1267 
‘‘(2) an agreement on the part of the individual 
that the individual will— 
‘‘(A) accept provision of such scholarship 
to the individual; 
‘‘(B) maintain full-time or part-time enroll-
ment in the approved course of study or pro-
gram described in subsection (b)(1) until the in-
dividual completes that course of study or pro-
gram; 
‘‘(C) while enrolled in the approved course 
of study or program, maintain an acceptable 
level of academic standing (as determined by 
the educational institution offering such course 
of study or program); 
‘‘(D) if applicable, complete a residency or 
internship; and 
‘‘(E) serve full-time as a public health pro-
fessional for a period of time equal to the great-
er of— 
‘‘(i) 1 year for each academic year for 
which the individual was provided a schol-
arship under the Program; or 
‘‘(ii) 2 years; and
1268 
‘‘(3) an agreement by both parties as to the na-
ture and extent of the scholarship assistance, which 
may include— 
‘‘(A) payment of reasonable educational ex-
penses of the individual, including tuition, fees, 
books, equipment, and laboratory expenses; and 
‘‘(B) payment of a stipend of not more 
than $1,269 (plus, beginning with fiscal year 
2012, an amount determined by the Secretary 
on an annual basis to reflect inflation) per 
month for each month of the academic year in-
volved, with the dollar amount of such a stipend 
determined by the Secretary taking into consid-
eration whether the individual is enrolled full- 
time or part-time. 
‘‘(d) APPLICATION OF CERTAIN PROVISIONS.—The 
provisions of subpart III shall, except as inconsistent with 
this subpart, apply to the scholarship program under this 
section in the same manner and to the same extent as 
such provisions apply to the National Health Service 
Corps Scholarship Program established under section 
338A.
1269 
‘‘SEC. 340N. PUBLIC HEALTH WORKFORCE LOAN REPAY-
MENT PROGRAM. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish the Public Health Workforce Loan Repayment Pro-
gram (referred to in this section as the ‘Program’) for the 
purpose described in section 340L(a). 
‘‘(b) ELIGIBILITY.—To be eligible to participate in 
the Program, an individual shall— 
‘‘(1)(A) have a graduate degree from an accred-
ited school or program of public health; 
‘‘(B) have demonstrated expertise in public 
health and have a graduate degree in a course of 
study or program (approved by the Secretary) 
from— 
‘‘(i) an accredited school or program of 
nursing; health administration, management, or 
policy; preventive medicine; laboratory science; 
veterinary medicine; or dental medicine; or 
‘‘(ii) another accredited school or program 
approved by the Secretary; or 
‘‘(C) be enrolled as a full-time or part-time stu-
dent in the final year of a course of study or pro-
gram (approved by the Secretary) offered by a 
school or program described in subparagraph (A) or 
(B), leading to a graduate degree;
1270 
‘‘(2) be eligible for, or hold, an appointment as 
a commissioned officer in the Regular or Reserve 
Corps of the Service or be eligible for selection for 
civilian service in the Corps; 
‘‘(3) if applicable, complete a residency or in-
ternship; and 
‘‘(4) sign and submit to the Secretary a written 
contract (described in subsection (c)) to serve full- 
time as a public health professional for the period of 
obligated service described in subsection (c)(2). 
‘‘(c) CONTRACT.—The written contract between the 
Secretary and an individual under subsection (b)(4) shall 
contain— 
‘‘(1) an agreement by the Secretary to repay on 
behalf of the individual loans incurred by the indi-
vidual in the pursuit of the relevant public health 
workforce educational degree in accordance with the 
terms of the contract; 
‘‘(2) an agreement by the individual to serve 
full-time as a public health professional for a period 
of time equal to 2 years or such longer period as the 
individual may agree to; and 
‘‘(3) in the case of an individual described in 
subsection (b)(1)(C) who is in the final year of study 
and who has accepted employment as a public health
1271 
professional, in accordance with section 340L(c), an 
agreement on the part of the individual to complete 
the education or training, maintain an acceptable 
level of academic standing (as determined by the 
educational institution offering the course of study 
or training), and serve the period of obligated service 
described in paragraph (2). 
‘‘(d) PAYMENTS.— 
‘‘(1) IN GENERAL.—A loan repayment provided 
for an individual under a written contract under the 
Program shall consist of payment, in accordance 
with paragraph (2), on behalf of the individual of 
the principal, interest, and related expenses on gov-
ernment and commercial loans received by the indi-
vidual regarding the undergraduate or graduate edu-
cation of the individual (or both), which loans were 
made for reasonable educational expenses, including 
tuition, fees, books, equipment, and laboratory ex-
penses, incurred by the individual. 
‘‘(2) PAYMENTS FOR YEARS SERVED.— 
‘‘(A) IN GENERAL.—For each year of obli-
gated service that an individual contracts to 
serve under subsection (c), the Secretary may 
pay up to $35,000 (plus, beginning with fiscal 
year 2012, an amount determined by the Sec-
1272 
retary on an annual basis to reflect inflation) 
on behalf of the individual for loans described 
in paragraph (1). 
‘‘(B) REPAYMENT
SCHEDULE.—Any ar-
rangement made by the Secretary for the mak-
ing of loan repayments in accordance with this 
subsection shall provide that any repayments 
for a year of obligated service shall be made no 
later than the end of the fiscal year in which 
the individual completes such year of service. 
‘‘(e) APPLICATION OF CERTAIN PROVISIONS.—The 
provisions of subpart III shall, except as inconsistent with 
this subpart, apply to the loan repayment program under 
this section in the same manner and to the same extent 
as such provisions apply to the National Health Service 
Corps Loan Repayment Program established under sec-
tion 338B.’’. 
SEC. 2232. ENHANCING THE PUBLIC HEALTH WORKFORCE. 
Section 765 (42 U.S.C. 295) is amended to read as 
follows: 
‘‘SEC. 765. ENHANCING THE PUBLIC HEALTH WORKFORCE. 
‘‘(a) PROGRAM.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration and in consultation with the Director of the 
Centers for Disease Control and Prevention, shall estab-
1274 
scribed in paragraph (1) and who plan to teach in 
the field of public health, including nursing; health 
administration, management, or policy; preventive 
medicine; laboratory science; veterinary medicine; or 
dental medicine. 
‘‘(c) ELIGIBILITY.—To be eligible for a grant or con-
tract under this section, an entity shall be— 
‘‘(1) an accredited health professions school, in-
cluding an accredited school or program of public 
health; nursing; health administration, management, 
or policy; preventive medicine; laboratory science; 
veterinary medicine; or dental medicine; 
‘‘(2) a State, local, or tribal health department; 
‘‘(3) a public or private nonprofit entity; or 
‘‘(4) a consortium of 2 or more entities de-
scribed in paragraphs (1) through (3). 
‘‘(d) PREFERENCE.—In awarding grants or contracts 
under this section, the Secretary shall give preference to 
entities that have a demonstrated record of at least one 
of the following: 
‘‘(1) Training a high or significantly improved 
percentage of public health professionals who serve 
in underserved communities. 
‘‘(2) Training individuals who are from dis-
advantaged backgrounds (including racial and ethnic
1275 
minorities underrepresented among public health 
professionals). 
‘‘(3) Training individuals in public health spe-
cialties experiencing a significant shortage of public 
health professionals (as determined by the Sec-
retary). 
‘‘(4) Training a high or significantly improved 
percentage of public health professionals serving in 
the Federal Government or a State, local, or tribal 
government. 
‘‘(e) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program carried out 
under this section.’’. 
SEC. 2233. PUBLIC HEALTH TRAINING CENTERS. 
Section 766 (42 U.S.C. 295a) is amended— 
(1) in subsection (b)(1), by striking ‘‘in further-
ance of the goals established by the Secretary for 
the year 2000’’ and inserting ‘‘in furtherance of the 
goals established by the Secretary in the national 
prevention and wellness strategy under section 
3121’’; and 
(2) by adding at the end the following: 
‘‘(d) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program carried out 
under this section.’’.
1276 
SEC. 2234. PREVENTIVE MEDICINE AND PUBLIC HEALTH 
TRAINING GRANT PROGRAM. 
Section 768 (42 U.S.C. 295c) is amended to read as 
follows: 
‘‘SEC. 768. PREVENTIVE MEDICINE AND PUBLIC HEALTH 
TRAINING GRANT PROGRAM. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration and in consultation with the Director of the 
Centers for Disease Control and Prevention, shall award 
grants to, or enter into contracts with, eligible entities to 
provide training to graduate medical residents in preven-
tive medicine specialties. 
‘‘(b) ELIGIBILITY.—To be eligible for a grant or con-
tract under subsection (a), an entity shall be— 
‘‘(1) an accredited school of public health or 
school of medicine or osteopathic medicine; 
‘‘(2) an accredited public or private nonprofit 
hospital; 
‘‘(3) a State, local, or tribal health department; 
or 
‘‘(4) a consortium of 2 or more entities de-
scribed in paragraphs (1) through (3). 
‘‘(c) USE OF FUNDS.—Amounts received under a 
grant or contract under this section shall be used to—
1277 
‘‘(1) plan, develop (including the development of 
curricula), operate, or participate in an accredited 
residency or internship program in preventive medi-
cine or public health; 
‘‘(2) defray the costs of practicum experiences, 
as required in such a program; and 
‘‘(3) establish, maintain, or improve— 
‘‘(A) academic administrative units (in-
cluding departments, divisions, or other appro-
priate units) in preventive medicine and public 
health; or 
‘‘(B) programs that improve clinical teach-
ing in preventive medicine and public health. 
‘‘(d) REPORT.—The Secretary shall submit to the 
Congress an annual report on the program carried out 
under this section.’’. 
SEC. 2235. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Section 799C, as added by section 
2216 of this Act, is amended by adding at the end the 
following: 
‘‘(b) PUBLIC HEALTH WORKFORCE.—For the pur-
pose of carrying out subpart XII of part D of title III 
and sections 765, 766, and 768, in addition to any other 
amounts authorized to be appropriated for such purpose,
1278 
there are authorized to be appropriated, out of any monies 
in the Public Health Investment Fund, the following: 
‘‘(1) $51,000,000 for fiscal year 2011. 
‘‘(2) $54,000,000 for fiscal year 2012. 
‘‘(3) $57,000,000 for fiscal year 2013. 
‘‘(4) $59,000,000 for fiscal year 2014. 
‘‘(5) $62,000,000 for fiscal year 2015.’’. 
(b) EXISTING
AUTHORIZATION
OF
APPROPRIA-
TIONS.—Subsection (a) of section 770 (42 U.S.C. 295e) 
is amended by striking ‘‘2002’’ and inserting ‘‘2015’’. 
Subtitle D—Adapting Workforce to 
Evolving Health System Needs 
PART 1—HEALTH PROFESSIONS TRAINING FOR 
DIVERSITY 
SEC. 2241. SCHOLARSHIPS FOR DISADVANTAGED STU-
DENTS, LOAN REPAYMENTS AND FELLOW-
SHIPS REGARDING FACULTY POSITIONS, AND 
EDUCATIONAL ASSISTANCE IN THE HEALTH 
PROFESSIONS 
REGARDING 
INDIVIDUALS 
FROM DISADVANTAGED BACKGROUNDS. 
Paragraph (1) of section 738(a) (42 U.S.C. 293b(a)) 
is amended by striking ‘‘not more than $20,000’’ and all 
that follows through the end of the paragraph and insert-
ing: ‘‘not more than $35,000 (plus, beginning with fiscal 
year 2012, an amount determined by the Secretary on an
1279 
annual basis to reflect inflation) of the principal and inter-
est of the educational loans of such individuals.’’. 
SEC. 2242. NURSING WORKFORCE DIVERSITY GRANTS. 
Subsection (b) of section 821 (42 U.S.C. 296m) is 
amended— 
(1) in the heading, by striking ‘‘GUIDANCE’’ 
and inserting ‘‘CONSULTATION’’; and 
(2) by striking ‘‘shall take into consideration’’ 
and all that follows through ‘‘consult with nursing 
associations’’ and inserting ‘‘shall, as appropriate, 
consult with nursing associations’’. 
SEC. 2243. COORDINATION OF DIVERSITY AND CULTURAL 
COMPETENCY PROGRAMS. 
(a) IN GENERAL.—Title VII (42 U.S.C. 292 et seq.) 
is amended by inserting after section 739 the following: 
‘‘SEC. 739A. COORDINATION OF DIVERSITY AND CULTURAL 
COMPETENCY PROGRAMS. 
‘‘The Secretary shall, to the extent practicable, co-
ordinate the activities carried out under this part and sec-
tion 821 in order to enhance the effectiveness of such ac-
tivities and avoid duplication of effort.’’. 
(b) REPORT.—Section 736 (42 U.S.C. 293) is 
amended— 
(1) by redesignating subsection (h) as sub-
section (i); and
1280 
(2) by inserting after subsection (g) the fol-
lowing: 
‘‘(h) REPORT.—The Secretary shall submit to the 
Congress an annual report on the activities carried out 
under this section.’’. 
PART 2—INTERDISCIPLINARY TRAINING 
PROGRAMS 
SEC. 2251. CULTURAL AND LINGUISTIC COMPETENCY 
TRAINING FOR HEALTH PROFESSIONALS. 
Section 741 (42 U.S.C. 293e) is amended— 
(1) in the section heading, by striking 
‘‘GRANTS
FOR
HEALTH
PROFESSIONS
EDU-
CATION’’ and inserting ‘‘CULTURAL
AND
LIN-
GUISTIC COMPETENCY TRAINING FOR HEALTH 
PROFESSIONALS’’; 
(2) by redesignating subsection (b) as sub-
section (h); and 
(3) by striking subsection (a) and inserting the 
following: 
‘‘(a) PROGRAM.—The Secretary shall establish a cul-
tural and linguistic competency training program for 
health professionals, including nurse professionals, con-
sisting of awarding grants and contracts under subsection 
(b).
1281 
‘‘(b) CULTURAL
AND
LINGUISTIC
COMPETENCY 
TRAINING.—The Secretary shall award grants to, or enter 
into contracts with, eligible entities— 
‘‘(1) to test, develop, and evaluate models of 
cultural and linguistic competency training (includ-
ing continuing education) for health professionals; 
and 
‘‘(2) to implement cultural and linguistic com-
petency training programs for health professionals 
developed 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; or 
‘‘(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 at 
least one of the following: 
‘‘(1) Addressing, or partnering with an entity 
with experience addressing, the cultural and lin-
1282 
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 and the National Center on Minority Health and 
Health Disparities. 
‘‘(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.’’.
1283 
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 
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
1284 
‘‘(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 at 
least one of the following: 
‘‘(1) Training a high or significantly improved 
percentage of health professionals who serve in un-
derserved 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.
1285 
‘‘(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, dietetics or nutrition, and appropriate health 
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: 
‘‘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’) to develop and implement an integrated, coordi-
nated, and strategic national health workforce policy re-
flective of current and evolving health workforce needs.
1286 
‘‘(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; 
‘‘(B) the retention and expansion of the 
health workforce (on a short- and long-term 
basis) to ensure quality and adequacy of such 
workforce; 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
1287 
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 
any member to serve more than a total of 6 
years. 
‘‘(B) 
STAGGERED
TERMS.—Notwith-
standing subparagraph (A), of the members 
first appointed to the Advisory Committee 
under paragraph (1)— 
‘‘(i) 5 shall be appointed for a term of 
1 year;
1288 
‘‘(ii) 5 shall be appointed for a term 
of 2 years; and 
‘‘(iii) 5 shall be appointed for a term 
of 3 years. 
‘‘(3) QUALIFICATIONS.—Members of the Advi-
sory Committee shall be appointed from among indi-
viduals who possess expertise in at least one of the 
following areas: 
‘‘(A) Conducting and interpreting health 
workforce market analysis, including health 
care labor workforce analysis. 
‘‘(B) Conducting and interpreting health 
finance and economics research. 
‘‘(C) Delivering and administering health 
care services. 
‘‘(D) Delivering and administering health 
workforce education and training. 
‘‘(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;
1289 
‘‘(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, 
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
1290 
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. 
‘‘(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
1291 
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-
cians, nurses, physician assistants, pharmacists, oral 
health professionals (as defined in section 749(f)(2)), al-
lied health professionals, mental and behavioral health 
professionals (as defined in section 775(f)(2)), and public 
health professionals (including veterinarians engaged in 
public health practice).’’.
1292 
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; 
‘‘(B) the diversity of health professionals 
(including with respect to race, ethnic back-
ground, and sex); 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,
1293 
and C and part 1 of subtitle D of title II of division 
C of the Affordable Health Care for America Act. 
‘‘(b) GRANTS AND CONTRACTS FOR HEALTH WORK-
FORCE ANALYSIS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to, or enter into contracts with, eligible enti-
ties 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). 
‘‘(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).
1294 
‘‘(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. 
PART 5—AUTHORIZATION OF APPROPRIATIONS 
SEC. 2281. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Section 799C, as added and 
amended, is further 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
1295 
authorized to be appropriated, out of any monies in the 
Public Health Investment Fund, the following: 
‘‘(1) $90,000,000 for fiscal year 2011. 
‘‘(2) $97,000,000 for fiscal year 2012. 
‘‘(3) $100,000,000 for fiscal year 2013. 
‘‘(4) $104,000,000 for fiscal year 2014. 
‘‘(5) $110,000,000 for fiscal year 2015. 
‘‘(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 
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) $87,000,000 for fiscal year 2011. 
‘‘(2) $97,000,000 for fiscal year 2012. 
‘‘(3) $103,000,000 for fiscal year 2013. 
‘‘(4) $105,000,000 for fiscal year 2014. 
‘‘(5) $113,000,000 for fiscal year 2015.’’. 
(b) EXISTING
AUTHORIZATIONS
OF
APPROPRIA-
TIONS.— 
(1) SECTION
736.—Paragraph (1) of section 
736(i) (42 U.S.C. 293(h)), as redesignated, is 
amended by striking ‘‘2002’’ and inserting ‘‘2015’’.
1296 
(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 
‘‘2015’’. 
(3) SECTION 741.—Subsection (h), as so redes-
ignated, of section 741 is amended— 
(A) by striking ‘‘and’’ after ‘‘fiscal year 
2003,’’; and 
(B) by inserting ‘‘, and such sums as may 
be necessary for each subsequent fiscal year 
through the end of fiscal year 2015’’ 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 ‘‘2015’’. 
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 inserting after title 
XXX the following:
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‘‘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, out of any monies in the 
Public Health Investment Fund— 
‘‘(1) for fiscal year 2011, $2,400,000,000; 
‘‘(2) for fiscal year 2012, $2,845,000,000; 
‘‘(3) for fiscal year 2013, $3,100,000,000; 
‘‘(4) for fiscal year 2014, $3,455,000,000; and 
‘‘(5) for fiscal year 2015, $3,600,000,000. 
‘‘(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), there are authorized to be 
appropriated— 
‘‘(1) for carrying out subtitle C (Prevention 
Task Forces), $30,000,000 for each of fiscal years 
2011 through 2015;
1298 
‘‘(2) for carrying out subtitle D (Prevention 
and Wellness Research)— 
‘‘(A) for fiscal year 2011, $155,000,000; 
‘‘(B) for fiscal year 2012, $205,000,000; 
‘‘(C) for fiscal year 2013, $255,000,000; 
‘‘(D) for fiscal year 2014, $305,000,000; 
and 
‘‘(E) for fiscal year 2015, $355,000,000; 
‘‘(3) for carrying out subtitle E (Delivery of 
Community Preventive and Wellness Services)— 
‘‘(A) for fiscal year 2011, $1,065,000,000; 
‘‘(B) for fiscal year 2012, $1,260,000,000; 
‘‘(C) for fiscal year 2013, $1,365,000,000; 
‘‘(D) for fiscal year 2014, $1,570,000,000; 
and 
‘‘(E) for fiscal year 2015, $1,600,000,000; 
‘‘(4) for carrying out section 3161 (Core Public 
Health Infrastructure for State, Local, and Tribal 
Health Departments)— 
‘‘(A) for fiscal year 2011, $800,000,000; 
‘‘(B) for fiscal year 2012, $1,000,000,000; 
‘‘(C) for fiscal year 2013, $1,100,000,000; 
‘‘(D) for fiscal year 2014, $1,200,000,000; 
and
1299 
‘‘(E) for fiscal year 2015, $1,265,000,000; 
and 
‘‘(5) for carrying out section 3162 (Core Public 
Health Infrastructure and Activities for CDC), 
$350,000,000 for each of fiscal years 2011 through 
2015. 
‘‘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
1300 
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-
count unanswered research questions on prevention 
and wellness. 
‘‘(4) Identification of health disparities in pre-
vention and wellness. 
‘‘(5) Review of prevention payment incentives, 
the prevention workforce, and prevention delivery 
system capacity. 
‘‘(6) A plan for addressing and implementing 
paragraphs (1) through (5). 
‘‘(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, the Office on Wom-
en’s Health, and the Substance Abuse and Mental 
Health Services Administration.
1301 
‘‘(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. 
‘‘(5) The Task Force on Community Preventive 
Services and the Task Force on Clinical Preventive 
Services. 
‘‘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;
1302 
‘‘(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; 
‘‘(5) pursuant to section 3143(c), determine 
whether subsidies and rewards meet the Task 
Force’s standards for a grade of A or B; 
‘‘(6) as appropriate, consult with the clinical 
prevention stakeholders board in accordance with 
subsection (f); 
‘‘(7) consult with the Task Force on Commu-
nity Preventive Services established under section 
3132; and 
‘‘(8) as appropriate, in carrying out this sec-
tion, consider the national strategy under section 
3121.
1303 
‘‘(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. 
‘‘(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.
1304 
‘‘(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. 
‘‘(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
1305 
‘‘(B) the members of the Task Force in-
clude individuals with expertise in health dis-
parities. 
‘‘(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 
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.
1306 
‘‘(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, the National Center on Minority 
Health and Health Disparities, and the Of-
fice 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)(6), the clinical prevention stake-
holders board shall— 
‘‘(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
1307 
‘‘(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 or the clinical prevention stakeholders board, except 
members of the Task Force or the clinical prevention 
stakeholders board shall be considered to be special Gov-
ernment employees within the meaning 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 management of conflicts of in-
terest 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-
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
1308 
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-
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
1309 
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) pursuant to section 3143(d), determine 
whether subsidies and rewards are effective; 
‘‘(6) as appropriate, consult with the commu-
nity prevention stakeholders board in accordance 
with subsection (f); 
‘‘(7) consult with the Task Force on Clinical 
Preventive Services established under section 3131; 
and 
‘‘(8) 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.