,,ii  #aah? ,,congress  #b;d ,session   
,s4 #chdg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #bi1 #bjbd,ms4
 ,smi? 7= h]self1 ,mr4 ,murphy1 ,mr4    
,:iteh\se1 ,ms4 ,baldw91 ,mr4 ,blum5?al1
 ,mr4 ,wel*1 ,ms4 ,klobu*>1 & ,mr4      
,br[n7 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 ( #bjbd4  #b4 ,social ,det]m9ants (
 ,heal? ,program  7a7 ,program ,to !    
ext5t & 9 ! am\nts made available 9     
advance 9 appropriations ,acts1 !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion 79 ?is ,act ref]r$ to z ! 
,director7 %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 #c to   
,/ate1 local1 t]ritorial1 & ,tribal     
heal? ag5cies & organizations1 & to o!r 
eligible entities1 to address social    
det]m9ants ( heal? 9 t>get communities4 
7#c7 ,aw>d+ grants "u section #d 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 #c2 &  7,c7 to      
dissem9ate be/ practices to grantees "u 
section #c4  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  #c4 ,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+1 implem5t+1 & evaluat+       
innovative1 evid5ce-bas$1 cross-sector  
/rategies4  7#b7 ,t>get community ,=    
purposes ( ?is section1 a t>get         
community %all be a ,/ate1 c\nty1 city1 
or o!r municipality4  7d7 ,priority ,9  
aw>d+ grants "u ?is section1 ! ,director
 %all prioritize applicants propos+ to  
s]ve t>get communities ) significant    
unmet heal? & social ne$s1 z def9$ by ! 
,director4  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 food insecurity2  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 ,act 7#db ,u4,s4,c4      
#cjj;gg-#ia772  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 ! ,congress4  #d4 
,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 #c2 &  7,c7 to      
dissem9ate be/ practices to grantees "u 
section #c2 &  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 #c b n receiv+ funds ?r\gh su*  
section4  #e4 ,fund+  7a7 ,9 g5]al ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is ,act1 #ajj1jjj1jjj = ea* (      
fiscal ye>s #bjbe ?r\gh #bjbi4  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 #c & #d4