,,ii #aafth ,,congress #b;d ,session ,s4 #decc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #h1 #bjbj,ms4 ,warren 7for herself1 ,ms4 ,hirono1 ,mr4 ,markey1 ,mr4 ,merkley1 and ,ms4 ,smith7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to provide for public health research and investment into understanding and eliminating structural racism and police violence4 #a4 ,short title ,this ,act may be cited as the ,anti-,racism in ,public ,health ,act of #bjbj4 #b4 ,findings ,congress makes the following findings3 7#a7 ,for centuries1 structural racism1 defined by the ,national ,museum of ,african ,american ,history and ,culture as an overarching system of racial bias across institutions and society1 in the ,united ,states has negatively affected communities of color1 especially ,black1 ,latinx1 ,asian ,american1 ,pacific ,islander1 and ,american ,indian and ,alaska ,native people1 to expand and reinforce ,white supremacy4 7#b7 ,structural racism determines the conditions in which people are born1 grow1 work1 live1 and age and determine people's access to quality housing1 education1 food1 transportation1 and political power1 and other social determinants of health4 7#c7 ,structural racism serves as a major barrier to achieving health equity and eliminating racial and ethnic inequities in health outcomes that exist at alarming rates and are determined by a wider set of forces and systems4 7#d7 ,due to structural racism in the ,united ,states1 people of color are more likely to suffer from chronic health conditions 7such as heart disease1 diabetes1 asthma1 hepatitis1 and hypertension7 and infectious diseases 7such as ,,hiv_/,,aids1 and ,,covid-#ai7 compared to their ,white counterparts4 7#e7 ,due to structural racism in maternal health care in the ,united ,states1 ,black and ,american ,indian and ,alaska ,native infants are more than twice as likely to die than ,white infants1 ,black women are #c to #d times more likely to die from pregnancy-related causes than ,white women1 and ,american ,indian and ,alaska ,native women are #e times more likely to die from pregnancy-related causes than ,white women4 ,this trend persists even when adjusting for income and education4 7#f7 ,due to structural racism in the ,united ,states1 ,non-,hispanic ,black women have the highest rates for #bb of #be severe morbidity indicators used by the ,center for ,disease ,control and ,prevention 7,,cdc74 7#g7 ,due to structural racism in the ,united ,states1 people of color comprise a disproportionate percentage of persons with disabilities in the ,united ,states4 7#h7 ,due to structural racism in the ,united ,states1 ,black men are up to three and a half times as likely to be killed by police as ,white men1 and #a in every #a1jjj ,black men will die as a result of police violence4 ,policing has adverse effects on mental health in ,black communities4 7#i7 ,due to the confluence of structural racism and factors such as gender1 class1 and sexual orientation or gender identity1 commonly referred to as intersectionality1 ,black and ,latinx transgender women are more likely to die due to violence and homicide than their ,white counterparts4 7#aj7 ,due to structural racism1 inequitable access to quality health care and long-term services and supports also disproportionately burdens communities of color2 people of color and immigrants are less likely to be insured and are more likely to live in medically underserved areas4 7#aa7 ,due to structural racism1 older adults of color are also more likely to be admitted to nursing homes and assisted living facilities and to reside in those of poor quality1 and when older adults of color do receive home and community based services1 ,medicaid spends less money on their services and they are more likely to be hospitalized than older ,white adults4 7#ab7 ,in addition1 the ,federal ,government's failure to honor the unique political status of ,american ,indian and ,alaska ,native people1 to respect the inherent sovereignty of ,tribal ,nations1 and to uphold its trust and treaty obligations to ,tribal ,nations and ,american ,indian and ,alaska ,native people1 is an ongoing and unjust manifestation of centuries of oppression1 with the consequence of adverse health outcomes for ,native peoples4 7#ac7 ,the ,,covid-#ai pandemic has exposed the devastating impact of structural racism on the ,united ,states ability to ensure equitable health outcomes for people of color1 and made these communities more likely to suffer from severe outcomes due to the coronavirus infection4 7#ad7 ,racial and ethnic inequity in public health is a result of systematic1 personally mediated1 and internalized racism and racist public and private policies and practices1 and dismantling structural racism is integral to addressing public health4 #c4 ,definitions ,in this ,act3 7#a7 ,antiracism ,the term antiracism is a collection of antiracist policies that lead to racial equity1 and are substantiated by antiracist ideas4 7#b7 ,antiracist ,the term antiracist is any measure that produces or sustains racial equity between racial groups4 #d4 ,public health research and investment in dismantling structural racism ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by adding at the end the following3 #cbj;,b4 ,national center on ,antiracism and ,health 7a7 ,in general 7#a7 ,national center ,there is established within the ,centers for ,disease ,control and ,prevention a center to be known as the ,national ,center on ,antiracism and ,health 7referred to in this section as the ,center74 ,the ,director of the ,centers for ,disease ,control and ,prevention shall appoint a director to head the ,center who has experience living in and working with racial and ethnic minority communities4 ,the ,center shall promote public health by-- 7,a7 declaring racism a public health crisis and naming racism as an historical and present threat to the physical and mental health and well-being of the ,united ,states and world2 7,b7 aiming to develop new knowledge in the science and practice of antiracism1 including by identifying the mechanisms by which racism operates in the provision of health care and in systems that impact health and well-being2 7,c7 transferring that knowledge into practice1 including by developing interventions that dismantle the mechanisms of racism and replace such mechanisms with equitable structures1 policies1 practices1 norms1 and values so that a healthy society can be realized2 and 7,d7 contributing to a national and global conversation regarding the impacts of racism on the health and well-being of the ,united ,states and world4 7#b7 ,general duties ,the ,secretary1 acting through the ,center1 shall undertake activities to carry out the mission of the ,center as described in paragraph 7#a71 such as the following3 7,a7 ,conduct research into1 collect1 analyze and make publicly available data on1 and provide leadership and coordination for the science and practice of antiracism1 the public health impacts of structural racism1 and the effectiveness of intervention strategies to address these impacts4 ,topics of research and data collection under this subparagraph may include identifying and understanding-- 7i7 policies and practices that have a disparate impact on the health and well-being of communities of color2 7ii7 the public health impacts of implicit racial bias1 ,white supremacy1 weathering1 xenophobia1 discrimination1 and prejudice2 7iii7 the social determinants of health resulting from structural racism1 including poverty1 housing1 employment1 political participation1 and environmental factors2 and 7iv7 the intersection of racism and other systems of oppression1 including as related to age1 sexual orientation1 gender identity1 and disability status4 7,b7 ,award noncompetitive grants and cooperative agreements to eligible public and nonprofit private entities1 including ,state1 local1 territorial1 and ,tribal health agencies and organizations1 for the research and collection1 analysis1 and reporting of data on the topics described in subparagraph 7,a74 7,c7 ,establish1 through grants or cooperative agreements1 at least #c regional centers of excellence1 located in racial and ethnic minority communities1 in antiracism for the purpose of developing new knowledge in the science and practice of antiracism in health by researching1 understanding1 and identifying the mechanisms by which racism operates in the health space1 racial and ethnic inequities in health care access and outcomes1 the history of successful antiracist movements in health1 and other antiracist public health work4 7,d7 ,establish a clearinghouse within the ,centers for ,disease ,control and ,prevention for the collection and storage of data generated under the programs implemented under this section for which there is not an otherwise existing surveillance system at the ,centers for ,disease ,control and ,prevention4 ,such data shall-- 7i7 be comprehensive and disaggregated1 to the extent practicable1 by including racial1 ethnic1 primary language1 sex1 gender identity1 sexual orientation1 age1 socioeconomic status1 and disability disparities2 7ii7 be made publicly available2 7iii7 protect the privacy of individuals whose information is included in such data2 and 7iv7 comply with privacy protections under the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif4 7,e7 ,provide information and education to the public on the public health impacts of structural racism and on antiracist public health interventions4 7,f7 ,consult with other ,centers and ,national ,institutes within the ,centers for ,disease ,control and ,prevention1 including the ,office of ,minority ,health and ,health ,equity and the ,center for ,state1 ,tribal1 ,local1 and ,territorial ,support1 to ensure that scientific and programmatic activities initiated by the agency consider structural racism in their designs1 conceptualizations1 and executions1 which shall include-- 7i7 putting measures of racism in population-based surveys2 7ii7 establishing a ,federal ,advisory ,committee on racism and health for the ,centers for ,disease ,control and ,prevention2 7iii7 developing training programs1 curricula1 and seminars for the purposes of training public health professionals and researchers around issues of race1 racism1 and antiracism2 7iv7 providing standards and best practices for programming and grant recipient compliance with ,federal data collection standards1 including section #dcjb of the ,patient ,protection and ,affordable ,care ,act2 and 7v7 establishing leadership and stakeholder councils with experts and leaders in racism and public health disparities4 7,g7 ,coordinate with the ,indian ,health ,service and with the ,centers for ,disease ,control and ,prevention's ,tribal ,advisory ,committee to ensure meaningful ,tribal consultation1 the gathering of information from ,tribal authorities1 and respect for ,tribal data sovereignty4 7,h7 ,engage in government to government consultation with ,indian ,tribes and ,tribal organizations4 7,i7 ,at least every #b years1 produce and publicly post on the ,centers for ,disease ,control and ,prevention's website a report on antiracist activities completed by the ,center1 which may include newly identified antiracist public health practices4 7b7 ,authorization of appropriations ,there is authorized to be appropriated such sums as may be necessary to carry out this section4 4 #e4 ,public health research and investment in police violence 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall establish within the ,national ,center for ,injury ,prevention and ,control of the ,centers for ,disease ,control and ,prevention 7referred to in this section as the ,center7 a law enforcement violence prevention program4 7b7 ,general duties ,in implementing the program under subsection 7a71 the ,center shall conduct research into1 and provide leadership and coordination for-- 7#a7 the understanding and promotion of knowledge about the public health impacts of uses of force by law enforcement1 including police brutality and violence2 7#b7 developing public health interventions and perspectives for eliminating deaths1 injury1 trauma1 and negative mental health effects from police presence and interactions1 including police brutality and violence2 and 7#c7 ensuring comprehensive data collection1 analysis1 and reporting regarding police violence and misconduct in consultation with the ,department of ,justice and independent researchers4 7c7 ,functions ,under the program under subsection 7a71 the ,center shall-- 7#a7 summarize and enhance the knowledge of the distribution1 status1 and characteristics of law enforcement-related death1 trauma1 and injury2 7#b7 conduct research and prepare1 with the assistance of ,state public health departments-- 7,a7 statistics on law enforcement-related death1 injury1 and brutality2 7,b7 studies of the factors1 including legal1 socioeconomic1 discrimination1 and other factors that correlate with or influence police brutality2 7,c7 public information about uses of force by law enforcement1 including police brutality and violence1 for the practical use of the public health community1 including publications that synthesize information relevant to the national goal of understanding police violence and methods for its control2 7,d7 information to identify socioeconomic groups1 communities1 and geographic areas in need of study1 and a strategic plan for research necessary to comprehend the extent and nature of police uses of force by law enforcement1 including police brutality and violence1 and determine what options exist to reduce or eradicate death and injury that result2 and 7,e7 best practices in police violence prevention in other countries2 7#c7 award grants1 contracts1 and cooperative agreements to provide for the conduct of epidemiologic research on uses of force by law enforcement1 including police brutality and violence1 by ,federal1 ,state1 local1 and private agencies1 institutions1 organizations1 and individuals2 7#d7 award grants1 contracts1 and cooperative agreements to community groups1 independent research organizations1 academic institutions1 and other entities to support1 execute1 or conduct research on interventions to reduce or eliminate uses of force by law enforcement1 including police brutality and violence2 7#e7 coordinate with the ,department of ,justice1 and other ,federal1 ,state1 and local agencies on the standardization of data collection1 storage1 and retrieval necessary to collect1 evaluate1 analyze1 and disseminate information about the extent and nature of uses of force by law enforcement1 including police brutality and violence1 as well as options for the eradication of such practices2 7#f7 submit an annual report to ,congress on research findings with recommendations to improve data collection and standardization and to disrupt processes in policing that preserve and reinforce racism and racial disparities in public health2 7#g7 conduct primary research and explore uses of force by law enforcement1 including police brutality and violence1 and options for its control2 and 7#h7 study alternatives to law enforcement response as a method of reducing police violence4 7d7 ,authorization of appropriations ,there is authorized to be appropriated1 such sums as may be necessary to carry out this section4