,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cafi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #h1 #bjbj,mr4  
,book] introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to direct ! ,secret>y (     
,heal? & ,human ,s]vices to c>ry out a  
,heal? 9 ,all ,policies ,demon/ration   
,project1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,rese>*+
 & ,end+ ,disp>ities by ,und]/&+ &      
,creat+ ,equity ,act ( #bjbj or !       
,,r$uce ,act ( #bjbj4  #b4 ,heal? 9 ,all
 ,policies ,demon/ration ,project  7a7  
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices 79 ?is section ref]r$ to z !   
,secret>y7 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion 
& 9 coord9ation ) relevant ag5cies      
includ+ ! ,dep>tm5t ( ,education1 !     
,dep>tm5t ( ,agriculture1 ! ,dep>tm5t ( 
,h\s+ & ,urban ,developm5t1 ! ,dep>tm5t 
( ,ju/ice1 ! ,dep>tm5t ( ,labor1 !      
,environm5tal ,protection ,ag5cy1 & !   

,dep>tm5t ( ,transportation1 %all       
implem5t a grant program1 to be kn[n z !
 ,heal? 9 ,all ,policies ,demon/ration  
,project4  7b7 ,grants ,9 c>ry+ out     
subsection 7a71 ! ,secret>y %all aw>d   
grants to eligible entities to e/abli%1 
implem5t1 or enhance1 9 ! jurisdiction (
 ! respective entity1 a collaborative1  
int]discipl9>y1 & community-focus$      
approa* to improve ! heal? ( all        
communities & individuals t--  7#a7     
integrates & articulates heal?          
consid]ations 9 policymak+ across       
sectors2  7#b7 addresses--  7,a7 heal?2 
7,b7 equity2 &  7,c7 su/a9ability2 &    
7#c7 t>gets a significant proportion (  
,m$ic>e b5efici>ies1 ,m$ic>e-,m$icaid   
dual eligibles1 or long-t]m c>e ,m$icaid
 recipi5ts4  7c7 ,evaluation ,!         
,secret>y %all id5tify metrics =        
evaluat+ ! implem5tation ( a grant "u   
?is section &1 us+ su* metrics1 evaluate
 ea* grantee on ! ext5t to :i* ! approa*
 implem5t$ ?r\gh ! grant--  7#a7        
supports int]sectoral collaboration2    

7#b7 b5efits multiple p>tn]s2  7#c7     
engages /akehold]s2  7#d7 creates       
/ructural or proc$ural *ange2  7#e7     
impacts or relates to a model or        
demon/ration project adm9i/]$ by !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 su*
 z an advanc$ paym5t model2 &  7#f7     
provides co/ sav+s1 deliv]s effici5cies1
 & improves ov]all heal?1 includ+ heal? 
disp>ity r$uction & heal? equity        
improvem5ts4  7d7 ,eligibility ,to be   
eligible to receive a grant "u ?is      
section1 an entity %all-- 7#a7 be a     
,/ate1 t]ritory1 ,indian ,tribe1 or     
local gov]nm5tal entity2 &  7#b7 submit 
an application to ! ,secret>y at su* "t1
 9 su* mann]1 & conta9+ su* in=mation z 
! ,secret>y may require4  7e7           
,prioritization2 geographical div]sity  
,9 aw>d+ grants "u ?is section1 !       
,secret>y %all-- 7#a7 give priority to  
eligible entities seek+ to use a grant  
to improve1 z describ$ 9 subsection 7b71
 ! heal? ( populations t--  7,a7 are    
t>get populations describ$ 9 subsection 

7b77#c72 &  7,b7 h significant heal?    
inequities ?r\gh\t ! populations2 &     
7#b7 seek to ensure geographical        
div]sity among grantees4  7f7 ,reports  
by grantees ,z a condition on receipt ( 
a grant "u ?is section1 ! ,secret>y %all
 require grantees to--  7#a7 provide a  
report to ! ,secret>y ^u completion ( ! 
,heal? 9 ,all ,policies ,demon/ration   
,project2 &  7#b7 include 9 su* report !
 ext5t to :i* ! approa* implem5t$ a*iev$
 ! goals li/$ 9 p>agraphs 7#a7 ?r\gh    
7#f7 ( subsection 7c74  7g7 ,report to  
,congress  7#a7 ,submission ,! ,secret>y
 %all submit to ,congress-- 7,a7 n lat] 
?an "o ye> aft] ! date ( enactm5t ( ?is 
,act1 an initial report on ! ,heal? 9   
,all ,policies ,demon/ration ,project2 &
  7,b7 n lat] ?an "o ye> aft] !         
completion ( ! project1 a f9al report on
 ! project4  7#b7 ,cont5ts ( initial    
report ,! report "u p>agraph 7#a77;,a7  
%all include--  7,a7 evaluation !       
success ( solicit+ applications2  7,b7  
id5tification ( ! numb] ( applications  

receiv$2  7,c7 specification ( ! timel9e
 = aw>d+ fund+2 &  7,d7 id5tification ( 
b>ri]s to implem5t+ ! ,heal? 9 ,all     
,policies ,demon/ration ,project1 if    
any4  7#c7 ,cont5ts ( f9al report ,!    
report "u p>agraph 7#a77;,b7 %all       
include-- 7,a7 an assessm5t ( ! ,heal? 9
 ,all ,policies ,demon/ration ,project1 
includ+ an evaluation ( ! effectiv5ess (
 ! ,demon/ration ,project2 &  7,b7      
recomm5dations = ,f$]al legislative     
actions to-- 7i7 integrate1 bas$ on su* 
assessm5t1 a collaborative &            
int]discipl9>y approa* to improve !     
heal? ( all communities2 &  7ii7 support
 eligible entities 9 pursu+ a comp>able 
integration ( su* an approa* across     
,/ate programs4  7h7 ,def9itions ,9 ?is 
section3 7#a7 ,! t]m ,m$ic>e b5efici>ies
 means individuals entitl$ to "p ,a (   
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;c et seq47 &      
enroll$ "u "p ,b ( su* title 7#db       
,u4,s4,c4 #acie;j et seq474  7#b7 ,! t]m
 ,m$ic>e-,m$icaid dual eligibles means  

individuals :o are dually eligible =    
b5efits "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 & title ,,xix ( su* ,act 7#db     
,u4,s4,c4 #acif et seq474  7i7          
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #b1jjj1jjj = ! p]iod (      
fiscal ye>s #bjba ?r\gh #bjbd4  #c4     
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e report  7a7 ,9 g5]al
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 %all seek to ent] into an arrangem5t1 n
 lat] ?an #fj days aft] ! date (        
enactm5t ( ?is ,act1 ) ! ,national      
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e 7or if ! ,academies decl9e to   
ent] into su* arrangem5t1 ano!r         
appropriate entity7 "u :i* ! ,academies 
7or o!r appropriate entity7 agrees to   
prep>e a report on elim9at+ heal?       
disp>ities to improve heal? equity4  7b7
 ,report  7#a7 ,cont5ts ,! report prep>$
 pursuant to subsection 7a7 %all-- 7,a7 
review evid5ce on h[ social det]m9ants (

 heal? affect heal? outcomes among      
middle-income ,m$ic>e b5efici>ies &     
,m$ic>e-,m$icaid dual eligibles2  7,b7  
exam9e successful int]v5tions1 includ+ )
 respect to heal? outcomes1 t address   
social det]m9ants ( heal? 7includ+      
transportation1 meals1 h\s+1 access to  
heal? c>e1 p]sonal c>e assi/ance1 &     
access to long-t]m s]vices & supports71 
r$uce heal? disp>ities1 & improve heal? 
equity2  7,c7 make conclusions reg>d+-- 
7i7 ! effectiv5ess ( exi/+ programs &   
policies ( ! ,c5t]s = ,m$ic>e  ,m$icaid 
,s]vices int5d$ to r$uce heal?          
disp>ities2  7ii7 be/ practices &       
successful /rategies t r$uce heal?      
disp>ities2 &  7iii7 ef=ts ne$$ to      
address heal? disp>ities relat$ to heal?
 c>e work=ce %ortages2 &  7,d7 make     
recomm5dations reg>d+-- 7i7 priorities =
 heal? disp>ities int]v5tions )9 ,f$]al 
heal? c>e programs2 &  7ii7 pot5tial    
opportunities = expansion or replication
 ( successful int]v5tions & paym5t      
models to r$uce heal? disp>ities &      

improve heal? equity4  7#b7 ,submission 
,! arrangem5t "u subsection 7a7 %all    
require ! ,national ,academies (        
,sci5ces1 ,eng9e]+1 & ,m$ic9e 7or o!r   
appropriate entity71 n lat] ?an #ah     
mon?s aft] ent]+ into su* arrangem5t1 to
 f9alize ! report prep>$ pursuant to su*
 arrangem5t & submit su* report to !    
,committees on ,en]gy & ,comm]ce & ,ways
 & ,means ( ! ,h\se ( ,repres5tatives & 
! ,committees on ,f9ance & ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate4  7c7 ,def9itions ,9 ?is section3
 7#a7 ,! t]m heal? equity means a ,/ate 
:]e all individuals are able to atta9 _!
 full heal? pot5tial & no "o is h9d]$ f 
a*iev+ ?is pot5tial due to social       
position or ano!r socially det]m9$      
circum/ance4  7#b7 ,! t]m middle-income 
,m$ic>e b5efici>ies means individuals   
entitl$ to "p ,a ( title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie;c et seq47 & enroll$ "u "p ,b (   
su* title 7#db ,u4,s4,c4 #acie;j et     
seq47 :o h an income t is n bel[ #abe   

p]c5t ( ! pov]ty l9e applicable to a    
family ( ! size involv$1 b n m ?an #djj 
p]c5t ( ! pov]ty l9e s applicable4  7#c7
 ,! t]m ,m$ic>e-,m$icaid dual eligibles 
means individuals :o are dually eligible
 = b5efits "u title ,,xviii ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 & title ,,xix ( su* ,act 7#db     
,u4,s4,c4 #acif et seq474  7#d7 ,! t]m  
social det]m9ants ( heal? ref]s to !    
conditions 9 ! environm5ts 9 :i* p live1
 le>n1 "w1 play1 wor%ip1 & age t affect 
a wide range ( heal?1 function+1 &      
quality-(-life outcomes & risks4