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H.R. 5596 (ih) To amend the Federal Election Campaign Act of 1971 to reform the financing of campaigns for election for Federal office, and for other purposes. [Introduced in House] ...


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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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