Race, Health Care and the Law 
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Pending Federal Legislation

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Vernellia R. Randall
Professor of Law and
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Summaries of Selected Health Disparities-Relevant Pending Bills

 

H.R. 3250 (The Lewis Bill) 
Health Care Fairness Act of 1999 (Introduced in the House of Representatives, November 8, 1999

To amend the Public Health Service Act to improve the health of minority individuals

Title I Improving Minority Health Through the National Institutes of Health; Establishment of a National Center for Research on Minority Health and Health Disparities

The general purpose of the National Center for Research on Minority Health and Health Disparities is the conduct and support of basic and clinical research, training, the dissemination of health information, and other programs with respect to minority health.

 

Title II:--Minority Health Research by the Agency for Health Care Policy and Research

In general, the Administrator of the Agency for Health Care Policy and Research shall

(I) Conduct and support research to identify how to improve the quality and outcomes of health care services for minority populations and the causes of health disparities for minority population, including barriers to health care access;

(2) Conduct amid support research amid support administration projects to identify, test and evaluate strategies for eliminating the disparities described in paragraph (1) and promoting effective interventions;

(3) Develop measures for the assessment and improvement of the quality and appropriateness of health care services provided to minority populations; and

(4) Provide support to increase the number of minority health care researchers and the health services research capacity of institutions that train minority health care researchers.

Tithe III -- Data Collection Relating to Race or Ethnicity

The National Academy of Sciences shall conduct a comprehensive study of the Department of Health and Human Services data collection systems and practices, and any data collection or reporting systems required under any of the programs or activities of the Department, relating to the collection of data on race or ethnicity, including other Federal data collection systems (such as Social Security Administration) with which the Department interacts to collect relevant data on race and ethnicity.

Tithe IV -- Medical Education

The Secretary, acting through the Administrator of the Health Resources and Services Administration and in collaboration with the Administrator for Health Care Policy and Research and the Deputy Assistant Secretary for Minority Health, may make awards of grants, contracts, or cooperative agreements to public and nonprofit private entities for the purpose of carrying out research projects and demonstration projects to develop curricula to reduce disparity in health care outcomes, including curricula for cultural competency in graduate medical education.


 

S1880 (The Kennedy Bill) Health Care Fairness Act of 1999 (Introduced in the Senate November 8, 1999)

To amend the Public Health Service Act to improve the health of minority individuals

Title I Improving Minority Health Through the National Institutes of Health

Section 101 Research on Minority Health

To establish within the National Institutes of Health an organization to be known as the Center for Research on Minority Health and Health Disparities. The Center shall be headed by a director, who shall be appointed by the Secretary and shall report to the Director of the National Institutes of Health.

Task Force -- The Director of the Center shall chair a trans-NIH task force that is composed of Institute Directors, NIH senior staff, and representatives of other public health agencies, that will establish a comprehensive plan and budget estimates under section 499C for minority health that should be conducted or supported by the national research institutes, and shall recommend an agenda for conducting and supporting such research.

Loan Repayment Program for Biomedical Research -- The Secretary shall establish a program of entering into contracts with qualified health professionals under which such health professionals agree to engage in minority health research or research into the nature of health disparities that affect racial, ethnic, and indigenous populations, in consideration of the Federal Government agreeing to repay, for each year of such service, not more than $35,000 of the principal and interest of the educational loans of such health professionals.

Title II Medical Education

In general, the Secretary may make awards for the purpose of carrying out research projects and demonstration projects to develop curricula to reduce disparity in health care outcomes, including curricula and faculty development for cultural competency in graduate and undergraduate health professions education.

Title III -- Minority Health Research by the Agency for Health Care Policy and Research

Title IV Data Collection Relating to Race or Ethnicity


 

H.R. 1860 (The Christiansen Bill)

Medically Underserved Access to Care Act of 1999 (Introduced in the House of Representatives, May 19, 1999)

To require managed care organizations to contract with providers in medically underserved areas

Section 2 Requirement for Service to Areas That include a Medically Underserved Population

A managed care organization offering a managed care plan shall establish and maintain adequate arrangements, as defined under regulations of the Secretary, with a sufficient number, mix, and distribution of health care professionals and providers to assure that covered items and services are available and accessible to each enrollee under the plan-- A) in the service area of the organization; B) in a variety of sites of service; C) with reasonable promptness (including reasonable hours of operation and after-hours services); D) with reasonable proximity to the residences and workplaces of enrollees; and E) in a manner that (i) takes into account the diverse needs of enrollees; and (ii) reasonably assures continuity of care.

Section 3 -- Establishment of Grant Program

(a) The Secretary shall establish a program in the Office of Minority Health of the Department of Health and Human Services to award competitive grants to eligible nongovernmental agencies to enable such agencies to develop outreach programs to (1) inform individuals in medically underserved areas how to access managed care organizations in their communities; and (2) assist physicians and other health care professionals who serve in medically underserved areas to enroll as providers in managed care organizations in their communities.


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Contact Information:
Professor Vernellia R. Randall
Institute on Race, Health Care and the Law
The University of Dayton School of Law
300 College Park 
Dayton, OH 45469-2772
Email: randall@udayton.edu

 

Last Updated:
 03/10/2010

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