Secretary may provide direct technical assistance in lieu 
of cash. 
‘‘(c) COORDINATION WITH NIH.—The Secretary 
shall ensure that epidemiological and other types of infor-
mation obtained under subsection (a) is made available to 
the National Institutes of Health. 
‘‘(d) CREATION OF A NATIONAL JUVENILE ARTHRI-
TIS POPULATION-BASED DATABASE.—The Secretary, act-
ing through the Director of the Centers for Disease Con-
trol and Prevention and in collaboration with a national 
voluntary health organization with experience serving the 
juvenile arthritis population as well as the full spectrum 
of arthritis-related conditions, may support the develop-
ment of a national juvenile arthritis population-based 
database to collect specific data for follow-up studies re-
garding the prevalence and incidence of juvenile arthritis, 
as well as capturing information on evidence-based health 
outcomes related to specific therapies and interventions. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated $25,000,000 for each of fiscal years 
2010 through 2014.’’ 
SEC. 
5. 
INVESTMENT 
IN 
TOMORROW’S 
PEDIATRIC 
RHEUMATOLOGISTS. 
(a) ENHANCED SUPPORT.— 
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(1) IN GENERAL.—In order to ensure an ade-
quate future supply of pediatric rheumatologists, the 
Secretary of Health and Human Services, in con-
sultation with the Administrator of the Health Re-
sources and Services Administration, shall support 
activities that provide for— 
(A) an increase in the number and size of 
institutional training grants awarded to institu-
tions to support pediatric rheumatology train-
ing; and 
(B) an expansion of public-private partner-
ships to encourage academic institutions, pri-
vate sector entities, and health agencies to pro-
mote educational training and fellowship oppor-
tunities for pediatric rheumatologists. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection $3,750,000 for each of the fiscal 
years 2010 through 2014. 
(b) PEDIATRIC LOAN REPAYMENT PROGRAM.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Adminis-
trator of the Health Resources and Services Admin-
istration, shall establish and, subject to the deter-
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mination under paragraph (3), carry out a pediatric 
rheumatology loan repayment program. 
(2) PROGRAM ADMINISTRATION.—Through the 
program established under this subsection, the Sec-
retary shall— 
(A) enter into contracts with qualified 
health 
professionals 
who 
are 
pediatric 
rheumatologists under which— 
(i) such professionals agree to provide 
health care in an area with a shortage of 
pediatric rheumatologists and that has the 
capacity to support pediatric rheumatology, 
as determined by the Secretary of Health 
and Human Services; and 
(ii) the Federal Government agrees to 
repay, for each year of such service, not 
more than $25,000 of the principal and in-
terest of the educational loans of such pro-
fessionals; and 
(B) in addition to making payments under 
paragraph (1) on behalf of an individual, make 
payments to the individual for the purpose of 
providing reimbursement for tax liability result-
ing from the payments made under paragraph 
(1), in an amount equal to 39 percent of the 
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