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SEC. 2591. ONLINE HEALTH WORKFORCE TRAINING PRO-
GRAMS. 
Section 171 of the Workforce Investment Act of 1998 
(29 U.S.C. 2916) is amended by adding at the end the 
following: 
‘‘(f) ONLINE HEALTH WORKFORCE TRAINING PRO-
GRAM.— 
‘‘(1) GRANT PROGRAM.— 
‘‘(A) IN GENERAL.—The Secretary in con-
sultation with the Secretary of Health and 
Human Services, shall award National Health 
Workforce Online Training Grants on a com-
petitive basis to eligible entities to enable such 
entities to carry out training for individuals to 
attain or advance in health care occupations. 
An entity may leverage such grant with other 
Federal, State, local, and private resources, in 
order to expand the participation of businesses, 
employees, and individuals in such training pro-
grams. 
‘‘(B) ELIGIBILITY.—In order to receive a 
grant under the program established under this 
paragraph— 
‘‘(i) an entity shall be an educational 
institution, community-based organization, 
nonprofit organization, workforce invest-
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ment board, or local or county government; 
and 
‘‘(ii) an entity shall provide online 
workforce training for individuals seeking 
to attain or advance in health care occupa-
tions, including nursing, nursing assist-
ants, dentistry, pharmacy, health care 
management and administration, public 
health, health information systems anal-
ysis, medical assistants, and other health 
care practitioner and support occupations. 
‘‘(C) PRIORITY.—Priority in awarding 
grants under this paragraph shall be given to 
entities that— 
‘‘(i) have demonstrated experience in 
implementing and operating online worker 
skills training and education programs; 
‘‘(ii) have demonstrated experience co-
ordinating activities, where appropriate, 
with the workforce investment system; and 
‘‘(iii) conduct training for occupations 
with national or local shortages. 
‘‘(D) DATA COLLECTION.—Grantees under 
this paragraph shall collect and report informa-
tion on— 
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‘‘(i) the number of participants; 
‘‘(ii) the services received by the par-
ticipants; 
‘‘(iii) program completion rates; 
‘‘(iv) factors determined as signifi-
cantly interfering with program participa-
tion or completion; 
‘‘(v) the rate of job placement; and 
‘‘(vi) other information as determined 
as needed by the Secretary. 
‘‘(E) OUTREACH.—Grantees under this 
paragraph shall conduct outreach activities to 
disseminate information about their program 
and results to workforce investment boards, 
local governments, educational institutions, and 
other workforce training organizations. 
‘‘(F) PERFORMANCE
LEVELS.—The Sec-
retary shall establish indicators of performance 
that will be used to evaluate the performance of 
grantees under this paragraph in carrying out 
the activities described in this paragraph. The 
Secretary shall negotiate and reach agreement 
with each grantee regarding the levels of per-
formance expected to be achieved by the grant-
ee on the indicators of performance. 
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‘‘(G) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated to the Secretary to carry out this sub-
section $50,000,000 for fiscal years 2011 
through 2020. 
‘‘(2) ONLINE HEALTH PROFESSIONS TRAINING 
PROGRAM CLEARINGHOUSE.— 
‘‘(A) DESCRIPTION OF GRANT.—The Sec-
retary may award one or more grants to eligible 
postsecondary educational institutions to pro-
vide the services described in this paragraph. 
‘‘(B) ELIGIBILITY.—To be eligible to re-
ceive a grant under this paragraph, a postsec-
ondary educational institution shall— 
‘‘(i) have demonstrated the ability to 
disseminate research on best practices for 
implementing workforce investment pro-
grams; and 
‘‘(ii) be a national leader in producing 
cutting-edge research on technology related 
to workforce investment systems under 
subtitle B. 
‘‘(C) SERVICES.—The postsecondary edu-
cational institution that receives a grant under 
this paragraph shall use such grant— 
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‘‘(i) to provide technical assistance to 
entities that receive grants under para-
graph (1); 
‘‘(ii) to collect and nationally dissemi-
nate the data gathered by entities that re-
ceive grants under paragraph (1); and 
‘‘(iii) to disseminate the best practices 
identified by the National Health Work-
force Online Training Grant Program to 
other workforce training organizations. 
‘‘(D) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated to the Secretary to carry out this sub-
section $1,000,000 for fiscal years 2011 
through 2020.’’. 
SEC. 2592. ACCESS FOR INDIVIDUALS WITH DISABILITIES. 
Title V of the Rehabilitation Act of 1973 (29 U.S.C. 
791 et seq.) is amended by adding at the end of the fol-
lowing: 
‘‘SEC. 510. STANDARDS FOR ACCESSIBILITY OF MEDICAL 
DIAGNOSTIC EQUIPMENT. 
‘‘(a) STANDARDS.—Not later than 9 months after the 
date of enactment of the Affordable Health Care for 
America Act, the Architectural and Transportation Bar-
riers Compliance Board (Access Board) shall issue guide-
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lines setting forth the minimum technical criteria for new 
medical diagnostic equipment to be purchased for use in 
(or in conjunction with) physician’s offices, clinics, emer-
gency rooms, hospitals, and other medical settings. The 
guidelines shall ensure that such equipment is accessible 
to, and usable by, individuals with disabilities, including 
provisions to ensure independent entry to, use of, and exit 
from the equipment by such individuals to the maximum 
extent possible. 
‘‘(b) 
MEDICAL
DIAGNOSTIC
EQUIPMENT
COV-
ERED.—The guidelines issued under subsection (a) for 
medical diagnostic equipment shall apply to new purchases 
of equipment that includes examination tables, examina-
tion chairs (including chairs used for eye examinations or 
procedures, and dental examinations or procedures), 
weight scales, mammography equipment, x-ray machines, 
and other equipment commonly used for diagnostic or ex-
amination purposes by health professionals. 
‘‘(c) REGULATIONS.—Not later than 6 months after 
the date of the issuance of the guidelines under subsection 
(a), each appropriate Federal agency authorized to pro-
mulgate regulations under this Act or under the Ameri-
cans with Disabilities Act shall— 
‘‘(1) prescribe regulations in an accessible for-
mat as necessary to carry out the provisions of such 
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Act and section 504 of this Act that include accessi-
bility standards that are consistent with the guide-
lines issued under subsection (a); and 
‘‘(2) ensure that health care providers and 
health care plans covered by the Affordable Health 
Care for America Act meet the requirements of the 
Americans with Disabilities Act and section 504, in-
cluding provisions ensuring that individuals with dis-
abilities receive equal access to all aspects of the 
health care delivery system. 
‘‘(d) REVIEW AND AMEND.—The Architectural and 
Transportation Barriers Compliance Board (Access 
Board) shall periodically review and, as appropriate, 
amend the guidelines as prescribed under subsection (a). 
Not later than 6 months after the date of the issuance 
of such revised guidelines, revised regulations consistent 
with such guidelines shall be promulgated in an accessible 
format by the appropriate Federal agencies described in 
subsection (c).’’. 
SEC. 2593. DUPLICATIVE GRANT PROGRAMS. 
(a) STUDY.—The Secretary of Health and Human 
Services (in this section referred to as the ‘‘Secretary’’) 
shall conduct a study to determine if any new division C 
grant program is duplicative of one or more other grant 
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programs of the Department of Health and Human Serv-
ices that— 
(1) are specifically authorized in the Public 
Health Service Act (42 U.S.C. 201 et seq.); or 
(2) are receiving appropriations. 
(b) DUPLICATIVE PROGRAMS.—If the Secretary de-
termines under subsection (a) that a new division C grant 
program is duplicative of one or more other grant pro-
grams described in such subsection, the Secretary shall— 
(1) attempt to integrate the new division C 
grant program with the duplicative programs; and 
(2) if the Secretary determines that such inte-
gration is not appropriate or has not been success-
ful, promulgate a rule eliminating the duplication, 
including, if appropriate, by terminating one or more 
programs. 
(c) CONTINUED AVAILABILITY
OF FUNDS.—Any 
funds appropriated to carry out a program that is termi-
nated under subsection (b)(2) shall remain available for 
obligation for the one or more programs that— 
(1) were determined under subsection (a) to be 
duplicative of such program; and 
(2) remain in effect. 
(d) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, the Secretary shall submit 
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to the Congress and make available to the public a report 
that contains the results of the study required under sub-
section (a). 
(e) CONGRESSIONAL REVIEW.—Any rule under sub-
section (b)(2) terminating a program is deemed to be a 
major rule for purposes of chapter 8 of title 5, United 
States Code. 
(f) DEFINITION.—In this section, the term ‘‘new divi-
sion C grant program’’— 
(1) means a grant program first established by 
this division; and 
(2) excludes any program whose statutory au-
thorization was in existence before the enactment of 
this division. 
SEC. 2594. DIABETES SCREENING COLLABORATION AND 
OUTREACH PROGRAM. 
(a) ESTABLISHMENT.—With respect to diabetes 
screening tests and for the purposes of reducing the num-
ber of undiagnosed seniors with diabetes or prediabetes, 
the Secretary of Health and Human Services (referred to 
in this section as the ‘‘Secretary’’), in collaboration with 
the Director of the Centers for Disease Control and Pre-
vention (referred to in this section as the ‘‘Director’’), 
shall— 
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(1) review uptake and utilization of diabetes 
screening benefits, consistent with recommendations 
of the Task Force on Clinical Preventive Services 
(established under section 3131 of the Public Health 
Service Act, as added by section 2301 of this Act), 
to identify and address any existing problems with 
regard to uptake and utilization and related data 
collection mechanisms; and 
(2) establish an outreach program to identify 
existing efforts by agencies of the Department of 
Health and Human Services and by the private and 
nonprofit sectors to increase awareness among sen-
iors and providers of diabetes screening benefits. 
(b) CONSULTATION.—The Secretary shall carry out 
this section in consultation with— 
(1) the heads of appropriate health agencies 
and offices in the Department of Health and Human 
Services, including the Office of Minority Health; 
and 
(2) entities with an interest in diabetes, includ-
ing industry, voluntary health organizations, trade 
associations, and professional societies. 
(c) REPORT.—The Secretary shall submit an annual 
report to the Congress on the activities carried out under 
this section. 
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‘‘(iv) injuries; 
‘‘(v) occupational hazards and disabil-
ities; 
‘‘(vi) sexually transmittable diseases; 
and 
‘‘(vii) toxic agents; and 
‘‘(B) providing— 
‘‘(i) fluoridation of water; and 
‘‘(ii) immunizations. 
‘‘(10) The term ‘health profession’ means 
allopathic medicine, family medicine, internal medi-
cine, pediatrics, geriatric medicine, obstetrics and 
gynecology, podiatric medicine, nursing, public 
health nursing, dentistry, psychiatry, osteopathy, op-
tometry, pharmacy, psychology, public health, social 
work, marriage and family therapy, chiropractic 
medicine, environmental health and engineering, al-
lied health professions, naturopathic medicine, and 
any other health profession. 
‘‘(11) The term ‘health promotion’ means— 
‘‘(A) fostering social, economic, environ-
mental, and personal factors conducive to 
health, including raising public awareness about 
health matters and enabling the people to cope 
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