USC Subchapter XV

USC Subchapter XV
in effect

42 U.S.C. § 300u General authority of Secretary

(a) Development, support, and implementation of programs, activities, etc.The Secretary shall—(1) formulate national goals, and a strategy to achieve such goals, with respect to health information and health promotion, preventive health services, and education in the appropriate use of health care; (2) analyze the necessary and available resources for implementing the goals and strategy formulated pursuant to paragraph (1), and recommend appropriate educational and quality assurance policies for the needed manpower resources identified by such analysis; (3) undertake and support necessary activities and programs to—(A) incorporate appropriate health education components into our society, especially into all aspects of education and health care, (B) increase the application and use of health knowledge, skills, and practices by the general population in its patterns of daily living, and (C) establish systematic processes for the exploration, development, demonstration, and evaluation of innovative health promotion concepts; (4) undertake and support research and demonstrations respecting health information and health promotion, preventive health services, and education in the appropriate use of health care; (5) undertake and support appropriate training in, and undertake and support appropriate training in the operation of programs concerned with, health information and health promotion, preventive health services, and education in the appropriate use of health care; (6) undertake and support, through improved planning and implementation of tested models and evaluation of results, effective and efficient programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care; (7)(A) develop model programs through which employers in the public sector, and employers that are small businesses (as defined in section 632 of title 15), can provide for their employees a program to promote healthy behaviors and to discourage participation in unhealthy behaviors; (B) provide technical assistance to public and private employers in implementing such programs (including private employers that are not small businesses and that will implement programs other than the programs developed by the Secretary pursuant to subparagraph (A)); and (C) in providing such technical assistance, give preference to small businesses; (8) foster the exchange of information respecting, and foster cooperation in the conduct of, research, demonstration, and training programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care; (9) provide technical assistance in the programs referred to in paragraph (8); (10) use such other authorities for programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care as are available and coordinate such use with programs conducted under this subchapter; and (11) establish in the Office of the Assistant Secretary for Health an Office of Disease Prevention and Health Promotion, which shall—(A) coordinate all activities within the Department which relate to disease prevention, health promotion, preventive health services, and health information and education with respect to the appropriate use of health care; (B) coordinate such activities with similar activities in the private sector; (C) establish a national information clearinghouse to facilitate the exchange of information concerning matters relating to health information and health promotion, preventive health services (which may include information concerning models and standards for insurance coverage of such services), and education in the appropriate use of health care, to facilitate access to such information, and to assist in the analysis of issues and problems relating to such matters; and (D) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, and physical fitness and sports medicine. The Secretary shall appoint a Director for the Office of Disease Prevention and Health Promotion established pursuant to paragraph (11) of this subsection. The Secretary shall administer this subchapter in cooperation with health care providers, educators, voluntary organizations, businesses, and State and local health agencies in order to encourage the dissemination of health information and health promotion activities. (b) Authorization of appropriationsFor the purpose of carrying out this section and sections 300u–1 through 300u–4 of this title, there are authorized to be appropriated $10,000,000 for fiscal year 1992, and such sums as may be necessary for each of the fiscal years 1993 through 2002. (c) Application; submission and approval as prerequisite; form and contentNo grant may be made or contract entered into under this subchapter unless an application therefor has been submitted to and approved by the Secretary. Such an application shall be submitted in such form and manner and contain such information as the Secretary may prescribe. Contracts may be entered into under this subchapter without regard to section 3324(a) and (b) of title 31 and section 6101 of title 41.

42 U.S.C. § 300u–1 Grants and contracts for research programs; authority of Secretary; review of applications; additional functions; periodic public survey

(a) The Secretary is authorized to conduct and support by grant or contract (and encourage others to support) research in health information and health promotion, preventive health services, and education in the appropriate use of health care. Applications for grants and contracts under this section shall be subject to appropriate peer review. The Secretary shall also—(1) provide consultation and technical assistance to persons who need help in preparing research proposals or in actually conducting research; (2) determine the best methods of disseminating information concerning personal health behavior, preventive health services and the appropriate use of health care and of affecting behavior so that such information is applied to maintain and improve health, and prevent disease, reduce its risk, or modify its course or severity; (3) determine and study environmental, occupational, social, and behavioral factors which affect and determine health and ascertain those programs and areas for which educational and preventive measures could be implemented to improve health as it is affected by such factors; (4) develop (A) methods by which the cost and effectiveness of activities respecting health information and health promotion, preventive health services, and education in the appropriate use of health care, can be measured, including methods for evaluating the effectiveness of various settings for such activities and the various types of persons engaged in such activities, (B) methods for reimbursement or payment for such activities, and (C) models and standards for the conduct of such activities, including models and standards for the education, by providers of institutional health services, of individuals receiving such services respecting the nature of the institutional health services provided the individuals and the symptoms, signs, or diagnoses which led to provision of such services; (5) develop a method for assessing the cost and effectiveness of specific medical services and procedures under various conditions of use, including the assessment of the sensitivity and specificity of screening and diagnostic procedures; and (6) enumerate and assess, using methods developed under paragraph (5), preventive health measures and services with respect to their cost and effectiveness under various conditions of use (which measures and services may include blood pressure screening, cholesterol screening and control, smoking cessation programs, substance abuse programs, cancer screening, dietary and nutritional counseling, diabetes screening and education, intraocular pressure screening, and stress management). (b) The Secretary shall make a periodic survey of the needs, interest, attitudes, knowledge, and behavior of the American public regarding health and health care. The Secretary shall take into consideration the findings of such surveys and the findings of similar surveys conducted by national and community health education organizations, and other organizations and agencies for formulating policy respecting health information and health promotion, preventive health services, and education in the appropriate use of health care.

42 U.S.C. § 300u–2 Grants and contracts for community health programs

(a) Authority of Secretary; particular activitiesThe Secretary is authorized to conduct and support by grant or contract (and encourage others to support) new and innovative programs in health information and health promotion, preventive health services, and education in the appropriate use of health care, and may specifically—(1) support demonstration and training programs in such matters which programs (A) are in hospitals, ambulatory care settings, home care settings, schools, day care programs for children, and other appropriate settings representative of broad cross sections of the population, and include public education activities of voluntary health agencies, professional medical societies, and other private nonprofit health organizations, (B) focus on objectives that are measurable, and (C) emphasize the prevention or moderation of illness or accidents that appear controllable through individual knowledge and behavior; (2) provide consultation and technical assistance to organizations that request help in planning, operating, or evaluating programs in such matters; (3) develop health information and health promotion materials and teaching programs including (A) model curriculums for the training of educational and health professionals and paraprofessionals in health education by medical, dental, and nursing schools, schools of public health, and other institutions engaged in training of educational or health professionals, (B) model curriculums to be used in elementary and secondary schools and institutions of higher learning, (C) materials and programs for the continuing education of health professionals and paraprofessionals in the health education of their patients, (D) materials for public service use by the printed and broadcast media, and (E) materials and programs to assist providers of health care in providing health education to their patients; and (4) support demonstration and evaluation programs for individual and group self-help programs designed to assist the participant in using his individual capacities to deal with health problems, including programs concerned with obesity, hypertension, and diabetes. (b) Grants to States and other public and nonprofit private entities; costs of demonstrating and evaluating programs; development of modelsThe Secretary is authorized to make grants to States and other public and nonprofit private entities to assist them in meeting the costs of demonstrating and evaluating programs which provide information respecting the costs and quality of health care or information respecting health insurance policies and prepaid health plans, or information respecting both. After the development of models pursuant to section 300u–3(4) and 300u–3(5) of this title for such information, no grant may be made under this subsection for a program unless the information to be provided under the program is provided in accordance with one of such models applicable to the information. (c) Private nonprofit entities; limitation on amount of grant or contractThe Secretary is authorized to support by grant or contract (and to encourage others to support) private nonprofit entities working in health information and health promotion, preventive health services, and education in the appropriate use of health care. The amount of any grant or contract for a fiscal year beginning after September 30, 1978, for an entity may not exceed 25 per centum of the expenses of the entity for such fiscal year for health information and health promotion, preventive health services, and education in the appropriate use of health care.

42 U.S.C. § 300u–3 Grants and contracts for information programs; authority of Secretary; particular activities

The Secretary is authorized to conduct and support by grant or contract (and encourage others to support) such activities as may be required to make information respecting health information and health promotion, preventive health services, and education in the appropriate use of health care available to the consumers of medical care, providers of such care, schools, and others who are or should be informed respecting such matters. Such activities may include at least the following: (1) The publication of information, pamphlets, and other reports which are specially suited to interest and instruct the health consumer, which information, pamphlets, and other reports shall be updated annually, shall pertain to the individual’s ability to improve and safeguard his own health; shall include material, accompanied by suitable illustrations, on child care, family life and human development, disease prevention (particularly prevention of pulmonary disease, cardiovascular disease, and cancer), physical fitness, dental health, environmental health, nutrition, safety and accident prevention, drug abuse and alcoholism, mental health, management of chronic diseases (including diabetes and arthritis), and venereal diseases; and shall be designed to reach populations of different languages and of different social and economic backgrounds. (2) Securing the cooperation of the communications media, providers of health care, schools, and others in activities designed to promote and encourage the use of health maintaining information and behavior. (3) The study of health information and promotion in advertising and the making to concerned Federal agencies and others such recommendations respecting such advertising as are appropriate. (4) The development of models and standards for the publication by States, insurance carriers, prepaid health plans, and others (except individual health practitioners) of information for use by the public respecting the cost and quality of health care, including information to enable the public to make comparisons of the cost and quality of health care. (5) The development of models and standards for the publication by States, insurance carriers, prepaid health plans, and others of information for use by the public respecting health insurance policies and prepaid health plans, including information on the benefits provided by the various types of such policies and plans, the premium charges for such policies and plans, exclusions from coverage or eligibility for coverage, cost sharing requirements, and the ratio of the amounts paid as benefits to the amounts received as premiums and information to enable the public to make relevant comparisons of the costs and benefits of such policies and plans.

42 U.S.C. § 300u–4 Status reports to President and Congress; study of health education and preventive health services with respect to insurance coverage

(a) The Secretary shall, not later than two years after June 23, 1976, and biannually thereafter, submit to the President for transmittal to Congress a report on the status of health information and health promotion, preventive health services, and education in the appropriate use of health care. Each such report shall include—(1) a statement of the activities carried out under this subchapter since the last report and the extent to which each such activity achieves the purposes of this subchapter; (2) an assessment of the manpower resources needed to carry out programs relating to health information and health promotion, preventive health services, and education in the appropriate use of health care, and a statement describing the activities currently being carried out under this subchapter designed to prepare teachers and other manpower for such programs; (3) the goals and strategy formulated pursuant to section 300u(a)(1) of this title, the models and standards developed under this subchapter, and the results of the study required by subsection (b) of this section; and (4) such recommendations as the Secretary considers appropriate for legislation respecting health information and health promotion, preventive health services, and education in the appropriate use of health care, including recommendations for revisions to and extension of this subchapter. (b) The Secretary shall conduct a study of health education services and preventive health services to determine the coverage of such services under public and private health insurance programs, including the extent and nature of such coverage and the cost sharing requirements required by such programs for coverage of such services.

42 U.S.C. § 300u–5 Centers for research and demonstration of health promotion and disease prevention

(a) Establishment; grants; contracts; research and demonstration projectsThe Secretary shall make grants or enter into contracts with academic health centers for the establishment, maintenance, and operation of centers for research and demonstration with respect to health promotion and disease prevention. Centers established, maintained, or operated under this section shall undertake research and demonstration projects in health promotion, disease prevention, and improved methods of appraising health hazards and risk factors, and shall serve as demonstration sites for the use of new and innovative research in public health techniques to prevent chronic diseases. (b) Location; types of research and projectsEach center established, maintained, or operated under this section shall—(1) be located in an academic health center with—(A) a multidisciplinary faculty with expertise in public health and which has working relationships with relevant groups in such fields as medicine, psychology, nursing, social work, education and business; (B) graduate training programs relevant to disease prevention; (C) a core faculty in epidemiology, biostatistics, social sciences, behavioral and environmental health sciences, and health administration; (D) a demonstrated curriculum in disease prevention; (E) a capability for residency training in public health or preventive medicine; and (F) such other qualifications as the Secretary may prescribe; (2) conduct—(A) health promotion and disease prevention research, including retrospective studies and longitudinal prospective studies in population groups and communities; (B) demonstration projects for the delivery of services relating to health promotion and disease prevention to defined population groups using, as appropriate, community outreach and organization techniques and other methods of educating and motivating communities; and (C) evaluation studies on the efficacy of demonstration projects conducted under subparagraph (B) of this paragraph. The design of any evaluation study conducted under subparagraph (C) shall be established prior to the commencement of the demonstration project under subparagraph (B) for which the evaluation will be conducted. (c) Equitable geographic distribution of centers; procedures(1) In making grants and entering into contracts under this section, the Secretary shall provide for an equitable geographical distribution of centers established, maintained, and operated under this section and for the distribution of such centers among areas containing a wide range of population groups which exhibit incidences of diseases which are most amenable to preventive intervention. (2) The Secretary, through the Director of the Centers for Disease Control and Prevention and in consultation with the Director of the National Institutes of Health, shall establish procedures for the appropriate peer review of applications for grants and contracts under this section by peer review groups composed principally of non-Federal experts. (d) “Academic health center” definedFor purposes of this section, the term “academic health center” means a school of medicine, a school of osteopathy, or a school of public health, as such terms are defined in section 292a(4) 11 See References in Text note below. of this title. (e) Authorization of appropriationsFor the purpose of carrying out this section, there are authorized to be appropriated $10,000,000 for fiscal year 1992, and such sums as may be necessary for each of the fiscal years 1993 through 2003.

42 U.S.C. § 300u–6 Office of Minority Health

(a) In generalThere is established an Office of Minority Health. The Office of Minority Health as existing on March 23, 2010, shall be transferred to the Office of the Secretary in such manner that there is established in the Office of the Secretary, the Office of Minority Health, which shall be headed by the Deputy Assistant Secretary for Minority Health who shall report directly to the Secretary, and shall retain and strengthen authorities (as in existence on March 23, 2010) for the purpose of improving minority health and the quality of health care minorities receive, and eliminating racial and ethnic disparities. In carrying out this subsection, the Secretary, acting through the Deputy Assistant Secretary, shall award grants, contracts, enter into memoranda of understanding, cooperative, interagency, intra-agency and other agreements with public and nonprofit private entities, agencies, as well as Departmental and Cabinet agencies and organizations, and with organizations that are indigenous human resource providers in communities of color to assure improved health status of racial and ethnic minorities, and shall develop measures to evaluate the effectiveness of activities aimed at reducing health disparities and supporting the local community. Such measures shall evaluate community outreach activities, language services, workforce cultural competence, and other areas as determined by the Secretary. (b) DutiesWith respect to improving the health of racial and ethnic minority groups, the Secretary, acting through the Deputy Assistant Secretary for Minority Health (in this section referred to as the “Deputy Assistant Secretary”), shall carry out the following:(1) Establish short-range and long-range goals and objectives and coordinate all other activities within the Public Health Service that relate to disease prevention, health promotion, service delivery, and research concerning such individuals. The heads of each of the agencies of the Service shall consult with the Deputy Assistant Secretary to ensure the coordination of such activities. (2) Enter into interagency agreements with other agencies of the Public Health Service. (3) Support research, demonstrations and evaluations to test new and innovative models. (4) Increase knowledge and understanding of health risk factors. (5) Develop mechanisms that support better information dissemination, education, prevention, and service delivery to individuals from disadvantaged backgrounds, including individuals who are members of racial or ethnic minority groups. (6) Ensure that the National Center for Health Statistics collects data on the health status of each minority group. (7) With respect to individuals who lack proficiency in speaking the English language, enter into contracts with public and nonprofit private providers of primary health services for the purpose of increasing the access of the individuals to such services by developing and carrying out programs to provide bilingual or interpretive services. (8) Support a national minority health resource center to carry out the following:(A) Facilitate the exchange of information regarding matters relating to health information and health promotion, preventive health services, and education in the appropriate use of health care. (B) Facilitate access to such information. (C) Assist in the analysis of issues and problems relating to such matters. (D) Provide technical assistance with respect to the exchange of such information (including facilitating the development of materials for such technical assistance). (9) Carry out programs to improve access to health care services for individuals with limited proficiency in speaking the English language. Activities under the preceding sentence shall include developing and evaluating model projects. (10) Advise in matters related to the development, implementation, and evaluation of health professions education in decreasing disparities in health care outcomes, including cultural competency as a method of eliminating health disparities. (c) Advisory Committee(1) In generalThe Secretary shall establish an advisory committee to be known as the Advisory Committee on Minority Health (in this subsection referred to as the “Committee”). (2) DutiesThe Committee shall provide advice to the Deputy Assistant Secretary carrying out this section, including advice on the development of goals and specific program activities under paragraphs (1) through (10) of subsection (b) for each racial and ethnic minority group. (3) ChairThe chairperson of the Committee shall be selected by the Secretary from among the members of the voting members of the Committee. The term of office of the chairperson shall be 2 years. (4) Composition(A) The Committee shall be composed of 12 voting members appointed in accordance with subparagraph (B), and nonvoting, ex officio members designated in subparagraph (C). (B) The voting members of the Committee shall be appointed by the Secretary from among individuals who are not officers or employees of the Federal Government and who have expertise regarding issues of minority health. The racial and ethnic minority groups shall be equally represented among such members. (C) The nonvoting, ex officio members of the Committee shall be such officials of the Department of Health and Human Services as the Secretary determines to be appropriate. (5) TermsEach member of the Committee shall serve for a term of 4 years, except that the Secretary shall initially appoint a portion of the members to terms of 1 year, 2 years, and 3 years. (6) VacanciesIf a vacancy occurs on the Committee, a new member shall be appointed by the Secretary within 90 days from the date that the vacancy occurs, and serve for the remainder of the term for which the predecessor of such member was appointed. The vacancy shall not affect the power of the remaining members to execute the duties of the Committee. (7) CompensationMembers of the Committee who are officers or employees of the United States shall serve without compensation. Members of the Committee who are not officers or employees of the United States shall receive compensation, for each day (including travel time) they are engaged in the performance of the functions of the Committee. Such compensation may not be in an amount in excess of the daily equivalent of the annual maximum rate of basic pay payable under the General Schedule (under title 5) for positions above GS–15. (d) Certain requirements regarding duties(1) Recommendations regarding language(A) Proficiency in speaking EnglishThe Deputy Assistant Secretary shall consult with the Director of the Office of International and Refugee Health, the Director of the Office of Civil Rights, and the Directors of other appropriate departmental entities regarding recommendations for carrying out activities under subsection (b)(9). (B) Health professions education regarding health disparitiesThe Deputy Assistant Secretary shall carry out the duties under subsection (b)(10) in collaboration with appropriate personnel of the Department of Health and Human Services, other Federal agencies, and other offices, centers, and institutions, as appropriate, that have responsibilities under the Minority Health and Health Disparities Research and Education Act of 2000. (2) Equitable allocation regarding activitiesIn carrying out subsection (b), the Secretary shall ensure that services provided under such subsection are equitably allocated among all groups served under this section by the Secretary. (3) Cultural competency of servicesThe Secretary shall ensure that information and services provided pursuant to subsection (b) are provided in the language, educational, and cultural context that is most appropriate for the individuals for whom the information and services are intended. (e) Grants and contracts regarding duties(1) In generalIn carrying out subsection (b), the Secretary acting through the Deputy Assistant Secretary may make awards of grants, cooperative agreements, and contracts to public and nonprofit private entities. (2) Process for making awardsThe Deputy Assistant Secretary shall ensure that awards under paragraph (1) are made, to the extent practical, only on a competitive basis, and that a grant is awarded for a proposal only if the proposal has been recommended for such an award through a process of peer review. (3) Evaluation and disseminationThe Deputy Assistant Secretary, directly or through contracts with public and private entities, shall provide for evaluations of projects carried out with awards made under paragraph (1) during the preceding 2 fiscal years. The report shall be included in the report required under subsection (f) for the fiscal year involved. (f) Reports(1) In generalNot later than February 1 of fiscal year 1999 and of each second year thereafter, the Secretary shall submit to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Labor and Human Resources of the Senate, a report describing the activities carried out under this section during the preceding 2 fiscal years and evaluating the extent to which such activities have been effective in improving the health of racial and ethnic minority groups. Each such report shall include the biennial reports submitted under subsections (e)(3) and (f)(2) 11 See References in Text note below. for such years by the heads of the Public Health Service agencies. (2) Agency reportsNot later than February 1, 1999, and biennially thereafter, the heads of the Public Health Service agencies shall submit to the Deputy Assistant Secretary a report summarizing the minority health activities of each of the respective agencies. (g) DefinitionsFor purposes of this section:(1) The term “racial and ethnic minority group” means American Indians (including Alaska Natives, Eskimos, and Aleuts); Asian Americans; Native Hawaiians and other Pacific Islanders; Blacks; and Hispanics. (2) The term “Hispanic” means individuals whose origin is Mexican, Puerto Rican, Cuban, Central or South American, or any other Spanish-speaking country. (h) Authorization of appropriationsFor the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2016.

42 U.S.C. § 300u–6a Individual offices of minority health within the Department

(a) In generalThe head of each agency specified in subsection (b)(1) 11 So in original. Subsec. (b) does not contain a par. (1). shall establish within the agency an office to be known as the Office of Minority Health. The head of each such Office shall be appointed by the head of the agency within which the Office is established, and shall report directly to the head of the agency. The head of such agency shall carry out this section (as this section relates to the agency) acting through such Director. (b) Specified agenciesThe agencies referred to in subsection (a) are the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Agency for Healthcare Research and Quality, the Food and Drug Administration, and the Centers for Medicare & Medicaid Services. (c) Director; appointmentEach Office of Minority Health established in an agency listed in subsection (a) 22 So in original. Probably should be “subsection (b)”. shall be headed by a director, with documented experience and expertise in minority health services research and health disparities elimination. (d) ReferencesExcept as otherwise specified, any reference in Federal law to an Office of Minority Health (in the Department of Health and Human Services) is deemed to be a reference to the Office of Minority Health in the Office of the Secretary. (e) Funding(1) AllocationsOf the amounts appropriated for a specified agency for a fiscal year, the Secretary must designate an appropriate amount of funds for the purpose of carrying out activities under this section through the minority health office of the agency. In reserving an amount under the preceding sentence for a minority health office for a fiscal year, the Secretary shall reduce, by substantially the same percentage, the amount that otherwise would be available for each of the programs of the designated agency involved. (2) Availability of funds for staffingThe purposes for which amounts made available under paragraph 33 So in original. Probably should be “paragraph (1)”. may be expended by a minority health office include the costs of employing staff for such office.

42 U.S.C. § 300u–7 Office of Adolescent Health

(a) In generalThere is established an Office of Adolescent Health within the Office of the Assistant Secretary for Health, which office 11 So in original. Probably should be capitalized. shall be headed by a director 1 appointed by the Secretary. The Secretary shall carry out this section acting through the Director of such Office. (b) DutiesWith respect to adolescent health, the Secretary shall—(1) coordinate all activities within the Department of Health and Human Services that relate to disease prevention, health promotion, preventive health services, and health information and education with respect to the appropriate use of health care, including coordinating—(A) the design of programs, support for programs, and the evaluation of programs; (B) the monitoring of trends; (C) projects of research (including multidisciplinary projects) on adolescent health; and (D) the training of health providers who work with adolescents, particularly nurse practitioners, physician assistants, and social workers; (2) coordinate the activities described in paragraph (1) with similar activities in the private sector; and (3) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, and physical fitness and sports medicine. (c) Certain demonstration projects(1) In generalIn carrying out subsection (b)(3), the Secretary may make grants to carry out demonstration projects for the purpose of improving adolescent health, including—(A) projects to train health care providers in providing services to adolescents; and (B) projects to reduce the incidence of violence among adolescents, particularly violence related to teen dating, which shall include projects to develop and implement educational program to increase abuse awareness and prevention. (2) Authorization of appropriationsFor the purpose of carrying out paragraph (1), there are authorized to be appropriated $8,000,000 for each of fiscal years 2023 through 2027. (d) Information clearinghouseIn carrying out subsection (b), the Secretary shall establish and maintain a National Information Clearinghouse on Adolescent Health to collect and disseminate to health professionals and the general public information on adolescent health. (e) National planIn carrying out subsection (b), the Secretary shall develop a national plan for improving adolescent health. The plan shall be consistent with the applicable objectives established by the Secretary for the health status of the people of the United States for the year 2000, and shall be periodically reviewed, and as appropriate, revised. The plan, and any revisions in the plan, shall be submitted to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate. (f) Adolescent healthFor purposes of this section, the term “adolescent health”, with respect to adolescents of all ethnic and racial groups, means all diseases, disorders, and conditions (including with respect to mental health)—(1) unique to adolescents, or more serious or more prevalent in adolescents; (2) for which the factors of medical risk or types of medical intervention are different for adolescents, or for which it is unknown whether such factors or types are different for adolescents; or (3) with respect to which there has been insufficient clinical research involving adolescents as subjects or insufficient clinical data on adolescents. (g) Interagency Work Group(1) EstablishmentThe Secretary shall establish the Federal Interagency Work Group on Teen Dating Violence (referred to in this section as the “Work Group”). (2) In general(A) CompositionNot later than 120 days after March 15, 2022, the Secretary shall appoint representatives to the Work Group from the Administration for Children and Families, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Department of Education, the Department of Justice, and other Federal agencies as determined appropriate by the Secretary. (B) ConsultationThe Work Group shall consult with—(i) experts at the State, Tribal, and local levels with relevant backgrounds in reducing and preventing the incidence of teen dating violence; (ii) victims of teen dating violence; and (iii) family members of teens who were killed by a dating partner. (3) DutiesThe Work Group shall—(A) examine all Federal efforts directed towards reducing and preventing teen dating violence; (B) identify strategies, resources, and supports to improve State, Tribal, and local responses to the incidence of teen dating violence; (C) make recommendations to Congress for improving Federal programs and efforts and coordination across such programs and efforts to reduce and prevent teen dating violence; and (D) make recommendations for educating middle and high school students on teen dating violence. (4) Annual report to SecretaryThe Work Group shall annually prepare and submit to the Secretary, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Committee on Education and Labor of the House of Representatives, a report on the activities carried out by the Work Group under subsection (c), including recommendations to reduce and prevent teen dating violence.

42 U.S.C. § 300u–8 Biennial report regarding nutrition and health

(a) Biennial reportThe Secretary shall require the Surgeon General of the Public Health Service to prepare biennial reports on the relationship between nutrition and health. Such reports may, with respect to such relationship, include any recommendations of the Secretary and the Surgeon General. (b) Submission to CongressThe Secretary shall ensure that, not later than February 1 of 1995 and of every second year thereafter, a report under subsection (a) is submitted to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate.

42 U.S.C. § 300u–9 Education regarding DES

(a) In generalThe Secretary, acting through the heads of the appropriate agencies of the Public Health Service, shall carry out a national program for the education of health professionals and the public with respect to the drug diethylstilbestrol (commonly known as DES). To the extent appropriate, such national program shall use methodologies developed through the education demonstration program carried out under section 283a–3 11 See References in Text note below. of this title. In developing and carrying out the national program, the Secretary shall consult closely with representatives of nonprofit private entities that represent individuals who have been exposed to DES and that have expertise in community-based information campaigns for the public and for health care providers. The implementation of the national program shall begin during fiscal year 1999. (b) Authorization of appropriationsFor the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 1999 through 2003. The authorization of appropriations established in the preceding sentence is in addition to any other authorization of appropriation that is available for such purpose.

42 U.S.C. § 300u–10 National Prevention, Health Promotion and Public Health Council

(a) EstablishmentThe President shall establish, within the Department of Health and Human Services, a council to be known as the “National Prevention, Health Promotion and Public Health Council” (referred to in this section as the “Council”). (b) ChairpersonThe President shall appoint the Surgeon General to serve as the chairperson of the Council. (c) CompositionThe Council shall be composed of—(1) the Secretary of Health and Human Services; (2) the Secretary of Agriculture; (3) the Secretary of Education; (4) the Chairman of the Federal Trade Commission; (5) the Secretary of Transportation; (6) the Secretary of Labor; (7) the Secretary of Homeland Security; (8) the Administrator of the Environmental Protection Agency; (9) the Director of the Office of National Drug Control Policy; (10) the Director of the Domestic Policy Council; (11) the Assistant Secretary for Indian Affairs; (12) the Chairman of the Corporation for National and Community Service; and (13) the head of any other Federal agency that the chairperson determines is appropriate. (d) Purposes and dutiesThe Council shall—(1) provide coordination and leadership at the Federal level, and among all Federal departments and agencies, with respect to prevention, wellness and health promotion practices, the public health system, and integrative health care in the United States; (2) after obtaining input from relevant stakeholders, develop a national prevention, health promotion, public health, and integrative health care strategy that incorporates the most effective and achievable means of improving the health status of Americans and reducing the incidence of preventable illness and disability in the United States; (3) provide recommendations to the President and Congress concerning the most pressing health issues confronting the United States and changes in Federal policy to achieve national wellness, health promotion, and public health goals, including the reduction of tobacco use, sedentary behavior, and poor nutrition; (4) consider and propose evidence-based models, policies, and innovative approaches for the promotion of transformative models of prevention, integrative health, and public health on individual and community levels across the United States; (5) establish processes for continual public input, including input from State, regional, and local leadership communities and other relevant stakeholders, including Indian tribes and tribal organizations; (6) submit the reports required under subsection (g); 11 So in original. Probably should be “(h);”. and (7) carry out other activities determined appropriate by the President. (e) MeetingsThe Council shall meet at the call of the Chairperson. (f) Advisory Group(1) In generalThe President shall establish an Advisory Group to the Council to be known as the “Advisory Group on Prevention, Health Promotion, and Integrative and Public Health” (hereafter referred to in this section as the “Advisory Group”). The Advisory Group shall be within the Department of Health and Human Services and report to the Surgeon General. (2) Composition(A) In generalThe Advisory Group shall be composed of not more than 25 non-Federal members to be appointed by the President. (B) RepresentationIn appointing members under subparagraph (A), the President shall ensure that the Advisory Group includes a diverse group of licensed health professionals, including integrative health practitioners who have expertise in—(i) worksite health promotion; (ii) community services, including community health centers; (iii) preventive medicine; (iv) health coaching; (v) public health education; (vi) geriatrics; and (vii) rehabilitation medicine. (3) Purposes and dutiesThe Advisory Group shall develop policy and program recommendations and advise the Council on lifestyle-based chronic disease prevention and management, integrative health care practices, and health promotion. (g) National prevention and health promotion strategyNot later than 1 year after March 23, 2010, the Chairperson, in consultation with the Council, shall develop and make public a national prevention, health promotion and public health strategy, and shall review and revise such strategy periodically. Such strategy shall—(1) set specific goals and objectives for improving the health of the United States through federally-supported prevention, health promotion, and public health programs, consistent with ongoing goal setting efforts conducted by specific agencies; (2) establish specific and measurable actions and timelines to carry out the strategy, and determine accountability for meeting those timelines, within and across Federal departments and agencies; and (3) make recommendations to improve Federal efforts relating to prevention, health promotion, public health, and integrative health care practices to ensure Federal efforts are consistent with available standards and evidence. (h) ReportNot later than July 1, 2010, and annually thereafter through January 1, 2015, the Council shall submit to the President and the relevant committees of Congress, a report that—(1) describes the activities and efforts on prevention, health promotion, and public health and activities to develop a national strategy conducted by the Council during the period for which the report is prepared; (2) describes the national progress in meeting specific prevention, health promotion, and public health goals defined in the strategy and further describes corrective actions recommended by the Council and taken by relevant agencies and organizations to meet these goals; (3) contains a list of national priorities on health promotion and disease prevention to address lifestyle behavior modification (smoking cessation, proper nutrition, appropriate exercise, mental health, behavioral health, substance use disorder, and domestic violence screenings) and the prevention measures for the 5 leading disease killers in the United States; (4) contains specific science-based initiatives to achieve the measurable goals of Healthy People 2020 regarding nutrition, exercise, and smoking cessation, and targeting the 5 leading disease killers in the United States; (5) contains specific plans for consolidating Federal health programs and Centers that exist to promote healthy behavior and reduce disease risk (including eliminating programs and offices determined to be ineffective in meeting the priority goals of Healthy People 2020); (6) contains specific plans to ensure that all Federal health care programs are fully coordinated with science-based prevention recommendations by the Director of the Centers for Disease Control and Prevention; and (7) contains specific plans to ensure that all non-Department of Health and Human Services prevention programs are based on the science-based guidelines developed by the Centers for Disease Control and Prevention under paragraph (4). (i) Periodic reviewsThe Secretary shall conduct periodic reviews, not less than every 5 years, and evaluations of every Federal disease prevention and health promotion initiative, program, and agency. Such reviews shall be evaluated based on effectiveness in meeting metrics-based goals with an analysis posted on such agencies’ public Internet websites.

42 U.S.C. § 300u–11 Prevention and Public Health Fund

(a) PurposeIt is the purpose of this section to establish a Prevention and Public Health Fund (referred to in this section as the “Fund”), to be administered through the Department of Health and Human Services, Office of the Secretary, to provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs. (b) FundingThere are hereby authorized to be appropriated, and appropriated, to the Fund, out of any monies in the Treasury not otherwise appropriated—(1) for fiscal year 2010, $500,000,000; (2) for each of fiscal years 2012 through 2017, $1,000,000,000; (3) for fiscal year 2018, $900,000,000; (4) for fiscal year 2019, $900,000,000; (5) for each of fiscal years 2020 and 2021, $950,000,000; (6) for each of fiscal years 2022 and 2023, $1,000,000,000; (7) for each of fiscal years 2024 and 2025, $1,300,000,000; (8) for each of fiscal years 2026 and 2027, $1,525,000,000; (9) for each of fiscal years 2028 and 2029, $1,725,000,000; and (10) for fiscal year 2030 and each fiscal year thereafter, $2,000,000,000. (c) Use of FundThe Secretary shall transfer amounts in the Fund to accounts within the Department of Health and Human Services to increase funding, over the fiscal year 2008 level, for programs authorized by the Public Health Service Act [42 U.S.C. 201 et seq.], for prevention, wellness, and public health activities including prevention research, health screenings, and initiatives, such as the Community Transformation grant program, the Education and Outreach Campaign Regarding Preventive Benefits, and immunization programs. (d) Transfer authorityThe Committee on Appropriations of the Senate and the Committee on Appropriations of the House of Representatives may provide for the transfer of funds in the Fund to eligible activities under this section, subject to subsection (c).

42 U.S.C. § 300u–12 Education and outreach campaign regarding preventive benefits

(a) In generalThe Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall provide for the planning and implementation of a national public–private partnership for a prevention and health promotion outreach and education campaign to raise public awareness of health improvement across the life span. Such campaign shall include the dissemination of information that—(1) describes the importance of utilizing preventive services to promote wellness, reduce health disparities, and mitigate chronic disease; (2) promotes the use of preventive services recommended by the United States Preventive Services Task Force and the Community Preventive Services Task Force; (3) encourages healthy behaviors linked to the prevention of chronic diseases; (4) explains the preventive services covered under health plans offered through an Exchange; (5) describes additional preventive care supported by the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Advisory Committee on Immunization Practices, and other appropriate agencies; and (6) includes general health promotion information. (b) ConsultationIn coordinating the campaign under subsection (a), the Secretary shall consult with the Institute of Medicine to provide ongoing advice on evidence-based scientific information for policy, program development, and evaluation. (c) Media campaign(1) In generalNot later than 1 year after March 23, 2010, the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish and implement a national science-based media campaign on health promotion and disease prevention. (2) Requirement of campaignThe campaign implemented under paragraph (1)—(A) shall be designed to address proper nutrition, regular exercise, smoking cessation, obesity reduction, the 5 leading disease killers in the United States, and secondary prevention through disease screening promotion; (B) shall be carried out through competitively bid contracts awarded to entities providing for the professional production and design of such campaign; (C) may include the use of television, radio, Internet, and other commercial marketing venues and may be targeted to specific age groups based on peer-reviewed social research; (D) shall not be duplicative of any other Federal efforts relating to health promotion and disease prevention; and (E) may include the use of humor and nationally recognized positive role models. (3) EvaluationThe Secretary shall ensure that the campaign implemented under paragraph (1) is subject to an independent evaluation every 2 years and shall report every 2 years to Congress on the effectiveness of such campaigns towards meeting science-based metrics. (d) WebsiteThe Secretary, in consultation with private-sector experts, shall maintain or enter into a contract to maintain an Internet website to provide science-based information on guidelines for nutrition, regular exercise, obesity reduction, smoking cessation, and specific chronic disease prevention. Such website shall be designed to provide information to health care providers and consumers. (e) Dissemination of information through providersThe Secretary, acting through the Centers for Disease Control and Prevention, shall develop and implement a plan for the dissemination of health promotion and disease prevention information consistent with national priorities, to health care providers who participate in Federal programs, including programs administered by the Indian Health Service, the Department of Veterans Affairs, the Department of Defense, and the Health Resources and Services Administration, and Medicare and Medicaid. (f) Personalized prevention plans(1) ContractThe Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall enter into a contract with a qualified entity for the development and operation of a Federal Internet website personalized prevention plan tool. (2) UseThe website developed under paragraph (1) shall be designed to be used as a source of the most up-to-date scientific evidence relating to disease prevention for use by individuals. Such website shall contain a component that enables an individual to determine their disease risk (based on personal health and family history, BMI, and other relevant information) relating to the 5 leading diseases in the United States, and obtain personalized suggestions for preventing such diseases. (g) Internet portalThe Secretary shall establish an Internet portal for accessing risk-assessment tools developed and maintained by private and academic entities. (h) Priority fundingFunding for the activities authorized under this section shall take priority over funding provided through the Centers for Disease Control and Prevention for grants to States and other entities for similar purposes and goals as provided for in this section. Not to exceed $500,000,000 shall be expended on the campaigns and activities required under this section. (i) Public awareness of preventive and obesity-related services(1) Information to StatesThe Secretary of Health and Human Services shall provide guidance and relevant information to States and health care providers regarding preventive and obesity-related services that are available to Medicaid enrollees, including obesity screening and counseling for children and adults. (2) Information to enrolleesEach State shall design a public awareness campaign to educate Medicaid enrollees regarding availability and coverage of such services, with the goal of reducing incidences of obesity. (3) ReportNot later than January 1, 2011, and every 3 years thereafter through January 1, 2017, the Secretary of Health and Human Services shall report to Congress on the status and effectiveness of efforts under paragraphs (1) and (2), including summaries of the States’ efforts to increase awareness of coverage of obesity-related services. (j) Authorization of appropriationsThere are authorized to be appropriated such sums as may be necessary to carry out this section.

42 U.S.C. § 300u–13 Community transformation grants

(a) In generalThe Secretary of Health and Human Services (referred to in this section as the “Secretary”), acting through the Director of the Centers for Disease Control and Prevention (referred to in this section as the “Director”), shall award competitive grants to State and local governmental agencies and community-based organizations for the implementation, evaluation, and dissemination of evidence-based community preventive health activities in order to reduce chronic disease rates, prevent the development of secondary conditions, address health disparities, and develop a stronger evidence-base of effective prevention programming, with not less than 20 percent of such grants being awarded to rural and frontier areas. (b) EligibilityTo be eligible to receive a grant under subsection (a), an entity shall—(1) be—(A) a State governmental agency; (B) a local governmental agency; (C) a national network of community-based organizations; (D) a State or local non-profit organization; or (E) an Indian tribe; and (2) submit to the Director an application at such time, in such a manner, and containing such information as the Director may require, including a description of the program to be carried out under the grant; and (3) demonstrate a history or capacity, if funded, to develop relationships necessary to engage key stakeholders from multiple sectors within and beyond health care and across a community, such as healthy futures corps and health care providers. (c) Use of funds(1) In generalAn eligible entity shall use amounts received under a grant under this section to carry out programs described in this subsection. (2) Community transformation plan(A) In generalAn eligible entity that receives a grant under this section shall submit to the Director (for approval) a detailed plan that includes the policy, environmental, programmatic, and 11 So in original. Probably should be followed by a comma. as appropriate 1 infrastructure changes needed to promote healthy living and reduce disparities. (B) ActivitiesActivities within the plan may focus on (but not be limited to)—(i) creating healthier school environments, including increasing healthy food options, physical activity opportunities, promotion of healthy lifestyle, emotional wellness, and prevention curricula, and activities to prevent chronic diseases; (ii) creating the infrastructure to support active living and access to nutritious foods in a safe environment; (iii) developing and promoting programs targeting a variety of age levels to increase access to nutrition, physical activity and smoking cessation, improve social and emotional wellness, enhance safety in a community, or address any other chronic disease priority area identified by the grantee; (iv) assessing and implementing worksite wellness programming and incentives; (v) working to highlight healthy options at restaurants and other food venues; (vi) prioritizing strategies to reduce racial and ethnic disparities, including social, economic, and geographic determinants of health; and (vii) addressing special populations needs, including all age groups and individuals with disabilities, and individuals in urban, rural, and frontier areas. (3) Community-based prevention health activities(A) In generalAn eligible entity shall use amounts received under a grant under this section to implement a variety of programs, policies, and infrastructure improvements to promote healthier lifestyles. (B) ActivitiesAn eligible entity shall implement activities detailed in the community transformation plan under paragraph (2). (C) In-kind supportAn eligible entity may provide in-kind resources such as staff, equipment, or office space in carrying out activities under this section. (4) Evaluation(A) In generalAn eligible entity shall use amounts provided under a grant under this section to conduct activities to measure changes in the prevalence of chronic disease risk factors among community members participating in preventive health activities 22 So in original. Probably should be followed by a period. (B) Types of measuresIn carrying out subparagraph (A), the eligible entity shall, with respect to residents in the community, measure—(i) changes in weight; (ii) changes in proper nutrition; (iii) changes in physical activity; (iv) changes in tobacco use prevalence; (v) changes in emotional well-being and overall mental health; (vi) other factors using community-specific data from the Behavioral Risk Factor Surveillance Survey; and (vii) other factors as determined by the Secretary. (C) ReportingAn eligible entity shall annually submit to the Director a report containing an evaluation of activities carried out under the grant. (5) DisseminationA grantee under this section shall—(A) meet at least annually in regional or national meetings to discuss challenges, best practices, and lessons learned with respect to activities carried out under the grant; and (B) develop models for the replication of successful programs and activities and the mentoring of other eligible entities. (d) Training(1) In generalThe Director shall develop a program to provide training for eligible entities on effective strategies for the prevention and control of chronic disease and the link between physical, emotional, and social well-being. (2) Community transformation planThe Director shall provide appropriate feedback and technical assistance to grantees to establish community transformation plans 2 (3) EvaluationThe Director shall provide a literature review and framework for the evaluation of programs conducted as part of the grant program under this section, in addition to working with academic institutions or other entities with expertise in outcome evaluation. (e) ProhibitionA grantee shall not use funds provided under a grant under this section to create video games or to carry out any other activities that may lead to higher rates of obesity or inactivity. (f) Authorization of appropriationsThere are authorized to be appropriated to carry out this section, such sums as may be necessary for each of fiscal year 33 So in original. Probably should be “years”. 2010 through 2014.

42 U.S.C. § 300u–14 Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries

(a) Healthy aging, living well(1) In generalThe Secretary of Health and Human Services (referred to in this section as the “Secretary”), acting through the Director of the Centers for Disease Control and Prevention, shall award grants to State or local health departments and Indian tribes to carry out 5-year pilot programs to provide public health community interventions, screenings, and where necessary, clinical referrals for individuals who are between 55 and 64 years of age. (2) EligibilityTo be eligible to receive a grant under paragraph (1), an entity shall—(A) be—(i) a State health department; (ii) a local health department; or (iii) an Indian tribe; (B) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require including a description of the program to be carried out under the grant; (C) design a strategy for improving the health of the 55-to-64 year-old population through community-based public health interventions; and (D) demonstrate the capacity, if funded, to develop the relationships necessary with relevant health agencies, health care providers, community-based organizations, and insurers to carry out the activities described in paragraph (3), such relationships to include the identification of a community-based clinical partner, such as a community health center or rural health clinic. (3) Use of funds(A) In generalA State or local health department shall use amounts received under a grant under this subsection to carry out a program to provide the services described in this paragraph to individuals who are between 55 and 64 years of age. (B) Public health interventions(i) In generalIn developing and implementing such activities, a grantee shall collaborate with the Centers for Disease Control and Prevention and the Administration on Aging, and relevant local agencies and organizations. (ii) Types of intervention activitiesIntervention activities conducted under this subparagraph may include efforts to improve nutrition, increase physical activity, reduce tobacco use and substance abuse, improve mental health, and promote healthy lifestyles among the target population. (C) Community preventive screenings(i) In generalIn addition to community-wide public health interventions, a State or local health department shall use amounts received under a grant under this subsection to conduct ongoing health screening to identify risk factors for cardiovascular disease, cancer, stroke, and diabetes among individuals in both urban and rural areas who are between 55 and 64 years of age. (ii) Types of screening activitiesScreening activities conducted under this subparagraph may include—(I) mental health/behavioral health and substance use disorders; (II) physical activity, smoking, and nutrition; and (III) any other measures deemed appropriate by the Secretary. (iii) MonitoringGrantees under this section shall maintain records of screening results under this subparagraph to establish the baseline data for monitoring the targeted population 11 So in original. Probably should be followed by a period. (D) Clinical referral/treatment for chronic diseases(i) In generalA State or local health department shall use amounts received under a grant under this subsection to ensure that individuals between 55 and 64 years of age who are found to have chronic disease risk factors through the screening activities described in subparagraph (C)(ii), receive clinical referral/treatment for follow-up services to reduce such risk. (ii) Mechanism(I) Identification and determination of statusWith respect to each individual with risk factors for or having heart disease, stroke, diabetes, or any other condition for which such individual was screened under subparagraph (C), a grantee under this section shall determine whether or not such individual is covered under any public or private health insurance program. (II) Insured individualsAn individual determined to be covered under a health insurance program under subclause (I) shall be referred by the grantee to the existing providers under such program or, if such individual does not have a current provider, to a provider who is in-network with respect to the program involved. (III) Uninsured individualsWith respect to an individual determined to be uninsured under subclause (I), the grantee’s community-based clinical partner described in paragraph (4)(D) 22 So in original. Paragraph (4) does not contain subpars. shall assist the individual in determining eligibility for available public coverage options and identify other appropriate community health care resources and assistance programs. (iii) Public health intervention programA State or local health department shall use amounts received under a grant under this subsection to enter into contracts with community health centers or rural health clinics and mental health and substance use disorder service providers to assist in the referral/treatment of at risk patients to community resources for clinical follow-up and help determine eligibility for other public programs. (E) Grantee evaluationAn eligible entity shall use amounts provided under a grant under this subsection to conduct activities to measure changes in the prevalence of chronic disease risk factors among participants. (4) Pilot program evaluationThe Secretary shall conduct an annual evaluation of the effectiveness of the pilot program under this subsection. In determining such effectiveness, the Secretary shall consider changes in the prevalence of uncontrolled chronic disease risk factors among new Medicare enrollees (or individuals nearing enrollment, including those who are 63 and 64 years of age) who reside in States or localities receiving grants under this section as compared with national and historical data for those States and localities for the same population. (5) Authorization of appropriationsThere are authorized to be appropriated to carry out this subsection, such sums as may be necessary for each of fiscal years 2010 through 2014. (b) Evaluation and plan for community-based prevention and wellness programs for Medicare beneficiaries(1) In generalThe Secretary shall conduct an evaluation of community-based prevention and wellness programs and develop a plan for promoting healthy lifestyles and chronic disease self-management for Medicare beneficiaries. (2) Medicare evaluation of prevention and wellness programs(A) In generalThe Secretary shall evaluate community prevention and wellness programs including those that are sponsored by the Administration on Aging, are evidence-based, and have demonstrated potential to help Medicare beneficiaries (particularly beneficiaries that have attained 65 years of age) reduce their risk of disease, disability, and injury by making healthy lifestyle choices, including exercise, diet, and self-management of chronic diseases. (B) EvaluationThe evaluation under subparagraph (A) shall consist of the following:(i) Evidence reviewThe Secretary shall review available evidence, literature, best practices, and resources that are relevant to programs that promote healthy lifestyles and reduce risk factors for the Medicare population. The Secretary may determine the scope of the evidence review and such issues to be considered, which shall include, at a minimum—(I) physical activity, nutrition, and obesity; (II) falls; (III) chronic disease self-management; and (IV) mental health. (ii) Independent evaluation of evidence-based community prevention and wellness programsThe Administrator of the Centers for Medicare & Medicaid Services, in consultation with the Assistant Secretary for Aging, shall, to the extent feasible and practicable, conduct an evaluation of existing community prevention and wellness programs that are sponsored by the Administration on Aging to assess the extent to which Medicare beneficiaries who participate in such programs—(I) reduce their health risks, improve their health outcomes, and adopt and maintain healthy behaviors; (II) improve their ability to manage their chronic conditions; and (III) reduce their utilization of health services and associated costs under the Medicare program for conditions that are amenable to improvement under such programs. (3) ReportNot later than September 30, 2013, the Secretary shall submit to Congress a report that includes—(A) recommendations for such legislation and administrative action as the Secretary determines appropriate to promote healthy lifestyles and chronic disease self-management for Medicare beneficiaries; (B) any relevant findings relating to the evidence review under paragraph (2)(B)(i); and (C) the results of the evaluation under paragraph (2)(B)(ii). (4) FundingFor purposes of carrying out this subsection, the Secretary shall provide for the transfer, from the Federal Hospital Insurance Trust Fund under section 1817 of the Social Security Act (42 U.S.C. 1395i) and the Federal Supplemental 33 So in original. Probably should be “Supplementary”. Medical Insurance Trust Fund under section 1841 of such Act (42 U.S.C. 1395t), in such proportion as the Secretary determines appropriate, of $50,000,000 to the Centers for Medicare & Medicaid Services Program Management Account. Amounts transferred under the preceding sentence shall remain available until expended. (5) AdministrationChapter 35 of title 44 shall not apply to the 44 So in original. The word “the” probably should not appear. this subsection. (6) Medicare beneficiaryIn this subsection, the term “Medicare beneficiary” means an individual who is entitled to benefits under 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.].

42 U.S.C. § 300u–15 Research on optimizing the delivery of public health services

(a) In generalThe Secretary of Health and Human Services (referred to in this section as the “Secretary”), acting through the Director of the Centers for Disease Control and Prevention, shall provide funding for research in the area of public health services and systems. (b) Requirements of researchResearch supported under this section shall include—(1) examining evidence-based practices relating to prevention, with a particular focus on high priority areas as identified by the Secretary in the National Prevention Strategy or Healthy People 2020, and including comparing community-based public health interventions in terms of effectiveness and cost; (2) analyzing the translation of interventions from academic settings to real world settings; and (3) identifying effective strategies for organizing, financing, or delivering public health services in real world community settings, including comparing State and local health department structures and systems in terms of effectiveness and cost. (c) Existing partnershipsResearch supported under this section shall be coordinated with the Community Preventive Services Task Force and carried out by building on existing partnerships within the Federal Government while also considering initiatives at the State and local levels and in the private sector. (d) Annual reportThe Secretary shall, on an annual basis, submit to Congress a report concerning the activities and findings with respect to research supported under this section.

42 U.S.C. § 300u–16 Establishment of substance use disorder information dashboard

(a) In generalNot later than 6 months after October 24, 2018, the Secretary of Health and Human Services shall, in consultation with the Director of National Drug Control Policy, establish and periodically update, on the Internet website of the Department of Health and Human Services, a public information dashboard that—(1) provides links to information on programs within the Department of Health and Human Services related to the reduction of opioid and other substance use disorders; (2) provides access, to the extent practicable and appropriate, to publicly available data, which may include data from agencies within the Department of Health and Human Services and—(A) other Federal agencies; (B) State, local, and Tribal governments; (C) nonprofit organizations; (D) law enforcement; (E) medical experts; (F) public health educators; and (G) research institutions regarding prevention, treatment, recovery, and other services for opioid and other substance use disorders; (3) provides data on substance use disorder prevention and treatment strategies in different regions of and populations in the United States; (4) identifies information on alternatives to controlled substances for pain management, such as approaches studied by the National Institutes of Health Pain Consortium, the National Center for Complimentary and Integrative Health, and other institutes and centers at the National Institutes of Health, as appropriate; and (5) identifies guidelines and best practices for health care providers regarding treatment of substance use disorders. (b) Controlled substance definedIn this section, the term “controlled substance” has the meaning given that term in section 802 of title 21.

Starting a business? Corpus forms LLCs in all 50 states and DC.