Sec. 201. Addressing social determinants of health and improving health outcomes
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Part B of title III of the Public Health Service Act ( 42 U.S.C. 243 et seq. ) is amended— by inserting after section 317U the following: The Secretary shall, as appropriate, award grants, contracts, or cooperative agreements to eligible entities for the conduct of evidence-based or evidence-informed projects, which may include the development of networks to improve health outcomes and reduce health disparities by improving the capacity of such entities to address social determinants of health in communities.
To be eligible to receive an award under this section, an entity shall— be a State, local, or Tribal health department, community-based organization, Indian Tribe or Tribal organization (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act), urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act), or other public or private entity, as the Secretary determines appropriate; or be a consortia or public-private partnership of entities described in subparagraph (A); submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary shall require; in the case of an entity other than a community-based organization, demonstrate a history of successfully working with an established community-based organization to address health disparities; submit a plan to conduct activities described in subsection
(a)based on a community needs assessment that takes into account community input; and demonstrate the capacity to effectively implement evidence-based or evidence-informed strategies to address health disparities among underserved populations, which may include rural, racial, and ethnic minority populations and people with disabilities, in a timely manner. An entity described in subsection
(b)shall use funds received under subsection (a), in consultation with State, local, and Tribal health departments, community-based organizations, and other entities with experience addressing social determinants of health or reducing health disparities, as applicable, for one or more of the following purposes: Supporting the implementation, evaluation, and dissemination of strategies, including culturally-appropriate strategies, to address social determinants of health, based on the identified needs of the community that is the subject of the assessment submitted under subsection (b)(4), through evidence-informed or evidence-based programs and through the support and use of public health and health care professionals to address such social determinants of health. Establishing, maintaining, or improving, in consultation with State, local, or Tribal health departments, technology platforms or networks to support coordination among appropriate entities, and providing information on health and related social services, which may include activities to improve data collection for public health purposes, in a manner that is consistent with applicable Federal and State privacy law. Implementing best practices for improving health outcomes and reducing disease among underserved populations, including rural or racial and ethnic minority populations. Supporting consideration of social determinants of health in preparing for, and responding to, public health emergencies, through outreach, education, research, and other relevant activities. The Secretary, in consultation with the Director of the Office of Minority Health, may award grants, contracts, and cooperative agreements to public or nonprofit private entities, including 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 of 1965), to— identify or facilitate the development of best practices to support improved health outcomes and reduce health disparities by addressing social determinants of health; provide technical assistance, training, and evaluation assistance to award recipients under subsection (a); disseminate best practices, including to award recipients under subsection (a); and establish or operate regional centers to develop, evaluate, and disseminate effective strategies on the utilization of preventive health care services to address social determinants of health, including supporting research and training related to such strategies. The Secretary shall issue awards under this section for periods of not more than 5 years and may issue extensions of such award periods for an additional period of up to 3 years. Not later than September 30, 2026, the Secretary 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 that includes information on activities funded under this section. Such report shall include a description of— changes in the capacity of public health entities to address social determinants of health in communities, including any applicable platforms or networks developed or utilized to coordinate health and related social services and any changes in workforce capacity or capabilities; improvements in health outcomes and in reducing health disparities in medically underserved communities; activities conducted to support consideration of social determinants of health in preparing for, and responding to, public health emergencies, through outreach, education, and other relevant activities; communities and populations served by recipients of awards under subsection (a); activities supported under subsection (e); and other relevant activities and outcomes, as determined by the Secretary. To carry out this section, there are authorized to be appropriated $70,000,000 for each of fiscal years 2023 through 2027. ; and by striking section 330D ( 42 U.S.C. 254c–4 ). Not later than 4 years after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Energy and Committee on Energy and Commerce of the House of Representatives a report on the program authorized under section 317V of the Public Health Service Act, as added by subsection (a), including a review of the outcomes and effectiveness of the program and coordination with other programs in the Department of Health and Human Services with similar goals to ensure that there was no unnecessary duplication of efforts.
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- 42 USC 254c–4
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Sec. 201
Addressing social determinants of health and improving health outcomes
Cite42 USC 254c–4
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