1281 
‘‘(g) FACA.—The Federal Advisory Committee Act 
(5 U.S.C. App.) except for section 14 of such Act shall 
apply to the Advisory Committee under this section only 
to the extent that the provisions of such Act do not conflict 
with the requirements of this section. 
‘‘(h) REPORT.—The Secretary shall submit to the 
Congress an annual report on the activities of the Advisory 
Committee. 
‘‘(i) DEFINITION.—In this section, the term ‘health 
workforce’ includes all health care providers with direct 
patient care and support responsibilities, including physi-
cians, nurses, physician assistants, pharmacists, oral 
health professionals (as defined in section 749(f)(2)), al-
lied health professionals, mental and behavioral health 
professionals (as defined in section 775(f)(2)), and public 
health professionals (including veterinarians engaged in 
public health practice).’’. 
PART 4—HEALTH WORKFORCE ASSESSMENT 
SEC. 2271. HEALTH WORKFORCE ASSESSMENT. 
(a) IN GENERAL.—Section 761 (42 U.S.C. 294n) is 
amended— 
(1) by redesignating subsection (c) as sub-
section (e); and 
(2) by striking subsections (a) and (b) and in-
serting the following: 
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‘‘(a) IN GENERAL.—The Secretary shall, based upon 
the classifications and standardized methodologies and 
procedures developed by the Advisory Committee on 
Health Workforce Evaluation and Assessment under sec-
tion 764(b)— 
‘‘(1) collect data on the health workforce (as 
defined in section 764(i)), disaggregated by field, 
discipline, and specialty, with respect to— 
‘‘(A) the supply (including retention) of 
health professionals relative to the demand for 
such professionals; 
‘‘(B) the diversity of health professionals 
(including with respect to race, ethnic back-
ground, and sex); and 
‘‘(C) the geographic distribution of health 
professionals; and 
‘‘(2) collect such data on individuals partici-
pating in the programs authorized by subtitles A, B, 
and C and part 1 of subtitle D of title II of division 
C of the Affordable Health Care for America Act. 
‘‘(b) GRANTS AND CONTRACTS FOR HEALTH WORK-
FORCE ANALYSIS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to, or enter into contracts with, eligible enti-
ties to carry out subsection (a). 
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‘‘(2) ELIGIBILITY.—To be eligible for a grant 
or contract under this subsection, an entity shall 
be— 
‘‘(A) an accredited health professions 
school or program; 
‘‘(B) an academic health center; 
‘‘(C) a State, local, or tribal government; 
‘‘(D) a public or private entity; or 
‘‘(E) a consortium of 2 or more entities de-
scribed in subparagraphs (A) through (D). 
‘‘(c) COLLABORATION
AND DATA SHARING.—The 
Secretary shall collaborate with Federal departments and 
agencies, health professions organizations (including 
health professions education organizations), and profes-
sional medical societies for the purpose of carrying out 
subsection (a). 
‘‘(d) REPORT.—The Secretary shall submit to the 
Congress an annual report on the data collected under 
subsection (a).’’. 
(b) PERIOD BEFORE COMPLETION
OF NATIONAL 
STRATEGY.—Pending completion of the classifications and 
standardized methodologies and procedures developed by 
the Advisory Committee on Health Workforce Evaluation 
and Assessment under section 764(b) of the Public Health 
Service Act, as added by section 2261, the Secretary of 
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Health and Human Services, acting through the Adminis-
trator of the Health Resources and Services Administra-
tion and in consultation with such Advisory Committee, 
may make a judgment about the classifications, meth-
odologies, and procedures to be used for collection of data 
under section 761(a) of the Public Health Service Act, as 
amended by this section. 
PART 5—AUTHORIZATION OF APPROPRIATIONS 
SEC. 2281. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Section 799C, as added and 
amended, is further amended by adding at the end the 
following: 
‘‘(c) HEALTH PROFESSIONS TRAINING FOR DIVER-
SITY.—For the purpose of carrying out sections 736, 737, 
738, 739, and 739A, in addition to any other amounts 
authorized to be appropriated for such purpose, there are 
authorized to be appropriated, out of any monies in the 
Public Health Investment Fund, the following: 
‘‘(1) $90,000,000 for fiscal year 2011. 
‘‘(2) $97,000,000 for fiscal year 2012. 
‘‘(3) $100,000,000 for fiscal year 2013. 
‘‘(4) $104,000,000 for fiscal year 2014. 
‘‘(5) $110,000,000 for fiscal year 2015. 
‘‘(d) INTERDISCIPLINARY TRAINING PROGRAMS, AD-
VISORY COMMITTEE ON HEALTH WORKFORCE EVALUA-
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TION AND ASSESSMENT, AND HEALTH WORKFORCE AS-
SESSMENT.—For the purpose of carrying out sections 
741, 759, 761, and 764, in addition to any other amounts 
authorized to be appropriated for such purpose, there are 
authorized to be appropriated, out of any monies in the 
Public Health Investment Fund, the following: 
‘‘(1) $87,000,000 for fiscal year 2011. 
‘‘(2) $97,000,000 for fiscal year 2012. 
‘‘(3) $103,000,000 for fiscal year 2013. 
‘‘(4) $105,000,000 for fiscal year 2014. 
‘‘(5) $113,000,000 for fiscal year 2015.’’. 
(b) EXISTING
AUTHORIZATIONS
OF
APPROPRIA-
TIONS.— 
(1) SECTION
736.—Paragraph (1) of section 
736(i) (42 U.S.C. 293(h)), as redesignated, is 
amended by striking ‘‘2002’’ and inserting ‘‘2015’’. 
(2) SECTIONS 737, 738, AND 739.—Subsections 
(a), (b), and (c) of section 740 are amended by 
striking ‘‘2002’’ each place it appears and inserting 
‘‘2015’’. 
(3) SECTION 741.—Subsection (h), as so redes-
ignated, of section 741 is amended— 
(A) by striking ‘‘and’’ after ‘‘fiscal year 
2003,’’; and 
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(B) by inserting ‘‘, and such sums as may 
be necessary for each subsequent fiscal year 
through the end of fiscal year 2015’’ before the 
period at the end. 
(4) SECTION 761.—Subsection (e)(1), as so re-
designated, of section 761 is amended by striking 
‘‘2002’’ and inserting ‘‘2015’’. 
TITLE III—PREVENTION AND 
WELLNESS 
SEC. 2301. PREVENTION AND WELLNESS. 
(a) IN GENERAL.—The Public Health Service Act 
(42 U.S.C. 201 et seq.) is amended by inserting after title 
XXX the following: 
‘‘TITLE XXXI—PREVENTION AND 
WELLNESS 
‘‘Subtitle A—Prevention and 
Wellness Trust 
‘‘SEC. 3111. PREVENTION AND WELLNESS TRUST. 
‘‘(a) DEPOSITS INTO TRUST.—There is established 
a Prevention and Wellness Trust. There are authorized 
to be appropriated to the Trust— 
‘‘(1) out of the general fund of the Treasury, 
amounts described in section 2002(b)(2)(A)(ii) of 
the Affordable Health Care for America Act for each 
fiscal year; and 
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‘‘(2) in addition, out of any monies in the Pub-
lic Health Investment Fund— 
‘‘(A) for fiscal year 2011, $2,400,000,000; 
‘‘(B) for fiscal year 2012, $2,845,000,000; 
‘‘(C) for fiscal year 2013, $3,100,000,000; 
‘‘(D) for fiscal year 2014, $3,455,000,000; 
and 
‘‘(E) for fiscal year 2015, $3,600,000,000. 
‘‘(b) AVAILABILITY OF FUNDS.—Amounts in the Pre-
vention and Wellness Trust shall be available, as provided 
in advance in appropriation Acts, for carrying out this 
title. 
‘‘(c) ALLOCATION.—Of the amounts authorized to be 
appropriated in subsection (a)(2), there are authorized to 
be appropriated— 
‘‘(1) for carrying out subtitle C (Prevention 
Task Forces), $30,000,000 for each of fiscal years 
2011 through 2015; 
‘‘(2) for carrying out subtitle D (Prevention 
and Wellness Research)— 
‘‘(A) for fiscal year 2011, $155,000,000; 
‘‘(B) for fiscal year 2012, $205,000,000; 
‘‘(C) for fiscal year 2013, $255,000,000; 
‘‘(D) for fiscal year 2014, $305,000,000; 
and 
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‘‘(E) for fiscal year 2015, $355,000,000; 
‘‘(3) for carrying out subtitle E (Delivery of 
Community Preventive and Wellness Services)— 
‘‘(A) for fiscal year 2011, $1,065,000,000; 
‘‘(B) for fiscal year 2012, $1,260,000,000; 
‘‘(C) for fiscal year 2013, $1,365,000,000; 
‘‘(D) for fiscal year 2014, $1,570,000,000; 
and 
‘‘(E) for fiscal year 2015, $1,600,000,000; 
‘‘(4) for carrying out section 3161 (Core Public 
Health Infrastructure for State, Local, and Tribal 
Health Departments)— 
‘‘(A) for fiscal year 2011, $800,000,000; 
‘‘(B) for fiscal year 2012, $1,000,000,000; 
‘‘(C) for fiscal year 2013, $1,100,000,000; 
‘‘(D) for fiscal year 2014, $1,200,000,000; 
and 
‘‘(E) for fiscal year 2015, $1,265,000,000; 
and 
‘‘(5) for carrying out section 3162 (Core Public 
Health Infrastructure and Activities for CDC), 
$350,000,000 for each of fiscal years 2011 through 
2015. 
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‘‘Subtitle B—National Prevention 
and Wellness Strategy 
‘‘SEC. 3121. NATIONAL PREVENTION AND WELLNESS STRAT-
EGY. 
‘‘(a) IN GENERAL.—The Secretary shall submit to 
the Congress within one year after the date of the enact-
ment of this section, and at least every 2 years thereafter, 
a national strategy that is designed to improve the Na-
tion’s health through evidence-based clinical and commu-
nity prevention and wellness activities (in this section re-
ferred to as ‘prevention and wellness activities’), including 
core public health infrastructure improvement activities. 
‘‘(b) CONTENTS.—The strategy under subsection (a) 
shall include each of the following: 
‘‘(1) Identification of specific national goals and 
objectives in prevention and wellness activities that 
take into account appropriate public health measures 
and standards, including departmental measures and 
standards (including Healthy People and National 
Public Health Performance Standards). 
‘‘(2) Establishment of national priorities for 
prevention and wellness, taking into account unmet 
prevention and wellness needs. 
‘‘(3) Establishment of national priorities for re-
search on prevention and wellness, taking into ac-
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count unanswered research questions on prevention 
and wellness. 
‘‘(4) Identification of health disparities in pre-
vention and wellness. 
‘‘(5) Review of prevention payment incentives, 
the prevention workforce, and prevention delivery 
system capacity. 
‘‘(6) A plan for addressing and implementing 
paragraphs (1) through (5). 
‘‘(c) CONSULTATION.—In developing or revising the 
strategy under subsection (a), the Secretary shall consult 
with the following: 
‘‘(1) The heads of appropriate health agencies 
and offices in the Department, including the Office 
of the Surgeon General of the Public Health Service, 
the Office of Minority Health, the Office on Wom-
en’s Health, and the Substance Abuse and Mental 
Health Services Administration. 
‘‘(2) As appropriate, the heads of other Federal 
departments and agencies whose programs have a 
significant impact upon health (as determined by the 
Secretary). 
‘‘(3) As appropriate, nonprofit and for-profit 
entities. 
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‘‘(4) The Association of State and Territorial 
Health Officials and the National Association of 
County and City Health Officials. 
‘‘(5) The Task Force on Community Preventive 
Services and the Task Force on Clinical Preventive 
Services. 
‘‘Subtitle C—Prevention Task 
Forces 
‘‘SEC. 3131. TASK FORCE ON CLINICAL PREVENTIVE SERV-
ICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Agency for Healthcare Research and 
Quality, shall establish a permanent task force to be 
known as the Task Force on Clinical Preventive Services 
(in this section referred to as the ‘Task Force’). 
‘‘(b) RESPONSIBILITIES.—The Task Force shall— 
‘‘(1) identify clinical preventive services for re-
view; 
‘‘(2) review the scientific evidence related to the 
benefits, effectiveness, appropriateness, and costs of 
clinical preventive services identified under para-
graph (1) for the purpose of developing, updating, 
publishing, and disseminating evidence-based rec-
ommendations on the use of such services; 
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‘‘(3) as appropriate, take into account health 
disparities in developing, updating, publishing, and 
disseminating evidence-based recommendations on 
the use of such services; 
‘‘(4) identify gaps in clinical preventive services 
research and evaluation and recommend priority 
areas for such research and evaluation; 
‘‘(5) pursuant to section 3143(c), determine 
whether subsidies and rewards meet the Task 
Force’s standards for a grade of A or B; 
‘‘(6) as appropriate, consult with the clinical 
prevention stakeholders board in accordance with 
subsection (f); 
‘‘(7) consult with the Task Force on Commu-
nity Preventive Services established under section 
3132; and 
‘‘(8) as appropriate, in carrying out this sec-
tion, consider the national strategy under section 
3121. 
‘‘(c) ROLE OF AGENCY.—The Secretary shall provide 
ongoing administrative, research, and technical support 
for the operations of the Task Force, including coordi-
nating and supporting the dissemination of the rec-
ommendations of the Task Force. 
‘‘(d) MEMBERSHIP.— 
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‘‘(1) 
NUMBER; 
APPOINTMENT.—The 
Task 
Force shall be composed of 30 members, appointed 
by the Secretary. 
‘‘(2) TERMS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
appoint members of the Task Force for a term 
of 6 years and may reappoint such members, 
but the Secretary may not appoint any member 
to serve more than a total of 12 years. 
‘‘(B) 
STAGGERED
TERMS.—Notwith-
standing subparagraph (A), of the members 
first appointed to serve on the Task Force after 
the enactment of this title— 
‘‘(i) 10 shall be appointed for a term 
of 2 years; 
‘‘(ii) 10 shall be appointed for a term 
of 4 years; and 
‘‘(iii) 10 shall be appointed for a term 
of 6 years. 
‘‘(3) QUALIFICATIONS.—Members of the Task 
Force shall be appointed from among individuals 
who possess expertise in at least one of the following 
areas: 
‘‘(A) Health promotion and disease preven-
tion. 
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‘‘(B) Evaluation of research and system-
atic evidence reviews. 
‘‘(C) Application of systematic evidence re-
views to clinical decisionmaking or health pol-
icy. 
‘‘(D) Clinical primary care in child and ad-
olescent health. 
‘‘(E) Clinical primary care in adult health, 
including women’s health. 
‘‘(F) Clinical primary care in geriatrics. 
‘‘(G) Clinical counseling and behavioral 
services for primary care patients. 
‘‘(4) REPRESENTATION.—In appointing mem-
bers of the Task Force, the Secretary shall ensure 
that— 
‘‘(A) all areas of expertise described in 
paragraph (3) are represented; and 
‘‘(B) the members of the Task Force in-
clude individuals with expertise in health dis-
parities. 
‘‘(e) SUBGROUPS.—As appropriate to maximize effi-
ciency, the Task Force may delegate authority for con-
ducting reviews and making recommendations to sub-
groups consisting of Task Force members, subject to final 
approval by the Task Force. 
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‘‘(f) 
CLINICAL
PREVENTION
STAKEHOLDERS 
BOARD.— 
‘‘(1) IN GENERAL.—The Task Force shall con-
vene a clinical prevention stakeholders board com-
posed of representatives of appropriate public and 
private entities with an interest in clinical preventive 
services to advise the Task Force on developing, up-
dating, publishing, and disseminating evidence-based 
recommendations on the use of clinical preventive 
services. 
‘‘(2) MEMBERSHIP.—The members of the clin-
ical prevention stakeholders board shall include rep-
resentatives of the following: 
‘‘(A) Health care consumers and patient 
groups. 
‘‘(B) Providers of clinical preventive serv-
ices, including community-based providers. 
‘‘(C) Federal departments and agencies, 
including— 
‘‘(i) appropriate health agencies and 
offices in the Department, including the 
Office of the Surgeon General of the Pub-
lic Health Service, the Office of Minority 
Health, the National Center on Minority 
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Health and Health Disparities, and the Of-
fice on Women’s Health; and 
‘‘(ii) as appropriate, other Federal de-
partments and agencies whose programs 
have a significant impact upon health (as 
determined by the Secretary). 
‘‘(D) Private health care payors. 
‘‘(3) RESPONSIBILITIES.—In accordance with 
subsection (b)(6), the clinical prevention stake-
holders board shall— 
‘‘(A) recommend clinical preventive serv-
ices for review by the Task Force; 
‘‘(B) suggest scientific evidence for consid-
eration by the Task Force related to reviews 
undertaken by the Task Force; 
‘‘(C) provide feedback regarding draft rec-
ommendations by the Task Force; and 
‘‘(D) assist with efforts regarding dissemi-
nation of recommendations by the Director of 
the Agency for Healthcare Research and Qual-
ity. 
‘‘(g) DISCLOSURE AND CONFLICTS OF INTEREST.— 
Members of the Task Force or the clinical prevention 
stakeholders board shall not be considered employees of 
the Federal Government by reason of service on the Task 
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Force or the clinical prevention stakeholders board, except 
members of the Task Force or the clinical prevention 
stakeholders board shall be considered to be special Gov-
ernment employees within the meaning of section 107 of 
the Ethics in Government Act of 1978 (5 U.S.C. App.) 
and section 208 of title 18, United States Code, for the 
purposes of disclosure and management of conflicts of in-
terest under those sections. 
‘‘(h) NO PAY; RECEIPT OF TRAVEL EXPENSES.— 
Members of the Task Force or the clinical prevention 
stakeholders board shall not receive any pay for service 
on the Task Force, but may receive travel expenses, in-
cluding a per diem, in accordance with applicable provi-
sions of subchapter I of chapter 57 of title 5, United 
States Code. 
‘‘(i) APPLICATION OF FACA.—The Federal Advisory 
Committee Act (5 U.S.C. App.) except for section 14 of 
such Act shall apply to the Task Force to the extent that 
the provisions of such Act do not conflict with the provi-
sions of this title. 
‘‘(j) REPORT.—The Secretary shall submit to the 
Congress an annual report on the Task Force, including 
with respect to gaps identified and recommendations made 
under subsection (b)(4). 
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‘‘(6) to educate, guide, and provide home visita-
tion services regarding maternal health and prenatal 
care. 
‘‘(c) APPLICATION.— 
‘‘(1) IN
GENERAL.—Each eligible entity that 
desires to receive a grant under subsection (a) shall 
submit an application to the Secretary, at such time, 
in such manner, and accompanied by such informa-
tion as the Secretary may require. 
‘‘(2) CONTENTS.—Each application submitted 
pursuant to paragraph (1) shall— 
‘‘(A) describe the activities for which as-
sistance is sought under this section; 
‘‘(B) contain an assurance that, with re-
spect to each community health worker pro-
gram receiving funds under the grant, such pro-
gram will provide training and supervision to 
community health workers to enable such work-
ers to provide authorized program services; 
‘‘(C) contain an assurance that the appli-
cant will evaluate the effectiveness of commu-
nity health worker programs receiving funds 
under the grant; 
‘‘(D) contain an assurance that each com-
munity health worker program receiving funds 
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