Communities United with Religious leaders for the Elimination of HIV/AIDS Act of 2013 or CURE Act of 2013 - Authorizes the Secretary of Health and Human Services (HHS), acting through the Deputy Assistant Secretary for Minority Health, to make grants to eligible health entities (i.e., a public health agency, a health center, including a center operated by an Indian tribe or organization, a community-based organization, or a faith-based organization) for: (1) HIV/AIDS education and outreach activities, (2) HIV/AIDS prevention and access to treatment, and (3) HIV/AIDS testing activities. Grants priority to grant applications that serve one or more minority groups (i.e., American Indians [including Alaska Natives, Eskimos, and Aleuts], Asian Americans, Native Hawaiians and other Pacific Islanders, Blacks, and Hispanics) with a specified HIV occurrence rate.
Authorizes the Secretary, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, to make grants to eligible health entities to provide HIV testing, counseling, and referral for medical treatment to youth who are members of minority groups, are not more than age 18, are HIV positive or at risk for HIV/AIDS, including young men of racial minorities who have sex with men, and are engaged in substance abuse.
Authorizes the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC), to make grants to eligible health entities for public health intervention and prevention activities with respect to one or more minority groups, including: (1) rapid HIV testing, (2) measures and activities to prevent the spread of HIV/AIDS and minimize its symptoms, (3) outreach activities targeting both females and males, and (4) referrals to health and mental health resources and health organizations.
Directs the Secretary, acting through the Director of the CDC, to: (1) expand and intensify HIV/AIDS prevention and education activities for minority groups, and (2) implement a national media outreach campaign that urges sexually active individuals who are members of minority groups to be tested for and know their HIV/AIDS status.
Authorizes the Secretary, acting through the Director of the National Center on Minority Health and Health Disparities, to make grants to public or private organizations with one or more published studies on behaviors to study behavioral factors that lead to increased HIV/AIDS prevalence in minority groups.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2893 Introduced in House (IH)]
113th CONGRESS
1st Session
H. R. 2893
To address the dramatic increase of HIV/AIDS in minority communities.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 31, 2013
Mr. Rangel (for himself, Ms. Bass, Mr. Brady of Pennsylvania, Ms. Brown
of Florida, Mr. Butterfield, Mr. Carson of Indiana, Ms. Castor of
Florida, Mrs. Christensen, Ms. Clarke, Mr. Clay, Mr. Cleaver, Mr.
Cohen, Mr. Conyers, Mr. Cummings, Mr. Ellison, Ms. Fudge, Mr. Al Green
of Texas, Mr. Hastings of Florida, Ms. Jackson Lee, Ms. Eddie Bernice
Johnson of Texas, Mr. Johnson of Georgia, Mr. King of New York, Ms. Lee
of California, Mr. Lewis, Mr. McDermott, Mr. Meeks, Mr. Payne, Mr.
Rush, Mr. Serrano, Ms. Slaughter, Ms. Waters, Ms. Wilson of Florida,
and Mrs. Carolyn B. Maloney of New York) introduced the following bill;
which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To address the dramatic increase of HIV/AIDS in minority communities.
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 ``Communities United
with Religious leaders for the Elimination of HIV/AIDS Act of 2013'' or
the ``CURE Act of 2013''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Definitions.
Sec. 4. Office of Minority Health grants for activities to reduce HIV/
AIDS among those with the greatest rate of
increasing rates of infection in the
minority communities.
Sec. 5. Substance Abuse and Mental Health Services Administration
grants for HIV testing and counseling
services for high risk youth.
Sec. 6. Centers for Disease Control and Prevention grants for public
health testing, intervention, and
prevention activities.
Sec. 7. Centers for Disease Control and Prevention activities for HIV/
AIDS prevention and education.
Sec. 8. Centers for Disease Control and Prevention national media
outreach campaign.
Sec. 9. National Center on Minority Health and Health Disparities
grants for study on prevention based on
behavioral factors.
SEC. 2. FINDINGS.
Congress finds the following:
(1) The latest estimates of the Centers for Disease Control
and Prevention of the incidence of new HIV infections in the
United States indicate that HIV remains a serious health
problem.
(2) It has been estimated that 1.3 million people in the
United States are living with HIV/AIDS. Approximately 50,000
people in the United States are newly infected and nearly one
in five of those are not aware that they are infected.
(3) Racial and ethnic minorities accounted for almost 71
percent of the newly diagnosed cases of HIV infection in 2010.
The national HIV rates (per 100,000 persons) for minority
groups as of 2010 was 68.9 for Blacks, 27.5 for Hispanics, 19.3
for Native Hawaiian and Pacific Islanders, 9.7 for American
Indian/Alaska Natives, and 6.5 for Asian Americans.
(4) Although Blacks are only 14 percent of the United
States population, they account for half (44 percent) of all
new HIV infection cases in 2010. They are 8.0 times more likely
to have HIV than Whites.
(5) Black women accounted for 13 percent of all new HIV
infections in the United States in 2010 and nearly 64 percent
of all new infections among women. Most black women (87
percent) were infected through heterosexual sex. In 2010, AIDS
was the third leading cause of death in black women 35 to 44
years of age. This equates to the death rate from HIV of 22
times more likely than White women.
(6) Black men represented almost one-third (31 percent) of
all new HIV infections in the United States in 2010 and account
for 70 percent of new HIV infections among Blacks. AIDS is also
the third leading cause of death for Black men 35 to 44 years
of age.
(7) The rate of new HIV diagnoses among Black males 13 to
29 years of age who have sex with males has increased 48
percent between 2006 and 2009.
(8) Second to Blacks, Hispanics compose the minority group
most disproportionately affected by HIV. Accounting for 16
percent of the United States population, Hispanics account for
20 percent of all new HIV infections.
(9) In 2010, Hispanic females are almost 5 times as likely
to have AIDS as White females.
(10) Over two-thirds of Asian Americans and over one-half
of Pacific Islanders have never been tested for HIV. Asian
Americans, Native Hawaiian, and Pacific Islanders account for
approximately one percent of HIV/AIDS cases nationally. Asian
Americans have lower AIDS rates than their White counterparts
and they are less likely to die of HIV/AIDS.
(11) HIV/AIDS is the ninth leading cause of death in Asian
and Pacific Island men aged 25 to 34.
(12) Native Hawaiians and Other Pacific Islanders are 2.6
times more likely to be diagnosed with HIV as compared to the
White population. While Native Hawaiians and Other Pacific
Islanders represent 0.4 percent of the total population in the
United States, the AIDS case rate for Native Hawaiians and
Other Pacific Islanders was twice that of the White population
in 2010.
(13) American Indians/Alaska Natives have a 30 percent
higher rate of HIV/AIDS infection as compared to the White
population. In 2010, American Indian/Alaska Native females were
three times more likely to be diagnosed with HIV infection, as
compared to the White female population.
(14) Runaway youth are 6 to 12 times more likely to become
infected with HIV than other youth.
(15) In August 2007, the National Medical Association,
representing 30,000 African-American physicians, released a
consensus report titled ``Addressing the HIV/AIDS Crisis In The
African American Community: Fact, Fiction and Policy'' which
specifically called on the next President of the United States
to declare HIV/AIDS in African-American communities a public
health emergency. The National Medical Association has worked
with the National Black Leadership Commission on AIDS (NBLCA)
to organize clergy to advocate for the specific needs of Black
physicians, their patients, and those at risk in African-
American communities. Both organizations have pledged to
advocate and work with clergy to develop, execute, and
implement these initiatives in African-American communities and
culture.
(16) In October 2007, 186 Black clergy, consisting of
Baptist, Church of God in Christ (COGIC), Methodist,
Protestant, African Methodist Episcopal (AME), and Pentecostal
faiths came together to participate in the National Black
Clergy Conclave on HIV/AIDS Policy, hosted by Time Warner,
Inc., with other foundation support. Included in this
prestigious gathering were the Health Brain Trust of the
Congressional Black Caucus, leaders from the National
Conference of Black Mayors, and the National Caucus of Black
State Legislators. This group developed a plan of action that
has become the Communities United with Religious leaders to
Eliminate HIV/AIDS in minority communities to respond to the
``on the ground'' emergency in prevention, care, and treatment
for AIDS in Black America.
(17) The National Black Clergy Conclave on HIV/AIDS
declared the HIV/AIDS crisis in the African-American community
a ``public health emergency''. The National Conclave also
recognized that HIV/AIDS is growing in and affecting other
minority groups disproportionately. Therefore, the Conclave is
collaborating with the National Alliance for Hispanic Health, a
30-year-old organization aimed at Hispanic health; the Asian &
Pacific Islander American Health Forum, a 27-year-old national
organization focused on improving the health of Asian
Americans, Native Hawaiians, and Pacific Islanders; and the
Asian-Pacific Islander Wellness Center and Esperanza, a Latino
based National organization to end HIV/AIDS disparities within
these racial and minority communities.
(18) At their April 2008 annual meeting, the National
Policy Alliance, consisting of the Joint Center For Political
and Economic Studies (secretariat), the National Black Caucus
of School Board Members, National Black Caucus of Local Elected
Officials, the Judicial Council of the National Bar
Association, the National Association of Black County
Officials, Blacks in Government, National Conference of Black
Mayors, and the World Council of Mayors voted unanimously to
support, endorse, and encourage the passage of a bill that
addresses the dramatic increase of HIV/AIDS in minority
communities and to organize their respective members to endorse
and support the passage of such a bill.
SEC. 3. DEFINITIONS.
In this Act:
(1) AIDS, hiv, and hiv/aids.--The terms ``AIDS'', ``HIV'',
and ``HIV/AIDS'' have the meanings given such terms in section
2689 of the Public Health Service Act (42 U.S.C. 300ff-88).
(2) Eligible health entities.--The term ``eligible health
entity'' means any of the following entities that serve at
least one minority group:
(A) A public health agency.
(B) A health center, including an entity operated
by an Indian tribe or tribal or Indian organization
under the Indian Self-Determination Act or an urban
Indian organization under the Indian Health Care
Improvement Act.
(C) A community-based organization.
(D) A faith-based organization.
(3) Minority group.--The term ``minority group'' has the
meaning given the term ``racial and ethnic minority group''
under section 1707(g) of the Public Health Service Act (42
U.S.C. 300u-6(g)) and includes such other groups as specified
by the Deputy Assistant Secretary for Minority Health.
(4) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
SEC. 4. OFFICE OF MINORITY HEALTH GRANTS FOR ACTIVITIES TO REDUCE HIV/
AIDS AMONG THOSE WITH THE GREATEST RATE OF INCREASING
RATES OF INFECTION IN THE MINORITY COMMUNITIES.
(a) In General.--For the purpose of reducing HIV/AIDS among
minority groups, the Secretary, acting through the Deputy Assistant
Secretary for Minority Health, may make grants to eligible health
entities to conduct any of the following activities, with respect to
one or more minority groups, including youth in such groups:
(1) HIV/AIDS education and outreach activities.
(2) Activities focusing on the prevention of HIV/AIDS and
access to treatment for HIV/AIDS.
(3) HIV/AIDS testing activities.
(b) Eligibility.--To be eligible to receive a grant under
subsection (a), an entity shall submit to the Deputy Assistant
Secretary an application at such time, in such manner, and containing
such information as required by the Deputy Assistant Secretary.
(c) Priority.--
(1) In general.--In making grants under subsection (a), the
Secretary, acting though the Deputy Assistant Secretary for
Minority Health, shall give priority to applications for
proposed activities to serve one or more minority groups with a
rate of occurrence of HIV that is equal to at least the
applicable minimum rate specified by the Secretary under
paragraph (2).
(2) Specification of minimum rate of occurrence of hiv.--
For purposes of paragraph (1), the Secretary, in consultation
with relevant stakeholders, shall specify a minimum rate of
occurrence of HIV, which may be based on gender and geographic
area.
(d) Funding.--
(1) Authorization of appropriations.--To carry out this
section, there are authorized to be appropriated $25,000,000
for each of the fiscal years 2014 through 2017. Any funds made
available to the Secretary pursuant to the previous sentence
for a fiscal year shall remain available until expended but in
no case after fiscal year 2017.
(2) Administrative costs.--Of the amounts made available,
pursuant to paragraph (1), to carry out this section for a
year, not more than 10 percent of such amounts may be used for
administrative costs.
SEC. 5. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
GRANTS FOR HIV TESTING AND COUNSELING SERVICES FOR HIGH
RISK YOUTH.
(a) In General.--The Secretary, acting through the Administrator of
the Substance Abuse and Mental Health Services Administration, may make
grants to eligible health entities to provide HIV testing and
subsequent counseling and referral for medical treatment based on the
results of such testing, to youth who are--
(1) members of minority groups;
(2) not more than 18 years of age;
(3) HIV positive or at risk for HIV/AIDS, including young
men of racial minorities who have sex with men; and
(4) engaged in substance abuse.
Such youth may include those who have run away from home, are homeless,
have had experience in the juvenile justice system, or reside in a
detention center or foster care.
(b) Uses of Grants.--An entity receiving a grant under this section
may only use such grant to provide--
(1) testing for HIV for the youth described in subsection
(a);
(2) counseling for such youth--
(A) on information on HIV that is based on medical
science and annually updated; and
(B) to help such youth to assess HIV-risk
situations and alter behaviors to promote choices of
lower risk; and
(3) referral to health resources, mental health resources,
and health organizations, which may include medical centers
receiving funding under part A or part B of title XXVI of the
Public Health Service Act.
(c) Eligibility.--To be eligible to receive a grant under
subsection (a), an entity shall submit to the Administrator an
application at such time, in such manner, and containing such
information as required by the Administrator.
(d) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated $5,000,000 for each of the
fiscal years 2014 through 2017. Any funds made available to the
Secretary pursuant to the previous sentence for a fiscal year shall
remain available until expended but in no case after fiscal year 2017.
SEC. 6. CENTERS FOR DISEASE CONTROL AND PREVENTION GRANTS FOR PUBLIC
HEALTH TESTING, INTERVENTION, AND PREVENTION ACTIVITIES.
(a) In General.--For the purpose of reducing the rate of occurrence
of HIV/AIDS with respect to minority groups, the Secretary, acting
through the Director of the Centers for Disease Control and Prevention,
may make grants to eligible health entities for public health
intervention and prevention activities described in subsection (b).
(b) Grant Uses.--An entity receiving a grant under this section may
use such grant to only conduct the following public health intervention
and prevention activities with respect to one or more minority groups:
(1) Rapid HIV testing.
(2) Measures and activities to prevent the spread of HIV/
AIDS and to minimize symptoms of HIV/AIDS.
(3) Outreach activities targeting both females and males.
(4) Referrals to health resources, mental health resources,
and health organizations.
(c) Eligibility.--
(1) In general.--To be eligible to receive a grant under
subsection (a) an entity shall submit to the Director an
application at such time, in such manner, and containing such
information as required by the Director, including the
provision of the assurances described in paragraph (2).
(2) Assurances.--For purposes of paragraph (1), the
assurances described in this paragraph, with respect to an
entity seeking a grant under this section, are each of the
following assurances:
(A) Partnerships.--An assurance to the satisfaction
of the Secretary that the entity will enter into
partnerships with public or private health agencies in
carrying out the activities funded by the grant.
(B) Allocation of grant for activities for
females.--An assurance to the satisfaction of the
Secretary that the entity will use at least 60 percent
of the amounts received under the grant on activities
described in subsection (b) that are for females in
minority groups.
(d) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated $10,000,000 for each of the
fiscal years 2014 through 2017. Any funds made available to the
Secretary pursuant to the previous sentence for a fiscal year shall
remain available until expended but in no case after fiscal year 2017.
SEC. 7. CENTERS FOR DISEASE CONTROL AND PREVENTION ACTIVITIES FOR HIV/
AIDS PREVENTION AND EDUCATION.
(a) Prevention Activities.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention, shall
expand and intensify HIV/AIDS prevention and education activities for
minority groups. Such activities shall--
(1) be targeted to minority groups with a rate of
occurrence of HIV that is at least equal to the minimum rate of
occurrence specified by the Secretary under section 4(c)(2);
(2) be comprehensive and updated annually based on science
and research; and
(3) include the dissemination of medically-based
information on the importance of open conversation on HIV in
the community involved, the importance of adherence to medical
treatment and medication, reduction of the stigma of HIV, the
importance of HIV testing, risk situation assessment, methods
of HIV transmission prevention, and the risk of maternal-fetal
and maternal breast milk transmission.
(b) Education.--The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, shall expand and intensify
culturally appropriate and linguistically accessible HIV/AIDS
educational activities for minority groups, including for members of
such groups who are intravenous drug users, Hispanic and Black women,
youth, and men who have sex with men.
(c) Coordination.--The Secretary shall carry out this section in
coordination with, as appropriate, public schools of all levels,
organizations that are advocates for advancing minority health, and
eligible health entities.
(d) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated $9,000,000 for each of the
fiscal years 2014 through 2017. Any funds made available to the
Secretary pursuant to the previous sentence for a fiscal year shall
remain available until expended but in no case after fiscal year 2017.
SEC. 8. CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL MEDIA
OUTREACH CAMPAIGN.
(a) In General.--The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, shall implement a national
media outreach campaign that urges sexually active individuals who are
members of minority groups to be tested for and know their HIV/AIDS
status.
(b) Requirements.--The national media outreach campaign under this
section--
(1) shall--
(A) be science-driven and targeted to minority men,
women, and youth; and
(B) give special emphasis to Black and Hispanic
women and minority males who have sex with males,
including those who are not more than 18 years of age;
and
(2) may target high schools and universities with 40
percent or greater minority enrollment.
(c) Local Organizations.--In implementing the campaign under
subsection (a), the Secretary may enter into agreements with local
organizations (as defined by the Secretary) that focus on serving a
single metropolitan community.
(d) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated $10,000,000 for each of the
fiscal years 2014 through 2017. Any funds made available to the
Secretary pursuant to the previous sentence for a fiscal year shall
remain available until expended but in no case after fiscal year 2017.
SEC. 9. NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
GRANTS FOR STUDY ON PREVENTION BASED ON BEHAVIORAL
FACTORS.
(a) In General.--The Secretary, acting through the Director of the
National Center on Minority Health and Health Disparities, may make
grants to eligible entities to study behavioral factors that lead to
increased HIV/AIDS prevalence in minority groups.
(b) Eligible Entities.--For purposes of this section, an eligible
entity is a public or private organization with one or more published
studies on behaviors.
(c) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated $10,000,000 for each of the
fiscal years 2014 through 2017. Any funds made available to the
Secretary pursuant to the previous sentence for a fiscal year shall
remain available until expended but in no case after fiscal year 2017.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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