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in a Federal medical facility (as defined in sec-
tion 781(e)) that is located in a health profes-
sional shortage area (as defined in section 332), 
by 3 months for year of full-time practice in 
such a facility (not to exceed a total of 12 
months). 
‘‘(c) SECOND 2 YEARS OF SERVICE.—During the third 
and fourth years in which a medical, dental, physician as-
sistant, pharmacy, behavioral and mental health, public 
health, or nursing student is enrolled in the Track, training 
should be designed to prioritize clinical rotations in Federal 
medical facilities in health professional shortage areas, and 
emphasize a balance of hospital and community-based expe-
riences, and training within interdisciplinary teams. 
‘‘(d) DENTIST, PHYSICIAN ASSISTANT, PHARMACIST, 
BEHAVIORAL AND MENTAL HEALTH PROFESSIONAL, PUB-
LIC HEALTH PROFESSIONAL, AND NURSE TRAINING.—The 
Surgeon General shall establish provisions applicable with 
respect to dental, physician assistant, pharmacy, behavioral 
and mental health, public health, and nursing students that 
are comparable to those for medical students under this sec-
tion, including service obligations, tuition support, and sti-
pend support. The Surgeon General shall give priority to 
health professions training institutions that train medical, 
dental, physician assistant, pharmacy, behavioral and 
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mental health, public health, and nursing students for some 
significant period of time together, but at a minimum have 
a discrete and shared core curriculum. 
‘‘(e) ELITE FEDERAL DISASTER TEAMS.—The Sur-
geon General, in consultation with the Secretary, the Direc-
tor of the Centers for Disease Control and Prevention, and 
other appropriate military and Federal government agen-
cies, shall develop criteria for the appointment of highly 
qualified Track faculty, medical, dental, physician assist-
ant, pharmacy, behavioral and mental health, public health, 
and nursing students, and graduates to elite Federal dis-
aster preparedness teams to train and to respond to public 
health emergencies, natural disasters, bioterrorism events, 
and other emergencies. 
‘‘(f) STUDENT DROPPED FROM TRACK IN AFFILIATE 
SCHOOL.—A medical, dental, physician assistant, phar-
macy, behavioral and mental health, public health, or nurs-
ing student who, under regulations prescribed by the Sur-
geon General, is dropped from the Track in an affiliated 
school for deficiency in conduct or studies, or for other rea-
sons, shall be liable to the United States for all tuition and 
stipend support provided to the student. 
‘‘SEC. 274. FUNDING. 
‘‘Beginning with fiscal year 2010, the Secretary shall 
transfer from the Public Health and Social Services Emer-
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gency Fund such sums as may be necessary to carry out 
this part.’’. 
Subtitle E—Supporting the Existing 
Health Care Workforce 
SEC. 5401. CENTERS OF EXCELLENCE. 
Section 736 of the Public Health Service Act (42 
U.S.C. 293) is amended by striking subsection (h) and in-
serting the following: 
‘‘(h) FORMULA FOR ALLOCATIONS.— 
‘‘(1) ALLOCATIONS.—Based on the amount ap-
propriated under subsection (i) for a fiscal year, the 
following subparagraphs shall apply as appropriate: 
‘‘(A) IN GENERAL.—If the amounts appro-
priated under subsection (i) for a fiscal year are 
$24,000,000 or less— 
‘‘(i) the Secretary shall make available 
$12,000,000 for grants under subsection (a) 
to health professions schools that meet the 
conditions described in subsection (c)(2)(A); 
and 
‘‘(ii) and available after grants are 
made with funds under clause (i), the Sec-
retary shall make available— 
‘‘(I) 60 percent of such amount 
for grants under subsection (a) to 
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health professions schools that meet the 
conditions described in paragraph (3) 
or (4) of subsection (c) (including 
meeting the conditions under sub-
section (e)); and 
‘‘(II) 40 percent of such amount 
for grants under subsection (a) to 
health professions schools that meet the 
conditions 
described 
in 
subsection 
(c)(5). 
‘‘(B) FUNDING IN EXCESS OF $24,000,000.— 
If amounts appropriated under subsection (i) for 
a fiscal year exceed $24,000,000 but are less than 
$30,000,000— 
‘‘(i) 80 percent of such excess amounts 
shall be made available for grants under 
subsection (a) to health professions schools 
that meet the requirements described in 
paragraph (3) or (4) of subsection (c) (in-
cluding meeting conditions pursuant to sub-
section (e)); and 
‘‘(ii) 20 percent of such excess amount 
shall be made available for grants under 
subsection (a) to health professions schools 
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that meet the conditions described in sub-
section (c)(5). 
‘‘(C) FUNDING IN EXCESS OF $30,000,000.— 
If amounts appropriated under subsection (i) for 
a fiscal year exceed $30,000,000 but are less than 
$40,000,000, the Secretary shall make avail-
able— 
‘‘(i) not less than $12,000,000 for 
grants under subsection (a) to health profes-
sions schools that meet the conditions de-
scribed in subsection (c)(2)(A); 
‘‘(ii) not less than $12,000,000 for 
grants under subsection (a) to health profes-
sions schools that meet the conditions de-
scribed in paragraph (3) or (4) of sub-
section (c) (including meeting conditions 
pursuant to subsection (e)); 
‘‘(iii) not less than $6,000,000 for 
grants under subsection (a) to health profes-
sions schools that meet the conditions de-
scribed in subsection (c)(5); and 
‘‘(iv) after grants are made with funds 
under clauses (i) through (iii), any remain-
ing excess amount for grants under sub-
section (a) to health professions schools that 
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740(b) of such Act (42 U.S.C. 293d(b)) is amended by strik-
ing ‘‘appropriated’’ and all that follows through the period 
at the end and inserting ‘‘appropriated, $5,000,000 for each 
of the fiscal years 2010 through 2014.’’. 
(d) REAUTHORIZATION
FOR EDUCATIONAL ASSIST-
ANCE IN THE HEALTH PROFESSIONS REGARDING INDIVID-
UALS FROM
A DISADVANTAGED BACKGROUND.—Section 
740(c) of such Act (42 U.S.C. 293d(c)) is amended by strik-
ing the first sentence and inserting the following: ‘‘For the 
purpose of grants and contracts under section 739(a)(1), 
there is authorized to be appropriated $60,000,000 for fiscal 
year 2010 and such sums as may be necessary for each of 
the fiscal years 2011 through 2014.’’ 
SEC. 5403. INTERDISCIPLINARY, COMMUNITY-BASED LINK-
AGES. 
(a) AREA HEALTH EDUCATION CENTERS.—Section 
751 of the Public Health Service Act (42 U.S.C. 294a) is 
amended to read as follows: 
‘‘SEC. 751. AREA HEALTH EDUCATION CENTERS. 
‘‘(a) ESTABLISHMENT
OF AWARDS.—The Secretary 
shall make the following 2 types of awards in accordance 
with this section: 
‘‘(1) INFRASTRUCTURE DEVELOPMENT AWARD.— 
The Secretary shall make awards to eligible entities 
to enable such entities to initiate health care work-
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force educational programs or to continue to carry 
out comparable programs that are operating at the 
time the award is made by planning, developing, op-
erating, and evaluating an area health education cen-
ter program. 
‘‘(2) POINT OF SERVICE MAINTENANCE AND EN-
HANCEMENT
AWARD.—The Secretary shall make 
awards to eligible entities to maintain and improve 
the effectiveness and capabilities of an existing area 
health education center program, and make other 
modifications to the program that are appropriate 
due to changes in demographics, needs of the popu-
lations served, or other similar issues affecting the 
area health education center program. For the pur-
poses of this section, the term ‘Program’ refers to the 
area health education center program. 
‘‘(b) ELIGIBLE ENTITIES; APPLICATION.— 
‘‘(1) ELIGIBLE ENTITIES.— 
‘‘(A) INFRASTRUCTURE
DEVELOPMENT.— 
For purposes of subsection (a)(1), the term ‘eligi-
ble entity’ means a school of medicine or osteo-
pathic medicine, an incorporated consortium of 
such schools, or the parent institutions of such a 
school. With respect to a State in which no area 
health education center program is in operation, 
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the Secretary may award a grant or contract 
under subsection (a)(1) to a school of nursing. 
‘‘(B) POINT OF SERVICE MAINTENANCE AND 
ENHANCEMENT.—For 
purposes 
of 
subsection 
(a)(2), the term ‘eligible entity’ means an entity 
that has received funds under this section, is op-
erating an area health education center program, 
including an area health education center or 
centers, and has a center or centers that are no 
longer eligible to receive financial assistance 
under subsection (a)(1). 
‘‘(2) APPLICATION.—An eligible entity desiring 
to receive an award under this section shall submit 
to the Secretary an application at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
‘‘(c) USE OF FUNDS.— 
‘‘(1) REQUIRED ACTIVITIES.—An eligible entity 
shall use amounts awarded under a grant under sub-
section (a)(1) or (a)(2) to carry out the following ac-
tivities: 
‘‘(A) Develop and implement strategies, in 
coordination with the applicable one-stop deliv-
ery system under section 134(c) of the Workforce 
Investment Act of 1998, to recruit individuals 
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from underrepresented minority populations or 
from disadvantaged or rural backgrounds into 
health professions, and support such individuals 
in attaining such careers. 
‘‘(B) Develop and implement strategies to 
foster and provide community-based training 
and education to individuals seeking careers in 
health professions within underserved areas for 
the purpose of developing and maintaining a di-
verse health care workforce that is prepared to 
deliver high-quality care, with an emphasis on 
primary care, in underserved areas or for health 
disparity populations, in collaboration with 
other Federal and State health care workforce de-
velopment programs, the State workforce agency, 
and local workforce investment boards, and in 
health care safety net sites. 
‘‘(C) Prepare individuals to more effectively 
provide health services to underserved areas and 
health disparity populations through field place-
ments or preceptorships in conjunction with 
community-based organizations, accredited pri-
mary care residency training programs, Feder-
ally qualified health centers, rural health clinics, 
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public health departments, or other appropriate 
facilities. 
‘‘(D) Conduct and participate in inter-
disciplinary training that involves physicians, 
physician assistants, nurse practitioners, nurse 
midwives, dentists, psychologists, pharmacists, 
optometrists, community health workers, public 
and allied health professionals, or other health 
professionals, as practicable. 
‘‘(E) Deliver or facilitate continuing edu-
cation and information dissemination programs 
for health care professionals, with an emphasis 
on individuals providing care in underserved 
areas and for health disparity populations. 
‘‘(F) Propose and implement effective pro-
gram and outcomes measurement and evaluation 
strategies. 
‘‘(G) Establish a youth public health pro-
gram to expose and recruit high school students 
into health careers, with a focus on careers in 
public health. 
‘‘(2) INNOVATIVE
OPPORTUNITIES.—An eligible 
entity may use amounts awarded under a grant 
under subsection (a)(1) or subsection (a)(2) to carry 
out any of the following activities: 
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