42 U.S.C. § 11703 — Comprehensive health care master plan

Page 8209 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 11703 1 So in original. Probably should be ‘‘age’’. 2 So in original. Probably should be ‘‘prevalence’’. 3 So in original. The ‘‘; and’’ probably should be a period. (7) Increase Pap tests every 1 to 3 years to at least 85 percent of women age 18 and older. (8) Increase fecal occult blood testing every 1 to 2 years to at least 50 percent of people age 50 and older. (9) Reduce diabetes-related deaths to no more than 34 per 100,000. (10) Reduce the most severe complications of diabetes as follows: (A) end-stage renal disease to no more than 1.4 in 1,000; (B) blindness to no more than 1.4 in 1,000; (C) lower extremity amputation to no more than 4.9 in 1,000; (D) perinatal mortality to no more than 2 percent; and (E) major congenital malformations to no more than 4 percent. (11) Reduce infant mortality to no more than 7 deaths per 1,000 live births. (12) Reduce low birth weight to no more than 5 percent of live births. (13) Increase first trimester prenatal care to at least 90 percent of live births. (14) Reduce teenage pregnancies to no more than 50 per 1,000 girls age 17 and younger. (15) Reduce unintended pregnancies to no more than 30 percent of pregnancies. (16) Increase to at least 60 percent the pro- portion of primary care providers who provide age-appropriate preconception care and coun- seling. (17) Increase years of healthy life to at least 65 years. (18) Eliminate financial barriers to clinical preventive services. (19) Increase childhood immunization levels to at least 90 percent of 2-year-olds. (20) Reduce the prevalence of dental caries to no more than 35 percent of children by age 8. (21) Reduce untreated dental caries so that the proportion of children with untreated car- ies (in permanent or primary teeth) is no more than 20 percent among children age 6 through 8 and no more than 15 percent among adoles- cents age 15. (22) Reduce edentulism to no more than 20 percent in people age 65 and older. (23) Increase moderate daily physical activ- ity to at least 30 percent of the population. (24) Reduce sedentary lifestyles to no more than 15 percent of the population. (25) Reduce overweight to a prevalence of no more than 20 percent of the population. (26) Reduce dietary fat intake to an average of 30 percent of calories or less. (27) Increase to at least 75 percent the pro- portion of primary care providers who provide nutrition assessment and counseling or refer- ral to qualified nutritionists or dieticians. (28) Reduce cigarette smoking prevalence to no more than 15 percent of adults. (29) Reduce initiation of smoking to no more than 15 percent by age 20. (30) Reduce alcohol-related motor vehicle crash deaths to no more than 8.5 per 100,000 ad- justed for age. (31) Reduce alcohol use by school children age 12 to 17 to less than 13 percent. (32) Reduce marijuana use by youth age 18 to 25 to less than 8 percent. (33) Reduce cocaine use by youth aged 1 18 to 25 to less than 3 percent. (34) Confine HIV infection to no more than 800 per 100,000. (35) Reduce gonorrhea infections to no more than 225 per 100,000. (36) Reduce syphilis infections to no more that 10 per 100,000. (37) Reduce significant hearing impairment to a prevalance 2 of no more than 82 per 1,000. (38) Reduce acute middle ear infections among children age 4 and younger, as meas- ured by days of restricted activity or school absenteeism, to no more than 105 days per 100 children. (39) Reduce indigenous cases of vaccine-pre- ventable diseases as follows: (A) Diphtheria among individuals age 25 and younger to 0; (B) Tetanus among individuals age 25 and younger to 0; (C) Polio (wild-type virus) to 0; (D) Measles to 0; (E) Rubella to 0; (F) Congenital Rubella Syndrome to 0; (G) Mumps to 500; and (H) Pertussis to 1,000; and 3 (40) Reduce significant visual impairment to a prevalence of no more than 30 per 1,000. (c) Report The Secretary shall submit to the President, for inclusion in each report required to be trans- mitted to the Congress under section 11710 of this title, a report on the progress made in each area toward meeting each of the objectives de- scribed in subsection (b). (Pub. L. 100–579, § 3, Oct. 31, 1988, 102 Stat. 2916; Pub. L. 100–690, title II, § 2303, Nov. 18, 1988, 102 Stat. 4223; Pub. L. 102–396, title IX, § 9168, Oct. 6, 1992, 106 Stat. 1948.) Editorial Notes CODIFICATION The 1992 amendment is based on section 1 of S. 2681, One Hundred Second Congress, as passed by the Senate on Aug. 7, 1992, and enacted into law by section 9168 of Pub. L. 102–396. Section 9168, which referred to S. 2681, as passed by the Senate on ‘‘September 12, 1992’’, has been treated as referring to S. 2681, as passed by the Senate on Aug. 7, 1992, to reflect the probable intent of Congress. Pub. L. 100–579 and Pub. L. 100–690 enacted identical sections. The text of this section is based on section 3 of Pub. L. 100–579, as subsequently amended. AMENDMENTS 1992—Pub. L. 102–396 amended section generally. Prior to amendment, section related to comprehensive health care master plan for Native Hawaiians. § 11703. Comprehensive health care master plan for Native Hawaiians (a) Development The Secretary may make a grant to, or enter into a contract with, Papa Ola Lokahi for the Page 8210 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 11704 purpose of coordinating, implementing and up- dating a Native Hawaiian comprehensive health care master plan designed to promote com- prehensive health promotion and disease preven- tion services and to maintain and improve the health status of Native Hawaiians. The master plan shall be based upon an assessment of the health care status and health care needs of Na- tive Hawaiians. To the extent practicable, as- sessments made as of the date of such grant or contract shall be used by Papa Ola Lokahi, ex- cept that any such assessment shall be updated as appropriate. (b) Authorization of appropriations There are authorized to be appropriated such sums as may be necessary to carry out sub- section (a). (Pub. L. 100–579, § 4, Oct. 31, 1988, 102 Stat. 2916; Pub. L. 100–690, title II, § 2304, Nov. 18, 1988, 102 Stat. 4223; Pub. L. 102–396, title IX, § 9168, Oct. 6, 1992, 106 Stat. 1948.) Editorial Notes CODIFICATION The 1992 amendment is based on section 1 of S. 2681, One Hundred Second Congress, as passed by the Senate on Aug. 7, 1992, and enacted into law by section 9168 of Pub. L. 102–396. Section 9168, which referred to S. 2681, as passed by the Senate on ‘‘September 12, 1992’’, has been treated as referring to S. 2681, as passed by the Senate on Aug. 7, 1992, to reflect the probable intent of Congress. Pub. L. 100–579 and Pub. L. 100–690 enacted substan- tially identical sections. The text of this section is based on section 4 of Pub. L. 100–579, as subsequently amended. AMENDMENTS 1992—Pub. L. 102–396 amended section generally. Prior to amendment, section related to Native Hawaiian health centers. § 11704. Functions of Papa Ola Lokahi (a) Responsibility Papa Ola Lokahi shall be responsible for the— (1) coordination, implementation, and updat- ing, as appropriate, of the comprehensive health care master plan developed pursuant to section 11703 of this title; (2) training for the persons described in sec- tion 11705(c)(1)(B) of this title; (3) identification of and research into the diseases that are most prevalent among Na- tive Hawaiians, including behavioral, bio- medical, epidemiological, and health services; and (4) the development of an action plan out- lining the contributions that each member or- ganization of Papa Ola Lokahi will make in carrying out the policy of this chapter. (b) Special project funds Papa Ola Lokahi is authorized to receive spe- cial project funds that may be appropriated for the purpose of research on the health status of Native Hawaiians or for the purpose of address- ing the health care needs of Native Hawaiians. (c) Clearinghouse Papa Ola Lokahi shall serve as a clearing- house for: (1) the collection and maintenance of data associated with the health status of Native Hawaiians; (2) the identification and research into dis- eases affecting Native Hawaiians; (3) the availability of Native Hawaiian project funds, research projects and publica- tions; (4) the collaboration of research in the area of Native Hawaiian health; and (5) the timely dissemination of information pertinent to the Native Hawaiian health care systems. (d) Coordination of programs and services Papa Ola Lokahi shall, to the maximum ex- tent possible, coordinate and assist the health care programs and services provided to Native Hawaiians. (e) Technical support Papa Ola Lokahi shall act as a statewide in- frastructure to provide technical support and coordination of training and technical assist- ance to the Native Hawaiian health care sys- tems. (f) Relationships with other agencies Papa Ola Lokahi is authorized to enter into agreements or memoranda of understanding with relevant agencies or organizations that are capable of providing resources or services to the Native Hawaiian health care systems. (Pub. L. 100–579, § 5, Oct. 31, 1988, 102 Stat. 2919; Pub. L. 100–690, title II, § 2305, Nov. 18, 1988, 102 Stat. 4225; Pub. L. 102–396, title IX, § 9168, Oct. 6, 1992, 106 Stat. 1948.) Editorial Notes CODIFICATION The 1992 amendment is based on section 1 of S. 2681, One Hundred Second Congress, as passed by the Senate on Aug. 7, 1992, and enacted into law by section 9168 of Pub. L. 102–396. Section 9168, which referred to S. 2681, as passed by the Senate on ‘‘September 12, 1992’’, has been treated as referring to S. 2681, as passed by the Senate on Aug. 7, 1992, to reflect the probable intent of Congress. Pub. L. 100–579 and Pub. L. 100–690 enacted substan- tially identical sections. The text of this section is based on section 5 of Pub. L. 100–579, as subsequently amended. AMENDMENTS 1992—Pub. L. 102–396 amended section generally. Prior to amendment, section related to administrative grant for Papa Ola Lokahi. § 11705. Native Hawaiian health care systems (a) Comprehensive health promotion, disease prevention, and primary health services (1)(A) The Secretary, in consultation with Papa Ola Lokahi, may make grants to, or enter into contracts with, any qualified entity for the purpose of providing comprehensive health pro- motion and disease prevention services as well as primary health services to Native Hawaiians. (B) In making grants and entering into con- tracts under this paragraph, the Secretary shall give preference to Native Hawaiian health care systems and Native Hawaiian organizations and, to the extent feasible, health promotion and dis-