# H.R. 3200/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.

#### 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 Assistantship.
                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.
          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.
    ``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
             Sec. 2501. Expanded Participation in 340B Program.
             Sec. 2502. Extension of Discounts to Inpatient Drugs.
             Sec. 2503. Effective Date.
          Subtitle B—School-Based Health Clinics
             Sec. 2511. School-Based Health Clinics.
          Subtitle C—National Medical Device Registry
             Sec. 2521. National Medical Device Registry.
          Subtitle D—Grants for Comprehensive Programs to Provide Education to Nurses and Create a Pipeline to Nursing
             Sec. 2531. Establishment of Grant Program.
          Subtitle E—States Failing to Adhere to Certain Employment Obligations
             Sec. 2541. Limitation on Federal Funds.
    (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.—
             There is established a fund to be known as the “Public Health Investment Fund” (referred to in this section as the “Fund”).
          (2) FUNDING.—
                (A) There shall be deposited into the Fund—
                      (i) for fiscal year 2010, $4,600,000,000;
                      (ii) for fiscal year 2011, $5,600,000,000;
                      (iii) for fiscal year 2012, $6,900,000,000;
                      (iv) for fiscal year 2013, $7,800,000,000;
                      (v) for fiscal year 2014, $9,000,000,000;
                      (vi) for fiscal year 2015, $9,400,000,000;
                      (vii) for fiscal year 2016, $10,100,000,000;
                      (viii) for fiscal year 2017, $10,800,000,000;
                      (ix) for fiscal year 2018, $11,800,000,000; and
                      (x) for fiscal year 2019, $12,700,000,000.
                (B) Amounts deposited into the Fund shall be derived from general revenues of the Treasury.
    (b) Authorization of Appropriations from the Fund.—
          (1) NEW FUNDING.—
                (A) IN GENERAL.—
                   Amounts in the Fund are authorized to be appropriated by the Committees on Appropriations of the House of Representatives and the Senate 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 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 loan funds (including funds appropriated for schools of medicine or osteopathic medicine under the authority of section 735(f) of such Act (42 U.S.C. 292y(f))).
                      (v) 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)).
                      (vi) Sections 761 and 770 of such Act (42 U.S.C. 294n and 295e).
                      (vii) Nursing workforce development (including funds appropriated under the authority of title VIII of such Act (42 U.S.C. 296 et seq.)).
                      (viii) 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)).
                      (ix) 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.)).
          (3) BUDGETARY IMPLICATIONS.—
             Amounts appropriated under this section, and outlays flowing from such appropriations, shall not be taken into account for purposes of any budget enforcement procedures including allocations under section 302(a) and (b) of the Balanced Budget and Emergency Deficit Control Act and budget resolutions for fiscal years during which appropriations are made from the Fund.