Sec. 2222. Awards to support community health workers and community health

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Section 399V of the Public Health Service Act ( 42 U.S.C. 280g–11 ) is amended— by amending the section heading to read as follows: ; Awards to support community health workers and community health by amending subsection

(a)to read as follows: The Secretary shall award grants, contracts, or cooperative agreements to eligible entities to promote positive health behaviors and outcomes for populations in medically underserved communities by leveraging community health workers, including by addressing ongoing and longer-term community health needs, and by building the capacity of the community health worker workforce. Such grants, contracts, and cooperative agreements shall be awarded in alignment and coordination with existing funding arrangements supporting community health workers. ; in subsection (b)— in the matter preceding paragraph (1)— by striking Grants awarded and inserting Subject to any requirements for the scope of licensure, registration, or certification of a community health worker under applicable State law, grants, contracts, and cooperative agreements awarded ; and by striking support community health workers ; by redesignating paragraphs

(3)through

(5)as paragraphs

(4)through (6), respectively; by striking paragraphs

(1)and

(2)and inserting the following: recruit, hire, train, and retain community health workers that reflect the needs of the community; support community health workers in providing education and outreach, in a community setting, regarding— health conditions prevalent in— medically underserved communities (as defined in section 799B), particularly racial and ethnic minority populations; and other such at-risk populations or geographic areas that may require additional support during public health emergencies, which may include counties identified by the Secretary using applicable measures developed by the Centers for Disease Control and Prevention or other Federal agencies; and addressing health disparities, including by— promoting awareness of services and resources to increase access to health care, mental health and substance use disorder services, child services, technology, housing services, educational services, nutrition services, employment services, and other services; and assisting in conducting individual and community needs assessments; educate community members, including regarding effective strategies to promote healthy behaviors; ; in paragraph (4), as so redesignated, by striking to educate and inserting educate ; in paragraph (5), as so redesignated— by striking to identify and inserting identify ; by striking healthcare agencies and inserting health care agencies ; and by striking healthcare services and to eliminate duplicative care; or and inserting health care services and to streamline care, including serving as a liaison between communities and health care agencies; and ; and in paragraph (6), as so redesignated— by striking to educate, guide, and provide and inserting support community health workers in educating, guiding, or providing ; and by striking maternal health and prenatal care and inserting chronic diseases, maternal health, prenatal, and postpartum care in order to improve maternal and infant health outcomes ; in subsection (c), by striking Each eligible entity and all that follows through accompanied by and inserting To be eligible to receive an award under subsection (a), an entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing ; in subsection (d)— in the matter preceding paragraph (1), by striking awarding grants and inserting making awards ; by amending paragraph

(1)to read as follows: propose to serve— areas with populations that have a high rate of chronic disease, infant mortality, or maternal morbidity and mortality; low-income populations, including medically underserved populations (as defined in section 330(b)(3)); populations residing in health professional shortage areas (as defined in section 332(a)); populations residing in maternity care health professional target areas identified under section 332(k); or rural or traditionally underserved populations, including racial and ethnic minority populations or low-income populations; ; in paragraph (2), by striking ; and and inserting , including rural populations and racial and ethnic minority populations; ; in paragraph (3), by striking with community health workers. and inserting and established relationships with community health workers in the communities expected to be served by the program; and by adding at the end the following: develop a plan for providing services to the extent practicable, in the language and cultural context most appropriate to individuals expected to be served by the program; and propose to use evidence-informed or evidence-based practices, as applicable and appropriate. ; in subsection (e)— by striking community health worker programs and inserting eligible entities ; and by striking and one-stop delivery systems under section 121(e) and inserting , health professions schools, minority-serving institutions (defined, for purposes of this subsection, as institutions and programs described in section 326(e)(1) of the Higher Education Act of 1965 and institutions described in section 371(a) of such Act), area health education centers under section 751 of this Act, and one-stop delivery systems under section 121 ; by striking subsections (f), (g), (h), (i), and

(j)and inserting the following: The Secretary may provide to eligible entities that receive awards under subsection

(a)technical assistance with respect to planning, development, and operation of community health worker programs authorized or supported under this section. Not later than 4 years after the date of enactment of the PREVENT Pandemics Act, the Secretary shall, based on activities carried out under this section and in consultation with relevant stakeholders, identify and disseminate evidence-based or evidence-informed practices regarding recruitment and retention of community health workers and paraprofessionals to address ongoing public health and community health needs, and to prepare for, and respond to, future public health emergencies. Not later than 4 years after the date of enactment of the PREVENT Pandemics Act, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives a report concerning the effectiveness of the program under this section in addressing ongoing public health and community health needs. Such report shall include recommendations regarding any improvements to such program, including recommendations for how to improve recruitment, training, and retention of the community health workforce. For purposes of carrying out this section, there are authorized to be appropriated $50,000,000 for each of fiscal years 2023 through 2027. ; by redesignating subsection

(k)as subsection (j); and in subsection (j), as so redesignated— by striking paragraphs (1), (2), and (4); by redesignating paragraph

(3)as paragraph (1); in paragraph (1), as so redesignated— by striking entity (including a State or public subdivision of a State and inserting entity, including a State or political subdivision of a State, an Indian Tribe or Tribal organization, an urban Indian organization, a community-based organization ; and by striking as defined in section 1861(aa) of the Social Security Act)) and inserting (as defined in section 1861(aa)(4) of the Social Security Act) ; and by adding at the end the following: The terms Indian Tribe and Tribal organization have the meanings given the terms Indian tribe and tribal organization , respectively, in section 4 of the Indian Self-Determination and Education Assistance Act. The term urban Indian organization has the meaning given such term in section 4 of the Indian Health Care Improvement Act. . Not later than 1 year after the date of submission of the report under subsection

(h)of section 399V of the Public Health Service Act ( 42 U.S.C. 280g–11 ), as amended by subsection (a), the Comptroller General of the United States shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the program authorized under such section 399V, including a review of the efforts of the Secretary of Health and Human Services to coordinate such program with applicable programs of the Health Resources and Services Administration to ensure there is no unnecessary duplication of efforts among such programs, and identification of any areas of duplication.

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42 USC 280g–11

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Sec. 2222

Awards to support community health workers and community health

Cite42 USC 280g–11

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