(5) While preventive medicine doctors are em-
ployed in all health sectors, they often serve in lead 
roles within the public health force, working in State 
and local health departments, as well as Federal 
Government agencies, such as the Centers for Dis-
ease Control and Prevention and the National Insti-
tutes of Health. 
(6) In the workplace, preventive medicine doc-
tors in occupational medicine parallel the general 
public health system in dealing with illnesses and in-
juries in workplace populations through worker pro-
tection, personal health promotion, hazard control, 
business continuity and effective medical manage-
ment. 
(7) There is an extreme shortage of doctors in 
the public health field. For example, only 23 percent 
of local health agencies are directed by physicians 
and 8 percent are directed by physicians who have 
masters of public health degrees or are fellows in the 
American College of Preventive Medicine. 
(8) Many of these physicians are nearing retire-
ment, and the average age of public health doctors 
today is 58 years. 
(9) The Health Resources and Services Admin-
istration reports that the demand for public health 
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professionals will grow at twice the rate of all occu-
pations between 2000 and 2010. 
(10) In addition, as the body of evidence sup-
porting the effectiveness of clinical and population- 
based interventions to prevent and control diseases 
continues to expand, so does the need for specialists 
trained in preventive medicine. 
(11) The Health Resources and Services Ad-
ministration reported that in 2000, there were 7,011 
preventive medicine specialists. This was a decrease 
from 7,734 in 1970. 
(12) The number of preventive medicine resi-
dency programs has decreased from 90 in 1998– 
1999 to 76 programs today. Over this same period, 
the number of preventive medicine residents declined 
from 420 to 364. 
(13) In 2000, less than 3 percent of all medical 
school faculty also held masters degrees in public 
health. An even smaller number had completed pre-
ventive medicine training or were board certified in 
preventive medicine. 
(14) Preventive medicine trained physicians are 
an essential part of the public health workforce and 
are critical to the Nation’s ability to protect its citi-
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zens from biological threats, including avian influ-
enza and emerging threats from bioterrorism. 
SEC. 3. PREVENTIVE MEDICINE AND PUBLIC HEALTH 
TRAINING GRANT PROGRAM. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by adding at the end 
the following: 
‘‘Subpart XI—Preventive Medicine Training 
‘‘SEC. 340H. PREVENTIVE MEDICINE AND PUBLIC HEALTH 
TRAINING GRANT PROGRAM. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, may award grants to, or enter into contracts with, 
eligible entities to provide training to graduate medical 
residents in preventive medicine specialties. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
or contract under subsection (a), an entity shall— 
‘‘(1) be a school of public health, public health 
department, school of medicine or osteopathic medi-
cine, public or private hospital, or public or private 
nonprofit entity; 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require; and 
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‘‘(3) maintain and adhere to a letter of agree-
ment with a local community health center (if avail-
able in the local area involved) that supports 
practicum training of preventive medicine residents, 
if practicable. 
‘‘(c) USE OF FUNDS.—Amounts received under a 
grant or contract under this section shall be used to— 
‘‘(1) plan, develop, and operate residency pro-
grams for preventive medicine or public health; 
‘‘(2) provide financial assistance, including tui-
tion and stipends, to resident physicians (MD or 
DO) who plan to specialize in preventive medicine or 
public health; 
‘‘(3) defray the costs associated with the plan-
ning, development, and operation of preventive medi-
cine or public health programs, including the devel-
opment of curriculum to be used in such programs, 
and the costs of practicum experiences; and 
‘‘(4) provide for the improvement of academic 
administrative units. 
‘‘(d) DURATION OF AWARD.—A grant or contract 
under this section shall be for a term of not to exceed 
5 years. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
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$43,000,000 for fiscal year 2010, and such sums as may 
be necessary for each succeeding fiscal year.’’. 
Æ 
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