Home > 105th Congressional Bills > S. 1159 (rfh) To amend the Alaska Native Claims Settlement Act, regarding the Kake Tribal Corporation public interest land exchange. ...S. 1159 (rfh) To amend the Alaska Native Claims Settlement Act, regarding the Kake Tribal Corporation public interest land exchange. ...
(u)(5)''; and
(B) in subsection (u), by inserting after paragraph
(4) the following new paragraph:
``(5) For purposes of subsection (b), the expenditures described in
this paragraph are expenditures for items and services for children
described in section 2110(b)(5), but only in the case of a State that
satisfies the requirements of section 2105(c)(8).''.
(3) Application of secondary payor provisions.--Section
2107(e)(1) of such Act (42 U.S.C. 1397gg(e)(1)), as amended by
section 121(b), is amended--
(A) by redesignating subparagraphs (B) through (E)
as subparagraphs (C) through (F), respectively; and
(B) by inserting after subparagraph (A) the
following new subparagraph:
``(B) Section 1902(a)(25) (relating to coordination
of benefits and secondary payor provisions) with
respect to children covered under a waiver described in
section 2110(b)(5).''.
(b) Effective Date.--The amendments made by subsection (a) shall
take effect on January 1, 2004, and shall apply to child health
assistance and medical assistance provided on or after that date.
Subtitle G--Immunization Coverage Through SCHIP
SEC. 161. ELIGIBILITY OF CHILDREN ENROLLED IN THE STATE CHILDREN'S
HEALTH INSURANCE PROGRAM FOR THE PEDIATRIC VACCINE
DISTRIBUTION PROGRAM.
(a) In General.--Section 1928(b)(2)(B)(ii)(I) of the Social
Security Act (42 U.S.C. 1396s(b)(2)(B)(ii)(I)) is amended by inserting
``(other than a State child health plan under title XXI)'' after
``policy or plan''.
(b) Effective Date.--The amendment made by subsection (a) applies
with respect to vaccines administered on or after the date of the
enactment of this Act.
Subtitle H--Limited English Proficient Communities
SEC. 171. INCREASED FEDERAL REIMBURSEMENT FOR LANGUAGE SERVICES UNDER
THE MEDICAID PROGRAM AND THE STATE CHILDREN'S HEALTH
INSURANCE PROGRAM.
(a) Medicaid.--Section 1903(a)(3) of the Social Security Act (42
U.S.C. 1396b(a)(3)) is amended--
(1) in subparagraph (D), by striking ``plus'' at the end
and inserting ``and''; and
(2) by adding at the end the following:
``(E) 90 percent of the sums expended with respect
to costs incurred during such quarter as are
attributable to the provision of language services,
including oral interpretation, translations of written
materials, and other language services, for individuals
with limited English proficiency who apply for, or
receive, medical assistance under the State plan;
plus''.
(b) SCHIP.--Section 2105(a)(1) of the Social Security Act (42
U.S.C.1397ee(a)(1)), as amended by section 104(a), is amended--
(1) in the matter preceding subparagraph (A), by inserting
``or, in the case of expenditures described in subparagraph
(D)(iv), 90 percent'' after ``enhanced FMAP''; and
(2) in subparagraph (D)--
(A) in clause (iii), by striking ``and'' at the
end;
(B) be redesignating clause (iv) as clause (v); and
(C) by inserting after clause (iii) the following:
``(iv) for expenditures attributable to the
provision of language services, including oral
interpretation, translations of written
materials, and other language services, for
individuals with limited English proficiency
who apply for, or receive, child health
assistance under the plan; and''.
(c) Effective Date.--The amendments made by this section shall take
effect on October 1, 2004.
Subtitle I--Binational Public Health Infrastructure and Health
Insurance
SEC. 181. BINATIONAL PUBLIC HEALTH INFRASTRUCTURE AND HEALTH INSURANCE.
(a) In General.--The Secretary of Health and Human Services shall
enter into a contract with the Institute of Medicine for the conduct of
a study concerning binational public health infrastructure and health
insurance efforts. In conducting such study, the Institute shall
solicit input from border health experts and health insurance
companies.
(b) Report.--Not later than 1 year after the date on which the
Secretary of Health and Human Services enters into the contract under
subsection (a), the Institute of Medicine shall submit to the Secretary
and the appropriate committees of Congress a report concerning the
study conducted under subsection (a). Such report shall include the
recommendations of the Institute on ways to expand or improve
binational public health infrastructure and health insurance efforts.
Subtitle J--Migrant Workers and Farmworkers Health
SEC. 191. DEMONSTRATION PROJECT REGARDING CONTINUITY OF COVERAGE OF
MIGRANT WORKERS AND FARMWORKERS UNDER MEDICAID AND SCHIP.
(a) Authority To Conduct Demonstration Project.--
(1) In general.--The Secretary of Health and Human Services
shall conduct a demonstration project for the purpose of
evaluating methods for strengthening the health coverage of,
and continuity of coverage of, migrant workers and farmworkers
under the medicaid and State children's health insurance
programs (42 U.S.C. 1396 et seq., 1397aa et seq.).
(2) Waiver authority.--The Secretary of Health and Human
Services shall waive compliance with the requirements of titles
XI, XIX, and XXI of the Social Security Act (42 U.S.C. 1301 et
seq, 1396 et seq., 1397aa et seq.) to such extent and for such
period as the Secretary determines is necessary to conduct the
demonstration project under this section.
(b) Requirements.--The demonstration project conducted under this
section shall provide for--
(1) uniform eligibility criteria under the medicaid and
State children's health insurance programs with respect to
migrant workers and farmworkers; and
(2) the portability of coverage of such workers under those
programs between participating States.
(c) Report.--Not later than March 31, 2005, the Secretary of Health
and Human Services shall submit a report to Congress on the
demonstration project conducted under this section that contains such
recommendations for legislative action as the Secretary determines is
appropriate.
TITLE II--HEALTH DISPARITIES
Subtitle A--Report on Programs for Improving the Health Status of
Hispanic Individuals
SEC. 201. ANNUAL REPORT REGARDING HISPANIC HEALTH DISPARITIES FOR
CHRONIC AND COMMUNICABLE DISEASES.
(a) In General.--The Secretary of Health and Human Services (in
this Act referred to as the ``Secretary'') shall annually submit to
Congress a report on programs carried out through the Public Health
Service with respect to improving the health status of Hispanic
individuals regarding diabetes, cancer, asthma, HIV infection, AIDS,
tuberculosis, injuries (unintentional and intentional), obesity,
immunization rates, oral health, 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, the National Center on Minority Health
and Health Disparities, the Agency for Healthcare Quality and
Research, the Maternal Child Health Bureau, and the Centers for
Medicare & Medicaid Services; 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, cancer, asthma, HIV infection, AIDS,
tuberculosis, injuries (unintentional and intentional), obesity,
immunization rates, oral health, substance abuse, and mental health.
Subtitle B--Diabetes Research, Control, and Prevention
SEC. 211. TREATMENT.
Part P of title III of the Public Health Service Act (42 U.S.C.
280g et seq.) is amended by adding at the end the following:
``SEC. 399P. DIABETES; TREATMENT FOR MINORITY POPULATIONS.
``(a) In General.--The Secretary shall conduct and support programs
to treat diabetes in minority populations.
``(b) National Institutes of Health.--With respect to the National
Institutes of Health, activities under subsection (a) regarding the
treatment of diabetes in minority populations shall include the
following:
``(1) Through the National Institute of Mental Health,
providing for comprehensive mental health services and
treatment for individuals within such populations who
experience mental barriers to proper diabetes care.
``(2) Through the National Center on Minority Health and
Health Disparities, recommending and disseminating the
guidelines of the American Diabetes Association for nutrition
exercise and diet for diabetes treatment and prevention.
``(c) Other Agencies.--Activities under subsection (a) regarding
the treatment of diabetes in minority populations shall include the
following:
``(1) Through the Substance Abuse and Mental Health
Services Administration and the National Institute of Mental
Health, providing for comprehensive mental health services and
treatment for minorities who experience mental barriers to
proper diabetes care.
``(2) Promoting early detection as a cost-saving mechanism,
including making grants to community health centers and clinics
to specifically treat type 2 diabetes and complications,
including eye disease, kidney failure, heart disease and
stroke, nerve damage, and limb amputations.
``(3) Through the Health Resources and Services
Administration and the Centers for Disease Control and
Prevention, carrying out a collaborative program to encourage
preventive care. Such program shall not be limited to primary
prevention, and shall include secondary and tertiary prevention. Such
program shall include the award of grants to community health centers
and clinics to specifically treat diabetes, with an emphasis on type 2
diabetes, and diabetic complications, including eye disease, kidney
failure, heart disease and stroke, nerve damage, and limb amputation.
``(d) Definition.--For purposes of this section, the term `minority
populations' means racial and ethnic minority groups within the meaning
of section 1707.
``(e) Authorization of Appropriations.--
``(1) In general.--For the purpose of carrying out
subsections (a) and (c), there are authorized to be
appropriated such sums as may be necessary for fiscal year 2003
and each subsequent fiscal year.
``(2) National institutes of health.--For the purpose of
carrying out subsection (b), there are authorized to be
appropriated such sums as may be necessary for fiscal year 2004
and each subsequent fiscal year.''.
SEC. 212. EDUCATION.
Part P of title III of the Public Health Service Act (42 U.S.C.
280g et seq.), as amended by section 211, is further amended by adding
at the end the following:
``SEC. 399Q. DIABETES; EDUCATION REGARDING MINORITY POPULATIONS.
``(a) In General.--The Secretary shall conduct and support programs
to educate the public on the causes of effects of diabetes in minority
populations.
``(b) National Institutes of Health.--With respect to the National
Institutes of Health, activities under subsection (a) regarding
education on diabetes in minority populations shall include the
following:
``(1) Through the National Center on Minority Health and
Health Disparities--
``(A) making grants to programs funded under
section 485F (relating to centers of excellence) for
the purpose of establishing a mentoring program for
health care professionals to be more involved in weight
counseling, obesity research, and nutrition;
``(B) providing for the participation of minority
health professionals in diabetes-focused research
programs; and
``(C) providing for the participation of minority
health professionals in diabetes-focused research
programs.
``(2) Making grants for programs to establish a pipeline
from high school to professional school that will increase
minority representation in diabetes-focused health fields by
expanding Minority Access to Research Careers (MARC) program
internships and mentoring opportunities for recruitment.
``(c) Centers for Disease Control and Prevention.--With respect to
the Centers for Disease Control and Prevention, activities under
subsection (a) regarding education on diabetes in minority populations
shall include the following:
``(1) Making grants for diabetes-focused education classes
or training programs on cultural sensitivity and patient care
within such populations for health care providers.
``(2) Carrying out public awareness campaigns directed
toward such populations to aggressively emphasize the
importance and impact of physical activity and diet in regard
to diabetes and diabetes-related complications.
``(d) Health Resources and Services Administration.--With respect
to the Health Resources and Services Administration, activities under
subsection (a) regarding education on diabetes in minority populations
shall include the following:
``(1) Providing additional funds for the Health Careers
Opportunity Program, Centers for Excellence, and the Minority
Faculty Fellowship Program to partner with the Office of
Minority Health under section 1707 and the National Institutes of
Health to strengthen programs for career opportunities within minority
populations focused on diabetes treatment and care.
``(2) In partnership with the Health Resources and Services
Administration, develop a diabetes focus within, and provide
additional funds for, the National Health Service Corps
Scholarship program to place individuals in areas that are
disproportionately affected by diabetes, to provide health care
services.
``(3) Establishing a diabetes ambassador program for
recruitment efforts to increase the number of underrepresented
minorities currently serving in student, faculty, or
administrative positions in institutions of higher learning,
hospitals, and community health centers.
``(4) Establishing a loan repayment program that focuses on
diabetes care and prevention.
``(e) Additional Programs.--Activities under subsection (a)
regarding education on diabetes in minority populations shall include
the following:
``(1) Through collaboration between the Health Resources
and Services Administration and the Indian Health Service,
establishing a joint scholarship and loan-repayment program for
American Indians health profession students.
``(2) Providing funds for new and existing diabetes-focused
education grants and programs for present and future students
and clinicians in the medical field from minority populations,
including the following:
``(A) Federal and State loan repayment programs for
health profession students within communities of color.
``(B) Providing funds to the Office of Minority
Other Popular 105th Congressional Bills Documents:
|
| GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information. |
 |