‘‘(II) to identify a location in the emergency 
area to which such practitioner should report for 
purposes of providing health services, and to 
identify an individual or individuals in the area 
to whom the practitioner should report for such 
purposes; and 
‘‘(III) to verify the identity of the practi-
tioner and that the practitioner is licensed or 
certified by one or more of the States. 
‘‘(v) With respect to the licensure or certification 
of health care practitioners, the provision of services 
by the out-of-area practitioner in the emergency area 
is not a violation of the law of the State in which the 
area is located. 
‘‘(B) In issuing criteria under subparagraph (A), the 
Secretary shall take into account the need to rapidly enter 
into arrangements under such subparagraph in order to 
provide health services in emergency areas promptly after 
the emergency begins. 
‘‘(C) Subparagraph (A) applies with respect to an act 
or omission of an out-of-area practitioner only to the extent 
that the practitioner is not immune from liability for such 
act or omission under the Volunteer Protection Act of 1997. 
‘‘(D) For purposes of this paragraph, the term ‘emer-
gency area’ means a geographic area for which— 
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‘‘(i) the Secretary has made a determination 
under section 319 that a public health emergency ex-
ists; or 
‘‘(ii) a presidential declaration of major disaster 
has been issued under section 401 of the Robert T. 
Stafford Disaster Relief and Emergency Assistance 
Act.’’. 
SEC. 6. DEMONSTRATION PROJECT FOR INTEGRATED 
HEALTH SYSTEMS TO EXPAND ACCESS TO 
PRIMARY AND PREVENTIVE SERVICES FOR 
THE MEDICALLY UNDERSERVED. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 259b et seq.) is amended by adding at the end 
the following new subpart: 
‘‘Subpart XI—Demonstration Project for Integrated 
Health Systems to Expand Access to Primary and 
Preventive Services for the Medically Under-
served 
‘‘SEC. 340H. DEMONSTRATION PROJECT FOR INTEGRATED 
HEALTH SYSTEMS TO EXPAND ACCESS TO 
PRIMARY AND PREVENTIVE CARE FOR THE 
MEDICALLY UNDERSERVED. 
‘‘(a) ESTABLISHMENT OF DEMONSTRATION.— 
‘‘(1) IN GENERAL.—Not later than January 1, 
2009, the Secretary shall establish a demonstration 
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project (hereafter in this section referred to as the 
‘demonstration’) under which up to 30 qualifying in-
tegrated health systems receive grants for the costs of 
their operations to expand access to primary and pre-
ventive services for the medically underserved. 
‘‘(2) RULE OF CONSTRUCTION.—Nothing in this 
section shall be construed as authorizing grants to be 
made or used for the costs of specialty care or hospital 
care furnished by an integrated health system. 
‘‘(b) APPLICATION.—Any integrated health system de-
siring to participate in the demonstration shall submit an 
application in such manner, at such time, and containing 
such information as the Secretary may require. 
‘‘(c) CRITERIA FOR SELECTION.—In selecting inte-
grated health systems to participate in the demonstration 
(hereafter in this section referred to as ‘participating inte-
grated health systems’), the Secretary shall ensure represen-
tation of integrated health systems that are located in a 
variety of States (including the District of Columbia and 
the territories and possessions of the United States) and lo-
cations within States, including rural areas, inner-city 
areas, and frontier areas. 
‘‘(d) DURATION.—Subject to the availability of appro-
priations, the demonstration shall be conducted (and oper-
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ating grants be made to each participating integrated 
health system) for a period of 3 years. 
‘‘(e) REPORTS.— 
‘‘(1) IN GENERAL.—The Secretary shall submit 
to the appropriate committees of the Congress interim 
and final reports with respect to the demonstration, 
with an interim report being submitted not later than 
3 months after the demonstration has been in oper-
ation for 24 months and a final report being sub-
mitted not later than 3 months after the close of the 
demonstration. 
‘‘(2) CONTENT.—Such reports shall evaluate the 
effectiveness of the demonstration in providing greater 
access to primary and preventive care for medically 
underserved populations, and how the coordinated ap-
proach offered by integrated health systems contrib-
utes to improved patient outcomes. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be ap-
propriated $25,000,000 for each of the fiscal years 
2009, 2010, and 2011 to carry out this section. 
‘‘(2) CONSTRUCTION.—Nothing in this section 
shall be construed as requiring or authorizing a re-
duction in the amounts appropriated for grants to 
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health centers under section 330 for the fiscal years 
referred to in paragraph (1). 
‘‘(g) DEFINITIONS.—For purposes of this section: 
‘‘(1) FRONTIER AREA.—The term ‘frontier area’ 
has the meaning given to such term in regulations 
promulgated pursuant to section 330I(r). 
‘‘(2) INTEGRATED HEALTH SYSTEM.—The term 
‘integrated health system’ means a health system 
that— 
‘‘(A) has a demonstrated capacity and com-
mitment to provide a full range of primary care, 
specialty care, and hospital care in both inpa-
tient and outpatient settings; and 
‘‘(B) is organized to provide such care in a 
coordinated fashion. 
‘‘(3) QUALIFYING
INTEGRATED
HEALTH
SYS-
TEM.— 
‘‘(A) IN
GENERAL.—The term ‘qualifying 
integrated health system’ means a public or pri-
vate nonprofit entity that is an integrated health 
system that meets the requirements of subpara-
graph (B) and serves a medically underserved 
population (either through the staff and sup-
porting resources of the integrated health system 
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or through contracts or cooperative arrange-
ments) by providing— 
‘‘(i) required primary and preventive 
health and related services (as defined in 
paragraph (4)); and 
‘‘(ii) as may be appropriate for a pop-
ulation served by a particular integrated 
health system, integrative health services (as 
defined in paragraph (5)) that are nec-
essary for the adequate support of the re-
quired primary and preventive health and 
related services and that improve care co-
ordination. 
‘‘(B) OTHER REQUIREMENTS.—The require-
ments of this subparagraph are that the inte-
grated health system— 
‘‘(i) will make the required primary 
and preventive health and related services of 
the integrated health system available and 
accessible in the service area of the inte-
grated health system promptly, as appro-
priate, and in a manner which assures con-
tinuity; 
‘‘(ii) will demonstrate financial re-
sponsibility by the use of such accounting 
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