‘‘(2) to improve the public’s understanding of 
the various situations in which individuals may find 
themselves if they become unable to express their 
health care wishes; 
‘‘(3) to explain the need for readily available 
legal documents that express an individual’s wishes 
through— 
‘‘(A) advance directives (including living 
wills, comfort care orders, and durable powers 
of attorney for health care); and 
‘‘(B) other planning tools, such as a physi-
cian’s orders for life-sustaining treatment 
(POLST); and 
‘‘(4) to educate the public about the availability 
of hospice care and palliative care. 
‘‘(b) INFORMATION PHONE LINE AND CLEARING-
HOUSE.—The Secretary, directly or through grants 
awarded under subsection (c), shall provide for the estab-
lishment of a national, toll-free, information telephone line 
and a clearinghouse that the public and health care profes-
sionals may access to find out about State-specific and 
other information regarding advance directive and end-of- 
life decisions. 
‘‘(c) GRANTS.— 
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‘‘(1) IN
GENERAL.—The Secretary shall use 
funds appropriated under subsection (d) for the pur-
pose of awarding grants to public or nonprofit pri-
vate entities (including States or political subdivi-
sions of a State), or a consortium of any of such en-
tities, for the purpose of conducting education cam-
paigns under subsection (a). 
‘‘(2) PERIOD.—Any grant awarded under para-
graph (1) shall be for a period of 3 years. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated— 
‘‘(1) for purposes of carrying out subsection 
(b), $5,000,000 for fiscal year 2010 and each subse-
quent year; and 
‘‘(2) for purposes of making grants under sub-
section (c), $10,000,000 for fiscal year 2010, to re-
main available until expended.’’. 
SEC. 4. INCLUSION OF END-OF-LIFE PLANNING MATERIALS 
IN THE MEDICARE & YOU HANDBOOK. 
(a) IN GENERAL.—Section 1804(a) of the Social Se-
curity Act (42 U.S.C. 1395b–2(a)) is amended— 
(1) in paragraph (2), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (3), by striking the period at 
the end and inserting ‘‘; and’’; and 
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(3) by inserting after paragraph (3) the fol-
lowing new paragraph: 
‘‘(4) information on advance directives, other 
end-of-life planning tools, and the hospice care ben-
efit under this title.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply to notices distributed on or after 
January 1, 2011. 
SEC. 5. SENIOR NAVIGATION ADVISORY BOARD. 
(a) ESTABLISHMENT.—The Secretary of Health and 
Human Services shall establish the Senior Navigation Ad-
visory Board (in this section referred to as the ‘‘Advisory 
Board’’). 
(b) MEMBERSHIP.—The Board shall be comprised of 
advocates, researchers, government officials, health care 
providers, ethicists, caregivers, and other individuals with 
expertise in issues related to end-of-life care. 
(c) DUTIES.—The Advisory Board shall advise the 
Secretary on issues related to end-of-life care and advance 
care planning, including how to— 
(1) increase patients’ quality of life; 
(2) reduce current legal hurdles to the enforce-
ment of advance directives; 
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(3) encourage provider participation in edu-
cational and training activities surrounding ad-
vanced illnesses and end-of-life care planning; 
(4) develop quality and outcome measures that 
hospice programs should report for advanced illness 
care management services (as defined in section 
1861(hhh) of the Social Security Act, as added by 
section 2); 
(5) determine what information should be dis-
cussed in discharge planning; and 
(6) enhance advance care planning. 
(d) APPLICATION OF FACA.—The Federal Advisory 
Committee Act (5 U.S.C. App.) shall apply to the Advisory 
Board. 
(e) PAY AND REIMBURSEMENT.— 
(1) NO COMPENSATION FOR MEMBERS OF ADVI-
SORY BOARD.—Except as provided in paragraph (2), 
a member of the Advisory Board may not receive 
pay, allowances, or benefits by reason of their serv-
ice on the Board. 
(2) TRAVEL
EXPENSES.—Each member shall 
receive travel expenses, including per diem in lieu of 
subsistence under subchapter I of chapter 57 of title 
5, United States Code. 
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(f) REPORT.—Not later than 3 years after the estab-
lishment of the Advisory Board, the Advisory Board shall 
submit to Congress a final report containing the findings 
and conclusions of the Advisory Board, together with rec-
ommendations for such legislation and administrative ac-
tions as the Advisory Board considers appropriate. 
(g) TERMINATION.—The Advisory Board shall termi-
nate 30 days after submitting the report under subsection 
(f). 
(h) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section. 
SEC. 6. REQUIREMENT FOR PHYSICIANS AND NURSE PRAC-
TITIONERS TO PROVIDE CERTAIN MEDICARE 
BENEFICIARIES WITH INFORMATION ON AD-
VANCE DIRECTIVES AND OTHER END-OF-LIFE 
PLANNING TOOLS. 
Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended by adding at the end the following 
new subsection: 
‘‘(n) REQUIREMENT FOR PHYSICIANS AND NURSE 
PRACTITIONERS
TO
PROVIDE
CERTAIN
INDIVIDUALS 
WITH INFORMATION
ON ADVANCE DIRECTIVES
AND 
OTHER END-OF-LIFE PLANNING TOOLS.— 
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