,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hagh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #d1         
#bjbj,ms4 ,pressley 7= h]self & ,ms4    
,lee ( ,cali=nia7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,public ,heal? ,s]vice ,act to provide 
= public heal? rese>* & inve/m5t into   
und]/&+ & elim9at+ /ructural racism &   
police viol5ce4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,anti-,racism 9    
,public ,heal? ,act ( #bjbj4  #b4 ,f9d+s
 ,congress makes ! foll[+ f9d+s3 7#a7 ,=
 c5turies1 /ructural racism1 def9$ by ! 
,national ,museum ( ,african ,am]ican   
,hi/ory & ,culture z an ov]>*+ sy/em (  
racial bias across in/itutions &        
society1 9 ! ,unit$ ,/ates has          
negatively affect$ communities ( color1 
especially ,black1 ,lat9x1 ,asian       
,am]ican1 ,pacific ,isl&]1 & ,am]ican   
,indian & ,alaska ,native p1 to exp& &  
re9=ce :ite supremacy4  7#b7 ,/ructural 
racism det]m9es ! conditions 9 :i* p are

 born1 gr[1 "w1 live1 & age & det]m9e   
p's access to quality h\s+1 education1  
food1 transportation1 & political p[]1 &
 o!r social det]m9ants ( heal?4  7#c7   
,/ructural racism s]ves z a major b>ri] 
to a*iev+ heal? equity & elim9at+ racial
 & e?nic inequities 9 heal? outcomes t  
exi/ at al>m+ rates & are det]m9$ by a  
wid] set ( =ces & sy/ems4  7#d7 ,due to 
/ructural racism 9 ! ,unit$ ,/ates1 p ( 
color are m likely to suff] f *ronic    
heal? conditions 7su* z he>t disease1   
diabetes1 a/hma1 hepatitis1 &           
hyp]t5sion7 & infecti\s diseases 7su* z 
,,hiv_/,,aids1 & ,,covid-#ai7 comp>$ to 
_! :ite c\nt]p>ts4  7#e7 ,due to        
/ructural racism 9 mat]nal heal? c>e 9 !
 ,unit$ ,/ates1 ,black & ,am]ican       
,indian & ,alaska ,native infants are m 
?an twice z likely to die ?an :ite      
infants1 ,black wom5 are #c to #d times 
m likely to die f pregnancy-relat$      
causes ?an :ite wom51 & ,am]ican ,indian
 & ,alaska ,native wom5 are #e times m  
likely to die f pregnancy-relat$ causes 

?an :ite wom54 ,?is tr5d p]si/s ev5 :5  
adju/+ = income & education4  7#f7 ,due 
to /ructural racism 9 ! ,unit$ ,/ates1  
,non-,hispanic ,black wom5 h ! highe/   
rates = #bb ( #be sev]e morbidity       
indicators us$ by ! ,c5t] = ,disease    
,control & ,prev5tion 7,,cdc74  7#g7    
,due to /ructural racism 9 ! ,unit$     
,/ates1 p ( color comprise a            
disproportionate p]c5tage ( p]sons )    
disabilities 9 ! ,unit$ ,/ates4  7#h7   
,due to /ructural racism 9 ! ,unit$     
,/ates1 ,black m5 are up to ?ree & a    
half times z likely to be kill$ by      
police z :ite m51 & #a 9 e #a1jjj ,black
 m5 w die z a result ( police viol5ce4  
,polic+ has adv]se effects on m5tal     
heal? 9 ,black communities4  7#i7 ,due  
to ! conflu5ce ( /ructural racism &     
factors su* z g5d]1 class1 & sexual     
ori5tation or g5d] id5tity1 commonly    
ref]r$ to z int]sectionality1 ,black &  
,lat9x transg5d] wom5 are m likely to   
die due to viol5ce & homicide ?an _!    
:ite c\nt]p>ts4  7#aj7 ,due to /ructural

 racism1 inequitable access to quality  
heal? c>e & longt]m s]vices & supports  
also disproportionately burd5s          
communities ( color2 p ( color &        
immigrants are less likely to be insur$ 
& are m likely to live 9 m$ically       
und]s]v$ areas4  7#aa7 ,due to /ructural
 racism1 old] adults ( color are also m 
likely to be admitt$ to nurs+ homes &   
assi/$ liv+ facilities & to reside 9 ^? 
( poor quality1 & :5 old] adults ( color
 d receive home & community bas$        
s]vices1 ,m$icaid sp5ds less money on _!
 s]vices & !y are m likely to be        
hospitaliz$ ?an old] :ite adults4  7#ab7
 ,9 addition1 ! ,f$]al ,gov]nm5t's      
failure to honor ! unique political     
/atus ( ,am]ican ,indian & ,alaska      
,native p1 to respect ! inh]5t          
sov]eignty ( ,tribal ,nations1 & to     
uphold its tru/ & treaty obligations to 
,tribal ,nations & ,am]ican ,indian &   
,alaska ,native p1 is an ongo+ & unju/  
manife/ation ( c5turies ( oppression1 ) 
! consequ5ce ( adv]se heal? outcomes =  

,native peoples4  7#ac7 ,! ,,covid-#ai  
p&emic has expos$ ! deva/at+ impact (   
/ructural racism on ! ,unit$ ,/ates'    
ability to ensure equitable heal?       
outcomes = p ( color1 & made ^!         
communities m likely to suff] f sev]e   
outcomes due to ! coronavirus infection4
  7#ad7 ,racial & e?nic inequity 9      
public heal? is a result ( sy/ematic1   
p]sonally m$iat$1 & int]naliz$ racism & 
raci/ public & private policies &       
practices1 & dismantl+ /ructural racism 
is integral to address+ public heal?4   
#c4 ,def9itions ,9 ?is ,act3 7#a7       
,antiracism ,! t]m antiracism is a      
collection ( antiraci/ policies t lead  
to racial equity1 & are sub/antiat$ by  
antiraci/ ideas4  7#b7 ,antiraci/ ,! t]m
 antiraci/ is any measure t produces or 
su/a9s racial equity betwe5 racial      
gr\ps4  #d4 ,public heal? rese>* &      
inve/m5t 9 dismantl+ /ructural racism   
,"p ,b ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bdc et     
seq47 is am5d$ by add+ at ! end !       

foll[+3  #cbj;,b4 ,national c5t] on     
,antiracism & ,heal?  7a7 ,9 g5]al  7#a7
 ,national c5t] ,!re is e/abli%$ )9 !   
,c5t]s = ,disease ,control & ,prev5tion 
a c5t] to be kn[n z ! ,national ,c5t] on
 ,antiracism & ,heal? 7ref]r$ to 9 ?is  
section z ! ,c5t]74 ,! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion 
%all appo9t a director to head ! ,c5t]  
:o has exp]i5ce liv+ 9 & work+ ) racial 
& e?nic m9ority communities4 ,! ,c5t]   
%all promote public heal? by-- 7,a7     
decl>+ racism a public heal? crisis &   
nam+ racism z an hi/orical & pres5t     
?reat to ! physical & m5tal heal? &     
well-be+ ( ! ,unit$ ,/ates & _w2  7,b7  
aim+ to develop new k 9 ! sci5ce &      
practice ( antiracism1 includ+ by       
id5tify+ ! me*anisms by :i* racism      
op]ates 9 ! provision ( heal? c>e & 9   
sy/ems t impact heal? & well-be+2  7,c7 
transf]r+ t k into practice1 includ+ by 
develop+ int]v5tions t dismantle !      
me*anisms ( racism & replace su*        
me*anisms ) equitable /ructures1        

policies1 practices1 norms1 & values s t
 a heal?y society c be realiz$2 &  7,d7 
contribut+ to a national & global       
conv]sation reg>d+ ! impacts ( racism on
 ! heal? & well-be+ ( ! ,unit$ ,/ates & 
_w4  7#b7 ,g5]al duties ,! ,secret>y1   
act+ ?r\gh ! ,c5t]1 %all und]take       
activities to c>ry out ! mission ( !    
,c5t] z describ$ 9 p>agraph 7#a71 su* z 
! foll[+3 7,a7 ,conduct rese>* into1    
collect1 analyze & make publicly        
available data on1 & provide lead]%ip & 
coord9ation = ! sci5ce & practice (     
antiracism1 ! public heal? impacts (    
/ructural racism1 & ! effectiv5ess (    
int]v5tion /rategies to address ^!      
impacts4 ,topics ( rese>* & data        
collection "u ?is subp>agraph may       
include id5tify+ & und]/&+-- 7i7        
policies & practices t h a disp>ate     
impact on ! heal? & well-be+ (          
communities ( color2  7ii7 ! public     
heal? impacts ( implicit racial bias1   
:ite supremacy1 wea!r+1 x5ophobia1      
discrim9ation1 & prejudice2  7iii7 !    

social det]m9ants ( heal? result+ f     
/ructural racism1 includ+ pov]ty1 h\s+1 
employm5t1 political p>ticipation1 &    
environm5tal factors2 &  7iv7 !         
int]section ( racism & o!r sy/ems (     
oppression1 includ+ z relat$ to age1    
sexual ori5tation1 g5d] id5tity1 &      
disability /atus4  7,b7 ,aw>d           
noncompetitive grants & coop]ative      
agreem5ts to eligible public & nonpr(it 
private entities1 includ+ ,/ate1 local1 
t]ritorial1 & ,tribal heal? ag5cies &   
organizations1 = ! rese>* & collection1 
analysis1 & report+ ( data on ! topics  
describ$ 9 subp>agraph 7,a74  7,c7      
,e/abli%1 ?r\gh grants or coop]ative    
agreem5ts1 at lea/ #c regional c5t]s (  
excell5ce1 locat$ 9 racial & e?nic      
m9ority communities1 9 antiracism = !   
purpose ( develop+ new k 9 ! sci5ce &   
practice ( antiracism 9 heal? by        
rese>*+1 und]/&+1 & id5tify+ ! me*anisms
 by :i* racism op]ates 9 ! heal? space1 
racial & e?nic inequities 9 heal? c>e   
access & outcomes1 ! hi/ory ( successful

 antiraci/ movem5ts 9 heal?1 & o!r      
antiraci/ public heal? "w4  7,d7        
,e/abli% a cle>+h\se )9 ! ,c5t]s =      
,disease ,control & ,prev5tion = !      
collection & /orage ( data g5]at$ "u !  
programs implem5t$ "u ?is section = :i* 
!re is n an o!rwise exi/+ surveillance  
sy/em at ! ,c5t]s = ,disease ,control & 
,prev5tion4 ,su* data %all-- 7i7 be     
compreh5sive & disaggregat$1 to ! ext5t 
practicable1 by includ+ racial1 e?nic1  
prim>y language1 sex1 g5d] id5tity1     
sexual ori5tation1 age1 socioeconomic   
/atus1 & disability disp>ities2  7ii7 be
 made publicly available2  7iii7 protect
 ! privacy ( individuals ^: in=mation is
 includ$ 9 su* data2 &  7iv7 comply )   
privacy protections "u ! regulations    
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif4  7,e7      
,provide in=mation & education to !     
public on ! public heal? impacts (      
/ructural racism & on antiraci/ public  
heal? int]v5tions4  7,f7 ,consult ) o!r 

,c5t]s & ,national ,in/itutes )9 !      
,c5t]s = ,disease ,control & ,prev5tion1
 includ+ ! ,(fice ( ,m9ority ,heal? &   
,heal? ,equity & ! ,c5t] = ,/ate1       
,tribal1 ,local1 & ,t]ritorial ,support1
 to ensure t sci5tific & programmatic   
activities initiat$ by ! ag5cy consid]  
/ructural racism 9 _! designs1          
conceptualizations1 & executions1 :i*   
%all include-- 7i7 putt+ measures (     
racism 9 population-bas$ surveys2  7ii7 
e/abli%+ a ,f$]al ,advisory ,committee  
on racism & heal? = ! ,c5t]s = ,disease 
,control & ,prev5tion2  7iii7 develop+  
tra9+ programs1 curricula1 & sem9>s = ! 
purposes ( tra9+ public heal?           
pr(essionals & rese>*]s ar\nd issues (  
race1 racism1 & antiracism2  7iv7       
provid+ /&>ds & be/ practices =         
programm+ & grant recipi5t compliance ) 
,f$]al data collection /&>ds1 includ+   
section #dcjb ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act2 &  7v7 e/abli%+    
lead]%ip & /akehold] c\ncils ) exp]ts & 
lead]s 9 racism & public heal?          

disp>ities4  7,g7 ,coord9ate ) ! ,indian
 ,heal? ,s]vice & ) ! ,c5t]s = ,disease 
,control & ,prev5tion's ,tribal         
,advisory ,committee to ensure mean+ful 
,tribal consultation1 ! ga!r+ (         
in=mation f ,tribal au?orities1 &       
respect = ,tribal data sov]eignty4  7,h7
 ,engage 9 gov]nm5t to gov]nm5t         
consultation ) ,indian ,tribes & ,tribal
 organizations4  7,i7 ,at lea/ e #b     
ye>s1 produce & publicly po/ on ! ,c5t]s
 = ,disease ,control & ,prev5tion's     
website a report on antiraci/ activities
 complet$ by ! ,c5t]1 :i* may include   
newly id5tifi$ antiraci/ public heal?   
practices4  7b7 ,au?orization (         
appropriations ,!re is au?oriz$ to be   
appropriat$ su* sums z may be necess>y  
to c>ry out ?is section4  4  #e4 ,public
 heal? rese>* & inve/m5t 9 police       
viol5ce  7a7 ,9 g5]al ,! ,secret>y (    
,heal? & ,human ,s]vices %all e/abli% )9
 ! ,national ,c5t] = ,injury ,prev5tion 
& ,control ( ! ,c5t]s = ,disease        
,control & ,prev5tion 7ref]r$ to 9 ?is  

section z ! ,c5t]7 a law en=cem5t       
viol5ce prev5tion program4  7b7 ,g5]al  
duties ,9 implem5t+ ! program "u        
subsection 7a71 ! ,c5t] %all conduct    
rese>* into1 & provide lead]%ip &       
coord9ation =-- 7#a7 ! und]/&+ &        
promotion ( k ab\t ! public heal?       
impacts ( uses ( =ce by law en=cem5t1   
includ+ police brutality & viol5ce2     
7#b7 develop+ public heal? int]v5tions &
 p]spectives = elim9at+ dea?s1 injury1  
trauma1 & negative m5tal heal? effects f
 police pres5ce & int]actions1 includ+  
police brutality & viol5ce2 &  7#c7     
ensur+ compreh5sive data collection1    
analysis1 & report+ reg>d+ police       
viol5ce & misconduct 9 consultation ) ! 
,dep>tm5t ( ,ju/ice & indep5d5t         
rese>*]s4  7c7 ,functions ,"u ! program 
"u subsection 7a71 ! ,c5t] %all-- 7#a7  
summ>ize & enhance ! k ( ! di/ribution1 
/atus1 & *>act]i/ics ( law              
en=cem5t-relat$ dea?1 trauma1 & injury2 
7#b7 conduct rese>* & prep>e1 ) !       
assi/ance ( ,/ate public heal?          

dep>tm5ts-- 7,a7 /ati/ics on law        
en=cem5t-relat$ dea?1 injury1 &         
brutality2  7,b7 /udies ( ! factors1    
includ+ legal1 socioeconomic1           
discrim9ation1 & o!r factors t correlate
 ) or influ5ce police brutality2  7,c7  
public in=mation ab\t uses ( =ce by law 
en=cem5t1 includ+ police brutality &    
viol5ce1 = ! practical use ( ! public   
heal? community1 includ+ publications t 
syn!size in=mation relevant to !        
national goal ( und]/&+ police viol5ce &
 me?ods = its control2  7,d7 in=mation  
to id5tify socioeconomic gr\ps1         
communities1 & geographic areas 9 ne$ ( 
/udy1 & a /rategic plan = rese>*        
necess>y to compreh5d ! ext5t & nature (
 police uses ( =ce by law en=cem5t1     
includ+ police brutality & viol5ce1 &   
det]m9e :at options exi/ to r$uce or    
eradicate dea? & injury t result2 &     
7,e7 be/ practices 9 police viol5ce     
prev5tion 9 o!r c\ntries2  7#c7 aw>d    
grants1 contracts1 & coop]ative         
agreem5ts to provide = ! conduct (      

epidemiologic rese>* on uses ( =ce by   
law en=cem5t1 includ+ police brutality &
 viol5ce1 by ,f$]al1 ,/ate1 local1 &    
private ag5cies1 in/itutions1           
organizations1 & individuals2  7#d7 aw>d
 grants1 contracts1 & coop]ative        
agreem5ts to community gr\ps1 indep5d5t 
rese>* organizations1 academic          
in/itutions1 & o!r entities to support1 
execute1 or conduct rese>* on           
int]v5tions to r$uce or elim9ate uses ( 
=ce by law en=cem5t1 includ+ police     
brutality & viol5ce2  7#e7 coord9ate ) !
 ,dep>tm5t ( ,ju/ice1 & o!r ,f$]al1     
,/ate1 & local ag5cies on ! /&>dization 
( data collection1 /orage1 & retrieval  
necess>y to collect1 evaluate1 analyze1 
& dissem9ate in=mation ab\t ! ext5t &   
nature ( uses ( =ce by law en=cem5t1    
includ+ police brutality & viol5ce1 z   
well z options = ! eradication ( su*    
practices2  7#f7 submit an annual report
 to ,congress on rese>* f9d+s )         
recomm5dations to improve data          
collection & /&>dization & to disrupt   

processes 9 polic+ t pres]ve & re9=ce   
racism & racial disp>ities 9 public     
heal?2  7#g7 conduct prim>y rese>* &    
explore uses ( =ce by law en=cem5t1     
includ+ police brutality & viol5ce1 &   
options = its control2 &  7#h7 /udy     
alt]natives to law en=cem5t response z a
 me?od ( r$uc+ police viol5ce4  7d7     
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$1 su* sums z  
may be necess>y to c>ry out ?is section4