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and, as relevant and appropriate, coordinate with 
other appropriate offices on activities within the 
Centers that relate to prevention, research, edu-
cation and training, service delivery, and policy de-
velopment, for issues of particular concern to 
women; 
‘‘(3) identify projects in women’s health that 
should be conducted or supported by the Centers; 
‘‘(4) consult with health professionals, non-
governmental organizations, consumer organizations, 
women’s health professionals, and other individuals 
and groups, as appropriate, on the policy of the Cen-
ters with regard to women; and 
‘‘(5) serve as a member of the Department of 
Health and Human Services Coordinating Com-
mittee on Women’s Health (established under sec-
tion 229(b)(4)). 
‘‘(c) DEFINITION.—As used in this section, the term 
‘women’s health conditions’, with respect to women of all 
age, ethnic, and racial groups, means diseases, disorders, 
and conditions— 
‘‘(1) unique to, significantly more serious for, 
or significantly more prevalent in women; and 
‘‘(2) for which the factors of medical risk or 
type of medical intervention are different for women, 
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or for which there is reasonable evidence that indi-
cates that such factors or types may be different for 
women.’’. 
(c) OFFICE OF WOMEN’S HEALTH RESEARCH.—Sec-
tion 486(a) (42 U.S.C. 287d(a)) is amended by inserting 
‘‘and who shall report directly to the Director’’ before the 
period at the end thereof. 
(d) SUBSTANCE
ABUSE
AND
MENTAL
HEALTH 
SERVICES ADMINISTRATION.—Section 501(f) (42 U.S.C. 
290aa(f)) is amended— 
(1) in paragraph (1), by inserting ‘‘who shall 
report directly to the Administrator’’ before the pe-
riod; 
(2) by redesignating paragraph (4) as para-
graph (5); and 
(3) by inserting after paragraph (3), the fol-
lowing: 
‘‘(4) OFFICE.—Nothing in this subsection shall 
be construed to preclude the Secretary from estab-
lishing within the Substance Abuse and Mental 
Health Administration an Office of Women’s 
Health.’’. 
(e) AGENCY
FOR HEALTHCARE RESEARCH
AND 
QUALITY ACTIVITIES REGARDING WOMEN’S HEALTH.— 
Part C of title IX (42 U.S.C. 299c et seq.) is amended— 
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(1) by redesignating sections 927 and 928 as 
sections 928 and 929, respectively; 
(2) by inserting after section 926 the following: 
‘‘SEC. 927. ACTIVITIES REGARDING WOMEN’S HEALTH. 
‘‘(a) ESTABLISHMENT.—There is established within 
the Office of the Director, an Office of Women’s Health 
and Gender-Based Research (referred to in this section 
as the ‘Office’). The Office shall be headed by a director 
who shall be appointed by the Director of Healthcare and 
Research Quality. 
‘‘(b) PURPOSE.—The official designated under sub-
section (a) shall— 
‘‘(1) report to the Director on the current 
Agency level of activity regarding women’s health, 
across, where appropriate, age, biological, and 
sociocultural contexts, in all aspects of Agency work, 
including the development of evidence reports and 
clinical practice protocols and the conduct of re-
search into patient outcomes, delivery of health care 
services, quality of care, and access to health care; 
‘‘(2) establish short-range and long-range goals 
and objectives within the Agency for research impor-
tant to women’s health and, as relevant and appro-
priate, coordinate with other appropriate offices on 
activities within the Agency that relate to health 
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services and medical effectiveness research, for 
issues of particular concern to women; 
‘‘(3) identify projects in women’s health that 
should be conducted or supported by the Agency; 
‘‘(4) consult with health professionals, non-
governmental organizations, consumer organizations, 
women’s health professionals, and other individuals 
and groups, as appropriate, on Agency policy with 
regard to women; and 
‘‘(5) serve as a member of the Department of 
Health and Human Services Coordinating Com-
mittee on Women’s Health (established under sec-
tion 229(b)(4)).’’; and 
(3) by adding at the end of section 928 (as re-
designated by paragraph (1)) the following: 
‘‘(e) WOMEN’S HEALTH.—For the purpose of car-
rying out section 927 regarding women’s health, there are 
authorized to be appropriated such sums as may be nec-
essary for each of fiscal years 2011 through 2015.’’. 
(f) HEALTH RESOURCES AND SERVICES ADMINIS-
TRATION OFFICE OF WOMEN’S HEALTH.—Title VII of 
the Social Security Act (42 U.S.C. 901 et seq.) is amended 
by adding at the end the following: 
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‘‘SEC. 713. OFFICE OF WOMEN’S HEALTH. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish within the Office of the Administrator of the Health 
Resources and Services Administration, an office to be 
known as the Office of Women’s Health. The Office shall 
be headed by a director who shall be appointed by the Ad-
ministrator. 
‘‘(b) PURPOSE.—The Director of the Office shall— 
‘‘(1) report to the Administrator on the current 
Administration level of activity regarding women’s 
health across, where appropriate, age, biological, and 
sociocultural contexts; 
‘‘(2) establish short-range and long-range goals 
and objectives within the Health Resources and 
Services Administration for women’s health and, as 
relevant and appropriate, coordinate with other ap-
propriate offices on activities within the Administra-
tion that relate to health care provider training, 
health service delivery, research, and demonstration 
projects, for issues of particular concern to women; 
‘‘(3) identify projects in women’s health that 
should be conducted or supported by the bureaus of 
the Administration; 
‘‘(4) consult with health professionals, non-
governmental organizations, consumer organizations, 
women’s health professionals, and other individuals 
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and groups, as appropriate, on Administration policy 
with regard to women; and 
‘‘(5) serve as a member of the Department of 
Health and Human Services Coordinating Com-
mittee on Women’s Health (established under sec-
tion 229(b)(4) of the Public Health Service Act). 
‘‘(c) CONTINUED ADMINISTRATION
OF EXISTING 
PROGRAMS.—The Director of the Office shall assume the 
authority for the development, implementation, adminis-
tration, and evaluation of any projects carried out through 
the Health Resources and Services Administration relat-
ing to women’s health on the date of enactment of this 
section. 
‘‘(d) DEFINITIONS.—For purposes of this section: 
‘‘(1) ADMINISTRATION.—The term ‘Administra-
tion’ means the Health Resources and Services Ad-
ministration. 
‘‘(2) ADMINISTRATOR.—The term ‘Adminis-
trator’ means the Administrator of the Health Re-
sources and Services Administration. 
‘‘(3) OFFICE.—The term ‘Office’ means the Of-
fice of Women’s Health established under this sec-
tion in the Administration.’’. 
(g) FOOD AND DRUG ADMINISTRATION OFFICE OF 
WOMEN’S HEALTH.—Chapter IX of the Federal Food, 
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Drug, and Cosmetic Act (21 U.S.C. 391 et seq.) is amend-
ed by adding at the end the following: 
‘‘SEC. 911. OFFICE OF WOMEN’S HEALTH. 
‘‘(a) ESTABLISHMENT.—There is established within 
the Office of the Commissioner, an office to be known as 
the Office of Women’s Health (referred to in this section 
as the ‘Office’). The Office shall be headed by a director 
who shall be appointed by the Commissioner of Food and 
Drugs. 
‘‘(b) PURPOSE.—The Director of the Office shall— 
‘‘(1) report to the Commissioner of Food and 
Drugs on current Food and Drug Administration 
(referred to in this section as the ‘Administration’) 
levels of activity regarding women’s participation in 
clinical trials and the analysis of data by sex in the 
testing of drugs, medical devices, and biological 
products across, where appropriate, age, biological, 
and sociocultural contexts; 
‘‘(2) establish short-range and long-range goals 
and objectives within the Administration for issues 
of particular concern to women’s health within the 
jurisdiction of the Administration, including, where 
relevant and appropriate, adequate inclusion of 
women and analysis of data by sex in Administration 
protocols and policies; 
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‘‘(3) provide information to women and health 
care providers on those areas in which differences 
between men and women exist; 
‘‘(4) consult with pharmaceutical, biologics, and 
device manufacturers, health professionals with ex-
pertise in women’s issues, consumer organizations, 
and women’s health professionals on Administration 
policy with regard to women; 
‘‘(5) make annual estimates of funds needed to 
monitor clinical trials and analysis of data by sex in 
accordance with needs that are identified; and 
‘‘(6) serve as a member of the Department of 
Health and Human Services Coordinating Com-
mittee on Women’s Health (established under sec-
tion 229(b)(4) of the Public Health Service Act).’’. 
(h) NO NEW REGULATORY AUTHORITY.—Nothing in 
this section and the amendments made by this section may 
be construed as establishing regulatory authority or modi-
fying any existing regulatory authority. 
(i) LIMITATION ON TERMINATION.—Notwithstanding 
any other provision of law, a Federal office of women’s 
health (including the Office of Research on Women’s 
Health of the National Institutes of Health) or Federal 
appointive position with primary responsibility over wom-
en’s health issues (including the Associate Administrator 
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for Women’s Services under the Substance Abuse and 
Mental Health Services Administration) that is in exist-
ence on the date of enactment of this section shall not 
be terminated, reorganized, or have any of its powers or 
duties transferred unless such termination, reorganization, 
or transfer is approved by an Act of Congress. 
(j) RULE OF CONSTRUCTION.—Nothing in this sec-
tion (or the amendments made by this section) shall be 
construed to limit the authority of the Secretary of Health 
and Human Services with respect to women’s health, or 
with respect to activities carried out through the Depart-
ment of Health and Human Services on the date of enact-
ment of this section. 
SEC. 2588A. OFFICES OF MINORITY HEALTH. 
(a) EXISTING OFFICE.—Section 1707(a) (42 U.S.C. 
300u–6(a)) is amended by striking ‘‘within the Office of 
Public Health and Science’’ and inserting ‘‘within the Of-
fice of the Secretary’’. 
(b) ADDITIONAL OFFICES.—Title XVII (42 U.S.C. 
300u et seq.) is amended by inserting after section 1707 
the following: 
‘‘SEC. 1707A. ADDITIONAL OFFICES OF MINORITY HEALTH. 
‘‘(a) ESTABLISHMENT.—In addition to the Office of 
Minority Health established within the Office of the Sec-
retary under section 1707, the Secretary shall establish 
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an Office of Minority Health in each of the following agen-
cies: 
‘‘(1) The Centers for Disease Control and Pre-
vention. 
‘‘(2) The Substance Abuse and Mental Health 
Services Administration. 
‘‘(3) The Agency for Healthcare Research and 
Quality. 
‘‘(4) The Health Resources and Services Ad-
ministration. 
‘‘(5) The Food and Drug Administration. 
‘‘(b) DIRECTOR; APPOINTMENT.—Each Office of Mi-
nority Health established in an agency listed in subsection 
(a) shall be headed by a director, who shall be appointed 
by and report directly to the head of such agency. 
‘‘(c) REFERENCES.—Except as otherwise specified, 
any reference in Federal law to an Office of Minority 
Health (in the Department of Health and Human Serv-
ices) is deemed to be a reference to the Office of Minority 
Health in the Office of the Secretary.’’. 
(c) NO NEW REGULATORY AUTHORITY.—Nothing in 
this section and the amendments made by this section may 
be construed as establishing regulatory authority or modi-
fying any existing regulatory authority. 
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(d) 
LIMITATION
ON
TERMINATION.—Notwith-
standing any other provision of law, a Federal office of 
minority health or Federal appointive position with pri-
mary responsibility over minority health issues that is in 
existence in an office or agency of the Department of 
Health and Human Services on the date of enactment of 
this section shall not be terminated, reorganized, or have 
any of its powers or duties transferred unless such termi-
nation, reorganization, or transfer is approved by an Act 
of Congress. 
SEC. 2589. LONG-TERM CARE AND FAMILY CAREGIVER SUP-
PORT. 
(a) AMENDMENTS TO THE OLDER AMERICANS ACT 
OF 1965.— 
(1) PROMOTION
OF
DIRECT
CARE
WORK-
FORCE.—Section 202(b)(1) of the Older Americans 
Act of 1965 (42 U.S.C. 3012(b)(1)) is amended by 
inserting before the semicolon the following: ‘‘, and, 
in carrying out the purposes of this paragraph, shall 
make recommendations to other Federal entities re-
garding appropriate and effective means of identi-
fying, promoting, and implementing investments in 
the direct care workforce necessary to meet the 
growing demand for long-term health services and 
supports and of assisting States in developing a 
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comprehensive State workforce development plan 
with respect to such workforce, including assisting 
efforts to systematically assess, track, and report on 
workforce adequacy and capacity’’. 
(2) PERSONAL CARE ATTENDANT WORKFORCE 
ADVISORY
PANEL.—Section 202 of such Act (42 
U.S.C. 3012) is amended by adding at the end the 
following: 
‘‘(g)(1) Not later than 90 days after the date of the 
enactment of this subsection, the Assistant Secretary shall 
establish a Personal Care Attendant Workforce Advisory 
Panel to examine and formulate recommendations on— 
‘‘(A) working conditions and training for work-
ers providing long-term services and supports, in-
cluding home health aides, certified nurse aides, and 
personal care attendants; and 
‘‘(B) other workforce issues related to such 
workers, including with respect to the adequacy of 
the number of such workers; the salaries, wages, and 
benefits of such workers; and access to the services 
provided by such workers. 
‘‘(2) The Panel shall include representatives of— 
‘‘(A) relevant home- and community-based serv-
ice providers, health care agencies, and facilities (in-
cluding personal or home care agencies, home health 
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care agencies, nursing homes, assisted living facili-
ties, and residential care facilities); 
‘‘(B) the disability community, including indi-
viduals with disabilities and family caregivers; 
‘‘(C) the nursing community; 
‘‘(D) direct care workers (which may include 
unions and national organizations); 
‘‘(E) older individuals, including senior individ-
uals and family caregivers; 
‘‘(F) State and Federal health care entities; 
and 
‘‘(G) experts in workforce development and 
adult learning. 
‘‘(3) Within one year after the establishment of the 
Panel, the Panel shall submit a report to the Assistant 
Secretary and the Congress on workforce issues related 
to providing long-term services and supports, including in-
formation on core competencies for eligible personal or 
home care aides necessary to successfully provide long- 
term services and supports to eligible consumers, as well 
as recommended training curricula and resources. 
‘‘(4) Within 180 days after receipt by the Assistant 
Secretary of the report under paragraph (3), the Assistant 
Secretary shall establish a 3-year demonstration program 
in 4 States to pilot and evaluate the effectiveness of the 
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competencies articulated by the Panel and the training 
curricula and training methods recommended by the 
Panel. 
‘‘(5) Not later than 1 year after the completion of 
the demonstration program under paragraph (4), the As-
sistant Secretary shall submit to the Congress a report 
containing the results of the evaluations by the Assistant 
Secretary pursuant to paragraph (4), together with such 
recommendations for legislation or administrative action 
as the Assistant Secretary determines appropriate.’’. 
(b) AUTHORIZATION
OF ADDITIONAL APPROPRIA-
TIONS FOR THE FAMILY CAREGIVER SUPPORT PROGRAM 
UNDER THE OLDER AMERICANS ACT OF 1965.—Section 
303(e)(2) of the Older Americans Act of 1965 (42 U.S.C. 
3023(e)(2)) is amended by striking ‘‘, $173,000,000’’ and 
all that follows through ‘‘2011’’, and inserting ‘‘and 
$250,000,000 for each of fiscal years 2011, 2012, and 
2013’’. 
SEC. 2590. WEB SITE ON HEALTH CARE LABOR MARKET 
AND RELATED EDUCATIONAL AND TRAINING 
OPPORTUNITIES. 
(a) IN GENERAL.—The Secretary of Labor, in con-
sultation with the National Center for Health Workforce 
Analysis, shall establish and maintain a Web site to serve 
as a comprehensive source of information, searchable by 
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workforce region, on the health care labor market and re-
lated educational and training opportunities. 
(b) CONTENTS.—The Web site maintained under this 
section shall include the following: 
(1) Information on the types of jobs that are 
currently or are projected to be in high demand in 
the health care field, including— 
(A) salary information; and 
(B) training requirements, such as require-
ments for educational credentials, licensure, or 
certification. 
(2) Information on training and educational op-
portunities within each region for the type of jobs 
described in paragraph (1), including by— 
(A) type of provider or program (such as 
public, private nonprofit, or private for-profit); 
(B) duration; 
(C) cost (such as tuition, fees, books, lab-
oratory expenses, and other mandatory costs); 
(D) performance outcomes (such as grad-
uation rates, job placement, average salary, job 
retention, and wage progression); 
(E) Federal financial aid participation; 
(F) average graduate loan debt; 
(G) student loan default rates; 
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(H) average institutional grant aid pro-
vided; 
(I) Federal and State accreditation infor-
mation; and 
(J) other information determined by the 
Secretary. 
(3) A mechanism for searching and comparing 
training and educational options for specific health 
care occupations to facilitate informed career and 
education choices. 
(4) Financial aid information, including with 
respect to loan forgiveness, loan cancellation, loan 
repayment, stipends, scholarships, and grants or 
other assistance authorized by this Act or other Fed-
eral or State programs. 
(c) PUBLIC ACCESSIBILITY.—The Web site main-
tained under this section shall— 
(1) be publicly accessible; 
(2) be user friendly and convey information in 
a manner that is easily understandable; and 
(3) be in English and the second most prevalent 
language spoken based on the latest Census informa-
tion. 
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munity sanitation facility to serve Indian homes are 
determined as follows: 
‘‘(A) A level I deficiency exists if a sanita-
tion facility serving an individual, Indian Tribe, 
or Indian community— 
‘‘(i) complies with all applicable water 
supply, pollution control, and solid waste 
disposal laws; and 
‘‘(ii) deficiencies relate to routine re-
placement, repair, or maintenance needs. 
‘‘(B) A level II deficiency exists if a sanita-
tion facility serving an individual, Indian Tribe, 
or Indian community substantially or recently 
complied with all applicable water supply, pollu-
tion control, and solid waste laws and any defi-
ciencies relate to— 
‘‘(i) small or minor capital improve-
ments needed to bring the facility back 
into compliance; 
‘‘(ii) capital improvements that are 
necessary to enlarge or improve the facili-
ties in order to meet the current needs for 
domestic sanitation facilities; or 
‘‘(iii) the lack of equipment or train-
ing by an Indian Tribe, Tribal Organiza-
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