H. R. 3590—481 
pharmacists, allied health professionals, doctors of chiro-
practic, community health workers, school nurses, certified 
nurse midwives, podiatrists, licensed complementary and 
alternative 
medicine 
providers, 
the 
EMS 
workforce 
(including professional and volunteer ambulance personnel 
and firefighters who perform emergency medical services), 
and integrative health practitioners; 
(B) national representatives of health professionals; 
(C) representatives of schools of medicine, osteopathy, 
nursing, dentistry, optometry, pharmacy, chiropractic, 
allied health, educational programs for public health profes-
sionals, behavioral and mental health professionals (as so 
defined), social workers, pharmacists, physical and occupa-
tional therapists, oral health care industry dentistry and 
dental hygiene, and physician assistants; 
(D) representatives of public and private teaching hos-
pitals, and ambulatory health facilities, including Federal 
medical facilities; and 
(E) any other health professional the Comptroller Gen-
eral of the United States determines appropriate. 
SEC. 5102. STATE HEALTH CARE WORKFORCE DEVELOPMENT GRANTS. 
(a) ESTABLISHMENT.—There is established a competitive health 
care workforce development grant program (referred to in this sec-
tion as the ‘‘program’’) for the purpose of enabling State partner-
ships to complete comprehensive planning and to carry out activities 
leading to coherent and comprehensive health care workforce 
development strategies at the State and local levels. 
(b) FISCAL AND ADMINISTRATIVE AGENT.—The Health Resources 
and Services Administration of the Department of Health and 
Human Services (referred to in this section as the ‘‘Administration’’) 
shall be the fiscal and administrative agent for the grants awarded 
under this section. The Administration is authorized to carry out 
the program, in consultation with the National Health Care 
Workforce Commission (referred to in this section as the ‘‘Commis-
sion’’), which shall review reports on the development, implementa-
tion, and evaluation activities of the grant program, including— 
(1) administering the grants; 
(2) providing technical assistance to grantees; and 
(3) reporting performance information to the Commission. 
(c) PLANNING GRANTS.— 
(1) AMOUNT AND DURATION.—A planning grant shall be 
awarded under this subsection for a period of not more than 
one year and the maximum award may not be more than 
$150,000. 
(2) ELIGIBILITY.—To be eligible to receive a planning grant, 
an entity shall be an eligible partnership. An eligible partner-
ship shall be a State workforce investment board, if it includes 
or modifies the members to include at least one representative 
from each of the following: health care employer, labor organiza-
tion, a public 2-year institution of higher education, a public 
4-year institution of higher education, the recognized State 
federation of labor, the State public secondary education agency, 
the State P–16 or P–20 Council if such a council exists, and 
a philanthropic organization that is actively engaged in pro-
viding learning, mentoring, and work opportunities to recruit,
H. R. 3590—482 
educate, and train individuals for, and retain individuals in, 
careers in health care and related industries. 
(3) FISCAL AND ADMINISTRATIVE AGENT.—The Governor of 
the State receiving a planning grant has the authority to 
appoint a fiscal and an administrative agency for the partner-
ship. 
(4) APPLICATION.—Each State partnership desiring a plan-
ning grant shall submit an application to the Administrator 
of the Administration at such time and in such manner, and 
accompanied by such information as the Administrator may 
reasonable require. Each application submitted for a planning 
grant shall describe the members of the State partnership, 
the activities for which assistance is sought, the proposed 
performance benchmarks to be used to measure progress under 
the planning grant, a budget for use of the funds to complete 
the required activities described in paragraph (5), and such 
additional assurance and information as the Administrator 
determines to be essential to ensure compliance with the grant 
program requirements. 
(5) REQUIRED ACTIVITIES.—A State partnership receiving 
a planning grant shall carry out the following: 
(A) Analyze State labor market information in order 
to create health care career pathways for students and 
adults, including dislocated workers. 
(B) Identify current and projected high demand State 
or regional health care sectors for purposes of planning 
career pathways. 
(C) Identify existing Federal, State, and private 
resources to recruit, educate or train, and retain a skilled 
health care workforce and strengthen partnerships. 
(D) Describe the academic and health care industry 
skill standards for high school graduation, for entry into 
postsecondary education, and for various credentials and 
licensure. 
(E) Describe State secondary and postsecondary edu-
cation and training policies, models, or practices for the 
health care sector, including career information and guid-
ance counseling. 
(F) Identify Federal or State policies or rules to devel-
oping a coherent and comprehensive health care workforce 
development strategy and barriers and a plan to resolve 
these barriers. 
(G) Participate in the Administration’s evaluation and 
reporting activities. 
(6) PERFORMANCE AND EVALUATION.—Before the State part-
nership receives a planning grant, such partnership and the 
Administrator of the Administration shall jointly determine 
the performance benchmarks that will be established for the 
purposes of the planning grant. 
(7) MATCH.—Each State partnership receiving a planning 
grant shall provide an amount, in cash or in kind, that is 
not less that 15 percent of the amount of the grant, to carry 
out the activities supported by the grant. The matching require-
ment may be provided from funds available under other Fed-
eral, State, local or private sources to carry out the activities. 
(8) REPORT.—
H. R. 3590—483 
(A) REPORT TO ADMINISTRATION.—Not later than 1 year 
after a State partnership receives a planning grant, the 
partnership shall submit a report to the Administration 
on the State’s performance of the activities under the grant, 
including the use of funds, including matching funds, to 
carry out required activities, and a description of the 
progress of the State workforce investment board in 
meeting the performance benchmarks. 
(B) REPORT TO CONGRESS.—The Administration shall 
submit a report to Congress analyzing the planning activi-
ties, performance, and fund utilization of each State grant 
recipient, including an identification of promising practices 
and a profile of the activities of each State grant recipient. 
(d) IMPLEMENTATION GRANTS.— 
(1) IN GENERAL.—The Administration shall— 
(A) competitively award implementation grants to 
State partnerships to enable such partnerships to imple-
ment activities that will result in a coherent and com-
prehensive plan for health workforce development that will 
address current and projected workforce demands within 
the State; and 
(B) inform the Commission and Congress about the 
awards made. 
(2) DURATION.—An implementation grant shall be awarded 
for a period of no more than 2 years, except in those cases 
where the Administration determines that the grantee is high 
performing and the activities supported by the grant warrant 
up to 1 additional year of funding. 
(3) ELIGIBILITY.—To be eligible for an implementation 
grant, a State partnership shall have— 
(A) received a planning grant under subsection (c) and 
completed all requirements of such grant; or 
(B) completed a satisfactory application, including a 
plan to coordinate with required partners and complete 
the required activities during the 2 year period of the 
implementation grant. 
(4) FISCAL AND ADMINISTRATIVE AGENT.—A State partner-
ship receiving an implementation grant shall appoint a fiscal 
and an administration agent for the implementation of such 
grant. 
(5) APPLICATION.—Each eligible State partnership desiring 
an implementation grant shall submit an application to the 
Administration at such time, in such manner, and accompanied 
by such information as the Administration may reasonably 
require. Each application submitted shall include— 
(A) a description of the members of the State partner-
ship; 
(B) a description of how the State partnership com-
pleted the required activities under the planning grant, 
if applicable; 
(C) a description of the activities for which implementa-
tion grant funds are sought, including grants to regions 
by the State partnership to advance coherent and com-
prehensive regional health care workforce planning activi-
ties; 
(D) a description of how the State partnership will 
coordinate with required partners and complete the
H. R. 3590—484 
required partnership activities during the duration of an 
implementation grant; 
(E) a budget proposal of the cost of the activities sup-
ported by the implementation grant and a timeline for 
the provision of matching funds required; 
(F) proposed performance benchmarks to be used to 
assess and evaluate the progress of the partnership activi-
ties; 
(G) a description of how the State partnership will 
collect data to report progress in grant activities; and 
(H) such additional assurances as the Administration 
determines to be essential to ensure compliance with grant 
requirements. 
(6) REQUIRED ACTIVITIES.— 
(A) IN GENERAL.—A State partnership that receives 
an implementation grant may reserve not less than 60 
percent of the grant funds to make grants to be competi-
tively awarded by the State partnership, consistent with 
State procurement rules, to encourage regional partner-
ships to address health care workforce development needs 
and to promote innovative health care workforce career 
pathway activities, including career counseling, learning, 
and employment. 
(B) ELIGIBLE PARTNERSHIP DUTIES.—An eligible State 
partnership receiving an implementation grant shall— 
(i) identify and convene regional leadership to dis-
cuss opportunities to engage in statewide health care 
workforce development planning, including the poten-
tial use of competitive grants to improve the develop-
ment, distribution, and diversity of the regional health 
care workforce; the alignment of curricula for health 
care careers; and the access to quality career informa-
tion and guidance and education and training 
opportunities; 
(ii) in consultation with key stakeholders and 
regional leaders, take appropriate steps to reduce Fed-
eral, State, or local barriers to a comprehensive and 
coherent strategy, including changes in State or local 
policies to foster coherent and comprehensive health 
care workforce development activities, including health 
care career pathways at the regional and State levels, 
career planning information, retraining for dislocated 
workers, and as appropriate, requests for Federal pro-
gram or administrative waivers; 
(iii) develop, disseminate, and review with key 
stakeholders a preliminary statewide strategy that 
addresses short- and long-term health care workforce 
development supply versus demand; 
(iv) convene State partnership members on a reg-
ular basis, and at least on a semiannual basis; 
(v) assist leaders at the regional level to form 
partnerships, 
including 
technical 
assistance 
and 
capacity building activities;
H. R. 3590—485 
(vi) collect and assess data on and report on the 
performance benchmarks selected by the State partner-
ship and the Administration for implementation activi-
ties carried out by regional and State partnerships; 
and 
(vii) participate in the Administration’s evaluation 
and reporting activities. 
(7) PERFORMANCE AND EVALUATION.—Before the State part-
nership receives an implementation grant, it and the Adminis-
trator shall jointly determine the performance benchmarks that 
shall be established for the purposes of the implementation 
grant. 
(8) 
MATCH.—Each 
State 
partnership 
receiving 
an 
implementation grant shall provide an amount, in cash or 
in kind that is not less than 25 percent of the amount of 
the grant, to carry out the activities supported by the grant. 
The matching funds may be provided from funds available 
from other Federal, State, local, or private sources to carry 
out such activities. 
(9) REPORTS.— 
(A) REPORT TO ADMINISTRATION.—For each year of the 
implementation grant, the State partnership receiving the 
implementation grant shall submit a report to the Adminis-
tration on the performance of the State of the grant activi-
ties, including a description of the use of the funds, 
including matched funds, to complete activities, and a 
description of the performance of the State partnership 
in meeting the performance benchmarks. 
(B) REPORT TO CONGRESS.—The Administration shall 
submit a report to Congress analyzing implementation 
activities, performance, and fund utilization of the State 
grantees, including an identification of promising practices 
and a profile of the activities of each State grantee. 
(e) AUTHORIZATION FOR APPROPRIATIONS.— 
(1) PLANNING GRANTS.—There are authorized to be appro-
priated to award planning grants under subsection (c) 
$8,000,000 for fiscal year 2010, and such sums as may be 
necessary for each subsequent fiscal year. 
(2) IMPLEMENTATION GRANTS.—There are authorized to be 
appropriated to award implementation grants under subsection 
(d), $150,000,000 for fiscal year 2010, and such sums as may 
be necessary for each subsequent fiscal year. 
SEC. 5103. HEALTH CARE WORKFORCE ASSESSMENT. 
(a) IN GENERAL.—Section 761 of the Public Health Service 
Act (42 U.S.C. 294m) is amended— 
(1) by redesignating subsection (c) as subsection (e); 
(2) by striking subsection (b) and inserting the following: 
‘‘(b) NATIONAL CENTER FOR HEALTH CARE WORKFORCE ANAL-
YSIS.— 
‘‘(1) ESTABLISHMENT.—The Secretary shall establish the 
National Center for Health Workforce Analysis (referred to 
in this section as the ‘National Center’). 
‘‘(2) PURPOSES.—The National Center, in coordination to 
the extent practicable with the National Health Care Workforce
H. R. 3590—486 
Commission (established in section 5101 of the Patient Protec-
tion and Affordable Care Act), and relevant regional and State 
centers and agencies, shall— 
‘‘(A) provide for the development of information 
describing and analyzing the health care workforce and 
workforce related issues; 
‘‘(B) carry out the activities under section 792(a); 
‘‘(C) annually evaluate programs under this title; 
‘‘(D) develop and publish performance measures and 
benchmarks for programs under this title; and 
‘‘(E) establish, maintain, and publicize a national Inter-
net registry of each grant awarded under this title and 
a database to collect data from longitudinal evaluations 
(as described in subsection (d)(2)) on performance measures 
(as developed under sections 749(d)(3), 757(d)(3), and 
762(a)(3)). 
‘‘(3) COLLABORATION AND DATA SHARING.— 
‘‘(A) IN GENERAL.—The National Center shall collabo-
rate with Federal agencies and relevant professional and 
educational organizations or societies for the purpose of 
linking data regarding grants awarded under this title. 
‘‘(B) CONTRACTS FOR HEALTH WORKFORCE ANALYSIS.— 
For the purpose of carrying out the activities described 
in subparagraph (A), the National Center may enter into 
contracts with relevant professional and educational 
organizations or societies. 
‘‘(c) STATE AND REGIONAL CENTERS FOR HEALTH WORKFORCE 
ANALYSIS.— 
‘‘(1) IN GENERAL.—The Secretary shall award grants to, 
or enter into contracts with, eligible entities for purposes of— 
‘‘(A) collecting, analyzing, and reporting data regarding 
programs under this title to the National Center and to 
the public; and 
‘‘(B) providing technical assistance to local and regional 
entities on the collection, analysis, and reporting of data. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible for a grant or con-
tract under this subsection, an entity shall— 
‘‘(A) be a State, a State workforce investment board, 
a public health or health professions school, an academic 
health center, or an appropriate public or private nonprofit 
entity; and 
‘‘(B) submit to the Secretary an application at such 
time, in such manner, and containing such information 
as the Secretary may require. 
‘‘(d) INCREASE IN GRANTS FOR LONGITUDINAL EVALUATIONS.— 
‘‘(1) IN GENERAL.—The Secretary shall increase the amount 
awarded to an eligible entity under this title for a longitudinal 
evaluation of individuals who have received education, training, 
or financial assistance from programs under this title. 
‘‘(2) CAPABILITY.—A longitudinal evaluation shall be 
capable of— 
‘‘(A) studying practice patterns; and 
‘‘(B) collecting and reporting data on performance 
measures developed under sections 749(d)(3), 757(d)(3), and 
762(a)(3).
H. R. 3590—487 
‘‘(3) GUIDELINES.—A longitudinal evaluation shall comply 
with guidelines issued under sections 749(d)(4), 757(d)(4), and 
762(a)(4). 
‘‘(4) ELIGIBLE ENTITIES.—To be eligible to obtain an increase 
under this section, an entity shall be a recipient of a grant 
or contract under this title.’’; and 
(3) in subsection (e), as so redesignated— 
(A) by striking paragraph (1) and inserting the fol-
lowing: 
‘‘(1) IN GENERAL.— 
‘‘(A) NATIONAL CENTER.—To carry out subsection (b), 
there are authorized to be appropriated $7,500,000 for each 
of fiscal years 2010 through 2014. 
‘‘(B) STATE AND REGIONAL CENTERS.—To carry out sub-
section (c), there are authorized to be appropriated 
$4,500,000 for each of fiscal years 2010 through 2014. 
‘‘(C) GRANTS
FOR
LONGITUDINAL
EVALUATIONS.—To 
carry out subsection (d), there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2010 through 2014.’’; and 
(4) in paragraph (2), by striking ‘‘subsection (a)’’ and 
inserting ‘‘paragraph (1)’’. 
(b) TRANSFERS.—Not later than 180 days after the date of 
enactment of this Act, the responsibilities and resources of the 
National Center for Health Workforce Analysis, as in effect on 
the date before the date of enactment of this Act, shall be trans-
ferred to the National Center for Health Care Workforce Analysis 
established under section 761 of the Public Health Service Act, 
as amended by subsection (a). 
(c) USE OF LONGITUDINAL EVALUATIONS.—Section 791(a)(1) of 
the Public Health Service Act (42 U.S.C. 295j(a)(1)) is amended— 
(1) in subparagraph (A), by striking ‘‘or’’ at the end; 
(2) in subparagraph (B), by striking the period and 
inserting ‘‘; or’’; and 
(3) by adding at the end the following: 
‘‘(C) utilizes a longitudinal evaluation (as described 
in section 761(d)(2)) and reports data from such system 
to the national workforce database (as established under 
section 761(b)(2)(E)).’’. 
(d) PERFORMANCE MEASURES; GUIDELINES FOR LONGITUDINAL 
EVALUATIONS.— 
(1) ADVISORY COMMITTEE ON TRAINING IN PRIMARY CARE 
MEDICINE AND DENTISTRY.—Section 748(d) of the Public Health 
Service Act is amended— 
(A) in paragraph (1), by striking ‘‘and’’ at the end; 
(B) in paragraph (2), by striking the period and 
inserting a semicolon; and 
(C) by adding at the end the following: 
‘‘(3) develop, publish, and implement performance measures 
for programs under this part; 
‘‘(4) develop and publish guidelines for longitudinal evalua-
tions (as described in section 761(d)(2)) for programs under 
this part; and 
‘‘(5) recommend appropriation levels for programs under 
this part.’’.
H. R. 3590—488 
(2) ADVISORY COMMITTEE ON INTERDISCIPLINARY, COMMU-
NITY-BASED
LINKAGES.—Section 756(d) of the Public Health 
Service Act is amended— 
(A) in paragraph (1), by striking ‘‘and’’ at the end; 
(B) in paragraph (2), by striking the period and 
inserting a semicolon; and 
(C) by adding at the end the following: 
‘‘(3) develop, publish, and implement performance measures 
for programs under this part; 
‘‘(4) develop and publish guidelines for longitudinal evalua-
tions (as described in section 761(d)(2)) for programs under 
this part; and 
‘‘(5) recommend appropriation levels for programs under 
this part.’’. 
(3) ADVISORY COUNCIL ON GRADUATE MEDICAL EDUCATION.— 
Section 762(a) of the Public Health Service Act (42 U.S.C. 
294o(a)) is amended— 
(A) in paragraph (1), by striking ‘‘and’’ at the end; 
(B) in paragraph (2), by striking the period and 
inserting a semicolon; and 
(C) by adding at the end the following: 
‘‘(3) develop, publish, and implement performance measures 
for programs under this title, except for programs under part 
C or D; 
‘‘(4) develop and publish guidelines for longitudinal evalua-
tions (as described in section 761(d)(2)) for programs under 
this title, except for programs under part C or D; and 
‘‘(5) recommend appropriation levels for programs under 
this title, except for programs under part C or D.’’. 
Subtitle C—Increasing the Supply of the 
Health Care Workforce 
SEC. 5201. FEDERALLY SUPPORTED STUDENT LOAN FUNDS. 
(a) MEDICAL SCHOOLS AND PRIMARY HEALTH CARE.—Section 
723 of the Public Health Service Act (42 U.S.C. 292s) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by striking subparagraph (B) 
and inserting the following: 
‘‘(B) to practice in such care for 10 years (including 
residency training in primary health care) or through the 
date on which the loan is repaid in full, whichever occurs 
first.’’; and 
(B) by striking paragraph (3) and inserting the fol-
lowing: 
‘‘(3) 
NONCOMPLIANCE
BY
STUDENT.—Each 
agreement 
entered into with a student pursuant to paragraph (1) shall 
provide that, if the student fails to comply with such agreement, 
the loan involved will begin to accrue interest at a rate of 
2 percent per year greater than the rate at which the student 
would pay if compliant in such year.’’; and 
(2) by adding at the end the following: 
‘‘(d) SENSE OF CONGRESS.—It is the sense of Congress that 
funds repaid under the loan program under this section should 
not be transferred to the Treasury of the United States or otherwise 
used for any other purpose other than to carry out this section.’’.
H. R. 3590—489 
(b) STUDENT LOAN GUIDELINES.—The Secretary of Health and 
Human Services shall not require parental financial information 
for an independent student to determine financial need under sec-
tion 723 of the Public Health Service Act (42 U.S.C. 292s) and 
the determination of need for such information shall be at the 
discretion of applicable school loan officer. The Secretary shall 
amend guidelines issued by the Health Resources and Services 
Administration in accordance with the preceding sentence. 
SEC. 5202. NURSING STUDENT LOAN PROGRAM. 
(a) LOAN AGREEMENTS.—Section 836(a) of the Public Health 
Service Act (42 U.S.C. 297b(a)) is amended— 
(1) by striking ‘‘$2,500’’ and inserting ‘‘$3,300’’; 
(2) by striking ‘‘$4,000’’ and inserting ‘‘$5,200’’; and 
(3) by striking ‘‘$13,000’’ and all that follows through the 
period and inserting ‘‘$17,000 in the case of any student during 
fiscal years 2010 and 2011. After fiscal year 2011, such amounts 
shall be adjusted to provide for a cost-of-attendance increase 
for the yearly loan rate and the aggregate of the loans.’’. 
(b) LOAN PROVISIONS.—Section 836(b) of the Public Health 
Service Act (42 U.S.C. 297b(b)) is amended— 
(1) in paragraph (1)(C), by striking ‘‘1986’’ and inserting 
‘‘2000’’; and 
(2) in paragraph (3), by striking ‘‘the date of enactment 
of the Nurse Training Amendments of 1979’’ and inserting 
‘‘September 29, 1995’’. 
SEC. 5203. HEALTH CARE WORKFORCE LOAN REPAYMENT PROGRAMS. 
Part E of title VII of the Public Health Service Act (42 U.S.C. 
294n et seq.) is amended by adding at the end the following: 
‘‘Subpart 3—Recruitment and Retention Programs 
‘‘SEC. 775. INVESTMENT IN TOMORROW’S PEDIATRIC HEALTH CARE 
WORKFORCE. 
‘‘(a) ESTABLISHMENT.—The Secretary shall establish and carry 
out a pediatric specialty loan repayment program under which 
the eligible individual agrees to be employed full-time for a specified 
period (which shall not be less than 2 years) in providing pediatric 
medical subspecialty, pediatric surgical specialty, or child and 
adolescent mental and behavioral health care, including substance 
abuse prevention and treatment services. 
‘‘(b) PROGRAM ADMINISTRATION.—Through the program estab-
lished under this section, the Secretary shall enter into contracts 
with qualified health professionals under which— 
‘‘(1) such qualified health professionals will agree to provide 
pediatric medical subspecialty, pediatric surgical specialty, or 
child and adolescent mental and behavioral health care in 
an area with a shortage of the specified pediatric subspecialty 
that has a sufficient pediatric population to support such pedi-
atric subspecialty, as determined by the Secretary; and 
‘‘(2) the Secretary agrees to make payments on the principal 
and interest of undergraduate, graduate, or graduate medical 
education loans of professionals described in paragraph (1) 
of not more than $35,000 a year for each year of agreed upon 
service under such paragraph for a period of not more than 
3 years during the qualified health professional’s—
H. R. 3590—490 
‘‘(A) participation in an accredited pediatric medical 
subspecialty, pediatric surgical specialty, or child and 
adolescent mental health subspecialty residency or fellow-
ship; or 
‘‘(B) employment as a pediatric medical subspecialist, 
pediatric surgical specialist, or child and adolescent mental 
health professional serving an area or population described 
in such paragraph. 
‘‘(c) IN GENERAL.— 
‘‘(1) ELIGIBLE INDIVIDUALS.— 
‘‘(A) PEDIATRIC
MEDICAL
SPECIALISTS
AND
PEDIATRIC 
SURGICAL
SPECIALISTS.—For purposes of contracts with 
respect to pediatric medical specialists and pediatric sur-
gical specialists, the term ‘qualified health professional’ 
means a licensed physician who— 
‘‘(i) is entering or receiving training in an accred-
ited pediatric medical subspecialty or pediatric surgical 
specialty residency or fellowship; or 
‘‘(ii) has completed (but not prior to the end of 
the calendar year in which this section is enacted) 
the training described in subparagraph (B). 
‘‘(B) CHILD AND ADOLESCENT MENTAL AND BEHAVIORAL 
HEALTH.—For purposes of contracts with respect to child 
and adolescent mental and behavioral health care, the 
term ‘qualified health professional’ means a health care 
professional who— 
‘‘(i) has received specialized training or clinical 
experience in child and adolescent mental health in 
psychiatry, psychology, school psychology, behavioral 
pediatrics, psychiatric nursing, social work, school 
social work, substance abuse disorder prevention and 
treatment, marriage and family therapy, school coun-
seling, or professional counseling; 
‘‘(ii) has a license or certification in a State to 
practice allopathic medicine, osteopathic medicine, psy-
chology, school psychology, psychiatric nursing, social 
work, school social work, marriage and family therapy, 
school counseling, or professional counseling; or 
‘‘(iii) is a mental health service professional who 
completed (but not before the end of the calendar year 
in which this section is enacted) specialized training 
or clinical experience in child and adolescent mental 
health described in clause (i). 
‘‘(2) ADDITIONAL
ELIGIBILITY
REQUIREMENTS.—The Sec-
retary may not enter into a contract under this subsection 
with an eligible individual unless— 
‘‘(A) the individual agrees to work in, or for a provider 
serving, a health professional shortage area or medically 
underserved area, or to serve a medically underserved 
population; 
‘‘(B) the individual is a United States citizen or a 
permanent legal United States resident; and 
‘‘(C) if the individual is enrolled in a graduate program, 
the program is accredited, and the individual has an accept-
able level of academic standing (as determined by the Sec-
retary).
H. R. 3590—491 
‘‘(d) PRIORITY.—In entering into contracts under this subsection, 
the Secretary shall give priority to applicants who— 
‘‘(1) are or will be working in a school or other pre-kinder-
garten, elementary, or secondary education setting; 
‘‘(2) have familiarity with evidence-based methods and cul-
tural and linguistic competence health care services; and 
‘‘(3) demonstrate financial need. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated $30,000,000 for each of fiscal years 2010 through 
2014 to carry out subsection (c)(1)(A) and $20,000,000 for each 
of fiscal years 2010 through 2013 to carry out subsection (c)(1)(B).’’. 
SEC. 5204. PUBLIC HEALTH WORKFORCE RECRUITMENT AND RETEN-
TION PROGRAMS. 
Part E of title VII of the Public Health Service Act (42 U.S.C. 
294n et seq.), as amended by section 5203, is further amended 
by adding at the end the following: 
‘‘SEC. 776. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT PROGRAM. 
‘‘(a) ESTABLISHMENT.—The Secretary shall establish the Public 
Health Workforce Loan Repayment Program (referred to in this 
section as the ‘Program’) to assure an adequate supply of public 
health professionals to eliminate critical public health workforce 
shortages in Federal, State, local, and tribal public health agencies. 
‘‘(b) ELIGIBILITY.—To be eligible to participate in the Program, 
an individual shall— 
‘‘(1)(A) be accepted for enrollment, or be enrolled, as a 
student in an accredited academic educational institution in 
a State or territory in the final year of a course of study 
or program leading to a public health or health professions 
degree or certificate; and have accepted employment with a 
Federal, State, local, or tribal public health agency, or a related 
training fellowship, as recognized by the Secretary, to com-
mence upon graduation; 
‘‘(B)(i) have graduated, during the preceding 10-year period, 
from an accredited educational institution in a State or territory 
and received a public health or health professions degree or 
certificate; and 
‘‘(ii) be employed by, or have accepted employment with, 
a Federal, State, local, or tribal public health agency or a 
related training fellowship, as recognized by the Secretary; 
‘‘(2) be a United States citizen; and 
‘‘(3)(A) submit an application to the Secretary to participate 
in the Program; 
‘‘(B) execute a written contract as required in subsection 
(c); and 
‘‘(4) not have received, for the same service, a reduction 
of loan obligations under section 455(m), 428J, 428K, 428L, 
or 460 of the Higher Education Act of 1965. 
‘‘(c) CONTRACT.—The written contract (referred to in this section 
as the ‘written contract’) between the Secretary and an individual 
shall contain— 
‘‘(1) an agreement on the part of the Secretary that the 
Secretary will repay on behalf of the individual loans incurred 
by the individual in the pursuit of the relevant degree or 
certificate in accordance with the terms of the contract; 
‘‘(2) an agreement on the part of the individual that the 
individual will serve in the full-time employment of a Federal,
H. R. 3590—492 
State, local, or tribal public health agency or a related fellow-
ship program in a position related to the course of study or 
program for which the contract was awarded for a period of 
time (referred to in this section as the ‘period of obligated 
service’) equal to the greater of— 
‘‘(A) 3 years; or 
‘‘(B) such longer period of time as determined appro-
priate by the Secretary and the individual; 
‘‘(3) an agreement, as appropriate, on the part of the indi-
vidual to relocate to a priority service area (as determined 
by the Secretary) in exchange for an additional loan repayment 
incentive amount to be determined by the Secretary; 
‘‘(4) a provision that any financial obligation of the United 
States arising out of a contract entered into under this section 
and any obligation of the individual that is conditioned thereon, 
is contingent on funds being appropriated for loan repayments 
under this section; 
‘‘(5) a statement of the damages to which the United States 
is entitled, under this section for the individual’s breach of 
the contract; and 
‘‘(6) such other statements of the rights and liabilities 
of the Secretary and of the individual, not inconsistent with 
this section. 
‘‘(d) PAYMENTS.— 
‘‘(1) IN GENERAL.—A loan repayment provided for an indi-
vidual under a written contract under the Program shall consist 
of payment, in accordance with paragraph (2), on behalf of 
the individual of the principal, interest, and related expenses 
on government and commercial loans received by the individual 
regarding the undergraduate or graduate education of the indi-
vidual (or both), which loans were made for tuition expenses 
incurred by the individual. 
‘‘(2) PAYMENTS FOR YEARS SERVED.—For each year of obli-
gated service that an individual contracts to serve under sub-
section (c) the Secretary may pay up to $35,000 on behalf 
of the individual for loans described in paragraph (1). With 
respect to participants under the Program whose total eligible 
loans are less than $105,000, the Secretary shall pay an amount 
that does not exceed 1⁄3 of the eligible loan balance for each 
year of obligated service of the individual. 
‘‘(3) 
TAX
LIABILITY.—For 
the 
purpose 
of 
providing 
reimbursements for tax liability resulting from payments under 
paragraph (2) on behalf of an individual, the Secretary shall, 
in addition to such payments, make payments to the individual 
in an amount not to exceed 39 percent of the total amount 
of loan repayments made for the taxable year involved. 
‘‘(e) POSTPONING OBLIGATED SERVICE.—With respect to an indi-
vidual receiving a degree or certificate from a health professions 
or other related school, the date of the initiation of the period 
of obligated service may be postponed as approved by the Secretary. 
‘‘(f) BREACH OF CONTRACT.—An individual who fails to comply 
with the contract entered into under subsection (c) shall be subject 
to the same financial penalties as provided for under section 338E 
for breaches of loan repayment contracts under section 338B. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section $195,000,000 for fiscal
H. R. 3590—493 
year 2010, and such sums as may be necessary for each of fiscal 
years 2011 through 2015.’’. 
SEC. 5205. ALLIED HEALTH WORKFORCE RECRUITMENT AND RETEN-
TION PROGRAMS. 
(a) PURPOSE.—The purpose of this section is to assure an ade-
quate supply of allied health professionals to eliminate critical 
allied health workforce shortages in Federal, State, local, and tribal 
public health agencies or in settings where patients might require 
health care services, including acute care facilities, ambulatory 
care facilities, personal residences and other settings, as recognized 
by the Secretary of Health and Human Services by authorizing 
an Allied Health Loan Forgiveness Program. 
(b) ALLIED HEALTH WORKFORCE RECRUITMENT AND RETENTION 
PROGRAM.—Section 428K of the Higher Education Act of 1965 (20 
U.S.C. 1078–11) is amended— 
(1) in subsection (b), by adding at the end the following: 
‘‘(18) ALLIED HEALTH PROFESSIONALS.—The individual is 
employed full-time as an allied health professional— 
‘‘(A) in a Federal, State, local, or tribal public health 
agency; or 
‘‘(B) in a setting where patients might require health 
care services, including acute care facilities, ambulatory 
care facilities, personal residences and other settings 
located in health professional shortage areas, medically 
underserved areas, or medically underserved populations, 
as recognized by the Secretary of Health and Human Serv-
ices.’’; and 
(2) in subsection (g)— 
(A) by redesignating paragraphs (1) through (9) as 
paragraphs (2) through (10), respectively; and 
(B) by inserting before paragraph (2) (as redesignated 
by subparagraph (A)) the following: 
‘‘(1) ALLIED HEALTH PROFESSIONAL.—The term ‘allied health 
professional’ means an allied health professional as defined 
in section 799B(5) of the Public Heath Service Act (42 U.S.C. 
295p(5)) who— 
‘‘(A) has graduated and received an allied health profes-
sions degree or certificate from an institution of higher 
education; and 
‘‘(B) is employed with a Federal, State, local or tribal 
public health agency, or in a setting where patients might 
require health care services, including acute care facilities, 
ambulatory care facilities, personal residences and other 
settings located in health professional shortage areas, medi-
cally underserved areas, or medically underserved popu-
lations, as recognized by the Secretary of Health and 
Human Services.’’. 
SEC. 5206. GRANTS FOR STATE AND LOCAL PROGRAMS. 
(a) IN GENERAL.—Section 765(d) of the Public Health Service 
Act (42 U.S.C. 295(d)) is amended— 
(1) in paragraph (7), by striking ‘‘; or’’ and inserting a 
semicolon; 
(2) by redesignating paragraph (8) as paragraph (9); and 
(3) by inserting after paragraph (7) the following: 
‘‘(8) public health workforce loan repayment programs; or’’.
H. R. 3590—494 
(b) TRAINING
FOR
MID-CAREER
PUBLIC
HEALTH
PROFES-
SIONALS.—Part E of title VII of the Public Health Service Act 
(42 U.S.C. 294n et seq.), as amended by section 5204, is further 
amended by adding at the end the following: 
‘‘SEC. 777. TRAINING FOR MID-CAREER PUBLIC AND ALLIED HEALTH 
PROFESSIONALS. 
‘‘(a) IN GENERAL.—The Secretary may make grants to, or enter 
into contracts with, any eligible entity to award scholarships to 
eligible individuals to enroll in degree or professional training pro-
grams for the purpose of enabling mid-career professionals in the 
public health and allied health workforce to receive additional 
training in the field of public health and allied health. 
‘‘(b) ELIGIBILITY.— 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible entity’ indicates 
an accredited educational institution that offers a course of 
study, certificate program, or professional training program 
in public or allied health or a related discipline, as determined 
by the Secretary 
‘‘(2) ELIGIBLE INDIVIDUALS.—The term ‘eligible individuals’ 
includes those individuals employed in public and allied health 
positions at the Federal, State, tribal, or local level who are 
interested in retaining or upgrading their education. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section, $60,000,000 for fiscal 
year 2010 and such sums as may be necessary for each of fiscal 
years 2011 through 2015. Fifty percent of appropriated funds shall 
be allotted to public health mid-career professionals and 50 percent 
shall be allotted to allied health mid-career professionals.’’. 
SEC. 5207. FUNDING FOR NATIONAL HEALTH SERVICE CORPS. 
Section 338H(a) of the Public Health Service Act (42 U.S.C. 
254q(a)) is amended to read as follows: 
‘‘(a) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, there is authorized to be appropriated, 
out of any funds in the Treasury not otherwise appropriated, the 
following: 
‘‘(1) For fiscal year 2010, $320,461,632. 
‘‘(2) For fiscal year 2011, $414,095,394. 
‘‘(3) For fiscal year 2012, $535,087,442. 
‘‘(4) For fiscal year 2013, $691,431,432. 
‘‘(5) For fiscal year 2014, $893,456,433. 
‘‘(6) For fiscal year 2015, $1,154,510,336. 
‘‘(7) For fiscal year 2016, and each subsequent fiscal year, 
the amount appropriated for the preceding fiscal year adjusted 
by the product of— 
‘‘(A) one plus the average percentage increase in the 
costs of health professions education during the prior fiscal 
year; and 
‘‘(B) one plus the average percentage change in the 
number of individuals residing in health professions short-
age areas designated under section 333 during the prior 
fiscal year, relative to the number of individuals residing 
in such areas during the previous fiscal year.’’. 
SEC. 5208. NURSE-MANAGED HEALTH CLINICS. 
(a) PURPOSE.—The purpose of this section is to fund the develop-
ment and operation of nurse-managed health clinics.
H. R. 3590—495 
(b) GRANTS.—Subpart 1 of part D of title III of the Public 
Health Service Act (42 U.S.C. 254b et seq.) is amended by inserting 
after section 330A the following: 
‘‘SEC. 330A–1. GRANTS TO NURSE–MANAGED HEALTH CLINICS. 
‘‘(a) DEFINITIONS.— 
‘‘(1) COMPREHENSIVE
PRIMARY
HEALTH
CARE
SERVICES.— 
In this section, the term ‘comprehensive primary health care 
services’ means the primary health services described in section 
330(b)(1). 
‘‘(2) NURSE-MANAGED
HEALTH
CLINIC.—The term ‘nurse- 
managed health clinic’ means a nurse-practice arrangement, 
managed by advanced practice nurses, that provides primary 
care or wellness services to underserved or vulnerable popu-
lations and that is associated with a school, college, university 
or department of nursing, federally qualified health center, 
or independent nonprofit health or social services agency. 
‘‘(b) AUTHORITY TO AWARD GRANTS.—The Secretary shall award 
grants for the cost of the operation of nurse-managed health clinics 
that meet the requirements of this section. 
‘‘(c) APPLICATIONS.—To be eligible to receive a grant under 
this section, an entity shall— 
‘‘(1) be an NMHC; and 
‘‘(2) submit to the Secretary an application at such time, 
in such manner, and containing— 
‘‘(A) assurances that nurses are the major providers 
of services at the NMHC and that at least 1 advanced 
practice nurse holds an executive management position 
within the organizational structure of the NMHC; 
‘‘(B) an assurance that the NMHC will continue pro-
viding comprehensive primary health care services or 
wellness services without regard to income or insurance 
status of the patient for the duration of the grant period; 
and 
‘‘(C) an assurance that, not later than 90 days of 
receiving a grant under this section, the NMHC will estab-
lish a community advisory committee, for which a majority 
of the members shall be individuals who are served by 
the NMHC. 
‘‘(d) GRANT AMOUNT.—The amount of any grant made under 
this section for any fiscal year shall be determined by the Secretary, 
taking into account— 
‘‘(1) the financial need of the NMHC, considering State, 
local, and other operational funding provided to the NMHC; 
and 
‘‘(2) other factors, as the Secretary determines appropriate. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the purposes of 
carrying out this section, there are authorized to be appropriated 
$50,000,000 for the fiscal year 2010 and such sums as may be 
necessary for each of the fiscal years 2011 through 2014.’’. 
SEC. 5209. ELIMINATION OF CAP ON COMMISSIONED CORPS. 
Section 202 of the Department of Health and Human Services 
Appropriations Act, 1993 (Public Law 102–394) is amended by 
striking ‘‘not to exceed 2,800’’.
H. R. 3590—496 
SEC. 5210. ESTABLISHING A READY RESERVE CORPS. 
Section 203 of the Public Health Service Act (42 U.S.C. 204) 
is amended to read as follows: 
‘‘SEC. 203. COMMISSIONED CORPS AND READY RESERVE CORPS. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—There shall be in the Service a commis-
sioned Regular Corps and a Ready Reserve Corps for service 
in time of national emergency. 
‘‘(2) REQUIREMENT.—All commissioned officers shall be citi-
zens of the United States and shall be appointed without regard 
to the civil-service laws and compensated without regard to 
the Classification Act of 1923, as amended. 
‘‘(3) APPOINTMENT.—Commissioned officers of the Ready 
Reserve Corps shall be appointed by the President and commis-
sioned officers of the Regular Corps shall be appointed by 
the President with the advice and consent of the Senate. 
‘‘(4) ACTIVE
DUTY.—Commissioned officers of the Ready 
Reserve Corps shall at all times be subject to call to active 
duty by the Surgeon General, including active duty for the 
purpose of training. 
‘‘(5) 
WARRANT
OFFICERS.—Warrant 
officers 
may 
be 
appointed to the Service for the purpose of providing support 
to the health and delivery systems maintained by the Service 
and any warrant officer appointed to the Service shall be consid-
ered for purposes of this Act and title 37, United States Code, 
to be a commissioned officer within the Commissioned Corps 
of the Service. 
‘‘(b) ASSIMILATING RESERVE CORP OFFICERS INTO THE REGULAR 
CORPS.—Effective on the date of enactment of the Patient Protection 
and Affordable Care Act, all individuals classified as officers in 
the Reserve Corps under this section (as such section existed on 
the day before the date of enactment of such Act) and serving 
on active duty shall be deemed to be commissioned officers of 
the Regular Corps. 
‘‘(c) PURPOSE AND USE OF READY RESEARCH.— 
‘‘(1) PURPOSE.—The purpose of the Ready Reserve Corps 
is to fulfill the need to have additional Commissioned Corps 
personnel available on short notice (similar to the uniformed 
service’s reserve program) to assist regular Commissioned 
Corps personnel to meet both routine public health and emer-
gency response missions. 
‘‘(2) USES.—The Ready Reserve Corps shall— 
‘‘(A) participate in routine training to meet the general 
and specific needs of the Commissioned Corps; 
‘‘(B) be available and ready for involuntary calls to 
active duty during national emergencies and public health 
crises, similar to the uniformed service reserve personnel; 
‘‘(C) be available for backfilling critical positions left 
vacant during deployment of active duty Commissioned 
Corps members, as well as for deployment to respond to 
public health emergencies, both foreign and domestic; and 
‘‘(D) be available for service assignment in isolated, 
hardship, and medically underserved communities (as 
defined in section 799B) to improve access to health serv-
ices.
H. R. 3590—497 
‘‘(d) FUNDING.—For the purpose of carrying out the duties and 
responsibilities of the Commissioned Corps under this section, there 
are authorized to be appropriated $5,000,000 for each of fiscal 
years 2010 through 2014 for recruitment and training and 
$12,500,000 for each of fiscal years 2010 through 2014 for the 
Ready Reserve Corps.’’. 
Subtitle D—Enhancing Health Care 
Workforce Education and Training 
SEC. 5301. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDI-
CINE, 
GENERAL 
PEDIATRICS, 
AND 
PHYSICIAN 
ASSISTANTSHIP. 
Part C of title VII (42 U.S.C. 293k et seq.) is amended by 
striking section 747 and inserting the following: 
‘‘SEC. 747. PRIMARY CARE TRAINING AND ENHANCEMENT. 
‘‘(a) SUPPORT AND DEVELOPMENT OF PRIMARY CARE TRAINING 
PROGRAMS.— 
‘‘(1) IN GENERAL.—The Secretary may make grants to, or 
enter into contracts with, an accredited public or nonprofit 
private hospital, school of medicine or osteopathic medicine, 
academically affiliated physician assistant training program, 
or a public or private nonprofit entity which the Secretary 
has determined is capable of carrying out such grant or con-
tract— 
‘‘(A) to plan, develop, operate, or participate in an 
accredited professional training program, including an 
accredited residency or internship program in the field 
of family medicine, general internal medicine, or general 
pediatrics for medical students, interns, residents, or prac-
ticing physicians as defined by the Secretary; 
‘‘(B) to provide need-based financial assistance in the 
form of traineeships and fellowships to medical students, 
interns, residents, practicing physicians, or other medical 
personnel, who are participants in any such program, and 
who plan to specialize or work in the practice of the fields 
defined in subparagraph (A); 
‘‘(C) to plan, develop, and operate a program for the 
training of physicians who plan to teach in family medicine, 
general internal medicine, or general pediatrics training 
programs; 
‘‘(D) to plan, develop, and operate a program for the 
training of physicians teaching in community-based set-
tings; 
‘‘(E) to provide financial assistance in the form of 
traineeships and fellowships to physicians who are partici-
pants in any such programs and who plan to teach or 
conduct research in a family medicine, general internal 
medicine, or general pediatrics training program; 
‘‘(F) to plan, develop, and operate a physician assistant 
education program, and for the training of individuals who 
will teach in programs to provide such training; 
‘‘(G) to plan, develop, and operate a demonstration 
program that provides training in new competencies, as 
recommended by the Advisory Committee on Training in
H. R. 3590—498 
Primary Care Medicine and Dentistry and the National 
Health Care Workforce Commission established in section 
5101 of the Patient Protection and Affordable Care Act, 
which may include— 
‘‘(i) providing training to primary care physicians 
relevant to providing care through patient-centered 
medical homes (as defined by the Secretary for pur-
poses of this section); 
‘‘(ii) developing tools and curricula relevant to 
patient-centered medical homes; and 
‘‘(iii) providing continuing education to primary 
care physicians relevant to patient-centered medical 
homes; and 
‘‘(H) to plan, develop, and operate joint degree pro-
grams to provide interdisciplinary and interprofessional 
graduate training in public health and other health profes-
sions to provide training in environmental health, infec-
tious disease control, disease prevention and health pro-
motion, epidemiological studies and injury control. 
‘‘(2) DURATION OF AWARDS.—The period during which pay-
ments are made to an entity from an award of a grant or 
contract under this subsection shall be 5 years. 
‘‘(b) CAPACITY BUILDING IN PRIMARY CARE.— 
‘‘(1) IN GENERAL.—The Secretary may make grants to or 
enter into contracts with accredited schools of medicine or 
osteopathic medicine to establish, maintain, or improve— 
‘‘(A) academic units or programs that improve clinical 
teaching and research in fields defined in subsection 
(a)(1)(A); or 
‘‘(B) programs that integrate academic administrative 
units in fields defined in subsection (a)(1)(A) to enhance 
interdisciplinary recruitment, training, and faculty develop-
ment. 
‘‘(2) PREFERENCE
IN
MAKING
AWARDS
UNDER
THIS
SUB-
SECTION.—In making awards of grants and contracts under 
paragraph (1), the Secretary shall give preference to any quali-
fied applicant for such an award that agrees to expend the 
award for the purpose of— 
‘‘(A) establishing academic units or programs in fields 
defined in subsection (a)(1)(A); or 
‘‘(B) substantially expanding such units or programs. 
‘‘(3) PRIORITIES IN MAKING AWARDS.—In awarding grants 
or contracts under paragraph (1), the Secretary shall give pri-
ority to qualified applicants that— 
‘‘(A) proposes a collaborative project between academic 
administrative units of primary care; 
‘‘(B) proposes innovative approaches to clinical teaching 
using models of primary care, such as the patient centered 
medical home, team management of chronic disease, and 
interprofessional integrated models of health care that 
incorporate transitions in health care settings and integra-
tion physical and mental health provision; 
‘‘(C) have a record of training the greatest percentage 
of providers, or that have demonstrated significant 
improvements in the percentage of providers trained, who 
enter and remain in primary care practice;
H. R. 3590—499 
‘‘(D) have a record of training individuals who are 
from underrepresented minority groups or from a rural 
or disadvantaged background; 
‘‘(E) provide training in the care of vulnerable popu-
lations such as children, older adults, homeless individuals, 
victims of abuse or trauma, individuals with mental health 
or substance-related disorders, individuals with HIV/AIDS, 
and individuals with disabilities; 
‘‘(F) establish formal relationships and submit joint 
applications with federally qualified health centers, rural 
health clinics, area health education centers, or clinics 
located in underserved areas or that serve underserved 
populations; 
‘‘(G) teach trainees the skills to provide interprofes-
sional, integrated care through collaboration among health 
professionals; 
‘‘(H) provide training in enhanced communication with 
patients, evidence-based practice, chronic disease manage-
ment, preventive care, health information technology, or 
other competencies as recommended by the Advisory Com-
mittee on Training in Primary Care Medicine and Dentistry 
and the National Health Care Workforce Commission 
established in section 5101 of the Patient Protection and 
Affordable Care Act; or 
‘‘(I) provide training in cultural competency and health 
literacy. 
‘‘(4) DURATION OF AWARDS.—The period during which pay-
ments are made to an entity from an award of a grant or 
contract under this subsection shall be 5 years. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying out this section 
(other than subsection (b)(1)(B)), there are authorized to be 
appropriated $125,000,000 for fiscal year 2010, and such sums 
as may be necessary for each of fiscal years 2011 through 
2014. 
‘‘(2) TRAINING PROGRAMS.—Fifteen percent of the amount 
appropriated pursuant to paragraph (1) in each such fiscal 
year shall be allocated to the physician assistant training pro-
grams described in subsection (a)(1)(F), which prepare students 
for practice in primary care. 
‘‘(3) INTEGRATING ACADEMIC ADMINISTRATIVE UNITS.—For 
purposes of carrying out subsection (b)(1)(B), there are author-
ized to be appropriated $750,000 for each of fiscal years 2010 
through 2014.’’. 
SEC. 5302. TRAINING OPPORTUNITIES FOR DIRECT CARE WORKERS. 
Part C of title VII of the Public Health Service Act (42 U.S.C. 
293k et seq.) is amended by inserting after section 747, as amended 
by section 5301, the following: 
‘‘SEC. 747A. TRAINING OPPORTUNITIES FOR DIRECT CARE WORKERS. 
‘‘(a) IN GENERAL.—The Secretary shall award grants to eligible 
entities to enable such entities to provide new training opportunities 
for direct care workers who are employed in long-term care settings 
such as nursing homes (as defined in section 1908(e)(1) of the 
Social Security Act (42 U.S.C. 1396g(e)(1)), assisted living facilities