‘‘(j) RECOMMENDATIONS.—The Trustees may submit 
recommendations directly to Congress, without oppor-
tunity for comment or change by the Secretary. 
‘‘(k) STAFF.—The Trustees may employ and fix the 
compensation of personnel as necessary. Not more than 
5 percent of the funds appropriated in a fiscal year to 
the Trust Fund established under section 399NN may be 
used to fund the staff, operations, and other purposes as 
the Trustees determine appropriate of the Trust Fund 
Board, subject to the oversight of the Secretary. 
‘‘SEC. 399MM. REPORTS; PLAN FOR DELIVERY SYSTEMS. 
‘‘(a) DEVELOPMENT OF KEY REPORTS.—Not later 
than 1 year after the appointment of the Trustees under 
section 399LL(c), the Trustees shall submit to Congress 
and make publicly available the following reports: 
‘‘(1) REPORT ON BROADENING THE PREVEN-
TION WORKFORCE.—A report that develops and de-
scribes a system for certification and recertification 
of ‘prevention health workers’ to complement the 
health system and public health infrastructure as in 
existence at the time of such report. Such system 
may expand certification efforts in existence at the 
time of such report for the public health workforce 
and community health workers. Such report shall 
also examine the impact of State licensing require-
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ments and explore and describe options for health 
profession training and continuing education, 1 or 
more registries of certified prevention health work-
ers, and an employment structure that encourages 
flexible deployment but protects prevention health 
workers’ benefits. 
‘‘(2) REPORT
ON
ALIGNING
PAYMENTS
WITH 
PREVENTION GOALS.—A report that examines and 
describes payment methodologies and presents op-
tions for paying certified prevention health workers 
for clinical preventive care that aligns incentives 
with goals, as well as payment methodologies for 
community organizations involved in the provision of 
prevention services. Such report shall address the 
shortfalls of the payment systems in existence at the 
time of such report that have not proven effective at 
encouraging the provision of prevention services. 
‘‘(3) REPORT ON IDENTIFYING EXISTING FUND-
ING FOR PREVENTION.—A report that examines and 
describes the amount of money spent on prevention 
by public health, public and private health insurers, 
and applicable self-insured health plans (as defined 
in section 399OO) during the most recent year for 
which such data is available. 
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‘‘(b) PLAN FOR DELIVERY SYSTEMS.—Not later than 
1 year after the appointment of the Trustees under section 
399LL(c), the Trustees shall establish a plan for deliv-
ering and financing prevention priorities and imple-
menting pilot programs. Such plan shall include— 
‘‘(1) identifying effective delivery systems based 
on evidence and expert judgment to determine how 
best to deliver priority clinical and community-based 
prevention activities; 
‘‘(2) assessing the current capacity of effective 
delivery systems and community infrastructure and 
actions necessary to ensure adequate infrastructure 
and capacity to deliver priority clinical and commu-
nity-based prevention activities as determined by the 
Trust; and 
‘‘(3) identifying cost-saving clinical and commu-
nity-based interventions to implement before Decem-
ber 31, 2011, which shall include evidence-based 
interventions in obesity, diabetes, heart disease, and 
cancer. 
‘‘SEC. 399NN. INFRASTRUCTURE AND PRIORITIES. 
‘‘(a) DESIGNATING NATIONAL PREVENTION PRIOR-
ITIES.—The Trustees shall issue and annually update a 
ranked list of designated ‘prevention priorities’. The inclu-
sion of an activity on such list shall be based on the poten-
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tial of such activity to improve health and the cost effec-
tiveness of such activity. Such list shall— 
‘‘(1) include clinical preventive services and 
community-based interventions; and 
‘‘(2) be used by the Trustees to— 
‘‘(A) determine what prevention services 
and community-based interventions shall be 
paid for through the Trust Fund under section 
399OO; 
‘‘(B) allocate resources within the Trust; 
‘‘(C) educate the public on critical preven-
tion priorities; and 
‘‘(D) emphasize coverage and use within 
existing authorities. 
‘‘(b) CREATION
AND SUPPORT
OF INFRASTRUC-
TURE.—The Trustees shall establish and otherwise sup-
port and sustain the infrastructure for an effective 
wellness system, including the following components: 
‘‘(1) CENTRAL SOURCE OF PREVENTION INFOR-
MATION.—A centralized, national, easily accessible 
information clearinghouse on prevention priorities 
and community-based interventions that shall— 
‘‘(A) be made available in multiple media; 
‘‘(B) be updated regularly; and 
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‘‘(C) connect individuals, health care pro-
viders, State and local health departments, and 
others to national and local resources that sup-
port the designated prevention priorities under 
subsection (a). 
‘‘(2) 
QUALIFIED
ELECTRONIC
HEALTH 
RECORDS.—The use and integration of qualified 
electronic health records (as defined in section 
3000(13))— 
‘‘(A) to track provision of prevention over 
the course of individuals’ lifetimes; 
‘‘(B) to facilitate reimbursement of cer-
tified prevention health workers and prevention 
health entities; and 
‘‘(C) to assist in evaluations of the efficacy 
of the policies of the Wellness Trust. 
‘‘(3) 
SYSTEM
FOR
TRAINING
AND 
CREDENTIALING PREVENTION HEALTH WORKERS.— 
A system for training and credentialing prevention 
health workers and prevention health entities 
through agencies such as the Health Resources and 
Services Administration and the Centers for Disease 
Control and Prevention. In establishing and imple-
menting such system, the Trustees shall— 
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