such funds to be considered as amounts ex-
pended for the proper and efficient administra-
tion of the State plan under title XIX of the 
Social Security Act for purposes of the State 
receiving payments under section 1903(a)(7) of 
that Act. 
(D) USE
OF
FUNDS.—Grants awarded 
pursuant to this paragraph shall be used by en-
tities to develop and provide end-of-life support 
services for terminally ill individuals who are re-
ceiving care in their own homes, including— 
(i) support for caregivers; 
(ii) if the entity is a hospice program 
under the Medicare program, any addi-
tional hospice care determined appropriate 
by the Secretary; and 
(iii) any additional end-of-life informa-
tion or materials relating to support serv-
ices determined appropriate by the Sec-
retary. 
(E) APPLICATION.—Each entity desiring a 
grant under this paragraph shall submit an ap-
plication to the Secretary at such time, in such 
manner, and accompanied by such information 
as the Secretary may reasonably require. 
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(F) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—For the purpose of carrying out the 
grant program established under this para-
graph, there is authorized to be appropriated 
$15,000,000 for the period of fiscal years 2011 
through 2015. 
(2) END-OF-LIFE
EDUCATIONAL
GRANT
PRO-
GRAM.— 
(A) GRANTS AUTHORIZED.—The Secretary 
is authorized to award grants to entities, in-
cluding faith-based organizations and religious 
educational institutions, to develop and provide 
appropriate training and educational programs 
addressing end-of-life care issues. 
(B) REQUIREMENTS.— 
(i) DURATION.—The grant program 
shall be conducted for a 5-year period, be-
ginning not later than January 1, 2011. 
(ii) AMOUNT OF GRANTS.—An entity 
may be awarded a grant under this para-
graph for a fiscal year that is not less than 
$5,000, and not more than $50,000. 
(iii) NUMBER OF GRANTS.—The Sec-
retary shall award grants under this para-
graph to not more than 100 entities. 
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(C) USE OF FUNDS.—Grants awarded pur-
suant to this paragraph shall be used by enti-
ties to develop appropriate training and edu-
cation programs addressing end-of-life care 
issues and include such programs as part of 
their educational curriculum, continuing edu-
cation programs, or vocational training. 
(D) APPLICATION.—Each entity desiring a 
grant under this paragraph shall submit an ap-
plication to the Secretary at such time, in such 
manner, and accompanied by such information 
as the Secretary may reasonably require. 
(E) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—For the purpose of carrying out the 
grant program established under this para-
graph, there is authorized to be appropriated 
$10,000,000 for the period of fiscal years 2011 
through 2015. 
SEC. 14. HHS STUDY AND REPORT ON THE STORAGE OF AD-
VANCE DIRECTIVES. 
(a) STUDY.—The Secretary of Health and Human 
Services shall conduct a study on the best methods of stor-
ing completed advance directives. Such study shall include 
an analysis of the feasibility of establishing a national reg-
istry for completed advance directives, taking into consid-
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eration the constraints created by the privacy provisions 
enacted as a result of the Health Insurance Portability 
and Accountability Act of 1996 (Public Law 104–191). 
(b) REPORT.—Not later than January 1, 2012, the 
Secretary of Health and Human Services shall submit to 
Congress a report on the study conducted under sub-
section (a) together with recommendations for such legis-
lation and administrative action as the Secretary deter-
mines to be appropriate. 
SEC. 15. GAO STUDY AND REPORT ON THE PROVISIONS OF, 
AND AMENDMENTS MADE BY, THIS ACT. 
(a) STUDY.—The Comptroller General of the United 
States (in this section referred to as the ‘‘Comptroller 
General’’) shall conduct a study on the provisions of, and 
amendments made by, this Act, including the quality and 
costs (such as patient and family experience, patient un-
derstanding of treatment choices, and any decrease in 
avoidable hospital admissions) associated with such provi-
sions and such amendments. 
(b) REPORT.—Not later than January 1, 2012, the 
Comptroller General shall submit to Congress a report 
containing the results of the study conducted under sub-
section (a), together with recommendations for such legis-
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lation and administrative action as the Comptroller Gen-
eral determines appropriate. 
Æ 
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