,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hdcf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #bi1 #bjbj,mr4 ,s*iff 7= himself1 ,ms4 ,bass1 ,mr4 ,grijalva1 ,mr4 ,coop]1 ,mrs4 ,hayes1 ,mr4 ,khanna1 ,ms4 ,scanlon1 ,ms4 ,norton1 & ,ms4 ,lee ( ,cali=nia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to prohibit discrim9ation 9 heal? c>e & require ! provision ( equitable heal? c>e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,equal ,heal? ,c>e = ,all ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,9 #aiff1 ,m>t9 ,lu!r ,k+1 ,jr41 said1 ,( all ! =ms ( inequality1 inju/ice 9 heal? c>e is ! mo/ %ock+ & inhuman because x (t5 results 9 physical dea?44 7#b7 ,inequality 9 heal? c>e rema9s a p]si/5t & deva/at+ reality = _m communities1 b1 9 p>ticul>1 communities ( color4 7#c7 ,unequal heal? c>e has complex causes1 _m /emm+ f sy/emic inequality 9 access to heal? c>e1 h\s+1 nutrition1 economic opportunity1 education1 & o!r factors4 7#d7 ,heal? c>e outcomes = ,african-,am]ican communities 9 p>ticul> lag f> beh9d ^? ( ! population z a :ole4 7#e7 ,dr4 ,an?ony ,fauci1 director ( ! ,national ,in/itute ( ,all]gy & ,infecti\s ,diseases1 said on ,april #g1 #bjbj1 ! coronavirus outbreak is %9+ a bright light on unacceptable heal? disp>ities 9 ! ,african-,am]ican community4 7#f7 ,a contribut+ factor 9 heal? disp>ities is explicit & implicit bias 9 ! deliv]y ( heal? c>e1 result+ 9 inf]ior c>e & poor] outcomes = "s pati5ts on ! basis ( race or e?nicity4 7#g7 ,! ,in/itute ( ,m$ic9e issu$ a report 9 #bjjb titl$ ,unequal ,treatm5t1 f9d+ t racial & e?nic m9orities receive l[]-quality heal? c>e ?an ,:ites d1 ev5 :5 insurance /atus1 income1 age1 & sev]ity ( condition is comp>able4 7#h7 ,j z ,congress has s\ght to elim9ate bias1 bo? explicit & implicit1 9 employm5t1 h\s+1 & o!r p>ts ( our society1 ! elim9ation ( bias & ! legacy ( /ructural racism 9 heal? c>e is ( p>am\nt importance4 #c4 ,data collection & report+ 7a7 ,requir$ report+ 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ,director ( ! ,national ,in/itutes ( ,heal?1 ! ,director ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 ! ,deputy ,assi/ant ,secret>y = ,m9ority ,heal?1 & ! ,director ( ! ,national ,c5t] = ,heal? ,/ati/ics1 %all by regulation require all heal? c>e provid]s & facilities t are requir$ "u o!r provisions ( law to report data on heal? outcomes to ! ,dep>tm5t ( ,heal? & ,human ,s]vices to disaggregate su* data by demographic *>act]i/ics1 includ+ by race1 e?nicity1 sex1 sexual ori5tation1 disability /atus1 g5d] id5tity1 age1 & any o!r factor t ! ,secret>y det]m9es w\ld be useful = det]m9+ a patt]n ( inequitable heal? c>e4 7#b7 ,propos$ regulations ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue propos$ regulations to c>ry out p>agraph 7#a74 7b7 ,repository ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 e/abli% a repository ( ! disaggregat$ data report$ pursuant to subsection 7a72 7#b7 subject to p>agraph 7#c71 make ! data 9 su* repository publicly available2 & 7#c7 ensure t su* repository does n conta9 any data t is individually id5tifiable4 #d4 ,requir+ equitable heal? c>e 9 ! hospital value-bas$ pur*as+ program 7a7 ,equitable heal? c>e z value measurem5t ,section #ahhf7;b77#c77;,b77viii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7b77#c77;,b77viii77 is am5d$ by add+ at ! end ! foll[+ new subclause3 7,,xiii7 7aa7 ,effective = paym5ts beg9n+ ) fiscal ye> #bjbb1 9 exp&+ ! numb] ( measures "u subclause 7,,iii71 ! ,secret>y %all adopt measures t relate to equitable heal? c>e furni%$ by hospitals 9 inpati5t sett+s4 7bb7 ,9 c>ry+ out ?is subclause1 ! ,secret>y %all solicit input & recomm5dations f individuals & gr\ps repres5t+ communities ( color & ensure measures adopt$ pursuant to ?is subclause acc\nt = social det]m9ants ( heal? c>e outcomes4 7cc7 ,= purposes ( ?is subclause1 ! t]m equitable heal? c>e ref]s to ! pr9ciple t quality ( c>e provid$ to an individual %all n v>y on acc\nt ( ! real or p]ceiv$ race1 e?nicity1 sex1 sexual ori5tation1 disability /atus1 g5d] id5tity1 or age ( su* individual4 4 7b7 ,inclusion ( equitable heal? c>e measures ,section #ahhf7o77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7o77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7iv7 ,inclusion ( equitable heal? c>e measures ,beg9n+ 9 fiscal ye> #bjba1 measures select$ "u subp>agraph 7,a7 %all include ! equitable heal? c>e measures describ$ "u subsection 7b77#c77;,b77viii77,,xiii74 4 #e4 ,provision ( inequitable heal? c>e z a basis = p]missive exclusion f ,m$ic>e & ,/ate heal? c>e programs ,section #aabh7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ah7 ,provision ( inequitable heal? c>e ,any individual or entity t ! ,secret>y det]m9es has engag$ 9 a patt]n ( provid+ inequitable heal? c>e 7z def9$ 9 section #g ( ! ,equality 9 ,heal? ,c>e = ,all ,act7 on ! basis ( race1 e?nicity1 sex1 sexual ori5tation1 disability /atus1 g5d] id5tity1 age1 or any o!r protect$ class4 4 #f4 ,(fice ( ,civil ,rights & ,heal? ,equity ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7a7 ,"n ( (fice ,! ,(fice = ,civil ,rights ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all1 beg9n+ on ! date ( enactm5t ( ?is ,act1 be kn[n z ! ,(fice ( ,civil ,rights & ,heal? ,equity4 ,any ref]5ce to ! ,(fice = ,civil ,rights 9 any law1 regulation1 map1 docum5t1 record1 or o!r pap] ( ! ,unit$ ,/ates %all be deem$ to be a ref]5ce to ! ,(fice ( ,civil ,rights & ,heal? ,equity4 7b7 ,head ( (fice ,! head ( ! ,(fice ( ,civil ,rights & ,heal? ,equity %all be ! ,assi/ant ,secret>y = ,civil ,rights & ,heal? ,equity1 to be appo9t$ by ! ,presid5t ) advice & cons5t ( ! ,s5ate4 ,any ref]5ce to ! head ( ! ,(fice = ,civil ,rights ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 9 any law1 regulation1 map1 docum5t1 record1 or o!r pap] ( ! ,unit$ ,/ates %all be deem$ to be a ref]5ce to ! ,assi/ant ,secret>y = ,civil ,rights & ,heal? ,equity4 #g4 ,prohibit+ discrim9ation 9 heal? c>e 7a7 ,9 g5]al ,no heal? c>e provid] or entity provid+ heal? c>e may1 on ! basis ( race1 e?nicity1 sex1 sexual ori5tation1 disability /atus1 g5d] id5tity1 age1 subject ano!r to inequitable heal? c>e4 7b7 ,def9ition ,9 ?is section1 ! t]m inequitable heal? c>e means any s]vice provid$ by a heal? c>e provid] or entity provid+ heal? c>e t-- 7#a7 is discrim9atory 9 int5t or effect2 & 7#b7 results 9 a disp>ate outcome = an individual bas$ at lea/ 9 "p on _! memb]%ip 9 a protect$ class4 #h4 ,adm9i/rative compla9t & conciliation process 7a7 ,compla9ts & answ]s 7#a7 ,9 g5]al ,an aggriev$ p]son may1 n lat] ?an "o ye> aft] an alleg$ violation ( section #g has occurr$ or t]m9at$1 file a compla9t ) ! ,assi/ant ,secret>y alleg+ discrim9atory heal? c>e by a heal? c>e provid]4 7#b7 ,compla9t ,a compla9t submitt$ pursuant to p>agraph 7#a7 %all be 9 writ+ & %all conta9 su* in=mation & be 9 su* =m z ! ,assi/ant ,secret>y requires4 7#c7 ,proc$ure ,^u ! fil+ ( su* a compla9t-- 7,a7 ! ,assi/ant ,secret>y %all s]ve notice ^u ! aggriev$ p]son ackn[l$g+ receipt ( su* fil+ & advis+ ! aggriev$ p]son ( ! "t limits & proc$ures provid$ "u ?is section & sections #i & #aj2 7,b7 ! ,assi/ant ,secret>y %all1 n lat] ?an #aj days aft] receipt ( su* fil+ s]ve on ! respond5t alleg$ to h provid$ discrim9atory c>e a notice ( ! compla9t & advise ! provid] ( ! proc$ural rights & obligations ( respond5ts "u ?is section & sections #i & #aj1 toge!r ) a copy ( ! orig9al compla9t2 7,c7 a respond5t may file1 n lat] ?an #cj days aft] receipt ( notice f ! ,assi/ant ,secret>y1 an answ] to su* compla9t2 7,d7 ! ,assi/ant ,secret>y %all make an inve/igation ( ! alleg$ discrim9atory heal? c>e practice & complete su* inve/igation )9 #ajj days aft] ! fil+ ( ! compla9t1 unless x is impracticable to d s2 & 7,e7 ! ,assi/ant ,secret>y %all notify ,/ate lic5s+ au?orities ) au?ority ov] ! respond5t ( ! compla9t & provide a copy ( ! compla9t & ! f9al disposition ( ! compla9t4 7#d7 ,inve/igation ,if ! ,assi/ant ,secret>y is unable to complete ! inve/igation )9 #ajj days aft] ! fil+ ( ! compla9t 7or1 :5 ! ,secret>y takes fur!r action "u subsection 7f77#b7 ) respect to a compla9t1 )9 #ajj days aft] ! comm5cem5t ( su* fur!r action71 ! ,assi/ant ,secret>y %all notify ! compla9ant & respond5t 9 writ+ ( ! reasons = n do+ s4 7#e7 ,oa? or affirmation ,compla9ts & answ]s %all be "u oa? or affirmation1 & may be reasonably & fairly modifi$ at any "t4 7#f7 ,patt]n ( c>e ,9 ! c\rse ( inve/igat+ a compla9t1 ! ,assi/ant ,secret>y may seek records ( c>e provid$ to pati5ts o!r ?an ! compla9ant if necess>y to demon/rate or disprove an allegation ( inequitable heal? c>e4 7#g7 ,acc\nt+ = social det]m9ants ( heal? ,9 inve/igat+ a compla9t & rea*+ a det]m9ation1 ! ,assi/ant ,secret>y %all acc\nt = social det]m9ants ( heal? & _! effect on heal? c>e outcomes4 7b7 ,inve/igative report & conciliation 7#a7 ,conciliation ,dur+ ! p]iod beg9n+ ) ! fil+ ( su* compla9t & end+ ) ! resolution ( a compla9t or a dismissal by ! ,assi/ant ,secret>y1 ! ,assi/ant ,secret>y %all1 to ! ext5t feasible1 engage 9 conciliation ) respect to su* compla9t4 7#b7 ,conciliation agreem5t ,a conciliation agreem5t aris+ out ( su* conciliation %all be an agreem5t betwe5 ! respond5t & ! compla9ant1 & %all be subject to approval by ! ,assi/ant ,secret>y4 7#c7 ,rights protect$ ,! ,assi/ant ,secret>y %all approve a conciliation agreem5t only if x protects ! rights ( ! aggriev$ p]son & o!r p]sons simil>ly situat$4 7#d7 ,publicly available 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 a r$act$ copy ( a conciliation agreem5t ent]$ into pursuant to ?is section %all be made available to ! public unless ! compla9ant & respond5t o!rwise agree1 & ! ,secret>y det]m9es1 t disclosure is n requir$ to fur!r ! purposes ( ?is section4 7,b7 ,limitation ,a conciliation agreem5t t is made available to ! public pursuant to subp>agraph 7,a7 may n disclose p]sonally id5tifiable in=mation or individually id5tifiable heal? in=mation4 7#e7 ,report 7,a7 ,f9al report ,at ! end ( ea* inve/igation "u ?is section1 ! ,assi/ant ,secret>y %all prep>e a f9al inve/igative report4 7,b7 ,modification ( report ,a f9al report "u ?is p>agraph may be modifi$ if additional evid5ce is lat] discov]$4 7c7 ,failure ,to comply ) conciliation agreem5t ,:5ev] ! ,assi/ant ,secret>y has reasonable cause to believe t a heal? c>e provid] has brea*$ a conciliation agreem5t1 ! ,assi/ant ,secret>y %all ref] ! matt] to ! ,attorney ,g5]al = consid]ation ( ! fil+ ( a civil action = ! en=cem5t ( su* agreem5t4 7d7 ,prohibitions & requirem5ts ) respect to disclosure ( in=mation 7#a7 ,writt5 cons5t = disclosure ,no?+ said or done 9 ! c\rse ( conciliation "u ?is section may be made public or us$ z evid5ce 9 a subsequ5t proce$+ "u ?is section or section #i or #aj )\t ! writt5 cons5t ( ! p]sons conc]n$4 7#b7 ,inve/igation disclosures ,not)/&+ p>agraph 7#a71 ! ,assi/ant ,secret>y %all make available to ! aggriev$ p]son & ! respond5t1 at any "t1 ^u reque/ foll[+ completion ( ! ,assi/ant ,secret>y's inve/igation1 in=mation d]iv$ f an inve/igation & any f9al inve/igative report relat+ to t inve/igation4 7e7 ,prompt judicial action 7#a7 ,9 g5]al ,if ! ,assi/ant ,secret>y concludes at any "t foll[+ ! fil+ ( a compla9t t prompt judicial action is necess>y to c>ry out ! purposes ( ?is section or section #i or #aj1 ! ,assi/ant ,secret>y may recomm5d t ! ,attorney ,g5]al promptly comm5ce an action4 7#b7 ,imm$iate suit ,if ! ,assi/ant ,secret>y det]m9es t ! public int]e/ w\ld be s]v$ by all[+ ! compla9ant to br+ a civil action 9 a ,/ate or ,f$]al c\rt imm$iately1 ! ,assi/ant ,secret>y %all c]tify t ! adm9i/rative process has conclud$ & t ! compla9ant may file su* a suit imm$iately4 7f7 ,annual report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,assi/ant ,secret>y %all make publicly available a report detail+ ! activities ( ! ,(fice "u ?is section1 includ+-- 7#a7 ! numb] ( compla9ts fil$ & ! basis on :i* !y 7 fil$2 7#b7 ! numb] ( inve/igations und]tak5 z a result ( su* compla9ts2 & 7#c7 ! disposition ( all inve/igations4 7g7 ,def9itions ,9 ?is section & sections #i & #aj3 7#a7 ,assi/ant ,secret>y ,! t]m ,assi/ant ,secret>y ref]s to ! ,assi/ant ,secret>y ( ,heal? & ,human ,s]vices = ,civil ,rights & ,heal? ,equity4 7#b7 ,aggriev$ p]son ,! t]m aggriev$ p]son means a p]son :o believes t !y 7 injur$ by a violation ( section #g1 or ! p]sonal repres5tative or e/ate ( ! deceas$ p]son4 7#c7 ,conciliation ,! t]m conciliation means ! attempt$ resolution ( issues rais$ by a compla9t1 or by ! inve/igation ( su* compla9t1 ?r\gh in=mal negotiations involv+ ! aggriev$ p]son1 ! respond5t1 & ! ,secret>y4 7#d7 ,conciliation agreem5t ,! t]m conciliation agreem5t means a writt5 agreem5t sett+ =? ! resolution ( ! issues 9 conciliation4 7#e7 ,individually id5tifiable heal? in=mation ,! t]m individually id5tifiable heal? in=mation means any in=mation1 includ+ demographic in=mation collect$ f an individual1 t-- 7,a7 is creat$ or receiv$ by a heal? c>e provid]1 heal? plan1 employ]1 or heal? c>e cle>+h\se2 & 7,b7 relates to ! pa/1 pres5t1 or future physical or m5tal heal? or condition ( an individual1 ! provision ( heal? c>e to an individual1 or ! pa/1 pres5t1 or future paym5t = ! provision ( heal? c>e to an individual1 &-- 7i7 id5tifies ! individual2 or 7ii7 ) respect to :i* !re is a reasonable basis to believe t ! in=mation c be us$ to id5tify ! individual4 7#f7 ,inequitable heal? c>e ,! t]m inequitable heal? c>e has ! mean+ giv5 ! t]m "u section #g4 7#g7 ,p]sonally id5tifiable in=mation ,! t]m p]sonally id5tifiable in=mation has ! mean+ giv5 su* t]m "u ! regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif4 7#h7 ,respond5t ,! t]m respond5t means ! p]son or o!r entity accus$ 9 a compla9t ( a violation ( section #g4 #i4 ,en=cem5t by private p]sons 7a7 ,9 g5]al 7#a7 ,civil action 7,a7 ,9 suit ,an aggriev$ p]son may comm5ce a civil action to obta9 appropriate relief ) respect to an alleg$ violation ( section #g or an en=cem5t action = brea* ( a conciliation agreem5t 9 an appropriate ,unit$ ,/ates di/rict c\rt or ,/ate c\rt-- 7i7 n lat] ?an #b ye>s aft] ! occurr5ce or t]m9ation ( ! alleg$ violation2 & 7ii7 n soon] ?an ! e>li] ( ! conclusion ( ! adm9i/rative process & #ahj days aft] ! alleg$ violation4 7,b7 ,/atute ( limitations ,! computation ( su* #b-ye> p]iod %all n include any "t dur+ :i* an adm9i/rative proce$+ "u section #h 0 p5d+ ) respect to a compla9t "u su* section4 7#b7 ,b>r+ suit ,if ! ,assi/ant ,secret>y has obta9$ a conciliation agreem5t ) ! cons5t ( an aggriev$ p]son1 no action may be fil$ "u ?is subsection by su* aggriev$ p]son ) respect to ! alleg$ violation ( section #g except = ! purpose ( en=c+ ! t]ms ( su* an agreem5t4 7b7 ,relief :i* may be grant$ 7#a7 ,9 g5]al ,9 a civil action "u subsection 7a71 if ! c\rt f9ds t a violation ( section #g or brea* ( a conciliation agreem5t has occurr$1 ! c\rt may aw>d to ! pla9tiff actual & punitive damages1 & may grant z relief1 z ! c\rt deems appropriate1 any p]man5t or tempor>y injunction1 tempor>y re/ra9+ ord]1 or o!r ord] 7includ+ an ord] enjo9+ ! def5dant f engag+ 9 su* practice or ord]+ su* affirmative action z may be appropriate74 7#b7 ,fees & co/s ,9 a civil action "u subsection 7a71 ! c\rt1 9 its discretion1 may all[ ! prevail+ p>ty1 o!r ?an ! ,unit$ ,/ates1 a reasonable attorney's fee & co/s4 ,! ,unit$ ,/ates %all be liable = su* fees & co/s to ! same ext5t z a private p]son4 7c7 ,int]v5tion by ,attorney ,g5]al ,^u timely application1 ! ,attorney ,g5]al may int]v5e 9 su* civil action1 if ! ,attorney ,g5]al c]tifies t ! case is ( g5]al public importance4 #aj4 ,en=cem5t by ! ,attorney ,g5]al 7a7 ,patt]n or practice cases ,:5ev] ! ,attorney ,g5]al has reasonable cause to believe t any p]son or entity is engag$ 9 a patt]n or practice t d5ies ! rights specifi$ 9 section #g & su* d5ial raises an issue ( g5]al public importance1 ! ,attorney ,g5]al may comm5ce a civil action 9 any appropriate ,unit$ ,/ates di/rict c\rt4 7b7 ,consultation ,! ,assi/ant ,secret>y may det]m9e1 bas$ on a patt]n ( compla9ts1 a patt]n ( violations1 a review ( data report$ by a heal? c>e provid]1 or any o!rs mean1 t !re is reasonable cause to believe a heal? c>e provid] is engag$ 9 a patt]n or practice t d5ies ! rights specifi$ 9 section #g4 ,if ! ,assi/ant ,secret>y makes su* a det]m9ation1 !y %all ref] _! f9d+s to ! ,attorney ,g5]al4 7c7 ,en=cem5t ( subpo5as ,! ,attorney ,g5]al1 on behalf ( ! ,assi/ant ,secret>y1 or o!r p>ty at ^: reque/ a subpo5a is issu$1 "u ?is section1 may en=ce su* subpo5a 9 appropriate proce$+s 9 ! ,unit$ ,/ates di/rict c\rt = ! di/rict 9 :i* ! p]son to :om ! subpo5a 0 address$ resides1 0 s]v$1 or transacts bus9ess4 7d7 ,relief :i* may be grant$ 9 civil actions "u subsections 7a7 & 7b7 7#a7 ,9 g5]al ,9 a civil action "u subsection 7a7 or 7b71 ! c\rt-- 7,a7 may aw>d su* prev5tive relief1 includ+ a p]man5t or tempor>y injunction1 re/ra9+ ord]1 or o!r ord] aga9/ ! p]son responsible = a violation ( section #g z is necess>y to assure ! full enjoym5t ( ! rights grant$ by ?is section & sections #h & #i2 7,b7 may aw>d su* o!r relief z ! c\rt deems appropriate1 includ+ monet>y damages to p]sons aggriev$2 & 7,c7 may1 to v9dicate ! public int]e/1 assess a civil p5alty aga9/ ! respond5t-- 7i7 9 an am\nt n exce$+ #ejj1jjj1 = a fir/ violation2 & 7ii7 9 an am\nt n exce$+ #a1jjj1jjj1 = any subsequ5t violation4 7#b7 ,fees & co/s ,9 a civil action "u ?is section1 ! c\rt1 9 its discretion1 may all[ ! prevail+ p>ty1 o!r ?an ! ,unit$ ,/ates1 a reasonable attorney's fee & co/s4 ,! ,unit$ ,/ates %all be liable = su* fees & co/s to ! ext5t provid$ by section #bdab ( title #bh1 ,unit$ ,/ates ,code4 7e7 ,int]v5tion 9 civil actions ,^u timely application1 any p]son may int]v5e 9 a civil action comm5c$ by ! ,attorney ,g5]al "u subsection 7a7 or 7b7 :i* involves an alleg$ violation ( section #g ) respect to :i* su* p]son is an aggriev$ p]son or a conciliation agreem5t to :i* su* p]son is a p>ty4 #aa4 ,f$]al ,heal? ,equity ,commission 7a7 ,e/abli%m5t ( ,commission 7#a7 ,9 g5]al ,!re is e/abli%$ ! ,f$]al ,heal? ,equity ,commission 7h]e9aft] 9 ?is section ref]r$ to z ! ,commission74 7#b7 ,memb]%ip ,! ,commission %all be compos$ ( #h memb]s4 ,n m ?an #d ( ! memb]s %all at any "o "t be ( ! same political p>ty4 ,memb]s %all h recogniz$ exp]tise 9 & p]sonal exp]i5ce ) racial & e?nic heal? disp>ities1 heal? c>e ne$s ( vuln]able & m>g9aliz$ populations1 & heal? equity z a vehicle = improv+ heal? /atus & heal? outcomes4 ,memb]s %all be appo9t$ to ! commission z foll[s3 7,a7 ,f\r memb]s ( ! ,commission %all be appo9t$ by ! ,presid5t4 7,b7 ,two memb]s ( ! ,commission %all be appo9t$ by ! ,presid5t pro tempore ( ! ,s5ate1 ^u ! recomm5dations ( ! majority lead] & ! m9ority lead] ( ! ,s5ate1 & ( ! memb]s appo9t$ pursuant to ?is subp>agraph n m ?an "o %all be appo9t$ f ! same political p>ty4 7,c7 ,two memb]s ( ! ,commission %all be appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives ^u ! recomm5dations ( ! majority lead] & ! m9ority lead] ( ! ,h\se ( ,repres5tatives1 & ( ! memb]s appo9t$ pursuant to ?is subp>agraph n m ?an "o %all be appo9t$ f ! same political p>ty4 7#c7 ,t]ms ,! t]m ( (fice ( ea* memb] ( ! ,commission %all be #f ye>s4 7#d7 ,*airp]son2 ,vice ,*airp]son 7,a7 ,*airp]son ,! ,presid5t %all1 ) ! concurr5ce ( a majority ( ! ,commission's memb]s1 designate a ,*airp]son f among ! ,commission's memb]s4 7,b7 ,vice ,*airp]son 7i7 ,designation ,! ,speak] ( ! ,h\se ( ,repres5tatives %all1 9 consultation ) ! majority lead] & ! m9ority lead] ( ! ,h\se ( ,repres5tatives & ) ! concurr5ce ( a majority ( ! ,commission's memb]s1 designate a ,vice ,*airp]son f among ! ,commission's memb]s4 ,! ,vice ,*airp]son may n be a memb] ( ! same political p>ty z ! ,*airp]son4 7ii7 ,duty ,! ,vice ,*airp]son %all act 9 place ( ! ,*airp]son 9 ! abs5ce ( ! ,*airp]son4 7#e7 ,removal ( memb]s ,! ,presid5t may remove a memb] ( ! ,commission only = neglect ( duty or malfeasance 9 (fice4 7#f7 ,quorum ,five memb]s ( ! ,commission con/itute a quorum ( ! ,commission4 7#g7 ,ex-(ficio memb]s ,9 addition to ! memb]s appo9t$ "u p>agraph 7#b71 ! ,commission %all h ! foll[+ nonvot+ ex (ficio memb]s3 7,a7 ,! ,assi/ant ,secret>y = ,civil ,rights & ,heal? ,equity ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,b7 ,! ,deputy ,assi/ant ,secret>y = ,m9ority ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,c7 ,! ,director ( ! ,national ,in/itute = ,m9ority ,heal? & ,heal? ,disp>ities4 7,d7 ,! ,*airp]son ( ! ,advisory ,committee on ,m9ority ,heal? e/abli%$ "u section #agjg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f74 7b7 ,duties ( ! ,commission 7#a7 ,9 g5]al ,! ,commission %all-- 7,a7 monitor & report on ! implem5tation ( ! ,equality 9 ,heal? ,c>e = ,all ,act2 & 7,b7 inve/igate1 monitor1 & report on progress t[>ds heal? equity & ! elim9ation ( heal? disp>ities4 7#b7 ,annual report ,! ,commission %all-- 7,a7 submit to ! ,presid5t & ,congress at lea/ "o report annually on heal? equity & heal? disp>ities2 & 7,b7 include 9 su* report-- 7i7 a description ( actions tak5 by ! ,dep>tm5t ( ,heal? & ,human ,s]vices & any o!r ,f$]al ag5cy relat$ to heal? equity or heal? disp>ities2 & 7ii7 recomm5dations on ensur+ equal heal? c>e & elim9at+ heal? disp>ities4 7#c7 ,he>+s & ,au?orities 7,a7 ,p[] to hold he>+s ,! ,commission may1 = ! purpose ( c>ry+ out ?is section1 hold su* he>+s z ! ,commission deems advisable4 ,ea* memb] ( ! ,commission %all h ! p[] to adm9i/] oa?s & affirmations 9 connection ) ! proce$+s ( ! ,commission4 ,! ,commission may hold a he>+ only if ! he>+ is approv$ by a majority ( ! ,commission1 or by a majority ( ! memb]s pres5t at a meet+ :5 a quorum is pres5t4 7,b7 ,p[] to issue subpo5as ,! ,commission may issue subpo5as = ! att5dance ( witnesses & ! production ( writt5 or o!r matt]4 7,c7 ,witness fees ,a witness att5d+ any proce$+ ( ! ,commission %all be paid ! same fees & mileage t are paid witnesses 9 ! c\rts ( ! ,unit$ ,/ates4 7,d7 ,depositions & int]rogatories ,! ,commission may use depositions & writt5 int]rogatories to obta9 in=mation & te/imony ab\t matt]s t are ! subject ( a ,commission he>+ or report4 7c7 ,adm9i/rative ,provisions 7#a7 ,/aff 7,a7 ,director ,!re %all be a full-"t /aff director = ! ,commission :o %all-- 7i7 s]ve z ! adm9i/rative head ( ! ,commission2 & 7ii7 be appo9t$ by ! ,*airp]son ) ! concurr5ce ( ! ,vice ,*airp]son4 7,b7 ,o!r p]sonnel ,! ,commission may-- 7i7 appo9t su* o!r p]sonnel z x deems advisable1 subject to ! provisions ( title #e1 ,unit$ ,/ates ,code1 gov]n+ appo9tm5ts 9 ! competitive s]vice1 & ! provisions ( *apt] #ea & sub*apt] ,,iii ( *apt] #ec ( t title relat+ to classification & ,g5]al ,s*$ule pay rates2 & 7ii7 may procure tempor>y & int]mitt5t s]vices "u section #caji7;b7 ( title #e1 ,unit$ ,/ates ,code1 at rates = individuals n 9 excess ( ! daily equival5t paid = positions at ! maximum rate = ,,gs-#ae ( ! ,g5]al ,s*$ule "u section #eccb ( title #e1 ,unit$ ,/ates ,code4 7#b7 ,comp5sation ( memb]s 7,a7 ,9 g5]al ,ea* memb] ( ! ,commission :o is n o!rwise 9 ! s]vice ( ! ,gov]nm5t ( ! ,unit$ ,/ates %all receive a sum equival5t to ! comp5sation paid at level ,,iv ( ! ,executive ,s*$ule "u section #ecae ( title #e1 ,unit$ ,/ates ,code1 prorat$ on a daily basis = "t sp5t 9 ! "w ( ! ,commission4 7,b7 ,p]sons o!rwise 9 gov]nm5t s]vice ,ea* memb] ( ! ,commission :o is o!rwise 9 ! s]vice ( ! ,gov]nm5t ( ! ,unit$ ,/ates %all s]ve )\t comp5sation 9 addition to t receiv$ = su* o!r s]vice1 b :ile engag$ 9 ! "w ( ! ,commission %all be paid actual travel exp5ses & p] diem 9 lieu ( subsi/5ce exp5ses :5 away f su* memb]'s usual place ( resid5ce1 "u sub*apt] ,i ( *apt] #eg ( title #e1 ,unit$ ,/ates ,code4 7#c7 ,rules ,! ,commission may make su* rules z are necess>y to c>ry out ! purposes ( ?is section4 7#d7 ,coop]ation ,all ,f$]al ag5cies %all coop]ate fully ) ! ,commission to ! end t x may effectively c>ry out its functions & duties4 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ! duties ( ! ,commission = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #ab4 ,grants = hospitals to promote equitable heal? c>e & outcomes 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all aw>d grants to hospitals to promote equitable heal? c>e & r$uce disp>ities 9 c>e & outcomes4 7b7 ,consultation ,9 e/abli%+ ! crit]ia = grants "u ?is section & evaluat+ applications = su* grants1 ! ,secret>y %all consult ) ! ,assi/ant ,secret>y = ,civil ,rights & ,heal? ,equity ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7c7 ,use ( funds ,a hospital %all use funds receiv$ f a grant "u ?is section to e/abli% or exp& programs to provide equal c>e to all pati5ts & to ensure equitable heal? c>e outcomes4 ,su* uses may include-- 7#a7 provid+ explicit & implicit bias tra9+ to m$ical provid]s & /aff2 7#b7 provid+ translation or int]pretation s]vices = pati5ts2 7#c7 recruit+ & tra9+ a div]se work=ce2 7#d7 track+ data relat$ to c>e & outcomes2 & 7#e7 tra9+ on cultural s5sitivity4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to hospitals t h receiv$ disproportionate %>e hospital paym5ts "u section #ahhf7r7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 or section #aibe ( su* ,act 7#db ,u4,s4,c4 #acifr-#f7 ) respect to fiscal ye> #bjbj4 7e7 ,supplem5t1 n supplant ,grants aw>d$ "u ?is section %all be us$ to supplem5t1 n supplant1 any o!r ,f$]al funds provid$ to a recipi5t4 7f7 ,equitable heal? c>e def9$ ,! t]m equitable heal? c>e has ! mean+ giv5 ! t]m 9 section #ahhf7;b77#c77;,b77viii77,,xiii77cc7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7b77#c77;,b77viii77,,xiii77cc771 z am5d$ by ?is ,act4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjba ?r\gh #bjbf4