148 
‘‘(d) PRIMARY CARE CENTER DEFINED.—In this sec-
tion, the term ‘primary care center’ means— 
‘‘(1) a health center (as defined in section 
330(a)(1)); 
‘‘(2) an entity qualified to receive a grant under 
section 330, 1001, or 2651; or 
‘‘(3) a Federally-qualified health center (as de-
fined in section 1905(l)(2)(B) of the Social Security 
Act).’’. 
(b) TECHNICAL AMENDMENTS.—Part D of title III 
of the Public Health Service Act (42 U.S.C. 254b et seq.) 
is amended— 
(1) by redesignating subpart XI, as added by 
section 10333 of the Patient Protection and Afford-
able Care Act (Public Law 111–148), as subpart 
XII; and 
(2) by redesignating section 340H of the Public 
Health Service Act (42 U.S.C. 256i), as added by 
section 10333 of the Patient Protection and Afford-
able Care Act (Public Law 111–148), as section 
340I. 
VerDate Mar 15 2010 
02:23 Mar 22, 2011
Jkt 099200
PO 00000
Frm 00148
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
149 
Subtitle C—Primary Care and 
Outcomes Research 
SEC. 721. SET-ASIDE FOR OUTCOMES RESEARCH. 
(a) GRANTS
FOR
OUTCOMES
RESEARCH.—The 
Board shall make transfers from the American Health Se-
curity Trust Fund to the Agency for Healthcare Research 
and Quality under title IX of the Public Health Service 
Act (42 U.S.C. 299 et seq.) for the purpose of carrying 
out activities under such title. The Secretary shall assure 
that there is a special emphasis placed on pediatric out-
comes research. 
(b) RANGE OF FUNDS.—The amount of transfers 
under subsection (a) for any fiscal year shall be an amount 
(specified by the Board each year) not less than 1⁄100 per-
cent and not to exceed 2⁄100 percent of the amounts the 
Board estimates will be expended from the Trust Fund 
in the fiscal year. 
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The 
funds provided under this section with respect to provision 
of services are in addition to, and not in replacement of, 
funds made available to the Agency for Healthcare Re-
search and Quality under section 947 of the Public Health 
Service Act (42 U.S.C. 299c–6). The Board shall make 
no transfer of funds under this section for any fiscal year 
for which the total appropriations under such section are 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00149
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
150 
less than the total amount appropriated under such sec-
tion and title in fiscal year 2010. 
(d) CONFORMING AMENDMENT.—Section 947(b) of 
the Public Health Service Act (42 U.S.C. 299c–6(b)) is 
amended by inserting after ‘‘of the fiscal years 2001 
through 2005’’ the following: ‘‘and of fiscal year 2012 and 
each subsequent year’’. 
SEC. 722. OFFICE OF PRIMARY CARE AND PREVENTION RE-
SEARCH. 
(a) IN GENERAL.—Title IV of the Public Health 
Service Act is amended— 
(1) by redesignating parts G through I as parts 
H through J, respectively; and 
(2) by inserting after part F the following new 
part: 
‘‘PART G—RESEARCH ON PRIMARY CARE AND 
PREVENTION 
‘‘SEC. 486E. OFFICE OF PRIMARY CARE AND PREVENTION 
RESEARCH. 
‘‘(a) ESTABLISHMENT.—There is established within 
the Office of the Director of NIH an office to be known 
as the Office of Primary Care and Prevention Research 
(in this part referred to as the ‘Office’). The Office shall 
be headed by a director, who shall be appointed by the 
Director of NIH. 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00150
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
151 
‘‘(b) PURPOSE.—The Director of the Office shall— 
‘‘(1) identify projects of research on primary 
care and prevention, for children as well as adults, 
that should be conducted or supported by the na-
tional research institutes, with particular emphasis 
on— 
‘‘(A) clinical patient care, with special em-
phasis on pediatric clinical care and diagnosis; 
‘‘(B) diagnostic effectiveness; 
‘‘(C) primary care education; 
‘‘(D) health and family planning services; 
‘‘(E) medical effectiveness outcomes of pri-
mary care procedures and interventions; and 
‘‘(F) the use of multidisciplinary teams of 
health care practitioners; 
‘‘(2) identify multidisciplinary research related 
to primary care and prevention that should be so 
conducted; 
‘‘(3) promote coordination and collaboration 
among entities conducting research identified under 
any of paragraphs (1) and (2); 
‘‘(4) encourage the conduct of such research by 
entities receiving funds from the national research 
institutes; 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00151
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
152 
‘‘(5) recommend an agenda for conducting and 
supporting such research; 
‘‘(6) promote the sufficient allocation of the re-
sources of the national research institutes for con-
ducting and supporting such research; and 
‘‘(7) prepare the report required under section 
486G. 
‘‘(c) PRIMARY CARE AND PREVENTION RESEARCH 
DEFINED.—For purposes of this part, the term ‘primary 
care and prevention research’ means research on improve-
ment of the practice of family medicine, general internal 
medicine, and general pediatrics, and includes research re-
lating to— 
‘‘(1) obstetrics and gynecology, dentistry, or 
mental health or substance abuse treatment when 
provided by a primary care physician or other pri-
mary care practitioner; and 
‘‘(2) primary care provided by multidisciplinary 
teams. 
‘‘SEC. 486F. NATIONAL DATA SYSTEM AND CLEARINGHOUSE 
ON PRIMARY CARE AND PREVENTION RE-
SEARCH. 
‘‘(a) DATA SYSTEM.—The Director of NIH, in con-
sultation with the Director of the Office, shall establish 
a data system for the collection, storage, analysis, re-
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00152
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
153 
trieval, and dissemination of information regarding pri-
mary care and prevention research that is conducted or 
supported by the national research institutes. Information 
from the data system shall be available through informa-
tion systems available to health care professionals and pro-
viders, researchers, and members of the public. 
‘‘(b) CLEARINGHOUSE.—The Director of NIH, in 
consultation with the Director of the Office and with the 
National Library of Medicine, shall establish, maintain, 
and operate a program to provide, and encourage the use 
of, information on research and prevention activities of the 
national research institutes that relate to primary care 
and prevention research. 
‘‘SEC. 486G. BIENNIAL REPORT. 
‘‘(a) IN GENERAL.—With respect to primary care 
and prevention research, the Director of the Office shall, 
not later than 1 year after the date of the enactment of 
this part, and biennially thereafter, prepare a report— 
‘‘(1) describing and evaluating the progress 
made during the preceding 2 fiscal years in research 
and treatment conducted or supported by the Na-
tional Institutes of Health; 
‘‘(2) summarizing and analyzing expenditures 
made by the agencies of such Institutes (and by 
such Office) during the preceding 2 fiscal years; and 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00153
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
154 
‘‘(3) making such recommendations for legisla-
tive and administrative initiatives as the Director of 
the Office determines to be appropriate. 
‘‘(b) INCLUSION IN BIENNIAL REPORT OF DIRECTOR 
OF NIH.—The Director of the Office shall submit each 
report prepared under subsection (a) to the Director of 
NIH for inclusion in the report submitted to the President 
and the Congress under section 403. 
‘‘SEC. 486H. AUTHORIZATION OF APPROPRIATIONS. 
‘‘For the Office of Primary Care and Prevention Re-
search, 
there 
are 
authorized 
to 
be 
appropriated 
$150,000,000 for fiscal year 2012, $180,000,000 for fis-
cal year 2013, and $216,000,000 for fiscal year 2014.’’. 
(b) REQUIREMENT OF SUFFICIENT ALLOCATION OF 
RESOURCES OF INSTITUTES.—Section 402(b) of the Pub-
lic Health Service Act (42 U.S.C. 282(b)) is amended— 
(1) in paragraph (23), by striking ‘‘and’’ after 
the semicolon at the end; 
(2) in paragraph (24), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (24) the fol-
lowing new paragraph: 
‘‘(25) after consultation with the Director of 
the Office of Primary Care and Prevention Re-
search, shall ensure that resources of the National 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00154
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
155 
Institutes of Health are sufficiently allocated for 
projects on primary care and prevention research 
that are identified under section 486E(b).’’. 
Subtitle D—School-Related Health 
Services 
SEC. 731. AUTHORIZATIONS OF APPROPRIATIONS. 
(a) FUNDING FOR SCHOOL-RELATED HEALTH SERV-
ICES.—For the purpose of carrying out this subtitle, there 
are authorized to be appropriated $100,000,000 for fiscal 
year 
2014, 
$275,000,000 
for 
fiscal 
year 
2015, 
$350,000,000 for fiscal year 2016, and $400,000,000 for 
each of the fiscal years 2017 and 2018. 
(b) RELATION TO OTHER FUNDS.—The authoriza-
tions of appropriations established in subsection (a) are 
in addition to any other authorizations of appropriations 
that are available for the purpose described in such sub-
section. 
SEC. 732. ELIGIBILITY FOR DEVELOPMENT AND OPER-
ATION GRANTS. 
(a) IN GENERAL.—Entities eligible to apply for and 
receive grants under section 734 or 735 are the following: 
(1) State health agencies that apply on behalf 
of local community partnerships and other commu-
nities in need of health services for school-aged chil-
dren within the State. 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00155
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
156 
(2) Local community partnerships in States in 
which health agencies have not applied. 
(b) LOCAL COMMUNITY PARTNERSHIPS.— 
(1) IN GENERAL.—A local community partner-
ship under subsection (a)(2) is an entity that, at a 
minimum, includes— 
(A) a local health care provider with expe-
rience in delivering services to school-aged chil-
dren; 
(B) 1 or more local public schools; and 
(C) at least 1 community-based organiza-
tion located in the community to be served that 
has a history of providing services to school- 
aged children in the community who are at-risk. 
(2) PARTICIPATION.—A partnership described 
in paragraph (1) shall, to the maximum extent fea-
sible, involve broad based community participation 
from parents and adolescent children to be served, 
health and social service providers, teachers and 
other public school and school board personnel, de-
velopment and service organizations for adolescent 
children, and interested business leaders. Such par-
ticipation may be evidenced through an expanded 
partnership, or an advisory board to such partner-
ship. 
VerDate Mar 15 2010 
02:23 Mar 22, 2011
Jkt 099200
PO 00000
Frm 00156
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
157 
(c) DEFINITIONS REGARDING CHILDREN.—For pur-
poses of this subtitle: 
(1) The term ‘‘adolescent children’’ means 
school-aged children who are adolescents. 
(2) The term ‘‘school-aged children’’ means in-
dividuals who are between the ages of 4 and 19 (in-
clusive). 
SEC. 733. PREFERENCES. 
(a) IN GENERAL.—In making grants under sections 
734 and 735, the Secretary shall give preference to appli-
cants whose communities to be served show the most sub-
stantial level of need for such services among school-aged 
children, as measured by indicators of community health 
including the following: 
(1) High levels of poverty. 
(2) The presence of a medically underserved 
population. 
(3) The presence of a health professional short-
age area. 
(4) High rates of indicators of health risk 
among school-aged children, including a high propor-
tion of such children receiving services through the 
Individuals with Disabilities Education Act, adoles-
cent pregnancy, sexually transmitted disease (includ-
ing infection with the human immunodeficiency 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00157
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
158 
virus), preventable disease, communicable disease, 
intentional and unintentional injuries, community 
and gang violence, unemployment among adolescent 
children, juvenile justice involvement, and high rates 
of drug and alcohol exposure. 
(b) LINKAGE TO COMMUNITY HEALTH CENTERS.— 
In making grants under sections 734 and 735, the Sec-
retary shall give preference to applicants that demonstrate 
a linkage to community health centers. 
SEC. 734. GRANTS FOR DEVELOPMENT OF PROJECTS. 
(a) IN GENERAL.—The Secretary may make grants 
to State health agencies or to local community partner-
ships to develop school health service sites. 
(b) USE OF FUNDS.—A project for which a grant 
may be made under subsection (a) may include the cost 
of the following: 
(1) Planning for the provision of school health 
services. 
(2) Recruitment, compensation, and training of 
health and administrative staff. 
(3) The development of agreements, and the ac-
quisition and development of equipment and infor-
mation services, necessary to support information 
exchange between school health service sites and 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00158
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
159 
health plans, health providers, and other entities au-
thorized to collect information under this Act. 
(4) Other activities necessary to assume oper-
ational status. 
(c) APPLICATION FOR GRANT.— 
(1) IN GENERAL.—Applicants shall submit ap-
plications in a form and manner prescribed by the 
Secretary. 
(2) APPLICATIONS BY STATE HEALTH AGEN-
CIES.— 
(A) In the case of applicants that are State 
health agencies, the application shall contain 
assurances that the State health agency is ap-
plying for funds— 
(i) on behalf of at least 1 local com-
munity partnership; and 
(ii) on behalf of at least 1 other com-
munity identified by the State as in need 
of the services funded under this subtitle 
but without a local community partnership. 
(B) In the case of the communities identi-
fied in applications submitted by State health 
agencies that do not yet have local community 
partnerships (including the community identi-
fied under subparagraph (A)(ii)), the State 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00159
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
160 
shall describe the steps that will be taken to aid 
the communities in developing a local commu-
nity partnership. 
(C) A State applying on behalf of local 
community partnerships and other communities 
may retain not more than 10 percent of grants 
awarded under this subtitle for administrative 
costs. 
(d) CONTENTS OF APPLICATION.—In order to receive 
a grant under this section, an applicant shall include in 
the application the following information: 
(1) An assessment of the need for school health 
services in the communities to be served, using the 
latest available health data and health goals and ob-
jectives established by the Secretary. 
(2) A description of how the applicant will de-
sign the proposed school health services to reach the 
maximum number of school-aged children who are at 
risk. 
(3) An explanation of how the applicant will in-
tegrate its services with those of other health and 
social service programs within the community. 
(4) A description of a quality assurance pro-
gram which complies with standards that the Sec-
retary may prescribe. 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00160
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
161 
(e) NUMBER OF GRANTS.—Not more than 1 planning 
grant may be made to a single applicant. A planning grant 
may not exceed 2 years in duration. 
SEC. 735. GRANTS FOR OPERATION OF PROJECTS. 
(a) IN GENERAL.—The Secretary may make grants 
to State health agencies or to local community partner-
ships for the cost of operating school health service sites. 
(b) USE OF GRANT.—The costs for which a grant 
may be made under this section include the following: 
(1) The cost of furnishing health services that 
are not otherwise covered under this Act or by any 
other public or private insurer. 
(2) The cost of furnishing services whose pur-
pose is to increase the capacity of individuals to uti-
lize available health services, including transpor-
tation, community and patient outreach, patient 
education, translation services, and such other serv-
ices as the Secretary determines to be appropriate in 
carrying out such purpose. 
(3) Training, recruitment and compensation of 
health professionals and other staff. 
(4) Outreach services to school-aged children 
who are at risk and to the parents of such children. 
(5) Linkage of individuals to health plans, com-
munity health services and social services. 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00161
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
162 
(6) Other activities deemed necessary by the 
Secretary. 
(c) APPLICATION FOR GRANT.—Applicants shall sub-
mit applications in a form and manner prescribed by the 
Secretary. In order to receive a grant under this section, 
an applicant shall include in the application the following 
information: 
(1) A description of the services to be furnished 
by the applicant. 
(2) The amounts and sources of funding that 
the applicant will expend, including estimates of the 
amount of payments the applicant will receive from 
sources other than the grant. 
(3) Such other information as the Secretary de-
termines to be appropriate. 
(d) ADDITIONAL CONTENTS OF APPLICATION.—In 
order to receive a grant under this section, an applicant 
shall meet the following conditions: 
(1) The applicant furnishes the following serv-
ices: 
(A) Diagnosis and treatment of simple ill-
nesses and minor injuries. 
(B) Preventive health services, including 
health screenings. 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00162
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS
163 
(C) Services provided for the purpose de-
scribed in subsection (b)(2). 
(D) Referrals and followups in situations 
involving illness or injury. 
(E) Health and social services, counseling 
services, and necessary referrals, including re-
ferrals regarding mental health and substance 
abuse. 
(F) Such other services as the Secretary 
determines to be appropriate. 
(2) The applicant is a participating provider in 
the State’s program for medical assistance under 
title XIX of the Social Security Act. 
(3) The applicant does not impose charges on 
students or their families for services (including col-
lection of any cost-sharing for services under the 
comprehensive benefit package that otherwise would 
be required). 
(4) The applicant has reviewed and will periodi-
cally review the needs of the population served by 
the applicant in order to ensure that its services are 
accessible to the maximum number of school-aged 
children in the area, and that, to the maximum ex-
tent possible, barriers to access to services of the ap-
plicant are removed (including barriers resulting 
VerDate Mar 15 2010 
04:40 Mar 19, 2011
Jkt 099200
PO 00000
Frm 00163
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
tjames on DSKG8SOYB1PROD with BILLS