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106th CONGRESS
2d Session
H. R. 5595
To provide for programs regarding the health of Hispanic individuals,
and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
October 27, 2000
Mr. Rodriguez (for himself, Ms. Roybal-Allard, Mr. Pastor, Mr. Romero-
Barcelo, Mr. Underwood, Mr. Reyes, and Mrs. Napolitano) introduced the
following bill; which was referred to the Committee on Commerce, and in
addition to the Committee on Ways and Means, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To provide for programs regarding the health of Hispanic individuals,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Hispanic Health
Act of 2000''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
TITLE I--ANNUAL REPORT TO CONGRESS ON PROGRAMS FOR IMPROVING HEALTH
STATUS OF HISPANIC INDIVIDUALS
Sec. 101. Annual report regarding diabetes, HIV/AIDS, substance abuse,
and mental health.
TITLE II--DIABETES CONTROL AND PREVENTION
Sec. 201. National Diabetes Education Program of Centers for Disease
Control and Prevention; increased
authorization of appropriations for
activities regarding Hispanic individuals.
Sec. 202. National Institutes of Health; implementation of
recommendations of Diabetes Research
Working Group.
TITLE III--HIV PREVENTION ACTIVITIES REGARDING HISPANIC INDIVIDUALS
Sec. 301. Programs of Centers for Disease Control and Prevention;
representation of Hispanic individuals in
membership of community planning groups.
Sec. 302. AIDS education and training centers funded by Health
Resources and Services Administration;
establishment of center directed toward
minority populations with HIV.
TITLE IV--PREVENTION OF LATINA ADOLESCENT SUICIDES
Sec. 401. Establishment of program for prevention of Latina adolescent
suicides.
TITLE V--BILINGUAL HEALTH PROFESSIONALS
Sec. 501. Training of bilingual health professionals with respect to
minority health conditions.
TITLE VI--CULTURAL COMPETENCE
Sec. 601. Definition.
Sec. 602. Activities of Office of Minority Health; Center for
Linguistic and Cultural Competence in
Health Care.
Sec. 603. Cultural competence demonstration projects.
Sec. 604. Use of medicare and medicaid disproportionate share hospital
funds to pay for translators.
TITLE VII--HISPANIC-SERVING HEALTH PROFESSIONS SCHOOLS
Sec. 701. Hispanic-serving health professions schools.
TITLE VIII--DATA REGARDING RACE AND ETHNICITY
Sec. 801. Collection of data.
Sec. 802. Development of standards; study to measure patient outcomes
under medicare and medicaid programs.
TITLE IX--GENERAL PROVISIONS
Sec. 901. Definitions.
Sec. 902. Effective date.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) Type 2 diabetes accounts for 90 to 95 percent of
diabetes cases nationwide, and it is the most common form of
the disease in the Hispanic community. Among Hispanics, type 2
diabetes is twice as common as the disease is among non-
Hispanic whites. Six percent of the Hispanic population has
been diagnosed with type 2 diabetes, and another six percent is
estimated to have undiagnosed diabetes.
(2) Controlling the risk factors of diabetes can prevent
the development of diabetes in many genetically susceptible
individuals. Addressing environmental risk factors like diet,
weight and physical activity can significantly impact the
development of diabetes.
(3) Hispanics account for 20 percent of new AIDS cases. Of
these new AIDS cases, Hispanic men account for 20 percent of
reported cases among males, Hispanic women account for 19
percent of reported cases among females, and Hispanic children
account for 22 percent of cases among all children.
(4) The two primary modes of HIV transmission in the
Hispanic community are (A) individuals who have unprotected
sex, and (B) individuals who inject themselves with drugs.
(5) Mexican-American women are more likely to report severe
depression than their non-Hispanic Anglo or African-American
peers.
(6) Hispanic girls now lead girls nationwide in rates of
suicide attempts, alcohol and drug abuse, and self-reported gun
possession.
(7) Federal agencies do not have adequate mechanisms to
collect health care data for Hispanic-Americans and other
minority groups.
(8) The lack of understandable or culturally appropriate
information on health care options prevents many Hispanics from
receiving adequate care and from making educated decisions
about their well-being.
TITLE I--ANNUAL REPORT TO CONGRESS ON PROGRAMS FOR IMPROVING HEALTH
STATUS OF HISPANIC INDIVIDUALS
SEC. 101. ANNUAL REPORT REGARDING DIABETES, HIV/AIDS, SUBSTANCE ABUSE,
AND MENTAL HEALTH.
(a) In General.--The Secretary of Health and Human Services (in
this Act referred to as the ``Secretary'') shall annually submit to the
Congress a report on programs carried out through the Public Health
Service with respect to improving the health status of Hispanic
individuals regarding diabetes, HIV infection, AIDS, substance abuse,
and mental health, including--
(1) prevention programs carried out through the Centers for
Disease Control and Prevention and the Substance Abuse and
Mental Health Services Administration;
(2) treatment programs carried out through the Health
Resources and Services Administration and the Substance Abuse
and Mental Health Services Administration;
(3) research programs carried out through the National
Institutes of Health; and
(4) activities of the Office of Public Health and Science,
including activities of the Office of Minority Health.
(b) Data Collection.--Each report under subsection (a) shall
include information on programs carried out through the Public Health
Service to collect data that relates to the health status of Hispanic
individuals regarding diabetes, HIV infection, AIDS, substance abuse,
and mental health.
TITLE II--DIABETES CONTROL AND PREVENTION
SEC. 201. NATIONAL DIABETES EDUCATION PROGRAM OF CENTERS FOR DISEASE
CONTROL AND PREVENTION; INCREASED AUTHORIZATION OF
APPROPRIATIONS FOR ACTIVITIES REGARDING HISPANIC
INDIVIDUALS.
(a) In General.--For the purpose of carrying out the activities
described in subsection (b) through the National Diabetes Education
Program of the Centers for Disease Control and Prevention, there are
authorized to be appropriated $100,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years 2002 through
2005. Such authorization of appropriations is in addition to other
authorizations of appropriations that are available for such purpose.
(b) Increase in Prevention Activities.--The activities referred to
in subsection (a) are--
(1) identifying geographic areas in which the incidence of
or mortality from diabetes in Hispanic individuals is
significantly above the national average for such individuals;
and
(2) carrying out in such areas prevention activities
regarding diabetes that are directed toward Hispanic
individuals, including education programs and screening
programs.
SEC. 202. NATIONAL INSTITUTES OF HEALTH; IMPLEMENTATION OF
RECOMMENDATIONS OF DIABETES RESEARCH WORKING GROUP.
For the purpose of carrying out the plan to implement the
recommendations of the Diabetes Research Working Group of the National
Institute on Diabetes and Digestive and Kidney Diseases (which plan was
developed and submitted to the Congress pursuant to the Department of
Health and Human Services Appropriations Act, 2000), there are
authorized to be appropriated $1,000,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years 2002 through
2005.
TITLE III--HIV PREVENTION ACTIVITIES REGARDING HISPANIC INDIVIDUALS
SEC. 301. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION;
REPRESENTATION OF HISPANIC INDIVIDUALS IN MEMBERSHIP OF
COMMUNITY PLANNING GROUPS.
(a) In General.--With respect to community planning groups that the
Centers for Disease Control and Prevention utilizes in carrying out
programs for the prevention of HIV infection, the Secretary, acting
through the Director of such Centers, shall carry out the following:
(1) The Secretary shall identify community planning groups
for which Hispanic individuals are underrepresented as members
in relation to the number of Hispanic individuals with HIV who
reside in the communities involved.
(2) The Secretary shall develop a plan to increase the
representation of Hispanic individuals in the membership of the
community planning groups identified under paragraph (1). Such
plan may provide for facilitating the participation of Hispanic
individuals as members in such groups by assisting the
individuals with the incidental costs incurred by the
individuals in being such members, such as the costs of
transportation and child-care services.
(3) The plan shall include a strategy and detailed timeline
for implementing the plan.
(b) Definition.--For purposes of this section, the term ``community
planning group'' has the meaning that applies for purposes of programs
established pursuant to the Ryan White Comprehensive AIDS Resources
Emergency Act of 1990 (including title XXVI of the Public Health
Service Act).
SEC. 302. AIDS EDUCATION AND TRAINING CENTERS FUNDED BY HEALTH
RESOURCES AND SERVICES ADMINISTRATION; ESTABLISHMENT OF
CENTER DIRECTED TOWARD MINORITY POPULATIONS WITH HIV.
(a) In General.--In carrying out section 2692 of the Public Health
Service Act, the Secretary, acting through the Administrator of the
Health Resources and Services Administration, shall make grants to
eligible Hispanic-serving institutions for the purpose of carrying out
projects under such section with respect to HIV in racial and ethnic
minority groups.
(b) Cultural Competence.--A condition for grants under subsection
(a) is that the applicants involved agree that the education and
training provided through projects under such subsection will be
provided in a culturally competent manner (as defined in section 601).
(c) Eligible Institutions.--For purposes of this section:
(1) The term `eligible Hispanic-serving institution' means
a Hispanic-serving institution that has a record of carrying
out HIV-related activities with respect to Hispanic
individuals.
(2) The term `Hispanic-serving institution' has the meaning
given such term in section 502 of the Higher Education Act of
1965.
TITLE IV--PREVENTION OF LATINA ADOLESCENT SUICIDES
SEC. 401. ESTABLISHMENT OF PROGRAM FOR PREVENTION OF LATINA ADOLESCENT
SUICIDES.
Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.)
is amended by inserting after section 520B the following section:
``SEC. 520C. PREVENTION OF LATINA ADOLESCENT SUICIDES.
``(a) In General.--The Secretary shall make awards of grants,
cooperative agreements, or contracts to public and nonprofit private
entities for the purpose of reducing suicide attempts and deaths among
Latina adolescents.
``(b) Collaboration.--The Secretary shall ensure that the program
under this section is developed in collaboration with the relevant
institutes at the National Institutes of Health, the Health Resources
and Services Administration, the Centers for Disease Control and
Prevention, and the Administration on Children and Families.
``(c) Preference.--In making awards under subsection (a), the
Secretary shall give preference to applicants that--
``(1) demonstrate a strong linkage with schools and are
actually supported by and operated within a school facility or
associated setting; and
``(2) involve direct services to Latina adolescents.
``(d) Requirements.--A condition for the receipt of an award under
subsection (a) is that the applicant involved demonstrate that the
project to be carried out with the award will--
``(1) provide for the timely assessment and treatment of
Latina adolescents at risk for suicide;
``(2) use evidenced based strategies;
``(3) be based on exemplary practices that are adapted to
the unique characteristics and needs of the local community;
``(4) be integrated into the existing health care system in
the community including primary health care, mental health
services, and substance abuse services as appropriate;
``(5) be integrated into other systems in the community to
address the needs of Latina adolescents including the
educational system, juvenile justice, and recreation;
``(6) provide support services to the families and friends
of those who plan, attempt, or actually commit suicide;
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