,i #aahth ,,congress #b;d ,session ,h4 ,r4 #gdha ,,in ,,the ,,house ,,of ,,representatives ,february #bi1 #bjbd,ms4 ,barragn 7for herself1 ,ms4 ,lee of ,california1 ,mr4 ,ruiz1 ,mr4 ,cohen1 ,mr4 ,grijalva1 ,mr4 ,morelle1 ,ms4 ,bonamici1 ,mr4 ,crdenas1 ,ms4 ,castor of ,florida1 ,mr4 ,sablan1 ,ms4 ,norton1 ,ms4 ,jackson ,lee1 and ,mr4 ,carson7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to authorize the ,director of the ,centers for ,disease ,control and ,prevention to carry out a ,social ,determinants of ,health ,program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,improving ,social ,determinants of ,health ,act of #bjbd4 #b4 ,social ,determinants of ,health ,program 7a7 ,program ,to the extent and in the amounts made available in advance in appropriations ,acts1 the ,director of the ,centers for ,disease ,control and ,prevention 7in this ,act referred to as the ,director7 shall carry out a program1 to be known as the ,social ,determinants of ,health ,program 7in this ,act referred to as the ,program71 to achieve the following goals3 7#a7 ,improve health outcomes and reduce health inequities by coordinating social determinants of health activities across the ,centers for ,disease ,control and ,prevention4 7#b7 ,improve the capacity of public health agencies and community organizations to address social determinants of health in communities4 7b7 ,activities ,to achieve the goals listed in subsection 7a71 the ,director shall carry out activities including the following3 7#a7 ,coordinating across the ,centers for ,disease ,control and ,prevention to ensure that relevant programs consider and incorporate social determinants of health in grant awards and other activities4 7#b7 ,awarding grants under section #c to ,state1 local1 territorial1 and ,tribal health agencies and organizations1 and to other eligible entities1 to address social determinants of health in target communities4 7#c7 ,awarding grants under section #d to nonprofit organizations and public or other nonprofit institutions of higher education-- 7,a7 to conduct research on best practices to improve social determinants of health2 7,b7 to provide technical assistance1 training1 and evaluation assistance to grantees under section #c2 and 7,c7 to disseminate best practices to grantees under section #c4 7#d7 ,coordinating1 supporting1 and aligning activities of the ,centers for ,disease ,control and ,prevention related to social determinants of health with activities of other ,federal agencies related to social determinants of health1 including such activities of agencies in the ,department of ,health and ,human ,services such as the ,centers for ,medicare ,medicaid ,services4 7#e7 ,collecting and analyzing data related to the social determinants of health4 #c4 ,grants ,to address social determinants of health 7a7 ,in general ,the ,director1 as part of the ,program1 shall award grants to eligible entities to address social determinants of health in their communities4 7b7 ,eligibility ,to be eligible to apply for a grant under this section1 an entity shall be-- 7#a7 a ,state1 local1 territorial1 or ,tribal health agency or organization2 7#b7 a qualified nongovernmental entity1 as defined by the ,director2 or 7#c7 a consortium of entities that includes a ,state1 local1 territorial1 or ,tribal health agency or organization4 7c7 ,use of funds 7#a7 ,in general ,a grant under this section shall be used to address social determinants of health in a target community by designing1 implementing1 and evaluating innovative1 evidence-based1 cross-sector strategies4 7#b7 ,target community ,for purposes of this section1 a target community shall be a ,state1 county1 city1 or other municipality4 7d7 ,priority ,in awarding grants under this section1 the ,director shall prioritize applicants proposing to serve target communities with significant unmet health and social needs1 as defined by the ,director4 7e7 ,application ,to seek a grant under this section1 an eligible entity shall-- 7#a7 submit an application at such time1 in such manner1 and containing such information as the ,director may require2 7#b7 propose a set of activities to address social determinants of health through evidence-based1 cross-sector strategies1 which activities may include-- 7,a7 collecting quantifiable data from health care1 social services1 and other entities regarding the most significant gaps in health-promoting social1 economic1 and environmental needs2 7,b7 identifying evidence-based approaches to meeting the nonmedical1 social needs of populations identified by data collection described in subparagraph 7,a71 such as unstable housing or food insecurity2 7,c7 developing scalable methods to meet patients' social needs identified in clinical settings or other sites2 7,d7 convening entities such as local and ,state governmental and nongovernmental organizations1 health systems1 payors1 and community-based organizations to review1 plan1 and implement community-wide interventions and strategies to advance health-promoting social conditions2 7,e7 monitoring and evaluating the impact of activities funded through the grant on the health and well-being of the residents of the target community and on the cost of health care2 and 7,f7 such other activities as may be specified by the ,director2 7#c7 demonstrate how the eligible entity will collaborate with-- 7,a7 health systems2 7,b7 payors1 including1 as appropriate1 medicaid managed care organizations 7as defined in section #aijc7m77#a77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77#a77;,a7771 ,medicare ,advantage plans under part ,c of title ,,xviii of such ,act 7#db ,u4,s4,c4 #aciew-#ba et seq471 and health insurance issuers and group health plans 7as such terms are defined in section #bgia of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ia772 7,c7 other relevant stakeholders and initiatives in areas of need1 such as the ,accountable ,health ,communities ,model of the ,centers for ,medicare ,medicaid ,services1 health homes under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 community-based organizations1 and human services organizations2 7,d7 other non-health care sector organizations1 including organizations focusing on transportation1 housing1 or food access2 and 7,e7 local employers2 and 7#d7 identify key health inequities in the target community and demonstrate how the proposed efforts of the eligible entity would address such inequities4 7f7 ,monitoring and evaluation ,as a condition of receipt of a grant under this section1 a grantee shall agree to submit an annual report to the ,director describing the activities carried out through the grant and the outcomes of such activities4 7g7 ,independent national evaluation 7#a7 ,in general ,not later than #e years after the first grants are awarded under this section1 the ,director shall provide for the commencement of an independent national evaluation of the program under this section4 7#b7 ,report to ,congress ,not later than #fj days after receiving the results of such independent national evaluation1 the ,director shall report such results to the ,congress4 #d4 ,research and training ,the ,director1 as part of the ,program-- 7#a7 shall award grants to nonprofit organizations and public or other nonprofit institutions of higher education-- 7,a7 to conduct research on best practices to improve social determinants of health2 7,b7 to provide technical assistance1 training1 and evaluation assistance to grantees under section #c2 and 7,c7 to disseminate best practices to grantees under section #c2 and 7#b7 may require a grantee under paragraph 7#a7 to provide technical assistance and capacity building to entities that are eligible entities under section #c but not receiving funds through such section4 #e4 ,funding 7a7 ,in general ,there is authorized to be appropriated to carry out this ,act1 #ajj1jjj1jjj for each of fiscal years #bjbe through #bjbi4 7b7 ,allocation ,of the amount made available to carry out this ,act for a fiscal year1 not less than #ge percent shall be used for grants under sections #c and #d4