,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dddj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #e1 #bjbj,ms4   
,smi? 7= h]self1 ,mr4 ,murphy1 ,mr4 ,k+1
 ,mr4 ,:iteh\se1 ,ms4 ,h>ris1 ,mr4      
,c>p]1 & ,mr4 ,wyd57 introduc$ ! foll[+ 
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
au?orize ! ,director ( ! ,c5t]s =       
,disease ,control & ,prev5tion to c>ry  
out a ,social ,det]m9ants ( ,heal?      
,program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,improv+
 ,social ,det]m9ants ( ,heal? ,act (    
#bjbj4  #b4 ,f9d+s ,congress f9ds !     
foll[+3 7#a7 ,heal?y ,p #bjbj def9es    
social det]m9ants ( heal? z 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  7#b7  
,"o ( ! ov]>*+ goals ( ,heal?y ,p #bjbj 
is to create social & physical          
environm5ts t promote good heal? = all4 

7#c7 ,heal?y ,p #bjbj develop$ a        
place-bas$ organiz+ framework1 reflect+ 
five key areas ( social det]m9ants (    
heal? namely-- 7,a7 economic /ability2  
7,b7 education2  7,c7 social & community
 context2  7,d7 heal? & heal? c>e2 &    
7,e7 neighborhood & built environm5t4   
7#d7 ,x is e/imat$ t m$ical c>e acc\nts 
= only #aj to #bj p]c5t ( ! modifiable  
contributors to heal?y outcomes = a     
population4  7#e7 ,! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices has indicat$ !        
importance ( ! social det]m9ants 9 its  
"w /at+ t1 ,z we seek to fo/]           
innovation1 re?9k rural heal?1 f9d      
solutions to ! opioid epidemic1 &       
cont9ue to put pati5ts fir/1 we ne$ to  
take into acc\nt social det]m9ants (    
heal? & recognize _! importance44  7#f7 
,! ,dep>tm5t ( ,heal? & ,human ,s]vices'
 ,public ,heal? #c4j initiative         
recognizes ! role ( public heal? 9 work+
 across sectors on social det]m9ants (  
heal?1 z well z ! role ( public heal? z 
*ief heal? /rategi/ 9 communities4  7#g7

 ,?r\gh its ,heal? ,impact 9 #e ,ye>s   
initiative1 ! ,c5t]s = ,disease ,control
 & ,prev5tion has highlight$ noncl9ical1
 community-wide approa*es t %[ positive 
heal? impacts1 results )9 five ye>s1 &  
co/ effectiv5ess or co/ sav+s ov] !     
lifetime ( ! population or e>li]4  7#h7 
,heal? dep>tm5ts & ! ,c5t]s = ,disease  
,control & ,prev5tion are n fund$ = su* 
cross-cutt+ "w4  7#i7 ,provid+ grants to
 public heal? dep>tm5ts & o!r eligible  
entities to coord9ate cross-sector      
collaboration w all[ a community-wide1  
evid5ce-bas$ approa* to address und]ly+ 
social det]m9ants ( heal?4  #c4 ,social 
,det]m9ants ( ,heal? ,program  7a7      
,program ,to ! ext5t & 9 ! am\nts made  
available 9 advance 9 appropriations    
,acts1 ! ,secret>y ( ,heal? & ,human    
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion 
79 ?is ,act ref]r$ to z ! ,director71   
%all c>ry out a program1 to be kn[n z ! 
,social ,det]m9ants ( ,heal? ,program 79
 ?is ,act ref]r$ to z ! ,program71 to   

a*ieve ! foll[+ goals3 7#a7 ,improve    
heal? outcomes & r$uce heal? inequities 
by coord9at+ social det]m9ants ( heal?  
activities across ! ,c5t]s = ,disease   
,control & ,prev5tion4  7#b7 ,improve ! 
capacity ( public heal? ag5cies &       
community organizations to address      
social det]m9ants ( heal? 9 communities4
  7b7 ,activities ,to a*ieve ! goals    
li/$ 9 subsection 7a71 ! ,director %all 
c>ry out activities includ+ ! foll[+3   
7#a7 ,coord9at+ across ! ,c5t]s =       
,disease ,control & ,prev5tion to ensure
 t relevant programs consid] &          
incorporate social det]m9ants ( heal? 9 
grant aw>ds & o!r activities4  7#b7     
,aw>d+ grants "u section #d to ,/ate1   
local1 t]ritorial1 & ,tribal heal?      
dep>tm5ts & organizations1 & to o!r     
eligible entities1 to address social    
det]m9ants ( heal? 9 t>get communities4 
7#c7 ,aw>d+ grants "u section #e to     
nonpr(it organizations & public or o!r  
nonpr(it in/itutions ( high] education--
 7,a7 to conduct rese>* on be/ practices

 to improve social det]m9ants ( heal?2  
7,b7 to provide te*nical assi/ance1     
tra9+1 & evaluation assi/ance to        
grantees "u section #d2 &  7,c7 to      
dissem9ate be/ practices to grantees "u 
section #d4  7#d7 ,coord9at+1 support+1 
& align+ activities ( ! ,c5t]s =        
,disease ,control & ,prev5tion relat$ to
 social det]m9ants ( heal? ) activities 
( o!r ,f$]al ag5cies relat$ to social   
det]m9ants ( heal?1 includ+ su*         
activities ( ag5cies 9 ! ,dep>tm5t (    
,heal? & ,human ,s]vices su* z ! ,c5t]s 
= ,m$ic>e  ,m$icaid ,s]vices4  7#e7     
,collect+ & analyz+ data relat$ to !    
social det]m9ants ( heal?4  #d4 ,grants 
to address social det]m9ants ( heal?    
7a7 ,9 g5]al ,! ,director1 z "p ( !     
,program1 %all aw>d grants to eligible  
entities to address social det]m9ants ( 
heal? 9 _! communities4  7b7            
,eligibility ,to be eligible to apply = 
a grant "u ?is section1 an entity %all  
be-- 7#a7 a ,/ate1 local1 t]ritorial1 or
 ,tribal heal? ag5cy or organization2   

7#b7 a qualifi$ nongov]nm5tal entity1 z 
def9$ by ! ,director2 or  7#c7 a        
consortium ( entities t includes a      
,/ate1 local1 t]ritorial1 or ,tribal    
heal? ag5cy or organization4  7c7 ,use (
 funds  7#a7 ,9 g5]al ,a grant "u ?is   
section %all be us$ to address social   
det]m9ants ( heal? 9 a t>get community  
by design+ & implem5t+ innovative1      
evid5ce-bas$1 cross-sector /rategies4   
7#b7 ,t>get community ,= purposes ( ?is 
section1 a t>get community %all be a    
,/ate1 c\nty1 city1 ,tribe1 or o!r      
municipality4  7d7 ,priority & set aside
  7#a7 ,priority ,9 aw>d+ grants "u ?is 
section1 ! ,director %all prioritize    
applicants propos+ to s]ve t>get        
communities ) significant unmet heal? & 
social ne$s1 z def9$ by ! ,director4    
7#b7 ,set aside ,! ,director %all set   
aside #e p]c5t ( am\nts appropriat$ to  
c>ry out ?is section 9 ea* fiscal ye> to
 aw>d grants to ,indian ,tribes &       
,tribal organizations4  7e7 ,application
 ,to seek a grant "u ?is section1 an    

eligible entity %all-- 7#a7 submit an   
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,director may 
require2  7#b7 propose a set (          
activities to address social det]m9ants 
( heal? ?r\gh evid5ce-bas$1 cross-sector
 /rategies1 :i* activities may include--
 7,a7 collect+ quantifiable data f heal?
 c>e1 social s]vices1 & o!r entities    
reg>d+ ! mo/ significant gaps 9         
heal?-promot+ social1 economic1 &       
environm5tal ne$s2  7,b7 id5tify+       
evid5ce-bas$ approa*es to meet+ !       
nonm$ical1 social ne$s ( populations    
id5tifi$ by data collection describ$ 9  
subp>agraph 7,a71 su* z un/able h\s+ or 
inadequate food2  7,c7 develop+ scalable
 me?ods to meet pati5ts' social ne$s    
id5tifi$ 9 cl9ical sett+s or o!r sites2 
7,d7 conv5+ entities su* z local & ,/ate
 gov]nm5tal & nongov]nm5tal             
organizations1 heal? sy/ems1 payors1 &  
community-bas$ organizations to review1 
plan1 & implem5t community-wide         
int]v5tions & /rategies to advance      

heal?-promot+ social conditions2  7,e7  
monitor+ & evaluat+ ! impact (          
activities fund$ ?r\gh ! grant on !     
heal? & well-be+ ( ! resid5ts ( ! t>get 
community & on ! co/ ( heal? c>e2 &     
7,f7 su* o!r activities z may be        
specifi$ by ! ,director2  7#c7          
demon/rate h[ ! eligible entity w       
collaborate )-- 7,a7 heal? sy/ems2  7,b7
 payors1 includ+1 z appropriate1        
,m$icaid manag$ c>e organizations 7z    
def9$ 9 section #aijc7m77#a77;,a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7m77#a77;,a7771 ,m$ic>e          
,advantage plans "u "p ,c ( title       
,,xviii ( su* ,act 7#db ,u4,s4,c4       
#aciew-#ba et seq471 & heal? insurance  
issu]s & gr\p heal? plans 7z su* t]ms   
are def9$ 9 section #bgia ( ! ,public   
,heal? ,s]vice ,act72  7,c7 o!r relevant
 /akehold]s & initiatives 9 areas ( ne$1
 su* z ! ,acc\ntable ,heal? ,communities
 ,model ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices1 heal? homes "u ! ,m$icaid     
program "u title ,,xix ( ! ,social      

,security ,act 7#db ,u4,s4,c4 #acif et  
seq471 community-bas$ organizations1 &  
human s]vices organizations2  7,d7 o!r  
non-heal? c>e sector organizations1     
includ+ organizations focus+ on         
transportation1 h\s+1 or food access2 & 
7,e7 local employ]s2 &  7#d7 id5tify key
 heal? inequities 9 ! t>get community & 
demon/rate h[ ! propos$ ef=ts ( !       
eligible entity w\ld address su*        
inequities4  7f7 ,monitor+ & evaluation 
,z a condition ( receipt ( a grant "u   
?is section1 a grantee %all agree to    
submit an annual report to ! ,director  
describ+ ! activities c>ri$ out ?r\gh ! 
grant & ! outcomes ( su* activities4    
7g7 ,indep5d5t national evaluation  7#a7
 ,9 g5]al ,n lat] ?an #e ye>s aft] !    
fir/ grants are aw>d$ "u ?is section1 ! 
,director %all provide = ! comm5cem5t ( 
an indep5d5t national evaluation ( !    
,program "u ?is section4  7#b7 ,report  
to ,congress ,n lat] ?an #fj days aft]  
receiv+ ! results ( su* indep5d5t       
national evaluation1 ! ,director %all   

report su* results to ! ,committee on   
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives4   
#e4 ,rese>* & tra9+ ,! ,director1 z "p (
 ! ,program-- 7#a7 %all aw>d grants to  
nonpr(it organizations & public or o!r  
nonpr(it in/itutions ( high] education--
 7,a7 to conduct rese>* on be/ practices
 to improve social det]m9ants ( heal?2  
7,b7 to provide te*nical assi/ance1     
tra9+1 & evaluation assi/ance to        
grantees "u section #d2 &  7,c7 to      
dissem9ate be/ practices to grantees "u 
section #d2 &  7#b7 may require a       
grantee "u p>agraph 7#a7 to provide     
te*nical assi/ance & capacity build+ to 
entities t are eligible entities "u     
section #d b n receiv+ funds ?r\gh su*  
section4  #f4 ,fund+  7a7 ,9 g5]al ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is ,act1 #ej1jjj1jjj = ea* ( fiscal
 ye>s #bjba ?r\gh #bjbf4  7b7           
,allocation ,( ! am\nt made available to
 c>ry out ?is ,act = a fiscal ye>1 n    

less ?an #ge p]c5t %all be us$ = grants 
"u sections #d & #e4