,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bdfh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bj1 #bjae ,mr4  
,ru% introduc$ ! foll[+ bill2 :i* 0     
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to improve m9ority
 inclusion 9 cl9ical trials4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,m9ority
 ,inclusion 9 ,cl9ical ,trials ,act (   
#bjae4  #b4 ,s5se ( ,congress on        
inc5tiviz+ inclusion ( und]repres5t$    
communities 9 cl9ical trials ,x is !    
s5se ( ,congress t ! ,national ,in/itute
 on ,m9ority ,heal? & ,heal? ,disp>ities
 7,,nimhd7 %all include )9 its /rategic 
plan ways to increase repres5tation (   
und]repres5t$ communities 9 cl9ical     
trials4  #c4 ,c>e] developm5t = sci5ti/s
 & rese>*]s ,! ,secret>y ( ,heal? &     
,human ,s]vices 79 ?is section ref]r$ to
 z ! ,secret>y71 act+ ?r\gh ! ,director 
( ! ,national ,in/itutes ( ,heal?1 !    
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! ,commission] ( ,food & 
,drugs1 ! ,director ( ! ,ag5cy =        

,heal?c>e ,rese>* & ,quality1 & !       
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all aw>d grants
 =-- 7#a7 exp&+ exi/+ opportunities =   
sci5ti/s & rese>*]s2 &  7#b7 promot+ !  
inclusion ( und]repres5t$ m9orities 9 ! 
heal? pr(essions4  #d4 ,support =       
in/itutions committ$ to work=ce         
developm5t 9 und]repres5t$ communities  
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices 79 ?is section ref]r$ to
 z ! ,secret>y71 act+ ?r\gh !           
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration & ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
aw>d grants to eligible entities t      
demon/rate a commitm5t to heal? work=ce 
developm5t 9 und]repres5t$ communities4 
7b7 ,eligibility ,to be eligible to     
receive a grant "u subsection 7a71 an   
entity %all-- 7#a7 be an educational    
in/itution or entity t hi/orically      
produces or tra9s mean+ful numb]s (     
und]repres5t$ m9ority heal?             
pr(essionals1 includ+--  7,a7           

hi/orically ,black colleges &           
univ]sities2  7,b7 ,hispanic-s]v+ heal? 
pr(essions s*ools2  7,c7 ,hispanic-s]v+ 
in/itutions2  7,d7 tribal colleges &    
univ]sities2  7,e7 ,asian-,am]ican1     
,native ,am]ican1 & ,pacific ,isl&]-s]v+
 in/itutions2  7,f7 in/itutions t h     
programs to recruit & reta9             
und]repres5t$ m9ority heal?             
pr(essionals1 9 :i* a significant numb] 
( ! enroll$ p>ticipants are             
und]repres5t$ m9orities2  7,g7 heal?    
pr(essional associations1 :i* may       
include und]repres5t$ m9ority heal?     
pr(essional associations2 &  7,h7       
in/itutions--  7i7 locat$ 9 communities 
) pr$om9antly und]repres5t$ m9ority     
populations2  7ii7 ) :om p>tn]%ips h be5
 =m$ = ! purpose ( increas+ work=ce     
div]sity2 &  7iii7 9 :i* at lea/ #bj    
p]c5t ( ! enroll$ p>ticipants are       
und]repres5t$ m9orities2 &  7#b7 submit 
to ! ,secret>y an application at su* "t1
 9 su* mann]1 & conta9+ su* in=mation z 
! ,secret>y may require4  7c7 ,use (    

funds ,am\nts receiv$ "u a grant "u     
subsection 7a7 %all be us$ to exp& exi/+
 work=ce div]sity programs1 implem5t new
 work=ce div]sity programs1 or evaluate 
exi/+ or new work=ce div]sity programs1 
includ+ ) respect to m5tal heal? c>e    
pr(essions4 ,su* programs %all enhance  
div]sity by consid]+ m9ority /atus z "p 
( an individualiz$ consid]ation (       
qualifications4 ,possible activities may
 include-- 7#a7 educational outrea*     
programs relat+ to opportunities 9 !    
heal? pr(essions2  7#b7 s*ol>%ip1       
fell[%ip1 grant1 loan repaym5t1 & loan  
cancellation programs2  7#c7            
po/baccalaureate programs2  7#d7        
academic enri*m5t programs1 p>ticul>ly  
t>get+ ^? :o w\ld n be competitive =    
heal? pr(essions s*ools2  7#e7 k9d]g>t5 
?r\gh #ab? grade & o!r heal? pipel9e    
programs2  7#f7 m5tor+ programs2  7#g7  
int]n%ip or rotation programs involv+   
hospitals1 heal? sy/ems1 heal? plans1 & 
o!r heal? entities2  7#h7 community     
p>tn]%ip developm5t = purposes relat+ to

 work=ce div]sity2 or  7#i7 lead]%ip    
tra9+4  7d7 ,reports ,n lat] ?an #a ye> 
aft] receiv+ a grant "u ?is section1 &  
annually = ! t]m ( ! grant1 a grantee   
%all submit to ! ,secret>y a report t   
summ>izes & evaluates all activities    
conduct$ "u ! grant4  7e7 ,def9ition ,9 
?is section1 ! t]m ,asian-,am]ican1     
,native ,am]ican1 & ,pacific ,isl&]-s]v+
 in/itutions has ! same mean+ z ! t]m   
,asian ,am]ican & ,native ,am]ican      
,pacific ,isl&]-s]v+ in/itution z def9$ 
9 section #cga7;c7 ( ! ,high] ,education
 ,act ( #aife 7#bj ,u4,s4,c4 #ajfgq7c774
  7f7 ,au?orization ( appropriations    
,!re is au?oriz$ to be appropriat$ to   
c>ry out ?is section1 su* sums z may be 
necess>y = ea* ( fiscal ye>s #bjae ?r\gh
 #bjbj4  #e4 ,elim9at+ disp>ities 9     
mat]nity heal? outcomes  7a7 ,9 g5]al ,!
 ,secret>y ( ,heal? & ,human ,s]vices 79
 ?is section ref]r$ to z ! ,secret>y7 79
 consultation ) ! ,deputy ,assi/ant     
,secret>y = ,m9ority ,heal?1 ! ,director
 ( ! ,national ,in/itutes ( ,heal?1 !   

,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! ,adm9i/rator ( ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices1 & !      
,adm9i/rator ( ! ,ag5cy = ,heal?c>e     
,rese>*  ,quality1 & 9 consultation )   
relevant national /akehold]             
organizations su* z national m$ical     
specialty organizations1 national       
mat]nal *ild heal? organizations1       
national gr\ps t repres5t m9ority       
populations1 & national heal? disp>ity  
organizations7 %all c>ry out ! foll[+   
activities to elim9ate disp>ities 9     
mat]nal heal? outcomes3  7#a7 ,conduct  
rese>* into ! det]m9ants & ! di/ribution
 ( disp>ities 9 mat]nal c>e1 heal?      
risks1 & heal? outcomes1 & improve !    
capacity ( ! p]=mance measurem5t        
infra/ructure to measure su* disp>ities4
  7#b7 ,exp& access to s]vices t h be5  
demon/rat$ to improve ! quality &       
outcomes ( mat]nity c>e = vuln]able     
populations4  7#c7 ,e/abli% a           
demon/ration project to comp>e !        
effectiv5ess ( int]v5tions to r$uce     

disp>ities 9 mat]nity s]vices &         
outcomes1 & implem5t & assess effective 
int]v5tions4  7b7 ,scope & selection (  
/ates = demon/ration project ,!         
demon/ration project "u subsection      
7a77#c7 %all be conduct$ 9 no m ?an #h  
,/ates1 :i* %all be select$ by !        
,secret>y bas$ on--  7#a7 applications  
submitt$ by ,/ates1 :i* specify :i*     
regions & populations ! ,/ate involv$ w 
s]ve "u ! demon/ration project2  7#b7   
crit]ia design$ by ! ,secret>y to ensure
 t1 z a :ole1 ! demon/ration project is1
 to ! greate/ ext5t possible1           
repres5tative ( ! demographic &         
geographic composition ( communities mo/
 affect$ by disp>ities2  7#c7 crit]ia   
design$ by ! ,secret>y to ensure t a    
v>iety ( types ( models are te/$ ?r\gh !
 demon/ration project & t su* models    
include int]v5tions t h an exi/+ evid5ce
 base = effectiv5ess2 &  7#d7 crit]ia   
design$ by ! ,secret>y to assure t !    
demon/ration projects & models w be     
c>ri$ out 9 consultation ) local &      

regional provid] organizations1 su* z   
community heal? c5t]s1 hospital sy/ems1 
& m$ical societies repres5t+ provid]s ( 
mat]nity s]vices4  7c7 ,duration (      
demon/ration project ,! demon/ration    
project "u subsection 7a77#c7 %all beg9 
on ,janu>y #a1 #bjae1 & end on ,decemb] 
#ca1 #bjai4  7d7 ,grants = evaluation & 
monitor+ ,! ,secret>y may make grants to
 ,/ates & heal? c>e provid]s p>ticipat+ 
9 ! demon/ration project "u subsection  
7a77#c7 = ! purpose ( collect+ data     
necess>y = ! evaluation & monitor+ ( su*
 project4  7e7 ,reports  7#a7 ,/ate     
reports ,ea* ,/ate t p>ticipates 9 !    
demon/ration project "u subsection      
7a77#c7 %all report to ! ,secret>y1 9 a 
"t1 =m1 & mann] specifi$ by ! ,secret>y1
 ! data necess>y to-- 7,a7 monitor !--  
7i7 outcomes ( ! project2  7ii7 co/s ( !
 project2 &  7iii7 quality ( mat]nity   
c>e provid$ "u ! project2 &  7,b7       
evaluate ! rationale = ! selection ( !  
items & s]vices includ$ 9 any bundl$    
paym5t made by ! ,/ate "u ! project4    

7#b7 ,f9al report ,n lat] ?an ,decemb]  
#ca1 #bjbj1 ! ,secret>y %all submit to  
,congress a report on ! results ( !     
demon/ration project "u subsection      
7a77#c74  #f4 ,heal? disp>ities         
education program  7a7 ,e/abli%m5t ,!   
,secret>y1 act+ ?r\gh ! ,national       
,in/itute on ,m9ority ,heal? & ,heal?   
,disp>ities & 9 collaboration ) ! ,(fice
 ( ,m9ority ,heal?1 ! ,(fice = ,civil   
,rights1 ! ,c5t]s = ,disease ,control & 
,prev5tion1 ! ,c5t]s = ,m$ic>e  ,m$icaid
 ,s]vices1 ! ,heal? ,res\rces & ,s]vices
 ,adm9i/ration1 & o!r appropriate public
 & private entities1 %all e/abli% &     
coord9ate a heal? & heal? c>e disp>ities
 education program to support1 develop1 
& implem5t educational initiatives &    
outrea* /rategies t in=m heal? c>e      
pr(essionals & ! public ab\t ! exi/5ce (
 & me?ods to r$uce racial & e?nic       
disp>ities 9 heal? & heal? c>e4  7b7    
,activities ,! ,secret>y1 ?r\gh !       
education program e/abli%$ "u subsection
 7a71 %all1 ?r\gh ! use ( public aw>5ess

 & outrea* campaigns t>get+ ! g5]al     
public & ! m$ical community at l>ge--   
7#a7 dissem9ate sci5tific evid5ce = !   
exi/5ce & ext5t ( racial & e?nic        
disp>ities 9 heal? c>e1 includ+         
disp>ities t are n o!rwise attributable 
to kn[n factors su* z access to c>e1    
pati5t pref]5ces1 or appropriat5ess (   
int]v5tion1 z describ$ 9 ! #bjjb        
,in/itute ( ,m$ic9e ,report entitl$     
,unequal ,treatm5t3 ,confront+ ,racial &
 ,e?nic ,disp>ities 9 ,heal? ,c>e1 z    
well z ! impact ( disp>ities relat$ to  
age1 disability /atus1 socioeconomic    
/atus1 sex1 g5d] id5tity1 & sexual      
ori5tation on racial & e?nic m9orities2 
7#b7 dissem9ate new rese>* f9d+s to     
heal? c>e provid]s & pati5ts to assi/ !m
 9 und]/&+1 r$uc+1 & elim9at+ heal? &   
heal? c>e disp>ities2  7#c7 dissem9ate  
in=mation ab\t ! impact ( l+ui/ic &     
cultural b>ri]s on heal? c>e quality & !
 obligation ( heal? provid]s :o receive 
,f$]al f9ancial assi/ance to ensure t p 
) limit$-,engli% pr(ici5cy h access to  

language access s]vices2  7#d7          
dissem9ate in=mation ab\t ! importance &
 legality ( racial1 e?nic1 disability   
/atus1 socioeconomic /atus1 sex1 g5d]   
id5tity1 & sexual ori5tation1 & prim>y  
language data collection1 analysis1 &   
report+2  7#e7 design & implem5t        
specific educational initiatives to     
heal? c>e provid]s relat+ to heal? &    
heal? c>e disp>ities2 &  7#f7 assess !  
impact ( ! programs e/abli%$ "u ?is     
section 9 rais+ aw>5ess ( heal? & heal? 
c>e disp>ities & provid+ in=mation on   
available res\rces4  7c7 ,au?orization (
 appropriations ,!re is au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjae ?r\gh #bjbj4