Sec. 421. Grants for racial and ethnic approaches to community health
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It is the purpose of this section to provide for the awarding of grants to assist communities in mobilizing and organizing resources in support of effective and sustainable programs that will reduce or eliminate disparities in health and health care experienced by racial and ethnic minority individuals. The Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, shall award grants to eligible entities to assist in designing, implementing, and evaluating culturally and linguistically appropriate, science-based, and community-driven sustainable strategies to eliminate racial and ethnic health and health care disparities.
To be eligible to receive a grant under this section, an entity shall— represent a coalition— whose principal purpose is to develop and implement interventions to reduce or eliminate a health or health care disparity in a targeted racial or ethnic minority group in the community served by the coalition; and that includes— members selected from among— public health departments; community-based organizations; university and research organizations; American Indian tribal organizations, national American Indian organizations, Indian Health Service, or organizations serving Alaska Natives; and interested public or private health care providers or organizations as deemed appropriate by the Secretary; and at least 1 member from a community-based organization that represents the targeted racial or ethnic minority group; and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, which shall include— a description of the targeted racial or ethnic populations in the community to be served under the grant; a description of at least 1 health disparity that exists in the racial or ethnic targeted populations, including health issues such as infant mortality, breast and cervical cancer screening and management, musculoskeletal diseases and obesity, prostate cancer screening and management, cardiovascular disease, diabetes, child and adult immunization levels, or other health priority areas as designated by the Secretary; and a demonstration of a proven record of accomplishment of the coalition members in serving and working with the targeted community.
The Secretary shall give priority to an eligible entity under this section if the entity agrees that, with respect to the costs to be incurred by the entity in carrying out the activities for which the grant was awarded, the entity (and each of the participating partners in the coalition represented by the entity) will maintain its expenditures of non-Federal funds for such activities at a level that is not less than the level of such expenditures during the fiscal year immediately preceding the first fiscal year for which the grant is awarded.
Funds provided through this grant program should supplement, not supplant, existing Federal funding, and the funds should not be used to duplicate the activities of the other health disparity grant programs in this Act. The Secretary may, either directly or by grant or contract, provide any entity that receives a grant under this section with technical and other nonfinancial assistance necessary to meet the requirements of this section. The Secretary shall encourage and enable grantees to share best practices, evaluation results, and reports with communities not affiliated with grantees using the Internet, conferences, and other pertinent information regarding the projects funded by this section, including the outreach efforts of the Office of Minority Health and Health Disparity Elimination and the Centers for Disease Control and Prevention.
The Secretary shall make every effort to minimize duplicative or unnecessary administrative burdens on grantees. In this section, the term Secretary means the Secretary of Health and Human Services. There are authorized to be appropriated such sums as may be necessary to carry out this section.