Collapse to view only § 300u-15. Research on optimizing the delivery of public health services
- § 300u. General authority of Secretary
- § 300u-1. Grants and contracts for research programs; authority of Secretary; review of applications; additional functions; periodic public survey
- § 300u-2. Grants and contracts for community health programs
- § 300u-3. Grants and contracts for information programs; authority of Secretary; particular activities
- § 300u-4. Status reports to President and Congress; study of health education and preventive health services with respect to insurance coverage
- § 300u-5. Centers for research and demonstration of health promotion and disease prevention
- § 300u-6. Office of Minority Health
- § 300u-6a. Individual offices of minority health within the Department
- § 300u-7. Office of Adolescent Health
- § 300u-8. Biennial report regarding nutrition and health
- § 300u-9. Education regarding DES
- § 300u-10. National Prevention, Health Promotion and Public Health Council
- § 300u-11. Prevention and Public Health Fund
- § 300u-12. Education and outreach campaign regarding preventive benefits
- § 300u-13. Community transformation grants
- § 300u-14. Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries
- § 300u-15. Research on optimizing the delivery of public health services
- § 300u-16. Establishment of substance use disorder information dashboard
§ 300u. General authority of Secretary
(a) Development, support, and implementation of programs, activities, etc.The Secretary shall—
(1) formulate national goals, and a strategy to achieve such goals, with respect to health information and health promotion, preventive health services, and education in the appropriate use of health care;
(2) analyze the necessary and available resources for implementing the goals and strategy formulated pursuant to paragraph (1), and recommend appropriate educational and quality assurance policies for the needed manpower resources identified by such analysis;
(3) undertake and support necessary activities and programs to—
(A) incorporate appropriate health education components into our society, especially into all aspects of education and health care,
(B) increase the application and use of health knowledge, skills, and practices by the general population in its patterns of daily living, and
(C) establish systematic processes for the exploration, development, demonstration, and evaluation of innovative health promotion concepts;
(4) undertake and support research and demonstrations respecting health information and health promotion, preventive health services, and education in the appropriate use of health care;
(5) undertake and support appropriate training in, and undertake and support appropriate training in the operation of programs concerned with, health information and health promotion, preventive health services, and education in the appropriate use of health care;
(6) undertake and support, through improved planning and implementation of tested models and evaluation of results, effective and efficient programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care;
(7)
(A) develop model programs through which employers in the public sector, and employers that are small businesses (as defined in section 632 of title 15), can provide for their employees a program to promote healthy behaviors and to discourage participation in unhealthy behaviors;
(B) provide technical assistance to public and private employers in implementing such programs (including private employers that are not small businesses and that will implement programs other than the programs developed by the Secretary pursuant to subparagraph (A)); and
(C) in providing such technical assistance, give preference to small businesses;
(8) foster the exchange of information respecting, and foster cooperation in the conduct of, research, demonstration, and training programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care;
(9) provide technical assistance in the programs referred to in paragraph (8);
(10) use such other authorities for programs respecting health information and health promotion, preventive health services, and education in the appropriate use of health care as are available and coordinate such use with programs conducted under this subchapter; and
(11) establish in the Office of the Assistant Secretary for Health an Office of Disease Prevention and Health Promotion, which shall—
(A) coordinate all activities within the Department which relate to disease prevention, health promotion, preventive health services, and health information and education with respect to the appropriate use of health care;
(B) coordinate such activities with similar activities in the private sector;
(C) establish a national information clearinghouse to facilitate the exchange of information concerning matters relating to health information and health promotion, preventive health services (which may include information concerning models and standards for insurance coverage of such services), and education in the appropriate use of health care, to facilitate access to such information, and to assist in the analysis of issues and problems relating to such matters; and
(D) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, and physical fitness and sports medicine.
The Secretary shall appoint a Director for the Office of Disease Prevention and Health Promotion established pursuant to paragraph (11) of this subsection. The Secretary shall administer this subchapter in cooperation with health care providers, educators, voluntary organizations, businesses, and State and local health agencies in order to encourage the dissemination of health information and health promotion activities.
(b) Authorization of appropriations
(c) Application; submission and approval as prerequisite; form and span
(July 1, 1944, ch. 373, title XVII, § 1701, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 695; amended Pub. L. 96–32, § 7(n), July 10, 1979, 93 Stat. 85; Pub. L. 96–76, title II, § 209, Sept. 29, 1979, 93 Stat. 584; Pub. L. 98–551, § 2(a), Oct. 30, 1984, 98 Stat. 2815; Pub. L. 100–607, title III, § 312(a)(1), (b)(1), (c), Nov. 4, 1988, 102 Stat. 3113, 3114; Pub. L. 102–168, title I, § 101, Nov. 26, 1991, 105 Stat. 1102; Pub. L. 102–531, title III, § 311(b)(1), Oct. 27, 1992, 106 Stat. 3503; Pub. L. 105–392, title IV, § 414, Nov. 13, 1998, 112 Stat. 3590.)
§ 300u–1. Grants and contracts for research programs; authority of Secretary; review of applications; additional functions; periodic public survey
(a) The Secretary is authorized to conduct and support by grant or contract (and encourage others to support) research in health information and health promotion, preventive health services, and education in the appropriate use of health care. Applications for grants and contracts under this section shall be subject to appropriate peer review. The Secretary shall also—
(1) provide consultation and technical assistance to persons who need help in preparing research proposals or in actually conducting research;
(2) determine the best methods of disseminating information concerning personal health behavior, preventive health services and the appropriate use of health care and of affecting behavior so that such information is applied to maintain and improve health, and prevent disease, reduce its risk, or modify its course or severity;
(3) determine and study environmental, occupational, social, and behavioral factors which affect and determine health and ascertain those programs and areas for which educational and preventive measures could be implemented to improve health as it is affected by such factors;
(4) develop (A) methods by which the cost and effectiveness of activities respecting health information and health promotion, preventive health services, and education in the appropriate use of health care, can be measured, including methods for evaluating the effectiveness of various settings for such activities and the various types of persons engaged in such activities, (B) methods for reimbursement or payment for such activities, and (C) models and standards for the conduct of such activities, including models and standards for the education, by providers of institutional health services, of individuals receiving such services respecting the nature of the institutional health services provided the individuals and the symptoms, signs, or diagnoses which led to provision of such services;
(5) develop a method for assessing the cost and effectiveness of specific medical services and procedures under various conditions of use, including the assessment of the sensitivity and specificity of screening and diagnostic procedures; and
(6) enumerate and assess, using methods developed under paragraph (5), preventive health measures and services with respect to their cost and effectiveness under various conditions of use (which measures and services may include blood pressure screening, cholesterol screening and control, smoking cessation programs, substance abuse programs, cancer screening, dietary and nutritional counseling, diabetes screening and education, intraocular pressure screening, and stress management).
(b) The Secretary shall make a periodic survey of the needs, interest, attitudes, knowledge, and behavior of the American public regarding health and health care. The Secretary shall take into consideration the findings of such surveys and the findings of similar surveys conducted by national and community health education organizations, and other organizations and agencies for formulating policy respecting health information and health promotion, preventive health services, and education in the appropriate use of health care.
(July 1, 1944, ch. 373, title XVII, § 1702, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 696; amended Pub. L. 102–531, title III, § 311(b)(2), Oct. 27, 1992, 106 Stat. 3504.)
§ 300u–2. Grants and contracts for community health programs
(a) Authority of Secretary; particular activities
The Secretary is authorized to conduct and support by grant or contract (and encourage others to support) new and innovative programs in health information and health promotion, preventive health services, and education in the appropriate use of health care, and may specifically—
(1) support demonstration and training programs in such matters which programs (A) are in hospitals, ambulatory care settings, home care settings, schools, day care programs for children, and other appropriate settings representative of broad cross sections of the population, and include public education activities of voluntary health agencies, professional medical societies, and other private nonprofit health organizations, (B) focus on objectives that are measurable, and (C) emphasize the prevention or moderation of illness or accidents that appear controllable through individual knowledge and behavior;
(2) provide consultation and technical assistance to organizations that request help in planning, operating, or evaluating programs in such matters;
(3) develop health information and health promotion materials and teaching programs including (A) model curriculums for the training of educational and health professionals and paraprofessionals in health education by medical, dental, and nursing schools, schools of public health, and other institutions engaged in training of educational or health professionals, (B) model curriculums to be used in elementary and secondary schools and institutions of higher learning, (C) materials and programs for the continuing education of health professionals and paraprofessionals in the health education of their patients, (D) materials for public service use by the printed and broadcast media, and (E) materials and programs to assist providers of health care in providing health education to their patients; and
(4) support demonstration and evaluation programs for individual and group self-help programs designed to assist the participant in using his individual capacities to deal with health problems, including programs concerned with obesity, hypertension, and diabetes.
(b) Grants to States and other public and nonprofit private entities; costs of demonstrating and evaluating programs; development of models
(c) Private nonprofit entities; limitation on amount of grant or contract
(July 1, 1944, ch. 373, title XVII, § 1703, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 697.)
§ 300u–3. Grants and contracts for information programs; authority of Secretary; particular activities
The Secretary is authorized to conduct and support by grant or contract (and encourage others to support) such activities as may be required to make information respecting health information and health promotion, preventive health services, and education in the appropriate use of health care available to the consumers of medical care, providers of such care, schools, and others who are or should be informed respecting such matters. Such activities may include at least the following:
(1) The publication of information, pamphlets, and other reports which are specially suited to interest and instruct the health consumer, which information, pamphlets, and other reports shall be updated annually, shall pertain to the individual’s ability to improve and safeguard his own health; shall include material, accompanied by suitable illustrations, on child care, family life and human development, disease prevention (particularly prevention of pulmonary disease, cardiovascular disease, and cancer), physical fitness, dental health, environmental health, nutrition, safety and accident prevention, drug abuse and alcoholism, mental health, management of chronic diseases (including diabetes and arthritis), and venereal diseases; and shall be designed to reach populations of different languages and of different social and economic backgrounds.
(2) Securing the cooperation of the communications media, providers of health care, schools, and others in activities designed to promote and encourage the use of health maintaining information and behavior.
(3) The study of health information and promotion in advertising and the making to concerned Federal agencies and others such recommendations respecting such advertising as are appropriate.
(4) The development of models and standards for the publication by States, insurance carriers, prepaid health plans, and others (except individual health practitioners) of information for use by the public respecting the cost and quality of health care, including information to enable the public to make comparisons of the cost and quality of health care.
(5) The development of models and standards for the publication by States, insurance carriers, prepaid health plans, and others of information for use by the public respecting health insurance policies and prepaid health plans, including information on the benefits provided by the various types of such policies and plans, the premium charges for such policies and plans, exclusions from coverage or eligibility for coverage, cost sharing requirements, and the ratio of the amounts paid as benefits to the amounts received as premiums and information to enable the public to make relevant comparisons of the costs and benefits of such policies and plans.
(July 1, 1944, ch. 373, title XVII, § 1704, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 698; amended Pub. L. 98–551, § 2(b), Oct. 30, 1984, 98 Stat. 2816.)
§ 300u–4. Status reports to President and Congress; study of health education and preventive health services with respect to insurance coverage
(a) The Secretary shall, not later than two years after June 23, 1976, and biannually thereafter, submit to the President for transmittal to Congress a report on the status of health information and health promotion, preventive health services, and education in the appropriate use of health care. Each such report shall include—
(1) a statement of the activities carried out under this subchapter since the last report and the extent to which each such activity achieves the purposes of this subchapter;
(2) an assessment of the manpower resources needed to carry out programs relating to health information and health promotion, preventive health services, and education in the appropriate use of health care, and a statement describing the activities currently being carried out under this subchapter designed to prepare teachers and other manpower for such programs;
(3) the goals and strategy formulated pursuant to section 300u(a)(1) of this title, the models and standards developed under this subchapter, and the results of the study required by subsection (b) of this section; and
(4) such recommendations as the Secretary considers appropriate for legislation respecting health information and health promotion, preventive health services, and education in the appropriate use of health care, including recommendations for revisions to and extension of this subchapter.
(b) The Secretary shall conduct a study of health education services and preventive health services to determine the coverage of such services under public and private health insurance programs, including the extent and nature of such coverage and the cost sharing requirements required by such programs for coverage of such services.
(July 1, 1944, ch. 373, title XVII, § 1705, as added Pub. L. 94–317, title I, § 102, June 23, 1976, 90 Stat. 699; amended Pub. L. 104–66, title I, § 1062(d), Dec. 21, 1995, 109 Stat. 720.)
§ 300u–5. Centers for research and demonstration of health promotion and disease prevention
(a) Establishment; grants; contracts; research and demonstration projects
(b) Location; types of research and projectsEach center established, maintained, or operated under this section shall—
(1) be located in an academic health center with—
(A) a multidisciplinary faculty with expertise in public health and which has working relationships with relevant groups in such fields as medicine, psychology, nursing, social work, education and business;
(B) graduate training programs relevant to disease prevention;
(C) a core faculty in epidemiology, biostatistics, social sciences, behavioral and environmental health sciences, and health administration;
(D) a demonstrated curriculum in disease prevention;
(E) a capability for residency training in public health or preventive medicine; and
(F) such other qualifications as the Secretary may prescribe;
(2) conduct—
(A) health promotion and disease prevention research, including retrospective studies and longitudinal prospective studies in population groups and communities;
(B) demonstration projects for the delivery of services relating to health promotion and disease prevention to defined population groups using, as appropriate, community outreach and organization techniques and other methods of educating and motivating communities; and
(C) evaluation studies on the efficacy of demonstration projects conducted under subparagraph (B) of this paragraph.
The design of any evaluation study conducted under subparagraph (C) shall be established prior to the commencement of the demonstration project under subparagraph (B) for which the evaluation will be conducted.
(c) Equitable geographic distribution of centers; procedures
(1) In making grants and entering into contracts under this section, the Secretary shall provide for an equitable geographical distribution of centers established, maintained, and operated under this section and for the distribution of such centers among areas containing a wide range of population groups which exhibit incidences of diseases which are most amenable to preventive intervention.
(2) The Secretary, through the Director of the Centers for Disease Control and Prevention and in consultation with the Director of the National Institutes of Health, shall establish procedures for the appropriate peer review of applications for grants and contracts under this section by peer review groups composed principally of non-Federal experts.
(d) “Academic health center” defined
(e) Authorization of appropriations
(July 1, 1944, ch. 373, title XVII, § 1706, as added Pub. L. 98–551, § 2(d), Oct. 30, 1984, 98 Stat. 2816; amended Pub. L. 100–607, title III, § 312(a)(2), Nov. 4, 1988, 102 Stat. 3113; Pub. L. 102–168, title I, § 102, Nov. 26, 1991, 105 Stat. 1102; Pub. L. 102–531, title III, § 312(d)(12), Oct. 27, 1992, 106 Stat. 3505; Pub. L. 103–183, title VII, § 705(d), Dec. 14, 1993, 107 Stat. 2241; Pub. L. 105–340, title II, § 204, Oct. 31, 1998, 112 Stat. 3195.)
§ 300u–6. Office of Minority Health
(a) In general
(b) DutiesWith respect to improving the health of racial and ethnic minority groups, the Secretary, acting through the Deputy Assistant Secretary for Minority Health (in this section referred to as the “Deputy Assistant Secretary”), shall carry out the following:
(1) Establish short-range and long-range goals and objectives and coordinate all other activities within the Public Health Service that relate to disease prevention, health promotion, service delivery, and research concerning such individuals. The heads of each of the agencies of the Service shall consult with the Deputy Assistant Secretary to ensure the coordination of such activities.
(2) Enter into interagency agreements with other agencies of the Public Health Service.
(3) Support research, demonstrations and evaluations to test new and innovative models.
(4) Increase knowledge and understanding of health risk factors.
(5) Develop mechanisms that support better information dissemination, education, prevention, and service delivery to individuals from disadvantaged backgrounds, including individuals who are members of racial or ethnic minority groups.
(6) Ensure that the National Center for Health Statistics collects data on the health status of each minority group.
(7) With respect to individuals who lack proficiency in speaking the English language, enter into contracts with public and nonprofit private providers of primary health services for the purpose of increasing the access of the individuals to such services by developing and carrying out programs to provide bilingual or interpretive services.
(8) Support a national minority health resource center to carry out the following:
(A) Facilitate the exchange of information regarding matters relating to health information and health promotion, preventive health services, and education in the appropriate use of health care.
(B) Facilitate access to such information.
(C) Assist in the analysis of issues and problems relating to such matters.
(D) Provide technical assistance with respect to the exchange of such information (including facilitating the development of materials for such technical assistance).
(9) Carry out programs to improve access to health care services for individuals with limited proficiency in speaking the English language. Activities under the preceding sentence shall include developing and evaluating model projects.
(10) Advise in matters related to the development, implementation, and evaluation of health professions education in decreasing disparities in health care outcomes, including cultural competency as a method of eliminating health disparities.
(c) Advisory Committee
(1) In general
(2) Duties
(3) Chair
(4) Composition
(A) The Committee shall be composed of 12 voting members appointed in accordance with subparagraph (B), and nonvoting, ex officio members designated in subparagraph (C).
(B) The voting members of the Committee shall be appointed by the Secretary from among individuals who are not officers or employees of the Federal Government and who have expertise regarding issues of minority health. The racial and ethnic minority groups shall be equally represented among such members.
(C) The nonvoting, ex officio members of the Committee shall be such officials of the Department of Health and Human Services as the Secretary determines to be appropriate.
(5) Terms
(6) Vacancies
(7) Compensation
(d) Certain requirements regarding duties
(1) Recommendations regarding language
(A) Proficiency in speaking English
(B) Health professions education regarding health disparities
(2) Equitable allocation regarding activities
(3) Cultural competency of services
(e) Grants and contracts regarding duties
(1) In general
(2) Process for making awards
(3) Evaluation and dissemination
(f) Reports
(1) In general
(2) Agency reports
(g) DefinitionsFor purposes of this section:
(1) The term “racial and ethnic minority group” means American Indians (including Alaska Natives, Eskimos, and Aleuts); Asian Americans; Native Hawaiians and other Pacific Islanders; Blacks; and Hispanics.
(2) The term “Hispanic” means individuals whose origin is Mexican, Puerto Rican, Cuban, Central or South American, or any other Spanish-speaking country.
(h) Authorization of appropriations
(July 1, 1944, ch. 373, title XVII, § 1707, as added Pub. L. 101–527, § 2, Nov. 6, 1990, 104 Stat. 2312; amended Pub. L. 101–557, title IV, § 401(a)(1), Nov. 15, 1990, 104 Stat. 2770; Pub. L. 105–392, title II, § 201(a), (c), Nov. 13, 1998, 112 Stat. 3582, 3585; Pub. L. 106–525, title IV, § 403, title VI, § 601, Nov. 22, 2000, 114 Stat. 2509, 2511; Pub. L. 111–148, title X, § 10334(a)(1), Mar. 23, 2010, 124 Stat. 971.)
§ 300u–6a. Individual offices of minority health within the Department
(a) In general
(b) Specified agencies
(c) Director; appointment
(d) References
(e) Funding
(1) Allocations
(2) Availability of funds for staffing
(July 1, 1944, ch. 373, title XVII, § 1707A, as added Pub. L. 111–148, title X, § 10334(b)(1), Mar. 23, 2010, 124 Stat. 972.)
§ 300u–7. Office of Adolescent Health
(a) In general
(b) DutiesWith respect to adolescent health, the Secretary shall—
(1) coordinate all activities within the Department of Health and Human Services that relate to disease prevention, health promotion, preventive health services, and health information and education with respect to the appropriate use of health care, including coordinating—
(A) the design of programs, support for programs, and the evaluation of programs;
(B) the monitoring of trends;
(C) projects of research (including multidisciplinary projects) on adolescent health; and
(D) the training of health providers who work with adolescents, particularly nurse practitioners, physician assistants, and social workers;
(2) coordinate the activities described in paragraph (1) with similar activities in the private sector; and
(3) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, and physical fitness and sports medicine.
(c) Certain demonstration projects
(1) In generalIn carrying out subsection (b)(3), the Secretary may make grants to carry out demonstration projects for the purpose of improving adolescent health, including—
(A) projects to train health care providers in providing services to adolescents; and
(B) projects to reduce the incidence of violence among adolescents, particularly violence related to teen dating, which shall include projects to develop and implement educational program to increase abuse awareness and prevention.
(2) Authorization of appropriations
(d) Information clearinghouse
(e) National plan
(f) Adolescent healthFor purposes of this section, the term “adolescent health”, with respect to adolescents of all ethnic and racial groups, means all diseases, disorders, and conditions (including with respect to mental health)—
(1) unique to adolescents, or more serious or more prevalent in adolescents;
(2) for which the factors of medical risk or types of medical intervention are different for adolescents, or for which it is unknown whether such factors or types are different for adolescents; or
(3) with respect to which there has been insufficient clinical research involving adolescents as subjects or insufficient clinical data on adolescents.
(g) Interagency Work Group
(1) Establishment
(2) In general
(A) Composition
(B) ConsultationThe Work Group shall consult with—
(i) experts at the State, Tribal, and local levels with relevant backgrounds in reducing and preventing the incidence of teen dating violence;
(ii) victims of teen dating violence; and
(iii) family members of teens who were killed by a dating partner.
(3) DutiesThe Work Group shall—
(A) examine all Federal efforts directed towards reducing and preventing teen dating violence;
(B) identify strategies, resources, and supports to improve State, Tribal, and local responses to the incidence of teen dating violence;
(C) make recommendations to Congress for improving Federal programs and efforts and coordination across such programs and efforts to reduce and prevent teen dating violence; and
(D) make recommendations for educating middle and high school students on teen dating violence.
(4) Annual report to Secretary
(July 1, 1944, ch. 373, title XVII, § 1708, as added Pub. L. 102–531, title III, § 302, Oct. 27, 1992, 106 Stat. 3483; amended Pub. L. 117–103, div. W, title XIII, § 1315(b), Mar. 15, 2022, 136 Stat. 938.)
§ 300u–8. Biennial report regarding nutrition and health
(a) Biennial report
(b) Submission to Congress
(July 1, 1944, ch. 373, title XVII, § 1709, as added Pub. L. 103–183, title VII, § 704, Dec. 14, 1993, 107 Stat. 2240.)
§ 300u–9. Education regarding DES
(a) In general
(b) Authorization of appropriations
(July 1, 1944, ch. 373, title XVII, § 1710, as added Pub. L. 105–340, title I, § 101(b), Oct. 31, 1998, 112 Stat. 3191; amended Pub. L. 109–482, title I, § 104(a)(2), Jan. 15, 2007, 120 Stat. 3689.)
§ 300u–10. National Prevention, Health Promotion and Public Health Council
(a) Establishment
(b) Chairperson
(c) Composition
The Council shall be composed of—
(1) the Secretary of Health and Human Services;
(2) the Secretary of Agriculture;
(3) the Secretary of Education;
(4) the Chairman of the Federal Trade Commission;
(5) the Secretary of Transportation;
(6) the Secretary of Labor;
(7) the Secretary of Homeland Security;
(8) the Administrator of the Environmental Protection Agency;
(9) the Director of the Office of National Drug Control Policy;
(10) the Director of the Domestic Policy Council;
(11) the Assistant Secretary for Indian Affairs;
(12) the Chairman of the Corporation for National and Community Service; and
(13) the head of any other Federal agency that the chairperson determines is appropriate.
(d) Purposes and duties
The Council shall—
(1) provide coordination and leadership at the Federal level, and among all Federal departments and agencies, with respect to prevention, wellness and health promotion practices, the public health system, and integrative health care in the United States;
(2) after obtaining input from relevant stakeholders, develop a national prevention, health promotion, public health, and integrative health care strategy that incorporates the most effective and achievable means of improving the health status of Americans and reducing the incidence of preventable illness and disability in the United States;
(3) provide recommendations to the President and Congress concerning the most pressing health issues confronting the United States and changes in Federal policy to achieve national wellness, health promotion, and public health goals, including the reduction of tobacco use, sedentary behavior, and poor nutrition;
(4) consider and propose evidence-based models, policies, and innovative approaches for the promotion of transformative models of prevention, integrative health, and public health on individual and community levels across the United States;
(5) establish processes for continual public input, including input from State, regional, and local leadership communities and other relevant stakeholders, including Indian tribes and tribal organizations;
(6) submit the reports required under subsection (g); 1
1 So in original. Probably should be “(h);”.
and(7) carry out other activities determined appropriate by the President.
(e) Meetings
(f) Advisory Group
(1) In general
(2) Composition
(A) In general
(B) Representation
In appointing members under subparagraph (A), the President shall ensure that the Advisory Group includes a diverse group of licensed health professionals, including integrative health practitioners who have expertise in—
(i) worksite health promotion;
(ii) community services, including community health centers;
(iii) preventive medicine;
(iv) health coaching;
(v) public health education;
(vi) geriatrics; and
(vii) rehabilitation medicine.
(3) Purposes and duties
(g) National prevention and health promotion strategy
Not later than 1 year after March 23, 2010, the Chairperson, in consultation with the Council, shall develop and make public a national prevention, health promotion and public health strategy, and shall review and revise such strategy periodically. Such strategy shall—
(1) set specific goals and objectives for improving the health of the United States through federally-supported prevention, health promotion, and public health programs, consistent with ongoing goal setting efforts conducted by specific agencies;
(2) establish specific and measurable actions and timelines to carry out the strategy, and determine accountability for meeting those timelines, within and across Federal departments and agencies; and
(3) make recommendations to improve Federal efforts relating to prevention, health promotion, public health, and integrative health care practices to ensure Federal efforts are consistent with available standards and evidence.
(h) Report
Not later than July 1, 2010, and annually thereafter through January 1, 2015, the Council shall submit to the President and the relevant committees of Congress, a report that—
(1) describes the activities and efforts on prevention, health promotion, and public health and activities to develop a national strategy conducted by the Council during the period for which the report is prepared;
(2) describes the national progress in meeting specific prevention, health promotion, and public health goals defined in the strategy and further describes corrective actions recommended by the Council and taken by relevant agencies and organizations to meet these goals;
(3) contains a list of national priorities on health promotion and disease prevention to address lifestyle behavior modification (smoking cessation, proper nutrition, appropriate exercise, mental health, behavioral health, substance use disorder, and domestic violence screenings) and the prevention measures for the 5 leading disease killers in the United States;
(4) contains specific science-based initiatives to achieve the measurable goals of Healthy People 2020 regarding nutrition, exercise, and smoking cessation, and targeting the 5 leading disease killers in the United States;
(5) contains specific plans for consolidating Federal health programs and Centers that exist to promote healthy behavior and reduce disease risk (including eliminating programs and offices determined to be ineffective in meeting the priority goals of Healthy People 2020);
(6) contains specific plans to ensure that all Federal health care programs are fully coordinated with science-based prevention recommendations by the Director of the Centers for Disease Control and Prevention; and
(7) contains specific plans to ensure that all non-Department of Health and Human Services prevention programs are based on the science-based guidelines developed by the Centers for Disease Control and Prevention under paragraph (4).
(i) Periodic reviews
(Pub. L. 111–148, title IV, § 4001, title X, § 10401(a), Mar. 23, 2010, 124 Stat. 538, 974; Pub. L. 113–188, title IX, § 902(a), Nov. 26, 2014, 128 Stat. 2020.)
§ 300u–11. Prevention and Public Health Fund
(a) Purpose
(b) Funding
There are hereby authorized to be appropriated, and appropriated, to the Fund, out of any monies in the Treasury not otherwise appropriated—
(1) for fiscal year 2010, $500,000,000;
(2) for each of fiscal years 2012 through 2017, $1,000,000,000;
(3) for fiscal year 2018, $900,000,000;
(4) for fiscal year 2019, $900,000,000;
(5) for each of fiscal years 2020 and 2021, $950,000,000;
(6) for each of fiscal years 2022 and 2023, $1,000,000,000;
(7) for each of fiscal years 2024 and 2025, $1,300,000,000;
(8) for each of fiscal years 2026 and 2027, $1,525,000,000;
(9) for each of fiscal years 2028 and 2029, $1,725,000,000; and
(10) for fiscal year 2030 and each fiscal year thereafter, $2,000,000,000.
(c) Use of Fund
(d) Transfer authority
(Pub. L. 111–148, title IV, § 4002, title X, § 10401(b), Mar. 23, 2010, 124 Stat. 541, 974; Pub. L. 112–96, title III, § 3205, Feb. 22, 2012, 126 Stat. 194; Pub. L. 114–255, div. A, title V, § 5009, Dec. 13, 2016, 130 Stat. 1197; Pub. L. 115–96, div. C, title I, § 3103, Dec. 22, 2017, 131 Stat. 2049; Pub. L. 115–123, div. E, title XII, § 53119, Feb. 9, 2018, 132 Stat. 308; Pub. L. 117–328, div. FF, title VII, § 7701(c), Dec. 29, 2022, 136 Stat. 5966.)
§ 300u–12. Education and outreach campaign regarding preventive benefits
(a) In general
The Secretary of Health and Human Services (referred to in this section as the “Secretary”) shall provide for the planning and implementation of a national public–private partnership for a prevention and health promotion outreach and education campaign to raise public awareness of health improvement across the life span. Such campaign shall include the dissemination of information that—
(1) describes the importance of utilizing preventive services to promote wellness, reduce health disparities, and mitigate chronic disease;
(2) promotes the use of preventive services recommended by the United States Preventive Services Task Force and the Community Preventive Services Task Force;
(3) encourages healthy behaviors linked to the prevention of chronic diseases;
(4) explains the preventive services covered under health plans offered through an Exchange;
(5) describes additional preventive care supported by the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Advisory Committee on Immunization Practices, and other appropriate agencies; and
(6) includes general health promotion information.
(b) Consultation
(c) Media campaign
(1) In general
(2) Requirement of campaign
The campaign implemented under paragraph (1)—
(A) shall be designed to address proper nutrition, regular exercise, smoking cessation, obesity reduction, the 5 leading disease killers in the United States, and secondary prevention through disease screening promotion;
(B) shall be carried out through competitively bid contracts awarded to entities providing for the professional production and design of such campaign;
(C) may include the use of television, radio, Internet, and other commercial marketing venues and may be targeted to specific age groups based on peer-reviewed social research;
(D) shall not be duplicative of any other Federal efforts relating to health promotion and disease prevention; and
(E) may include the use of humor and nationally recognized positive role models.
(3) Evaluation
(d) Website
(e) Dissemination of information through providers
(f) Personalized prevention plans
(1) Contract
(2) Use
(g) Internet portal
(h) Priority funding
(i) Public awareness of preventive and obesity-related services
(1) Information to States
(2) Information to enrollees
(3) Report
(j) Authorization of appropriations
(Pub. L. 111–148, title IV, § 4004, title X, § 10401(c), Mar. 23, 2010, 124 Stat. 544, 975.)
§ 300u–13. Community transformation grants
(a) In general
(b) EligibilityTo be eligible to receive a grant under subsection (a), an entity shall—
(1) be—
(A) a State governmental agency;
(B) a local governmental agency;
(C) a national network of community-based organizations;
(D) a State or local non-profit organization; or
(E) an Indian tribe; and
(2) submit to the Director an application at such time, in such a manner, and containing such information as the Director may require, including a description of the program to be carried out under the grant; and
(3) demonstrate a history or capacity, if funded, to develop relationships necessary to engage key stakeholders from multiple sectors within and beyond health care and across a community, such as healthy futures corps and health care providers.
(c) Use of funds
(1) In general
(2) Community transformation plan
(A) In general
(B) ActivitiesActivities within the plan may focus on (but not be limited to)—
(i) creating healthier school environments, including increasing healthy food options, physical activity opportunities, promotion of healthy lifestyle, emotional wellness, and prevention curricula, and activities to prevent chronic diseases;
(ii) creating the infrastructure to support active living and access to nutritious foods in a safe environment;
(iii) developing and promoting programs targeting a variety of age levels to increase access to nutrition, physical activity and smoking cessation, improve social and emotional wellness, enhance safety in a community, or address any other chronic disease priority area identified by the grantee;
(iv) assessing and implementing worksite wellness programming and incentives;
(v) working to highlight healthy options at restaurants and other food venues;
(vi) prioritizing strategies to reduce racial and ethnic disparities, including social, economic, and geographic determinants of health; and
(vii) addressing special populations needs, including all age groups and individuals with disabilities, and individuals in urban, rural, and frontier areas.
(3) Community-based prevention health activities
(A) In general
(B) Activities
(C) In-kind support
(4) Evaluation
(A) In general
(B) Types of measuresIn carrying out subparagraph (A), the eligible entity shall, with respect to residents in the community, measure—
(i) changes in weight;
(ii) changes in proper nutrition;
(iii) changes in physical activity;
(iv) changes in tobacco use prevalence;
(v) changes in emotional well-being and overall mental health;
(vi) other factors using community-specific data from the Behavioral Risk Factor Surveillance Survey; and
(vii) other factors as determined by the Secretary.
(C) Reporting
(5) DisseminationA grantee under this section shall—
(A) meet at least annually in regional or national meetings to discuss challenges, best practices, and lessons learned with respect to activities carried out under the grant; and
(B) develop models for the replication of successful programs and activities and the mentoring of other eligible entities.
(d) Training
(1) In general
(2) Community transformation plan
(3) Evaluation
(e) Prohibition
(f) Authorization of appropriations
(Pub. L. 111–148, title IV, § 4201, title X, § 10403, Mar. 23, 2010, 124 Stat. 564, 975.)
§ 300u–14. Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries
(a) Healthy aging, living well
(1) In general
(2) EligibilityTo be eligible to receive a grant under paragraph (1), an entity shall—
(A) be—
(i) a State health department;
(ii) a local health department; or
(iii) an Indian tribe;
(B) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require including a description of the program to be carried out under the grant;
(C) design a strategy for improving the health of the 55-to-64 year-old population through community-based public health interventions; and
(D) demonstrate the capacity, if funded, to develop the relationships necessary with relevant health agencies, health care providers, community-based organizations, and insurers to carry out the activities described in paragraph (3), such relationships to include the identification of a community-based clinical partner, such as a community health center or rural health clinic.
(3) Use of funds
(A) In general
(B) Public health interventions
(i) In general
(ii) Types of intervention activities
(C) Community preventive screenings
(i) In general
(ii) Types of screening activitiesScreening activities conducted under this subparagraph may include—(I) mental health/behavioral health and substance use disorders;(II) physical activity, smoking, and nutrition; and(III) any other measures deemed appropriate by the Secretary.
(iii) Monitoring
(D) Clinical referral/treatment for chronic diseases
(i) In general
(ii) Mechanism(I) Identification and determination of status(II) Insured individuals(III) Uninsured individuals
(iii) Public health intervention program
(E) Grantee evaluation
(4) Pilot program evaluation
(5) Authorization of appropriations
(b) Evaluation and plan for community-based prevention and wellness programs for Medicare beneficiaries
(1) In general
(2) Medicare evaluation of prevention and wellness programs
(A) In general
(B) EvaluationThe evaluation under subparagraph (A) shall consist of the following:
(i) Evidence reviewThe Secretary shall review available evidence, literature, best practices, and resources that are relevant to programs that promote healthy lifestyles and reduce risk factors for the Medicare population. The Secretary may determine the scope of the evidence review and such issues to be considered, which shall include, at a minimum—(I) physical activity, nutrition, and obesity;(II) falls;(III) chronic disease self-management; and(IV) mental health.
(ii) Independent evaluation of evidence-based community prevention and wellness programsThe Administrator of the Centers for Medicare & Medicaid Services, in consultation with the Assistant Secretary for Aging, shall, to the extent feasible and practicable, conduct an evaluation of existing community prevention and wellness programs that are sponsored by the Administration on Aging to assess the extent to which Medicare beneficiaries who participate in such programs—(I) reduce their health risks, improve their health outcomes, and adopt and maintain healthy behaviors;(II) improve their ability to manage their chronic conditions; and(III) reduce their utilization of health services and associated costs under the Medicare program for conditions that are amenable to improvement under such programs.
(3) ReportNot later than September 30, 2013, the Secretary shall submit to Congress a report that includes—
(A) recommendations for such legislation and administrative action as the Secretary determines appropriate to promote healthy lifestyles and chronic disease self-management for Medicare beneficiaries;
(B) any relevant findings relating to the evidence review under paragraph (2)(B)(i); and
(C) the results of the evaluation under paragraph (2)(B)(ii).
(4) Funding
(5) Administration
(6) Medicare beneficiary
(Pub. L. 111–148, title IV, § 4202, Mar. 23, 2010,
§ 300u–15. Research on optimizing the delivery of public health services
(a) In general
(b) Requirements of research
Research supported under this section shall include—
(1) examining evidence-based practices relating to prevention, with a particular focus on high priority areas as identified by the Secretary in the National Prevention Strategy or Healthy People 2020, and including comparing community-based public health interventions in terms of effectiveness and cost;
(2) analyzing the translation of interventions from academic settings to real world settings; and
(3) identifying effective strategies for organizing, financing, or delivering public health services in real world community settings, including comparing State and local health department structures and systems in terms of effectiveness and cost.
(c) Existing partnerships
(d) Annual report
(Pub. L. 111–148, title IV, § 4301, Mar. 23, 2010, 124 Stat. 578.)
§ 300u–16. Establishment of substance use disorder information dashboard
(a) In generalNot later than 6 months after October 24, 2018, the Secretary of Health and Human Services shall, in consultation with the Director of National Drug Control Policy, establish and periodically update, on the Internet website of the Department of Health and Human Services, a public information dashboard that—
(1) provides links to information on programs within the Department of Health and Human Services related to the reduction of opioid and other substance use disorders;
(2) provides access, to the extent practicable and appropriate, to publicly available data, which may include data from agencies within the Department of Health and Human Services and—
(A) other Federal agencies;
(B) State, local, and Tribal governments;
(C) nonprofit organizations;
(D) law enforcement;
(E) medical experts;
(F) public health educators; and
(G) research institutions regarding prevention, treatment, recovery, and other services for opioid and other substance use disorders;
(3) provides data on substance use disorder prevention and treatment strategies in different regions of and populations in the United States;
(4) identifies information on alternatives to controlled substances for pain management, such as approaches studied by the National Institutes of Health Pain Consortium, the National Center for Complimentary and Integrative Health, and other institutes and centers at the National Institutes of Health, as appropriate; and
(5) identifies guidelines and best practices for health care providers regarding treatment of substance use disorders.
(b) Controlled substance defined
(July 1, 1944, ch. 373, title XVII, § 1711, as added Pub. L. 115–271, title VII, § 7021, Oct. 24, 2018, 132 Stat. 4009.)