SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Health Access and Health Professions Supply Act of 
2009’’ or ‘‘HAHPSA 2009’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
TITLE I—AMENDMENTS TO THE SOCIAL SECURITY ACT 
Subtitle A—Workforce Improvements 
Sec. 101. National health care workforce commission. 
Sec. 102. State health workforce centers program. 
Sec. 103. Improvements to payments for graduate medical education under 
medicare. 
Sec. 104. Distribution of resident trainees in an emergency. 
Sec. 105. Authority to include costs of training of psychologists in payments to 
hospitals for approved educational activities under Medicare. 
Subtitle B—Geriatric Assessments and Chronic Care Management and 
Coordination Services Under the Medicare Program 
Sec. 111. Medicare coverage of geriatric assessments. 
Sec. 112. Medicare coverage of chronic care management and coordination serv-
ices. 
Sec. 113. Outreach activities regarding geriatric assessments and chronic care 
management and coordination services under the Medicare pro-
gram. 
Sec. 114. Utilization of telehealth services to furnish geriatric assessments and 
chronic care management and coordination services under the 
Medicare program. 
Sec. 115. Study and report on geriatric assessments and chronic care manage-
ment and coordination services under the Medicare program. 
Sec. 116. Rule of construction. 
TITLE II—AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT 
Sec. 201. Expansion of National Health Service Corps programs. 
Sec. 202. National health service corps scholarship program for medical, dental, 
physician assistant, pharmacy, behavioral and mental health, 
public health, and nursing students in the United States public 
health sciences track in affiliated schools. 
Sec. 203. Federal medical facility grant program and program assessments. 
Sec. 204. Health professions training loan program. 
Sec. 205. United States Public Health Sciences Track. 
Sec. 206. Medical education debt reimbursement for physicians of the Veterans 
Health Administration. 
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Sec. 207. Promoting education and training of psychologists to provide mental 
and behavioral health services to underserved populations. 
TITLE III—HEALTH PROFESSIONAL TRAINING PIPELINE 
PARTNERSHIPS PROGRAM 
Sec. 301. Grants to prepare students for careers in health care. 
SEC. 2. FINDINGS. 
(a) FINDINGS RELATED TO HEALTH CARE ACCESS 
IN
RURAL, FRONTIER, AND
URBAN
UNDERSERVED 
AREAS OF THE UNITED STATES.—Congress finds the fol-
lowing: 
(1) The United States does not have a cohesive 
or coordinated approach to addressing health work-
force shortages and problems with reliable access to 
quality, affordable health care. 
(2) There are 50,000,000 citizens of the United 
States living in areas that are designated under sec-
tion 332(a)(1)(A) of the Public Health Service Act 
as health professional shortage areas. 
(3) The population of the United States will 
grow by 25,000,000 each decade. 
(4) The number of individuals over 65 years of 
age in the United States will double between 2000 
and 2030, with such individuals accounting for 20 
percent of the total population of the United States 
in 2030. 
(5) Individuals over 65 years of age have twice 
as many doctor visits as those individuals under 65 
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years of age, resulting in an increase in the demand 
for physicians, physician assistants, pharmacists be-
havioral and mental health professionals, nurses, 
and dentists. 
(6) The rates of chronic diseases (such as dia-
betes) are increasing in the population of the United 
States. 
(7) There are 47,000,000 citizens of the United 
States who do not have health insurance, and over 
130,000,000 individuals within the United States 
who do not have dental insurance. Those individuals 
who are uninsured have limited access to health 
care. 
(8) Academic health centers, Federal medical 
facilities, and teaching hospitals provide a substan-
tial percentage of safety net services in the United 
States to uninsured and underinsured populations 
and to those individuals who have 1 or more chronic 
diseases. Such centers, facilities, and teaching hos-
pitals provide those safety net services while concur-
rently providing for the training of health profes-
sionals. 
(9) The pipeline for the education of health pro-
fessionals— 
(A) begins and often ends in urban areas; 
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(B) does not reliably include Federal sup-
port for nonphysician training; 
(C) does not incorporate modern training 
venues and techniques, including community- 
based ambulatory sites; and 
(D) discourages interdisciplinary, team, 
and care coordination models as a result of re-
strictive regulations. 
(10) Health reform must include measures to 
transform the health delivery system to assure ac-
cess, quality, and efficiency by utilizing contem-
porary models and venues of care. 
(11) Reform of the health delivery system will 
require modernization of the training of health pro-
fessionals to ensure that health professionals— 
(A) practice in integrated teams in a vari-
ety of delivery venues (including inpatient and 
ambulatory settings and long-term care facili-
ties) to utilize decision support and health in-
formation systems; 
(B) deliver patient-centered care; 
(C) practice evidence-based health care; 
(D) learn performance-based compensation 
systems, comparative effectiveness, and costs of 
care across the spectrum; and 
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(E) deliver culturally appropriate, person-
alized care. 
(b) FINDINGS
RELATED
TO
ACCESS
TO
ORAL 
HEALTH.—Congress finds the following: 
(1) Dental care is the number 1 unmet health 
care need in children, and is 1 of the top 5 unmet 
health care needs in adults. 
(2) Over 130,000,000 citizens of the United 
States are without dental insurance. 
(3) Over 45,000,000 citizens of the United 
States live in areas that are designated under sec-
tion 332(a)(1)(A) of the Public Health Service Act 
as dental health professional shortage areas. 
(4) Rural counties have less than half the num-
ber of dentists per capita compared to large metro-
politan areas (29 versus 62 for population of 
100,000). 
(5) In 2006, over 9,000 dentists were needed in 
such dental health professional shortage areas. 
(6) Between 27 and 29 percent of children and 
adults in the United States have untreated cavities. 
(7) The number of dental school graduates in 
the United States decreased by 20 percent between 
1982 and 2003 and the average age of practicing 
dentists in the United States is 49. 
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