‘‘(e) DISSEMINATION OF INFORMATION.—The Sec-
retary shall, in addition to the usual methods of the Sec-
retary, disseminate information about the availability of 
grants under subsection (a) in a manner designed to reach 
public entities and nonprofit private organizations that are 
dedicated to providing outreach, advocacy, or independent 
living services to individuals with disabilities. 
‘‘(f) REPORTS TO CONGRESS.—The Secretary shall, 
not later than 180 days after the date of the enactment 
of the Promoting Wellness for Individuals with Disabilities 
Act of 2007, and annually thereafter, submit to Congress 
a report summarizing activities, findings, outcomes, and 
recommendations resulting from the grant projects funded 
under this section during the preceding fiscal year. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of making grants under this section, there are au-
thorized to be appropriated such sums as may be nec-
essary.’’. 
SEC. 4. IMPROVING EDUCATION AND TRAINING TO PRO-
VIDE MEDICAL SERVICES TO INDIVIDUALS 
WITH DISABILITIES. 
(a) COORDINATED PROGRAM TO IMPROVE PEDI-
ATRIC ORAL HEALTH.—Section 320A(b) of the Public 
Health Service Act (42 U.S.C. 247d–8(b)) is amended 
by— 
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(1) striking ‘‘, or to increase’’ and inserting ‘‘, 
to increase’’; and 
(2) striking the period and inserting the fol-
lowing ‘‘, or to provide training to improve com-
petency and clinical skills in providing oral health 
services to, and communicating with, patients with 
disabilities (including those with intellectual disabil-
ities) through training integrated into the core cur-
riculum and patient interaction in community-based 
settings.’’. 
(b) CHILDREN’S HOSPITALS THAT OPERATE GRAD-
UATE MEDICAL EDUCATION PROGRAMS.—Section 340E 
of the Public Health Service Act (42 U.S.C. 256e) is 
amended by adding at the end the following: 
‘‘(h) REQUIREMENT TO PROVIDE TRAINING.—To be 
eligible to receive a payment under this section, a chil-
dren’s hospital shall provide training to improve com-
petency and clinical skills in providing health care to, and 
communicating with, patients with disabilities, including 
those with intellectual disabilities, as part of any approved 
graduate medical residency training program provided by 
the hospital. Such training shall include treating patients 
with disabilities in community-based settings as part of 
the usual training or residency placement.’’. 
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(c) CENTERS OF EXCELLENCE.—Section 736(b) of 
the Public Health Service Act (42 U.S.C. 293(b)) is 
amended— 
(1) in paragraph (6)(B), by striking ‘‘; and’’ 
and inserting a semicolon; 
(2) by redesignating paragraph (7) as para-
graph (8); and 
(3) by inserting after paragraph (6) the fol-
lowing: 
‘‘(7) to carry out a program to improve com-
petency and clinical skills of students in providing 
health services to, and communicating with, patients 
with disabilities, including those with intellectual dis-
abilities; and’’. 
(d) FAMILY MEDICINE, GENERAL INTERNAL MEDI-
CINE, GENERAL PEDIATRICS, GENERAL DENTISTRY, PE-
DIATRIC DENTISTRY, AND PHYSICIAN ASSISTANTS.—Sec-
tion 747(a) of the Public Health Service Act (42 U.S.C. 
293k(a)) is amended— 
(1) in paragraph (5), by striking ‘‘; and’’ and 
inserting a semicolon; 
(2) in paragraph (6), by striking ‘‘pediatric 
dentistry.’’ and inserting the following: ‘‘pediatric 
dentistry; and 
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‘‘(7) to plan, develop, and operate a program 
for the training of physicians or dentists, or medical 
or dental residents, to improve competency and clin-
ical skills of physicians and dentists in providing 
services to, and communicating with, patients with 
disabilities, including those with intellectual disabil-
ities.’’; and 
(3) by inserting at the end the following: ‘‘The 
training described in paragraph (7) shall include 
training integrated into the core curriculum, as well 
as patient interaction with individuals with disabil-
ities in community-based settings, as part of the 
usual training or residency placement.’’. 
(e) ADVISORY COUNCIL
ON GRADUATE MEDICAL 
EDUCATION.—Section 762(a)(1) of the Public Health 
Service Act (42 U.S.C. 294o(a)(1)) is amended— 
(1) in subparagraph (E), by striking ‘‘; and’’ 
and inserting a semicolon; 
(2) by adding at the end the following: 
‘‘(G) appropriate efforts to be carried out 
by hospitals, schools of medicine, schools of os-
teopathic medicine, schools of dentistry, and ac-
crediting bodies with respect to changes in un-
dergraduate and graduate medical training to 
improve competency and clinical skills of physi-
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cians in providing health care services to, and 
communicating with, patients with disabilities, 
including those with intellectual disabilities; 
and’’. 
(f) MEDICARE GRADUATE MEDICAL EDUCATION 
PROGRAMS.—Section 1886(h) of the Social Security Act 
(42 U.S.C. 1395ww(h)) is amended by adding at the end 
the following: 
‘‘(8) REQUIREMENT TO PROVIDE TRAINING.— 
To be eligible to receive a payment under this sub-
section, a hospital shall provide training to improve 
competency and clinical skills in providing health 
care to, and communicating with, patients with dis-
abilities, including those with intellectual disabilities, 
as part of any approved medical residency training 
program provided by the hospital. Such training 
shall include treating patients with disabilities in 
community-based settings, as part of the usual 
training or residency placement.’’. 
(g) EFFECTIVE DATE.—The amendments made by 
subsections (b), (c), and (f) shall take effect 180 days 
after the date of the enactment of this Act. 
Æ 
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