I 
111TH CONGRESS 
2D SESSION 
H. R. 5392 
To establish a Council on Integration of Health Care Education, to provide 
for implementation of the recommendations of the Council, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 25, 2010 
Mr. KENNEDY (for himself and Mr. SULLIVAN) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Education and Labor, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To establish a Council on Integration of Health Care Edu-
cation, to provide for implementation of the recommenda-
tions of the Council, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Council on Integration 
of Health Care Education Act of 2010’’. 
SEC. 2. DEFINITIONS. 
In this Act: 
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(1) BEHAVIORAL
HEALTH
PROVIDER.—The 
term ‘‘behavioral health provider’’— 
(A) means an individual who provides clin-
ical care (in accordance with applicable State 
law) specializing in the diagnosis or treatment 
of behavioral health, including such an indi-
vidual specializing in substance use, addiction, 
and dependence disorders; and 
(B) includes a psychiatrist, nurse practi-
tioner (as defined in section 1861(aa)(5)(A) of 
the Social Security Act), physician assistant (as 
defined in section 1861(aa)(5)(A) of such Act), 
clinical psychologist (as used in section 1861(ii) 
of such Act), clinical social worker (as defined 
in section 1861(hh) of such Act), psychiatric 
nurse, licensed professional counselor, marriage 
and family therapist, pastoral counselor, psy-
chosocial rehabilitation specialist, and any other 
individual determined to be appropriate by the 
Secretary. 
(2) COUNCIL.—The term ‘‘Council’’ means the 
Council on Integration of Health Care Education. 
(3) HEALTH CARE PROFESSIONAL.—The term 
‘‘health care professional’’— 
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(A) means an individual who provides clin-
ical health care (in accordance with applicable 
State law) other than a behavioral health pro-
vider; and 
(B) includes (other than a behavioral 
health provider) a physician (as defined in sec-
tion 1861(r) of the Social Security Act), nurse 
practitioner 
(as 
defined 
in 
section 
1861(aa)(5)(A) of the Social Security Act), 
physician assistant (as defined in section 
1861(aa)(5)(A) of the Social Security Act), 
clinical nurse specialist (as defined in section 
1861(aa)(5)(B) of the Social Security Act), cer-
tified nurse-midwife (as defined in section 
1861(gg) of the Social Security Act), and any 
other individual determined to be appropriate 
by the Secretary. 
(4) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the same 
meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001). 
(5) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
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SEC. 3. COUNCIL ON INTEGRATION OF HEALTH CARE EDU-
CATION. 
(a) ESTABLISHMENT.—There is established in the 
Office of the Secretary the Council on Integration of 
Health Care Education. 
(b) RECOMMENDATIONS.—The Council shall develop 
and publish not later than 1 year after the date of the 
enactment of this section, and may periodically revise as 
appropriate thereafter, recommendations for the purpose 
of strengthening the capacity of health care professionals 
and behavioral health providers to deliver integrated, com-
prehensive health care. The recommendations shall iden-
tify— 
(1) the core competencies to be required of each 
type of health care professional and behavioral 
health provider with respect to mental health and 
substance use prevention and treatment services in 
order to carry out their respective scope of practice; 
(2) the appropriate methods for incorporating 
such competencies into the curricula of institutions 
of higher education, and of continuing education, for 
health care professionals and behavioral health pro-
viders; 
(3) the appropriate methods for incorporating 
such competencies into the licensure and certifi-
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cation requirements for health care professionals and 
behavioral health providers; and 
(4) the appropriate methods for incorporating 
such competencies into the accreditation process for 
institutions of higher education providing terminal 
education for health care professionals and behav-
ioral health providers. 
(c) REPORTING.— 
(1) BY THE COUNCIL.—Not later than 1 year 
after the date of the enactment of this Act, and an-
nually thereafter, the Council shall submit to the 
Secretary and the appropriate committees of the 
Congress, and to the Council on Graduate Medical 
Education when appropriate, and make publicly 
available, a report on the recommendations under 
subsection (b) and the implementation of such rec-
ommendations. Each such report shall include— 
(A) a description of current and future 
needs related to the successful integration core 
competencies for mental health and substance 
use disorders into health care professional and 
behavioral health provider education and edu-
cation curricula beyond medical education; 
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(B) an identification of goals, outcome 
measures, and timeframes for addressing the 
needs described in subparagraph (A); 
(C) a detailed plan for implementing the 
recommendations under subsection (b); and 
(D) an evaluation of the extent to which 
such plan has been implemented. 
(2) BY
THE
SECRETARY.—Not later than 1 
year after the date of the enactment of this Act, and 
annually thereafter, the Secretary shall submit a re-
port to the Congress on the activities of the Council. 
(d) MEMBERS.— 
(1) COMPOSITION; VOTING; CHAIR.—The Coun-
cil shall be composed of the ex officio members spec-
ified in paragraph (2) and the members appointed 
under paragraph (3). All of the members of the 
Council shall be voting members. The Council shall 
elect a chair from among its members. 
(2) EX OFFICIO MEMBERS.—The Council shall 
include the following ex officio members (or their 
designees)— 
(A) the Secretary; 
(B) the Administrator of the Health Re-
sources and Services Administration; 
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(C) the Administrator of the Centers for 
Medicare & Medicaid Services; 
(D) the Administrator of the Substance 
Abuse and Mental Health Services Administra-
tion; and 
(E) the Director of the Office of National 
Drug Control Policy. 
(3) APPOINTED MEMBERS.— 
(A) IN GENERAL.—The Council shall in-
clude members to be appointed by the Secretary 
(in consultation with the other ex officio mem-
bers of the Council and without regard to the 
civil service laws) who are not employees of the 
Federal Government. The Secretary shall ap-
point a sufficient number of members under 
this subparagraph to ensure that the Council is 
composed of not less than 20 members, includ-
ing both ex officio members under paragraph 
(2) and members appointed under this para-
graph. 
(B) OTHER SELECTION CRITERIA.—In ap-
pointing members of the Council under this 
paragraph, the Secretary shall ensure— 
(i) inclusion of both urban and rural 
members; 
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(ii) adequate representation of men 
and women; 
(iii) a range of members from a vari-
ety of practice settings and having exper-
tise in prevention and treatment across the 
lifespan; 
(iv) adequate representation of racial, 
ethnic, religious, and economic diversity; 
(v) an equal distribution of the mem-
bers appointed under subparagraph (A) be-
tween those specializing in mental health 
services and those specializing in substance 
use disorders; 
(vi) diverse representation from addi-
tion and psychiatry specialty sectors; 
(vii) 
diverse 
representation 
of 
allopathic and osteopathic physicians; 
(viii) 
adequate 
representation 
of 
health care professionals and behavioral 
health providers who provide direct patient 
care to individuals with co-occurring men-
tal health or substance use disorders and 
physical health conditions; 
(ix) adequate representation of health 
care and behavioral health (including sub-
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stance use) faculty who have demonstrated 
expertise in curriculum development; and 
(x) inclusion of a health or behavioral 
health (including substance use) consumer. 
(C) TERMS.— 
(i) IN GENERAL.—Subject to subpara-
graph (D)(ii), each member of the Council 
under this paragraph shall be appointed 
for a term of 4 years. 
(ii) VACANCIES.—Any member of the 
Council appointed to fill a vacancy occur-
ring before the expiration of the term for 
which the member’s predecessor was ap-
pointed shall be appointed only for the re-
mainder of that term. A member may 
serve after the expiration of that member’s 
term until a successor has taken office. 
(D) INITIAL MEMBERS.— 
(i) 
APPOINTMENT.—The 
Secretary 
shall appoint the initial members of the 
Council under this paragraph not less than 
90 days after the date of the enactment of 
this Act. 
(ii) TERMS.—As designated by the 
Secretary at the time of appointment, of 
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the initial members of the Council under 
this paragraph, 1⁄4 shall be appointed for 
terms of 1 year, 1⁄4 shall be appointed for 
terms of 2 years, 1⁄4 shall be appointed for 
terms of 3 years, and 1⁄4 shall be appointed 
for terms of 4 years. 
(e) STAFF.—The Secretary shall provide the Council 
with such professional and clerical staff, such information, 
and the services of such consultants as may be necessary 
to assist the Council in carrying out effectively its func-
tions under this section. 
(f) ADMINISTRATION.— 
(1) TRAVEL EXPENSES.—Members shall receive 
travel expenses, including per diem in lieu of subsist-
ence, in accordance with sections 5702 and 5703 of 
title 5, United States Code, while away from their 
homes or regular places of business in performance 
of services for the Council. 
(2) OTHER
RESOURCES.—The Council shall 
have reasonable access to materials, resources, sta-
tistical data, and other information such Council de-
termines to be necessary to carry out its duties from 
agencies of the executive and legislative branches of 
the Federal Government. The chair of the Council 
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shall make requests for such access in writing when 
necessary. 
(3) PROHIBITION AGAINST COMPENSATION OF 
FEDERAL
EMPLOYEES.—Members of the Council 
who are officers or employees of the Federal Govern-
ment shall not receive additional pay, allowances, or 
benefits by reason of their service on the Council. 
(g) MEETINGS.—The Council shall conduct at least 
3 meetings each year. 
(h) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for each of fiscal years 
2011 through 2016. 
SEC. 4. IMPLEMENTATION OF RECOMMENDATIONS OF THE 
COUNCIL. 
(a) HEALTH
CARE
AND
BEHAVIORAL
HEALTH 
WORKFORCE CONTINUING EDUCATION.— 
(1) IN GENERAL.—Beginning 1 year after sub-
mission of the first report of the Council under sec-
tion 3(c)(1), the Secretary may make grants, con-
tracts, or cooperative agreements to public or private 
nonprofit entities for the purpose of implementing 
the recommendations of the Council on continuing 
education for health care professionals and behav-
ioral health providers. 
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(2) ELIGIBILITY.—To receive a grant, contract, 
or cooperative agreement under this subsection, a 
public or private nonprofit entity shall demonstrate 
expertise in providing continuing education for 
health care professionals and behavioral health pro-
viders. 
(3) PRIORITY.—In awarding grants, contracts, 
and cooperative agreements under this subsection, 
the Secretary shall give priority to entities that pro-
pose to implement continuing education— 
(A) in interdisciplinary settings; or 
(B) in collaboration with a diverse rep-
resentation of health care professionals and be-
havioral health providers who have no direct af-
filiation with the receiving entity as determined 
by the Secretary. 
(4) GEOGRAPHIC
DISTRIBUTION.—The Sec-
retary shall ensure that grants, contracts, and coop-
erative agreements under this subsection are award-
ed to entities throughout the United States to en-
sure the availability of continuing education in men-
tal health and substance abuse prevention and treat-
ment services. 
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(5) DURATION OF AWARDS.—The period of a 
grant, contract, or cooperative agreement under this 
subsection shall not exceed 3 years. 
(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated $5,000,000 
for fiscal year 2012 and such sums as may be nec-
essary for each of fiscal years 2013 through 2016. 
(b) HEALTH
CARE
AND
BEHAVIORAL
HEALTH 
WORKFORCE EDUCATION CURRICULA.— 
(1) IN GENERAL.—The Secretary shall make 
grants, contracts, or cooperative agreements to pub-
lic or nonprofit private institutions of higher edu-
cation for the purpose of implementing the rec-
ommendations of the Council on education curricula 
for health care professionals and behavioral health 
providers. 
(2) PRIORITY.—In awarding grants, contracts, 
and cooperative agreements under this subsection, 
the Secretary shall give priority to applicants that 
demonstrate willingness— 
(A) to integrate the recommendations of 
the Council on curricula across academic dis-
ciplines; 
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(B) to coordinate the use of Federal and 
non-Federal resources for purposes of such in-
tegration; or 
(C) to incorporate other evidence-based 
recommendations that further the integration of 
behavioral health in health care. 
(3) GEOGRAPHIC
DISTRIBUTION.—The Sec-
retary shall ensure that grants, contracts, and coop-
erative agreements under this subsection are award-
ed to institutions of higher education throughout the 
United States to ensure the availability and improve-
ment of education curricula for health care profes-
sionals and behavioral health providers. 
(4) DURATION OF AWARDS.—The period of a 
grant, contract, or cooperative agreement under this 
subsection shall not exceed 3 years. 
(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated $5,000,000 
for fiscal year 2012 and such sums as may be nec-
essary for each of fiscal years 2013 through 2016. 
Æ 
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