H. R. 3590—465 
‘‘PART U—EMPLOYER-BASED WELLNESS 
PROGRAM 
‘‘SEC. 
399MM. 
TECHNICAL 
ASSISTANCE 
FOR 
EMPLOYER-BASED 
WELLNESS PROGRAMS. 
‘‘In order to expand the utilization of evidence-based prevention 
and health promotion approaches in the workplace, the Director 
shall— 
‘‘(1) provide employers (including small, medium, and large 
employers, as determined by the Director) with technical assist-
ance, consultation, tools, and other resources in evaluating 
such employers’ employer-based wellness programs, including— 
‘‘(A) measuring the participation and methods to 
increase participation of employees in such programs; 
‘‘(B) developing standardized measures that assess 
policy, environmental and systems changes necessary to 
have a positive health impact on employees’ health behav-
iors, health outcomes, and health care expenditures; and 
‘‘(C) evaluating such programs as they relate to 
changes in the health status of employees, the absenteeism 
of employees, the productivity of employees, the rate of 
workplace injury, and the medical costs incurred by 
employees; and 
‘‘(2) build evaluation capacity among workplace staff by 
training employers on how to evaluate employer-based wellness 
programs by ensuring evaluation resources, technical assist-
ance, and consultation are available to workplace staff as 
needed through such mechanisms as web portals, call centers, 
or other means. 
‘‘SEC. 399MM–1. NATIONAL WORKSITE HEALTH POLICIES AND PRO-
GRAMS STUDY. 
‘‘(a) IN GENERAL.—In order to assess, analyze, and monitor 
over time data about workplace policies and programs, and to 
develop instruments to assess and evaluate comprehensive work-
place chronic disease prevention and health promotion programs, 
policies and practices, not later than 2 years after the date of 
enactment of this part, and at regular intervals (to be determined 
by the Director) thereafter, the Director shall conduct a national 
worksite health policies and programs survey to assess employer- 
based health policies and programs. 
‘‘(b) REPORT.—Upon the completion of each study under sub-
section (a), the Director shall submit to Congress a report that 
includes the recommendations of the Director for the implementa-
tion of effective employer-based health policies and programs. 
‘‘SEC. 399MM–2. PRIORITIZATION OF EVALUATION BY SECRETARY. 
‘‘The Secretary shall evaluate, in accordance with this part, 
all programs funded through the Centers for Disease Control and 
Prevention before conducting such an evaluation of privately funded 
programs unless an entity with a privately funded wellness program 
requests such an evaluation. 
‘‘SEC. 399MM–3. PROHIBITION OF FEDERAL WORKPLACE WELLNESS 
REQUIREMENTS. 
‘‘Notwithstanding any other provision of this part, any rec-
ommendations, data, or assessments carried out under this part
H. R. 3590—466 
shall not be used to mandate requirements for workplace wellness 
programs.’’. 
SEC. 4304. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS. 
Title XXVIII of the Public Health Service Act (42 U.S.C. 300hh 
et seq.) is amended by adding at the end the following: 
‘‘Subtitle C—Strengthening Public Health 
Surveillance Systems 
‘‘SEC. 2821. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS. 
‘‘(a) IN GENERAL.—Subject to the availability of appropriations, 
the Secretary, acting through the Director of the Centers for Disease 
Control and Prevention, shall establish an Epidemiology and Lab-
oratory Capacity Grant Program to award grants to State health 
departments as well as local health departments and tribal jurisdic-
tions that meet such criteria as the Director determines appropriate. 
Academic centers that assist State and eligible local and tribal 
health departments may also be eligible for funding under this 
section as the Director determines appropriate. Grants shall be 
awarded under this section to assist public health agencies in 
improving surveillance for, and response to, infectious diseases and 
other conditions of public health importance by— 
‘‘(1) strengthening epidemiologic capacity to identify and 
monitor the occurrence of infectious diseases and other condi-
tions of public health importance; 
‘‘(2) enhancing laboratory practice as well as systems to 
report test orders and results electronically; 
‘‘(3) improving information systems including developing 
and maintaining an information exchange using national guide-
lines and complying with capacities and functions determined 
by an advisory council established and appointed by the 
Director; and 
‘‘(4) developing and implementing prevention and control 
strategies. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section $190,000,000 for each 
of fiscal years 2010 through 2013, of which— 
‘‘(1) not less than $95,000,000 shall be made available 
each such fiscal year for activities under paragraphs (1) and 
(4) of subsection (a); 
‘‘(2) not less than $60,000,000 shall be made available 
each such fiscal year for activities under subsection (a)(3); and 
‘‘(3) not less than $32,000,000 shall be made available 
each such fiscal year for activities under subsection (a)(2).’’. 
SEC. 4305. ADVANCING RESEARCH AND TREATMENT FOR PAIN CARE 
MANAGEMENT. 
(a) INSTITUTE OF MEDICINE CONFERENCE ON PAIN.— 
(1) CONVENING.—Not later than 1 year after funds are 
appropriated to carry out this subsection, the Secretary of 
Health and Human Services shall seek to enter into an agree-
ment with the Institute of Medicine of the National Academies 
to convene a Conference on Pain (in this subsection referred 
to as ‘‘the Conference’’).
H. R. 3590—467 
(2) PURPOSES.—The purposes of the Conference shall be 
to— 
(A) increase the recognition of pain as a significant 
public health problem in the United States; 
(B) evaluate the adequacy of assessment, diagnosis, 
treatment, and management of acute and chronic pain 
in the general population, and in identified racial, ethnic, 
gender, age, and other demographic groups that may be 
disproportionately affected by inadequacies in the assess-
ment, diagnosis, treatment, and management of pain; 
(C) identify barriers to appropriate pain care; 
(D) establish an agenda for action in both the public 
and private sectors that will reduce such barriers and 
significantly improve the state of pain care research, edu-
cation, and clinical care in the United States. 
(3) OTHER APPROPRIATE ENTITY.—If the Institute of Medi-
cine declines to enter into an agreement under paragraph (1), 
the Secretary of Health and Human Services may enter into 
such agreement with another appropriate entity. 
(4) REPORT.—A report summarizing the Conference’s 
findings and recommendations shall be submitted to the Con-
gress not later than June 30, 2011. 
(5) AUTHORIZATION OF APPROPRIATIONS.—For the purpose 
of carrying out this subsection, there is authorized to be appro-
priated such sums as may be necessary for each of fiscal years 
2010 and 2011. 
(b) PAIN RESEARCH
AT NATIONAL INSTITUTES
OF HEALTH.— 
Part B of title IV of the Public Health Service Act (42 U.S.C. 
284 et seq.) is amended by adding at the end the following: 
‘‘SEC. 409J. PAIN RESEARCH. 
‘‘(a) RESEARCH INITIATIVES.— 
‘‘(1) IN GENERAL.—The Director of NIH is encouraged to 
continue and expand, through the Pain Consortium, an aggres-
sive program of basic and clinical research on the causes of 
and potential treatments for pain. 
‘‘(2) ANNUAL RECOMMENDATIONS.—Not less than annually, 
the Pain Consortium, in consultation with the Division of Pro-
gram Coordination, Planning, and Strategic Initiatives, shall 
develop and submit to the Director of NIH recommendations 
on appropriate pain research initiatives that could be under-
taken with funds reserved under section 402A(c)(1) for the 
Common Fund or otherwise available for such initiatives. 
‘‘(3) DEFINITION.—In this subsection, the term ‘Pain Consor-
tium’ means the Pain Consortium of the National Institutes 
of Health or a similar trans-National Institutes of Health 
coordinating entity designated by the Secretary for purposes 
of this subsection. 
‘‘(b) 
INTERAGENCY
PAIN
RESEARCH
COORDINATING
COM-
MITTEE.— 
‘‘(1) ESTABLISHMENT.—The Secretary shall establish not 
later than 1 year after the date of the enactment of this section 
and as necessary maintain a committee, to be known as the 
Interagency Pain Research Coordinating Committee (in this 
section referred to as the ‘Committee’), to coordinate all efforts 
within the Department of Health and Human Services and 
other Federal agencies that relate to pain research.
H. R. 3590—468 
‘‘(2) MEMBERSHIP.— 
‘‘(A) IN GENERAL.—The Committee shall be composed 
of the following voting members: 
‘‘(i) Not more than 7 voting Federal representatives 
appoint by the Secretary from agencies that conduct 
pain care research and treatment. 
‘‘(ii) 12 additional voting members appointed under 
subparagraph (B). 
‘‘(B) ADDITIONAL
MEMBERS.—The Committee shall 
include additional voting members appointed by the Sec-
retary as follows: 
‘‘(i) 6 non-Federal members shall be appointed from 
among scientists, physicians, and other health profes-
sionals. 
‘‘(ii) 6 members shall be appointed from members 
of the general public, who are representatives of 
leading research, advocacy, and service organizations 
for individuals with pain-related conditions. 
‘‘(C) NONVOTING
MEMBERS.—The Committee shall 
include such nonvoting members as the Secretary deter-
mines to be appropriate. 
‘‘(3) CHAIRPERSON.—The voting members of the Committee 
shall select a chairperson from among such members. The 
selection of a chairperson shall be subject to the approval 
of the Director of NIH. 
‘‘(4) MEETINGS.—The Committee shall meet at the call of 
the chairperson of the Committee or upon the request of the 
Director of NIH, but in no case less often than once each 
year. 
‘‘(5) DUTIES.—The Committee shall— 
‘‘(A) develop a summary of advances in pain care 
research supported or conducted by the Federal agencies 
relevant to the diagnosis, prevention, and treatment of 
pain and diseases and disorders associated with pain; 
‘‘(B) identify critical gaps in basic and clinical research 
on the symptoms and causes of pain; 
‘‘(C) make recommendations to ensure that the activi-
ties of the National Institutes of Health and other Federal 
agencies are free of unnecessary duplication of effort; 
‘‘(D) make recommendations on how best to dissemi-
nate information on pain care; and 
‘‘(E) make recommendations on how to expand partner-
ships between public entities and private entities to expand 
collaborative, cross-cutting research. 
‘‘(6) REVIEW.—The Secretary shall review the necessity of 
the Committee at least once every 2 years.’’. 
(c) PAIN CARE EDUCATION AND TRAINING.—Part D of title VII 
of the Public Health Service Act (42 U.S.C. 294 et seq.) is amended 
by adding at the end the following new section: 
‘‘SEC. 759. PROGRAM FOR EDUCATION AND TRAINING IN PAIN CARE. 
‘‘(a) IN GENERAL.—The Secretary may make awards of grants, 
cooperative agreements, and contracts to health professions schools, 
hospices, and other public and private entities for the development 
and implementation of programs to provide education and training 
to health care professionals in pain care.