Bill Summary & Status for the 106th Congress

NEW SEARCH | HOME | HELP

S.1880
Sponsor: Sen Kennedy, Edward M. (introduced 11/8/1999)
Latest Major Action: 11/8/1999 Referred to Senate committee
Title: A bill to amend the Public Health Service Act to improve the health of minority individuals.
Jump to: Titles, Status, Committees, Related Bill Details, Amendments, Cosponsors, Summary

TITLE(S):  (italics indicate a title for a portion of a bill)
STATUS: (color indicates Senate actions) (Floor Actions/Congressional Record Page References)
11/8/1999:
Read twice and referred to the Committee on HELP.

COMMITTEE(S):
RELATED BILL DETAILS:

***NONE***


AMENDMENT(S):

***NONE***


COSPONSORS(7), ALPHABETICAL [followed by Cosponsors withdrawn]:     (Sort: by date)

Sen Akaka, Daniel K. - 11/8/1999 Sen Cleland, Max - 4/13/2000
Sen Inouye, Daniel K. - 11/8/1999 Sen Lautenberg, Frank R. - 5/23/2000
Sen Lincoln, Blanche - 11/8/1999 Sen Mikulski, Barbara A. - 4/13/2000
Sen Wellstone, Paul D. - 11/8/1999


SUMMARY AS OF:
11/8/1999--Introduced.

TABLE OF CONTENTS:

Health Care Fairness Act of 1999 - Title I: Improving Minority Health Through the National Institutes of Health - Amends the Public Health Service Act to establish within the National Institutes of Health (NIH) the Center for Research on Minority Health and Health Disparities, to be headed by a Director who shall: (1) chair a trans-NIH task force (task force) that will establish a comprehensive plan and budget estimates for minority health that should be conducted or supported by NIH and recommend an appropriate agenda for such research; (2) establish a minority health research information system to track minority-related research, training, and construction; (3) act as the primary Federal official for monitoring all minority health research conducted or supported by NIH; and (4) identify areas of insufficient minority health research at NIH and its institutes and centers, and provide funds to such entities for the awarding of peer-review grants for innovative projects that address high priority areas of minority health research. Provides a fiscal year limit on grant funds.

Directs the Secretary of Health and Human Services (HHS) to establish an advisory council for providing advice to the Director for carrying out responsibilities under this Act. Requires the Director and task force to: (1) establish a comprehensive plan and budget for conducting and supporting all minority health research activities of NIH agencies; (2) ensure that such plan and budget establish minority health research priorities; (3) ensure that budget amounts are properly expended; and (4) review the plan and budget at least annually. Authorizes appropriations for FY 2000 through 2004.

Directs the Secretary to make grants to, and enter into contracts with, designated biomedical research institutions and other public and nonprofit health or educational entities to assist such entities in supporting programs of excellence in biomedical research education for under-represented minority individuals. Outlines entity requirements and grant conditions, including a grant term limit of five years. Authorizes appropriations for FY 2000 through 2004.

Directs the Secretary to contract with qualified health professionals who agree to engage in minority health research or research into the nature of health disparities that affect racial, ethnic, and indigenous populations, in return for the Federal repayment of up to $35,000 for each year of such research of the principal and interest of educational loans of such health professionals. Requires the Secretary to ensure the active participation of appropriately qualified minority health professionals, including extensive outreach and recruitment efforts. Authorizes appropriations for FY 2000 through 2004. Requires the Director to report annually to Congress and the Secretary on progress and expenditures made with regard to minority health research.

Requires the Secretary to provide administrative and support services to the Director and ensure that such support takes maximum advantage of existing administrative structures at NIH agencies. Requires the use of appropriate scientific expertise and technical assistance. Requires the Secretary to: (1) conduct an evaluation of minority health research programs at NIH institutes; and (2) report to specified congressional committees on evaluation results.

Title II: Medical Education - Authorizes the Secretary to award grants, contracts, or cooperative agreements to public and private nonprofit entities to carry out research and demonstration projects which develop curricula to reduce disparity in health care outcomes, including cultural competency in graduate and undergraduate health professions education. Outlines eligibility requirements and grant conditions, including a maximum of 20 grants and a term limit of three years. Directs the Secretary to award up to 20 grants, contracts, or agreements to eligible entities to establish demonstration projects which develop curricula to reduce minority disparity in health care and health care outcomes (health care disparity) as part of continuing medical education. Limits such grants, contracts, or agreements to a three-year term. Requires monitoring of awardees. Requires a report from the Secretary to Congress on the effectiveness of such programs. Authorizes appropriations for FY 2000 through 2003.

(Sec. 202) Directs the Secretary to convene a national conference on continuing health professions education as a method for reducing health care disparity, including continuing medical education on cultural competency. Requires the publication of conference findings. Authorizes appropriations.

(Sec. 203) Directs the Secretary to establish a committee to advise the Secretary on matters related to development, implementation, and evaluation of graduate and continuing education curricula for health care professionals to decrease the health care disparity. Terminates the committee four years after appointment of its first member.

(Sec. 204) Requires the Director of the Office of Minority Health within HHS to establish within the Resource Center of such Office, or through the awarding of a contract provide for the establishment of, an information clearinghouse for curricula to reduce racial and ethnic health care disparity. Authorizes appropriations.

Title III: Minority Health Research by the Agency for Health Care Policy and Research - Directs the Administrator of the Agency for Health Care Policy and Research to: (1) conduct and support research for improving the quality and outcomes of health care services for minority populations and the causes of such health care disparities; (2) identify, test, and evaluate strategies for eliminating such disparities; and (3) endeavor to increase the number of minority health care researchers and health services research capacity of institutions that train minority health care researchers. Authorizes the use of demonstration projects as part of such research. Requires the Administrator to support the development of measures that assess the experience of minority populations with health care systems. Requires a report from the Secretary to the appropriate congressional committees describing quality measurement for minority populations which will identify critical unmet needs and activities to address those needs. Authorizes appropriations for FY 2000 through 2004.

Title IV: Data Collection Relating to Race or Ethnicity - Directs the Secretary to contract with the National Academy of Sciences to conduct a comprehensive study of HHS data collection systems and practices relating to the collection of data on race or ethnicity, including other Federal data collection systems with which HHS interacts. Requires a report from the Academy to specified congressional committees on study results and recommendations. Authorizes appropriations.

Title V: Public Awareness - Directs the Secretary to conduct a national media campaign for informing the public about racial and ethnic health care disparities. Authorizes appropriations.