F:\P11\NHI\TRICOMM\AAHCA09_001.

XML

953
1 port and coordination with State, local, or tribal
2 health departments and includes—
3 ‘‘(i) a broad cross section of stake-
4 holders;
5 ‘‘(ii) residents of the community; and
6 ‘‘(iii) representatives of entities that
7 have a history of working within and serv-
8 ing the community.
9 ‘‘(c) PREFERENCES.—In awarding grants under this
10 section, the Secretary shall give preference to entities
11 that—
12 ‘‘(1) will address one or more goals or objec-
13 tives identified by the Secretary in the national
14 strategy under section 3121;
15 ‘‘(2) will address significant health disparities,
16 including those identified by the Secretary in the na-
17 tional strategy under section 3121;
18 ‘‘(3) will address unmet community prevention
19 needs and avoids duplication of effort;
20 ‘‘(4) have been demonstrated to be effective in
21 communities comparable to the proposed target com-
22 munity;
23 ‘‘(5) will contribute to the evidence base for
24 community preventive and wellness services;

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00953 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

954
1 ‘‘(6) demonstrate that the community preven-
2 tive services to be funded will be sustainable; and
3 ‘‘(7) demonstrate coordination or collaboration
4 across governmental and nongovernmental partners.
5 ‘‘(d) HEALTH DISPARITIES.—Of the funds awarded
6 under this section for a fiscal year, the Secretary shall
7 award not less than 50 percent for planning or imple-
8 menting community preventive and wellness services
9 whose primary purpose is to achieve a measurable reduc-
10 tion in one or more health disparities, including those
11 identified by the Secretary in the national strategy under
12 section 3121.
13 ‘‘(e) EMPHASIS ON RECOMMENDED SERVICES.—For
14 fiscal year 2013 and subsequent fiscal years, the Secretary
15 shall award grants under this section only for planning
16 or implementing services recommended by the Task Force
17 on Community Preventive Services under section 3122 or
18 deemed effective based on a review of comparable rigor
19 (as determined by the Director of the Centers for Disease
20 Control and Prevention).
21 ‘‘(f) PROHIBITED USES OF FUNDS.—An entity that
22 receives a grant under this section may not use funds pro-
23 vided through the grant—
24 ‘‘(1) to build or acquire real property or for
25 construction; or

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00954 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

955
1 ‘‘(2) for services or planning to the extent that
2 payment has been made, or can reasonably be ex-
3 pected to be made—
4 ‘‘(A) under any insurance policy;
5 ‘‘(B) under any Federal or State health
6 benefits program (including titles XIX and XXI
7 of the Social Security Act); or
8 ‘‘(C) by an entity which provides health
9 services on a prepaid basis.
10 ‘‘(g) REPORT.—The Secretary shall submit to the
11 Congress an annual report on the program of grants
12 awarded under this section.
13 ‘‘(h) DEFINITIONS.—In this section, the term ‘evi-
14 dence-based’ means that methodologically sound research
15 has demonstrated a beneficial health effect, in the judg-
16 ment of the Director of the Centers for Disease Control
17 and Prevention.
18 ‘‘Subtitle F—Core Public Health
19 Infrastructure
20 ‘‘SEC. 3161. CORE PUBLIC HEALTH INFRASTRUCTURE FOR

21 STATE, LOCAL, AND TRIBAL HEALTH DEPART-

22 MENTS.

23 ‘‘(a) PROGRAM.—The Secretary, acting through the

24 Director of the Centers for Disease Control and Preven-

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00955 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

956
1 tion shall establish a core public health infrastructure pro-
2 gram consisting of awarding grants under subsection (b).
3 ‘‘(b) GRANTS.—
4 ‘‘(1) AWARD.—For the purpose of addressing
5 core public health infrastructure needs, the Sec-
6 retary—
7 ‘‘(A) shall award a grant to each State
8 health department; and
9 ‘‘(B) may award grants on a competitive
10 basis to State, local, or tribal health depart-
11 ments.
12 ‘‘(2) ALLOCATION.—Of the total amount of
13 funds awarded as grants under this subsection for a
14 fiscal year—
15 ‘‘(A) not less than 50 percent shall be for
16 grants to State health departments under para-
17 graph (1)(A); and
18 ‘‘(B) not less than 30 percent shall be for
19 grants to State, local, or tribal health depart-
20 ments under paragraph (1)(B).
21 ‘‘(c) USE OF FUNDS.—The Secretary may award a
22 grant to an entity under subsection (b)(1) only if the enti-
23 ty agrees to use the grant to address core public health
24 infrastructure needs, including those identified in the ac-
25 creditation process under subsection (g).

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00956 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

957
1 ‘‘(d) FORMULA GRANTS TO STATE HEALTH DEPART-
2 MENTS.—In making grants under subsection (b)(1)(A),
3 the Secretary shall award funds to each State health de-
4 partment in accordance with—
5 ‘‘(1) a formula based on population size; burden
6 of preventable disease and disability; and core public
7 health infrastructure gaps, including those identified
8 in the accreditation process under subsection (g);
9 and
10 ‘‘(2) application requirements established by the
11 Secretary, including a requirement that the State
12 submit a plan that demonstrates to the satisfaction
13 of the Secretary that the State’s health department
14 will—
15 ‘‘(A) address its highest priority core pub-
16 lic health infrastructure needs; and
17 ‘‘(B) as appropriate, allocate funds to local
18 health departments within the State.
19 ‘‘(e) COMPETITIVE GRANTS TO STATE, LOCAL, AND

20 TRIBAL HEALTH DEPARTMENTS.—In making grants

21 under subsection (b)(1)(B), the Secretary shall give pri-
22 ority to applicants demonstrating core public health infra-
23 structure needs identified in the accreditation process
24 under subsection (g).

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00957 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

958
1 ‘‘(f) MAINTENANCE OF EFFORT.—The Secretary
2 may award a grant to an entity under subsection (b) only
3 if the entity demonstrates to the satisfaction of the Sec-
4 retary that—
5 ‘‘(1) funds received through the grant will be
6 expended only to supplement, and not supplant, non-
7 Federal and Federal funds otherwise available to the
8 entity for the purpose of addressing core public
9 health infrastructure needs; and
10 ‘‘(2) with respect to activities for which the
11 grant is awarded, the entity will maintain expendi-
12 tures of non-Federal amounts for such activities at
13 a level not less than the level of such expenditures
14 maintained by the entity for the fiscal year pre-
15 ceding the fiscal year for which the entity receives
16 the grant.
17 ‘‘(g) ESTABLISHMENT OF A PUBLIC HEALTH AC-
18 CREDITATION PROGRAM.—
19 ‘‘(1) IN GENERAL.—The Secretary, acting
20 through the Director of the Centers for Disease
21 Control and Prevention, shall—
22 ‘‘(A) develop, and periodically review and
23 update, standards for voluntary accreditation of
24 State, local, or tribal health departments and
25 public health laboratories for the purpose of ad-

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00958 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

959
1 vancing the quality and performance of such de-
2 partments and laboratories; and
3 ‘‘(B) implement a program to accredit
4 such health departments and laboratories in ac-
5 cordance with such standards.
6 ‘‘(2) COOPERATIVE AGREEMENT.—The Sec-
7 retary may enter into a cooperative agreement with
8 a private nonprofit entity to carry out paragraph
9 (1).
10 ‘‘(h) REPORT.—The Secretary shall submit to the
11 Congress an annual report on progress being made to ac-
12 credit entities under subsection (g), including—
13 ‘‘(1) a strategy, including goals and objectives,
14 for accrediting entities under subsection (g) and
15 achieving the purpose described in subsection (g)(1);
16 and
17 ‘‘(2) identification of gaps in research related to
18 core public health infrastructure and recommenda-
19 tions of priority areas for such research.
20 ‘‘SEC. 3162. CORE PUBLIC HEALTH INFRASTRUCTURE AND

21 ACTIVITIES FOR CDC.

22 ‘‘(a) IN GENERAL.—The Secretary, acting through

23 the Director of the Centers for Disease Control and Pre-
24 vention, shall expand and improve the core public health
25 infrastructure and activities of the Centers for Disease

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00959 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC
 F:\P11\NHI\TRICOMM\AAHCA09_001.XML

960
1 Control and Prevention to address unmet and emerging
2 public health needs.
3 ‘‘(b) REPORT.—The Secretary shall submit to the
4 Congress an annual report on the activities funded
5 through this section.
6 ‘‘Subtitle G—General Provisions
7 ‘‘SEC. 3171. DEFINITIONS.

8 ‘‘In this title:

9 ‘‘(1) The term ‘core public health infrastruc-
10 ture’ includes workforce capacity and competency;
11 laboratory systems; health information, health infor-
12 mation systems, and health information analysis;
13 communications; financing; other relevant compo-
14 nents of organizational capacity; and other related
15 activities.
16 ‘‘(2) The terms ‘Department’ and ‘depart-
17 mental’ refer to the Department of Health and
18 Human Services.
19 ‘‘(3) The term ‘health disparities’ includes
20 health and health care disparities and means popu-
21 lation-specific differences in the presence of disease,
22 health outcomes, or access to health care. For pur-
23 poses of the preceding sentence, a population may be
24 delineated by race, ethnicity, geographic setting, or

f:\VHLC\071409\071409.140.xml (444390|2)
July 14, 2009 (12:51 p.m.)
VerDate Nov 24 2008 12:51 Jul 14, 2009 Jkt 000000 PO 00000 Frm 00960 Fmt 6652 Sfmt 6201 C:\TEMP\AAHCA0~1.XML HOLCPC