1971 
‘‘(4) a consortium of 2 or more entities de-
scribed in paragraphs (1) through (3). 
‘‘(d) PREFERENCE.—In awarding grants and con-
tracts under this section, the Secretary shall give pref-
erence to entities that have a demonstrated record of the 
following: 
‘‘(1) Addressing, or partnering with an entity 
with experience addressing, the cultural and lin-
guistic competency needs of the population to be 
served through the grant or contract. 
‘‘(2) Addressing health disparities. 
‘‘(3) Placing health professionals in regions ex-
periencing significant changes in the cultural and 
linguistic demographics of populations, including 
communities along the United States-Mexico border. 
‘‘(4) Carrying out activities described in sub-
section (b) with respect to more than one health pro-
fession discipline, specialty, or subspecialty. 
‘‘(e) CONSULTATION.—The Secretary shall carry out 
this section in consultation with the heads of appropriate 
health agencies and offices in the Department of Health 
and Human Services, including the Office of Minority 
Health. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01971
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1972 
‘‘(f) DEFINITION.—In this section, the term ‘health 
disparities’ has the meaning given to the term in section 
3171. 
‘‘(g) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program carried out 
under this section.’’. 
SEC. 2252. INNOVATIONS IN INTERDISCIPLINARY CARE 
TRAINING. 
Part D of title VII (42 U.S.C. 294 et seq.) is amend-
ed by adding at the end the following: 
‘‘SEC. 759. INNOVATIONS IN INTERDISCIPLINARY CARE 
TRAINING. 
‘‘(a) PROGRAM.—The Secretary shall establish an in-
novations in interdisciplinary care training program con-
sisting of awarding grants and contracts under subsection 
(b). 
‘‘(b) TRAINING PROGRAMS.—The Secretary shall 
award grants to, or enter into contracts with, eligible enti-
ties— 
‘‘(1) to test, develop, and evaluate health pro-
fessional training programs (including continuing 
education) designed to promote— 
‘‘(A) the delivery of health services through 
interdisciplinary and team-based models, which 
may include patient-centered medical home 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01972
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1973 
models, medication therapy management mod-
els, and models integrating physical, mental, or 
oral health services; and 
‘‘(B) coordination of the delivery of health 
care within and across settings, including health 
care institutions, community-based settings, 
and the patient’s home; and 
‘‘(2) to implement such training programs de-
veloped under paragraph (1) or otherwise. 
‘‘(c) ELIGIBILITY.—To be eligible for a grant or con-
tract under subsection (b), an entity shall be— 
‘‘(1) an accredited health professions school or 
program; 
‘‘(2) an academic health center; 
‘‘(3) a public or private nonprofit entity (includ-
ing an area health education center or a geriatric 
education center); or 
‘‘(4) a consortium of 2 or more entities de-
scribed in paragraphs (1) through (3). 
‘‘(d) PREFERENCES.—In awarding grants and con-
tracts under this section, the Secretary shall give pref-
erence to entities that have a demonstrated record of the 
following: 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01973
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1974 
‘‘(1) Training the greatest percentage, or sig-
nificantly increasing the percentage, of health pro-
fessionals who serve in underserved communities. 
‘‘(2) Broad interdisciplinary team-based collabo-
rations. 
‘‘(3) Addressing health disparities. 
‘‘(e) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program carried out 
under this section. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘health disparities’ has the 
meaning given the term in section 3171. 
‘‘(2) The term ‘interdisciplinary’ means collabo-
ration across health professions and specialties, 
which may include public health, nursing, allied 
health, and appropriate medical specialties.’’. 
PART 3—ADVISORY COMMITTEE ON HEALTH 
WORKFORCE EVALUATION AND ASSESSMENT 
SEC. 2261. HEALTH WORKFORCE EVALUATION AND ASSESS-
MENT. 
Subpart 1 of part E of title VII (42 U.S.C. 294n 
et seq.) is amended by adding at the end the following: 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01974
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1975 
‘‘SEC. 764. HEALTH WORKFORCE EVALUATION AND ASSESS-
MENT. 
‘‘(a) ADVISORY COMMITTEE.—The Secretary, acting 
through the Assistant Secretary for Health, shall establish 
a permanent advisory committee to be known as the Advi-
sory Committee on Health Workforce Evaluation and As-
sessment (referred to in this section as the ‘Advisory Com-
mittee’). 
‘‘(b) RESPONSIBILITIES.—The Advisory Committee 
shall— 
‘‘(1) not later than 1 year after the date of the 
establishment of the Advisory Committee, submit 
recommendations to the Secretary on— 
‘‘(A) classifications of the health workforce 
to ensure consistency of data collection on the 
health workforce; and 
‘‘(B) based on such classifications, stand-
ardized methodologies and procedures to enu-
merate the health workforce; 
‘‘(2) not later than 2 years after the date of the 
establishment of the Advisory Committee, submit 
recommendations to the Secretary on— 
‘‘(A) the supply, diversity, and geographic 
distribution of the health workforce; 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01975
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1976 
‘‘(B) the retention of the health workforce 
to ensure quality and adequacy of such work-
force; and 
‘‘(C) policies to carry out the recommenda-
tions made pursuant to subparagraphs (A) and 
(B); and 
‘‘(3) not later than 4 years after the date of the 
establishment of the Advisory Committee, and every 
2 years thereafter, submit updated recommendations 
to the Secretary under paragraphs (1) and (2). 
‘‘(c) ROLE OF AGENCY.—The Secretary shall provide 
ongoing administrative, research, and technical support 
for the operations of the Advisory Committee, including 
coordinating and supporting the dissemination of the rec-
ommendations of the Advisory Committee. 
‘‘(d) MEMBERSHIP.— 
‘‘(1) NUMBER; APPOINTMENT.—The Secretary 
shall appoint 15 members to serve on the Advisory 
Committee. 
‘‘(2) TERMS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
appoint members of the Advisory Committee for 
a term of 3 years and may reappoint such 
members, but the Secretary may not appoint 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01976
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1978 
‘‘(4) REPRESENTATION.—In appointing mem-
bers of the Advisory Committee, the Secretary 
shall— 
‘‘(A) include no less than one representa-
tive of each of— 
‘‘(i) health professionals within the 
health workforce; 
‘‘(ii) health care patients and con-
sumers; 
‘‘(iii) employers; 
‘‘(iv) labor unions; and 
‘‘(v) third-party health payors; and 
‘‘(B) ensure that— 
‘‘(i) all areas of expertise described in 
paragraph (3) are represented; 
‘‘(ii) the members of the Advisory 
Committee include members who, collec-
tively, have significant experience working 
with— 
‘‘(I) populations in urban and 
federally designated rural and non-
metropolitan areas; and 
‘‘(II) populations who are under-
represented in the health professions, 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01978
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1979 
including underrepresented minority 
groups; and 
‘‘(iii) individuals who are directly in-
volved in health professions education or 
practice do not constitute a majority of the 
members of the Advisory Committee. 
‘‘(5) DISCLOSURE AND CONFLICTS OF INTER-
EST.—Members of the Advisory Committee shall not 
be considered employees of the Federal Government 
by reason of service on the Advisory Committee, ex-
cept members of the Advisory Committee shall be 
considered to be special Government employees with-
in the meaning of section 107 of the Ethics in Gov-
ernment Act of 1978 (5 U.S.C. App.) and section 
208 of title 18, United States Code, for the purposes 
of disclosure and management of conflicts of interest 
under those sections. 
‘‘(6) NO
PAY; 
RECEIPT
OF
TRAVEL
EX-
PENSES.—Members of the Advisory Committee shall 
not receive any pay for service on the Committee, 
but may receive travel expenses, including a per 
diem, in accordance with applicable provisions of 
subchapter I of chapter 57 of title 5, United States 
Code. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01979
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1980 
‘‘(e) CONSULTATION.—In carrying out this section, 
the Secretary shall consult with the Secretary of Edu-
cation and the Secretary of Labor. 
‘‘(f) COLLABORATION.—The Advisory Committee 
shall collaborate with the advisory bodies at the Health 
Resources and Services Administration, the National Ad-
visory Council (as authorized in section 337), the Advisory 
Committee on Training in Primary Care Medicine and 
Dentistry (as authorized in section 749A), the Advisory 
Committee on Interdisciplinary, Community-Based Link-
ages (as authorized in section 756), the Advisory Council 
on Graduate Medical Education (as authorized in section 
762), and the National Advisory Council on Nurse Edu-
cation and Practice (as authorized in section 851). 
‘‘(g) FACA.—The Federal Advisory Committee Act 
(5 U.S.C. App.) except for section 14 of such Act shall 
apply to the Advisory Committee under this section only 
to the extent that the provisions of such Act do not conflict 
with the requirements of this section. 
‘‘(h) REPORT.—The Secretary shall submit to the 
Congress an annual report on the activities of the Advisory 
Committee. 
‘‘(i) DEFINITION.—In this section, the term ‘health 
workforce’ includes all health care providers with direct 
patient care and support responsibilities, including physi-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01980
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1981 
cians, nurses, physician assistants, pharmacists, oral 
health professionals (as defined in section 749(f)), allied 
health professionals, mental and behavioral professionals, 
and public health professionals (including veterinarians 
engaged in public health practice).’’. 
PART 4—HEALTH WORKFORCE ASSESSMENT 
SEC. 2271. HEALTH WORKFORCE ASSESSMENT. 
(a) IN GENERAL.—Section 761 (42 U.S.C. 294n) is 
amended— 
(1) by redesignating subsection (c) as sub-
section (e); and 
(2) by striking subsections (a) and (b) and in-
serting the following: 
‘‘(a) IN GENERAL.—The Secretary shall, based upon 
the classifications and standardized methodologies and 
procedures developed by the Advisory Committee on 
Health Workforce Evaluation and Assessment under sec-
tion 764(b)— 
‘‘(1) collect data on the health workforce (as 
defined in section 764(i)), disaggregated by field, 
discipline, and specialty, with respect to— 
‘‘(A) the supply (including retention) of 
health professionals relative to the demand for 
such professionals; 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01981
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1982 
‘‘(B) the diversity of health professionals 
(including with respect to race, ethnic back-
ground, and gender); and 
‘‘(C) the geographic distribution of health 
professionals; and 
‘‘(2) collect such data on individuals partici-
pating in the programs authorized by subtitles A, B, 
and C and part 1 of subtitle D of title II of subdivi-
sion C of the America’s Affordable Health Choices 
Act of 2009. 
‘‘(b) GRANTS AND CONTRACTS FOR HEALTH WORK-
FORCE ANALYSIS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants or contracts to eligible entities to carry out 
subsection (a). 
‘‘(2) ELIGIBILITY.—To be eligible for a grant 
or contract under this subsection, an entity shall 
be— 
‘‘(A) an accredited health professions 
school or program; 
‘‘(B) an academic health center; 
‘‘(C) a State, local, or tribal government; 
‘‘(D) a public or private entity; or 
‘‘(E) a consortium of 2 or more entities de-
scribed in subparagraphs (A) through (D). 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01982
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1983 
‘‘(c) COLLABORATION
AND DATA SHARING.—The 
Secretary shall collaborate with Federal departments and 
agencies, health professions organizations (including 
health professions education organizations), and profes-
sional medical societies for the purpose of carrying out 
subsection (a). 
‘‘(d) REPORT.—The Secretary shall submit to the 
Congress an annual report on the data collected under 
subsection (a).’’. 
(b) PERIOD BEFORE COMPLETION
OF NATIONAL 
STRATEGY.—Pending completion of the classifications and 
standardized methodologies and procedures developed by 
the Advisory Committee on Health Workforce Evaluation 
and Assessment under section 764(b) of the Public Health 
Service Act, as added by section 2261, the Secretary of 
Health and Human Services, acting through the Adminis-
trator of the Health Resources and Services Administra-
tion and in consultation with such Advisory Committee, 
may make a judgment about the classifications, meth-
odologies, and procedures to be used for collection of data 
under section 761(a) of the Public Health Service Act, as 
amended by this section. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01983
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1984 
PART 5—AUTHORIZATION OF APPROPRIATIONS 
SEC. 2281. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Section 799C, as added by section 
2216 of this division, is amended by adding at the end 
the following: 
‘‘(c) HEALTH PROFESSIONS TRAINING FOR DIVER-
SITY.—For the purpose of carrying out sections 736, 737, 
738, 739, and 739A, in addition to any other amounts 
authorized to be appropriated for such purpose, there are 
authorized to be appropriated, out of any monies in the 
Public Health Investment Fund, the following: 
‘‘(1) $90,000,000 for fiscal year 2010. 
‘‘(2) $97,000,000 for fiscal year 2011. 
‘‘(3) $100,000,000 for fiscal year 2012. 
‘‘(4) $104,000,000 for fiscal year 2013. 
‘‘(5) $110,000,000 for fiscal year 2014. 
‘‘(6) $116,000,000 for fiscal year 2015. 
‘‘(7) $121,000,000 for fiscal year 2016. 
‘‘(8) $127,000,000 for fiscal year 2017. 
‘‘(9) $133,000,000 for fiscal year 2018. 
‘‘(10) $140,000,000 for fiscal year 2019. 
‘‘(d) INTERDISCIPLINARY TRAINING PROGRAMS, AD-
VISORY COMMITTEE ON HEALTH WORKFORCE EVALUA-
TION AND ASSESSMENT, AND HEALTH WORKFORCE AS-
SESSMENT.—For the purpose of carrying out sections 
741, 759, 761, and 764, in addition to any other amounts 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01984
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1985 
authorized to be appropriated for such purpose, there are 
authorized to be appropriated, out of any monies in the 
Public Health Investment Fund, the following: 
‘‘(1) $91,000,000 for fiscal year 2010. 
‘‘(2) $97,000,000 for fiscal year 2011. 
‘‘(3) $101,000,000 for fiscal year 2012. 
‘‘(4) $105,000,000 for fiscal year 2013. 
‘‘(5) $111,000,000 for fiscal year 2014. 
‘‘(6) $117,000,000 for fiscal year 2015. 
‘‘(7) $122,000,000 for fiscal year 2016. 
‘‘(8) $129,000,000 for fiscal year 2017. 
‘‘(9) $135,000,000 for fiscal year 2018. 
‘‘(10) $141,000,000 for fiscal year 2019.’’. 
(b) EXISTING
AUTHORIZATIONS
OF
APPROPRIA-
TIONS.— 
(1) SECTION
736.—Paragraph (1) of section 
736(h) (42 U.S.C. 293(h)) is amended by striking 
‘‘2002’’ and inserting ‘‘2019’’. 
(2) SECTIONS 737, 738, AND 739.—Subsections 
(a), (b), and (c) of section 740 are amended by 
striking ‘‘2002’’ each place it appears and inserting 
‘‘2019’’. 
(3) SECTION 741.—Subsection (h), as so redes-
ignated, of section 741 is amended— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01985
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1986 
(A) by striking ‘‘and’’ after ‘‘fiscal year 
2003,’’; and 
(B) by inserting ‘‘, and such sums as may 
be necessary for subsequent fiscal years 
through the end of fiscal year 2019’’ before the 
period at the end. 
(4) SECTION 761.—Subsection (e)(1), as so re-
designated, of section 761 is amended by striking 
‘‘2002’’ and inserting ‘‘2019’’. 
TITLE III—PREVENTION AND 
WELLNESS 
SEC. 2301. PREVENTION AND WELLNESS. 
(a) IN GENERAL.—The Public Health Service Act 
(42 U.S.C. 201 et seq.) is amended by adding at the end 
the following: 
‘‘TITLE XXXI—PREVENTION AND 
WELLNESS 
‘‘Subtitle A—Prevention and 
Wellness Trust 
‘‘SEC. 3111. PREVENTION AND WELLNESS TRUST. 
‘‘(a) DEPOSITS INTO TRUST.—There is established 
a Prevention and Wellness Trust. There are authorized 
to be appropriated to the Trust— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01986
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1987 
‘‘(1) 
amounts 
described 
in 
section 
2002(b)(2)(ii) of the America’s Affordable Health 
Choices Act of 2009 for each fiscal year; and 
‘‘(2) in addition, out of any monies in the Pub-
lic Health Investment Fund— 
‘‘(A) for fiscal year 2010, $2,400,000,000; 
‘‘(B) for fiscal year 2011, $2,800,000,000; 
‘‘(C) for fiscal year 2012, $3,100,000,000; 
‘‘(D) for fiscal year 2013, $3,400,000,000; 
‘‘(E) for fiscal year 2014, $3,500,000,000; 
‘‘(F) for fiscal year 2015, $3,600,000,000; 
‘‘(G) for fiscal year 2016, $3,700,000,000; 
‘‘(H) for fiscal year 2017, $3,900,000,000; 
‘‘(I) for fiscal year 2018, $4,300,000,000; 
and 
‘‘(J) for fiscal year 2019, $4,600,000,000. 
‘‘(b) AVAILABILITY OF FUNDS.—Amounts in the Pre-
vention and Wellness Trust shall be available, as provided 
in advance in appropriation Acts, for carrying out this 
title. 
‘‘(c) ALLOCATION.—Of the amounts authorized to be 
appropriated in subsection (a)(2), there are authorized to 
be appropriated— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01987
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1988 
‘‘(1) for carrying out subtitle C (Prevention 
Task Forces), $35,000,000 for each of fiscal years 
2010 through 2019; 
‘‘(2) for carrying out subtitle D (Prevention 
and Wellness Research)— 
‘‘(A) for fiscal year 2010, $100,000,000; 
‘‘(B) for fiscal year 2011, $150,000,000; 
‘‘(C) for fiscal year 2012, $200,000,000; 
‘‘(D) for fiscal year 2013, $250,000,000; 
‘‘(E) for fiscal year 2014, $300,000,000; 
‘‘(F) for fiscal year 2015, $315,000,000; 
‘‘(G) for fiscal year 2016, $331,000,000; 
‘‘(H) for fiscal year 2017, $347,000,000; 
‘‘(I) for fiscal year 2018, $364,000,000; 
and 
‘‘(J) for fiscal year 2019, $383,000,000. 
‘‘(3) for carrying out subtitle E (Delivery of 
Community Preventive and Wellness Services)— 
‘‘(A) for fiscal year 2010, $1,100,000,000; 
‘‘(B) for fiscal year 2011, $1,300,000,000; 
‘‘(C) for fiscal year 2012, $1,400,000,000; 
‘‘(D) for fiscal year 2013, $1,600,000,000; 
‘‘(E) for fiscal year 2014, $1,700,000,000; 
‘‘(F) for fiscal year 2015, $1,800,000,000; 
‘‘(G) for fiscal year 2016, $1,900,000,000; 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01988
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1989 
‘‘(H) for fiscal year 2017, $2,000,000,000; 
‘‘(I) for fiscal year 2018, $2,100,000,000; 
and 
‘‘(J) for fiscal year 2019, $2,300,000,000. 
‘‘(4) for carrying out section 3161 (Core Public 
Health Infrastructure and Activities for State and 
Local Health Departments)— 
‘‘(A) for fiscal year 2010, $800,000,000; 
‘‘(B) for fiscal year 2011, $1,000,000,000; 
‘‘(C) for fiscal year 2012, $1,100,000,000; 
‘‘(D) for fiscal year 2013, $1,200,000,000; 
‘‘(E) for fiscal year 2014, $1,300,000,000; 
‘‘(F) for fiscal year 2015, $1,400,000,000; 
‘‘(G) for fiscal year 2016, $1,500,000,000; 
‘‘(H) for fiscal year 2017, $1,600,000,000; 
‘‘(I) for fiscal year 2018, $1,800,000,000; 
and 
‘‘(J) for fiscal year 2019, $1,900,000,000; 
and 
‘‘(5) for carrying out section 3162 (Core Public 
Health Infrastructure and Activities for CDC), 
$400,000,000 for each of fiscal years 2010 through 
2019. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01989
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1990 
‘‘Subtitle B—National Prevention 
and Wellness Strategy 
‘‘SEC. 3121. NATIONAL PREVENTION AND WELLNESS STRAT-
EGY. 
‘‘(a) IN GENERAL.—The Secretary shall submit to 
the Congress within one year after the date of the enact-
ment of this section, and at least every 2 years thereafter, 
a national strategy that is designed to improve the Na-
tion’s health through evidence-based clinical and commu-
nity prevention and wellness activities (in this section re-
ferred to as ‘prevention and wellness activities’), including 
core public health infrastructure improvement activities. 
‘‘(b) CONTENTS.—The strategy under subsection (a) 
shall include each of the following: 
‘‘(1) Identification of specific national goals and 
objectives in prevention and wellness activities that 
take into account appropriate public health measures 
and standards, including departmental measures and 
standards (including Healthy People and National 
Public Health Performance Standards). 
‘‘(2) Establishment of national priorities for 
prevention and wellness, taking into account unmet 
prevention and wellness needs. 
‘‘(3) Establishment of national priorities for re-
search on prevention and wellness, taking into ac-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01990
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1991 
count unanswered research questions on prevention 
and wellness. 
‘‘(4) Identification of health disparities in pre-
vention and wellness. 
‘‘(5) A plan for addressing and implementing 
paragraphs (1) through (4). 
‘‘(c) CONSULTATION.—In developing or revising the 
strategy under subsection (a), the Secretary shall consult 
with the following: 
‘‘(1) The heads of appropriate health agencies 
and offices in the Department, including the Office 
of the Surgeon General of the Public Health Service, 
the Office of Minority Health, and the Office on 
Women’s Health. 
‘‘(2) As appropriate, the heads of other Federal 
departments and agencies whose programs have a 
significant impact upon health (as determined by the 
Secretary). 
‘‘(3) As appropriate, nonprofit and for-profit 
entities. 
‘‘(4) The Association of State and Territorial 
Health Officials and the National Association of 
County and City Health Officials. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01991
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1992 
‘‘Subtitle C—Prevention Task 
Forces 
‘‘SEC. 3131. TASK FORCE ON CLINICAL PREVENTIVE SERV-
ICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Agency for Healthcare Research and 
Quality, shall establish a permanent task force to be 
known as the Task Force on Clinical Preventive Services 
(in this section referred to as the ‘Task Force’). 
‘‘(b) RESPONSIBILITIES.—The Task Force shall— 
‘‘(1) identify clinical preventive services for re-
view; 
‘‘(2) review the scientific evidence related to the 
benefits, effectiveness, appropriateness, and costs of 
clinical preventive services identified under para-
graph (1) for the purpose of developing, updating, 
publishing, and disseminating evidence-based rec-
ommendations on the use of such services; 
‘‘(3) as appropriate, take into account health 
disparities in developing, updating, publishing, and 
disseminating evidence-based recommendations on 
the use of such services; 
‘‘(4) identify gaps in clinical preventive services 
research and evaluation and recommend priority 
areas for such research and evaluation; 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01992
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1993 
‘‘(5) as appropriate, consult with the clinical 
prevention stakeholders board in accordance with 
subsection (f); 
‘‘(6) as appropriate, consult with the Task 
Force on Community Preventive Services established 
under section 3132; and 
‘‘(7) as appropriate, in carrying out this sec-
tion, consider the national strategy under section 
3121. 
‘‘(c) ROLE OF AGENCY.—The Secretary shall provide 
ongoing administrative, research, and technical support 
for the operations of the Task Force, including coordi-
nating and supporting the dissemination of the rec-
ommendations of the Task Force. 
‘‘(d) MEMBERSHIP.— 
‘‘(1) 
NUMBER; 
APPOINTMENT.—The 
Task 
Force shall be composed of 30 members, appointed 
by the Secretary. 
‘‘(2) TERMS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
appoint members of the Task Force for a term 
of 6 years and may reappoint such members, 
but the Secretary may not appoint any member 
to serve more than a total of 12 years. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01993
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1994 
‘‘(B) 
STAGGERED
TERMS.—Notwith-
standing subparagraph (A), of the members 
first appointed to serve on the Task Force after 
the enactment of this title— 
‘‘(i) 10 shall be appointed for a term 
of 2 years; 
‘‘(ii) 10 shall be appointed for a term 
of 4 years; and 
‘‘(iii) 10 shall be appointed for a term 
of 6 years. 
‘‘(3) QUALIFICATIONS.—Members of the Task 
Force shall be appointed from among individuals 
who possess expertise in at least one of the following 
areas: 
‘‘(A) Health promotion and disease preven-
tion. 
‘‘(B) Evaluation of research and system-
atic evidence reviews. 
‘‘(C) Application of systematic evidence re-
views to clinical decisionmaking or health pol-
icy. 
‘‘(D) Clinical primary care in child and ad-
olescent health. 
‘‘(E) Clinical primary care in adult health, 
including women’s health. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01994
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1995 
‘‘(F) Clinical primary care in geriatrics. 
‘‘(G) Clinical counseling and behavioral 
services for primary care patients. 
‘‘(4) REPRESENTATION.—In appointing mem-
bers of the Task Force, the Secretary shall ensure 
that— 
‘‘(A) all areas of expertise described in 
paragraph (3) are represented; and 
‘‘(B) the members of the Task Force in-
clude practitioners who, collectively, have sig-
nificant experience treating racially and eth-
nically diverse populations. 
‘‘(e) SUBGROUPS.—As appropriate to maximize effi-
ciency, the Task Force may delegate authority for con-
ducting reviews and making recommendations to sub-
groups consisting of Task Force members, subject to final 
approval by the Task Force. 
‘‘(f) 
CLINICAL
PREVENTION
STAKEHOLDERS 
BOARD.— 
‘‘(1) IN GENERAL.—The Task Force shall con-
vene a clinical prevention stakeholders board com-
posed of representatives of appropriate public and 
private entities with an interest in clinical preventive 
services to advise the Task Force on developing, up-
dating, publishing, and disseminating evidence-based 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01995
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1996 
recommendations on the use of clinical preventive 
services. 
‘‘(2) MEMBERSHIP.—The members of the clin-
ical prevention stakeholders board shall include rep-
resentatives of the following: 
‘‘(A) Health care consumers and patient 
groups. 
‘‘(B) Providers of clinical preventive serv-
ices, including community-based providers. 
‘‘(C) Federal departments and agencies, 
including— 
‘‘(i) appropriate health agencies and 
offices in the Department, including the 
Office of the Surgeon General of the Pub-
lic Health Service, the Office of Minority 
Health, and the Office on Women’s 
Health; and 
‘‘(ii) as appropriate, other Federal de-
partments and agencies whose programs 
have a significant impact upon health (as 
determined by the Secretary). 
‘‘(D) Private health care payors. 
‘‘(3) RESPONSIBILITIES.—In accordance with 
subsection (b)(5), the clinical prevention stake-
holders board shall— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01996
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1997 
‘‘(A) recommend clinical preventive serv-
ices for review by the Task Force; 
‘‘(B) suggest scientific evidence for consid-
eration by the Task Force related to reviews 
undertaken by the Task Force; 
‘‘(C) provide feedback regarding draft rec-
ommendations by the Task Force; and 
‘‘(D) assist with efforts regarding dissemi-
nation of recommendations by the Director of 
the Agency for Healthcare Research and Qual-
ity. 
‘‘(g) DISCLOSURE AND CONFLICTS OF INTEREST.— 
Members of the Task Force or the clinical prevention 
stakeholders board shall not be considered employees of 
the Federal Government by reason of service on the Task 
Force, except members of the Task Force shall be consid-
ered to be special Government employees within the mean-
ing of section 107 of the Ethics in Government Act of 
1978 (5 U.S.C. App.) and section 208 of title 18, United 
States Code, for the purposes of disclosure and manage-
ment of conflicts of interest under those sections. 
‘‘(h) NO PAY; RECEIPT OF TRAVEL EXPENSES.— 
Members of the Task Force or the clinical prevention 
stakeholders board shall not receive any pay for service 
on the Task Force, but may receive travel expenses, in-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01997
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1998 
cluding a per diem, in accordance with applicable provi-
sions of subchapter I of chapter 57 of title 5, United 
States Code. 
‘‘(i) APPLICATION OF FACA.—The Federal Advisory 
Committee Act (5 U.S.C. App.) except for section 14 of 
such Act shall apply to the Task Force to the extent that 
the provisions of such Act do not conflict with the provi-
sions of this title. 
‘‘(j) REPORT.—The Secretary shall submit to the 
Congress an annual report on the Task Force, including 
with respect to gaps identified and recommendations made 
under subsection (b)(4). 
‘‘SEC. 3132. TASK FORCE ON COMMUNITY PREVENTIVE 
SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall establish a permanent task force to be 
known as the Task Force on Community Preventive Serv-
ices (in this section referred to as the ‘Task Force’). 
‘‘(b) RESPONSIBILITIES.—The Task Force shall— 
‘‘(1) identify community preventive services for 
review; 
‘‘(2) review the scientific evidence related to the 
benefits, effectiveness, appropriateness, and costs of 
community preventive services identified under para-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01998
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
1999 
graph (1) for the purpose of developing, updating, 
publishing, and disseminating evidence-based rec-
ommendations on the use of such services; 
‘‘(3) as appropriate, take into account health 
disparities in developing, updating, publishing, and 
disseminating evidence-based recommendations on 
the use of such services; 
‘‘(4) identify gaps in community preventive 
services research and evaluation and recommend pri-
ority areas for such research and evaluation; 
‘‘(5) as appropriate, consult with the commu-
nity prevention stakeholders board in accordance 
with subsection (f); 
‘‘(6) as appropriate, consult with the Task 
Force on Clinical Preventive Services established 
under section 3131; and 
‘‘(7) as appropriate, in carrying out this sec-
tion, consider the national strategy under section 
3121. 
‘‘(c) ROLE OF AGENCY.—The Secretary shall provide 
ongoing administrative, research, and technical support 
for the operations of the Task Force, including coordi-
nating and supporting the dissemination of the rec-
ommendations of the Task Force. 
‘‘(d) MEMBERSHIP.— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 01999
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2000 
‘‘(1) 
NUMBER; 
APPOINTMENT.—The 
Task 
Force shall be composed of 30 members, appointed 
by the Secretary. 
‘‘(2) TERMS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
appoint members of the Task Force for a term 
of 6 years and may reappoint such members, 
but the Secretary may not appoint any member 
to serve more than a total of 12 years. 
‘‘(B) 
STAGGERED
TERMS.—Notwith-
standing subparagraph (A), of the members 
first appointed to serve on the Task Force after 
the enactment of this section— 
‘‘(i) 10 shall be appointed for a term 
of 2 years; 
‘‘(ii) 10 shall be appointed for a term 
of 4 years; and 
‘‘(iii) 10 shall be appointed for a term 
of 6 years. 
‘‘(3) QUALIFICATIONS.—Members of the Task 
Force shall be appointed from among individuals 
who possess expertise in at least one of the following 
areas: 
‘‘(A) Public health. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02000
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2001 
‘‘(B) Evaluation of research and system-
atic evidence reviews. 
‘‘(C) Disciplines relevant to community 
preventive services, including health promotion; 
disease prevention; chronic disease; worksite 
health; qualitative and quantitative analysis; 
and health economics, policy, law, and statis-
tics. 
‘‘(4) REPRESENTATION.—In appointing mem-
bers of the Task Force, the Secretary— 
‘‘(A) shall ensure that all areas of exper-
tise described in paragraph (3) are represented; 
‘‘(B) shall ensure that such members in-
clude sufficient representatives of each of— 
‘‘(i) State health officers; 
‘‘(ii) local health officers; 
‘‘(iii) health care practitioners; and 
‘‘(iv) public health practitioners; and 
‘‘(C) shall appoint individuals who, collec-
tively, have significant experience working with 
racially and ethnically diverse populations. 
‘‘(e) SUBGROUPS.—As appropriate to maximize effi-
ciency, the Task Force may delegate authority for con-
ducting reviews and making recommendations to sub-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02001
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2002 
groups consisting of Task Force members, subject to final 
approval by the Task Force. 
‘‘(f) 
COMMUNITY
PREVENTION
STAKEHOLDERS 
BOARD.— 
‘‘(1) IN GENERAL.—The Task Force shall con-
vene a community prevention stakeholders board 
composed of representatives of appropriate public 
and private entities with an interest in community 
preventive services to advise the Task Force on de-
veloping, updating, publishing, and disseminating 
evidence-based recommendations on the use of com-
munity preventive services. 
‘‘(2) MEMBERSHIP.—The members of the com-
munity prevention stakeholders board shall include 
representatives of the following: 
‘‘(A) Health care consumers and patient 
groups. 
‘‘(B) Providers of community preventive 
services, including community-based providers. 
‘‘(C) Federal departments and agencies, 
including— 
‘‘(i) appropriate health agencies and 
offices in the Department, including the 
Office of the Surgeon General of the Pub-
lic Health Service, the Office of Minority 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02002
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2003 
Health, and the Office on Women’s 
Health; and 
‘‘(ii) as appropriate, other Federal de-
partments and agencies whose programs 
have a significant impact upon health (as 
determined by the Secretary). 
‘‘(D) Private health care payors. 
‘‘(3) RESPONSIBILITIES.—In accordance with 
subsection (b)(5), the community prevention stake-
holders board shall— 
‘‘(A) recommend community preventive 
services for review by the Task Force; 
‘‘(B) suggest scientific evidence for consid-
eration by the Task Force related to reviews 
undertaken by the Task Force; 
‘‘(C) provide feedback regarding draft rec-
ommendations by the Task Force; and 
‘‘(D) assist with efforts regarding dissemi-
nation of recommendations by the Director of 
the Centers for Disease Control and Prevention. 
‘‘(g) DISCLOSURE AND CONFLICTS OF INTEREST.— 
Members of the Task Force or the community prevention 
stakeholders board shall not be considered employees of 
the Federal Government by reason of service on the Task 
Force, except members of the Task Force shall be consid-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02003
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2004 
ered to be special Government employees within the mean-
ing of section 107 of the Ethics in Government Act of 
1978 (5 U.S.C. App.) and section 208 of title 18, United 
States Code, for the purposes of disclosure and manage-
ment of conflicts of interest under those sections. 
‘‘(h) NO PAY; RECEIPT OF TRAVEL EXPENSES.— 
Members of the Task Force or the community prevention 
stakeholders board shall not receive any pay for service 
on the Task Force, but may receive travel expenses, in-
cluding a per diem, in accordance with applicable provi-
sions of subchapter I of chapter 57 of title 5, United 
States Code. 
‘‘(i) APPLICATION OF FACA.—The Federal Advisory 
Committee Act (5 U.S.C. App.) except for section 14 of 
such Act shall apply to the Task Force to the extent that 
the provisions of such Act do not conflict with the provi-
sions of this title. 
‘‘(j) REPORT.—The Secretary shall submit to the 
Congress an annual report on the Task Force, including 
with respect to gaps identified and recommendations made 
under subsection (b)(4). 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02004
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2005 
‘‘Subtitle D—Prevention and 
Wellness Research 
‘‘SEC. 3141. PREVENTION AND WELLNESS RESEARCH ACTIV-
ITY COORDINATION. 
‘‘In conducting or supporting research on prevention 
and wellness, the Director of the Centers for Disease Con-
trol and Prevention, the Director of the National Insti-
tutes of Health, and the heads of other agencies within 
the Department of Health and Human Services con-
ducting or supporting such research, shall take into con-
sideration the national strategy under section 3121 and 
the recommendations of the Task Force on Clinical Pre-
ventive Services under section 3131 and the Task Force 
on Community Preventive Services under section 3132. 
‘‘SEC. 3142. COMMUNITY PREVENTION AND WELLNESS RE-
SEARCH GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall conduct, or award grants to eligible entities 
to conduct, research in priority areas identified by the Sec-
retary in the national strategy under section 3121 or by 
the Task Force on Community Preventive Services as re-
quired by section 3132. 
‘‘(b) ELIGIBILITY.—To be eligible for a grant under 
this section, an entity shall be— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02005
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2006 
‘‘(1) a State, local, or tribal department of 
health; 
‘‘(2) a public or private nonprofit entity; or 
‘‘(3) a consortium of 2 or more entities de-
scribed in paragraphs (1) and (2). 
‘‘(c) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program of research 
under this section. 
‘‘Subtitle E—Delivery of Commu-
nity Prevention and Wellness 
Services 
‘‘SEC. 3151. COMMUNITY PREVENTION AND WELLNESS 
SERVICES GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall establish a program for the delivery of com-
munity preventive and wellness services consisting of 
awarding grants to eligible entities— 
‘‘(1) to provide evidence-based, community pre-
ventive and wellness services in priority areas identi-
fied by the Secretary in the national strategy under 
section 3121; or 
‘‘(2) to plan such services. 
‘‘(b) ELIGIBILITY.— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02006
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2007 
‘‘(1) DEFINITION.—To be eligible for a grant 
under this section, an entity shall be— 
‘‘(A) a State, local, or tribal department of 
health; 
‘‘(B) a public or private entity; or 
‘‘(C) a consortium of— 
‘‘(i) 2 or more entities described in 
subparagraph (A) or (B); and 
‘‘(ii) a community partnership rep-
resenting a Health Empowerment Zone. 
‘‘(2) HEALTH EMPOWERMENT ZONE.—In this 
subsection, the term ‘Health Empowerment Zone’ 
means an area— 
‘‘(A) in which multiple community preven-
tive and wellness services are implemented in 
order to address one or more health disparities, 
including those identified by the Secretary in 
the national strategy under section 3121; and 
‘‘(B) which is represented by a community 
partnership that demonstrates community sup-
port and coordination with State, local, or tribal 
health departments and includes— 
‘‘(i) a broad cross section of stake-
holders; 
‘‘(ii) residents of the community; and 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02007
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2008 
‘‘(iii) representatives of entities that 
have a history of working within and serv-
ing the community. 
‘‘(c) PREFERENCES.—In awarding grants under this 
section, the Secretary shall give preference to entities 
that— 
‘‘(1) will address one or more goals or objec-
tives identified by the Secretary in the national 
strategy under section 3121; 
‘‘(2) will address significant health disparities, 
including those identified by the Secretary in the na-
tional strategy under section 3121; 
‘‘(3) will address unmet community prevention 
needs and avoids duplication of effort; 
‘‘(4) have been demonstrated to be effective in 
communities comparable to the proposed target com-
munity; 
‘‘(5) will contribute to the evidence base for 
community preventive and wellness services; 
‘‘(6) demonstrate that the community preven-
tive services to be funded will be sustainable; and 
‘‘(7) demonstrate coordination or collaboration 
across governmental and nongovernmental partners. 
‘‘(d) HEALTH DISPARITIES.—Of the funds awarded 
under this section for a fiscal year, the Secretary shall 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02008
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2009 
award not less than 50 percent for planning or imple-
menting community preventive and wellness services 
whose primary purpose is to achieve a measurable reduc-
tion in one or more health disparities, including those 
identified by the Secretary in the national strategy under 
section 3121. 
‘‘(e) EMPHASIS ON RECOMMENDED SERVICES.—For 
fiscal year 2013 and subsequent fiscal years, the Secretary 
shall award grants under this section only for planning 
or implementing services recommended by the Task Force 
on Community Preventive Services under section 3122 or 
deemed effective based on a review of comparable rigor 
(as determined by the Director of the Centers for Disease 
Control and Prevention). 
‘‘(f) PROHIBITED USES OF FUNDS.—An entity that 
receives a grant under this section may not use funds pro-
vided through the grant— 
‘‘(1) to build or acquire real property or for 
construction; or 
‘‘(2) for services or planning to the extent that 
payment has been made, or can reasonably be ex-
pected to be made— 
‘‘(A) under any insurance policy; 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02009
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2010 
‘‘(B) under any Federal or State health 
benefits program (including titles XIX and XXI 
of the Social Security Act); or 
‘‘(C) by an entity which provides health 
services on a prepaid basis. 
‘‘(g) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program of grants 
awarded under this section. 
‘‘(h) DEFINITIONS.—In this section, the term ‘evi-
dence-based’ means that methodologically sound research 
has demonstrated a beneficial health effect, in the judg-
ment of the Director of the Centers for Disease Control 
and Prevention. 
‘‘Subtitle F—Core Public Health 
Infrastructure 
‘‘SEC. 3161. CORE PUBLIC HEALTH INFRASTRUCTURE FOR 
STATE, LOCAL, AND TRIBAL HEALTH DEPART-
MENTS. 
‘‘(a) PROGRAM.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion shall establish a core public health infrastructure pro-
gram consisting of awarding grants under subsection (b). 
‘‘(b) GRANTS.— 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02010
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2011 
‘‘(1) AWARD.—For the purpose of addressing 
core public health infrastructure needs, the Sec-
retary— 
‘‘(A) shall award a grant to each State 
health department; and 
‘‘(B) may award grants on a competitive 
basis to State, local, or tribal health depart-
ments. 
‘‘(2) ALLOCATION.—Of the total amount of 
funds awarded as grants under this subsection for a 
fiscal year— 
‘‘(A) not less than 50 percent shall be for 
grants to State health departments under para-
graph (1)(A); and 
‘‘(B) not less than 30 percent shall be for 
grants to State, local, or tribal health depart-
ments under paragraph (1)(B). 
‘‘(c) USE OF FUNDS.—The Secretary may award a 
grant to an entity under subsection (b)(1) only if the enti-
ty agrees to use the grant to address core public health 
infrastructure needs, including those identified in the ac-
creditation process under subsection (g). 
‘‘(d) FORMULA GRANTS TO STATE HEALTH DEPART-
MENTS.—In making grants under subsection (b)(1)(A), 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02011
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2012 
the Secretary shall award funds to each State health de-
partment in accordance with— 
‘‘(1) a formula based on population size; burden 
of preventable disease and disability; and core public 
health infrastructure gaps, including those identified 
in the accreditation process under subsection (g); 
and 
‘‘(2) application requirements established by the 
Secretary, including a requirement that the State 
submit a plan that demonstrates to the satisfaction 
of the Secretary that the State’s health department 
will— 
‘‘(A) address its highest priority core pub-
lic health infrastructure needs; and 
‘‘(B) as appropriate, allocate funds to local 
health departments within the State. 
‘‘(e) COMPETITIVE GRANTS TO STATE, LOCAL, AND 
TRIBAL
HEALTH
DEPARTMENTS.—In making grants 
under subsection (b)(1)(B), the Secretary shall give pri-
ority to applicants demonstrating core public health infra-
structure needs identified in the accreditation process 
under subsection (g). 
‘‘(f) MAINTENANCE
OF EFFORT.—The Secretary 
may award a grant to an entity under subsection (b) only 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02012
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2013 
if the entity demonstrates to the satisfaction of the Sec-
retary that— 
‘‘(1) funds received through the grant will be 
expended only to supplement, and not supplant, non- 
Federal and Federal funds otherwise available to the 
entity for the purpose of addressing core public 
health infrastructure needs; and 
‘‘(2) with respect to activities for which the 
grant is awarded, the entity will maintain expendi-
tures of non-Federal amounts for such activities at 
a level not less than the level of such expenditures 
maintained by the entity for the fiscal year pre-
ceding the fiscal year for which the entity receives 
the grant. 
‘‘(g) ESTABLISHMENT OF A PUBLIC HEALTH AC-
CREDITATION PROGRAM.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall— 
‘‘(A) develop, and periodically review and 
update, standards for voluntary accreditation of 
State, local, or tribal health departments and 
public health laboratories for the purpose of ad-
vancing the quality and performance of such de-
partments and laboratories; and 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02013
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2014 
‘‘(B) implement a program to accredit 
such health departments and laboratories in ac-
cordance with such standards. 
‘‘(2) COOPERATIVE
AGREEMENT.—The Sec-
retary may enter into a cooperative agreement with 
a private nonprofit entity to carry out paragraph 
(1). 
‘‘(h) REPORT.—The Secretary shall submit to the 
Congress an annual report on progress being made to ac-
credit entities under subsection (g), including— 
‘‘(1) a strategy, including goals and objectives, 
for accrediting entities under subsection (g) and 
achieving the purpose described in subsection (g)(1); 
and 
‘‘(2) identification of gaps in research related to 
core public health infrastructure and recommenda-
tions of priority areas for such research. 
‘‘SEC. 3162. CORE PUBLIC HEALTH INFRASTRUCTURE AND 
ACTIVITIES FOR CDC. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall expand and improve the core public health 
infrastructure and activities of the Centers for Disease 
Control and Prevention to address unmet and emerging 
public health needs. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02014
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2015 
‘‘(b) REPORT.—The Secretary shall submit to the 
Congress an annual report on the activities funded 
through this section. 
‘‘Subtitle G—General Provisions 
‘‘SEC. 3171. DEFINITIONS. 
‘‘In this title: 
‘‘(1) The term ‘core public health infrastruc-
ture’ includes workforce capacity and competency; 
laboratory systems; health information, health infor-
mation systems, and health information analysis; 
communications; financing; other relevant compo-
nents of organizational capacity; and other related 
activities. 
‘‘(2) The terms ‘Department’ and ‘depart-
mental’ refer to the Department of Health and 
Human Services. 
‘‘(3) The term ‘health disparities’ includes 
health and health care disparities and means popu-
lation-specific differences in the presence of disease, 
health outcomes, or access to health care. For pur-
poses of the preceding sentence, a population may be 
delineated by race, ethnicity, geographic setting, or 
other population or subpopulation determined appro-
priate by the Secretary. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02015
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2016 
‘‘(4) The term ‘tribal’ refers to an Indian tribe, 
a Tribal organization, or an Urban Indian organiza-
tion, as such terms are defined in section 4 of the 
Indian Health Care Improvement Act.’’. 
(b) TRANSITION PROVISIONS APPLICABLE TO TASK 
FORCES.— 
(1) FUNCTIONS, PERSONNEL, ASSETS, LIABIL-
ITIES, AND
ADMINISTRATIVE
ACTIONS.—All func-
tions, personnel, assets, and liabilities of, and ad-
ministrative actions applicable to, the Preventive 
Services Task Force convened under section 915(a) 
of the Public Health Service Act and the Task Force 
on Community Preventive Services (as such section 
and Task Forces were in existence on the day before 
the date of the enactment of this Act) shall be trans-
ferred to the Task Force on Clinical Preventive 
Services and the Task Force on Community Preven-
tive Services, respectively, established under sections 
3121 and 3122 of the Public Health Service Act, as 
added by subsection (a). 
(2) RECOMMENDATIONS.—All recommendations 
of the Preventive Services Task Force and the Task 
Force on Community Preventive Services, as in ex-
istence on the day before the date of the enactment 
of this Act, shall be considered to be recommenda-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02016
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2017 
tions of the Task Force on Clinical Preventive Serv-
ices and the Task Force on Community Preventive 
Services, respectively, established under sections 
3121 and 3122 of the Public Health Service Act, as 
added by subsection (a). 
(3) MEMBERS ALREADY SERVING.— 
(A) INITIAL MEMBERS.—The Secretary of 
Health and Human Services may select those 
individuals already serving on the Preventive 
Services Task Force and the Task Force on 
Community Preventive Services, as in existence 
on the day before the date of the enactment of 
this Act, to be among the first members ap-
pointed to the Task Force on Clinical Preven-
tive Services and the Task Force on Commu-
nity Preventive Services, respectively, under sec-
tions 3121 and 3122 of the Public Health Serv-
ice Act, as added by subsection (a). 
(B) CALCULATION OF TOTAL SERVICE.—In 
calculating the total years of service of a mem-
ber of a task force for purposes of section 
3131(d)(2)(A) or 3132(d)(2)(A) of the Public 
Health Service Act, as added by subsection (a), 
the Secretary of Health and Human Services 
shall not include any period of service by the 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02017
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2018 
member on the Preventive Services Task Force 
or the Task Force on Community Preventive 
Services, respectively, as in existence on the day 
before the date of the enactment of this Act. 
(c) PERIOD BEFORE COMPLETION
OF NATIONAL 
STRATEGY.—Pending completion of the national strategy 
under section 3121 of the Public Health Service Act, as 
added by subsection (a), the Secretary of Health and 
Human Services, acting through the relevant agency head, 
may make a judgment about how the strategy will address 
an issue and rely on such judgment in carrying out any 
provision of subtitle C, D, E, or F of title XXXI of such 
Act, as added by subsection (a), that requires the Sec-
retary— 
(1) to take into consideration such strategy; 
(2) to conduct or support research or provide 
services in priority areas identified in such strategy; 
or 
(3) to take any other action in reliance on such 
strategy. 
(d) CONFORMING AMENDMENTS.— 
(1) Paragraph (61) of section 3(b) of the In-
dian Health Care Improvement Act (25 U.S.C. 
1602) is amended by striking ‘‘United States Pre-
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02018
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2019 
ventive Services Task Force’’ and inserting ‘‘Task 
Force on Clinical Preventive Services’’. 
(2) Section 126 of the Medicare, Medicaid, and 
SCHIP Benefits Improvement and Protection Act of 
2000 (Appendix F of Public Law 106–554) is 
amended by striking ‘‘United States Preventive 
Services Task Force’’ each place it appears and in-
serting ‘‘Task Force on Clinical Preventive Serv-
ices’’. 
(3) Paragraph (7) of section 317D of the Pub-
lic Health Service Act (42 U.S.C. 247b–5) is amend-
ed by striking ‘‘United States Preventive Services 
Task Force’’ each place it appears and inserting 
‘‘Task Force on Clinical Preventive Services’’. 
(4) Section 915 of the Public Health Service 
Act (42 U.S.C. 299b–4) is amended by striking sub-
section (a). 
(5) Subsections (s)(2)(AA)(iii)(II), (xx)(1), and 
(ddd)(1)(B) of section 1861 of the Social Security 
Act (42 U.S.C. 1395x) are amended by striking 
‘‘United States Preventive Services Task Force’’ 
each place it appears and inserting ‘‘Task Force on 
Clinical Preventive Services’’. 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02019
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2020 
TITLE IV—QUALITY AND 
SURVEILLANCE 
SEC. 2401. IMPLEMENTATION OF BEST PRACTICES IN THE 
DELIVERY OF HEALTH CARE. 
(a) IN GENERAL.—Title IX of the Public Health 
Service Act (42 U.S.C. 299 et seq.) is amended— 
(1) by redesignating part D as part E; 
(2) by redesignating sections 931 through 938 
as sections 941 through 948, respectively; 
(3) in section 938(1), by striking ‘‘931’’ and in-
serting ‘‘941’’; and 
(4) by inserting after part C the following: 
‘‘PART D—IMPLEMENTATION OF BEST 
PRACTICES IN THE DELIVERY OF HEALTH CARE 
‘‘SEC. 931. CENTER FOR QUALITY IMPROVEMENT. 
‘‘(a) IN GENERAL.—There is established the Center 
for Quality Improvement (referred to in this part as the 
‘Center’), to be headed by the Director. 
‘‘(b) PRIORITIZATION.— 
‘‘(1) 
IN
GENERAL.—The 
Director 
shall 
prioritize areas for the identification, development, 
evaluation, and implementation of best practices (in-
cluding innovative methodologies and strategies) for 
quality improvement activities in the delivery of 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02020
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS
2021 
health care services (in this section referred to as 
‘best practices’). 
‘‘(2) CONSIDERATIONS.—In prioritizing areas 
under paragraph (1), the Director shall consider— 
‘‘(A) the priorities established under sec-
tion 1191 of the Social Security Act; and 
‘‘(B) the key health indicators identified by 
the Assistant Secretary for Health Information 
under section 1709. 
‘‘(c) OTHER RESPONSIBILITIES.—The Director, act-
ing directly or by awarding a grant or contract to an eligi-
ble entity, shall— 
‘‘(1) identify existing best practices under sub-
section (e); 
‘‘(2) develop new best practices under sub-
section (f); 
‘‘(3) evaluate best practices under subsection 
(g); 
‘‘(4) implement best practices under subsection 
(h); 
‘‘(5) ensure that best practices are identified, 
developed, evaluated, and implemented under this 
section consistent with standards adopted by the 
Secretary under section 3004 for health information 
technology used in the collection and reporting of 
VerDate Nov 24 2008 
23:53 Mar 17, 2010
Jkt 089200
PO 00000
Frm 02021
Fmt 6652
Sfmt 6201
E:\BILLS\H4872.RH
H4872
dcolon on DSK2BSOYB1PROD with BILLS