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108th CONGRESS
1st Session
S. 1159
To provide for programs and activities to improve the health of
Hispanic individuals, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 23, 2003
Mr. Bingaman (for himself, Mr. Daschle, Mrs. Boxer, and Mrs. Lincoln)
introduced the following bill; which was read twice and referred to the
Committee on Finance
_______________________________________________________________________
A BILL
To provide for programs and activities to improve 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
Improvement Act of 2003''.
(b) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
TITLE I--HEALTH CARE COVERAGE
Subtitle A--Coverage for Children, Parents, and Pregnant Women
Sec. 101. Coverage of parents and pregnant women under the medicaid
program and title XXI.
Sec. 102. Automatic enrollment of children born to title XXI parents.
Sec. 103. Optional coverage of children through age 20 under the
medicaid program and title XXI.
Sec. 104. Technical and conforming amendments to authority to pay
medicaid expansion costs from title XXI
appropriation.
Sec. 105. Extension of availability of SCHIP allotments for fiscal
years 1998 through 2001.
Subtitle B--State Option To Provide Coverage to All Individuals Below
100 Percent of Poverty
Sec. 111. State option to offer medicaid coverage based on need.
Subtitle C--Outreach and Enrollment
Sec. 121. Grants to promote innovative outreach and enrollment efforts
under SCHIP.
Subtitle D--Immigrant Children and Pregnant Women
Sec. 131. Optional coverage of legal immigrants under the medicaid
program and SCHIP.
Sec. 132. Permitting States and localities to provide health care to
all individuals.
Subtitle E--Eligibility Simplification
Sec. 141. State option to provide for simplified determinations of a
child's financial eligibility for medical
assistance under medicaid or child health
assistance under SCHIP.
Sec. 142. Application of simplified title XXI procedures under the
medicaid program.
Subtitle F--SCHIP Wrap-Around Benefits
Sec. 151. State option to provide wrap-around SCHIP coverage to
children who have other health coverage.
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.
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.
Subtitle I--Binational Public Health Infrastructure and Health
Insurance
Sec. 181. Binational public health infrastructure and health insurance.
Subtitle J--Migrant Workers and Farmworkers Health
Sec. 191. Demonstration project regarding continuity of coverage of
migrant workers and farmworkers under
medicaid and SCHIP.
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.
Subtitle B--Diabetes Research, Control, and Prevention
Sec. 211. Treatment.
Sec. 212. Education.
Sec. 213. Health promotion, prevention activities, and access.
Subtitle C--HIV Prevention Activities Regarding Hispanic Individuals
Sec. 221. Programs of Centers for Disease Control and Prevention;
representation of Hispanic individuals in
membership of community planning groups.
Sec. 222. AIDS education and training centers funded by Health
Resources and Services Administration;
establishment of center directed toward
minority populations with HIV.
Subtitle D--Prevention of Latina Adolescent Suicides
Sec. 231. Short title.
Sec. 232. Establishment of program for prevention of Latina adolescent
suicides.
Subtitle E--Cancer Research, Training, and Awareness
Sec. 241. Redes En Accion: the National Hispanic/Latino Cancer Network
and other NCI special populations networks
initiatives targeting cancer; increased
authorization of appropriations for
activities regarding Hispanic individuals.
Subtitle F--Tuberculosis Control, Prevention, and Treatment
Sec. 251. Advisory Council for the Elimination of Tuberculosis.
Sec. 252. National program for tuberculosis elimination.
Sec. 253. Inclusion of inpatient hospital services for the treatment of
TB-infected individuals.
TITLE III--ACCESS AND AFFORDABILITY
Subtitle A--Dental Health Services
Sec. 301. Grants to improve the provision of dental health services
through community health centers and public
health departments.
Sec. 302. School-based dental sealant program.
Subtitle B--Border Health
Sec. 311. Short title.
Sec. 312. Definitions.
Sec. 313. Border health services grants.
Sec. 314. Border bioterrorism preparedness grants.
Sec. 315. United States-Mexico Border Health Commission Act amendments.
Subtitle C--Patient Navigator, Outreach, and Chronic Disease Prevention
Sec. 321. Short title.
Sec. 322. HRSA grants for model community cancer and chronic disease
care and prevention; HRSA grants for
patient navigators.
Sec. 323. NCI grants for model community cancer and chronic disease
care and prevention; NCI grants for patient
navigators.
Sec. 324. IHS grants for model community cancer and chronic disease
care and prevention; IHS grants for patient
navigators.
TITLE IV--STRENGTHENING OUR HEALTH CARE WORKFORCE
Subtitle A--Hispanic-Serving Health Professions Schools
Sec. 401. Hispanic-serving health professions schools.
Subtitle B--Health Career Opportunity Program and Centers of Excellence
Sec. 411. Educational assistance regarding undergraduates.
Sec. 412. Centers of excellence.
Subtitle C--Bilingual Health Professionals
Sec. 421. Training of bilingual health professionals with respect to
minority health conditions.
Subtitle D--Cultural Competence
Sec. 431. Definition.
Sec. 432. Activities of Office of Minority Health; Center for
Linguistic and Cultural Competence in
Health Care.
Sec. 433. Cultural competence demonstration projects.
TITLE V--ADDITIONAL PROGRAMS
Subtitle A--Data Regarding Race and Ethnicity
Sec. 501. Collection of data.
Sec. 502. Development of standards; study to measure patient outcomes
under medicare and medicaid programs.
Subtitle B--National Assessment of Status of Latino Health
Sec. 511. National assessment of status of Latino health.
Subtitle C--Office of Minority Health
Sec. 521. Revision and extension of programs of Office of Minority
Health.
Sec. 522. Establishment of individual Offices of Minority Health within
agencies of Public Health Service.
Sec. 523. Assistant Secretary of Health and Human Services for Civil
Rights.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) The uninsured rates of Hispanic adults and children is
almost two to three times those for non-Hispanic whites and
more than one-third of all Hispanics lack any form of health
insurance.
(2) Hispanics disproportionately suffer from conditions
like diabetes, cardiovascular disease, HIV/AIDS, and other
illnesses.
(3) Hispanic communities are underserved and continue to
have significantly less access to affordable quality medical
care.
(4) The under-representation of Hispanics in the health
professions and the educational pipeline of the health
professions affects the current and future delivery of
culturally competent and sensitive health care for Hispanics.
(5) Therefore there is a need for a comprehensive Federal
effort to address the unique health needs of the Hispanic
community.
TITLE I--HEALTH CARE COVERAGE
Subtitle A--Coverage for Children, Parents, and Pregnant Women
SEC. 101. COVERAGE OF PARENTS AND PREGNANT WOMEN UNDER THE MEDICAID
PROGRAM AND TITLE XXI.
(a) Incentives To Implement Coverage of Parents and Pregnant
Women.--
(1) Under medicaid.--
(A) Establishment of new optional eligibility
category.--Section 1902(a)(10)(A)(ii) of the Social
Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)) is
amended--
(i) by striking ``or'' at the end of
subclause (XVII);
(ii) by adding ``or'' at the end of
subclause (XVIII); and
(iii) by adding at the end the following:
``(XIX) who are individuals
described in subsection (k)(1)
(relating to parents of categorically
eligible children);''.
(B) Parents described.--Section 1902 of the Social
Security Act is further amended by inserting after
subsection (j) the following:
``(k)(1)(A) Individuals described in this paragraph are
individuals--
``(i) who are the parents of an individual who is under 19
years of age (or such higher age as the State may have elected
under section 1902(l)(1)(D)) and who is eligible for medical
assistance under subsection (a)(10)(A);
``(ii) who are not otherwise eligible for medical
assistance under such subsection or under a waiver approved
under section 1115 or otherwise (except under section 1931 or
under subsection (a)(10)(A)(ii)(XIX)); and
``(iii) whose family income exceeds the effective income
level or resource level applicable under the State plan under
part A of title IV as in effect as of July 16, 1996, but does
not exceed the highest effective income level applicable to a
child in the family under this title.
``(B) In establishing an income eligibility level for individuals
described in this paragraph, a State may vary such level consistent
with the various income levels established under subsection (l)(2)
based on the ages of children described in subsection (l)(1) in order
to ensure, to the maximum extent possible, that such individuals shall
be enrolled in the same program as their children.
``(C) An individual may not be treated as being described in this
paragraph unless, at the time of the individual's enrollment under this
title, the child referred to in subparagraph (A)(i) of the individual
is also enrolled under this title.
``(D) In this subsection, the term `parent' has the meaning given
the term `caretaker relative' for purposes of carrying out section
1931.
``(2) In the case of a parent described in paragraph (1) who is
also the parent of a child who is eligible for child health assistance
under title XXI, the State may elect (on a uniform basis) to cover all
such parents under section 2111 or under this title.''.
(C) Enhanced matching funds available if certain
conditions met.--Section 1905 of the Social Security
Act (42 U.S.C. 1396d) is amended--
(i) in the fourth sentence of subsection
(b), by striking ``or subsection (u)(3)'' and
inserting ``, (u)(3), or (u)(4)''; and
(ii) in subsection (u)--
(I) by redesignating paragraph (4)
as paragraph (6), and
(II) by inserting after paragraph
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