H. R. 3590—434 
inserting ‘‘shall award a grant to each of the 50 States and terri-
tories and to Indians, Indian tribes, tribal organizations and urban 
Indian organizations (as such terms are defined in section 4 of 
the Indian Health Care Improvement Act)’’. 
(c) ORAL HEALTH INFRASTRUCTURE.—Section 317M of the Public 
Health Service Act (42 U.S.C. 247b–14) is amended— 
(1) by redesignating subsections (d) and (e) as subsections 
(e) and (f), respectively; and 
(2) by inserting after subsection (c), the following: 
‘‘(d) ORAL HEALTH INFRASTRUCTURE.— 
‘‘(1) COOPERATIVE
AGREEMENTS.—The Secretary, acting 
through the Director of the Centers for Disease Control and 
Prevention, shall enter into cooperative agreements with State, 
territorial, and Indian tribes or tribal organizations (as those 
terms are defined in section 4 of the Indian Health Care 
Improvement Act) to establish oral health leadership and pro-
gram guidance, oral health data collection and interpretation, 
(including determinants of poor oral health among vulnerable 
populations), a multi-dimensional delivery system for oral 
health, and to implement science-based programs (including 
dental sealants and community water fluoridation) to improve 
oral health. 
‘‘(2) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated such sums as necessary to carry out 
this subsection for fiscal years 2010 through 2014.’’. 
(d) UPDATING NATIONAL ORAL HEALTHCARE SURVEILLANCE 
ACTIVITIES.— 
(1) PRAMS.— 
(A) IN GENERAL.—The Secretary of Health and Human 
Services (referred to in this subsection as the ‘‘Secretary’’) 
shall carry out activities to update and improve the Preg-
nancy Risk Assessment Monitoring System (referred to 
in this section as ‘‘PRAMS’’) as it relates to oral healthcare. 
(B) STATE REPORTS AND MANDATORY MEASUREMENTS.— 
(i) IN GENERAL.—Not later than 5 years after the 
date of enactment of this Act, and every 5 years there-
after, a State shall submit to the Secretary a report 
concerning activities conducted within the State under 
PRAMS. 
(ii) 
MEASUREMENTS.—The 
oral 
healthcare 
measurements developed by the Secretary for use 
under PRAMS shall be mandatory with respect to 
States for purposes of the State reports under clause 
(i). 
(C) FUNDING.—There is authorized to be appropriated 
to carry out this paragraph, such sums as may be nec-
essary. 
(2) 
NATIONAL
HEALTH
AND
NUTRITION
EXAMINATION 
SURVEY.—The Secretary shall develop oral healthcare compo-
nents that shall include tooth-level surveillance for inclusion 
in the National Health and Nutrition Examination Survey. 
Such components shall be updated by the Secretary at least 
every 6 years. For purposes of this paragraph, the term ‘‘tooth- 
level surveillance’’ means a clinical examination where an 
examiner looks at each dental surface, on each tooth in the 
mouth and as expanded by the Division of Oral Health of 
the Centers for Disease Control and Prevention.
H. R. 3590—435 
(3) MEDICAL EXPENDITURES PANEL SURVEY.—The Secretary 
shall ensure that the Medical Expenditures Panel Survey by 
the Agency for Healthcare Research and Quality includes the 
verification of dental utilization, expenditure, and coverage 
findings through conduct of a look-back analysis. 
(4) NATIONAL ORAL HEALTH SURVEILLANCE SYSTEM.— 
(A) APPROPRIATIONS.—There is authorized to be appro-
priated, such sums as may be necessary for each of fiscal 
years 2010 through 2014 to increase the participation of 
States in the National Oral Health Surveillance System 
from 16 States to all 50 States, territories, and District 
of Columbia. 
(B) REQUIREMENTS.—The Secretary shall ensure that 
the National Oral Health Surveillance System include the 
measurement of early childhood caries. 
SEC. 4103. MEDICARE COVERAGE OF ANNUAL WELLNESS VISIT PRO-
VIDING A PERSONALIZED PREVENTION PLAN. 
(a) COVERAGE OF PERSONALIZED PREVENTION PLAN SERVICES.— 
(1) IN GENERAL.—Section 1861(s)(2) of the Social Security 
Act (42 U.S.C. 1395x(s)(2)) is amended— 
(A) in subparagraph (DD), by striking ‘‘and’’ at the 
end; 
(B) in subparagraph (EE), by adding ‘‘and’’ at the end; 
and 
(C) by adding at the end the following new subpara-
graph: 
‘‘(FF) personalized prevention plan services (as defined in 
subsection (hhh));’’. 
(2) CONFORMING AMENDMENTS.—Clauses (i) and (ii) of sec-
tion 1861(s)(2)(K) of the Social Security Act (42 U.S.C. 
1395x(s)(2)(K)) are each amended by striking ‘‘subsection 
(ww)(1)’’ and inserting ‘‘subsections (ww)(1) and (hhh)’’. 
(b) PERSONALIZED PREVENTION PLAN SERVICES DEFINED.—Sec-
tion 1861 of the Social Security Act (42 U.S.C. 1395x) is amended 
by adding at the end the following new subsection: 
‘‘Annual Wellness Visit 
‘‘(hhh)(1) The term ‘personalized prevention plan services’ 
means the creation of a plan for an individual— 
‘‘(A) that includes a health risk assessment (that meets 
the guidelines established by the Secretary under paragraph 
(4)(A)) of the individual that is completed prior to or as part 
of the same visit with a health professional described in para-
graph (3); and 
‘‘(B) that— 
‘‘(i) takes into account the results of the health risk 
assessment; and 
‘‘(ii) may contain the elements described in paragraph 
(2). 
‘‘(2) Subject to paragraph (4)(H), the elements described in 
this paragraph are the following: 
‘‘(A) The establishment of, or an update to, the individual’s 
medical and family history. 
‘‘(B) A list of current providers and suppliers that are 
regularly involved in providing medical care to the individual 
(including a list of all prescribed medications).
H. R. 3590—436 
‘‘(C) A measurement of height, weight, body mass index 
(or waist circumference, if appropriate), blood pressure, and 
other routine measurements. 
‘‘(D) Detection of any cognitive impairment. 
‘‘(E) The establishment of, or an update to, the following: 
‘‘(i) A screening schedule for the next 5 to 10 years, 
as appropriate, based on recommendations of the United 
States Preventive Services Task Force and the Advisory 
Committee on Immunization Practices, and the individual’s 
health status, screening history, and age-appropriate 
preventive services covered under this title. 
‘‘(ii) A list of risk factors and conditions for which 
primary, secondary, or tertiary prevention interventions 
are recommended or are underway, including any mental 
health conditions or any such risk factors or conditions 
that have been identified through an initial preventive 
physical examination (as described under subsection 
(ww)(1)), and a list of treatment options and their associ-
ated risks and benefits. 
‘‘(F) The furnishing of personalized health advice and a 
referral, as appropriate, to health education or preventive coun-
seling services or programs aimed at reducing identified risk 
factors and improving self-management, or community-based 
lifestyle interventions to reduce health risks and promote self- 
management and wellness, including weight loss, physical 
activity, smoking cessation, fall prevention, and nutrition. 
‘‘(G) Any other element determined appropriate by the 
Secretary. 
‘‘(3) A health professional described in this paragraph is— 
‘‘(A) a physician; 
‘‘(B) a practitioner described in clause (i) of section 
1842(b)(18)(C); or 
‘‘(C) a medical professional (including a health educator, 
registered dietitian, or nutrition professional) or a team of 
medical professionals, as determined appropriate by the Sec-
retary, under the supervision of a physician. 
‘‘(4)(A) For purposes of paragraph (1)(A), the Secretary, not 
later than 1 year after the date of enactment of this subsection, 
shall establish publicly available guidelines for health risk assess-
ments. Such guidelines shall be developed in consultation with 
relevant groups and entities and shall provide that a health risk 
assessment— 
‘‘(i) identify chronic diseases, injury risks, modifiable risk 
factors, and urgent health needs of the individual; and 
‘‘(ii) may be furnished— 
‘‘(I) through an interactive telephonic or web-based 
program that meets the standards established under 
subparagraph (B); 
‘‘(II) during an encounter with a health care profes-
sional; 
‘‘(III) through community-based prevention programs; 
or 
‘‘(IV) through any other means the Secretary deter-
mines appropriate to maximize accessibility and ease of 
use by beneficiaries, while ensuring the privacy of such 
beneficiaries.
H. R. 3590—437 
‘‘(B) Not later than 1 year after the date of enactment of 
this subsection, the Secretary shall establish standards for inter-
active telephonic or web-based programs used to furnish health 
risk assessments under subparagraph (A)(ii)(I). The Secretary may 
utilize any health risk assessment developed under section 4004(f) 
of the Patient Protection and Affordable Care Act as part of the 
requirement to develop a personalized prevention plan to comply 
with this subparagraph. 
‘‘(C)(i) Not later than 18 months after the date of enactment 
of this subsection, the Secretary shall develop and make available 
to the public a health risk assessment model. Such model shall 
meet the guidelines under subparagraph (A) and may be used 
to meet the requirement under paragraph (1)(A). 
‘‘(ii) Any health risk assessment that meets the guidelines 
under subparagraph (A) and is approved by the Secretary may 
be used to meet the requirement under paragraph (1)(A). 
‘‘(D) The Secretary may coordinate with community-based enti-
ties (including State Health Insurance Programs, Area Agencies 
on Aging, Aging and Disability Resource Centers, and the Adminis-
tration on Aging) to— 
‘‘(i) ensure that health risk assessments are accessible to 
beneficiaries; and 
‘‘(ii) provide appropriate support for the completion of 
health risk assessments by beneficiaries. 
‘‘(E) The Secretary shall establish procedures to make bene-
ficiaries and providers aware of the requirement that a beneficiary 
complete a health risk assessment prior to or at the same time 
as receiving personalized prevention plan services. 
‘‘(F) To the extent practicable, the Secretary shall encourage 
the use of, integration with, and coordination of health information 
technology (including use of technology that is compatible with 
electronic medical records and personal health records) and may 
experiment with the use of personalized technology to aid in the 
development of self-management skills and management of and 
adherence to provider recommendations in order to improve the 
health status of beneficiaries. 
‘‘(G)(i) A beneficiary shall only be eligible to receive an initial 
preventive physical examination (as defined under subsection 
(ww)(1)) at any time during the 12-month period after the date 
that the beneficiary’s coverage begins under part B and shall be 
eligible to receive personalized prevention plan services under this 
subsection provided that the beneficiary has not received such serv-
ices within the preceding 12-month period. 
‘‘(ii) The Secretary shall establish procedures to make bene-
ficiaries aware of the option to select an initial preventive physical 
examination or personalized prevention plan services during the 
period of 12 months after the date that a beneficiary’s coverage 
begins under part B, which shall include information regarding 
any relevant differences between such services. 
‘‘(H) The Secretary shall issue guidance that— 
‘‘(i) identifies elements under paragraph (2) that are 
required to be provided to a beneficiary as part of their first 
visit for personalized prevention plan services; and 
‘‘(ii) establishes a yearly schedule for appropriate provision 
of such elements thereafter.’’. 
(c) PAYMENT AND ELIMINATION OF COST-SHARING.—
H. R. 3590—438 
(1) PAYMENT AND ELIMINATION OF COINSURANCE.—Section 
1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) 
is amended— 
(A) in subparagraph (N), by inserting ‘‘other than 
personalized prevention plan services (as defined in section 
1861(hhh)(1))’’ after ‘‘(as defined in section 1848(j)(3))’’; 
(B) by striking ‘‘and’’ before ‘‘(W)’’; and 
(C) by inserting before the semicolon at the end the 
following: ‘‘, and (X) with respect to personalized prevention 
plan services (as defined in section 1861(hhh)(1)), the 
amount paid shall be 100 percent of the lesser of the 
actual charge for the services or the amount determined 
under the payment basis determined under section 1848’’. 
(2) PAYMENT
UNDER
PHYSICIAN
FEE
SCHEDULE.—Section 
1848(j)(3) of the Social Security Act (42 U.S.C. 1395w–4(j)(3)) 
is amended by inserting ‘‘(2)(FF) (including administration of 
the health risk assessment) ,’’ after ‘‘(2)(EE),’’. 
(3) ELIMINATION OF COINSURANCE IN OUTPATIENT HOSPITAL 
SETTINGS.— 
(A) EXCLUSION
FROM
OPD
FEE
SCHEDULE.—Section 
1833(t)(1)(B)(iv) of the Social Security Act (42 U.S.C. 
1395l(t)(1)(B)(iv)) is amended by striking ‘‘and diagnostic 
mammography’’ and inserting ‘‘, diagnostic mammography, 
or personalized prevention plan services (as defined in sec-
tion 1861(hhh)(1))’’. 
(B) CONFORMING AMENDMENTS.—Section 1833(a)(2) of 
the Social Security Act (42 U.S.C. 1395l(a)(2)) is amended— 
(i) in subparagraph (F), by striking ‘‘and’’ at the 
end; 
(ii) in subparagraph (G)(ii), by striking the comma 
at the end and inserting ‘‘; and’’; and 
(iii) by inserting after subparagraph (G)(ii) the fol-
lowing new subparagraph: 
‘‘(H) with respect to personalized prevention plan serv-
ices (as defined in section 1861(hhh)(1)) furnished by an 
outpatient department of a hospital, the amount deter-
mined under paragraph (1)(X),’’. 
(4) WAIVER OF APPLICATION OF DEDUCTIBLE.—The first sen-
tence of section 1833(b) of the Social Security Act (42 U.S.C. 
1395l(b)) is amended— 
(A) by striking ‘‘and’’ before ‘‘(9)’’; and 
(B) by inserting before the period the following: ‘‘, 
and (10) such deductible shall not apply with respect to 
personalized prevention plan services (as defined in section 
1861(hhh)(1))’’. 
(d) FREQUENCY LIMITATION.—Section 1862(a) of the Social Secu-
rity Act (42 U.S.C. 1395y(a)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (N), by striking ‘‘and’’ at the end; 
(B) in subparagraph (O), by striking the semicolon 
at the end and inserting ‘‘, and’’; and 
(C) by adding at the end the following new subpara-
graph: 
‘‘(P) in the case of personalized prevention plan services 
(as defined in section 1861(hhh)(1)), which are performed more 
frequently than is covered under such section;’’; and
H. R. 3590—441 
‘‘(n) AUTHORITY TO MODIFY OR ELIMINATE COVERAGE OF CER-
TAIN PREVENTIVE SERVICES.—Notwithstanding any other provision 
of this title, effective beginning on January 1, 2010, if the Secretary 
determines appropriate, the Secretary may— 
‘‘(1) modify— 
‘‘(A) the coverage of any preventive service described 
in subparagraph (A) of section 1861(ddd)(3) to the extent 
that such modification is consistent with the recommenda-
tions of the United States Preventive Services Task Force; 
and 
‘‘(B) the services included in the initial preventive phys-
ical examination described in subparagraph (B) of such 
section; and 
‘‘(2) provide that no payment shall be made under this 
title for a preventive service described in subparagraph (A) 
of such section that has not received a grade of A, B, C, 
or I by such Task Force.’’. 
(b) CONSTRUCTION.—Nothing in the amendment made by para-
graph (1) shall be construed to affect the coverage of diagnostic 
or treatment services under title XVIII of the Social Security Act. 
SEC. 4106. IMPROVING ACCESS TO PREVENTIVE SERVICES FOR 
ELIGIBLE ADULTS IN MEDICAID. 
(a) 
CLARIFICATION
OF
INCLUSION
OF
SERVICES.—Section 
1905(a)(13) of the Social Security Act (42 U.S.C. 1396d(a)(13)) is 
amended to read as follows: 
‘‘(13) other diagnostic, screening, preventive, and rehabilita-
tive services, including— 
‘‘(A) any clinical preventive services that are assigned 
a grade of A or B by the United States Preventive Services 
Task Force; 
‘‘(B) with respect to an adult individual, approved vac-
cines recommended by the Advisory Committee on 
Immunization Practices (an advisory committee established 
by the Secretary, acting through the Director of the Centers 
for Disease Control and Prevention) and their administra-
tion; and 
‘‘(C) any medical or remedial services (provided in a 
facility, a home, or other setting) recommended by a physi-
cian or other licensed practitioner of the healing arts within 
the scope of their practice under State law, for the max-
imum reduction of physical or mental disability and res-
toration of an individual to the best possible functional 
level;’’. 
(b) INCREASED FMAP.—Section 1905(b) of the Social Security 
Act (42 U.S.C. 1396d(b)), as amended by sections 2001(a)(3)(A) 
and 2004(c)(1), is amended in the first sentence— 
(1) by striking ‘‘, and (4)’’ and inserting ‘‘, (4)’’; and 
(2) by inserting before the period the following: ‘‘, and 
(5) in the case of a State that provides medical assistance 
for services and vaccines described in subparagraphs (A) and 
(B) of subsection (a)(13), and prohibits cost-sharing for such 
services and vaccines, the Federal medical assistance percent-
age, as determined under this subsection and subsection (y) 
(without regard to paragraph (1)(C) of such subsection), shall 
be increased by 1 percentage point with respect to medical
H. R. 3590—442 
assistance for such services and vaccines and for items and 
services described in subsection (a)(4)(D)’’. 
(c) EFFECTIVE DATE.—The amendments made under this section 
shall take effect on January 1, 2013. 
SEC. 4107. COVERAGE OF COMPREHENSIVE TOBACCO CESSATION 
SERVICES FOR PREGNANT WOMEN IN MEDICAID. 
(a) 
REQUIRING
COVERAGE
OF
COUNSELING
AND 
PHARMACOTHERAPY FOR CESSATION OF TOBACCO USE BY PREGNANT 
WOMEN.—Section 1905 of the Social Security Act (42 U.S.C. 1396d), 
as amended by sections 2001(a)(3)(B) and 2303, is further 
amended— 
(1) in subsection (a)(4)— 
(A) by striking ‘‘and’’ before ‘‘(C)’’; and 
(B) by inserting before the semicolon at the end the 
following new subparagraph: ‘‘; and (D) counseling and 
pharmacotherapy for cessation of tobacco use by pregnant 
women (as defined in subsection (bb))’’; and 
(2) by adding at the end the following: 
‘‘(bb)(1) For purposes of this title, the term ‘counseling and 
pharmacotherapy for cessation of tobacco use by pregnant women’ 
means 
diagnostic, 
therapy, 
and 
counseling 
services 
and 
pharmacotherapy (including the coverage of prescription and non-
prescription tobacco cessation agents approved by the Food and 
Drug Administration) for cessation of tobacco use by pregnant 
women who use tobacco products or who are being treated for 
tobacco use that is furnished— 
‘‘(A) by or under the supervision of a physician; or 
‘‘(B) by any other health care professional who— 
‘‘(i) is legally authorized to furnish such services under 
State law (or the State regulatory mechanism provided 
by State law) of the State in which the services are fur-
nished; and 
‘‘(ii) is authorized to receive payment for other services 
under this title or is designated by the Secretary for this 
purpose. 
‘‘(2) Subject to paragraph (3), such term is limited to— 
‘‘(A) services recommended with respect to pregnant women 
in ‘Treating Tobacco Use and Dependence: 2008 Update: A 
Clinical Practice Guideline’, published by the Public Health 
Service in May 2008, or any subsequent modification of such 
Guideline; and 
‘‘(B) such other services that the Secretary recognizes to 
be effective for cessation of tobacco use by pregnant women. 
‘‘(3) Such term shall not include coverage for drugs or biologicals 
that are not otherwise covered under this title.’’. 
(b) EXCEPTION FROM OPTIONAL RESTRICTION UNDER MEDICAID 
PRESCRIPTION DRUG COVERAGE.—Section 1927(d)(2)(F) of the Social 
Security Act (42 U.S.C. 1396r–8(d)(2)(F)), as redesignated by section 
2502(a), is amended by inserting before the period at the end 
the following: ‘‘, except, in the case of pregnant women when rec-
ommended in accordance with the Guideline referred to in section 
1905(bb)(2)(A), agents approved by the Food and Drug Administra-
tion under the over-the-counter monograph process for purposes 
of promoting, and when used to promote, tobacco cessation’’.
H. R. 3590—443 
(c) 
REMOVAL
OF
COST-SHARING
FOR
COUNSELING
AND 
PHARMACOTHERAPY FOR CESSATION OF TOBACCO USE BY PREGNANT 
WOMEN.— 
(1) GENERAL COST-SHARING LIMITATIONS.—Section 1916 of 
the Social Security Act (42 U.S.C. 1396o) is amended in each 
of subsections (a)(2)(B) and (b)(2)(B) by inserting ‘‘, and coun-
seling and pharmacotherapy for cessation of tobacco use by 
pregnant women (as defined in section 1905(bb)) and covered 
outpatient drugs (as defined in subsection (k)(2) of section 
1927 and including nonprescription drugs described in sub-
section (d)(2) of such section) that are prescribed for purposes 
of promoting, and when used to promote, tobacco cessation 
by pregnant women in accordance with the Guideline referred 
to in section 1905(bb)(2)(A)’’ after ‘‘complicate the pregnancy’’. 
(2) APPLICATION TO ALTERNATIVE COST-SHARING.—Section 
1916A(b)(3)(B)(iii) of such Act (42 U.S.C. 1396o–1(b)(3)(B)(iii)) 
is amended by inserting ‘‘, and counseling and pharmacotherapy 
for cessation of tobacco use by pregnant women (as defined 
in section 1905(bb))’’ after ‘‘complicate the pregnancy’’. 
(d) EFFECTIVE DATE.—The amendments made by this section 
shall take effect on October 1, 2010. 
SEC. 4108. INCENTIVES FOR PREVENTION OF CHRONIC DISEASES IN 
MEDICAID. 
(a) INITIATIVES.— 
(1) ESTABLISHMENT.— 
(A) IN GENERAL.—The Secretary shall award grants 
to States to carry out initiatives to provide incentives to 
Medicaid beneficiaries who— 
(i) successfully participate in a program described 
in paragraph (3); and 
(ii) upon completion of such participation, dem-
onstrate changes in health risk and outcomes, 
including the adoption and maintenance of healthy 
behaviors by meeting specific targets (as described in 
subsection (c)(2)). 
(B) PURPOSE.—The purpose of the initiatives under 
this section is to test approaches that may encourage 
behavior modification and determine scalable solutions. 
(2) DURATION.— 
(A) INITIATION
OF
PROGRAM; RESOURCES.—The Sec-
retary shall awards grants to States beginning on January 
1, 2011, or beginning on the date on which the Secretary 
develops program criteria, whichever is earlier. The Sec-
retary shall develop program criteria for initiatives under 
this section using relevant evidence-based research and 
resources, including the Guide to Community Preventive 
Services, the Guide to Clinical Preventive Services, and 
the National Registry of Evidence-Based Programs and 
Practices. 
(B) DURATION OF PROGRAM.—A State awarded a grant 
to carry out initiatives under this section shall carry out 
such initiatives within the 5-year period beginning on 
January 1, 2011, or beginning on the date on which the 
Secretary develops program criteria, whichever is earlier. 
Initiatives under this section shall be carried out by a 
State for a period of not less than 3 years.
H. R. 3590—444 
(3) PROGRAM DESCRIBED.— 
(A) IN GENERAL.—A program described in this para-
graph is a comprehensive, evidence-based, widely available, 
and easily accessible program, proposed by the State and 
approved by the Secretary, that is designed and uniquely 
suited to address the needs of Medicaid beneficiaries and 
has demonstrated success in helping individuals achieve 
one or more of the following: 
(i) Ceasing use of tobacco products. 
(ii) Controlling or reducing their weight. 
(iii) Lowering their cholesterol. 
(iv) Lowering their blood pressure. 
(v) Avoiding the onset of diabetes or, in the case 
of a diabetic, improving the management of that condi-
tion. 
(B) CO-MORBIDITIES.—A program under this section 
may also address co-morbidities (including depression) that 
are related to any of the conditions described in subpara-
graph (A). 
(C) WAIVER AUTHORITY.—The Secretary may waive the 
requirements 
of 
section 
1902(a)(1) 
(relating 
to 
statewideness) of the Social Security Act for a State 
awarded a grant to conduct an initiative under this section 
and shall ensure that a State makes any program described 
in subparagraph (A) available and accessible to Medicaid 
beneficiaries. 
(D) FLEXIBILITY
IN
IMPLEMENTATION.—A State may 
enter into arrangements with providers participating in 
Medicaid, 
community-based 
organizations, 
faith-based 
organizations, public-private partnerships, Indian tribes, 
or similar entities or organizations to carry out programs 
described in subparagraph (A). 
(4) APPLICATION.—Following the development of program 
criteria by the Secretary, a State may submit an application, 
in such manner and containing such information as the Sec-
retary may require, that shall include a proposal for programs 
described in paragraph (3)(A) and a plan to make Medicaid 
beneficiaries and providers participating in Medicaid who reside 
in the State aware and informed about such programs. 
(b) EDUCATION AND OUTREACH CAMPAIGN.— 
(1) STATE
AWARENESS.—The Secretary shall conduct an 
outreach and education campaign to make States aware of 
the grants under this section. 
(2) PROVIDER
AND
BENEFICIARY
EDUCATION.—A State 
awarded a grant to conduct an initiative under this section 
shall conduct an outreach and education campaign to make 
Medicaid beneficiaries and providers participating in Medicaid 
who reside in the State aware of the programs described in 
subsection (a)(3) that are to be carried out by the State under 
the grant. 
(c) IMPACT.—A State awarded a grant to conduct an initiative 
under this section shall develop and implement a system to— 
(1) track Medicaid beneficiary participation in the program 
and validate changes in health risk and outcomes with clinical 
data, including the adoption and maintenance of health behav-
iors by such beneficiaries;