I 

111TH CONGRESS 

2D SESSION H. R. 5392 

To establish a Council on Integration of Health Care Education, to provide 

for implementation of the recommendations of the Council, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 25, 2010 

Mr. KENNEDY (for himself and Mr. SULLIVAN) introduced the following bill; 

which was referred to the Committee on Energy and Commerce, and in 

addition to the Committee on Education and Labor, for a period to be 

subsequently determined by the Speaker, in each case for consideration 

of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To establish a Council on Integration of Health Care Education, to provide for implementation of the recommendations of the Council, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Council on Integration 

5 of Health Care Education Act of 2010’’. 

6 SEC. 2. DEFINITIONS. 

7 In this Act: 


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1 (1) BEHAVIORAL HEALTH PROVIDER.—The 

2 term ‘‘behavioral health provider’’— 

3 (A) means an individual who provides clin4 ical care (in accordance with applicable State 

5 law) specializing in the diagnosis or treatment 

6 of behavioral health, including such an indi7 vidual specializing in substance use, addiction, 

8 and dependence disorders; and 

9 (B) includes a psychiatrist, nurse practi10 tioner (as defined in section 1861(aa)(5)(A) of 

11 the Social Security Act), physician assistant (as 

12 defined in section 1861(aa)(5)(A) of such Act), 

13 clinical psychologist (as used in section 1861(ii) 

14 of such Act), clinical social worker (as defined 

15 in section 1861(hh) of such Act), psychiatric 

16 nurse, licensed professional counselor, marriage 

17 and family therapist, pastoral counselor, psy18 chosocial rehabilitation specialist, and any other 

19 individual determined to be appropriate by the 

20 Secretary. 

21 (2) COUNCIL.—The term ‘‘Council’’ means the 

22 Council on Integration of Health Care Education. 

23 (3) HEALTH CARE PROFESSIONAL.—The term 

24 ‘‘health care professional’’— 


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1 (A) means an individual who provides clin2 ical health care (in accordance with applicable 

3 State law) other than a behavioral health pro4 vider; and 

5 (B) includes (other than a behavioral 

6 health provider) a physician (as defined in sec7 tion 1861(r) of the Social Security Act), nurse 

8 practitioner (as defined in section 

9 1861(aa)(5)(A) of the Social Security Act), 

10 physician assistant (as defined in section 

11 1861(aa)(5)(A) of the Social Security Act), 

12 clinical nurse specialist (as defined in section 

13 1861(aa)(5)(B) of the Social Security Act), cer14 tified nurse-midwife (as defined in section 

15 1861(gg) of the Social Security Act), and any 

16 other individual determined to be appropriate 

17 by the Secretary. 

18 (4) INSTITUTION OF HIGHER EDUCATION.—The 

19 term ‘‘institution of higher education’’ has the same 

20 meaning given such term in section 101 of the High21 er Education Act of 1965 (20 U.S.C. 1001). 

22 (5) SECRETARY.—The term ‘‘Secretary’’ means 

23 the Secretary of Health and Human Services. 


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1 SEC. 3. COUNCIL ON INTEGRATION OF HEALTH CARE EDU2 CATION. 

3 (a) ESTABLISHMENT.—There is established in the 

4 Office of the Secretary the Council on Integration of 

5 Health Care Education. 

6 (b) RECOMMENDATIONS.—The Council shall develop 

7 and publish not later than 1 year after the date of the 

8 enactment of this section, and may periodically revise as 

9 appropriate thereafter, recommendations for the purpose 

10 of strengthening the capacity of health care professionals 

11 and behavioral health providers to deliver integrated, com12 prehensive health care. The recommendations shall iden13 tify— 

14 (1) the core competencies to be required of each 

15 type of health care professional and behavioral 

16 health provider with respect to mental health and 

17 substance use prevention and treatment services in 

18 order to carry out their respective scope of practice; 

19 (2) the appropriate methods for incorporating 

20 such competencies into the curricula of institutions 

21 of higher education, and of continuing education, for 

22 health care professionals and behavioral health pro23 viders; 

24 (3) the appropriate methods for incorporating 

25 such competencies into the licensure and certifiVerDate Mar 15 2010 06:55 May 26, 2010 Jkt 089200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5392.IH H5392

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1 cation requirements for health care professionals and 

2 behavioral health providers; and 

3 (4) the appropriate methods for incorporating 

4 such competencies into the accreditation process for 

5 institutions of higher education providing terminal 

6 education for health care professionals and behav7 ioral health providers. 

8 (c) REPORTING.— 

9 (1) BY THE COUNCIL.—Not later than 1 year 

10 after the date of the enactment of this Act, and an11 nually thereafter, the Council shall submit to the 

12 Secretary and the appropriate committees of the 

13 Congress, and to the Council on Graduate Medical 

14 Education when appropriate, and make publicly 

15 available, a report on the recommendations under 

16 subsection (b) and the implementation of such rec17 ommendations. Each such report shall include— 

18 (A) a description of current and future 

19 needs related to the successful integration core 

20 competencies for mental health and substance 

21 use disorders into health care professional and 

22 behavioral health provider education and edu23 cation curricula beyond medical education; 


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1 (B) an identification of goals, outcome 

2 measures, and timeframes for addressing the 

3 needs described in subparagraph (A); 

4 (C) a detailed plan for implementing the 

5 recommendations under subsection (b); and 

6 (D) an evaluation of the extent to which 

7 such plan has been implemented. 

8 (2) BY THE SECRETARY.—Not later than 1 

9 year after the date of the enactment of this Act, and 

10 annually thereafter, the Secretary shall submit a re11 port to the Congress on the activities of the Council. 

12 (d) MEMBERS.— 

13 (1) COMPOSITION; VOTING; CHAIR.—The Coun14 cil shall be composed of the ex officio members spec15 ified in paragraph (2) and the members appointed 

16 under paragraph (3). All of the members of the 

17 Council shall be voting members. The Council shall 

18 elect a chair from among its members. 

19 (2) EX OFFICIO MEMBERS.—The Council shall 

20 include the following ex officio members (or their 

21 designees)— 

22 (A) the Secretary; 

23 (B) the Administrator of the Health Re24 sources and Services Administration; 


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1 (C) the Administrator of the Centers for 

2 Medicare & Medicaid Services; 

3 (D) the Administrator of the Substance 

4 Abuse and Mental Health Services Administra5 tion; and 

6 (E) the Director of the Office of National 

7 Drug Control Policy. 

8 (3) APPOINTED MEMBERS.— 

9 (A) IN GENERAL.—The Council shall in10 clude members to be appointed by the Secretary 

11 (in consultation with the other ex officio mem12 bers of the Council and without regard to the 

13 civil service laws) who are not employees of the 

14 Federal Government. The Secretary shall ap15 point a sufficient number of members under 

16 this subparagraph to ensure that the Council is 

17 composed of not less than 20 members, includ18 ing both ex officio members under paragraph 

19 (2) and members appointed under this para20 graph. 

21 (B) OTHER SELECTION CRITERIA.—In ap22 pointing members of the Council under this 

23 paragraph, the Secretary shall ensure— 

24 (i) inclusion of both urban and rural 

25 members; 


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1 (ii) adequate representation of men 

2 and women; 

3 (iii) a range of members from a vari4 ety of practice settings and having exper5 tise in prevention and treatment across the 

6 lifespan; 

7 (iv) adequate representation of racial, 

8 ethnic, religious, and economic diversity; 

9 (v) an equal distribution of the mem10 bers appointed under subparagraph (A) be11 tween those specializing in mental health 

12 services and those specializing in substance 

13 use disorders; 

14 (vi) diverse representation from addi15 tion and psychiatry specialty sectors; 

16 (vii) diverse representation of 

17 allopathic and osteopathic physicians; 

18 (viii) adequate representation of 

19 health care professionals and behavioral 

20 health providers who provide direct patient 

21 care to individuals with co-occurring men22 tal health or substance use disorders and 

23 physical health conditions; 

24 (ix) adequate representation of health 

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1 stance use) faculty who have demonstrated 

2 expertise in curriculum development; and 

3 (x) inclusion of a health or behavioral 

4 health (including substance use) consumer. 

5 (C) TERMS.— 

6 (i) IN GENERAL.—Subject to subpara7 graph (D)(ii), each member of the Council 

8 under this paragraph shall be appointed 

9 for a term of 4 years. 

10 (ii) VACANCIES.—Any member of the 

11 Council appointed to fill a vacancy occur12 ring before the expiration of the term for 

13 which the member’s predecessor was ap14 pointed shall be appointed only for the re15 mainder of that term. A member may 

16 serve after the expiration of that member’s 

17 term until a successor has taken office. 

18 (D) INITIAL MEMBERS.— 

19 (i) APPOINTMENT.—The Secretary 

20 shall appoint the initial members of the 

21 Council under this paragraph not less than 

22 90 days after the date of the enactment of 

23 this Act. 

24 (ii) TERMS.—As designated by the 

25 Secretary at the time of appointment, of 


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1 the initial members of the Council under 

this paragraph, 1 2 ⁄4 shall be appointed for 

terms of 1 year, 1 3 ⁄4 shall be appointed for 

terms of 2 years, 1 4 ⁄4 shall be appointed for 

terms of 3 years, and 1 5 ⁄4 shall be appointed 

6 for terms of 4 years. 

7 (e) STAFF.—The Secretary shall provide the Council 

8 with such professional and clerical staff, such information, 

9 and the services of such consultants as may be necessary 

10 to assist the Council in carrying out effectively its func11 tions under this section. 

12 (f) ADMINISTRATION.— 

13 (1) TRAVEL EXPENSES.—Members shall receive 

14 travel expenses, including per diem in lieu of subsist15 ence, in accordance with sections 5702 and 5703 of 

16 title 5, United States Code, while away from their 

17 homes or regular places of business in performance 

18 of services for the Council. 

19 (2) OTHER RESOURCES.—The Council shall 

20 have reasonable access to materials, resources, sta21 tistical data, and other information such Council de22 termines to be necessary to carry out its duties from 

23 agencies of the executive and legislative branches of 

24 the Federal Government. The chair of the Council 


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1 shall make requests for such access in writing when 

2 necessary. 

3 (3) PROHIBITION AGAINST COMPENSATION OF

4 FEDERAL EMPLOYEES.—Members of the Council 

5 who are officers or employees of the Federal Govern6 ment shall not receive additional pay, allowances, or 

7 benefits by reason of their service on the Council. 

8 (g) MEETINGS.—The Council shall conduct at least 

9 3 meetings each year. 

10 (h) AUTHORIZATION OF APPROPRIATIONS.—To carry 

11 out this section, there are authorized to be appropriated 

12 such sums as may be necessary for each of fiscal years 

13 2011 through 2016. 

14 SEC. 4. IMPLEMENTATION OF RECOMMENDATIONS OF THE 

15 COUNCIL. 

16 (a) HEALTH CARE AND BEHAVIORAL HEALTH

17 WORKFORCE CONTINUING EDUCATION.— 

18 (1) IN GENERAL.—Beginning 1 year after sub19 mission of the first report of the Council under sec20 tion 3(c)(1), the Secretary may make grants, con21 tracts, or cooperative agreements to public or private 

22 nonprofit entities for the purpose of implementing 

23 the recommendations of the Council on continuing 

24 education for health care professionals and behav25 ioral health providers. 


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1 (2) ELIGIBILITY.—To receive a grant, contract, 

2 or cooperative agreement under this subsection, a 

3 public or private nonprofit entity shall demonstrate 

4 expertise in providing continuing education for 

5 health care professionals and behavioral health pro6 viders. 

7 (3) PRIORITY.—In awarding grants, contracts, 

8 and cooperative agreements under this subsection, 

9 the Secretary shall give priority to entities that pro10 pose to implement continuing education— 

11 (A) in interdisciplinary settings; or 

12 (B) in collaboration with a diverse rep13 resentation of health care professionals and be14 havioral health providers who have no direct af15 filiation with the receiving entity as determined 

16 by the Secretary. 

17 (4) GEOGRAPHIC DISTRIBUTION.—The Sec18 retary shall ensure that grants, contracts, and coop19 erative agreements under this subsection are award20 ed to entities throughout the United States to en21 sure the availability of continuing education in men22 tal health and substance abuse prevention and treat23 ment services. 


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1 (5) DURATION OF AWARDS.—The period of a 

2 grant, contract, or cooperative agreement under this 

3 subsection shall not exceed 3 years. 

4 (6) AUTHORIZATION OF APPROPRIATIONS.— 

5 There are authorized to be appropriated $5,000,000 

6 for fiscal year 2012 and such sums as may be nec7 essary for each of fiscal years 2013 through 2016. 

8 (b) HEALTH CARE AND BEHAVIORAL HEALTH

9 WORKFORCE EDUCATION CURRICULA.— 

10 (1) IN GENERAL.—The Secretary shall make 

11 grants, contracts, or cooperative agreements to pub12 lic or nonprofit private institutions of higher edu13 cation for the purpose of implementing the rec14 ommendations of the Council on education curricula 

15 for health care professionals and behavioral health 

16 providers. 

17 (2) PRIORITY.—In awarding grants, contracts, 

18 and cooperative agreements under this subsection, 

19 the Secretary shall give priority to applicants that 

20 demonstrate willingness— 

21 (A) to integrate the recommendations of 

22 the Council on curricula across academic dis23 ciplines; 


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1 (B) to coordinate the use of Federal and 

2 non-Federal resources for purposes of such in3 tegration; or 

4 (C) to incorporate other evidence-based 

5 recommendations that further the integration of 

6 behavioral health in health care. 

7 (3) GEOGRAPHIC DISTRIBUTION.—The Sec8 retary shall ensure that grants, contracts, and coop9 erative agreements under this subsection are award10 ed to institutions of higher education throughout the 

11 United States to ensure the availability and improve12 ment of education curricula for health care profes13 sionals and behavioral health providers. 

14 (4) DURATION OF AWARDS.—The period of a 

15 grant, contract, or cooperative agreement under this 

16 subsection shall not exceed 3 years. 

17 (5) AUTHORIZATION OF APPROPRIATIONS.— 

18 There are authorized to be appropriated $5,000,000 

19 for fiscal year 2012 and such sums as may be nec20 essary for each of fiscal years 2013 through 2016. 

Æ 


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