< Back to H.R. 487 (105th Congress, 1997–1998)

Text of the Minority Health Improvement Act of 1997

This bill was introduced on January 21, 1997, in a previous session of Congress, but was not enacted. The text of the bill below is as of Jan 21, 1997 (Introduced).

Source: GPO

HR 487 IH

105th CONGRESS

1st Session

H. R. 487

To amend the Public Health Service Act with respect to the health of individuals who are members of minority groups, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

January 21, 1997

Mr. RICHARDSON introduced the following bill; which was referred to the Committee on Commerce


A BILL

To amend the Public Health Service Act with respect to the health of individuals who are members of minority groups, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) SHORT TITLE- This Act may be cited as the ‘Minority Health Improvement Act of 1997’.

    (b) TABLE OF CONTENTS- The table of contents for this Act is as follows:

      Sec. 1. Short title; table of contents.

TITLE I--OFFICES OF MINORITY HEALTH; ASSISTANT SECRETARY FOR CIVIL RIGHTS

      Sec. 101. Revision and extension of programs of Office of Minority Health.

      Sec. 102. Establishment of individual offices of minority health within agencies of Public Health Service.

      Sec. 103. Assistant Secretary of Health and Human Services for Civil Rights.

TITLE II--HEALTH PROFESSIONS PROGRAMS

      Sec. 201. Primary care scholarships for students from disadvantaged backgrounds.

      Sec. 202. Scholarships generally; certain other purposes.

      Sec. 203. Loan repayments and fellowships regarding faculty positions.

      Sec. 204. Centers of Excellence.

      Sec. 205. Educational assistance regarding undergraduates.

      Sec. 206. Student loans regarding schools of nursing.

      Sec. 207. Federally-supported student loans funds.

      Sec. 208. Area health education centers.

TITLE III--RESEARCH

      Sec. 301. Office of Research on Minority Health.

      Sec. 302. Activities of Agency for Health Care Policy and Research.

      Sec. 303. Data collection by National Center for Health Statistics.

TITLE I--OFFICE OF MINORITY HEALTH; ASSISTANT SECRETARY FOR CIVIL RIGHTS

SEC. 101. REVISION AND EXTENSION OF PROGRAMS OF OFFICE OF MINORITY HEALTH.

    (a) IN GENERAL- Section 1707 of the Public Health Service Act (42 U.S.C. 300u-6) is amended by striking subsection (b) and all that follows and inserting the following:

    ‘(b) DUTIES- With 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) Carry out the following types of activities by entering into interagency agreements with other agencies of the Public Health Service:

        ‘(A) Support research, demonstrations and evaluations to test new and innovative models.

        ‘(B) Increase knowledge and understanding of health risk factors.

        ‘(C) Develop mechanisms that support better information dissemination, education, prevention, and service delivery to individuals from disadvantaged backgrounds, including individiuals who are members of racial or ethnic minority groups.

        ‘(D) Ensure that the National Center for Health Statistics collects data on the health status of each minority group.

        ‘(E) 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.

      ‘(3) 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).

      ‘(4) Carry out programs to improve access to health care services for individuals with limited proficiency in speaking the English language by facilitating the removal of impediments to the receipt of health care that result from such limitation. Activities under the preceding sentence shall include conducting research and developing and evaluating model projects.

      ‘(5) Not later than June 8 of each year, the Deputy Assistant Secretary shall submit to the Secretary a report summarizing the activities of each of the minority health offices under section 1707A.

    ‘(c) ADVISORY COMMITTEE-

      ‘(1) IN GENERAL- The Secretary shall establish an advisory committee to be known as the Advisory Committee on Minority Health (in this subsection referred to as the ‘Committee’). The Deputy Assistant Secretary shall consult with the Committee in carrying out this section.

      ‘(2) DUTIES- The Committee shall provide advice to the Deputy Assistant Secretary carrying out this section, including advice on the development of goals and specific program activities under paragraphs (1) and (2) of subsection (b) for each racial and ethnic minority group.

      ‘(3) CHAIR- The Deputy Assistant Secretary shall serve as the chair of the Committee.

      ‘(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 the directors of each of the minority health offices established under section 1707A, and such additional officials of the Department of Health and Human Services as the Secretary determines to be appropriate.

      ‘(5) TERMS- Each member of the Committee shall serve for a term of 4 years, except that the Secretary shall initially appoint a portion of the members to terms of 1 year, 2 years, and 3 years.

      ‘(6) VACANCIES- If a vacancy occurs on the Committee, a new member shall be appointed by the Secretary within 90 days from the date that the vacancy occurs, and serve for the remainder of the term for which the predecessor of such member was appointed. The vacancy shall not affect the power of the remaining members to execute the duties of the Committee.

      ‘(7) COMPENSATION- Members of the Committee who are officers or employees of the United States shall serve without compensation. Members of the Committee who are not officers or employees of the United States shall receive, for each day (including travel time) they are engaged in the performance of the functions of the Committee. Such compensation may not be in an amount in excess of the daily equivalent of the annual maximum rate of basic pay payable under the General Schedule (under title 5, United States Code) for positions above GS-15.

    ‘(d) CERTAIN REQUIREMENTS REGARDING DUTIES-

      ‘(1) RECOMMENDATIONS REGARDING LANGUAGE AS IMPEDIMENT TO HEALTH CARE- The Secretary, acting through the Director of the Office of Refugee Health, the Director of the Office of Civil Rights, and the Director of the Office of Minority Health of the Health Resources and Services Administration, shall make recommendations to the Deputy Assistant Secretary regarding activities under subsection (b)(4).

      ‘(2) EQUITABLE ALLOCATION REGARDING ACTIVITIES-

        ‘(A) In making awards of grants, cooperative agreements, or contracts under this section or section 338A, 338B, 340A, 404, 724, 736, 737, 738, or 740, the Secretary, acting as appropriate through the Deputy Assistant Secretary or the Administrator of the Health Resources and Services Administration, shall ensure that such awards are equitably allocated with respect to the various racial and minority populations.

        ‘(B) With respect to grants, cooperative agreements, and contracts that are available

under the sections specified in subparagraph (A), the Secretary shall--

          ‘(i) carry out activities to inform entities, as appropriate, that the entities may be eligible for awards of such assistance;

          ‘(ii) provide technical assistance to such entities in the process of preparing and submitting applications for the awards in accordance with the policies of the Secretary regarding such application; and

          ‘(iii) inform populations, as appropriate, that members of the populations may be eligible to receive services or otherwise participate in the activities carried out with such awards.

      ‘(3) CULTURAL COMPETENCY OF SERVICES- The Secretary shall ensure that information and services provided pursuant to subsection (b) are provided in the language and cultural context that is most appropriate for the individuals for whom the information and services are intended.

    ‘(e) GRANTS AND CONTRACTS REGARDING DUTIES-

      ‘(1) IN GENERAL- In carrying out subsection (b), the Deputy Assistant Secretary may make awards of grants, cooperative agreements, and contracts to public and nonprofit private entities.

      ‘(2) PROCESS FOR MAKING AWARDS- The Deputy Assistant Secretary shall ensure that awards under paragraph (1) are made only on a competitive basis, and that an award is made for a proposal only if the proposal has been recommended for such an award through a process of peer review and has been so recommended by the advisory committee established under subsection (c).

      ‘(3) EVALUATION AND DISSEMINATION- The Deputy Assistant Secretary, directly or through contracts with public and private entities, shall provide for evaluations of projects carried out with awards made under paragraph (1) during the preceding 2 fiscal years. The report shall be included in the report required under subsection (f) for the fiscal year involved.

    ‘(f) BIENNIAL REPORTS- Not later than February 1 of fiscal year 1998 and of each second year thereafter, the Deputy Assistant Secretary shall submit to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Labor and Human Resources of the Senate, a report describing the activities carried out under this section during the preceding 2 fiscal years and evaluating the extent to which such activities have been effective in improving the health of racial and ethnic minority groups. Each such report shall include the biennial reports submitted to the Deputy Assistant Secretary under section 1707A(e) for such years by the heads of the minority health offices.

    ‘(g) DEFINITION- For purposes of this section:

      ‘(1) The term ‘racial and ethnic minority group’ means American Indians (including Alaskan Natives, Eskimos, and Aleuts); Asian Americans and 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) FUNDING-

      ‘(1) AUTHORIZATION OF APPROPRIATIONS- For the purpose of carrying out this section, there are authorized to be appropriated $21,000,000 for fiscal year 1998, $25,000,000 for fiscal year 1999, and $28,000,000 for fiscal year 2000.

      ‘(2) ALLOCATION OF FUNDS BY SECRETARY- Of the amounts appropriated under paragraph (1) for a fiscal year in excess of $15,000,000, the Secretary shall make available not less than $3,000,000 for carrying out subsection (b)(2)(E).’.

    (b) MISCELLANEOUS AMENDMENT- Section 1707 of the Public Health Service Act (42 U.S.C. 300u-6) is amended in the heading for the section by striking ‘ESTABLISHMENT OF’.

SEC. 102. ESTABLISHMENT OF INDIVIDUAL OFFICES OF MINORITY HEALTH WITHIN AGENCIES OF PUBLIC HEALTH SERVICE.

    Title XVII of the Public Health Service Act (42 U.S.C. 300u et seq.) is amended by inserting after section 1707 the following section:

‘INDIVIDUAL OFFICES OF MINORITY HEALTH WITHIN PUBLIC HEALTH SERVICE

    ‘SEC. 1707A. (a) IN GENERAL- The head of each agency specified in subsection (b)(1) shall establish within the agency an office to be known as the Office of Minority Health. Each such Office shall be headed by a director, who shall be appointed by the head of the agency within which the Office is established, and who shall report directly to the head of the agency. The head of such agency shall carry out this section (as this section relates to the agency) acting through such Director.

    ‘(b) SPECIFIED AGENCIES-

      ‘(1) IN GENERAL- The agencies referred to in subsection (a) are the following:

        ‘(A) The Centers for Disease Control and Prevention.

        ‘(B) The Agency for Health Care Policy and Research.

        ‘(C) The Health Resources and Services Administration.

        ‘(D) The Substance Abuse and Mental Health Services Administration.

      ‘(2) NATIONAL INSTITUTES OF HEALTH- For purposes of subsection (c) and the subsequent provisions of this section, the term ‘minority health office’ includes the Office of Research on Minority Health established within the National Institutes of Health. The Director of the National Institutes of Health shall carry out this section (as this section relates to the agency) acting through the Director of such Office.

    ‘(c) COMPOSITION- The head of each specified agency shall ensure that the officers and employees of the minority health office of the agency are, collectively, experienced in carrying out community-based health programs for each of the various racial and ethnic minority groups that are present in significant numbers in the United States. The head of such agency shall ensure that, of such officers and employees who are members of racial and ethnic minority groups, no such group is disproportionately represented.

    ‘(d) DUTIES- Each Director of a minority health office shall monitor the programs of the specified agency of such office in order to carry out the following:

      ‘(1) Determine the extent to which the purposes of the programs are being carried out with respect to racial and ethnic minority groups;

      ‘(2) Determine the extent to which members of such groups are represented among the Federal officers and employees who administer the programs; and

      ‘(3) Make recommendations to the head of such agency on carrying out the programs with respect to such groups. In the case of programs that provide services, such recommendations shall include recommendations toward ensuring that--

        ‘(A) the services are equitably delivered with respect to racial and ethnic minority groups;

        ‘(B) the programs provide the services in the language and cultural context that is most appropriate for the individuals for whom the services are intended; and

        ‘(C) the programs utilize racial and ethnic minority community-based organizations to deliver the services.

    ‘(e) BIENNIAL REPORTS TO SECRETARY- The head of each specified agency shall submit to the Secretary for inclusion in each biennial report under section 1707(g) (without change) a biennial report describing--

      ‘(1) the extent to which the minority health office of the agency employs individuals who are members of racial and ethnic minority groups, including a specification by minority group of the number of such individuals employed by such office; and

      ‘(2) the manner in which the agency is complying with Public Law 94-311 (relating to data on Americans of Spanish origin or descent).

    ‘(f) DEFINITIONS- For purposes of this section:

      ‘(1) The term ‘minority health office’ means an office established under subsection (a), subject to subsection (b)(2).

      ‘(2) The term ‘racial and ethnic minority group’ has the meaning given such term in section 1707(g).

      ‘(3) The term ‘specified agency’ means--

        ‘(A) an agency specified in subsection (b)(1); and

        ‘(B) the National Institutes of Health.

    ‘(g) FUNDING-

      ‘(1) ALLOCATIONS- Of the amounts appropriated for a specified agency for a fiscal year, the Secretary may reserve not more than 0.5 percent for the purpose of carrying out activities under this section through the minority health office of the agency. In reserving an amount under the preceding sentence for a minority health office for a fiscal year, the Secretary shall reduce, by substantially the same percentage, the amount that otherwise would be available for each of the programs of the designated agency involved.

      ‘(2) AVAILABILITY OF FUNDS FOR STAFFING- The purposes for which amounts made available under paragraph (1) may be expended by a minority health office include the costs of employing staff for such office.’.

SEC. 103. ASSISTANT SECRETARY OF HEALTH AND HUMAN SERVICES FOR CIVIL RIGHTS.

    (a) IN GENERAL- Part A of title II of the Public Health Service Act (42 U.S.C. 202 et seq.) is amended by adding at the end the following new section:

‘ASSISTANT SECRETARY FOR CIVIL RIGHTS

    ‘SEC. 229. (a) ESTABLISHMENT OF POSITION- There shall be in the Department of Health and Human

Services an Assistant Secretary for Civil Rights, who shall be appointed by the President, by and with the advice and consent of the Senate.

    ‘(b) RESPONSIBILITIES- The Assistant Secretary shall perform such functions relating to civil rights as the Secretary may assign.’.

    (b) CONFORMING AMENDMENT- Section 5315 of title 5, United States Code, is amended, in the item relating to Assistant Secretaries of Health and Human Services, by striking ‘(5)’ and inserting ‘(6)’.

TITLE II--HEALTH PROFESSIONS PROGRAMS

SEC. 201. PRIMARY CARE SCHOLARSHIPS FOR STUDENTS FROM DISADVANTAGED BACKGROUNDS.

    (a) IN GENERAL- Section 736 of the Public Health Service Act (42 U.S.C. 293) is amended to read as follows:

‘SEC. 736. CESAR CHAVEZ PROGRAM FOR PRIMARY CARE SCHOLARSHIPS.

    ‘(a) IN GENERAL- The Secretary may in accordance with this section award scholarships to individuals described in subsection (b) for the purpose of assisting the individuals with the costs of attending schools of medicine or osteopathic medicine, schools of dentistry, schools of nursing (as defined in section 853), and graduate programs in mental health practice.

    ‘(b) ELIGIBLE INDIVIDUALS- An individual referred to in subsection (a) is any individual meeting the following conditions:

      ‘(1) The individual is from a disadvantaged background.

      ‘(2) The individual has a financial need for a scholarship under such subsection.

      ‘(3) The individual is enrolled (or accepted for enrollment) at an eligible school as a full-time student in a program leading to a degree in a health profession.

      ‘(4) The individual enters into the contract required pursuant to subsection (d) as a condition of receiving the scholarship (relating to an agreement to provide primary health services in a health professional shortage area designated under section 332).

    ‘(c) PREFERENCES REGARDING AWARDS-

      ‘(1) IN GENERAL- In awarding scholarships under subsection (a), the Secretary shall give preference to eligible individuals for whom the costs of attending the school involved would constitute a severe financial hardship.

      ‘(2) ADDITIONAL PREFERENCES- Of the eligible individuals receiving preference for purposes of paragraph (1), the Secretary shall give additional preference to individuals meeting any of the following conditions:

        ‘(A) The individuals received scholarships pursuant to this section, section 737, or section 740(d)(2) for fiscal year 1997.

        ‘(B) The individuals are seeking scholarships for attendance at eligible schools that received a grant under any of such sections for such fiscal year.

        ‘(C) The individuals are bilingual.

        ‘(D) The individuals participate in a program or activity carried out under section 739 by a grantee under such section.

    ‘(d) APPLICABILITY OF CERTAIN PROVISIONS-

      ‘(1) IN GENERAL- Except as provided in paragraph (2), and except as otherwise inconsistent with this section, the provisions of subpart III of part D of title III apply to an award of a scholarship under subsection (a) to the same extent and in the same manner as such provisions apply to an award of a scholarship under section 338A. This section shall be carried out by the bureau that administers such subpart III.

      ‘(2) OPTION REGARDING CERTAIN MEDICAL FIELDS-

        ‘(A) With respect to amounts that the Secretary reserves for scholarships under subsection (a) for attendance at schools of medicine or osteopathic medicine, the Secretary shall obligate 30 percent for such scholarships for individuals whose contracts made pursuant to paragraph (1) provide to the individuals, subject to subparagraph (B), the option of performing obligated service under the contract in a medical field not providing primary health services.

        ‘(B) In the case of an individual whose contract made pursuant to paragraph (1) provides the option described in subparagraph (A), the contract shall provide that, in the event that the individual exercises the option, the period of obligated service applicable under the contract is 2 years for each school year for which the scholarship involved is provided.

    ‘(e) DEFINITIONS- For purposes of this section:

      ‘(1) The term ‘eligible individual’ means an individual described in subsection (b).

      ‘(2) The term ‘eligible school’ means a school or program specified in subsection (a).

    ‘(f) FUNDING-

      ‘(1) AUTHORIZATION OF APPROPRIATIONS- For the purpose of carrying out this section, there are authorized to be appropriated $25,000,000 for fiscal year 1998, $38,000,000 for fiscal year 1999, and $48,000,000 for fiscal year 2000. Such authorization is in addition to the authorization of appropriations established in section 740(f)(2)(B).

      ‘(2) ALLOCATIONS BY SECRETARY-

        ‘(A) Of the amounts appropriated under paragraph (1) for a fiscal year and of the amounts available under section 740(f)(2)(B) for the year, the Secretary shall obligate amounts in accordance with the following:

          ‘(i) 19 percent shall be obligated for scholarships under subsection (a) for attendance at schools of dentistry.

          ‘(ii) 16 percent shall be obligated for scholarships under such subsection for attendance at schools of nursing.

          ‘(iii) 10 percent shall be obligated for scholarships under such subsection for attendance at graduate programs in mental health practice.

        ‘(B) The requirements of subparagraph (A) apply only to the extent that a sufficient number of eligible individuals seeks the scholarships involved.’.

    (b) CERTAIN PROGRAMS OF OBLIGATED SERVICE-

      (1) REPEAL- Section 795 of the Public Health Service Act (42 U.S.C. 295n) is repealed.

      (2) RULE OF CONSTRUCTION- Paragraph (1) does not terminate agreements that, on the day before the effective date under section 901, are in effect pursuant to section 795 of the Public Health Service Act. Such agreements continue in effect in accordance with the terms of the agreements. With respect to compliance with such agreements, any period of practice as a provider of primary health services (whether provided pursuant to other agreements with the Federal Government or whether provided otherwise) counts toward satisfaction of the requirement of practice pursuant to such section 795.

SEC. 202. SCHOLARSHIPS GENERALLY; CERTAIN OTHER PURPOSES.

    Section 737 of the Public Health Service Act (42 U.S.C. 293a) is amended to read as follows:

‘SEC. 737. THURGOOD MARSHALL PROGRAM FOR HEALTH SERVICES SCHOLARSHIPS.

    ‘(a) IN GENERAL- The Secretary may in accordance with this section award scholarships to individuals described in subsection (b) for the purpose of assisting the individuals with the costs of attending the health professions schools described in subsection (c).

    ‘(b) ELIGIBLE INDIVIDUALS- An individual referred to in subsection (a) is any individual meeting the following conditions:

      ‘(1) The individual is from a disadvantaged background.

      ‘(2) The individual has a financial need for a scholarship under such subsection.

      ‘(3) The individual is enrolled (or accepted for enrollment) at an eligible school as a full-time student in a program leading to a degree in a health profession.

      ‘(4) The individual enters into the contract required pursuant to subsection (e) as a condition of receiving the scholarship (relating to an agreement to provide primary health services in a health professional shortage area designated under section 332).

    ‘(c) ELIGIBLE SCHOOLS- A health professions school referred to in subsection (a) is a health professions school meeting the following conditions:

      ‘(1) The school is a school of veterinary medicine, optometry, pharmacy, podiatric medicine, or public health, or a designated school of allied health (as defined in subsection (f)).

      ‘(2) The school is carrying out a program for recruiting and retaining students from disadvantaged backgrounds, including students who are members of racial and ethnic minority groups.

    ‘(d) PREFERENCES REGARDING AWARDS-

      ‘(1) IN GENERAL- In awarding scholarships under subsection (a), the Secretary shall give preference to eligible individuals for whom the costs of attending the school involved would constitute a severe financial hardship.

      ‘(2) ADDITIONAL PREFERENCES- Of the eligible individuals receiving preference for purposes of paragraph (1), the Secretary shall give additional preference to individuals meeting any of the following conditions:

        ‘(A) The individuals received scholarships pursuant to this section for fiscal year 1997.

        ‘(B) The individuals are seeking scholarships for attendance at eligible schools that received a grant under this section for such fiscal year.

        ‘(C) The individuals are bilingual.

        ‘(D) The individuals participate in a program or activity carried out under section 739 by a grantee under such section.

    ‘(e) APPLICABILITY OF CERTAIN PROVISIONS-

      ‘(1) IN GENERAL- Except as provided in paragraph (2), and except as otherwise inconsistent with this section, the provisions of subpart III of part D of title III apply to an award of a scholarship under subsection (a) to the same extent and in the same manner as such provisions apply to an award of a scholarship under section 338A.

      ‘(2) CERTAIN INDIVIDUALS-

        ‘(A) In the case of an individual who receives a scholarship under subsection (a) for attendance at a school of veterinary medicine, the contract made pursuant to paragraph (1) shall provide that the individual agrees that, after completing training in such medicine, the individual will, in accordance with requirements established under subparagraph (B)--

          ‘(i) serve in a position in which the individual conducts or assists in the conduct of research regarding human health or safety; or

          ‘(ii) serve in a position with a public health agency of a State or a political subdivision of a State.

        ‘(B) The Secretary shall establish requirements regarding contracts under subparagraph (A).

    ‘(f) DEFINITIONS- For purposes of this section:

      ‘(1) The term ‘designated school of allied health’ means a school of allied health providing training in occupational therapy, physical therapy, dental hygiene, medical technology, or radiologic technology.

      ‘(2) The term ‘eligible individual’ means an individual described in subsection (b).

      ‘(3) The term ‘eligible school’ means a school described in subsection (c).

    ‘(g) FUNDING-

      ‘(1) AUTHORIZATION OF APPROPRIATIONS- For the purpose of carrying out this section, there are authorized to be appropriated $5,000,000 for fiscal year 1998, $8,000,000 for fiscal year 1999, and $10,000,000 for fiscal year 2000.

      ‘(2) ALLOCATIONS BY SECRETARY- With respect to scholarships under subsection (a) for attendance at designated schools of allied health, the Secretary shall obligate for such scholarships 25 percent of the amounts appropriated under paragraph (1) for each of the fiscal years 1998 through 2000. The requirement of the preceding sentence applies only to the extent that a sufficient number of eligible individuals seeks such scholarships.’.

SEC. 203. LOAN REPAYMENTS AND FELLOWSHIPS REGARDING FACULTY POSITIONS.

    (a) LOAN REPAYMENTS- Section 738(a) of the Public Health Service Act (42 U.S.C. 293b(a)) is amended--

      (1) by striking paragraphs (4) and (6);

      (2) by redesignating paragraphs (5) and (7) as paragraphs (4) and (5), respectively; and

      (3) in paragraph (4) (as so redesignated), by amending subparagraph (B) to read as follows:

        ‘(B) the contract referred to in subparagraph (A) provides that the school, in making a determination of the amount of compensation to be provided by the school to the individual for serving as a member of the faculty, will make the determination without regard to the amount of payments made (or to be made) to the individual by the Federal Government under paragraph (1).’.

    (b) FELLOWSHIPS-

      (1) IN GENERAL- Section 738(b) of the Public Health Service Act (42 U.S.C. 293b(b)) is amended--

        (A) in paragraph (2)(B), by striking ‘$30,000’ and inserting ‘$50,000’; and

        (B) in paragraph (3)--

          (i) in subparagraph (B), by inserting ‘and’ after the semicolon at the end;

          (ii) in subparagraph (C), by striking ‘; and’ and inserting a period; and

          (iii) by striking subparagraph (D).

      (2) DEFINITION- Section 738(b) of the Public Health Service Act (42 U.S.C. 293b(b)) is amended--

        (A) in paragraph (1), by striking ‘the number’ and all that follows and inserting the following: ‘the number of underrepresented minority individuals who are members of the faculty of the schools.’;

        (B) in paragraph (3)(A), by striking ‘individuals from underrepresented minorities in the health professions’ and inserting ‘underrepresented minority individuals’; and

        (C) in paragraph (5), by striking ‘the term’ and all that follows and inserting the following: ‘the term ‘underrepresented minority individuals’ means individuals who are members of racial or ethnic minority groups that are underrepresented in the health professions.’.

    (c) AUTHORIZATION OF APPROPRIATIONS- Section 738(c) of the Public Health Service Act (42 U.S.C. 293b(c)) is amended by striking ‘there is’ and all that follows and inserting the following: ‘there is authorized to be appropriated $1,100,000 for each of the fiscal years 1998 through 2000.’.

SEC. 204. CENTERS OF EXCELLENCE.

    (a) REFERENCES TO SCHOOLS- Section 739 of the Public Health Service Act (42 U.S.C. 293c) is amended--

      (1) by striking ‘health professions schools’ each place such term appears and inserting ‘designated health professions schools’; and

      (2) by striking ‘health professions school’ each place such term appears and inserting ‘designated health professions school’.

    (b) REQUIRED USES OF FUNDS- Section 739(b) of the Public Health Service Act (42 U.S.C. 293c(b)), as amended by subsection (a), is amended--

      (1) by striking paragraph (2);

      (2) by redesignating paragraph (1) as paragraph (2);

      (3) by inserting before paragraph (2) (as so redesignated) the following paragraph:

      ‘(1) to collaborate with public and nonprofit private entities to carry out community-based programs to interest students of secondary schools and institutions of higher education in pursuing careers in the health professions, and to prepare interested students academically for such careers;’;

      (4) in paragraph (5)--

        (A) by striking ‘faculty and student research’ and inserting ‘student research’; and

        (B) by inserting before the period the following: ‘, including research on issues relating to the delivery of health care’; and

      (5)(A) in paragraph (4), by striking ‘and’ after the semicolon at the end;

      (B) in paragraph (5), by striking the period at the end and inserting ‘; and’; and

      (C) by adding at the end the following paragraph:

      ‘(6) to carry out a program to train students of the school in providing health services through training provided at community-based health facilities that provide such services to a significant number of disadvantaged individuals and that are located at a site remote from the main site of the teaching facilities of the school.’.

    (c) REQUIREMENTS REGARDING CONSORTIA-

      (1) IN GENERAL- Section 739(c)(1) of the Public Health Service Act (42 U.S.C. 293c(c)(1)), as amended by subsection (a), is amended--

        (A) in subparagraph (A), in the matter preceding clause (i), by striking ‘specified in subparagraph (B)’ and inserting ‘specified in subparagraphs (B) and (C)’;

        (B) by redesignating subparagraph (C) as subparagraph (D); and

        (C) by inserting after subparagraph (B) the following subparagraph:

        ‘(C) The condition specified in this subparagraph is that, in accordance with subsection (e)(1), the designated health professions school involved has with other health profession schools (designated or otherwise) formed a consortium to carry out the purposes described in subsection (b) at the schools of the consortium. The grant involved may be expended with respect to the other schools without regard to whether such schools meet the conditions specified in subparagraph (B).’.

      (2) CERTAIN REQUIREMENTS- Section 739(e) of the Public Health Service Act (42 U.S.C. 293c(e)), as amended by subsection (a), is amended to read as follows:

    ‘(e) PROVISIONS REGARDING CONSORTIA-

      ‘(1) REQUIREMENTS- For purposes of subsection (c)(1)(C), a consortium of schools has been formed in accordance with this subsection if--

        ‘(A) the consortium consists of--

          ‘(i) the designated health professions school seeking the grant under subsection (a); and

          ‘(ii) 1 or more schools of medicine, osteopathic medicine, dentistry, pharmacy, nursing, allied health, or public health, or graduate programs in mental health practice;

        ‘(B) the schools of the consortium have entered into an agreement for the allocation of such grant among the schools; and

        ‘(C) each of the schools agrees to expend the grant in accordance with this section.

      ‘(2) AUTHORITY REGARDING NATIVE AMERICANS CENTERS OF EXCELLENCE- With respect to meeting the conditions specified in subsection (c)(4), the Secretary may make a grant under subsection (a) to a designated health professions school that does not meet such conditions if--

        ‘(A) the school has formed a consortium in accordance with paragraph (1); and

        ‘(B) the schools of the consortium collectively meet such conditions, without regard to whether the schools individually meet such conditions.’.

      (3) CONFORMING AMENDMENTS- Section 739 of the Public Health Service Act (42 U.S.C. 293c), as amended by subsection (a), is amended--

        (A) in subsection (b), in the matter preceding paragraph (1), by inserting ‘, subject to subsection (c)(1)(C),’ after ‘agrees’; and

        (B) in subsection (d)--

          (i) in paragraph (3), by striking ‘(e)’ and inserting ‘(e)(2)’; and

          (ii) by adding at the end the following paragraph:

      ‘(4) RULE OF CONSTRUCTION- Except as provided in paragraph (3) regarding a consortium under subsection (e)(2), a health professions school that does not meet the conditions specified in subsection (c)(1)(B) may not be designated as a center of excellence for purposes of this section. The preceding sentence applies without regard to whether a grant under subsection (a) is, pursuant to subsection (c)(1)(C), being expended with respect to the school.’.

    (d) DEFINITION OF HEALTH PROFESSIONS SCHOOL-

      (1) GRADUATE PROGRAMS IN MENTAL HEALTH PRACTICE- Section 739(h)(1)(A) of the Public Health Service Act (42 U.S.C. 293c(h)(1)(A)), as amended by subsection (a), is amended by--

        (A) by striking ‘or’ after ‘dentistry’; and

        (B) by inserting before the period the following: ‘, or a graduate program in mental health practice’.

      (2) LIMITATION- During the fiscal years 1998 through 2000, the Secretary of Health and Human Services may not make more than one grant under section 739 of the Public Health Service Act directly to a graduate program in mental health practice (as defined in section 799 of such Act).

    (e) FUNDING- Section 739(i) of the Public Health Service Act (42 U.S.C. 293c(i)), as amended by subsection (a), is amended to read as follows:

    ‘(i) FUNDING-

      ‘(1) AUTHORIZATION OF APPROPRIATIONS- For the purpose of making grants under subsection (a), there are authorized to be appropriated $24,000,000 for fiscal year 1998, $28,000,000 for fiscal year 1999, and $33,000,000 for fiscal year 2000.

      ‘(2) ALLOCATIONS BY SECRETARY-

        ‘(A) Of the amounts appropriated under paragraph (1) for a fiscal year, the Secretary shall make available $12,000,000 for grants under subsection (a) to health professions schools that are eligible for such grants pursuant to meeting the conditions described in paragraph (2)(A) of subsection (c).

        ‘(B) Of the amounts appropriated under paragraph (1) for a fiscal year and available after compliance with subparagraph (A), the Secretary shall make available 65 percent for grants under subsection (a) to health professions schools that are eligible for such grants pursuant to meeting the conditions described in paragraph (3) or (4) of subsection (c) (including meeting conditions pursuant to subsection (e)(2)).

        ‘(C)(i) Of the amounts appropriated under paragraph (1) for a fiscal year and available after compliance with subparagraph (A), the Secretary shall make available 35 percent for grants under subsection (a) to health professions schools that are eligible for such grants pursuant to meeting the conditions described in paragraph (5) of subsection (c).

        ‘(ii) With respect to a fiscal year, a grant under subsection (a) that includes amounts available under subparagraph (A) may not include amounts available under clause (i) unless each of the following conditions is met:

          ‘(I) In the case of amounts available under subparagraph (B) or clause (i) and included in grants made pursuant to subsection (c)(3), the aggregate number of such grants is not less than such aggregate number for the preceding fiscal year, and one or more of such grants is made in an amount that is not less than the lowest amount among grants made from amounts available under subparagraph (A).

          ‘(II) In the case of amounts available under subparagraph (B) or clause (i) and included in grants made pursuant to subsection (c)(4), the aggregate number of such grants is not less than such aggregate number for the preceding fiscal year, and one or more of such grants is made in an amount that is not less than the lowest amount among grants made from amounts available under subparagraph (A).

          ‘(III) In the case of amounts available under clause (i) and included in grants made pursuant to subsection (c)(5) (exclusive of grants that include amounts available under subparagraph (A) or (B)), the aggregate number of such grants is not less than such aggregate number for the preceding fiscal year, and one or more of such grants is made in an amount that is not less than the lowest amount among grants made from amounts available under subparagraph (A).

          ‘(IV) The aggregate amount of grants under subsection (a) made from amounts available under subparagraph (B) and clause (i) (other than grants that include amounts available under subparagraph (A)) is, in the case of fiscal year 1998, not less than the sum of such aggregate amount for fiscal year 1997 and the total amount by which grants are required under subclauses (I) through (III) to be increased; and is, in the case of fiscal year 1999 and each subsequent fiscal year, not less than such aggregate amount for the preceding fiscal year.’.

    (f) CONFORMING AMENDMENTS- Section 739(c) of the Public Health Service Act (42 U.S.C. 293c(c)), as amended by subsection (a), is amended--

      (1) in paragraph (3)(B), by striking ‘the designated health professions school’ and inserting ‘the school’; and

      (2) in paragraph (4), in each of subparagraphs (B) and (C), by striking ‘the designated health professions school’ and inserting ‘the school’.

    (g) TRANSITIONAL AND SAVINGS PROVISIONS-

      (1) IN GENERAL- During the period specified in paragraph (2)--

        (A) the amendments made by subsections (a) through (f) do not apply to any entity that received a grant for fiscal year 1997 under section 739 of the Public Health Service Act; and

        (B) such a grant to the entity for fiscal year 1997 or subsequent fiscal years shall be made and expended in accordance with the provisions of such section as in effect on the day before the date of the enactment of this Act.

      (2) RELEVANT PERIOD- In the case of an entity that received a grant for fiscal year 1997 under section 739 of the Public Health Service Act, the period referred to in paragraph (1) is the period that, in first approving the grant, the Secretary specified as the duration of the grant.

SEC. 205. EDUCATIONAL ASSISTANCE REGARDING UNDERGRADUATES.

    (a) IN GENERAL- Section 740 of the Public Health Service Act (42 U.S.C. 293d) is amended to read as follows:

‘SEC. 740. HEALTH CAREERS OPPORTUNITY PROGRAM.

    ‘(a) IN GENERAL- Subject to the provisions of this section, the Secretary may make grants and enter into cooperative agreements and contracts for any of the following purposes:

      ‘(1) Identifying and recruiting individuals who--

        ‘(A) are students of elementary schools, or students or graduates of secondary schools or of institutions of higher education;

        ‘(B) are from disadvantaged backgrounds; and

        ‘(C) are interested in a career in the health professions.

      ‘(2) Facilitating the entry of such individuals into a health professions school.

      ‘(3) Providing counseling or other services designed to assist such individuals in successfully completing their education at such a school.

      ‘(4) Providing, for a period prior to the entry of such individuals into the regular course of education of such a school, preliminary education designed to assist the individuals in successfully completing such regular course of education at such a school, or referring such individuals to institutions providing such preliminary education.

      ‘(5) Paying such stipends as the Secretary may approve for such individuals for any period of education in student-enhancement programs (other than regular courses) at a health professions schools, except that such a stipend may not be provided to an individual for more than 12 months, and such a stipend may not exceed $25 per day (notwithstanding any other provision of law regarding the amount of stipends).

      ‘(6) Carrying out programs under which such individuals both--

        ‘(A) gain experience regarding a career in a field of primary health care through working at facilities of nonprofit private community-based providers of primary health services; and

        ‘(B) receive academic instruction to assist in preparing the individuals to enter health professions schools in such fields.

    ‘(b) RECEIPT OF AWARD-

      ‘(1) ELIGIBLE ENTITIES; REQUIREMENT OF CONSORTIUM- The Secretary may make an award under subsection (a) only if the following conditions are met:

        ‘(A) The applicant for the award is a public or nonprofit private entity, and the applicant has established a consortium consisting of nonprofit private community-based organizations and health professions schools.

        ‘(B) The health professions schools of the consortium are schools of medicine or osteopathic medicine, public health, dentistry, veterinary medicine, optometry, pharmacy, allied health, chiropractic, or podiatric medicine, or graduate programs in mental health practice (including such programs in clinical psychology).

        ‘(C) Except as provided in subparagraph (D), the membership of the consortium includes not less than one nonprofit private community-based organization and not less than three health professions schools.

        ‘(D) In the case of an applicant whose exclusive activity under the award will be carrying out one or more programs described in subsection (a)(6), the membership of the consortium includes not less than one nonprofit private community-based organization and not less than one health professions schools.

        ‘(E) The members of the consortium have entered into an agreement specifying--

          ‘(i) that each of the members will comply with the conditions upon which the award is made; and

          ‘(ii) whether and to what extent the award will be allocated among the members.

      ‘(2) REQUIREMENT OF COMPETITIVE AWARDS- Awards under subsection (a) shall be made only on a competitive basis.

    ‘(c) FINANCIAL REQUIREMENTS-

      ‘(1) ASSURANCES REGARDING CAPACITY- The Secretary may make an award under subsection (a) only if the Secretary determines that, in the case of activities carried out under the award that prove to be effective toward achieving the purposes of the activities--

        ‘(A) the members of the consortium involved have or will have the financial capacity to continue the activities, regardless of whether financial assistance under subsection (a) continues to be available; and

        ‘(B) the members of the consortium demonstrate to the satisfaction of the Secretary a commitment to continue such activities, regardless of whether such assistance continues to be available.

      ‘(2) MATCHING FUNDS-

        ‘(A) With respect to the costs of the activities to be carried out under subsection (a) by an applicant, the Secretary may make an award under such subsection only if the applicant agrees to make available in cash (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount that, for any fourth or subsequent fiscal year for which the applicant receives such an award, is not less than 50 percent of such costs.

        ‘(B) Amounts provided by the Federal Government may not be included in determining the amount of non-Federal contributions required in subparagraph (A).

        ‘(C) The Secretary may not require non-Federal contributions for the first three fiscal years for which an applicant receives a grant under subsection (a).

    ‘(d) PREFERENCE IN MAKING AWARDS-

      ‘(1) IN GENERAL-

        ‘(A) In making awards under subsection (a), the Secretary shall, subject to paragraph (3), give preference to any applicant that, for the purpose described in subparagraph (B), has made an arrangement with not less than one entity from each of the following categories of entities: Community-based organizations, elementary schools, secondary schools, institutions of higher education, and health professions schools.

        ‘(B) The purpose of arrangements under subparagraph (A) is to establish a program for individuals identified under subsection (a) under which--

          ‘(i) the activities described in such subsection are carried out on behalf of the individuals; and

          ‘(ii) health professions schools make a commitment to admit as students of the schools such individuals who participate in the program, subject to the individuals meeting reasonable academic standards for admission to the schools.

      ‘(2) ADDITIONAL PREFERENCES- Of the applicants under subsection (a) that are receiving preference for purposes of paragraph (1), the Secretary shall, subject to paragraph (3), give additional preference to applicants whose consortium under subsection (b) includes as members one or more health professions schools that have not previously received any award under this section (including this section as in effect prior to fiscal year 1997).

      ‘(3) LIMITATION- An applicant may not receive preference for purposes of paragraph (1) or (2) unless the consortium under subsection (b) includes not less than one health professions school that has demonstrated success in enrolling students from disadvantaged backgrounds.

    ‘(e) OBJECTIVES UNDER AWARDS-

      ‘(1) ESTABLISHMENT OF OBJECTIVES- Before making a first award to an applicant under subsection (a), the Secretary shall establish objectives regarding the activities to be carried out under the award, which objectives are applicable until the next fiscal year for which such award is made after a competitive process of review. In making an award after such a review, the Secretary shall establish additional objectives for the applicant.

      ‘(2) PRECONDITION FOR SUBSEQUENT AWARDS- In the case of an applicant seeking an award under subsection (a) pursuant to a competitive process of review, the Secretary may make the award only if the applicant demonstrates to the satisfaction of the Secretary that the applicant has met the objectives that were applicable under paragraph (1) to the preceding awards under such subsection.

    ‘(f) FUNDING-

      ‘(1) AUTHORIZATION OF APPROPRIATIONS- For the purpose of carrying out this section and section 736, there are authorized to be appropriated $33,000,000 for fiscal year 1998, $37,000,000 for fiscal year 1999, and $40,000,000 for fiscal year 2000.

      ‘(2) ALLOCATIONS- Of the amounts appropriated under paragraph (1) for a fiscal year, the Secretary shall obligate amounts as follows:

        ‘(A) For carrying out subsection (a)(6), not less than 20 percent.

        ‘(B) For providing scholarships under section 736, an amount equal to the amount provided for such purpose under this section for fiscal year 1997, plus an amount for offsetting the effects of inflation occurring after October 1, 1997.’.

    (b) TRANSITIONAL AND SAVINGS PROVISIONS-

      (1) IN GENERAL- During the period specified in paragraph (2)--

        (A) the amendment made by subsection (a) does not apply to any entity that received a grant for fiscal year 1997 under section 740 of the Public Health Service Act; and

        (B) such a grant to the entity for fiscal year 1998 or subsequent fiscal years shall be made and expended in accordance with the provisions of such section as in effect on the day before the date of the enactment of this Act.

      (2) RELEVANT PERIOD- In the case of an entity that received a grant for fiscal year 1997 under section 740 of the Public Health Service Act, the period referred to in paragraph (1) is the period that, in first approving the grant, the Secretary specified as the duration of the grant.

SEC. 206. STUDENT LOANS REGARDING SCHOOLS OF NURSING.

    Section 836(b) of the Public Health Service Act (42 U.S.C. 297b(b)) is amended--

      (1) in paragraph (1), by striking the period at the end and inserting a semicolon;

      (2) in paragraph (2)--

        (A) in subparagraph (A), by striking ‘and’ at the end; and

        (B) by inserting before the semicolon at the end the following: ‘, and (C) such additional periods under the terms of paragraph (8) of this subsection’;

      (3) in paragraph (7), by striking the period at the end and inserting ‘; and’; and

      (4) by adding at the end the following paragraph:

      ‘(8) pursuant to uniform criteria established by the Secretary, the repayment period established under paragraph (2) for any student borrower who during the repayment period failed to make consecutive payments and who, during the last 12 months of the repayment period, has made at least 12 consecutive payments may be extended for a period not to exceed 10 years.’.

SEC. 207. FEDERALLY-SUPPORTED STUDENT LOAN FUNDS.

    (a) AUTHORIZATION OF APPROPRIATIONS REGARDING CERTAIN MEDICAL SCHOOLS-

      (1) IN GENERAL- Subpart II of part A of title VII of the Public Health Service Act (42 U.S.C. 292q et seq.) is amended--

        (A) by transferring subsection (f) of section 735 from the current placement of the subsection;

        (B) by adding the subsection at the end of section 723;

        (C) by redesignating the subsection as subsection (e); and

        (D) in subsection (e)(1) of section 723 (as so redesignated), by striking ‘1996’ and inserting ‘2000’.

      (2) CONFORMING AMENDMENTS- Section 723 of the Public Health Service Act (42 U.S.C. 292s), as amended by paragraph (1) of this subsection, is amended in subsection (e)(2)(A)--

        (A) by striking ‘section 723(b)(2)’ and inserting ‘subsection (b)(2)’; and

        (B) by striking ‘such section’ and inserting ‘such subsection’.

    (b) AUTHORIZATION OF APPROPRIATIONS REGARDING INDIVIDUALS FROM DISADVANTAGED BACKGROUNDS- Section 724(f)(1) of the Public Health Service Act (42 U.S.C. 292t(f)(1)) is amended to read as follows:

      ‘(1) IN GENERAL- With respect to making Federal capital contributions to student loan funds for purposes of subsection (a), other than the student loan fund of any school of medicine or osteopathic medicine, there is authorized to be appropriated $8,000,000 for each of the fiscal years 1998 through 2000.’.

SEC. 208. AREA HEALTH EDUCATION CENTERS.

    (a) REQUIREMENTS FOR CENTERS- Section 746(d)(2)(D) of the Public Health Service Act (42 U.S.C. 293j(d)(2)(D)) is amended by inserting ‘and minority health’ after ‘disease prevention’.

    (b) FUNDING- Section 746(i)(2)(C) of the Public Health Service Act (42 U.S.C. 293j(i)(2)(C)) is amended in the second sentence by inserting before the period the following: ‘(except that in the case of fiscal year 1998, amounts appropriated in excess of the amount appropriated for fiscal year 1997 shall be obligated for carrying out subsection (a)(1) in rural States without an area health education center program)’.

TITLE III--RESEARCH

SEC. 301. OFFICE OF RESEARCH ON MINORITY HEALTH.

    Section 404 of the Public Health Service Act (42 U.S.C. 283(b)) is amended by adding at the end the following subsections:

    ‘(c) PLAN- The Director of the Office, in consultation with the advisory committee established under subsection (d), shall develop and implement a plan for carrying out the duties established in subsection (b). The Director shall review the plan not less than annually, and revise the plan as appropriate.

    ‘(d) EQUITY REGARDING VARIOUS GROUPS- The Director of the Office shall ensure that activities under subsection (b) equitably address all racial and ethnic minority groups.

    ‘(e) ADVISORY COMMITTEE-

      ‘(1) ESTABLISHMENT- In carrying out subsection (b), the Secretary shall establish an advisory committee to be known as the Advisory Committee on Research on Minority Health (in this subsection referred to as the ‘Advisory Committee’).

      ‘(2) COMPOSITION-

        ‘(A) VOTING AND NONVOTING MEMBERS- The Advisory Committee shall be composed of voting members appointed in accordance with subparagraph (B) and the ex officio nonvoting members described in subparagraph (C).

        ‘(B) VOTING MEMBERS- The Advisory Committee shall include 12 voting members who are not officers or employees of the Federal Government. The Director of the Office shall appoint such members to the Advisory Committee from among physicians, practitioners, scientists, consumers and other health professionals, whose clinical practices, research specialization, or professional expertise includes a significant focus on research on minority health or on the barriers that minorities must overcome to participate in clinical trials. The racial and ethnic minority groups shall be equally represented among such members.

        ‘(C) EX OFFICIO NONVOTING MEMBERS- The Deputy Assistant Secretary for Minority Health and the Directors of each of the national research entities shall serve as ex officio nonvoting members of the Advisory Committee (except that any of such Directors may designate an official of the institute involved to serve as such member of the Committee in lieu of the Director).

      ‘(3) CHAIR- The Director of the Office shall serve as the chair of the Advisory Committee.

      ‘(4) DUTIES- The Advisory Committee shall--

        ‘(A) advise the Director of the Office on appropriate research activities to be undertaken by the national research institutes with respect to--

          ‘(i) research on minority health;

          ‘(ii) research on racial and ethnic differences in clinical drug trials, including responses to pharmacological drugs;

          ‘(iii) research on racial and ethnic differences in disease etiology, course, and treatment; and

          ‘(iv) research on minority health conditions which require a multidisciplinary approach;

        ‘(B) report to the Director of the Office on such research;

        ‘(C) provide recommendations to such Director regarding activities of the Office (including recommendations on priorities in carrying out research described in subparagraph (A)); and

        ‘(D) assist in monitoring compliance with section 492B regarding the inclusion of minorities in clinical research.

      ‘(5) BIENNIAL REPORT-

        ‘(A) PREPARATION- The Advisory Committee shall prepare a biennial report describing the activities of the Committee, including findings made by the Committee regarding--

          ‘(i) compliance with section 492B;

          ‘(ii) the extent of expenditures made for research on minority health by the

agencies of the National Institutes of Health; and

          ‘(iii) the level of funding needed for such research.

        ‘(B) SUBMISSION- The report required in subparagraph (A) shall be submitted to the Director of the National Institutes of Health for inclusion in the report required in section 403.

    ‘(f) REPRESENTATIVES OF MINORITIES AMONG RESEARCHERS- The Secretary, acting through the Assistant Secretary for Personnel Administration and in collaboration with the Director of the Office, shall determine the extent to which minorities are represented among senior physicians and scientists of the national research institutes and among physicians and scientists conducting research with funds provided by such institutes, and as appropriate, carry out activities to increase the extent of such representation.

    ‘(g) REQUIREMENT REGARDING GRANTS AND CONTRACTS- Any award of a grant, cooperative agreement, or contract that the Director of the Office is authorized to make shall be made only on a competitive basis.

    ‘(h) DEFINITIONS- For purposes of this part:

      ‘(1) The term ‘minority health conditions’, with respect to individuals who are members of minority groups, means all diseases, disorders, and conditions (including with respect to mental health)--

        ‘(A) unique to, more serious, or more prevalent in such individuals;

        ‘(B) for which the factors of medical risk or types of medical intervention are different for such individuals, or for which it is unknown whether such factors or types are different for such individuals; or

        ‘(C) with respect to which there has been insufficient research involving such individuals as subjects or insufficient data on such individuals.

      ‘(2) The term ‘research on minority health’ means research on minority health conditions, including research on preventing such conditions.

      ‘(3) The term ‘racial and ethnic minority group’ has the meaning given such term in section 1707(g).’.

SEC. 302. ACTIVITIES OF AGENCY FOR HEALTH CARE POLICY AND RESEARCH.

    Title IX of the Public Health Service Act (42 U.S.C. 299 et seq.) is amended--

      (1) in section 902, by amending subsection (b) to read as follows:

    ‘(b) REQUIREMENTS WITH RESPECT TO CERTAIN POPULATIONS- In carrying out subsection (a), the Administrator shall undertake and support research, demonstration projects, and evaluations with respect to the health status of, and the delivery of health care to--

      ‘(1) the populations of medically underserved urban or rural areas (including frontier areas); and

      ‘(2) low-income groups, racial and ethnic minority groups, and the elderly.’; and

      (2) in section 926(a), by adding at the end the following sentence: ‘Of the amounts appropriated under the preceding sentence for a fiscal year, the Administrator shall reserve not less than 8 percent for carrying out section 902(b)(2).’.

SEC. 303. DATA COLLECTION BY NATIONAL CENTER FOR HEALTH STATISTICS.

    Section 306(n) of the Public Health Service Act (42 U.S.C. 242k(n)), as redesignated by section 501(a)(5)(B) of Public Law 103-183 (107 Stat. 2237), is amended to read as follows:

    ‘(n)(1) For health statistical and epidemiological activities undertaken or supported under this section, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 1998 through 2001.

    ‘(2) Of the amounts appropriated under paragraph (1) for a fiscal year, the Secretary shall obligate not less than an aggregate $5,000,000 for carrying out subsections (h), (l), and (m) with respect to particular racial and ethnic population groups.’.