H. R. 3590—500 
and skilled nursing facilities, intermediate care facilities for individ-
uals with mental retardation, home and community based settings, 
and any other setting the Secretary determines to be appropriate. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant under this 
section, an entity shall— 
‘‘(1) be an institution of higher education (as defined in 
section 102 of the Higher Education Act of 1965 (20 U.S.C. 
1002)) that— 
‘‘(A) is accredited by a nationally recognized accrediting 
agency or association listed under section 101(c) of the 
Higher Education Act of 1965 (20 U.S.C. 1001(c)); and 
‘‘(B) has established a public-private educational part-
nership with a nursing home or skilled nursing facility, 
agency or entity providing home and community based 
services to individuals with disabilities, or other long-term 
care provider; and 
‘‘(2) submit to the Secretary an application at such time, 
in such manner, and containing such information as the Sec-
retary may require. 
‘‘(c) USE
OF FUNDS.—An eligible entity shall use amounts 
awarded under a grant under this section to provide assistance 
to eligible individuals to offset the cost of tuition and required 
fees for enrollment in academic programs provided by such entity. 
‘‘(d) ELIGIBLE INDIVIDUAL.— 
‘‘(1) ELIGIBILITY.—To be eligible for assistance under this 
section, an individual shall be enrolled in courses provided 
by a grantee under this subsection and maintain satisfactory 
academic progress in such courses. 
‘‘(2) CONDITION OF ASSISTANCE.—As a condition of receiving 
assistance under this section, an individual shall agree that, 
following completion of the assistance period, the individual 
will work in the field of geriatrics, disability services, long 
term services and supports, or chronic care management for 
a minimum of 2 years under guidelines set by the Secretary. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section, $10,000,000 for the 
period of fiscal years 2011 through 2013.’’. 
SEC. 5303. TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH 
DENTISTRY. 
Part C of Title VII of the Public Health Service Act (42 U.S.C. 
293k et seq.) is amended by— 
(1) redesignating section 748, as amended by section 5103 
of this Act, as section 749; and 
(2) inserting after section 747A, as added by section 5302, 
the following: 
‘‘SEC. 748. TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH 
DENTISTRY. 
‘‘(a) SUPPORT AND DEVELOPMENT OF DENTAL TRAINING PRO-
GRAMS.— 
‘‘(1) IN GENERAL.—The Secretary may make grants to, or 
enter into contracts with, a school of dentistry, public or non-
profit private hospital, or a public or private nonprofit entity 
which the Secretary has determined is capable of carrying 
out such grant or contract— 
‘‘(A) to plan, develop, and operate, or participate in, 
an approved professional training program in the field
H. R. 3590—501 
of general dentistry, pediatric dentistry, or public health 
dentistry for dental students, residents, practicing dentists, 
dental hygienists, or other approved primary care dental 
trainees, that emphasizes training for general, pediatric, 
or public health dentistry; 
‘‘(B) to provide financial assistance to dental students, 
residents, practicing dentists, and dental hygiene students 
who are in need thereof, who are participants in any such 
program, and who plan to work in the practice of general, 
pediatric, public heath dentistry, or dental hygiene; 
‘‘(C) to plan, develop, and operate a program for the 
training of oral health care providers who plan to teach 
in general, pediatric, public health dentistry, or dental 
hygiene; 
‘‘(D) to provide financial assistance in the form of 
traineeships and fellowships to dentists who plan to teach 
or are teaching in general, pediatric, or public health den-
tistry; 
‘‘(E) to meet the costs of projects to establish, maintain, 
or improve dental faculty development programs in primary 
care (which may be departments, divisions or other units); 
‘‘(F) to meet the costs of projects to establish, maintain, 
or improve predoctoral and postdoctoral training in primary 
care programs; 
‘‘(G) to create a loan repayment program for faculty 
in dental programs; and 
‘‘(H) to provide technical assistance to pediatric 
training programs in developing and implementing instruc-
tion regarding the oral health status, dental care needs, 
and risk-based clinical disease management of all pediatric 
populations with an emphasis on underserved children. 
‘‘(2) FACULTY LOAN REPAYMENT.— 
‘‘(A) IN GENERAL.—A grant or contract under subsection 
(a)(1)(G) may be awarded to a program of general, pediatric, 
or public health dentistry described in such subsection 
to plan, develop, and operate a loan repayment program 
under which— 
‘‘(i) individuals agree to serve full-time as faculty 
members; and 
‘‘(ii) the program of general, pediatric or public 
health dentistry agrees to pay the principal and 
interest on the outstanding student loans of the 
individuals. 
‘‘(B) MANNER OF PAYMENTS.—With respect to the pay-
ments described in subparagraph (A)(ii), upon completion 
by an individual of each of the first, second, third, fourth, 
and fifth years of service, the program shall pay an amount 
equal to 10, 15, 20, 25, and 30 percent, respectively, of 
the individual’s student loan balance as calculated based 
on principal and interest owed at the initiation of the 
agreement. 
‘‘(b) ELIGIBLE ENTITY.—For purposes of this subsection, entities 
eligible for such grants or contracts in general, pediatric, or public 
health dentistry shall include entities that have programs in dental 
or dental hygiene schools, or approved residency or advanced edu-
cation programs in the practice of general, pediatric, or public 
health dentistry. Eligible entities may partner with schools of public
H. R. 3590—502 
health to permit the education of dental students, residents, and 
dental hygiene students for a master’s year in public health at 
a school of public health. 
‘‘(c) PRIORITIES IN MAKING AWARDS.—With respect to training 
provided for under this section, the Secretary shall give priority 
in awarding grants or contracts to the following: 
‘‘(1) Qualified applicants that propose collaborative projects 
between departments of primary care medicine and depart-
ments of general, pediatric, or public health dentistry. 
‘‘(2) Qualified applicants that have a record of training 
the greatest percentage of providers, or that have demonstrated 
significant improvements in the percentage of providers, who 
enter and remain in general, pediatric, or public health den-
tistry. 
‘‘(3) Qualified applicants that have a record of training 
individuals who are from a rural or disadvantaged background, 
or from underrepresented minorities. 
‘‘(4) Qualified applicants that establish formal relationships 
with Federally qualified health centers, rural health centers, 
or accredited teaching facilities and that conduct training of 
students, residents, fellows, or faculty at the center or facility. 
‘‘(5) Qualified applicants that conduct teaching programs 
targeting vulnerable populations such as older adults, homeless 
individuals, victims of abuse or trauma, individuals with mental 
health or substance-related disorders, individuals with disabil-
ities, and individuals with HIV/AIDS, and in the risk-based 
clinical disease management of all populations. 
‘‘(6) Qualified applicants that include educational activities 
in cultural competency and health literacy. 
‘‘(7) Qualified applicants that have a high rate for placing 
graduates in practice settings that serve underserved areas 
or health disparity populations, or who achieve a significant 
increase in the rate of placing graduates in such settings. 
‘‘(8) Qualified applicants that intend to establish a special 
populations oral health care education center or training pro-
gram for the didactic and clinical education of dentists, dental 
health professionals, and dental hygienists who plan to teach 
oral health care for people with developmental disabilities, 
cognitive impairment, complex medical problems, significant 
physical limitations, and vulnerable elderly. 
‘‘(d) APPLICATION.—An eligible entity desiring a grant under 
this section shall submit to the Secretary an application at such 
time, in such manner, and containing such information as the 
Secretary may require. 
‘‘(e) DURATION OF AWARD.—The period during which payments 
are made to an entity from an award of a grant or contract under 
subsection (a) shall be 5 years. The provision of such payments 
shall be subject to annual approval by the Secretary and subject 
to the availability of appropriations for the fiscal year involved 
to make the payments. 
‘‘(f) AUTHORIZATIONS OF APPROPRIATIONS.—For the purpose of 
carrying out subsections (a) and (b), there is authorized to be 
appropriated $30,000,000 for fiscal year 2010 and such sums as 
may be necessary for each of fiscal years 2011 through 2015. 
‘‘(g) CARRYOVER FUNDS.—An entity that receives an award 
under this section may carry over funds from 1 fiscal year to 
another without obtaining approval from the Secretary. In no case
H. R. 3590—503 
may any funds be carried over pursuant to the preceding sentence 
for more than 3 years.’’. 
SEC. 5304. ALTERNATIVE DENTAL HEALTH CARE PROVIDERS DEM-
ONSTRATION PROJECT. 
Subpart X of part D of title III of the Public Health Service 
Act (42 U.S.C. 256f et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 340G–1. DEMONSTRATION PROGRAM. 
‘‘(a) IN GENERAL.— 
‘‘(1) AUTHORIZATION.—The Secretary is authorized to award 
grants to 15 eligible entities to enable such entities to establish 
a demonstration program to establish training programs to 
train, or to employ, alternative dental health care providers 
in order to increase access to dental health care services in 
rural and other underserved communities. 
‘‘(2) DEFINITION.—The term ‘alternative dental health care 
providers’ includes community dental health coordinators, 
advance practice dental hygienists, independent dental hygien-
ists, supervised dental hygienists, primary care physicians, 
dental therapists, dental health aides, and any other health 
professional that the Secretary determines appropriate. 
‘‘(b) TIMEFRAME.—The demonstration projects funded under this 
section shall begin not later than 2 years after the date of enactment 
of this section, and shall conclude not later than 7 years after 
such date of enactment. 
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive a grant under 
subsection (a), an entity shall— 
‘‘(1) be— 
‘‘(A) an institution of higher education, including a 
community college; 
‘‘(B) a public-private partnership; 
‘‘(C) a federally qualified health center; 
‘‘(D) an Indian Health Service facility or a tribe or 
tribal organization (as such terms are defined in section 
4 of the Indian Self-Determination and Education Assist-
ance Act); 
‘‘(E) a State or county public health clinic, a health 
facility operated by an Indian tribe or tribal organization, 
or urban Indian organization providing dental services; 
or 
‘‘(F) a public hospital or health system; 
‘‘(2) be within a program accredited by the Commission 
on Dental Accreditation or within a dental education program 
in an accredited institution; and 
‘‘(3) shall submit an application to the Secretary at such 
time, in such manner, and containing such information as 
the Secretary may require. 
‘‘(d) ADMINISTRATIVE PROVISIONS.— 
‘‘(1) AMOUNT OF GRANT.—Each grant under this section 
shall be in an amount that is not less than $4,000,000 for 
the 5-year period during which the demonstration project being 
conducted. 
‘‘(2) DISBURSEMENT OF FUNDS.— 
‘‘(A) PRELIMINARY DISBURSEMENTS.—Beginning 1 year 
after the enactment of this section, the Secretary may 
disperse to any entity receiving a grant under this section