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‘‘(f) DEFINITIONS.—For purposes of this section: 
‘‘(1) INDIAN TRIBE.—The term ‘Indian tribe’ 
has the meaning given such term in section 4(e) of 
the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450b(e)). 
‘‘(2) STATE.—The term ‘State’ means any 
State of the United States, the District of Columbia, 
the Commonwealth of Puerto Rico, the Virgin Is-
lands, American Samoa, Guam, and the Northern 
Mariana Islands. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
‘‘(1) for fiscal year 2009, $32,000,000; 
‘‘(2) for fiscal year 2010, $34,000,000; 
‘‘(3) for fiscal year 2011, $36,000,000; 
‘‘(4) for fiscal year 2012, $38,000,000; and 
‘‘(5) for fiscal year 2013, $40,000,000.’’. 
SEC. 3. ACTIVITIES OF THE DEPARTMENT OF HEALTH AND 
HUMAN SERVICES WITH RESPECT TO JUVE-
NILE ARTHRITIS AND RELATED CONDITIONS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in coordination with the Director of the 
National Institutes of Health, may expand and intensify 
programs of the National Institutes of Health with respect 
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to research and related activities concerning various forms 
of juvenile arthritis and related conditions. 
(b) COORDINATION.—The Director of the National 
Institutes of Health may coordinate the programs referred 
to in subsection (a) and consult with additional Federal 
officials, voluntary health associations, medical profes-
sional societies, and private entities as appropriate. 
SEC. 4. PUBLIC HEALTH AND SURVEILLANCE ACTIVITIES 
RELATED TO JUVENILE ARTHRITIS AT THE 
CENTERS FOR DISEASE CONTROL AND PRE-
VENTION. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 320A the following: 
‘‘SEC. 320B. SURVEILLANCE AND RESEARCH REGARDING 
JUVENILE ARTHRITIS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, may award grants to and enter into cooperative 
agreements with public or nonprofit private entities for the 
collection, analysis, and reporting of data on juvenile ar-
thritis. 
‘‘(b) TECHNICAL ASSISTANCE.—In awarding grants 
and entering into agreements under subsection (a), the 
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Secretary may provide direct technical assistance in lieu 
of cash. 
‘‘(c) COORDINATION WITH NIH.—The Secretary 
shall ensure that epidemiological and other types of infor-
mation obtained under subsection (a) is made available to 
the National Institutes of Health. 
‘‘(d) CREATION OF A NATIONAL JUVENILE ARTHRI-
TIS POPULATION-BASED DATABASE.—The Secretary, act-
ing through the Director of the Centers for Disease Con-
trol and Prevention and in collaboration with a national 
voluntary health organization with experience serving the 
juvenile arthritis population as well as the full spectrum 
of arthritis-related conditions, may support the develop-
ment of a national juvenile arthritis population-based 
database to collect specific data for follow-up studies re-
garding the prevalence and incidence of juvenile arthritis, 
as well as capturing information on evidence-based health 
outcomes related to specific therapies and interventions. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated $25,000,000 for each of fiscal years 
2009 through 2013.’’ 
SEC. 
5. 
INVESTMENT 
IN 
TOMORROW’S 
PEDIATRIC 
RHEUMATOLOGISTS. 
(a) ENHANCED SUPPORT.— 
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(1) IN GENERAL.—In order to ensure an ade-
quate future supply of pediatric rheumatologists, the 
Secretary of Health and Human Services, in con-
sultation with the Administrator of the Health Re-
sources and Services Administration, shall support 
activities that provide for— 
(A) an increase in the number and size of 
institutional training grants awarded to institu-
tions to support pediatric rheumatology train-
ing; and 
(B) an expansion of public-private partner-
ships to encourage academic institutions, pri-
vate sector entities, and health agencies to pro-
mote educational training and fellowship oppor-
tunities for pediatric rheumatologists. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection $3,750,000 for each of the fiscal 
years 2009 through 2013. 
(b) PEDIATRIC LOAN REPAYMENT PROGRAM.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Adminis-
trator of the Health Resources and Services Admin-
istration, shall establish and, subject to the deter-
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mination under paragraph (3), carry out a pediatric 
rheumatology loan repayment program. 
(2) PROGRAM ADMINISTRATION.—Through the 
program established under this subsection, the Sec-
retary shall— 
(A) enter into contracts with qualified 
health 
professionals 
who 
are 
pediatric 
rheumatologists under which— 
(i) such professionals agree to provide 
health care in an area with a shortage of 
pediatric rheumatologists and that has the 
capacity to support pediatric rheumatology, 
as determined by the Secretary of Health 
and Human Services; and 
(ii) the Federal Government agrees to 
repay, for each year of such service, not 
more than $25,000 of the principal and in-
terest of the educational loans of such pro-
fessionals; and 
(B) in addition to making payments under 
paragraph (1) on behalf of an individual, make 
payments to the individual for the purpose of 
providing reimbursement for tax liability result-
ing from the payments made under paragraph 
(1), in an amount equal to 39 percent of the 
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