate changeThe term risks associated with climate change includes risks associated with extreme heat, air pollution, extreme weather events, and other environmental issues associated with climate change that can result in adverse maternal and infant health outcomes.(6)Stakeholder organizationThe term stakeholder organization means—(A)a community-based organization with expertise in providing assistance to vulnerable individuals;(B)a nonprofit organization with expertise in maternal or infant health or environmental justice; and(C)a patient advocacy organization representing vulnerable individuals. (7)Vulnerable individualThe term vulnerable individual means—(A)an individual who is pregnant;(B)an individual who was pregnant during any portion of the preceding 1-year period; and(C)an individual under 3 years of age.