modifications to the program that are appropriate 
due to changes in demographics, needs of the popu-
lations served, or other similar issues affecting the 
program. 
‘‘(2) ELIGIBLE ENTITY.—For purposes of this 
subsection, the term ‘eligible entity’ means an entity 
that has received funds under this section (as this 
section was in effect on the day before the date of 
enactment of the Health Professions and Primary 
Care Reinvestment Act), is operating an area health 
education center program, including area health edu-
cation centers, and has a center or centers that are 
no longer eligible to receive financial assistance 
under subsection (b). 
‘‘(3) APPLICATION.—An eligible entity desiring 
to receive an award under this subsection shall sub-
mit to the Secretary an application at such time, in 
such manner, and containing such information as 
the Secretary may require. 
‘‘(4) USE OF FUNDS.— 
‘‘(A) REQUIRED ACTIVITIES.—An eligible 
entity shall use amounts awarded under a grant 
under paragraph (1) to carry out the following 
activities: 
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‘‘(i) Develop and implement strategies 
to recruit individuals from underrep-
resented minority groups, underserved 
areas, or with rural backgrounds into 
health care careers, and support such indi-
viduals in attaining such careers. 
‘‘(ii) Develop and implement strate-
gies to foster and provide community-based 
training and education to individuals seek-
ing careers in health professions within un-
derserved areas for the purpose of devel-
oping and maintaining a diverse health 
care workforce that is prepared to deliver 
high-quality care, with an emphasis on pri-
mary care, in underserved areas and to 
health disparity populations, in collabora-
tion with other Federal and State health 
care workforce development programs, and 
in health care safety net sites. 
‘‘(iii) Prepare individuals to more ef-
fectively provide health services to under-
served areas or health disparity popu-
lations through field placements or precep-
torships in conjunction with community- 
based organizations, accredited primary 
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care residency training programs, Feder-
ally qualified health centers, rural health 
clinics, behavioral and mental health facili-
ties, public health departments, or other 
appropriate facilities. 
‘‘(iv) Conduct and participate in inter-
disciplinary training that involves physi-
cians, physician assistants, nurse practi-
tioners, nurse midwives, dentists, psycholo-
gists, pharmacists, public health, or other 
health professionals, as practicable. 
‘‘(v) Deliver or facilitate continuing 
education and information dissemination 
programs for health care professionals, 
with an emphasis on individuals providing 
care in underserved areas and for health 
disparity populations. 
‘‘(vi) Propose and implement effective 
program and outcomes measurement and 
evaluation strategies. 
‘‘(B) INNOVATIVE
OPPORTUNITIES.—An 
eligible entity shall use amounts awarded under 
a grant under paragraph (1) to carry out at 
least 1 of the following activities: 
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‘‘(i) Develop innovative curricula in 
collaboration with community-based ac-
credited primary care residency training 
programs, Federally qualified health cen-
ters, rural health clinics, behavioral and 
mental health facilities, public health de-
partments, or other appropriate facilities, 
with the goal of increasing the number of 
primary care physicians and other primary 
care providers prepared to serve in under-
served areas and health disparity popu-
lations. 
‘‘(ii) 
Coordinate 
community-based 
participatory 
research 
with 
academic 
health centers, and facilitate rapid flow 
and dissemination of evidence-based health 
care information, research results, and best 
practices to improve quality, efficiency, and 
effectiveness of health care and health care 
systems within community settings. 
‘‘(iii) Develop and implement other 
strategies to address identified workforce 
needs and increase and enhance the health 
care workforce in the area served by the 
area health education center program. 
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‘‘(d) REQUIREMENTS.— 
‘‘(1) AREA HEALTH EDUCATION CENTER PRO-
GRAM.—In carrying out this section, the Secretary 
shall ensure the following: 
‘‘(A) An entity that receives an award 
under this section shall conduct at least 10 per-
cent of clinical education required for medical 
students in community settings that are re-
moved from the primary teaching facility of the 
contracting institution for grantees that operate 
a school of medicine or osteopathic medicine. In 
States in which an entity that receives an 
award under this section is a nursing school or 
its parent institution, the Secretary shall alter-
natively ensure that— 
‘‘(i) the nursing school places at least 
10 percent of its students in training sites 
affiliated with an area health education 
center that is remote from the primary 
teaching facility of the school; and 
‘‘(ii) the entity receiving the award 
maintains a written agreement with a 
school of medicine or osteopathic medicine 
to place students from that school in train-
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ing sites in the area health education cen-
ter program area. 
‘‘(B) An entity receiving funds under sub-
section (c) does not distribute such funding to 
a center that is eligible to receive funding under 
subsection (b). 
‘‘(2) AREA HEALTH EDUCATION CENTER.—The 
Secretary shall ensure that each area health edu-
cation center program includes at least 1 area health 
education center, and that each such center— 
‘‘(A) is a public or private organization 
whose structure, governance, and operation is 
independent from the awardee and the parent 
institution of the awardee; 
‘‘(B) is not a school of medicine or osteo-
pathic medicine, the parent institution of such 
a school, or a branch campus or other subunit 
of a school of medicine or osteopathic medicine 
or its parent institution, or a consortium of 
such entities; 
‘‘(C) designates an underserved area or 
population to be served by the center which is 
in a location removed from the main location of 
the teaching facilities of the schools partici-
pating in the program with such center and 
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an entity shall make available (directly or through con-
tributions from State, county or municipal governments, 
or the private sector) recurring non-Federal contributions 
in cash or in kind, toward such costs in an amount that 
is equal to not less than 50 percent of such costs. At least 
25 percent of the total required non-Federal contributions 
shall be in cash. An entity may apply to the Secretary 
for a waiver of not more than 75 percent of the matching 
fund amount required by the entity for each of the first 
3 years the entity is funded through a grant under sub-
section (b). 
‘‘(g) LIMITATION.—Not less than 75 percent of the 
total amount provided to an area health education center 
program under subsection (b) or (c) shall be allocated to 
the area health education centers participating in the pro-
gram under this section. To provide needed flexibility to 
newly funded area health education center programs, the 
Secretary may waive the requirement in the sentence for 
the first 2 years of a new area health education center 
program funded under subsection (b). 
‘‘(h) AWARD.—An award to an entity under this sec-
tion shall be not less than $250,000 annually per area 
health education center included in the program involved. 
If amounts appropriated to carry out this section are not 
sufficient to comply with the preceding sentence, the Sec-
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retary may reduce the per center amount provided for in 
such sentence as necessary, provided the distribution es-
tablished in subsection (l)(2) is maintained. 
‘‘(i) PROJECT TERMS.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), the period during which payments may be 
made under an award under subsection (b) may not 
exceed— 
‘‘(A) in the case of a program, 12 years; 
or 
‘‘(B) in the case of a center within a pro-
gram, 6 years. 
‘‘(2) EXCEPTION.—The periods described in 
paragraph (1) shall not apply to programs receiving 
point of service maintenance and enhancement 
awards under subsection (c) to maintain existing 
centers and activities. 
‘‘(j) INAPPLICABILITY
OF
PROVISION.—Notwith-
standing any other provision of this title, section 791(a) 
shall not apply to an area health education center funded 
under this section. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $125,000,000 
for each of the fiscal years 2009 through 2013. 
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‘‘(2) REQUIREMENTS.—Of the amounts appro-
priated for a fiscal year under subparagraph (A)— 
‘‘(A) not more than 35 percent shall be 
used for awards under subsection (b); 
‘‘(B) not less than 60 percent shall be used 
for awards under subsection (c); 
‘‘(C) not more than 1 percent shall be used 
for grants and contracts to implement outcomes 
evaluation for the area health education cen-
ters; and 
‘‘(D) not more than 4 percent shall be 
used for grants and contracts to provide tech-
nical assistance to entities receiving awards 
under this section. 
‘‘(3) CARRYOVER FUNDS.—An entity that re-
ceives an award under this section may carry over 
funds from 1 fiscal year to another without obtain-
ing approval from the Secretary. In no case may any 
funds be carried over pursuant to the preceding sen-
tence for more than 3 years. 
‘‘(l) SENSE OF CONGRESS.—It is the sense of the 
Congress that every State have an area health education 
center program in effect under this section.’’. 
(b) CONTINUING
EDUCATIONAL
SUPPORT
FOR 
HEALTH PROFESSIONALS SERVING
IN UNDERSERVED 
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COMMUNITIES.—Part D of title VII (42 U.S.C. 294 et 
seq.) is amended by striking section 752 and inserting the 
following: 
‘‘SEC. 752. CONTINUING EDUCATIONAL SUPPORT FOR 
HEALTH PROFESSIONALS SERVING IN UN-
DERSERVED COMMUNITIES. 
‘‘(a) IN GENERAL.—The Secretary shall make grants 
to, and enter into contracts with, eligible entities to im-
prove health care, increase retention, increase representa-
tion of minority faculty members, enhance the practice en-
vironment, and provide information dissemination and 
educational support to reduce professional isolation 
through the timely dissemination of research findings 
using relevant resources. 
‘‘(b) ELIGIBLE ENTITIES.—For purposes of this sec-
tion, the term ‘eligible entity’ means an entity described 
in section 799(b). 
‘‘(c) APPLICATION.—An eligible entity desiring to re-
ceive an award under this section shall submit to the Sec-
retary an application at such time, in such manner, and 
containing such information as the Secretary may require. 
‘‘(d) USE OF FUNDS.—An eligible entity shall use 
amounts awarded under a grant or contract under this 
section to provide innovative supportive activities to en-
hance education through distance learning, continuing 
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educational activities, collaborative conferences, and elec-
tronic and telelearning activities, with preference for pri-
mary care, including physician assistants, general and pe-
diatric dental providers, psychologists, and other mental 
health providers, and physicians teaching in federally des-
ignated underserved areas. 
‘‘(e) AUTHORIZATION.—There is authorized to be ap-
propriated to carry out this section $5,000,000 for each 
of the fiscal years 2009 through 2014, and such sums as 
may be necessary for each subsequent fiscal year.’’. 
SEC. 9. GERIATRICS EDUCATION AND TRAINING. 
(a) 
GERIATRIC
EDUCATION
CENTERS.—Section 
753(a) (42 U.S.C. 294c(a)) is amended— 
(1) in paragraph (1), by striking ‘‘in para-
graphs (1), (3), or (4) of section 799B, and section 
801(2),’’ and inserting ‘‘in paragraph (1), (3), or (4) 
of section 799B and section 801(2), health para-
professional programs, community health worker 
programs, and programs for informal caregivers,’’; 
(2) in paragraph (2)— 
(A) in subparagraph (A), by inserting ‘‘al-
lied health professionals, community health 
workers, and informal caregivers’’ after ‘‘health 
professionals’’; 
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