Sec. 2. Table of contents

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The table of contents for this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. TITLE I—Data collection and reporting Sec. 1001. Strengthening data collection, improving data analysis, and expanding data reporting. Sec. 1002. Elimination of prerequisite of direct appropriations for data collection and analysis. Sec. 1003. Collection of data for the Medicare program. Sec. 1004. Revision of HIPAA claims standards. Sec. 1005. National Center for Health Statistics.

Sec. 1006. Disparities data collected by the Federal Government. Sec. 1007. Data collection and analysis grants to minority-serving institutions. Sec. 1008. Safety and effectiveness of drugs with respect to racial and ethnic background. Sec. 1009. Improving health data regarding Native Hawaiians and Pacific Islanders. Sec. 1010. Clarification of simplified administrative reporting requirement. Sec. 1011. Data collection regarding pandemic preparedness, testing, infections, and deaths.

Sec. 1012. Commission on Ensuring Data for Health Equity. Sec. 1013. Task Force on Preventing Bias in AI and Algorithms. Sec. 1014. Report on the health of the Middle Eastern and North African population. TITLE II—Culturally and linguistically appropriate health and health care Sec. 2001. Definitions. Sec. 2002. Improving access to services for individuals with limited English proficiency. Sec. 2003. Ensuring standards for culturally and linguistically appropriate services in health care.

Sec. 2004. Culturally and linguistically appropriate health care in the Public Health Service Act. Sec. 2005. Pilot program for improvement and development of State medical interpreting services. Sec. 2006. Training tomorrow’s doctors for culturally and linguistically appropriate care: graduate medical education. Sec. 2007. Federal reimbursement for culturally and linguistically appropriate services under the Medicare, Medicaid, and State Children’s Health Insurance Programs.

Sec. 2008. Increasing understanding of and improving health literacy. Sec. 2009. Requirements for health programs or activities receiving Federal funds. Sec. 2010. Report on Federal efforts to provide culturally and linguistically appropriate health care services. Sec. 2011. English instruction for individuals with limited English proficiency. Sec. 2012. Implementation. Sec. 2013. Language access services. Sec. 2014. Medically underserved populations. TITLE III—Health workforce diversity Sec. 3001.

Amendment to the Public Health Service Act . Sec. 3002. Hispanic-serving institutions, historically Black colleges and universities, historically Black professional or graduate institutions, Asian American and Native American Pacific Islander-serving institutions, Tribal Colleges, regional community-based organizations, and national minority medical associations. Sec. 3003. Loan repayment program of Centers for Disease Control and Prevention. Sec. 3004. Cooperative agreements for online degree programs at schools of public health and schools of allied health.

Sec. 3005. National Health Care Workforce Commission. Sec. 3006. Scholarship and fellowship programs. Sec. 3007. McNair Postbaccalaureate Achievement Program. Sec. 3008. Rules for determination of full-time equivalent residents for cost-reporting periods. Sec. 3009. Developing and implementing strategies for local health equity. Sec. 3010. Health Professions Workforce Fund. Sec. 3011. Future advancement of academic nursing. Sec. 3012. Sense of Congress relating to graduate medical education.

Sec. 3013. Career support for skilled, internationally educated health professionals. Sec. 3014. Study and report on strategies for increasing diversity. Sec. 3015. Conrad State 30 program; physician retention. Sec. 3016. Grants for schools of medicine and schools of osteopathic medicine in underserved areas. TITLE IV—Improving Health Care Access and Quality Sec. 4000. Definition. Subtitle A—Reducing Barriers to Accessing Care Sec. 4001. Protecting protected areas. Sec. 4002.

Repeal of requirement for documentation evidencing citizenship or nationality under the Medicaid program. Sec. 4003. LIFT the BAR Act. Sec. 4004. Improve affordability and reduce premium costs of health insurance for consumers. Sec. 4005. Removing citizenship and immigration barriers to access to affordable health care under the ACA. Sec. 4006. HEAL for Immigrant Families Act. Sec. 4007. Study on the uninsured. Sec. 4008. Medicaid fallback coverage program for low-income adults in non-expansion States.

Sec. 4009. Increase and extension of temporary enhanced FMAP for States which begin to expend amounts for certain mandatory individuals. Subtitle B—Improvement of Coverage Sec. 4101. Medicaid in the territories. Sec. 4102. Extension of the Supplemental Security Income Program to Puerto Rico, the United States Virgin Islands, Guam, and American Samoa. Sec. 4103. Extension of Medicare secondary payer. Sec. 4104. Indian defined in title I of the Patient Protection and Affordable Care Act.

Sec. 4105. Removing Medicare barrier to health care. Sec. 4106. Lowering Medicare premiums and prescription drug costs. Sec. 4107. Reducing cost-sharing, aligning income and resource eligibility tests, simplifying enrollment, and other program improvements for low-income beneficiaries. Sec. 4108. 100 percent FMAP for medical assistance provided by urban Indian organizations. Sec. 4109. 100 percent FMAP for medical assistance provided to a Native Hawaiian through a federally qualified health center or a Native Hawaiian health care system under the Medicaid program.

Sec. 4110. Repeal of requirement for estate recovery under the Medicaid program. Sec. 4111. Allow for suspension of Medicare benefits and premium liability for individuals who are incarcerated and provide a special enrollment period around the date of release. Sec. 4112. Federal employee health benefits plans. Sec. 4113. Continuation of Medicaid income eligibility standard for pregnant individuals and infants. Subtitle C—Expansion of Access Part 1—General Provisions Sec. 4201.

Amendment to the Public Health Service Act. Sec. 4202. Border health grants. Sec. 4203. Critical access hospital improvements. Sec. 4204. Medicare remote monitoring pilot projects. Sec. 4205. Community health center collaborative access expansion. Sec. 4206. Facilitating the provision of telehealth services across State lines. Sec. 4207. Scoring of preventive health savings. Sec. 4208. Sense of Congress on maintenance of effort provisions regarding children’s health. Sec. 4209.

Protection of the HHS Offices of Minority Health. Sec. 4210. Office of Minority Health in Veterans Health Administration of Department of Veterans Affairs. Sec. 4211. Study of DSH payments to ensure hospital access for low-income patients. Sec. 4212. Reauthorization of programs under the Native Hawaiian Health Care Improvement Act. Part 2—Rural Sec. 4221. Establishment of Rural Community Hospital

(RCH)Program. Sec. 4222. Rural Health Quality Advisory Commission and demonstration projects. Sec. 4223. Rural health care services. Part 3—Indian Communities Sec. 4231. Assistant Secretary of the Indian Health Service. Sec. 4232. Extension of full Federal medical assistance percentage to Indian health care providers. Sec. 4233. Conferring with urban Indian organizations. Part 4—Providers Sec. 4241. Availability of non-English language speaking providers. Sec. 4242. Access to essential community providers. Sec. 4243. Provider network adequacy in communities of color. Part 5—Dental Sec. 4251. Improving access to dental care. Sec. 4252. Oral health literacy and awareness campaign. Sec. 4253. Ensuring Kids Have Access to Medically Necessary Dental Care Act. Subtitle D—Advancing Health Equity Through Payment and Delivery Reform Sec. 4301. Centers for Medicare & Medicaid Services reporting and value-based programs. Sec. 4302. Development and testing of disparity reducing delivery and payment models. Sec. 4303. Diversity in Centers for Medicare and Medicaid consultation. Sec. 4304. Supporting safety net and community-based providers to compete in value-based payment systems. Sec. 4305. Improving access to care for Medicare and Medicaid beneficiaries. Subtitle E—Health Empowerment Zones Sec. 4401. Designation of health empowerment zones. Sec. 4402. Assistance to those seeking designation. Sec. 4403. Benefits of designation. Sec. 4404. Definition of Secretary. Sec. 4405. Authorization of appropriations. Subtitle F—Equitable Health Care for All Sec. 4501. Data collection and reporting. Sec. 4502. Requiring equitable health care in the hospital value-based purchasing program. Sec. 4503. Provision of inequitable health care as a basis for permissive exclusion from Medicare and State health care programs. Sec. 4504. Office for Civil Rights and Health Equity of the Department of Health and Human Services. Sec. 4505. Prohibiting discrimination in health care. Sec. 4506. Federal Health Equity Commission. Sec. 4507. Grants for hospitals to promote equitable health care and outcomes. Subtitle G—Investing in Equity Sec. 4601. Definitions. Sec. 4602. Strategy to incentivize health equity. Sec. 4603. Pay for Equity Advisory Council. TITLE V—Improving health outcomes for women, gender-diverse people, children, and families Subtitle A—Underserved communities Sec. 5001. Grants to promote health for underserved communities. Subtitle B—Pregnancy screening Sec. 5101. Pregnancy intention screening initiative demonstration program. Sec. 5102. Birth defects prevention, risk reduction, and awareness. Subtitle C—Pregnancy-Related care Sec. 5201. Community access, resources, and empowerment for moms. Sec. 5202. MOMMIES. Sec. 5203. Social determinants for moms. Sec. 5204. Kira Johnson Act. Sec. 5205. Perinatal workforce. Sec. 5206. Data to Save Moms Act. Sec. 5207. Moms matter. Sec. 5208. Justice for Incarcerated Moms. Sec. 5209. Tech to save moms. Sec. 5210. IMPACT To Save Moms Act. Sec. 5211. Protecting moms and babies against climate change. Sec. 5212. Protect moms from domestic violence. Sec. 5213. Midwives schools and programs expansion. Sec. 5214. Gestational diabetes. Sec. 5215. Consumer education campaign. Sec. 5216. Bibliographic database of systematic reviews for care of childbearing individuals and newborns. Sec. 5217. Development of interprofessional maternity care educational models and tools. Sec. 5218. Dissemination of the quality family planning guidelines. Subtitle D—Federal agency coordination on maternal health Sec. 5301. Interagency Coordinating Committee on the Promotion of Optimal Maternity Outcomes. Sec. 5302. Expansion of CDC Prevention Research Centers Program to include Centers on Optimal Maternity Outcomes. Sec. 5303. Expanding models to be tested by Center for Medicare and Medicaid Innovation to explicitly include maternity care and children’s health models. Sec. 5304. Interagency update to the quality family planning guidelines. Subtitle E—Reproductive and Sexual Health Sec. 5401. Sense of Congress on urgent issues concerning barriers to abortion access and vital solutions. Sec. 5402. Emergency contraception education and information programs. Sec. 5403. Duties of pharmacies to ensure provision of FDA-approved contraception. Sec. 5404. Real Education and Access for Healthy Youth Act. Sec. 5405. Compassionate assistance for rape emergencies. Sec. 5406. Menstrual Equity for All Act of 2024. Sec. 5407. Additional focus area for the Office on Women’s Health. Sec. 5408. Including services furnished by certain students, interns, and residents supervised by certified nurse midwives or certified midwives within inpatient hospital services under Medicare. Sec. 5409. Grants to professional organizations and minority-serving institutions to increase diversity in maternal, reproductive, and sexual health professionals. Subtitle F—Children’s Health Sec. 5501. CARING for Kids Act. Sec. 5502. End Diaper Need Act of 2024. Sec. 5503. Decreasing the risk factors for sudden unexpected infant death and sudden unexplained death in childhood. Subtitle G—Elder Care Sec. 5601. Expenses for household and elder care services necessary for gainful employment. Subtitle H—Miscellaneous provisions Sec. 5701. Clarification supporting permissible use of funds for stillbirth prevention activities. TITLE VI—Mental health and substance use disorders Sec. 6001. Sense of Congress. Subtitle A—Access to care and funding streams Sec. 6101. Coverage of substance use disorder counselor services and peer support specialist services under part B of the Medicare program. Sec. 6102. Reauthorization of Minority Fellowship Program. Sec. 6103. Additional funds for National Institutes of Health. Sec. 6104. Additional funds for National Institute on Minority Health and Health Disparities. Sec. 6105. Grants for increasing racial and ethnic minority access to high-quality trauma support services and mental health care. Subtitle B—Interprofessional care Sec. 6201. Health professions competencies to address racial and ethnic mental health inequities. Sec. 6202. Interprofessional health care teams for behavioral health care. Sec. 6203. Integrated Health Care Demonstration Program. Subtitle C—Workforce development Sec. 6301. Building an effective workforce in mental health. Sec. 6302. Demonstration program to increase language access at eligible health centers. Sec. 6303. Health professions competencies to address racial and ethnic minority mental health disparities. Subtitle D—Children’s mental health Sec. 6401. Grant programs to support pediatric behavioral health care. Sec. 6402. Increasing Federal investment in pediatric behavioral health services. Sec. 6403. Mental health in schools. Sec. 6404. Additional support for youth and young adult mental health service provision. Sec. 6405. Early intervention and prevention programs for transition-age youth. Sec. 6406. Strategies to increase access to telehealth under Medicaid and Children’s Health Insurance Program. Sec. 6407. Youth and young adult mental health promotion, prevention, intervention, and treatment. Subtitle E—Community-Based care Sec. 6501. Mental health at the border. Sec. 6502. Asian American, African American, Native Hawaiian, Pacific Islander, Indigenous, Middle Eastern and North African, and Hispanic and Latino behavioral health outreach and education strategy. Subtitle F—Reports Sec. 6601. Addressing racial and ethnic minority mental health disparities research gaps. Sec. 6602. Research on adverse health effects associated with interactions with law enforcement. Sec. 6603. GeoAccess study. Sec. 6604. Co-occurring conditions. Sec. 6605. Study and report on the AANHPI youth mental health crisis. Sec. 6606. Study and report on strategies on the AANHPI behavioral health workforce shortage. Subtitle G—Miscellaneous provisions Sec. 6701. Strengthening mental health supports for BIPOC communities. Sec. 6702. STRONG support for children. Sec. 6703. Improving access to mental health. Sec. 6704. Program to establish public-private contributions to increase the available workforce of school-based mental health service providers. Sec. 6705. School social workers improving student success. Sec. 6706. Opioid grants to support caregivers, kinship care families, and kinship caregivers. Sec. 6707. Substance Use and Mental Health Services Administration and subagencies. TITLE VII—Addressing high-impact minority diseases Subtitle A—Cancer Sec. 7001. Lung cancer mortality reduction. Sec. 7002. Expansion of prostate cancer research, outreach, screening, testing, access, and treatment effectiveness. Sec. 7003. Prostate research, imaging, and men’s education. Sec. 7004. Prostate cancer detection research and education. Sec. 7005. National Prostate Cancer Council. Sec. 7006. Improved Medicaid coverage for certain breast and cervical cancer patients in the territories. Sec. 7007. Cancer prevention and treatment demonstration for ethnic and racial minorities. Sec. 7008. Reducing cancer disparities within Medicare. Subtitle B—Viral hepatitis and liver cancer control and prevention Sec. 7101. Biennial assessment of HHS hepatitis B and hepatitis C prevention, education, research, and medical management plan. Sec. 7102. Liver cancer and disease prevention, awareness, and patient tracking grants. Subtitle C—Acquired bone marrow failure diseases Sec. 7201. Acquired bone marrow failure diseases. Subtitle D—Cardiovascular disease, chronic disease, obesity, and other disease issues Sec. 7301. Guidelines for disease screening for minority patients. Sec. 7302. CDC Wisewoman Screening Program. Sec. 7303. Report on cardiovascular care for women and minorities. Sec. 7304. GAO report on structural and systemic factors that perpetuate cardiovascular disparities. Sec. 7305. Coverage of comprehensive tobacco cessation services in Medicaid, CHIP, and private health insurance. Sec. 7306. Clinical research funding for oral health. Sec. 7307. Guide on evidence-based strategies for public health department obesity prevention programs. Sec. 7308. Stephanie Tubbs Jones Uterine Fibroid Research and Education Act. Subtitle E—HIV/AIDS Sec. 7401. Statement of policy. Sec. 7402. Additional funding for AIDS drug assistance program treatments. Sec. 7403. Enhancing the national HIV surveillance system. Sec. 7404. Evidence-based strategies for improving linkage to, and retention in, appropriate care. Sec. 7405. Improving entry into, and retention in, care and antiretroviral adherence for persons with HIV. Sec. 7406. Services to reduce HIV/AIDS in racial and ethnic minority communities. Sec. 7407. Minority AIDS initiative. Sec. 7408. Health care professionals treating individuals with HIV. Sec. 7409. HIV/AIDS provider loan repayment program. Sec. 7410. Dental education loan repayment program. Sec. 7411. Reducing new HIV infections among injecting drug users. Sec. 7412. Report on impact of HIV/AIDS in vulnerable populations. Sec. 7413. National HIV/AIDS observance days. Sec. 7414. Review of all Federal and State laws, policies, and regulations regarding the criminal prosecution of individuals for HIV-related offenses. Sec. 7415. Expanding support for condoms in prisons. Sec. 7416. Automatic reinstatement or enrollment in Medicaid for people who test positive for HIV before reentering communities. Sec. 7417. Stop HIV in prison. Sec. 7418. Transfer of funds for implementation of Ending the HIV Epidemic: A Plan for America. Sec. 7419. P r EP access and coverage. Subtitle F—Diabetes Sec. 7501. Research, treatment, and education. Sec. 7502. Research, education, and other activities. Sec. 7503. Programs to educate health providers on the causes and effects of diabetes in minority populations. Sec. 7504. Research, education, and other activities regarding diabetes in American Indian populations. Sec. 7505. Updated report on health disparities. Subtitle G—Lung disease Sec. 7601. Asthma-related activities of the Centers for Disease Control and Prevention. Sec. 7602. Influenza and pneumonia vaccination campaign. Sec. 7603. Chronic obstructive pulmonary disease. Subtitle H—Tuberculosis Sec. 7701. United States Government assistance to combat tuberculosis. Subtitle I—Osteoarthritis and Musculoskeletal Diseases Sec. 7801. Osteoarthritis and other musculoskeletal health-related activities of the Centers for Disease Control and Prevention. Sec. 7802. Grants for comprehensive osteoarthritis and musculoskeletal disease health education within health professions schools. Subtitle J—Sleep and circadian rhythm disorders Sec. 7901. Sleep and circadian rhythm disorders research activities of the National Institutes of Health. Sec. 7902. Sleep and circadian rhythm health disparities-related activities of the Centers for Disease Control and Prevention. Sec. 7903. Grants for comprehensive sleep and circadian health education within health professions schools. Sec. 7904. Report on impact of sleep and circadian health disorders in vulnerable and racial/ethnic populations. Subtitle K—Kidney disease research, surveillance, prevention, and treatment Sec. 7901A. Kidney disease research in minority populations. Sec. 7901A–1. Kidney disease action plan. Sec. 7901A–2. Providing for staff-assisted home dialysis for certain hemodialysis and peritoneal dialysis patients. Sec. 7901A–3. Increasing kidney transplants in minority populations. Sec. 7901A–4. Environmental and occupational health programs. Sec. 7901A–5. Understanding the treatment patterns associated with providing care and treatment of kidney failure in minority populations. Sec. 7901A–6. Encouraging kidney care workforce in under served areas. Sec. 7901A–7. The Jack Reynolds Memorial Medigap Expansion Act; Medigap coverage for beneficiaries with end-stage renal disease. Subtitle L—Diversity in clinical trials Sec. 7901B. FDA review of clinical trial best practices. Sec. 7901B–1. Diversifying Investigations Via Equitable Research Studies for Everyone Trials Act. Sec. 7901B–2. Clinical trial diversity. Sec. 7901B–3. Patient experience data. Subtitle M—Additional provisions addressing high-Impact minority diseases Sec. 7901C. Medicare coverage of multi-cancer early detection screening tests. Sec. 7901C–1. Amputation Reduction and Compassion Act. Sec. 7901C–2. Eliminating the coinsurance requirement for certain colorectal cancer screening tests furnished under the Medicare program. Sec. 7901C–3. Expanding the availability of medical nutrition therapy services under the Medicare program. Sec. 7901C–4. Encouraging the development and use of DISARM antimicrobial drugs. Sec. 7901C–5. Treat and Reduce Obesity Act. Sec. 7901C–6. Incentives, improvements, and outreach to increase diversity in Alzheimer’s disease research. TITLE VIII—Health Information Technology Sec. 8001. Definitions. Subtitle A—Reducing Health Disparities Through Health IT Sec. 8101. HRSA assistance to health centers for promotion of Health IT. Sec. 8102. Assessment of impact of Health IT on racial and ethnic minority communities; outreach and adoption of Health IT in such communities. Sec. 8103. Nondiscrimination and health equity in health information technology. Sec. 8104. Language access in health information technology. Subtitle B—Modifications To Achieve Parity in Existing Programs Sec. 8201. Extending funding to strengthen the Health IT infrastructure in racial and ethnic minority communities. Sec. 8202. Extending competitive grants for the development of loan programs to facilitate adoption of certified EHR technology by providers serving racial and ethnic minority groups. Sec. 8203. Authorization of appropriations. Subtitle C—Additional Research and Studies Sec. 8301. Data collection and assessments conducted in coordination with minority-serving institutions. Sec. 8302. Study of health information technology in medically underserved communities. Sec. 8303. Assessment of use and misuse of de-identified health data. Subtitle D—Closing Gaps in Funding To Adopt Certified EHRs Sec. 8401. Extending Medicaid EHR incentive payments to rehabilitation facilities, long-term care facilities, and home health agencies. Sec. 8402. Extending physician assistant eligibility for Medicaid electronic health record incentive payments. Subtitle E—Expanding Access to Telehealth Services Sec. 8501. Removing geographic requirements for telehealth services. Sec. 8502. Expanding originating sites. TITLE IX—Accountability and Evaluation Sec. 9001. Prohibition on discrimination in Federal assisted health care services and research on the basis of sex (including sexual orientation, gender identity, and pregnancy, including termination of pregnancy), race, color, national origin, marital status, familial status, or disability status. Sec. 9002. Treatment of Medicare payments under title VI of the Civil Rights Act of 1964. Sec. 9003. Accountability and transparency within the Department of Health and Human Services. Sec. 9004. United States Commission on Civil Rights. Sec. 9005. Sense of Congress concerning full funding of activities to eliminate racial and ethnic health disparities. Sec. 9006. GAO and NIH reports. Sec. 9007. Investigative and enforcement actions. Sec. 9008. Federal Health Equity Commission. TITLE X—Addressing Social Determinants and Improving Environmental Justice Subtitle A—In General Sec. 10001. Definitions. Sec. 10002. Health impact assessments. Sec. 10003. Grant program to conduct environmental health improvement activities and to improve social determinants of health. Sec. 10004. Additional research on the relationship between the built environment and the health of community residents. Sec. 10005. Environment and public health restoration. Sec. 10006. GAO report on health effects of Deepwater Horizon oil rig explosion in the Gulf Coast. Sec. 10007. Establish an interagency council and grant programs on social determinants of health. Sec. 10008. Correcting Hurtful and Alienating Names in Government Expression (CHANGE). Sec. 10009. Andrew Kearse Accountability for Denial of Medical Care. Sec. 10010. Investing in community healing. Sec. 10011. Environmental justice mapping and data collection. Sec. 10012. Antiracism in public health. Sec. 10013. LGBTQ essential data. Sec. 10014. Social determinants accelerator. Sec. 10015. Improving social determinants of health. Sec. 10016. Notification regarding SNAP for students receiving Federal work-study assistance. Subtitle B—Gun Violence Sec. 10101. Reaffirming research authority of the Centers for Disease Control and Prevention. Sec. 10102. National Violent Death Reporting System. Sec. 10103. Report on effects of gun violence on public health. Sec. 10104. Report on effects of gun violence on mental health in minority communities. Subtitle C—Nutrition for women, children, families Chapter 1—Senior hunger prevention Sec. 10201. Short title. Sec. 10202. Improving SNAP efficacy. Sec. 10203. Streamlining nutrition access for older adults and adults with disabilities. Sec. 10204. Enrollment and outreach pilot program for older adults, kinship families, and adults with disabilities. Sec. 10205. Food delivery under supplemental nutrition assistance program. Sec. 10206. Commodity supplemental food program. Sec. 10207. Seniors farmers' market nutrition program. Sec. 10208. Infrastructure funding for farmers’ markets; local procurement pilot program. Chapter 2—Closing the meal gap Sec. 10211. Elimination of time limit. Sec. 10212. Inclusion of Puerto Rico in supplemental nutritional assistance program. Subtitle D—Universal school meals Sec. 10301. Short title. Sec. 10302. Effective date. Chapter 1—School breakfast program Sec. 10311. Free school breakfast program. Chapter 2—School lunch program Sec. 10321. Apportionment to States. Sec. 10322. Nutritional and other program requirements. Sec. 10323. Special assistance program. Sec. 10324. Price for paid lunch. Sec. 10325. Summer food service program for children. Sec. 10326. Summer electronic benefit transfer for children program. Sec. 10327. Child and adult care food program. Sec. 10328. Meals and supplements for children in afterschool care. Sec. 10329. Pilot projects. Sec. 10330. Fresh fruit and vegetable program. Sec. 10331. Training, technical assistance, and Food Service Management Institute. Sec. 10332. Reimbursement of school meal delinquent debt program. Sec. 10333. Conforming amendments. Chapter 3—Elementary and secondary education data Sec. 10341. Measure of poverty. Chapter 4—Amendments to other programs and laws Sec. 10351. Supplemental nutrition assistance program. Sec. 10352. Higher Education Act of 1965. Sec. 10353. Elementary and Secondary Education Act of 1965. Sec. 10354. America COMPETES Act. Sec. 10355. Workforce Innovation and Opportunity Act. Sec. 10356. National Science Foundation Authorization Act of 2002. Sec. 10357. Child care and development block grant. Sec. 10358. Children’s Health Act of 2000. Sec. 10359. Juvenile justice and delinquency prevention.