# H.R. 3962/Division C
## DIVISION C — PUBLIC HEALTH AND WORKFORCE DEVELOPMENT
### Sec. 2001. Table of Contents; References.

    (a) Table of Contents.—
       The table of contents of this division is as follows:
       Sec. 2001. Table of Contents; References.
       Sec. 2002. Public Health Investment Fund.
       Sec. 2003. Deficit Neutrality.

#### TITLE I − COMMUNITY HEALTH CENTERS

          Sec. 2101. Increased Funding.

#### TITLE II − WORKFORCE

          Subtitle A − Primary Care Workforce
             Part 1 − National Health Service Corps
                Sec. 2201. National Health Service Corps.
                Sec. 2202. Authorizations of Appropriations.
             Part 2 − Promotion of Primary Care and Dentistry
                Sec. 2211. Frontline Health Providers.
``SUBPART XI − HEALTH PROFESSIONAL NEEDS AREAS
    ``Sec. 340H. In General.
    ``Sec. 340I. Loan Repayments.
    ``Sec. 340J. Report.
    ``Sec. 340K. Allocation.´´
                Sec. 2212. Primary Care Student Loan Funds.
                Sec. 2213. Training in Family Medicine, General Internal Medicine, General Pediatrics, Geriatrics, and Physician Assistants.
                Sec. 2214. Training of Medical Residents in Community-based Settings.
                Sec. 2215. Training for General, Pediatric, and Public Health Dentists and Dental Hygienists.
                Sec. 2216. Authorization of Appropriations.
                Sec. 2217. Study on Effectiveness of Scholarships and Loan Repayments.
          Subtitle B − Nursing Workforce
             Sec. 2221. Amendments to Public Health Service Act.
          Subtitle C − Public Health Workforce
             Sec. 2231. Public Health Workforce Corps.
``SUBPART XII − PUBLIC HEALTH WORKFORCE
    ``Sec. 340L. Public Health Workforce Corps.
    ``Sec. 340M. Public Health Workforce Scholarship Program.
    ``Sec. 340N. Public Health Workforce Loan Repayment Program.´´
             Sec. 2232. Enhancing the Public Health Workforce.
             Sec. 2233. Public Health Training Centers.
             Sec. 2234. Preventive Medicine and Public Health Training Grant Program.
             Sec. 2235. Authorization of Appropriations.
          Subtitle D − Adapting Workforce to Evolving Health System Needs
             Part 1 − Health Professions Training for Diversity
                Sec. 2241. Scholarships for Disadvantaged Students, Loan Repayments and Fellowships regarding Faculty Positions, and educational assistance in the Health Professions regarding individuals from Disadvantaged Backgrounds.
                Sec. 2242. Nursing Workforce Diversity Grants.
                Sec. 2243. Coordination of Diversity and Cultural Competency Programs.
             Part 2 − Interdisciplinary Training Programs
                Sec. 2251. Cultural and Linguistic Competency Training for Health Care Professionals.
                Sec. 2252. Innovations in Interdisciplinary Care Training.
             Part 3 − Advisory Committee on Health Workforce Evaluation and Assessment
                Sec. 2261. Health Workforce Evaluation and Assessment.
             Part 4 − Health Workforce Assessment
                Sec. 2271. Health Workforce Assessment.
             Part 5 − Authorization of Appropriations
                Sec. 2281. Authorization of Appropriations.

#### TITLE III − PREVENTION AND WELLNESS

          Sec. 2301. Prevention and Wellness.
``TITLE XXXI − PREVENTION AND WELLNESS
    ``Subtitle A − Prevention and Wellness Trust
       ``Sec. 3111. Prevention and Wellness Trust.
    ``Subtitle B − National Prevention and Wellness Strategy
       ``Sec. 3121. National Prevention and Wellness Strategy.
    ``Subtitle C − Prevention Task Forces
       ``Sec. 3131. Task Force on Clinical Preventive Services.
       ``Sec. 3132. Task Force on Community Preventive Services.
    ``Subtitle D − Prevention and Wellness Research
       ``Sec. 3141. Prevention and Wellness Research Activity Coordination.
       ``Sec. 3142. Community Prevention and Wellness Research Grants.
       ``Sec. 3143. Research on Subsidies and Rewards to Encourage Wellness and Healthy Behaviors.
    ``Subtitle E − Delivery of Community Prevention and Wellness Services
       ``Sec. 3151. Community Prevention and Wellness Services Grants.
    ``Subtitle F − Core Public Health Infrastructure
       ``Sec. 3161. Core Public Health Infrastructure for State, Local, and Tribal Health Departments.
       ``Sec. 3162. Core Public Health Infrastructure and Activities for CDC.
    ``Subtitle G − General Provisions
       ``Sec. 3171. Definitions.´´

#### TITLE IV − QUALITY AND SURVEILLANCE

          Sec. 2401. Implementation of Best Practices in the Delivery of Health Care.
          Sec. 2402. Assistant Secretary for Health Information.
          Sec. 2403. Authorization of Appropriations.

#### TITLE V − OTHER PROVISIONS

          Subtitle A − Drug Discount for Rural and Other Hospitals; 340B Program Integrity
             Sec. 2501. Expanded Participation in 340B Program.
             Sec. 2502. Improvements to 340B Program Integrity.
             Sec. 2503. Effective Date.
          Subtitle B − Programs
             Part 1 − Grants for Clinics and Centers
                Sec. 2511. School-Based Health Clinics.
                Sec. 2512. Nurse-Managed Health Centers.
                Sec. 2513. Federally Qualified Behavioral Health Centers.
             Part 2 − Other Grant Programs
                Sec. 2521. Comprehensive programs to provide education to nurses and create a pipeline to nursing.
                Sec. 2522. Mental and behavioral health training.
                Sec. 2523. Reauthorization of telehealth and telemedicine grant programs.
                Sec. 2524. No child left unimmunized against influenza: demonstration program using elementary and secondary schools as influenza vaccination centers.
                Sec. 2525. Extension of Wisewoman Program.
                Sec. 2526. Healthy teen initiative to prevent teen pregnancy.
                Sec. 2527. National training initiatives on autism spectrum disorders.
                Sec. 2528. Implementation of medication management services in treatment of chronic diseases.
                Sec. 2529. Postpartum depression.
                Sec. 2530. Grants to promote positive health behaviors and outcomes.
                Sec. 2531. Medical liability alternatives.
                Sec. 2532. Infant mortality pilot programs.
                Sec. 2533. Secondary school health sciences training program.
                Sec. 2534. Community-based collaborative care networks.
                Sec. 2535. Community-based overweight and obesity prevention program.
                Sec. 2536. Reducing student-to-school nurse ratios.
                Sec. 2537. Medical-legal partnerships.
                Sec. 2538. Screening, Brief Intervention, Referal and Treatment for Mental Health and Substance Abuse Disorders.
             Part 3 − Emergency Care-Related Programs
                Sec. 2551. Trauma Care Centers.
                Sec. 2552. Emergency Care Coordination.
                Sec. 2553. Pilot Programs to Improve Emergency Medical Care.
                Sec. 2554. Assisting veterans with military emergency medical training to become State-licensed or certified emergency medical technicians (EMTs).
                Sec. 2555. Dental emergency responders: public health and medical response.
                Sec. 2556. Dental emergency responders: homeland security.
             Part 4 − Pain Care and Management Programs
                Sec. 2561. Institute of Medicine Conference on Pain.
                Sec. 2562. Pain research at National Institutes of Health.
                Sec. 2563. Public Aawareness Campaign on Pain Management.
          Subtitle C − Food and Drug Administration
             Part 1 − In General
                Sec. 2571. National Medical Device Registry.
                Sec. 2572. Nutrition Labeling of Standard Menu Items at Chain Restaurants and of Articles of Food Sold from Vending Machines.
                Sec. 2573. Protecting Consumer Access to Generic Drugs.
             Part 2 − Biosimilars
                Sec. 2575. Licensure Pathway for Biosimilar Biological Products.
                Sec. 2576. Fees Relating to Biosimilar Biological Products.
                Sec. 2577. Amendments to Certain Patent Provisions.
          Subtitle D − Community Living Assistance Services and Supports
             Sec. 2581. Establishment of national voluntary insurance program for purchasing community living assistance services and support (CLASS program).
          ``TITLE XXXII—COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS
             ``Sec. 3201. Purpose.
             ``Sec. 3202. Definitions.
             ``Sec. 3203. CLASS Independence Benefit Plan.
             ``Sec. 3204. Enrollment and disenrollment requirements.
             ``Sec. 3205. Benefits.
             ``Sec. 3206. CLASS Independence Fund.
             ``Sec. 3207. CLASS Independence Advisory Council.
             ``Sec. 3208. Regulations; annual report.
             ``Sec. 3209. Inspector General's report.
          Subtitle E − Miscellaneous
             Sec. 2585. States failing to adhere to certain employment obligations.
             Sec. 2586. Health centers under Public Health Service Act; liability protections for volunteer practitioners.
             Sec. 2587. Report to Congress on the current state of parasitic diseases that have been overlooked among the poorest Americans.
             Sec. 2588. Office of Women’s Health.
             Sec. 2588A. Offices of Minority Health.
             Sec. 2589. Long-Term Care and Family Caregiver Support.
             Sec. 2590. Web site on health care labor market and related educational and training opportunities.
             Sec. 2591. Online health workforce training programs.
             Sec. 2592. Access for individuals with disabilities.
             Sec. 2593. Duplicative Grant Programs.
             Sec. 2594. Diabetes Screening Collaboration and Outreach Program.
             Sec. 2595. Improvement of Vital Statistics Collection.
    (b) References.—
       Except as otherwise specified, whenever in this division an amendment is expressed in terms of an amendment to a section or other provision, the reference shall be considered to be made to a section or other provision of the Public Health Service Act (42 U.S.C. 201 et seq.).

### Sec. 2002. Public Health Investment Fund.

    (a) Establishment of Funds.—
          (1) IN GENERAL.—
             Subject to section 2003, there is hereby established in the Treasury a separate account to be known as the “Public Health Investment Fund” (referred to in this section and section 2003 as the “Fund”).
          (2) FUNDING.—
                (A) There shall be deposited into the Fund—
                      (i) for fiscal year 2011, $4,600,000,000;
                      (ii) for fiscal year 2012, $5,600,000,000;
                      (iii) for fiscal year 2013, $6,900,000,000;
                      (iv) for fiscal year 2014, $7,800,000,000; and
                      (v) for fiscal year 2015, $9,000,000,000.
                (B) Amounts deposited into the Fund shall be derived from general revenues of the Treasury only for the fiscal years set forth in this section, and amounts appropriated from the Fund shall remain available until expended.
    (b) Authorization of Appropriations from the Fund.—
          (1) NEW FUNDING.—
                (A) IN GENERAL.—
                   Subject to section 2003, amounts in the Fund are authorized to be appropriated for carrying out activities under designated public health provisions.
                (B) DESIGNATED PROVISIONS.—
                   For purposes of this paragraph, the term “designated public health provisions” means the provisions for which amounts are authorized to be appropriated under section 330(s), 338(c), 338H–1, 799C, 872, or 3111 of the Public Health Service Act, as added by this division.
          (2) BASELINE FUNDING.—
                (A) IN GENERAL.—
                   Amounts in the Fund are authorized to be appropriated (as described in paragraph (1)) for a fiscal year only if (excluding any amounts in or appropriated from the Fund)—
                      (i) the amounts specified in subparagraph (B) for the fiscal year involved are equal to or greater than the amounts specified in subparagraph (B) for fiscal year 2008; and
                      (ii) the amounts appropriated, out of the general fund of the Treasury, to the Prevention and Wellness Trust under section 3111(a)(1) of the Public Health Service Act, as added by this division, for the fiscal year involved are equal to or greater than the funds—
                            (I) appropriated under the heading “Prevention and Wellness Fund” in title VIII of division A of the American Recovery and Reinvestment Act of 2009 (Public Law 111-5); and
                            (II) allocated by the second proviso under such heading for evidence-based clinical and community-based prevention and wellness strategies.
                (B) AMOUNTS SPECIFIED.—
                   The amounts specified in this subparagraph, with respect to a fiscal year, are the amounts appropriated for the following:
                      (i) Community health centers (including funds appropriated under the authority of section 330 of the Public Health Service Act (42 U.S.C. 254b)).
                      (ii) The National Health Service Corps Program (including funds appropriated under the authority of section 338 of such Act (42 U.S.C. 254k)).
                      (iii) The National Health Service Corps Scholarship and Loan Repayment Programs (including funds appropriated under the authority of section 338H of such Act (42 U.S.C. 254q)).
                      (iv) Primary care education programs (including funds appropriated under the authority of sections 736, 740, 741, and 747 of such Act (42 U.S.C. 293, 293d, and 293k)).
                      (v) Sections 761 and 770 of such Act (42 U.S.C. 294n and 295e).
                      (vi) Nursing workforce development (including funds appropriated under the authority of title VIII of such Act (42 U.S.C. 296 et seq.)).
                      (vii) The National Center for Health Statistics (including funds appropriated under the authority of sections 304, 306, 307, and 308 of such Act (42 U.S.C. 242b, 242k, 242l, and 242m)).
                      (viii) The Agency for Healthcare Research and Quality (including funds appropriated under the authority of title IX of such Act (42 U.S.C. 299 et seq.)).

### Sec. 2003. Deficit Neutrality.

    (a) Availability.—
       Funds appropriated or made available pursuant to sections 330(s), 338(c), 338H–1, 799C, 872, or 3111 of the Public Health Service Act, as added by this division, are only available for the purposes set forth in this Act. Appropriations shall not be available and are precluded from obligation for any other purpose.
    (b) Estimation of Budgetary Impact.—
       For the purposes of estimating the spending effects of this Act, the authorization of appropriations from the Fund, to the extent amounts in the Fund are derived from the general revenues of the Treasury, shall be treated as new direct spending and attributed to this Act.
    (c) Budgetary Treatment.—
       For the purposes of section 257 of the Balanced Budget and Emergency Deficit Control Act of 1985, the Fund, to the extent amounts in the Fund are derived from the general revenues of the Treasury, and not in excess of amounts subsequently appropriated from the Fund, shall be deemed to be included on the list of appropriations referenced under section 250(c)(17) of that Act.