H. R. 3590—504 
not more than 20 percent of the total funding awarded 
to such entity under such grant, for the purpose of enabling 
the entity to plan the demonstration project to be conducted 
under such grant. 
‘‘(B) SUBSEQUENT
DISBURSEMENTS.—The remaining 
amount of grant funds not dispersed under subparagraph 
(A) shall be dispersed such that not less than 15 percent 
of such remaining amount is dispersed each subsequent 
year. 
‘‘(e) COMPLIANCE WITH STATE REQUIREMENTS.—Each entity 
receiving a grant under this section shall certify that it is in 
compliance with all applicable State licensing requirements. 
‘‘(f) EVALUATION.—The Secretary shall contract with the 
Director of the Institute of Medicine to conduct a study of the 
demonstration programs conducted under this section that shall 
provide analysis, based upon quantitative and qualitative data, 
regarding access to dental health care in the United States. 
‘‘(g) CLARIFICATION REGARDING DENTAL HEALTH AIDE PRO-
GRAM.—Nothing in this section shall prohibit a dental health aide 
training program approved by the Indian Health Service from being 
eligible for a grant under this section. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated such sums as may be necessary to carry out 
this section.’’. 
SEC. 5305. GERIATRIC EDUCATION AND TRAINING; CAREER AWARDS; 
COMPREHENSIVE GERIATRIC EDUCATION. 
(a) WORKFORCE DEVELOPMENT; CAREER AWARDS.—Section 753 
of the Public Health Service Act (42 U.S.C. 294c) is amended 
by adding at the end the following: 
‘‘(d) GERIATRIC WORKFORCE DEVELOPMENT.— 
‘‘(1) IN GENERAL.—The Secretary shall award grants or 
contracts under this subsection to entities that operate a geri-
atric education center pursuant to subsection (a)(1). 
‘‘(2) APPLICATION.—To be eligible for an award under para-
graph (1), an entity described in such paragraph shall submit 
to the Secretary an application at such time, in such manner, 
and containing such information as the Secretary may require. 
‘‘(3) USE OF FUNDS.—Amounts awarded under a grant or 
contract under paragraph (1) shall be used to— 
‘‘(A) carry out the fellowship program described in 
paragraph (4); and 
‘‘(B) carry out 1 of the 2 activities described in para-
graph (5). 
‘‘(4) FELLOWSHIP PROGRAM.— 
‘‘(A) IN GENERAL.—Pursuant to paragraph (3), a geri-
atric education center that receives an award under this 
subsection shall use such funds to offer short-term intensive 
courses (referred to in this subsection as a ‘fellowship’) 
that focus on geriatrics, chronic care management, and 
long-term care that provide supplemental training for fac-
ulty members in medical schools and other health profes-
sions schools with programs in psychology, pharmacy, 
nursing, social work, dentistry, public health, allied health, 
or other health disciplines, as approved by the Secretary. 
Such a fellowship shall be open to current faculty, and
H. R. 3590—505 
appropriately credentialed volunteer faculty and practi-
tioners, who do not have formal training in geriatrics, 
to upgrade their knowledge and clinical skills for the care 
of older adults and adults with functional limitations and 
to enhance their interdisciplinary teaching skills. 
‘‘(B) LOCATION.—A fellowship shall be offered either 
at the geriatric education center that is sponsoring the 
course, in collaboration with other geriatric education cen-
ters, or at medical schools, schools of dentistry, schools 
of nursing, schools of pharmacy, schools of social work, 
graduate programs in psychology, or allied health and other 
health professions schools approved by the Secretary with 
which the geriatric education centers are affiliated. 
‘‘(C) CME CREDIT.—Participation in a fellowship under 
this paragraph shall be accepted with respect to complying 
with continuing health profession education requirements. 
As a condition of such acceptance, the recipient shall agree 
to subsequently provide a minimum of 18 hours of vol-
untary instructional support through a geriatric education 
center that is providing clinical training to students or 
trainees in long-term care settings. 
‘‘(5) ADDITIONAL REQUIRED ACTIVITIES DESCRIBED.—Pursu-
ant to paragraph (3), a geriatric education center that receives 
an award under this subsection shall use such funds to carry 
out 1 of the following 2 activities. 
‘‘(A) FAMILY
CAREGIVER
AND
DIRECT
CARE
PROVIDER 
TRAINING.—A geriatric education center that receives an 
award under this subsection shall offer at least 2 courses 
each year, at no charge or nominal cost, to family caregivers 
and direct care providers that are designed to provide 
practical training for supporting frail elders and individuals 
with disabilities. The Secretary shall require such Centers 
to work with appropriate community partners to develop 
training program content and to publicize the availability 
of training courses in their service areas. All family care-
giver and direct care provider training programs shall 
include instruction on the management of psychological 
and behavioral aspects of dementia, communication tech-
niques for working with individuals who have dementia, 
and the appropriate, safe, and effective use of medications 
for older adults. 
‘‘(B) INCORPORATION OF BEST PRACTICES.—A geriatric 
education center that receives an award under this sub-
section shall develop and include material on depression 
and other mental disorders common among older adults, 
medication safety issues for older adults, and management 
of the psychological and behavioral aspects of dementia 
and communication techniques with individuals who have 
dementia in all training courses, where appropriate. 
‘‘(6) TARGETS.—A geriatric education center that receives 
an award under this subsection shall meet targets approved 
by the Secretary for providing geriatric training to a certain 
number of faculty or practitioners during the term of the award, 
as well as other parameters established by the Secretary. 
‘‘(7) AMOUNT OF AWARD.—An award under this subsection 
shall be in an amount of $150,000. Not more than 24 geriatric 
education centers may receive an award under this subsection.
H. R. 3590—506 
‘‘(8) MAINTENANCE OF EFFORT.—A geriatric education center 
that receives an award under this subsection shall provide 
assurances to the Secretary that funds provided to the geriatric 
education center under this subsection will be used only to 
supplement, not to supplant, the amount of Federal, State, 
and local funds otherwise expended by the geriatric education 
center. 
‘‘(9) AUTHORIZATION
OF
APPROPRIATIONS.—In addition to 
any other funding available to carry out this section, there 
is authorized to be appropriated to carry out this subsection, 
$10,800,000 for the period of fiscal year 2011 through 2014. 
‘‘(e) GERIATRIC CAREER INCENTIVE AWARDS.— 
‘‘(1) IN GENERAL.—The Secretary shall award grants or 
contracts under this section to individuals described in para-
graph (2) to foster greater interest among a variety of health 
professionals in entering the field of geriatrics, long-term care, 
and chronic care management. 
‘‘(2) ELIGIBLE INDIVIDUALS.—To be eligible to received an 
award under paragraph (1), an individual shall— 
‘‘(A) be an advanced practice nurse, a clinical social 
worker, a pharmacist, or student of psychology who is 
pursuing a doctorate or other advanced degree in geriatrics 
or related fields in an accredited health professions school; 
and 
‘‘(B) submit to the Secretary an application at such 
time, in such manner, and containing such information 
as the Secretary may require. 
‘‘(3) CONDITION
OF
AWARD.—As a condition of receiving 
an award under this subsection, an individual shall agree that, 
following completion of the award period, the individual will 
teach or practice in the field of geriatrics, long-term care, or 
chronic care management for a minimum of 5 years under 
guidelines set by the Secretary. 
‘‘(4) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this subsection, $10,000,000 
for the period of fiscal years 2011 through 2013.’’. 
(b) EXPANSION OF ELIGIBILITY FOR GERIATRIC ACADEMIC CAREER 
AWARDS; PAYMENT TO INSTITUTION.—Section 753(c) of the Public 
Health Service Act 294(c)) is amended— 
(1) by redesignating paragraphs (4) and (5) as paragraphs 
(5) and (6), respectively; 
(2) by striking paragraph (2) through paragraph (3) and 
inserting the following: 
‘‘(2) ELIGIBLE INDIVIDUALS.—To be eligible to receive an 
Award under paragraph (1), an individual shall— 
‘‘(A) be board certified or board eligible in internal 
medicine, family practice, psychiatry, or licensed dentistry, 
or have completed any required training in a discipline 
and employed in an accredited health professions school 
that is approved by the Secretary; 
‘‘(B) have completed an approved fellowship program 
in geriatrics or have completed specialty training in geri-
atrics as required by the discipline and any addition geri-
atrics training as required by the Secretary; and 
‘‘(C) have a junior (non-tenured) faculty appointment 
at an accredited (as determined by the Secretary) school 
of medicine, osteopathic medicine, nursing, social work,
H. R. 3590—507 
psychology, dentistry, pharmacy, or other allied health dis-
ciplines in an accredited health professions school that 
is approved by the Secretary. 
‘‘(3) LIMITATIONS.—No Award under paragraph (1) may 
be made to an eligible individual unless the individual— 
‘‘(A) has submitted to the Secretary an application, 
at such time, in such manner, and containing such informa-
tion as the Secretary may require, and the Secretary has 
approved such application; 
‘‘(B) provides, in such form and manner as the Sec-
retary may require, assurances that the individual will 
meet the service requirement described in paragraph (6); 
and 
‘‘(C) provides, in such form and manner as the Sec-
retary may require, assurances that the individual has 
a full-time faculty appointment in a health professions 
institution and documented commitment from such institu-
tion to spend 75 percent of the total time of such individual 
on teaching and developing skills in interdisciplinary edu-
cation in geriatrics. 
‘‘(4) MAINTENANCE OF EFFORT.—An eligible individual that 
receives an Award under paragraph (1) shall provide assurances 
to the Secretary that funds provided to the eligible individual 
under this subsection will be used only to supplement, not 
to supplant, the amount of Federal, State, and local funds 
otherwise expended by the eligible individual.’’; and 
(3) in paragraph (5), as so designated— 
(A) in subparagraph (A)— 
(i) by inserting ‘‘for individuals who are physicians’’ 
after ‘‘this section’’; and 
(ii) by inserting after the period at the end the 
following: ‘‘The Secretary shall determine the amount 
of an Award under this section for individuals who 
are not physicians.’’; and 
(B) by adding at the end the following: 
‘‘(C) PAYMENT TO INSTITUTION.—The Secretary shall 
make payments to institutions which include schools of 
medicine, osteopathic medicine, nursing, social work, psy-
chology, dentistry, and pharmacy, or other allied health 
discipline in an accredited health professions school that 
is approved by the Secretary.’’. 
(c) COMPREHENSIVE GERIATRIC EDUCATION.—Section 855 of the 
Public Health Service Act (42 U.S.C. 298) is amended— 
(1) in subsection (b)— 
(A) in paragraph (3), by striking ‘‘or’’ at the end; 
(B) in paragraph (4), by striking the period and 
inserting ‘‘; or’’; and 
(C) by adding at the end the following: 
‘‘(5) establish traineeships for individuals who are pre-
paring for advanced education nursing degrees in geriatric 
nursing, long-term care, gero-psychiatric nursing or other 
nursing areas that specialize in the care of the elderly popu-
lation.’’; and 
(2) in subsection (e), by striking ‘‘2003 through 2007’’ and 
inserting ‘‘2010 through 2014’’.