Title 42The Public Health and WelfareRelease 119-73

§247b–24 Addressing factors related to improving health outcomes

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER II— - GENERAL POWERS AND DUTIES › Part Part B— - Federal-State Cooperation › § 247b–24

Last updated Apr 6, 2026|Official source

Summary

The Secretary may give grants, contracts, or cooperative agreements to groups to run projects that use research or proven methods to make people healthier by fixing things that cause poor health in communities. Eligible groups include state, local, and Tribal health departments, community-based organizations, Indian Tribes and Tribal organizations, urban Indian organizations, other public or private groups, consortia, and public‑private partnerships. Applicants must send an application, have a plan based on a community needs check with community input, and, if they are not a community group, show they have worked successfully with a community-based organization. Award money must be used, while working with health departments and community groups, for things like putting proven programs into practice and checking results, building or improving technology or networks for coordination and information sharing, using best practices for underserved people, and including these health factors in public health emergency planning and response. The Secretary can also fund public or nonprofit groups, including minority‑serving institutions, to find and share best practices, give training and help to awardees, and run regional centers for research and training. Awards last up to 5 years and can be extended up to 3 more years. The Secretary must report to Congress by September 30, 2026 on what was done and what changed. Up to $35,000,000 is authorized each year for fiscal years 2023–2027, and 5 percent of each year’s money must go to Tribes, Tribal organizations, urban Indian organizations, and Tribal health departments.

Full Legal Text

Title 42, §247b–24

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary may, as appropriate, award grants, contracts, or cooperative agreements to eligible entities for the conduct of evidence-based or evidence-informed projects, which may include the development of networks to improve health outcomes by improving the capacity of such entities to address factors that contribute to negative health outcomes in communities.
(b)To be eligible to receive an award under this section, an entity shall—
(1)(A)be a State, local, or Tribal health department, community-based organization, Indian Tribe or Tribal organization (as such terms are defined in section 5304 of title 25), urban Indian organization (as defined in section 1603 of title 25), or other public or private entity, as the Secretary determines appropriate; or
(B)be a consortia of entities described in subparagraph (A) or a public-private partnership, including a community partnership;
(2)submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary shall require;
(3)in the case of an entity other than a community-based organization, demonstrate a history of successfully working with an established community-based organization to address health outcomes; and
(4)submit a plan to conduct activities described in subsection (a) based on a community needs assessment that takes into account community input.
(c)An entity described in subsection (b) shall use funds received under subsection (a), in consultation with State, local, and Tribal health departments, community-based organizations, entities serving medically underserved communities, and other entities, as applicable, for one or more of the following purposes:
(1)Supporting the implementation, evaluation, and dissemination of strategies, through evidence-informed or evidence-based programs and through the support and use of public health and health care professionals to address factors related to health outcomes.
(2)Establishing, maintaining, or improving, in consultation with State, local, or Tribal health departments, technology platforms or networks to support, in a manner that is consistent with applicable Federal and State privacy law—
(A)coordination among appropriate entities, and, as applicable and appropriate, activities to improve such coordination;
(B)information sharing on health and related social services; and
(C)technical assistance and related support for entities participating in the platforms or networks.
(3)Implementing best practices for improving health outcomes and reducing disease among underserved populations.
(4)Supporting consideration of factors related to health outcomes in preparing for, and responding to, public health emergencies, through outreach, education, research, and other relevant activities.
(d)The Secretary, in consultation with the Director of the Office of Minority Health, the National Coordinator for Health Information Technology, and the Administrator of the Administration for Community Living, may award grants, contracts, and cooperative agreements to public or nonprofit private entities, including minority serving institutions (defined, for purposes of this subsection, as institutions and programs described in section 1063b(e)(1) of title 20 and institutions described in section 1067q(a) of title 20), to—
(1)identify or facilitate the development of best practices to support improved health outcomes for underserved populations;
(2)provide technical assistance, training, and evaluation assistance to award recipients under subsection (a);
(3)disseminate best practices, including to award recipients under subsection (a); and
(4)leverage, establish, or operate regional centers to develop, evaluate, and disseminate effective strategies on factors related to health outcomes, including supporting research and training related to such strategies.
(e)The Secretary shall issue awards under this section for periods of not more than 5 years and may issue extensions of such award periods for an additional period of up to 3 years.
(f)Not later than September 30, 2026, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report that includes information on activities funded under this section. Such report shall include a description of—
(1)changes in the capacity of public health entities to address factors related to health outcomes in communities, including any applicable platforms or networks developed or utilized to coordinate health and related social services and any changes in workforce capacity or capabilities;
(2)improvements in health outcomes and in reducing health disparities in medically underserved communities;
(3)activities conducted to support consideration of factors related to health outcomes in preparing for, and responding to, public health emergencies, through outreach, education, and other relevant activities;
(4)communities and populations served by recipients of awards under subsection (a);
(5)activities supported under subsection (e); and
(6)other relevant activities and outcomes, as determined by the Secretary.
(g)To carry out this section, there are authorized to be appropriated $35,000,000 for each of fiscal years 2023 through 2027. Of the amounts appropriated under this subsection for a fiscal year, 5 percent shall be reserved for awards under subsection (a) to Indian Tribes and Tribal organizations (as such terms are defined in section 5304 of title 25), urban Indian organizations (as defined in section 1603 of title 25), and Tribal health departments.

Reference

Citations & Metadata

Citation

42 U.S.C. § 247b–24

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73