,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajbgd  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #c1         
#bjbf,mr4 ,h>d] ( ,cali=nia introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on             
,agriculture1 = a p]iod to be           
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to exp& access to  
integrat$1 community-driv5 heal? &      
nutrition s]vices = und]s]v$ populations
 ) high *ronic disease preval5ce1 ?r\gh 
coord9at$ local p>tn]%ips1 measurable   
outcomes1 & su/a9able deliv]y models1 & 
= o!r purposes4  #a4 ,%ort title  ,?is  
,act may be cit$ z ! ,p>tn]%ips = ,bett]
 ,heal? ,act4  #b4 ,community ,heal?    
,p>tn]%ip ,grants  7a7 ,9 g5]al ,!      
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) ! ,secret>y (            
,agriculture1 %all e/abli% a program "u 
:i* ! ,secret>y conc]n$ w aw>d grants to

 lead eligible entities to c>ry out     
activities t support integrat$ *ronic   
disease prev5tion1 managem5t1 & social  
support4  7b7 ,application ,a lead      
eligible entity seek+ a grant "u ?is    
section %all submit an application at   
su* "t & 9 su* mann]1 z ! ,secret>y     
conc]n$ may require4 ,su* application   
%all include--  7#a7 a community ne$s   
assessm5t %[+ high *ronic disease       
preval5ce2  7#b7 a c>e integration plan 
l9k+ heal? & nutrition2  7#c7 a         
measurable outcomes framework = ea* ye> 
( ! grant2 &  7#d7 su* o!r in=mation z !
 ,secret>y conc]n$ may require4  7c7    
,priority ,9 aw>d+ grants "u ?is        
section1 ! ,secret>y conc]n$ %all give  
priority to applicants s]v+ communities 
7z det]m9$ by ! ,secret>y conc]n$7 t--  
7#a7 h a high preval5ce ( *ronic        
disease2  7#b7 h high food insecurity2  
7#c7 are locat$ 9 a heal? pr(essional   
%ortage area ) a designation 9 effect "u
 section #ccb ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bed;e72  7#d7 are 

m$ically und]s]v$ communities 7z def9$ 9
 section #gii;,b ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #biep772    
7#e7 are locat$ 9 a rural area 7z def9$ 
9 section #ahhf7;d77#b77;,d7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acieww772 or  7#f7 are locat$ 9 an area
 ( p]si/5t pov]ty 7z def9$ 9 section    
#fgjb ( title #di1 ,unit$ ,/ates ,code74
  7d7 ,use ( funds ,a lead eligible     
entity t receives a grant "u ?is section
 7& any memb] ( a local coalition on ^: 
behalf ! application "u ?is section is  
submitt$7 may use grant funds to--  7#a7
 provide = integrat$ c>e deliv]y ?r\gh--
 7,a7 ! provision ( c>e coord9ation     
across cl9ical1 nutrition1 & social     
s]vices2  7,b7 community heal? work]s or
 pati5t navigators2  7,c7 provid+ =     
ref]ral sy/ems betwe5 programs2 or  7,d7
 transportation s]vices2  7#b7 provide =
 nutrition & *ronic disease education & 
self-managem5t support ?r\gh--  7,a7 pe]
 support & gr\p education sessions2 or  
7,b7 evid5ce-bas$1 culturally &         

l+ui/ically appropriate education       
mat]ials deliv]$ by a c]tifi$ diabetes  
educator2 community heal? work]1 or     
tra9$ pe] educators us+ culturally      
appropriate pr9t$ & digital mat]ial2    
7#c7 e/abli% or exp& a ,food ,is ,m$ic9e
 program2  7#d7 e/abli% or upgrade data 
infra/ructure & conduct evaluations (   
outcomes1 includ+ ?r\gh--  7,a7 upgrades
 to data collection sy/ems2  7,b7       
outcomes track+2  7,c7 coalition        
collaboration data2 or  7,d7 program    
evaluation & report+2 &  7#e7 c>ry out  
outrea* & enrollm5t ef=ts1 su* z        
id5tify+ eligible p>ticipants 9 s]vices 
provid$ ?r\gh su* a grant & increas+    
community engagem5t & tru/ build+ ) !   
community to be s]v$ by ! lead eligible 
entity4  7e7 ,conditions ,z a condition 
on ! receipt ( a grant "u ?is section1 !
 lead eligible entity %all agree--  7#a7
 to exclusively use evid5ce-bas$ or     
evid5ce in=m$ models 9 provid+ s]vices  
describ$ 9 subsection 7d72  7#b7 to s]ve
 populations ^: family income does n    

exce$ #bjj p]c5t ( ! pov]ty l9e 7z def9$
 9 section #fgc7b7 ( ! ,community       
,s]vices ,block ,grant ,act 7#db        
,u4,s4,c4 #iijb7b777 = a family ( ! size
 involv$1 or o!rwise m$ically und]s]v$2 
&  7#c7 to ensure t ea* memb] ( ! local 
coalition involv$-- 7,a7 ma9ta9s        
p>tn]%ip agreem5ts among ! coalition = !
 duration ( ! p]iod ( ! grant2 &  7,b7  
p>ticipates 9 any ,f$]al evaluations    
relat$ to grants made "u ?is section4   
7f7 ,supplem5t1 n supplant ,funds made  
available "u ?is section %all be us$ to 
supplem5t1 & n supplant1 non-,f$]al     
funds t w\ld o!rwise be us$ = activities
 au?oriz$ "u ?is section4  7g7 ,t]m ,!  
t]m ( a grant aw>d$ "u ?is section %all 
n exce$ #c ye>s4 ,a grant may be r5ew$ =
 an additional #b-ye> p]iod1 bas$ on    
p]=mance4  7h7 ,report+  7#a7 ,9 g5]al  
,beg9n+ n lat] ?an #f mon?s aft] ! date 
on :i* a lead eligible entity receives a
 grant "u ?is section1 & e ye> !reaft]1 
a lead eligible entity t receives a     
grant "u ?is section %all submit to !   

,secret>y conc]n$ a report on--  7,a7 ! 
outcomes a*iev$ by ! program "u ?is     
section2 &  7,b7 ! progress made )      
respect to ! design & implem5tation ( ! 
program4  7#b7 ,cont5ts ,! report "u    
subsection 7a7 %all include-- 7,a7 !    
demographics ( p>ticipants 9 programs   
fund$ ?r\gh ! grant2  7,b7 ! s]vices    
deliv]$ by su* programs2  7,c7 ! lessons
 le>n$ f su* programs & b>ri]s to access
 to s]vices provid$ by su* programs2 &  
7,d7 ! heal?1 social & access1 &        
utilization outcomes ( su* programs     
specifi$ 9 p>agraph 7#c74  7#c7         
,outcomes describ$ ,! outcomes describ$ 
9 ?is p>agraph are ! foll[+3  7,a7 ,)   
respect to heal? outcomes1 :e!r         
p>ticipants 9 programs fund$ ?r\gh !    
grant _h exp]i5c$ a r$uction 9-- 7i7    
,hb,a#a;c levels2  7ii7 blood pressure2 
or  7iii7 weight or body mass index     
7,,bmi74  7,b7 ,) respect to social &   
access outcomes1 :e!r su* p>ticipants   
exp]i5c$-- 7i7 a *ange 9 food security  
/atus2  7ii7 cont9uity ( c>e2  7iii7    

increas$ engagem5t & ret5tion 9 programs
 fund$ ?r\gh ! grant2 or  7iv7 a *ange 9
 heal? behavior & diet>y habits4  7,c7  
,) respect to utilization outcomes1 :e!r
 )9 ! area s]v$ by ! entity receiv+ !   
grant--  7i7 _h few] em]g5cy dep>tm5t   
visits relat$ to *ronic diseases2 or    
7ii7 _h few] hospitalizations relat$ to 
*ronic diseases4  7i7 ,def9itions ,9 ?is
 section3 7#a7 ,food is ,m$ic9e program 
,! t]m ,food is ,m$ic9e program means a 
/ructur$ int]v5tion 9 :i* a heal?c>e    
provid] prescribes or ref]s pati5ts to  
receive1 via home deliv]y1 m$ically     
appropriate food1 nutrition education1 &
 relat$ support z "p ( a treatm5t or    
prev5tion plan = diet-relat$ disease4   
7#b7 ,lead eligible entity ,! t]m lead  
eligible entity means ! nonpr(it or     
public entity submitt+ an application = 
a grant "u ?is section on behalf ( a    
local coalition1 t-- 7,a7 has           
demon/rat$--  7i7 exp]i5ce s]v+ und]s]v$
 or high-risk populations2 &  7ii7      
capacity to manage ,f$]al grant funds2  

7,b7 has 9 effect on ! date on :i* !    
application is submitt$1 "o or m =mal   
agreem5ts ) a coalition p>tn]2 &  7,c7  
is "o ( ! foll[+3  7i7 ,a ,f$]ally      
qualifi$ heal? c5t] 7z def9$ 9 section  
#ahfa7;aa7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #aciex7aa7774  7ii7 ,a   
community heal? c5t] receiv+ assi/ance  
"u section #ccj ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bed;b74    
7iii7 ,a nonpr(it hospital or heal?     
sy/em4  7iv7 ,a nonpr(it organization ) 
demon/rat$ heal?c>e exp]tise4  7v7 ,a   
food bank4  7vi7 ,a nonpr(it            
organization ) demon/rat$ nutrition     
exp]tise4  7#c7 ,local coalition ,! t]m 
local coalition includes-- 7,a7 ,a      
cl9ical p>tn]1 su* z--  7i7 a ,f$]ally  
qualifi$ heal? c5t] or rural heal? cl9ic
 7z su* t]ms are def9$ 9 section        
#ahfa7;aa7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #aciex7aa7772  7ii7 a    
community heal? c5t] receiv+ assi/ance  
"u section #ccj ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bed;b72 or 

7iii7 a nonpr(it hospital4  7,b7 ,a food
 & nutrition p>tn]1 su* z a food bank1  
food pantry network1 or nonpr(it food   
provid] ) capacity to s\rce & deliv]    
m$ically tailor$ or disease appropriate 
foods4  7,c7 ,a public heal? or gov]nm5t
 p>tn]1 su* z-- 7i7 a local or ,/ate    
public heal? dep>tm5t2 or  7ii7 ,tribal 
heal? au?ority1 :]e applicable4  7,d7 ,a
 community-bas$ organization1 includ+-- 
7i7 a fai?-bas$ organization2  7ii7 a   
community action ag5cy2  7iii7 a social 
s]vice nonpr(it2 &  7iv7 an educational 
in/itution4  7#d7 ,secret>y conc]n$ ,!  
t]m ,secret>y conc]n$ means-- 7,a7 !    
,secret>y ( ,heal? & ,human ,s]vices 9 !
 case ( grants aw>d$ to an entity       
specifi$ 9 clauses 7i7 ?r\gh 7iv7 (     
p>agraph 7#b77;,c72 &  7,b7 ! ,secret>y 
( ,agriculture 9 ! case ( grants aw>d$  
to an entity specifi$ 9 clauses 7v7 &   
7vi7 ( p>agraph 7#b77;,c74  7j7         
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ #ae1jjj1jjj =
 ea* ( fiscal ye>s #bjbg ?r\gh #bjca4