SEC. 2. PURPOSES. 
The purpose of this Act is to address the impending 
shortage of public health workers across the United States 
by providing financial incentives for public health grad-
uates to work in public health departments and commu-
nity health centers. 
SEC. 3. PUBLIC HEALTH WORKFORCE RECRUITMENT AND 
RETENTION 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—Public Health Workforce Recruitment 
and Retention Programs 
‘‘SEC. 780. PUBLIC HEALTH WORKFORCE SCHOLARSHIP 
PROGRAM. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish the Public Health Workforce Scholarship Program 
(referred to in this section as the ‘Program’) to assure 
an adequate supply of public health professionals to elimi-
nate critical public health workforce shortages in Federal, 
State, local, and tribal public health agencies and health 
centers. 
‘‘(b) ELIGIBILITY.—To be eligible to participate in 
the Program, an individual shall— 
‘‘(1) be accepted for enrollment, or be enrolled, 
as a full-time or part-time student— 
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‘‘(A) in an educational institution in a 
State or territory that is accredited by the 
Council on Education for Public Health; and 
‘‘(B) in a course of study or program that 
is accredited by the Council on Education for 
Public Health, offered by such institution and 
approved by the Secretary, leading to a health 
professions degree (graduate, undergraduate, or 
associate) or certificate, which may include pub-
lic health, laboratory sciences, epidemiology, en-
vironmental health, health communications, 
health education and behavioral sciences, health 
policy and management, information sciences, 
or public administration; 
‘‘(2) be a United States citizen; 
‘‘(3) submit an application to the Secretary to 
participate in the Program; and 
‘‘(4) sign and submit to the Secretary, at the 
time of the submission of such application, a written 
contract (described in subsection (d)) to serve, upon 
the completion of the course of study or program in-
volved, for the applicable period of obligated service 
in the full-time employment of a Federal, State, 
local, or tribal public health agency or a health cen-
ter. 
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‘‘(c) DISSEMINATION OF INFORMATION.— 
‘‘(1) APPLICATION
AND
CONTRACT
FORMS.— 
The Secretary shall disseminate application forms 
and contract forms to individuals desiring to partici-
pate in the Program. The Secretary shall include 
with such forms— 
‘‘(A) a fair summary of the rights and li-
abilities of an individual whose application is 
approved (and whose contract is accepted) by 
the Secretary, including in the summary a clear 
explanation of the damages to which the United 
States is entitled in the case of the individual’s 
breach of the contract; and 
‘‘(B) information relating to the service ob-
ligation and such other information as may be 
necessary for the individual to understand the 
individual’s prospective participation in the Pro-
gram. 
‘‘(2) INFORMATION
FOR
SCHOOLS.—The Sec-
retary shall distribute to health professions schools 
and other appropriate accredited academic institu-
tions and relevant Federal, State, local, and tribal 
public health agencies and health centers, materials 
providing information on the Program and shall en-
courage such schools, institutions, and agencies to 
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disseminate such materials to potentially eligible stu-
dents. 
‘‘(3) UNDERSTANDABILITY AND TIMING.—The 
application form, contract form, and all other infor-
mation furnished by the Secretary under this section 
shall— 
‘‘(A) be written in a manner calculated to 
be understood by the average individual apply-
ing to participate in the Program; and 
‘‘(B) be made available by the Secretary on 
a date sufficiently early to ensure that such in-
dividuals have adequate time to carefully review 
and evaluate such forms and information. 
‘‘(d) CONTRACT.—The written contract between the 
Secretary and an individual shall contain— 
‘‘(1) an agreement on the part of the Secretary 
that the Secretary will provide the individual with a 
scholarship for a period of years (not to exceed 4 
academic years) during which the individual shall 
pursue an approved course of study or program to 
prepare the individual to serve in the public health 
workforce; 
‘‘(2) an agreement on the part of the individual 
that the individual will— 
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‘‘(A) maintain full-time or part-time enroll-
ment in the approved course of study or pro-
gram described in subsection (b)(1) until the in-
dividual completes that course of study or pro-
gram; 
‘‘(B) while enrolled in the course of study 
or program, maintain an acceptable level of aca-
demic standing (as determined under regula-
tions of the Secretary by the educational insti-
tution offering such course of study or pro-
gram); and 
‘‘(C) immediately upon graduation, serve 
in the full-time employment of a Federal, State, 
local, or tribal public health agency or a health 
center 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— 
‘‘(i) 1 year for each academic year for 
which the individual was provided a schol-
arship under the Program; or 
‘‘(ii) 2 years; 
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‘‘(3) an agreement by both parties as to the na-
ture and extent of the scholarship assistance, which 
may include— 
‘‘(A) payment of the tuition or fee ex-
penses of the individual; 
‘‘(B) payment of all other reasonable edu-
cational expenses of the individual including 
fees, books, equipment, and laboratory ex-
penses; and 
‘‘(C) payment of a stipend of not more 
than $1,200 per month for each month of the 
academic year involved (indexed to account for 
increases in the Consumer Price Index); 
‘‘(4) a provision that any financial obligation of 
the United States arising out of a contract entered 
into under this subsection and any obligation of the 
individual which is conditioned thereon, is contingent 
upon funds being appropriated for scholarships 
under this section; 
‘‘(5) a statement of the damages to which the 
United States is entitled for the individual’s breach 
of the contract; and 
‘‘(6) such other statements of the rights and li-
abilities of the Secretary and of the individual, not 
inconsistent with the provisions of this section. 
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‘‘(e) POSTPONING OBLIGATED SERVICE.—With re-
spect to an individual receiving a degree or certificate from 
a school of medicine, public health, nursing, osteopathic 
medicine, dentistry, veterinary medicine, optometry, po-
diatry, pharmacy, psychology, or social work under a 
scholarship under the Program, the date of the initiation 
of the period of obligated service may be postponed, upon 
the submission by the individual of a petition for such 
postponement and approval by the Secretary, to the date 
on which the individual completes an approved internship, 
residency, or other relevant public health advanced train-
ing program. 
‘‘(f) ADMINISTRATIVE PROVISIONS.— 
‘‘(1) CONTRACTS
WITH
INSTITUTIONS.—The 
Secretary may contract with an educational institu-
tion in which a participant in the Program is en-
rolled, for the payment to the educational institution 
of the amounts of tuition or fees and other reason-
able educational expenses described in subsection 
(d)(3). 
‘‘(2) 
EMPLOYMENT
CEILINGS.—Notwith-
standing any other provision of law, individuals who 
have entered into written contracts with the Sec-
retary under this section, while undergoing academic 
training, shall not be counted against any employ-
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ment ceiling affecting the Department or any other 
Federal agency. 
‘‘(g) BREACH
OF CONTRACT.—An individual who 
fails to comply with the contract entered into under sub-
section (d) shall be subject to the same financial penalties 
as provided for under section 338E for breaches of schol-
arship contracts under sections 338A. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$35,000,000 for each of the fiscal years 2010 through 
2015. 
‘‘(i) DEFINITION.—For purposes of this subpart, the 
term ‘health center’ means a Federally-qualified health 
center (as defined in section 1905(l)(2)(B) of the Social 
Security Act). 
‘‘SEC. 781. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT 
PROGRAM. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish the Public Health Workforce Loan Repayment Pro-
gram (referred to in this section as the ‘Program’) to as-
sure an adequate supply of public health professionals to 
eliminate critical public health workforce shortages in 
Federal, State, local, and tribal public health agencies and 
in health centers. 
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‘‘(b) ELIGIBILITY.—To be eligible to participate in 
the Program, an individual shall— 
‘‘(1)(A) be accepted for enrollment, or be en-
rolled, as a full-time or part-time student in an aca-
demic educational institution accredited by the 
Council on Education for Public Health in a State 
or territory in the final year of a course of study or 
program offered by that institution leading to a 
health professions degree or certificate, which may 
include a degree (graduate, undergraduate, or asso-
ciate) or certificate relating to public health, labora-
tory sciences, epidemiology, environmental health, 
health communications, health policy and manage-
ment, health education and behavioral sciences, in-
formation sciences, or public administration; or 
‘‘(B) have graduated, within 10 years, from an 
educational institution accredited by the Council on 
Education for Public Health in a State or territory 
and received a health professions degree (graduate, 
undergraduate, or associate) or certificate, which 
may include a degree (graduate, undergraduate, or 
associate) or certificate relating to public health, lab-
oratory sciences, epidemiology, environmental health, 
health communications, health education and behav-
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ioral sciences, health policy and management, infor-
mation sciences, or public administration; 
‘‘(2)(A) in the case of an individual described in 
paragraph (1)(A), have accepted employment with a 
Federal, State, local, or tribal public health agency 
or a health center, as recognized by the Secretary, 
to commence upon graduation; or 
‘‘(B) in the case of an individual described in 
paragraph (1)(B), be employed by, or have accepted 
employment with, a Federal, State, local, or tribal 
public health agency or a health center, as recog-
nized by the Secretary; 
‘‘(3) be a United States citizen; 
‘‘(4) submit an application to the Secretary to 
participate in the Program; and 
‘‘(5) sign and submit to the Secretary, at the 
time of the submission of such application, a written 
contract (described in subsection (d)) to serve for 
the applicable period of obligated service in the full- 
time employment of a Federal, State, local, or tribal 
public health agency or a health center. 
‘‘(c) DISSEMINATION OF INFORMATION.— 
‘‘(1) APPLICATION
AND
CONTRACT
FORMS.— 
The Secretary shall disseminate application forms 
and contract forms to individuals desiring to partici-
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pate in the Program. The Secretary shall include 
with such forms— 
‘‘(A) a fair summary of the rights and li-
abilities of an individual whose application is 
approved (and whose contract is accepted) by 
the Secretary, including in the summary a clear 
explanation of the damages to which the United 
States is entitled to recover in the case of the 
individual’s breach of the contract; and 
‘‘(B) information relating to the service ob-
ligation and such other information as may be 
necessary for the individual to understand the 
individual’s prospective participation in the Pro-
gram. 
‘‘(2) INFORMATION
FOR
SCHOOLS.—The Sec-
retary shall distribute to health professions schools 
and programs and other appropriate accredited aca-
demic institutions and relevant Federal, State, local, 
and tribal public health agencies and health centers, 
materials providing information on the Program and 
shall encourage such schools, institutions, programs, 
and agencies to disseminate such materials to poten-
tially eligible students. 
‘‘(3) UNDERSTANDABILITY AND TIMING.—The 
application form, contract form, and all other infor-
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mation furnished by the Secretary under this section 
shall— 
‘‘(A) be written in a manner calculated to 
be understood by the average individual apply-
ing to participate in the Program; and 
‘‘(B) be made available by the Secretary on 
a date sufficiently early to ensure that such in-
dividuals have adequate time to carefully review 
and evaluate such forms and information. 
‘‘(d) CONTRACT.—The written contract (referred to 
in this section) 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 indi-
vidual loans incurred by the individual in the pursuit 
of the relevant public health workforce educational 
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, immediately upon 
graduation in the case of an individual described in 
subsection (b)(1)(A) service, or in the case of an in-
dividual described in subsection (b)(1)(B) continue 
to serve, in the full-time employment of a Federal, 
State, local, or tribal public health agency or health 
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center 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 ‘pe-
riod of obligated service’) equal to the greater of— 
‘‘(A) 3 years; or 
‘‘(B) such longer period of time as deter-
mined appropriate by the Secretary and the in-
dividual; 
‘‘(3) an agreement, as appropriate, on the part 
of the individual to relocate for the entire period of 
obligated service to a political jurisdiction designated 
by the Secretary to be a priority service area in ex-
change for an additional loan repayment incentive 
amount that does not exceed 20 percent of the indi-
vidual’s eligible loan repayment award per academic 
year such that the total of the loan repayment and 
the incentive amount shall not exceed 1⁄3 of the eligi-
ble loan balance per year; 
‘‘(4) in the case of an individual described in 
subsection (b)(1)(A) who is in the final year of study 
and who has accepted employment with a Federal, 
State, local, or tribal public health agency or a 
health center upon graduation, an agreement on the 
part of the individual to complete the education or 
training, maintain an acceptable level of academic 
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standing (as determined by the education institution 
offering the course of study or training), and agree 
to the period of obligated service; 
‘‘(5) 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 in-
dividual that is conditioned thereon, is contingent on 
funds being appropriated for loan repayments under 
this section; 
‘‘(6) a statement of the damages to which the 
United States is entitled, under this section for the 
individual’s breach of the contract; and 
‘‘(7) such other statements of the rights and li-
abilities of the Secretary and of the individual, not 
inconsistent with this section. 
‘‘(e) PAYMENTS.— 
‘‘(1) IN GENERAL.—A loan repayment provided 
for an individual 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 gov-
ernment and commercial loans received by the indi-
vidual regarding the undergraduate or graduate edu-
cation of the individual (or both), which loans were 
made for— 
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‘‘(A) tuition or fee expenses; or 
‘‘(B) all other reasonable educational ex-
penses, including fees, books, and laboratory ex-
penses, incurred by the individual. 
‘‘(2) PAYMENTS FOR YEARS SERVED.— 
‘‘(A) IN GENERAL.—For each year of obli-
gated service that an individual contracts to 
serve under subsection (d) the Secretary may 
pay up to $35,000 on behalf of the individual 
for loans described in paragraph (1). With re-
spect to participants under the Program whose 
total eligible loans are less than $105,000, the 
Secretary shall pay an amount that does not ex-
ceed 1⁄3 of the eligible loan balance for each 
year of obligated service of the individual. 
‘‘(B) REPAYMENT
SCHEDULE.—Any ar-
rangement made by the Secretary for the mak-
ing of loan repayments in accordance with this 
subsection shall provide that any repayments 
for a year of obligated service shall be made no 
later than the end of the fiscal year in which 
the individual completes such year of service. 
‘‘(3) TAX LIABILITY.—For the purpose of pro-
viding reimbursements for tax liability resulting 
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from payments under paragraph (2) on behalf of an 
individual— 
‘‘(A) the Secretary shall, in addition to 
such payments, make payments to the indi-
vidual in an amount not to exceed 39 percent 
of the total amount of loan repayments made 
for the taxable year involved; and 
‘‘(B) may make such additional payments 
as the Secretary determines to be appropriate 
with respect to such purpose. 
‘‘(4) PAYMENT
SCHEDULE.—The Secretary 
may enter into an agreement with the holder of any 
loan for which payments are made under the Pro-
gram to establish a schedule for the making of such 
payments. 
‘‘(f) POSTPONING OBLIGATED SERVICE.—With re-
spect to an individual receiving a degree or certificate from 
a school of medicine, public health, nursing, osteopathic 
medicine, dentistry, veterinary medicine, optometry, po-
diatry, pharmacy, psychology, or social work, the date of 
the initiation of the period of obligated service may be 
postponed, upon the submission by the individual of a peti-
tion for such postponement and approval by the Secretary, 
to the date on which the individual completes an approved 
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internship, residency, or other relevant public health ad-
vanced training program. 
‘‘(g) ADMINISTRATIVE PROVISIONS.— 
‘‘(1) HIRING PRIORITY.—Notwithstanding any 
other provision of law, Federal, State, local, and 
tribal public health agencies and health centers may 
give hiring priority to any individual who has quali-
fied for and is willing to execute a contract to par-
ticipate in the Program. 
‘‘(2) 
EMPLOYMENT
CEILINGS.—Notwith-
standing any other provision of law, individuals who 
have entered into written contracts with the Sec-
retary under this section, who are serving as full- 
time employees of a State, local, or tribal public 
health agency or a health center, or who are in the 
last year of public health workforce academic prepa-
ration, shall not be counted against any employment 
ceiling affecting the Department or any other Fed-
eral agency. 
‘‘(h) BREACH
OF CONTRACT.—An individual who 
fails to comply with the contract entered into under sub-
section (d) shall be subject to the same financial penalties 
as provided for under section 338E for breaches of loan 
repayment contracts under section 338B. 
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‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$195,000,000 for each of the fiscal years 2010 through 
2015. 
‘‘SEC. 782. GRANTS FOR STATE AND LOCAL PROGRAMS. 
‘‘(a) IN GENERAL.—For the purpose of operating 
State, local, tribal, and health center public health work-
force loan repayment programs under this subpart, the 
Secretary shall award a grant to any public health agency 
that receives public health cooperative agreements, or 
other successor cooperative agreements, from the Depart-
ment of Health and Human Services. 
‘‘(b) REQUIREMENTS.—A State or local loan repay-
ment program operated with a grant under subsection (a) 
shall incorporate all provisions of the Public Health Work-
force Loan Repayment Program under section 781, in-
cluding the ability to designate priority service areas with-
in the relevant political jurisdiction. 
‘‘(c) ADMINISTRATION.—The head of the State or 
local office that receives a grant under subsection (a) shall 
be responsible for contracting and operating the loan re-
payment program under the grant. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to obligate or limit any State, local, 
or tribal government entity from implementing inde-
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pendent or supplemental public health workforce develop-
ment programs within their borders. 
‘‘SEC. 783. TRAINING FOR MID-CAREER PUBLIC 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 de-
gree or professional training programs for the purpose of 
enabling mid-career professionals in the public health 
workforce to receive additional training in the field of pub-
lic health. 
‘‘(b) ELIGIBILITY.— 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ indicates an educational institution accredited 
by the Council on Education for Public Health that 
offers a course of study, certificate program, or pro-
fessional training program in infectious disease 
science, medicine, public health, veterinary medicine, 
or other discipline impacting or influenced by bioter-
rorism or emerging infectious diseases. 
‘‘(2) ELIGIBLE INDIVIDUALS.—The term ‘eligi-
ble individuals’ includes those individuals employed 
in public health positions at the Federal, State, trib-
al, or local level or a health center who are inter-
ested in retaining or upgrading their education. 
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‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$30,000,000 for each of the fiscal years 2010 through 
2015. 
‘‘SEC. 784. CATALOGUE OF FEDERAL PUBLIC HEALTH 
WORKFORCE EMPLOYMENT OPPORTUNITIES. 
‘‘(a) IN GENERAL.—The Director of the Office of 
Personnel Management, in cooperation with the Secretary, 
shall ensure that, included in the Internet website of the 
Office of Personnel Management, there is an online cata-
logue, or link to an online catalogue, of public health work-
force employment opportunities in the Federal Govern-
ment. 
‘‘(b) REQUIREMENTS.—To the extent practicable, the 
catalogue described in subsection (a) shall include— 
‘‘(1) existing and projected job openings in the 
Federal public health workforce; and 
‘‘(2) a general discussion of the occupations 
that comprise the Federal public health workforce. 
‘‘(c) INFORMATION.—The Secretary shall include a 
copy of the catalogue described in subsection (a), or a 
prominent reference to the catalogue, in— 
‘‘(1) the application forms provided under sec-
tion 780(c)(1); and 
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‘‘(2) the information for schools provided under 
section 780(c)(2). 
‘‘SEC. 785. ACADEMIC HEALTH DEPARTMENTS GRANT PRO-
GRAM. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN
GENERAL.—In order to improve the 
training of public health students, the Secretary, 
acting through the Director of the Centers for Dis-
ease Control and Prevention and in consultation 
with the Association of Schools of Public Health, 
shall carry out the Academic Health Departments 
grant program (referred to in this section as the 
‘Program’) under which the Secretary shall award 
competitive grants, of not more than $250,000 each, 
to eligible partnerships to establish or maintain Aca-
demic Health Departments. 
‘‘(2) ACADEMIC
HEALTH
DEPARTMENT
DE-
FINED.—For purposes of this section, the term ‘Aca-
demic Health Department’ means a program admin-
istered by an eligible partnership that provides for 
collaboration between the academic and practice as-
pects of public health. The purpose of such a depart-
ment is to increase the number of graduates in pub-
lic health who work in State and local health depart-
ments, increase the relevance of the curriculum in 
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schools and programs of public health to health de-
partment practice, and to increase the use of aca-
demic theories, knowledge, and methodologies in the 
work of health departments. 
‘‘(b) ELIGIBILITY.—For purposes of this section, an 
eligible partnership is a partnership, with respect to estab-
lishing an Academic Health Department, consisting of— 
‘‘(1) a State or local public health department; 
and 
‘‘(2) a school of public health or a public health 
degree program that is accredited by the Council on 
Education for Public Health. 
‘‘(c) USE OF FUNDS.—An eligible partnership (as de-
scribed in subsection (b)) may use funds provided under 
a grant made under subsection (a) for the following pur-
poses, with respect to an Academic Health Department: 
‘‘(1) To provide for curriculum development. 
‘‘(2) To provide for training and academic in-
struction. 
‘‘(3) To conduct leadership seminars. 
‘‘(4) To conduct training needs assessment sur-
veys. 
‘‘(5) To facilitate appropriate staff of the State 
or local health department participating in the eligi-
ble partnership to teach with the school of public 
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health or public health degree program participating 
in such partnership. 
‘‘(6) To facilitate faculty and students of the 
school of public health or public health degree pro-
gram participating in the eligible partnership to 
work in the health department participating in such 
partnership. 
‘‘(7) To provide for a project coordinator. 
‘‘(8) To provide for subgrants to organizations 
to conduct activities consistent with the goals of the 
Program. 
‘‘(9) Other appropriate activities specified by 
the Secretary to recruit public health students to 
full-time employment in a health department after 
graduation. 
‘‘(d) REPORTS.— 
‘‘(1) GRANT RECIPIENT REPORTS TO THE SEC-
RETARY.—Each recipient of a grant awarded under 
subsection (a) shall submit to the Secretary a report 
for each year for which the recipient received such 
a grant on the results and outcomes of the activities 
funded by such grant during such year. 
‘‘(2) REPORTS TO CONGRESS.—For the 3-year 
period beginning on the date of the establishment of 
the Program, and for each subsequent 3-year period 
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