Instructions: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Reducing Disparities Using Care
Models and Education Act of 2015''.

SEC. 2. FINDINGS.

The Congress finds as follows:
(1) The infant death rate among African-Americans is more
than double that of Whites.
(2) The death rate for all cancers is 30-percent higher for
African-Americans than for Whites; for prostate cancer, it is
more than double that for Whites.
(3) Black women have a higher death rate from breast cancer
despite having a mammography screening rate that is nearly the
same as the rate for White women.
(4) In 2013, Asian-Americans and Pacific Islanders were the
only racial group where cancer was the number one cause of
death. Asian-Americans have the lowest screening rates for
breast (64.1 percent), cervical (75.4 percent), and colorectal
(46.9 percent) cancer, compared to all other racial groups; the
cervical cancer rate for Vietnamese-American women is five
times higher than for non-Hispanic Whites.
(5) Diabetes incidence is highest among Native Americans,
at 15.9 percent, followed by 13.2 percent for African-
Americans, 12.8 percent for Hispanics, 9.0 percent for Asians,
and 7.6 percent for Whites. In 2012, the percentage of Native
Hawaiians and Pacific Islanders with diabetes was nearly two
times higher than that of Whites.
(6) New cases of hepatitis and tuberculosis are higher in
Asians and Pacific Islanders living in the United States than
in Whites. Half of all persons living with hepatitis B in the
United States are Asian-American.
(7) Individuals in same-sex couples were more likely than
individuals in different-sex couples to report a delay in
getting necessary prescriptions.
(8) Infants born to Black women are 1.5 to 3 times more
likely to die than those born to women of other races or
ethnicities, and American Indian and Alaska Native infants die
from sudden infant death syndrome (SIDS) at nearly 2.5 times
the rate of White infants.
(9) Low-income children have higher rates of mortality
(even with the same condition), have higher rates of
disability, and are more likely to have multiple conditions.
(10) White children are half as likely as Black and Latino
children not to be in excellent or very good health.
(11) As of 2012, 38.9 percent of United States adults were
obese, with the highest rate among African-Americans at 47.9
percent, followed by Hispanics at 42.5 percent, Whites at 32.6
percent, and Asians at 10.8 percent. Native Hawaiians and
Pacific Islanders are 30-percent more likely to be obese than
non-Hispanic Whites. Lack of disaggregated data among Asians
can mask differences in the burden of obesity among ethnic
groups.
(12) The risk of stroke is twice as high for African-
Americans as for Whites, and African-Americans are more likely
to die of stroke. Other ethnic minorities also have higher risk
than Whites. Overall, strokes are most prevalent in the
Southeast United States, and less so in the Northeast.
(13) African-Americans accounted for 44 percent of all
those infected with HIV, despite being only 12 percent of the
United States population.
(14) Black men who have sex with men (MSM) ages 13 to 24
had the most new infections among youth.
(15) Asian-Americans have the lowest rate of testing for
HIV, with only four in 10 having ever been tested; Asian-
American and Pacific Islander women have the lowest proportion
(17.2 percent) of having ever been tested for HIV compared to
other races.
(16) Globally, transgender women are 49 times more likely
to acquire HIV than the general population; in the United
States, transgender women are 34 times more likely than the
general population.
(17) One study found that among heterosexuals living in the
same urban community, those below the poverty line were twice
as likely to contract human immunodeficiency virus (HIV).
(18) Persons with less than a high school diploma (6.7
percent) and high school graduates (4.0 percent) were more
likely to report major depression than those with at least some
college education (2.5 percent).
(19) Only about 10 percent of physicians practice in rural
America despite the fact that nearly one-fourth of the
population lives in these areas.
(20) Rural residents are less likely to have employer-
provided health care coverage or prescription drug coverage,
and the rural poor are less likely to be covered by Medicaid
benefits than their urban counterparts.
(21) Twenty percent of nonmetropolitan counties lack mental
health services versus 5 percent of metropolitan counties.
(22) Forty-one percent of transgender people have reported
attempting suicide compared to 1.6 percent of the general
population.
(23) Fifteen percent of persons with disabilities report
not seeing a doctor due to cost in comparison to 6 percent of
the general population.
(24) Nineteen percent of transgender people have been
refused medical care because of their gender identity. Twenty-
eight percent have been harassed in a doctor's office.
(25) More than 20 percent of the United States population
speaks a language other than English at home. Among Asian-
Americans, 32 percent are limited English proficient, meaning
they speak English less than very well or not at all. Lack of
linguistically accessible care presents health access
challenges and can contribute to disparities for limited
English speakers.

SEC. 3. INSTITUTE OF MEDICINE STUDY.

(a) In General.--Not later than 60 days after the date of the
enactment of this Act, the Secretary shall enter into an arrangement
with the Institute of Medicine under which the Institute agrees to
study--
(1) the extent of health disparities in the type and
quality of preventive interventions, health services, and
outcomes in all populations, including children, in the United
States;
(2) the factors that may contribute to inequities in such
disparities;
(3) existing programs and policies intended to reduce such
disparities;
(4) best practices and successful strategies in programs
that aim to reduce such disparities;
(5) priorities for successful intervention programs
targeting such disparities; and
(6) potential opportunities for expanding or replicating
such programs.
(b) Report.--The arrangement under subsection (a) shall provide for
submission by the Institute of Medicine to the Secretary and Congress,
not later than 20 months after the date of enactment of this Act, of a
report on the results of the study.

SEC. 4. GUIDELINES FOR DEVELOPMENT AND IMPLEMENTATION OF HEALTH
DISPARITIES REDUCTION PROGRAMS AND ACTIVITIES.

(a) Guidelines.--Not later than 90 days after the submission of the
report described in section 3(b), and taking such report into
consideration, the Secretary shall develop guidelines for entities to
develop and implement programs and activities to reduce health
disparities in all populations, including children.
(b) Use by HHS.--The Secretary shall, where appropriate,
incorporate the use of the guidelines developed under subsection (a)
into the programs and activities of the Department of Health and Human
Services.
(c) Grants for Disparities Reduction Activities.--
(1) In general.--The Secretary may award grants to entities
for the development and implementation of programs and
activities to reduce health disparities in all populations,
including children, in accordance with the guidelines described
in subsection (a).
(2) Applications.--To seek a grant under this subsection,
an entity shall submit an application to the Secretary at such
time, in such manner, and containing such information as the
Secretary may require.
(3) Minimum contents.--The Secretary shall require that an
application for a grant under this subsection contains at a
minimum--
(A) a description of the population and public
health concern the program will target and an outreach
plan to ensure that the most in need populations will
benefit;
(B) a description of the strategies the entity will
use--
(i) to develop and implement its programs
and activities in accordance with the
guidelines developed under subsection (a); and
(ii) to make the interventions sustainable;
and
(C) an agreement by the entities to periodically
provide data with respect to--
(i) the population served;
(ii) improvements in reducing health
disparities; and
(iii) effectiveness of the interventions
used.
(d) Appropriations.--To carry out this section, there are
authorized to be appropriated $5,000,000 for fiscal year 2017 and such
sums as may be necessary for each of fiscal years 2018 through 2021.

SEC. 5. TESTING ALTERNATIVE PAYMENT AND DELIVERY MODELS TO REDUCE
HEALTH DISPARITIES.

(a) In General.--The Secretary acting through the Centers for
Medicare and Medicaid Innovation under section 1115A of the Social
Security Act (42 U.S.C. 1315a) shall provide for the testing of a
payment and service delivery model that includes incentives for
reducing health disparities in all populations, including children,
consistent with the cost and quality criteria otherwise applicable to
the testing of models under such section.
(b) Documentation Requirement for Model Testing.--In carrying out
subsection (a), the Secretary shall require that an application to
conduct such testing of such a model include at least--
(1) documentation of at least one health disparity targeted
for reduction;
(2) a root-cause analysis of the health disparity targeted
for reduction;
(3) identification and selection of performance targets for
such reduction;
(4) a proposal to make payments in some way contingent on a
reduction in health disparities; and
(5) a reliable method for monitoring progress in achieving
such a reduction.

SEC. 6. DEFINITIONS.

In this Act:
(1) The term ''health disparity'' means significant
disparity in the overall rate of disease incidence, prevalence,
morbidity, mortality, or survival rates in a population as
compared to the health status of the general population.
(2) The term ''intervention'' means an activity taken by an
entity on behalf of individuals or populations to reduce health
disparities.
(3) The term ''Secretary'' means the Secretary of Health
and Human Services.
Output:
Reducing Disparities Using Care Models and Education Act of 2015 This bill requires the Department of Health and Human Services (HHS) to contract with the National Academy of Medicine (formerly known as the Institute of Medicine) to study health disparities, existing programs and policies intended to reduce disparities, and priorities for, and expansion of, programs targeting disparities. HHS must develop guidelines for entities to develop and implement programs to reduce health disparities. HHS must incorporate these guidelines into its activities. HHS may award grants for programs to reduce health disparities. The Innovation Center of the Centers for Medicare & Medicaid Services must test a payment and service delivery model that includes incentives for reducing health disparities.