,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #ffch  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bh1 #bjbj,mrs4
 ,hayes introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to increase !     
annual fund+ = ! ,*ronic ,disease       
,prev5tion & ,heal? ,promotion ,fund1 ! 
,national ,in/itute on ,m9ority ,heal? &
 ,heal? ,disp>ities1 & ! ,(fices (      
,m9ority ,heal? )9 ! ,(fice ( !         
,secret>y ( ,heal? & ,human ,s]vices1 ! 
,ag5cy = ,heal?c>e ,rese>* & ,quality1 !
 ,c5t]s = ,disease ,control &           
,prev5tion1 ! ,c5t]s = ,m$ic>e  ,m$icaid
 ,s]vices1 ! ,food & ,drug              
,adm9i/ration1 ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 & ! ,sub/ance   
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration to enable ! ,unit$ ,/ates 
& ,/ate dep>tm5ts ( public heal? to     
bett] combat disp>ities t h em]g$ dur+ !
 ,,covid-#ai crisis & beyond1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,r$uc+ ,,covid-#ai         

,disp>ities by ,inve/+ 9 ,public ,heal? 
,act4  #b4 ,f9d+s ,! ,congress f9ds !   
foll[+3 7#a7 ,fund+ "u ?is ,act is      
ess5tial to core ef=ts at ! ,dep>tm5t ( 
,heal? & ,human ,s]vices & 9 local &    
,/ate heal? dep>tm5ts to prev5t &       
control ! spread ( *ronic disease &     
conditions4 ,! ,national ,c5t] = ,*ronic
 ,disease ,prev5tion & ,heal? ,promotion
 works to raise aw>5ess ( heal?         
disp>ities fac$ by m9ority populations (
 ! ,unit$ ,/ates su* z ,am]ican         
,indians1 ,alaska ,natives1 ,asian      
,am]icans1 ,african ,am]icans1 ,lat9o   
,am]icans1 & ,native ,hawaiians or o!r  
,pacific ,isl&]s4 ,"o ( ! prim>y        
functions ( ! ,c5t] is to r$uce risk    
factors = gr\ps affect$ by heal?        
disp>ities4  7#b7 ,six 9 t5 ,am]icans   
live ) at lea/ "o *ronic disease1 l he>t
 disease & /roke1 canc]1 or diabetes4   
,^! & o!r *ronic diseases are ! lead+   
causes ( dea? & disability 9 ,am]ica4   
,specifically1 *ronic diseases are      
responsible = #g 9 #aj dea?s ea* ye>4   

,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion 7,,cdc71 individuals :o   
are at high risk = sev]e illness f      
,,covid-#ai are p ) *ronic lung disease 
or mod]ate to sev]e a/hma1 p ) s]i\s    
he>t conditions1 p :o are               
immunocompromis$--sometimes because (   
canc] or ,,hiv_/,,aids1 p ) diabetes1 p 
) liv] disease1 p ) sev]e obesity1 & p )
 *ronic kidney disease und]go+ dialysis4
  7#c7 ,accord+ to hospital data f !    
fir/ mon? ( ! ,,covid-#ai epidemic 9 !  
,unit$ ,/ates releas$ by ! ,,cdc1 r\ghly
 #a 9 #c p :o requir$ hospitalizations f
 ,,covid-#ai 7 ,african ,am]ican4 ,:ile 
#cc p]c5t ( total hospitaliz$ pati5ts   
are ,black1 ,african ,am]icans con/itute
 j #ac p]c5t ( ! entire ,am]ican        
population4 ,e>ly data releas$ by ,/ates
 & municipalities %[ t ,african         
,am]icans suff] high] mortality rates f 
,,covid-#ai4 ,socioeconomic factors     
fur!r contribute to racial disp>ities   
se5 9 bo? preval5ce ( *ronic conditions 
& exposure to ,,covid-#ai4 ,individuals 

9 l[-income communities & p ( color are 
m likely to h _m ( ! *ronic heal?       
conditions t h be5 id5tifi$ z risk      
factors = complications f ,,covid-#ai1  
yet suff] decreas$ access to c>e1       
comp\nd$ by a decreas$ likelihood (     
und]go+ appropriate treatm5t4  7#d7     
,accord+ to ! ,am]ican ,diabetes        
,association1 #ab4a p]c5t ( ,hispanic   
,am]icans1 #ab4g p]c5t ( ,african       
,am]icans1 #h p]c5t ( ,asian ,am]icans1 
& #ae4a p]c5t ( ,am]ican                
,indians_/,alaska ,natives h be5        
diagnos$ ) diabetes1 comp>$ to j #g4d   
p]c5t ( ,:ite ,am]icans4 ,! ,,cdc       
calculat$ t comp>$ to non-,hispanic     
,:ites1 ,hispanics are #dj p]c5t m      
likely to die f diabetes1 ,african      
,am]icans are twice z likely to die f   
diabetes1 & ,am]ican ,indians_/,alaska  
,natives are almo/ twice z likely to die
 f ! disease4  7#e7 ,accord+ to !       
,national ,in/itutes ( ,heal?1 ,african 
,am]icans are m ?an #cj p]c5t m likely  
to die f he>t disease1 are twice z      

likely to h a /roke--:i* t5ds to be m   
sev]e ) a high] morbidity & results 9   
high] mortality1 are #dj p]c5t m likely 
to h high blood pressure1 & h a high]   
rate ( hyp]t5sion & he>t failure ?an _! 
,:ite c\nt]p>ts4  7#f7 ,m9ority gr\ps   
suff] f a/hma at a disproportionate     
rate1 h ! highe/ numb] ( em]g5cy room   
visits & hospital /ays due to a/hma1 & h
 high] mortality rates f a/hma ?an _!   
,:ite c\nt]p>ts4 ,! preval5ce ( *ildhood
 a/hma = ,african ,am]icans is #ab4g    
p]c5t comp>$ to #h p]c5t = ,:ite        
,am]icans1 :ile mortality rates 9 *ildr5
 & adults are eightfold & ?reefold      
high]1 respectively1 = ,african         
,am]icans comp>$ to ,:ite ,am]icans4    
7#g7 ,presid5t ,trump has consi/5tly    
propos$ budgets t w\ld cut ! ,*ronic    
,disease ,prev5tion & ,heal? ,promotion 
,fund4 ,9 fiscal ye> #bjba1 ! ,presid5t 
propos$ to consolidate ! ,,cdc's prim>y 
*ronic disease prev5tion activities1    
includ+ tobacco1 diabetes1 he>t disease1
 & /roke1 & nutrition & physical        

activity1 into a s+le block grant to    
,/ates1 :ile propos+ a #dbg1jjj1jjj cut 
to ! acc\nt4 ,9 fiscal ye> #bjbj1 !     
,presid5t propos$ a #bcf1ejj1jjj cut to 
! acc\nt4 ,9 fiscal ye> #bjai1 !        
,presid5t propos$ a #ach1cjj1jjj cut to 
! acc\nt4 ,9 fiscal ye> #bjah1 !        
,presid5t propos$ a #bbb1cjj1jjj cut to 
! acc\nt4  7#h7 ,cuts to ?is ,fund & o!r
 public heal? prev5tion ef=ts und]m9e   
ef=ts to create an af=dable & accessible
 heal? c>e sy/em1 & a bett] quality (   
life = ,am]icans ( all e?nic1 racial1 & 
socioeconomic backgr\nds4 ,cuts to ?is  
,fund w\ld also exac]bate exi/+         
disp>ities & und]ly+ heal? conditions t 
h creat$ seem+ly va/ disp>ities 9       
hospitalization & mortality rates due to
 ,,covid-#ai4  7#i7 ,prev5tion ef=ts h  
prov5 to be effective4 ,fund+ increases 
= community-bas$ public heal? programs  
r$uce prev5table disease caus$ by       
diabetes1 canc]1 & c>diovascul> disease4
 ,improv$ access to int]v5tion1         
treatm5t1 & af=dable c>e is also prov5  

to mitigate ! developm5t ( associat$    
*ronic diseases & mortality rates4      
7#aj7 ,increas+ ! ,*ronic ,disease      
,prev5tion & ,heal? ,promotion ,fund    
fund+ to #b1djj1jjj1jjj annually w all[ 
! ,fund to inve/ 9 m innovative1        
evid5ce-bas$ public heal? programs1     
ma9ta9 & exp& inve/m5ts 9 programs )    
demon/rat$ success1 & help r$uce racial 
heal? disp>ities & rates ( *ronic       
disease t c put p]sons ( color at great]
 risk ( hospitalization or dea? f       
,,covid-#ai4  7#aa7 ,fur!r1 ! ,(fice (  
,m9ority ,heal? 9 ! ,(fice ( ! ,secret>y
 ( ,heal? & ,human ,s]vices 7e/abli%$ by
 section #agjg ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f77 0
 design$ = ! purpose ( improv+ m9ority  
heal? & ! quality ( heal? c>e m9orities 
receive1 & elim9at+ racial & e?nic      
disp>ities4 ,! ,(fice ( ,m9ority ,heal? 
& ,heal? ,equity at ! ,,cdc s]ves to    
decrease heal? disp>ities1 address      
social det]m9ants ( heal?1 & promote    
access to high-quality prev5tative heal?

 c>e4 ,! ,(fice ( ,m9ority ,heal? &     
,heal? ,equity at ! ,food & ,drug       
,adm9i/ration promotes & protects !     
heal? ( div]se populations ?r\gh rese>* 
& communication ( sci5ce t addresses    
heal? disp>ities4 ,! ,national ,in/itute
 on ,m9ority ,heal? & ,heal? ,disp>ities
 leads sci5tific rese>* t advances      
und]/&+ ( m9ority heal? & heal?         
disp>ities4  7#ab7 ,increas+ fund+ = ^! 
& o!r critical heal? programs w enable !
 ,unit$ ,/ates & ,/ate dep>tm5ts (      
public heal? to bett] combat disp>ities 
t h em]g$ dur+ ! ,,covid-#ai crisis &   
beyond4  #c4 ,r$uc+ ,,covid-#ai         
disp>ities by inve/+ 9 public heal?  7a7
 ,*ronic ,disease ,prev5tion & ,heal?   
,promotion ,!re is au?oriz$ to be       
appropriat$1 & !re is h]eby appropriat$1
 out ( any money 9 ! ,treasury n o!rwise
 appropriat$1 = ,c5t]s = ,disease       
,control & ,prev5tion--,*ronic ,disease 
,prev5tion & ,heal? ,promotion1 = fiscal
 ye> #bjbj & ea* subsequ5t fiscal ye>1  
#b1djj1jjj1jjj4  7b7 ,national ,in/itute

 on ,m9ority ,heal? & ,heal? ,disp>ities
 ,!re is au?oriz$ to be appropriat$1 &  
!re is h]eby appropriat$1 out ( any     
money 9 ! ,treasury n o!rwise           
appropriat$1 to ! ,national ,in/itute on
 ,m9ority ,heal? & ,heal? ,disp>ities1 =
 fiscal ye> #bjbj & ea* subsequ5t fiscal
 ye>1 #fgb1jjj1jjj4  7c7 ,(fice (       
,m9ority ,heal? ,!re is au?oriz$ to be  
appropriat$1 & !re is h]eby appropriat$1
 out ( any money 9 ! ,treasury n o!rwise
 appropriat$1 to ! ,(fice ( ,m9ority    
,heal? 9 ! ,(fice ( ! ,secret>y ( ,heal?
 & ,human ,s]vices 7e/abli%$ by section 
#agjg ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjju-#f771 = fiscal ye> 
#bjba & ea* subsequ5t fiscal ye>1 !     
am\nt t is twice ! am\nt ( funds made   
available to su* ,(fice ( ,m9ority      
,heal? = fiscal ye> #bjbj4  7d7 ,o!r    
,(fices ( ,m9ority ,heal? )9 ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices ,!re is     
au?oriz$ to be appropriat$1 & !re is    
h]eby appropriat$1 out ( any money 9 !  
,treasury n o!rwise appropriat$1 to !   

,(fice ( ,m9ority ,heal? ( ! ,ag5cy =   
,heal?c>e ,rese>* & ,quality1 ! ,(fice (
 ,m9ority ,heal? ( ! ,c5t]s = ,disease  
,control & ,prev5tion1 ! ,(fice (       
,m9ority ,heal? ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices1 ! ,(fice ( ,m9ority  
,heal? ( ! ,food & ,drug ,adm9i/ration1 
! ,(fice ( ,m9ority ,heal? ( ! ,heal?   
,res\rces & ,s]vices ,adm9i/ration1 & ! 
,(fice ( ,m9ority ,heal? ( ,sub/ance    
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration 7z e/abli%$ pursuant to   
section #agjg;,a ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#cjju-#f;a771 = fiscal ye> #bjba & ea*  
subsequ5t fiscal ye>1 ! am\nt t is twice
 ! am\nt ( funds made available to !    
respective ,(fice ( ,m9ority ,heal? =   
fiscal ye> #bjbj4