,,ii #aafth ,,congress #b;d ,session ,s4 #cafi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,january #h1 #bjbj,mr4 ,booker introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to direct the ,secretary of ,health and ,human ,services to carry out a ,health in ,all ,policies ,demonstration ,project1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,researching and ,ending ,disparities by ,understanding and ,creating ,equity ,act of #bjbj or the ,,reduce ,act of #bjbj4 #b4 ,health in ,all ,policies ,demonstration ,project 7a7 ,in general ,the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary7 acting through the ,director of the ,centers for ,disease ,control and ,prevention and in coordination with relevant agencies including the ,department of ,education1 the ,department of ,agriculture1 the ,department of ,housing and ,urban ,development1 the ,department of ,justice1 the ,department of ,labor1 the ,environmental ,protection ,agency1 and the ,department of ,transportation1 shall implement a grant program1 to be known as the ,health in ,all ,policies ,demonstration ,project4 7b7 ,grants ,in carrying out subsection 7a71 the ,secretary shall award grants to eligible entities to establish1 implement1 or enhance1 in the jurisdiction of the respective entity1 a collaborative1 interdisciplinary1 and community-focused approach to improve the health of all communities and individuals that-- 7#a7 integrates and articulates health considerations in policymaking across sectors2 7#b7 addresses-- 7,a7 health2 7,b7 equity2 and 7,c7 sustainability2 and 7#c7 targets a significant proportion of ,medicare beneficiaries1 ,medicare-,medicaid dual eligibles1 or long-term care ,medicaid recipients4 7c7 ,evaluation ,the ,secretary shall identify metrics for evaluating the implementation of a grant under this section and1 using such metrics1 evaluate each grantee on the extent to which the approach implemented through the grant-- 7#a7 supports intersectoral collaboration2 7#b7 benefits multiple partners2 7#c7 engages stakeholders2 7#d7 creates structural or procedural change2 7#e7 impacts or relates to a model or demonstration project administered by the ,centers for ,medicare ,medicaid ,services1 such as an advanced payment model2 and 7#f7 provides cost savings1 delivers efficiencies1 and improves overall health1 including health disparity reduction and health equity improvements4 7d7 ,eligibility ,to be eligible to receive a grant under this section1 an entity shall-- 7#a7 be a ,state1 territory1 ,indian ,tribe1 or local governmental entity2 and 7#b7 submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7e7 ,prioritization2 geographical diversity ,in awarding grants under this section1 the ,secretary shall-- 7#a7 give priority to eligible entities seeking to use a grant to improve1 as described in subsection 7b71 the health of populations that-- 7,a7 are target populations described in subsection 7b77#c72 and 7,b7 have significant health inequities throughout the populations2 and 7#b7 seek to ensure geographical diversity among grantees4 7f7 ,reports by grantees ,as a condition on receipt of a grant under this section1 the ,secretary shall require grantees to-- 7#a7 provide a report to the ,secretary upon completion of the ,health in ,all ,policies ,demonstration ,project2 and 7#b7 include in such report the extent to which the approach implemented achieved the goals listed in paragraphs 7#a7 through 7#f7 of subsection 7c74 7g7 ,report to ,congress 7#a7 ,submission ,the ,secretary shall submit to ,congress-- 7,a7 not later than one year after the date of enactment of this ,act1 an initial report on the ,health in ,all ,policies ,demonstration ,project2 and 7,b7 not later than one year after the completion of the project1 a final report on the project4 7#b7 ,contents of initial report ,the report under paragraph 7#a77;,a7 shall include-- 7,a7 evaluation the success of soliciting applications2 7,b7 identification of the number of applications received2 7,c7 specification of the timeline for awarding funding2 and 7,d7 identification of barriers to implementing the ,health in ,all ,policies ,demonstration ,project1 if any4 7#c7 ,contents of final report ,the report under paragraph 7#a77;,b7 shall include-- 7,a7 an assessment of the ,health in ,all ,policies ,demonstration ,project1 including an evaluation of the effectiveness of the ,demonstration ,project2 and 7,b7 recommendations for ,federal legislative actions to-- 7i7 integrate1 based on such assessment1 a collaborative and interdisciplinary approach to improve the health of all communities2 and 7ii7 support eligible entities in pursuing a comparable integration of such an approach across ,state programs4 7h7 ,definitions ,in this section3 7#a7 ,the term ,medicare beneficiaries means individuals entitled to part ,a of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 and enrolled under part ,b of such title 7#db ,u4,s4,c4 #acie;j et seq474 7#b7 ,the term ,medicare-,medicaid dual eligibles means individuals who are dually eligible for benefits under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 and title ,,xix of such ,act 7#db ,u4,s4,c4 #acif et seq474 7i7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #b1jjj1jjj for the period of fiscal years #bjba through #bjbd4 #c4 ,national ,academies of ,sciences1 ,engineering1 and ,medicine report 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall seek to enter into an arrangement1 not later than #fj days after the date of enactment of this ,act1 with the ,national ,academies of ,sciences1 ,engineering1 and ,medicine 7or if the ,academies decline to enter into such arrangement1 another appropriate entity7 under which the ,academies 7or other appropriate entity7 agrees to prepare a report on eliminating health disparities to improve health equity4 7b7 ,report 7#a7 ,contents ,the report prepared pursuant to subsection 7a7 shall-- 7,a7 review evidence on how social determinants of health affect health outcomes among middle-income ,medicare beneficiaries and ,medicare-,medicaid dual eligibles2 7,b7 examine successful interventions1 including with respect to health outcomes1 that address social determinants of health 7including transportation1 meals1 housing1 access to health care1 personal care assistance1 and access to long-term services and supports71 reduce health disparities1 and improve health equity2 7,c7 make conclusions regarding-- 7i7 the effectiveness of existing programs and policies of the ,centers for ,medicare ,medicaid ,services intended to reduce health disparities2 7ii7 best practices and successful strategies that reduce health disparities2 and 7iii7 efforts needed to address health disparities related to health care workforce shortages2 and 7,d7 make recommendations regarding-- 7i7 priorities for health disparities interventions within ,federal health care programs2 and 7ii7 potential opportunities for expansion or replication of successful interventions and payment models to reduce health disparities and improve health equity4 7#b7 ,submission ,the arrangement under subsection 7a7 shall require the ,national ,academies of ,sciences1 ,engineering1 and ,medicine 7or other appropriate entity71 not later than #ah months after entering into such arrangement1 to finalize the report prepared pursuant to such arrangement and submit such report to the ,committees on ,energy and ,commerce and ,ways and ,means of the ,house of ,representatives and the ,committees on ,finance and ,health1 ,education1 ,labor1 and ,pensions of the ,senate4 7c7 ,definitions ,in this section3 7#a7 ,the term health equity means a ,state where all individuals are able to attain their full health potential and no one is hindered from achieving this potential due to social position or another socially determined circumstance4 7#b7 ,the term middle-income ,medicare beneficiaries means individuals entitled to part ,a of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 and enrolled under part ,b of such title 7#db ,u4,s4,c4 #acie;j et seq47 who have an income that is not below #abe percent of the poverty line applicable to a family of the size involved1 but not more than #djj percent of the poverty line so applicable4 7#c7 ,the term ,medicare-,medicaid dual eligibles means individuals who are dually eligible for benefits under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 and title ,,xix of such ,act 7#db ,u4,s4,c4 #acif et seq474 7#d7 ,the term social determinants of health refers to the conditions in the environments in which people live1 learn1 work1 play1 worship1 and age that affect a wide range of health1 functioning1 and quality-of-life outcomes and risks4