H. R. 3590—508 
SEC. 5306. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND 
TRAINING GRANTS. 
(a) IN GENERAL.—Part D of title VII (42 U.S.C. 294 et seq.) 
is amended by— 
(1) striking section 757; 
(2) redesignating section 756 (as amended by section 5103) 
as section 757; and 
(3) inserting after section 755 the following: 
‘‘SEC. 756. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND 
TRAINING GRANTS. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary may award grants 
to eligible institutions of higher education to support the recruit-
ment of students for, and education and clinical experience of the 
students in— 
‘‘(1) baccalaureate, master’s, and doctoral degree programs 
of social work, as well as the development of faculty in social 
work; 
‘‘(2) accredited master’s, doctoral, internship, and post-doc-
toral residency programs of psychology for the development 
and implementation of interdisciplinary training of psychology 
graduate students for providing behavioral and mental health 
services, including substance abuse prevention and treatment 
services; 
‘‘(3) accredited institutions of higher education or accredited 
professional training programs that are establishing or 
expanding internships or other field placement programs in 
child and adolescent mental health in psychiatry, psychology, 
school psychology, behavioral pediatrics, psychiatric nursing, 
social work, school social work, substance abuse prevention 
and treatment, marriage and family therapy, school counseling, 
or professional counseling; and 
‘‘(4) State-licensed mental health nonprofit and for-profit 
organizations to enable such organizations to pay for programs 
for preservice or in-service training of paraprofessional child 
and adolescent mental health workers. 
‘‘(b) ELIGIBILITY REQUIREMENTS.—To be eligible for a grant 
under this section, an institution shall demonstrate— 
‘‘(1) participation in the institutions’ programs of individ-
uals and groups from different racial, ethnic, cultural, 
geographic, religious, linguistic, and class backgrounds, and 
different genders and sexual orientations; 
‘‘(2) knowledge and understanding of the concerns of the 
individuals and groups described in subsection (a); 
‘‘(3) any internship or other field placement program 
assisted under the grant will prioritize cultural and linguistic 
competency; 
‘‘(4) the institution will provide to the Secretary such data, 
assurances, and information as the Secretary may require; 
and 
‘‘(5) with respect to any violation of the agreement between 
the Secretary and the institution, the institution will pay such 
liquidated damages as prescribed by the Secretary by regula-
tion. 
‘‘(c) INSTITUTIONAL
REQUIREMENT.—For grants authorized 
under subsection (a)(1), at least 4 of the grant recipients shall
H. R. 3590—509 
be historically black colleges or universities or other minority- 
serving institutions. 
‘‘(d) PRIORITY.— 
‘‘(1) In selecting the grant recipients in social work under 
subsection (a)(1), the Secretary shall give priority to applicants 
that— 
‘‘(A) are accredited by the Council on Social Work 
Education; 
‘‘(B) have a graduation rate of not less than 80 percent 
for social work students; and 
‘‘(C) exhibit an ability to recruit social workers from 
and place social workers in areas with a high need and 
high demand population. 
‘‘(2) In selecting the grant recipients in graduate psychology 
under subsection (a)(2), the Secretary shall give priority to 
institutions in which training focuses on the needs of vulnerable 
groups such as older adults and children, individuals with 
mental health or substance-related disorders, victims of abuse 
or trauma and of combat stress disorders such as posttraumatic 
stress disorder and traumatic brain injuries, homeless individ-
uals, chronically ill persons, and their families. 
‘‘(3) In selecting the grant recipients in training programs 
in child and adolescent mental health under subsections (a)(3) 
and (a)(4), the Secretary shall give priority to applicants that— 
‘‘(A) have demonstrated the ability to collect data on 
the number of students trained in child and adolescent 
mental health and the populations served by such students 
after graduation or completion of preservice or in-service 
training; 
‘‘(B) have demonstrated familiarity with evidence-based 
methods in child and adolescent mental health services, 
including substance abuse prevention and treatment serv-
ices; 
‘‘(C) have programs designed to increase the number 
of professionals and paraprofessionals serving high-priority 
populations and to applicants who come from high-priority 
communities and plan to serve medically underserved popu-
lations, in health professional shortage areas, or in medi-
cally underserved areas; 
‘‘(D) offer curriculum taught collaboratively with a 
family on the consumer and family lived experience or 
the importance of family-professional or family-paraprofes-
sional partnerships; and 
‘‘(E) provide services through a community mental 
health program described in section 1913(b)(1). 
‘‘(e) AUTHORIZATION OF APPROPRIATION.—For the fiscal years 
2010 through 2013, there is authorized to be appropriated to carry 
out this section— 
‘‘(1) $8,000,000 for training in social work in subsection 
(a)(1); 
‘‘(2) $12,000,000 for training in graduate psychology in 
subsection (a)(2), of which not less than $10,000,000 shall be 
allocated for doctoral, postdoctoral, and internship level 
training; 
‘‘(3) $10,000,000 for training in professional child and 
adolescent mental health in subsection (a)(3); and
H. R. 3590—510 
‘‘(4) $5,000,000 for training in paraprofessional child and 
adolescent work in subsection (a)(4).’’. 
(b) CONFORMING AMENDMENTS.—Section 757(b)(2) of the Public 
Health Service Act, as redesignated by subsection (a), is amended 
by striking ‘‘sections 751(a)(1)(A), 751(a)(1)(B), 753(b), 754(3)(A), 
and 755(b)’’ and inserting ‘‘sections 751(b)(1)(A), 753(b), and 755(b)’’. 
SEC. 5307. CULTURAL COMPETENCY, PREVENTION, AND PUBLIC 
HEALTH 
AND 
INDIVIDUALS 
WITH 
DISABILITIES 
TRAINING. 
(a) TITLE VII.—Section 741 of the Public Health Service Act 
(42 U.S.C. 293e) is amended— 
(1) in subsection (a)— 
(A) by striking the subsection heading and inserting 
‘‘CULTURAL
COMPETENCY, 
PREVENTION, 
AND
PUBLIC 
HEALTH AND INDIVIDUALS WITH DISABILITY GRANTS’’; and 
(B) in paragraph (1), by striking ‘‘for the purpose of’’ 
and all that follows through the period at the end and 
inserting ‘‘for the development, evaluation, and dissemina-
tion of research, demonstration projects, and model cur-
ricula for cultural competency, prevention, public health 
proficiency, reducing health disparities, and aptitude for 
working with individuals with disabilities training for use 
in health professions schools and continuing education pro-
grams, and for other purposes determined as appropriate 
by the Secretary.’’; and 
(2) by striking subsection (b) and inserting the following: 
‘‘(b) COLLABORATION.—In carrying out subsection (a), the Sec-
retary shall collaborate with health professional societies, licensing 
and accreditation entities, health professions schools, and experts 
in minority health and cultural competency, prevention, and public 
health and disability groups, community-based organizations, and 
other organizations as determined appropriate by the Secretary. 
The Secretary shall coordinate with curricula and research and 
demonstration projects developed under section 807. 
‘‘(c) DISSEMINATION.— 
‘‘(1) IN GENERAL.—Model curricula developed under this 
section shall be disseminated through the Internet Clearing-
house under section 270 and such other means as determined 
appropriate by the Secretary. 
‘‘(2) EVALUATION.—The Secretary shall evaluate the adop-
tion and the implementation of cultural competency, prevention, 
and public health, and working with individuals with a dis-
ability training curricula, and the facilitate inclusion of these 
competency measures in quality measurement systems as 
appropriate. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section such sums as may 
be necessary for each of fiscal years 2010 through 2015.’’. 
(b) TITLE VIII.—Section 807 of the Public Health Service Act 
(42 U.S.C. 296e–1) is amended— 
(1) in subsection (a)— 
(A) by striking the subsection heading and inserting 
‘‘CULTURAL
COMPETENCY, 
PREVENTION, 
AND
PUBLIC 
HEALTH AND INDIVIDUALS WITH DISABILITY GRANTS’’; and 
(B) by striking ‘‘for the purpose of’’ and all that follows 
through ‘‘health care.’’ and inserting ‘‘for the development,
H. R. 3590—511 
evaluation, and dissemination of research, demonstration 
projects, and model curricula for cultural competency, 
prevention, public health proficiency, reducing health 
disparities, and aptitude for working with individuals with 
disabilities training for use in health professions schools 
and continuing education programs, and for other purposes 
determined as appropriate by the Secretary.’’; and 
(2) by redesignating subsection (b) as subsection (d); 
(3) by inserting after subsection (a) the following: 
‘‘(b) COLLABORATION.—In carrying out subsection (a), the Sec-
retary shall collaborate with the entities described in section 741(b). 
The Secretary shall coordinate with curricula and research and 
demonstration projects developed under such section 741. 
‘‘(c) DISSEMINATION.—Model curricula developed under this sec-
tion shall be disseminated and evaluated in the same manner 
as model curricula developed under section 741, as described in 
subsection (c) of such section.’’; and 
(4) in subsection (d), as so redesignated— 
(A) by striking ‘‘subsection (a)’’ and inserting ‘‘this sec-
tion’’; and 
(B) by striking ‘‘2001 through 2004’’ and inserting 
‘‘2010 through 2015’’. 
SEC. 5308. ADVANCED NURSING EDUCATION GRANTS. 
Section 811 of the Public Health Service Act (42 U.S.C. 296j) 
is amended— 
(1) in subsection (c)— 
(A) in the subsection heading, by striking ‘‘AND NURSE 
MIDWIFERY PROGRAMS’’; and 
(B) by striking ‘‘and nurse midwifery’’; 
(2) in subsection (f)— 
(A) by striking paragraph (2); and 
(B) by redesignating paragraph (3) as paragraph (2); 
and 
(3) by redesignating subsections (d), (e), and (f) as sub-
sections (e), (f), and (g), respectively; and 
(4) by inserting after subsection (c), the following: 
‘‘(d) AUTHORIZED
NURSE-MIDWIFERY
PROGRAMS.—Midwifery 
programs that are eligible for support under this section are edu-
cational programs that— 
‘‘(1) have as their objective the education of midwives; 
and 
‘‘(2) are accredited by the American College of Nurse-Mid-
wives Accreditation Commission for Midwifery Education.’’. 
SEC. 5309. NURSE EDUCATION, PRACTICE, AND RETENTION GRANTS. 
(a) IN GENERAL.—Section 831 of the Public Health Service 
Act (42 U.S.C. 296p) is amended— 
(1) in the section heading, by striking ‘‘RETENTION’’ and 
inserting ‘‘QUALITY’’; 
(2) in subsection (a)— 
(A) in paragraph (1), by adding ‘‘or’’ after the semicolon; 
(B) by striking paragraph (2); and 
(C) by redesignating paragraph (3) as paragraph (2); 
(3) in subsection (b)(3), by striking ‘‘managed care, quality 
improvement’’ and inserting ‘‘coordinated care’’; 
(4) in subsection (g), by inserting ‘‘, as defined in section 
801(2),’’ after ‘‘school of nursing’’; and
H. R. 3590—512 
(5) in subsection (h), by striking ‘‘2003 through 2007’’ and 
inserting ‘‘2010 through 2014’’. 
(b) NURSE RETENTION GRANTS.—Title VIII of the Public Health 
Service Act is amended by inserting after section 831 (42 U.S.C. 
296b) the following: 
‘‘SEC. 831A. NURSE RETENTION GRANTS. 
‘‘(a) RETENTION PRIORITY AREAS.—The Secretary may award 
grants to, and enter into contracts with, eligible entities to enhance 
the nursing workforce by initiating and maintaining nurse retention 
programs pursuant to subsection (b) or (c). 
‘‘(b) GRANTS FOR CAREER LADDER PROGRAM.—The Secretary 
may award grants to, and enter into contracts with, eligible entities 
for programs— 
‘‘(1) to promote career advancement for individuals 
including licensed practical nurses, licensed vocational nurses, 
certified nurse assistants, home health aides, diploma degree 
or associate degree nurses, to become baccalaureate prepared 
registered nurses or advanced education nurses in order to 
meet the needs of the registered nurse workforce; 
‘‘(2) developing and implementing internships and resi-
dency programs in collaboration with an accredited school of 
nursing, as defined by section 801(2), to encourage mentoring 
and the development of specialties; or 
‘‘(3) to assist individuals in obtaining education and 
training required to enter the nursing profession and advance 
within such profession. 
‘‘(c) ENHANCING PATIENT CARE DELIVERY SYSTEMS.— 
‘‘(1) GRANTS.—The Secretary may award grants to eligible 
entities to improve the retention of nurses and enhance patient 
care that is directly related to nursing activities by enhancing 
collaboration and communication among nurses and other 
health care professionals, and by promoting nurse involvement 
in the organizational and clinical decision-making processes 
of a health care facility. 
‘‘(2) PRIORITY.—In making awards of grants under this 
subsection, the Secretary shall give preference to applicants 
that have not previously received an award under this sub-
section (or section 831(c) as such section existed on the day 
before the date of enactment of this section). 
‘‘(3) CONTINUATION
OF
AN
AWARD.—The Secretary shall 
make continuation of any award under this subsection beyond 
the second year of such award contingent on the recipient 
of such award having demonstrated to the Secretary measur-
able and substantive improvement in nurse retention or patient 
care. 
‘‘(d) OTHER PRIORITY AREAS.—The Secretary may award grants 
to, or enter into contracts with, eligible entities to address other 
areas that are of high priority to nurse retention, as determined 
by the Secretary. 
‘‘(e) REPORT.—The Secretary shall submit to the Congress before 
the end of each fiscal year a report on the grants awarded and 
the contracts entered into under this section. Each such report 
shall identify the overall number of such grants and contracts 
and provide an explanation of why each such grant or contract 
will meet the priority need of the nursing workforce.
H. R. 3590—513 
‘‘(f) ELIGIBLE ENTITY.—For purposes of this section, the term 
‘eligible entity’ includes an accredited school of nursing, as defined 
by section 801(2), a health care facility, or a partnership of such 
a school and facility. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section such sums as may 
be necessary for each of fiscal years 2010 through 2012.’’. 
SEC. 5310. LOAN REPAYMENT AND SCHOLARSHIP PROGRAM. 
(a) LOAN REPAYMENTS AND SCHOLARSHIPS.—Section 846(a)(3) 
of the Public Health Service Act (42 U.S.C. 297n(a)(3)) is amended 
by inserting before the semicolon the following: ‘‘, or in a accredited 
school of nursing, as defined by section 801(2), as nurse faculty’’. 
(b) TECHNICAL AND CONFORMING AMENDMENTS.—Title VIII (42 
U.S.C. 296 et seq.) is amended— 
(1) by redesignating section 810 (relating to prohibition 
against discrimination by schools on the basis of sex) as section 
809 and moving such section so that it follows section 808; 
(2) in sections 835, 836, 838, 840, and 842, by striking 
the term ‘‘this subpart’’ each place it appears and inserting 
‘‘this part’’; 
(3) in section 836(h), by striking the last sentence; 
(4) in section 836, by redesignating subsection (l) as sub-
section (k); 
(5) in section 839, by striking ‘‘839’’ and all that follows 
through ‘‘(a)’’ and inserting ‘‘839. (a)’’; 
(6) in section 835(b), by striking ‘‘841’’ each place it appears 
and inserting ‘‘871’’; 
(7) by redesignating section 841 as section 871, moving 
part F to the end of the title, and redesignating such part 
as part I; 
(8) in part G— 
(A) by redesignating section 845 as section 851; and 
(B) by redesignating part G as part F; 
(9) in part H— 
(A) by redesignating sections 851 and 852 as sections 
861 and 862, respectively; and 
(B) by redesignating part H as part G; and 
(10) in part I— 
(A) by redesignating section 855, as amended by section 
5305, as section 865; and 
(B) by redesignating part I as part H. 
SEC. 5311. NURSE FACULTY LOAN PROGRAM. 
(a) IN GENERAL.—Section 846A of the Public Health Service 
Act (42 U.S.C. 297n–1) is amended— 
(1) in subsection (a)— 
(A) in the subsection heading, by striking ‘‘ESTABLISH-
MENT’’ and inserting ‘‘SCHOOL OF NURSING STUDENT LOAN 
FUND’’; and 
(B) by inserting ‘‘accredited’’ after ‘‘agreement with 
any’’; 
(2) in subsection (c)— 
(A) in paragraph (2), by striking ‘‘$30,000’’ and all 
that follows through the semicolon and inserting ‘‘$35,500, 
during fiscal years 2010 and 2011 fiscal years (after fiscal 
year 2011, such amounts shall be adjusted to provide for
H. R. 3590—514 
a cost-of-attendance increase for the yearly loan rate and 
the aggregate loan;’’; and 
(B) in paragraph (3)(A), by inserting ‘‘an accredited’’ 
after ‘‘faculty member in’’; 
(3) in subsection (e), by striking ‘‘a school’’ and inserting 
‘‘an accredited school’’; and 
(4) in subsection (f), by striking ‘‘2003 through 2007’’ and 
inserting ‘‘2010 through 2014’’. 
(b) ELIGIBLE INDIVIDUAL STUDENT LOAN REPAYMENT.—Title 
VIII of the Public Health Service Act is amended by inserting 
after section 846A (42 U.S.C. 297n–1) the following: 
‘‘SEC. 847. ELIGIBLE INDIVIDUAL STUDENT LOAN REPAYMENT. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Adminis-
trator of the Health Resources and Services Administration, may 
enter into an agreement with eligible individuals for the repayment 
of education loans, in accordance with this section, to increase 
the number of qualified nursing faculty. 
‘‘(b) AGREEMENTS.—Each agreement entered into under this 
subsection shall require that the eligible individual shall serve 
as a full-time member of the faculty of an accredited school of 
nursing, for a total period, in the aggregate, of at least 4 years 
during the 6-year period beginning on the later of— 
‘‘(1) the date on which the individual receives a master’s 
or doctorate nursing degree from an accredited school of 
nursing; or 
‘‘(2) the date on which the individual enters into an agree-
ment under this subsection. 
‘‘(c) AGREEMENT PROVISIONS.—Agreements entered into pursu-
ant to subsection (b) shall be entered into on such terms and 
conditions as the Secretary may determine, except that— 
‘‘(1) not more than 10 months after the date on which 
the 6-year period described under subsection (b) begins, but 
in no case before the individual starts as a full-time member 
of the faculty of an accredited school of nursing the Secretary 
shall begin making payments, for and on behalf of that indi-
vidual, on the outstanding principal of, and interest on, any 
loan of that individual obtained to pay for such degree; 
‘‘(2) for an individual who has completed a master’s in 
nursing or equivalent degree in nursing— 
‘‘(A) payments may not exceed $10,000 per calendar 
year; and 
‘‘(B) total payments may not exceed $40,000 during 
the 2010 and 2011 fiscal years (after fiscal year 2011, 
such amounts shall be adjusted to provide for a cost-of- 
attendance increase for the yearly loan rate and the aggre-
gate loan); and 
‘‘(3) for an individual who has completed a doctorate or 
equivalent degree in nursing— 
‘‘(A) payments may not exceed $20,000 per calendar 
year; and 
‘‘(B) total payments may not exceed $80,000 during 
the 2010 and 2011 fiscal years (adjusted for subsequent 
fiscal years as provided for in the same manner as in 
paragraph (2)(B)). 
‘‘(d) BREACH OF AGREEMENT.—
H. R. 3590—515 
‘‘(1) IN
GENERAL.—In the case of any agreement made 
under subsection (b), the individual is liable to the Federal 
Government for the total amount paid by the Secretary under 
such agreement, and for interest on such amount at the max-
imum legal prevailing rate, if the individual fails to meet the 
agreement terms required under such subsection. 
‘‘(2) WAIVER
OR
SUSPENSION
OF
LIABILITY.—In the case 
of an individual making an agreement for purposes of para-
graph (1), the Secretary shall provide for the waiver or suspen-
sion of liability under such paragraph if compliance by the 
individual with the agreement involved is impossible or would 
involve extreme hardship to the individual or if enforcement 
of the agreement with respect to the individual would be uncon-
scionable. 
‘‘(3) DATE CERTAIN FOR RECOVERY.—Subject to paragraph 
(2), any amount that the Federal Government is entitled to 
recover under paragraph (1) shall be paid to the United States 
not later than the expiration of the 3-year period beginning 
on the date the United States becomes so entitled. 
‘‘(4) AVAILABILITY.—Amounts recovered under paragraph 
(1) shall be available to the Secretary for making loan repay-
ments under this section and shall remain available for such 
purpose until expended. 
‘‘(e) ELIGIBLE INDIVIDUAL DEFINED.—For purposes of this sec-
tion, the term ‘eligible individual’ means an individual who— 
‘‘(1) is a United States citizen, national, or lawful perma-
nent resident; 
‘‘(2) holds an unencumbered license as a registered nurse; 
and 
‘‘(3) has either already completed a master’s or doctorate 
nursing program at an accredited school of nursing or is cur-
rently enrolled on a full-time or part-time basis in such a 
program. 
‘‘(f) PRIORITY.—For the purposes of this section and section 
846A, funding priority will be awarded to School of Nursing Student 
Loans that support doctoral nursing students or Individual Student 
Loan Repayment that support doctoral nursing students. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section such sums as may 
be necessary for each of fiscal years 2010 through 2014.’’. 
SEC. 5312. AUTHORIZATION OF APPROPRIATIONS FOR PARTS B 
THROUGH D OF TITLE VIII. 
Section 871 of the Public Health Service Act, as redesignated 
and moved by section 5310, is amended to read as follows: 
‘‘SEC. 871. AUTHORIZATION OF APPROPRIATIONS. 
‘‘For the purpose of carrying out parts B, C, and D (subject 
to section 851(g)), there are authorized to be appropriated 
$338,000,000 for fiscal year 2010, and such sums as may be nec-
essary for each of the fiscal years 2011 through 2016.’’. 
SEC. 
5313. 
GRANTS 
TO 
PROMOTE 
THE 
COMMUNITY 
HEALTH 
WORKFORCE. 
(a) IN GENERAL.—Part P of title III of the Public Health Service 
Act (42 U.S.C. 280g et seq.) is amended by adding at the end 
the following:
H. R. 3590—516 
‘‘SEC. 399V. GRANTS TO PROMOTE POSITIVE HEALTH BEHAVIORS AND 
OUTCOMES. 
‘‘(a) GRANTS AUTHORIZED.—The Director of the Centers for Dis-
ease Control and Prevention, in collaboration with the Secretary, 
shall award grants to eligible entities to promote positive health 
behaviors and outcomes for populations in medically underserved 
communities through the use of community health workers. 
‘‘(b) USE OF FUNDS.—Grants awarded under subsection (a) shall 
be used to support community health workers— 
‘‘(1) to educate, guide, and provide outreach in a community 
setting regarding health problems prevalent in medically under-
served communities, particularly racial and ethnic minority 
populations; 
‘‘(2) to educate and provide guidance regarding effective 
strategies to promote positive health behaviors and discourage 
risky health behaviors; 
‘‘(3) to educate and provide outreach regarding enrollment 
in health insurance including the Children’s Health Insurance 
Program under title XXI of the Social Security Act, Medicare 
under title XVIII of such Act and Medicaid under title XIX 
of such Act; 
‘‘(4) to identify, educate, refer, and enroll underserved popu-
lations to appropriate healthcare agencies and community- 
based programs and organizations in order to increase access 
to quality healthcare services and to eliminate duplicative care; 
or 
‘‘(5) to educate, guide, and provide home visitation services 
regarding maternal health and prenatal care. 
‘‘(c) APPLICATION.—Each eligible entity that desires to receive 
a grant under subsection (a) shall submit an application to the 
Secretary, at such time, in such manner, and accompanied by 
such information as the Secretary may require. 
‘‘(d) PRIORITY.—In awarding grants under subsection (a), the 
Secretary shall give priority to applicants that— 
‘‘(1) propose to target geographic areas— 
‘‘(A) with a high percentage of residents who are 
eligible for health insurance but are uninsured or under-
insured; 
‘‘(B) with a high percentage of residents who suffer 
from chronic diseases; or 
‘‘(C) with a high infant mortality rate; 
‘‘(2) have experience in providing health or health-related 
social services to individuals who are underserved with respect 
to such services; and 
‘‘(3) have documented community activity and experience 
with community health workers. 
‘‘(e) COLLABORATION WITH ACADEMIC INSTITUTIONS AND THE 
ONE-STOP
DELIVERY
SYSTEM.—The Secretary shall encourage 
community health worker programs receiving funds under this sec-
tion to collaborate with academic institutions and one-stop delivery 
systems under section 134(c) of the Workforce Investment Act of 
1998. Nothing in this section shall be construed to require such 
collaboration. 
‘‘(f) EVIDENCE-BASED
INTERVENTIONS.—The Secretary shall 
encourage community health worker programs receiving funding 
under this section to implement a process or an outcome-based
H. R. 3590—517 
payment system that rewards community health workers for con-
necting underserved populations with the most appropriate services 
at the most appropriate time. Nothing in this section shall be 
construed to require such a payment. 
‘‘(g) QUALITY ASSURANCE AND COST EFFECTIVENESS.—The Sec-
retary shall establish guidelines for assuring the quality of the 
training and supervision of community health workers under the 
programs funded under this section and for assuring the cost- 
effectiveness of such programs. 
‘‘(h) MONITORING.—The Secretary shall monitor community 
health worker programs identified in approved applications under 
this section and shall determine whether such programs are in 
compliance with the guidelines established under subsection (g). 
‘‘(i) TECHNICAL ASSISTANCE.—The Secretary may provide tech-
nical assistance to community health worker programs identified 
in approved applications under this section with respect to planning, 
developing, and operating programs under the grant. 
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated, such sums as may be necessary to carry out 
this section for each of fiscal years 2010 through 2014. 
‘‘(k) DEFINITIONS.—In this section: 
‘‘(1) COMMUNITY HEALTH WORKER.—The term ‘community 
health worker’, as defined by the Department of Labor as 
Standard Occupational Classification [21–1094] means an indi-
vidual who promotes health or nutrition within the community 
in which the individual resides— 
‘‘(A) by serving as a liaison between communities and 
healthcare agencies; 
‘‘(B) by providing guidance and social assistance to 
community residents; 
‘‘(C) by enhancing community residents’ ability to effec-
tively communicate with healthcare providers; 
‘‘(D) by providing culturally and linguistically appro-
priate health or nutrition education; 
‘‘(E) by advocating for individual and community 
health; 
‘‘(F) by providing referral and follow-up services or 
otherwise coordinating care; and 
‘‘(G) by proactively identifying and enrolling eligible 
individuals in Federal, State, local, private or nonprofit 
health and human services programs. 
‘‘(2) COMMUNITY SETTING.—The term ‘community setting’ 
means a home or a community organization located in the 
neighborhood in which a participant in the program under 
this section resides. 
‘‘(3) ELIGIBLE ENTITY.—The term ‘eligible entity’ means a 
public or nonprofit private entity (including a State or public 
subdivision of a State, a public health department, a free health 
clinic, a hospital, or a Federally-qualified health center (as 
defined in section 1861(aa) of the Social Security Act)), or 
a consortium of any such entities. 
‘‘(4) MEDICALLY
UNDERSERVED
COMMUNITY.—The term 
‘medically underserved community’ means a community identi-
fied by a State— 
‘‘(A) that has a substantial number of individuals who 
are members of a medically underserved population, as 
defined by section 330(b)(3); and
H. R. 3590—518 
‘‘(B) a significant portion of which is a health profes-
sional shortage area as designated under section 332.’’. 
SEC. 5314. FELLOWSHIP TRAINING IN PUBLIC HEALTH. 
Part E of title VII of the Public Health Service Act (42 U.S.C. 
294n et seq.), as amended by section 5206, is further amended 
by adding at the end the following: 
‘‘SEC. 778. FELLOWSHIP TRAINING IN APPLIED PUBLIC HEALTH EPIDE-
MIOLOGY, 
PUBLIC 
HEALTH 
LABORATORY 
SCIENCE, 
PUBLIC HEALTH INFORMATICS, AND EXPANSION OF THE 
EPIDEMIC INTELLIGENCE SERVICE. 
‘‘(a) IN GENERAL.—The Secretary may carry out activities to 
address documented workforce shortages in State and local health 
departments in the critical areas of applied public health epidemi-
ology and public health laboratory science and informatics and 
may expand the Epidemic Intelligence Service. 
‘‘(b) SPECIFIC USES.—In carrying out subsection (a), the Sec-
retary shall provide for the expansion of existing fellowship pro-
grams operated through the Centers for Disease Control and 
Prevention in a manner that is designed to alleviate shortages 
of the type described in subsection (a). 
‘‘(c) OTHER PROGRAMS.—The Secretary may provide for the 
expansion of other applied epidemiology training programs that 
meet objectives similar to the objectives of the programs described 
in subsection (b). 
‘‘(d) WORK OBLIGATION.—Participation in fellowship training 
programs under this section shall be deemed to be service for 
purposes of satisfying work obligations stipulated in contracts under 
section 338I(j). 
‘‘(e) GENERAL SUPPORT.—Amounts may be used from grants 
awarded under this section to expand the Public Health Informatics 
Fellowship Program at the Centers for Disease Control and Preven-
tion to better support all public health systems at all levels of 
government. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section $39,500,000 for each 
of fiscal years 2010 through 2013, of which— 
‘‘(1) $5,000,000 shall be made available in each such fiscal 
year for epidemiology fellowship training program activities 
under subsections (b) and (c); 
‘‘(2) $5,000,000 shall be made available in each such fiscal 
year for laboratory fellowship training programs under sub-
section (b); 
‘‘(3) $5,000,000 shall be made available in each such fiscal 
year for the Public Health Informatics Fellowship Program 
under subsection (e); and 
‘‘(4) $24,500,000 shall be made available for expanding 
the Epidemic Intelligence Service under subsection (a).’’. 
SEC. 5315. UNITED STATES PUBLIC HEALTH SCIENCES TRACK. 
Title II of the Public Health Service Act (42 U.S.C. 202 et 
seq.) is amended by adding at the end the following:
H. R. 3590—519 
‘‘PART D—UNITED STATES PUBLIC HEALTH 
SCIENCES TRACK 
‘‘SEC. 271. ESTABLISHMENT. 
‘‘(a) UNITED STATES PUBLIC HEALTH SERVICES TRACK.— 
‘‘(1) IN GENERAL.—There is hereby authorized to be estab-
lished a United States Public Health Sciences Track (referred 
to in this part as the ‘Track’), at sites to be selected by the 
Secretary, with authority to grant appropriate advanced 
degrees in a manner that uniquely emphasizes team-based 
service, public health, epidemiology, and emergency prepared-
ness and response. It shall be so organized as to graduate 
not less than— 
‘‘(A) 150 medical students annually, 10 of whom shall 
be awarded studentships to the Uniformed Services Univer-
sity of Health Sciences; 
‘‘(B) 100 dental students annually; 
‘‘(C) 250 nursing students annually; 
‘‘(D) 100 public health students annually; 
‘‘(E) 100 behavioral and mental health professional 
students annually; 
‘‘(F) 100 physician assistant or nurse practitioner stu-
dents annually; and 
‘‘(G) 50 pharmacy students annually. 
‘‘(2) LOCATIONS.—The Track shall be located at existing 
and accredited, affiliated health professions education training 
programs at academic health centers located in regions of the 
United States determined appropriate by the Surgeon General, 
in consultation with the National Health Care Workforce 
Commission established in section 5101 of the Patient Protec-
tion and Affordable Care Act. 
‘‘(b) NUMBER OF GRADUATES.—Except as provided in subsection 
(a), the number of persons to be graduated from the Track shall 
be prescribed by the Secretary. In so prescribing the number of 
persons to be graduated from the Track, the Secretary shall 
institute actions necessary to ensure the maximum number of first- 
year enrollments in the Track consistent with the academic capacity 
of the affiliated sites and the needs of the United States for medical, 
dental, and nursing personnel. 
‘‘(c) DEVELOPMENT.—The development of the Track may be 
by such phases as the Secretary may prescribe subject to the 
requirements of subsection (a). 
‘‘(d) INTEGRATED LONGITUDINAL PLAN.—The Surgeon General 
shall develop an integrated longitudinal plan for health professions 
continuing education throughout the continuum of health-related 
education, training, and practice. Training under such plan shall 
emphasize patient-centered, interdisciplinary, and care coordination 
skills. Experience with deployment of emergency response teams 
shall be included during the clinical experiences. 
‘‘(e) FACULTY
DEVELOPMENT.—The Surgeon General shall 
develop faculty development programs and curricula in decentral-
ized venues of health care, to balance urban, tertiary, and inpatient 
venues. 
‘‘SEC. 272. ADMINISTRATION. 
‘‘(a) IN GENERAL.—The business of the Track shall be conducted 
by the Surgeon General with funds appropriated for and provided
H. R. 3590—520 
by the Department of Health and Human Services. The National 
Health Care Workforce Commission shall assist the Surgeon Gen-
eral in an advisory capacity. 
‘‘(b) FACULTY.— 
‘‘(1) IN GENERAL.—The Surgeon General, after considering 
the recommendations of the National Health Care Workforce 
Commission, shall obtain the services of such professors, 
instructors, and administrative and other employees as may 
be necessary to operate the Track, but utilize when possible, 
existing affiliated health professions training institutions. Mem-
bers of the faculty and staff shall be employed under salary 
schedules and granted retirement and other related benefits 
prescribed by the Secretary so as to place the employees of 
the Track faculty on a comparable basis with the employees 
of fully accredited schools of the health professions within the 
United States. 
‘‘(2) TITLES.—The Surgeon General may confer academic 
titles, as appropriate, upon the members of the faculty. 
‘‘(3) NONAPPLICATION OF PROVISIONS.—The limitations in 
section 5373 of title 5, United States Code, shall not apply 
to the authority of the Surgeon General under paragraph (1) 
to prescribe salary schedules and other related benefits. 
‘‘(c) AGREEMENTS.—The Surgeon General may negotiate agree-
ments with agencies of the Federal Government to utilize on a 
reimbursable basis appropriate existing Federal medical resources 
located in the United States (or locations selected in accordance 
with section 271(a)(2)). Under such agreements the facilities con-
cerned will retain their identities and basic missions. The Surgeon 
General may negotiate affiliation agreements with accredited 
universities and health professions training institutions in the 
United States. Such agreements may include provisions for pay-
ments for educational services provided students participating in 
Department of Health and Human Services educational programs. 
‘‘(d) PROGRAMS.—The Surgeon General may establish the fol-
lowing educational programs for Track students: 
‘‘(1) Postdoctoral, postgraduate, and technological pro-
grams. 
‘‘(2) A cooperative program for medical, dental, physician 
assistant, pharmacy, behavioral and mental health, public 
health, and nursing students. 
‘‘(3) Other programs that the Surgeon General determines 
necessary in order to operate the Track in a cost-effective 
manner. 
‘‘(e) CONTINUING MEDICAL EDUCATION.—The Surgeon General 
shall establish programs in continuing medical education for mem-
bers of the health professions to the end that high standards of 
health care may be maintained within the United States. 
‘‘(f) AUTHORITY OF THE SURGEON GENERAL.— 
‘‘(1) IN GENERAL.—The Surgeon General is authorized— 
‘‘(A) to enter into contracts with, accept grants from, 
and make grants to any nonprofit entity for the purpose 
of carrying out cooperative enterprises in medical, dental, 
physician assistant, pharmacy, behavioral and mental 
health, public health, and nursing research, consultation, 
and education; 
‘‘(B) to enter into contracts with entities under which 
the Surgeon General may furnish the services of such
H. R. 3590—521 
professional, technical, or clerical personnel as may be nec-
essary to fulfill cooperative enterprises undertaken by the 
Track; 
‘‘(C) to accept, hold, administer, invest, and spend any 
gift, devise, or bequest of personal property made to the 
Track, including any gift, devise, or bequest for the support 
of an academic chair, teaching, research, or demonstration 
project; 
‘‘(D) to enter into agreements with entities that may 
be utilized by the Track for the purpose of enhancing 
the activities of the Track in education, research, and 
technological applications of knowledge; and 
‘‘(E) to accept the voluntary services of guest scholars 
and other persons. 
‘‘(2) LIMITATION.—The Surgeon General may not enter into 
any contract with an entity if the contract would obligate the 
Track to make outlays in advance of the enactment of budget 
authority for such outlays. 
‘‘(3) SCIENTISTS.—Scientists or other medical, dental, or 
nursing personnel utilized by the Track under an agreement 
described in paragraph (1) may be appointed to any position 
within the Track and may be permitted to perform such duties 
within the Track as the Surgeon General may approve. 
‘‘(4) VOLUNTEER
SERVICES.—A person who provides vol-
untary services under the authority of subparagraph (E) of 
paragraph (1) shall be considered to be an employee of the 
Federal Government for the purposes of chapter 81 of title 
5, relating to compensation for work-related injuries, and to 
be an employee of the Federal Government for the purposes 
of chapter 171 of title 28, relating to tort claims. Such a person 
who is not otherwise employed by the Federal Government 
shall not be considered to be a Federal employee for any other 
purpose by reason of the provision of such services. 
‘‘SEC. 273. STUDENTS; SELECTION; OBLIGATION. 
‘‘(a) STUDENT SELECTION.— 
‘‘(1) IN
GENERAL.—Medical, dental, physician assistant, 
pharmacy, behavioral and mental health, public health, and 
nursing students at the Track shall be selected under proce-
dures prescribed by the Surgeon General. In so prescribing, 
the Surgeon General shall consider the recommendations of 
the National Health Care Workforce Commission. 
‘‘(2) PRIORITY.—In developing admissions procedures under 
paragraph (1), the Surgeon General shall ensure that such 
procedures give priority to applicant medical, dental, physician 
assistant, pharmacy, behavioral and mental health, public 
health, and nursing students from rural communities and 
underrepresented minorities. 
‘‘(b) CONTRACT AND SERVICE OBLIGATION.— 
‘‘(1) CONTRACT.—Upon being admitted to the Track, a med-
ical, dental, physician assistant, pharmacy, behavioral and 
mental health, public health, or nursing student shall enter 
into a written contract with the Surgeon General that shall 
contain— 
‘‘(A) an agreement under which— 
‘‘(i) subject to subparagraph (B), the Surgeon Gen-
eral agrees to provide the student with tuition (or