[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3169 Introduced in Senate (IS)]
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116th CONGRESS
2d Session
S. 3169
To direct the Secretary of Health and Human Services to carry out a
Health in All Policies Demonstration Project, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
January 8, 2020
Mr. Booker introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To direct the Secretary of Health and Human Services to carry out a
Health in All Policies Demonstration Project, 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.
This Act may be cited as the ``Researching and Ending Disparities
by Understanding and Creating Equity Act of 2020'' or the ``REDUCE Act
of 2020''.
SEC. 2. HEALTH IN ALL POLICIES DEMONSTRATION PROJECT.
(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary'') acting through the
Director of the Centers for Disease Control and Prevention and in
coordination with relevant agencies including the Department of
Education, the Department of Agriculture, the Department of Housing and
Urban Development, the Department of Justice, the Department of Labor,
the Environmental Protection Agency, and the Department of
Transportation, shall implement a grant program, to be known as the
Health in All Policies Demonstration Project.
(b) Grants.--In carrying out subsection (a), the Secretary shall
award grants to eligible entities to establish, implement, or enhance,
in the jurisdiction of the respective entity, a collaborative,
interdisciplinary, and community-focused approach to improve the health
of all communities and individuals that--
(1) integrates and articulates health considerations in
policymaking across sectors;
(2) addresses--
(A) health;
(B) equity; and
(C) sustainability; and
(3) targets a significant proportion of Medicare
beneficiaries, Medicare-Medicaid dual eligibles, or long-term
care Medicaid recipients.
(c) Evaluation.--The Secretary shall identify metrics for
evaluating the implementation of a grant under this section and, using
such metrics, evaluate each grantee on the extent to which the approach
implemented through the grant--
(1) supports intersectoral collaboration;
(2) benefits multiple partners;
(3) engages stakeholders;
(4) creates structural or procedural change;
(5) impacts or relates to a model or demonstration project
administered by the Centers for Medicare & Medicaid Services,
such as an advanced payment model; and
(6) provides cost savings, delivers efficiencies, and
improves overall health, including health disparity reduction
and health equity improvements.
(d) Eligibility.--To be eligible to receive a grant under this
section, an entity shall--
(1) be a State, territory, Indian Tribe, or local
governmental entity; and
(2) submit an application to the Secretary at such time, in
such manner, and containing such information as the Secretary
may require.
(e) Prioritization; Geographical Diversity.--In awarding grants
under this section, the Secretary shall--
(1) give priority to eligible entities seeking to use a
grant to improve, as described in subsection (b), the health of
populations that--
(A) are target populations described in subsection
(b)(3); and
(B) have significant health inequities throughout
the populations; and
(2) seek to ensure geographical diversity among grantees.
(f) Reports by Grantees.--As a condition on receipt of a grant
under this section, the Secretary shall require grantees to--
(1) provide a report to the Secretary upon completion of
the Health in All Policies Demonstration Project; and
(2) include in such report the extent to which the approach
implemented achieved the goals listed in paragraphs (1) through
(6) of subsection (c).
(g) Report to Congress.--
(1) Submission.--The Secretary shall submit to Congress--
(A) not later than one year after the date of
enactment of this Act, an initial report on the Health
in All Policies Demonstration Project; and
(B) not later than one year after the completion of
the project, a final report on the project.
(2) Contents of initial report.--The report under paragraph
(1)(A) shall include--
(A) evaluation the success of soliciting
applications;
(B) identification of the number of applications
received;
(C) specification of the timeline for awarding
funding; and
(D) identification of barriers to implementing the
Health in All Policies Demonstration Project, if any.
(3) Contents of final report.--The report under paragraph
(1)(B) shall include--
(A) an assessment of the Health in All Policies
Demonstration Project, including an evaluation of the
effectiveness of the Demonstration Project; and
(B) recommendations for Federal legislative actions
to--
(i) integrate, based on such assessment, a
collaborative and interdisciplinary approach to
improve the health of all communities; and
(ii) support eligible entities in pursuing
a comparable integration of such an approach
across State programs.
(h) Definitions.--In this section:
(1) The term ``Medicare beneficiaries'' means individuals
entitled to part A of title XVIII of the Social Security Act
(42 U.S.C. 1395c et seq.) and enrolled under part B of such
title (42 U.S.C. 1395j et seq.).
(2) The term ``Medicare-Medicaid dual eligibles'' means
individuals who are dually eligible for benefits under title
XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and
title XIX of such Act (42 U.S.C. 1396 et seq.).
(i) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $2,000,000 for the period of
fiscal years 2021 through 2024.
SEC. 3. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING, AND MEDICINE
REPORT.
(a) In General.--The Secretary of Health and Human Services shall
seek to enter into an arrangement, not later than 60 days after the
date of enactment of this Act, with the National Academies of Sciences,
Engineering, and Medicine (or if the Academies decline to enter into
such arrangement, another appropriate entity) under which the Academies
(or other appropriate entity) agrees to prepare a report on eliminating
health disparities to improve health equity.
(b) Report.--
(1) Contents.--The report prepared pursuant to subsection
(a) shall--
(A) review evidence on how social determinants of
health affect health outcomes among middle-income
Medicare beneficiaries and Medicare-Medicaid dual
eligibles;
(B) examine successful interventions, including
with respect to health outcomes, that address social
determinants of health (including transportation,
meals, housing, access to health care, personal care
assistance, and access to long-term services and
supports), reduce health disparities, and improve
health equity;
(C) make conclusions regarding--
(i) the effectiveness of existing programs
and policies of the Centers for Medicare &
Medicaid Services intended to reduce health
disparities;
(ii) best practices and successful
strategies that reduce health disparities; and
(iii) efforts needed to address health
disparities related to health care workforce
shortages; and
(D) make recommendations regarding--
(i) priorities for health disparities
interventions within Federal health care
programs; and
(ii) potential opportunities for expansion
or replication of successful interventions and
payment models to reduce health disparities and
improve health equity.
(2) Submission.--The arrangement under subsection (a) shall
require the National Academies of Sciences, Engineering, and
Medicine (or other appropriate entity), not later than 18
months after entering into such arrangement, to finalize the
report prepared pursuant to such arrangement and submit such
report to the Committees on Energy and Commerce and Ways and
Means of the House of Representatives and the Committees on
Finance and Health, Education, Labor, and Pensions of the
Senate.
(c) Definitions.--In this section:
(1) The term ``health equity'' means a State where all
individuals are able to attain their full health potential and
no one is hindered from achieving this potential due to social
position or another socially determined circumstance.
(2) The term ``middle-income Medicare beneficiaries'' means
individuals entitled to part A of title XVIII of the Social
Security Act (42 U.S.C. 1395c et seq.) and enrolled under part
B of such title (42 U.S.C. 1395j et seq.) who have an income
that is not below 125 percent of the poverty line applicable to
a family of the size involved, but not more than 400 percent of
the poverty line so applicable.
(3) The term ``Medicare-Medicaid dual eligibles'' means
individuals who are dually eligible for benefits under title
XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and
title XIX of such Act (42 U.S.C. 1396 et seq.).
(4) The term ``social determinants of health'' refers to
the conditions in the environments in which people live, learn,
work, play, worship, and age that affect a wide range of
health, functioning, and quality-of-life outcomes and risks.
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