Sec. 704. Cancer prevention and treatment demonstration for ethnic and racial minorities
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The Secretary of Health and Human Services (in this section referred to as the Secretary ) shall conduct demonstration projects (in this section referred to as demonstration projects ) for the purpose of developing models and evaluating methods that— improve the quality of items and services provided to target individuals in order to facilitate reduced disparities in early detection and treatment of cancer; improve clinical outcomes, satisfaction, quality of life, appropriate use of items and services covered under the Medicare Program under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ), and referral patterns with respect to target individuals with cancer; eliminate disparities in the rate of preventive cancer screening measures, such as Pap smears, prostate cancer screenings, colon cancer screenings, breast cancer screenings, and computed tomography
(CT)scans, for lung cancer among target individuals; promote collaboration with community-based organizations to ensure cultural competency of health care professionals and linguistic access for target individuals who are persons with limited-English proficiency; and encourage the incorporation of community health workers to increase the efficiency and appropriateness of cancer screening programs. In this section, the term community health worker includes a community health advocate, a lay health worker, a community health representative, a peer health promotor, a community health outreach worker, and a promotore de salud, who promotes health or nutrition within the community in which the individual resides. In this section, the term target individual means an individual of a racial and ethnic minority group, as defined in section 1707(g)(1) of the Public Health Service Act ( 42 U.S.C. 300u–6(g)(1) ), who is entitled to benefits under part A, and enrolled under part B, of title XVIII of the Social Security Act. Not later than 1 year after the date of the enactment of this Act, the Secretary shall evaluate best practices in the private sector, community programs, and academic research of methods that reduce disparities among individuals of racial and ethnic minority groups in the prevention and treatment of cancer and shall design the demonstration projects based on such evaluation. Not later than 2 years after the date of the enactment of this Act, the Secretary shall implement at least nine demonstration projects, including the following: Two projects, each of which shall target different ethnic subpopulations, for each of the four following major racial and ethnic minority groups: American Indians and Alaska Natives, Eskimos and Aleuts. Asian-Americans. Blacks/African-Americans. Latinos or Hispanics. Native Hawaiians and other Pacific Islanders. One project within the Pacific Islands or United States insular areas. At least one project each in a rural area and inner-city area. If the initial report under subsection
(c)contains an evaluation that demonstration projects— reduce expenditures under the Medicare Program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.); or do not increase expenditures under the Medicare Program and reduce racial and ethnic health disparities in the quality of health care services provided to target individuals and increase satisfaction of Medicare beneficiaries and health care providers; the Secretary shall continue the existing demonstration projects and may expand the number of demonstration projects. Not later than 2 years after the date the Secretary implements the initial demonstration projects, and biannually thereafter, the Secretary shall submit to Congress a report regarding the demonstration projects. Each report under paragraph
(1)shall include the following: A description of the demonstration projects. An evaluation of— the cost effectiveness of the demonstration projects; the quality of the health care services provided to target individuals under the demonstration projects; and beneficiary and health care provider satisfaction under the demonstration projects. Any other information regarding the demonstration projects that the Secretary determines to be appropriate. The Secretary shall waive compliance with the requirements of title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ) to such extent and for such period as the Secretary determines is necessary to conduct demonstration projects.
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- 42 USC 300u–6(g)(1)
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Sec. 704
Cancer prevention and treatment demonstration for ethnic and racial minorities
Cite42 USC 300u–6(g)(1)
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