,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bhii  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ba1         
#bjbc,mr4 ,padilla introduc$ ! foll[+   
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to include
 ,middle ,ea/]n]s & ,nor? ,africans 9 ! 
/atutory def9ition ( a racial & e?nic   
m9ority gr\p1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,heal? ,equity & ,middle ,ea/]n & ,nor? 
,african ,community ,inclusion ,act (   
#bjbc or ! ,heal? ,equity & ,,m5a       
,community ,inclusion ,act ( #bjbc4  #b4
 ,def9ition ,9 ?is ,act1 ! t]ms ,middle 
,ea/]n & ,nor? ,african or ,,m5a1 )     
respect to individuals or populations1  
includes individuals & populations :o   
id5tify ) or belong to "o or m          
nationalities or e?nic gr\ps orig9at+ 9 
a c\ntry 7or portion !re(7 9 ! ,middle  
,ea/]n & ,nor? ,african region 7su* z   
,lebanese1 ,iranians1 ,egyptians1       

,moroccans1 ,yem5is1 ,*aldeans1         
,imazigh51 ,kurds1 ,pale/9ians1 &       
,yazidis74  #c4 ,f9d+s ,congress f9ds ! 
foll[+3 7#a7 ,?r\gh ! e/abli%m5t ( !    
,(fice ( ,m9ority ,heal? 7ref]r$ to 9   
?is section z ! ,,omh7 9 #aihf1 !       
,dep>tm5t ( ,heal? & ,human ,s]vices has
 develop$ heal? policies & programs t   
elim9ate heal? disp>ities & improve !   
heal? ( racial & e?nic m9ority          
populations4  7#b7 ,congress has fund$ !
 ,,omh to assure improv$ heal? /atus (  
racial & e?nic m9orities1 & to develop  
measures to evaluate ! effectiv5ess (   
activities aim$ at r$uc+ heal?          
disp>ities & support+ ! local community4
 ,! activities ( ! ,,omh h address$     
heal? disp>ities1 includ+ ) respect to  
physical activity & nutrition1 cl9ical  
conditions1 individual social ne$s1 & ! 
social det]m9ants ( heal? = racial &    
e?nic m9ority gr\ps4  7#c7 ,be=e !      
am5dm5ts made by ?is ,act1 section      
#agjg7;g77#a7 ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjju-#f7;g77#a77  

def9$ ! t]m racial & e?nic m9ority gr\p 
7= :om ! ,,omh works to improve heal?   
outcomes & elim9ate heal? disp>ities7 to
 exclude ,middle ,ea/]n]s & ,nor?       
,africans1 & !reby prev5t$ ,,m5a        
populations f access+ critical res\rces 
int5d$ to assi/ hi/orically m>g9aliz$   
communities4  7#d7 ,indep5d5t rese>*]s &
 private sector rese>* initiatives h    
f\nd significant heal? disp>ities betwe5
 ,,m5a individuals & ! non-,hispanic    
,:ite population1 z well z significant  
ov]lap betwe5 ! heal? outcomes & heal?  
conditions ( ,,m5a individuals & ^? (   
o!r racial & e?nic m9ority gr\ps4  7#e7 
,poor heal? outcomes are (t5 connect$ to
 impov]i%m5t 9 o!r aspects ( life & are 
exac]bat$ by additional b>ri]s to access
 high-quality heal? cov]age1 :e!r 9 t]ms
 ( language1 eligibility1 heal? lit]acy1
 or discrim9ation at ! po9t-(-s]vice4   
7#f7 ,a rec5t /udy publi%$ 9 ! j\rnal1  
,proce$+s ( ! ,national ,academy (      
,sci5ces1 sugge/$ t ,,m5a individuals   
are n p]ceiv$ z ,:ite & d n p]ceive     

!mselves z ,:ite4  7#g7 ,rese>* on !    
heal? outcomes & heal? conditions (     
,,m5a individuals is tr\bl+ & sugge/s t 
ef=ts mu/ be made on ! ,f$]al level to  
disaggregate ! demographic data ( ,,m5a 
individuals f ! demographic data (      
individuals 9 ! non-,hispanic ,:ite     
category & fully und]/& ! social        
det]m9ants ( heal? = heal? disp>ities & 
outcomes exp]i5c$ by ,,m5a individuals4 
7#h7 ,"u ! curr5t ,f$]al /&>ds = data on
 race & e?nicity1 demographic data on   
,,m5a individuals is aggregat$ into !   
same category z demographic data on     
individuals ( ,european ance/ry1 :i*    
limits ! ability ( ! ,f$]al ,gov]nm5t to
 und]/& ! factors t contribute to heal? 
outcomes = ,,m5a individuals4  7#i7 ,!  
,f$]al /&>ds = data on race & e?nicity  
effectively obscure ! reality ( m9ority 
heal? & heal? disp>ities by aggregat+   
demographic heal? data on ,,m5a         
individuals ) t ( ,europeans4  7#aj7    
,,m5a individuals are n includ$ among ! 
gr\ps = :om ! ,,omh works to improve    

heal? outcomes & elim9ate heal?         
disp>ities1 :i* fur!r limits !          
opportunity ( ,,m5a individuals to      
access programs design$ to address _!   
exp]i5ces & heal? conditions4  7#aa7 ,! 
,,omh c\ld bett] assess & elim9ate heal?
 disp>ities by conduct+ a compreh5sive  
/udy ( ! heal? ( ,,m5a individuals &    
recogniz+ ,,m5a individuals z a racial &
 e?nic m9ority gr\p4  #d4 ,inclusion (  
,middle ,ea/]n]s & ,nor? ,africans 9    
def9ition ( racial & e?nic m9ority gr\ps
  7a7 ,9 g5]al ,section #agjg7;g77#a7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #cjju-#f7;g77#a77 is am5d$ by 
/rik+ ,blacks2 & ,hispanics & ins]t+    
,blacks or ,african ,am]icans2          
,hispanics2 & ,middle ,ea/]n]s & ,nor?  
,africans4  7b7 ,s5se ( ,congress ,x is 
! s5se ( ,congress t subsection 7a7 %\ld
 be implem5t$ s z to ensure t-- 7#a7 !  
def9ition ( a racial & e?nic m9ority    
gr\p 9 section #agjg7;g77#a7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjju-#f7;g77#a771 z am5d$ by subsection

 7a71 is appli$ 9 ! implem5tation &     
execution ( ,f$]al programs & activities
 t ref]5ce su* def9ition2 &  7#b7 no    
racial & e?nic m9ority gr\p s]v$ by su* 
programs & activities is negatively     
impact$ by ! am5dm5t made by subsection 
7a74  7c7 ,undef9$ ref]5ces ,n lat] ?an 
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all-- 7#a7 id5tify all        
regulations1 guidance1 ord]s1 & docum5ts
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices = e/abli%m5t or implem5tation (
 a heal? c>e or public heal? program1   
activity1 or survey t-- 7,a7 use ! t]m  
racial & e?nic m9ority gr\p or simil>   
t]m9ology2 &  7,b7 d n def9e su* t]m or 
t]m9ology2 &  7#b7 take su* actions z   
may be necess>y to cl>ify :e!r !        
def9ition ( racial & e?nic m9ority gr\p 
9 section #agjg7;g77#a7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjju-#f7;g77#a771 z am5d$ by subsection
 7a71 applies to su* t]m or t]m9ology4  
7d7 ,report to ,congress ,n lat] ?an #b 

ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all submit a report to ,congress on !  
implem5tation ( ?is section4  #e4       
,report on ! heal? ( ! ,middle ,ea/]n & 
,nor? ,african population  7a7 ,/udy    
requir$ ,! ,secret>y ( ,heal? & ,human  
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all conduct or support a    
compreh5sive /udy reg>d+ ! unique heal? 
patt]ns & outcomes ( ,,m5a populations4 
7b7 ,requirem5ts = /udy ,! compreh5sive 
/udy "u subsection 7a7 %all include an  
enum]ation ( ,,m5a populations across ! 
,unit$ ,/ates1 disaggregat$ by          
subpopulation1 & ) respect to ea* su*   
population & subpopulation-- 7#a7 !     
rates (-- 7,a7 obesity1 diabetes1 sickle
 cell anemia1 /roke1 a/hma1 pneumonia1  
lung canc]1 ,,hiv_/,,aids1 ,,hpv1 high  
*ole/]ol1 high blood pressure1 *ronic   
he>t1 lung1 & kidney disease2  7,b7     
morbidity & mortality1 includ+ ! rates (
 morbidity & mortality associat$ ) !    
heal? conditions li/$ 9 subp>agraph     

7,a72  7,c7 m5tal heal? & sub/ance use  
disord]s2 &  7,d7 dome/ic viol5ce1 dat+ 
viol5ce1 sexual assault1 sexual         
h>assm5t1 & /alk+2  7#b7 analysis (--   
7,a7 ! rates describ$ 9 p>agraph 7#a72  
7,b7 ! lead+ causes (                   
pregnancy-associat$ morbidity &         
mortality2 &  7,c7 access to heal? c>e  
facilities & ! associat$ outcomes ( c>e2
  7#c7 analysis1 enum]ation1 or         
quantification ( any o!r heal? or       
heal?-relat$ p>amet]s ! ,secret>y may   
deem necess>y2 &  7#d7 analysis ( !     
relation%ip betwe5 ! heal? factors1     
outcomes1 & conditions describ$ 9       
p>agraphs 7#a7 ?r\gh 7#c7 & !           
implem5tation ( ,f$]al heal? programs4  
7c7 ,consultation ,! ,secret>y %all--   
7#a7 c>ry out ?is section 9             
consultation1 z appropriate1 ) !        
,director ( ! ,c5sus ,bureau1 !         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! ,director ( ! ,national
 ,in/itutes ( ,heal?1 ! ,assi/ant       
,secret>y = ,m5tal ,heal? & ,sub/ance   

,use1 & o!r /akehold]s 7includ+         
community-bas$ organizations72 &  7#b7  
det]m9e ?r\gh su* consultation !        
subpopulations to be us$ = purposes (   
disaggregation ( data pursuant to       
subsection 7b74  7d7 ,onl9e portal ,^u  
conclusion ( ! compreh5sive /udy "u ?is 
section1 ! ,secret>y %all e/abli% a     
public onl9e portal to catalogue !      
results ( ! /udy1 its und]ly+ data1 &   
in=mation 9 ! report submitt$ pursuant  
to subsection 7f74  7e7 ,report+  7#a7  
,int]im report ,n lat] ?an #b ye>s aft] 
! date ( enactm5t ( ?is ,act1 !         
,secret>y %all submit to ,congress a    
report outl9+ ! *all5ges associat$ )1 & 
progress t[>ds implem5t+ heal? data     
collection = ,,m5a populations z a      
di/9ct category & ! plan = complet+ a   
compreh5sive /udy reg>d+ ! unique heal? 
patt]ns & outcomes ( ,,m5a populations4 
7#b7 ,f9al report ,n lat] ?an #cj days  
aft] ! conclusion ( ! compreh5sive /udy 
"u ?is section1 ! ,secret>y %all submit 
to ,congress a report describ+-- 7,a7 ! 

results ( ! /udy conduct$ "u ?is        
section2 &  7,b7 ! rulemak+s & o!r      
actions ! ag5cies describ$ 9 subsection 
7c77#a7 c und]take to m equitably       
include ,,m5a individuals 9 _! programs4
  7f7 ,privacy ,! ,secret>y %all n      
include any p]sonally id5tifiable       
in=mation on ! onl9e portal "u          
subsection 7e7 or 9 ! report "u         
subsection 7f74