IB 
Union Calendar No. 425 
110TH CONGRESS 
2D SESSION 
H. R. 1343 
[Report No. 110–680] 
To amend the Public Health Service Act to provide additional authorizations 
of appropriations for the health centers program under section 330 
of such Act. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 6, 2007 
Mr. GENE GREEN of Texas (for himself and Mr. PICKERING) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
JUNE 4, 2008 
Additional sponsors: Mrs. CAPPS, Mr. ENGEL, Mr. ELLISON, Mr. HIGGINS, 
Mr. UDALL of New Mexico, Mr. CLEAVER, Mr. CAPUANO, Mr. BERMAN, 
Mr. SHAYS, Mr. TERRY, Ms. LINDA T. SA´NCHEZ of California, Mrs. 
MALONEY of New York, Mr. GRIJALVA, Mr. MCCOTTER, Ms. HIRONO, 
Mr. KENNEDY, Mr. SALAZAR, Mr. PRICE of North Carolina, Mr. RENZI, 
Mr. FARR, Mr. DELAHUNT, Mr. FORBES, Mr. WEXLER, Mr. NADLER, 
Mr. WAXMAN, Mr. DAVID DAVIS of Tennessee, Mr. KAGEN, Mr. NUNES, 
Mr. COOPER, Mr. MCNERNEY, Mr. OLVER, Mr. COHEN, Mr. MATHESON, 
Mr. SIRES, Mr. MARKEY, Mr. EMANUEL, Ms. SCHAKOWSKY, Ms. MCCOL-
LUM
of Minnesota, Mr. BUTTERFIELD, Mr. ABERCROMBIE, Mr. 
HINOJOSA, Mr. SMITH of New Jersey, Ms. BORDALLO, Ms. NORTON, Mr. 
LARSEN of Washington, Mr. MICHAUD, Mr. EHLERS, Mr. LANGEVIN, Mr. 
MCNULTY, Mr. MCDERMOTT, Mr. GOODE, Mr. STARK, Mr. FILNER, Mr. 
CLAY, Mr. HINCHEY, Mr. JOHNSON of Georgia, Mr. SARBANES, Mr. 
BARROW, Mr. INSLEE, Mr. BOSWELL, Mr. UPTON, Ms. BALDWIN, Ms. 
EDDIE BERNICE JOHNSON of Texas, Ms. WOOLSEY, Mrs. GILLIBRAND, 
Mr. MELANCON, Mr. LATHAM, Ms. GRANGER, Mr. CANNON, Mr. MITCH-
ELL, Mr. LINCOLN DAVIS of Tennessee, Mr. WICKER, Mr. ROSS, Mr. 
ALLEN, Mr. ORTIZ, Mr. SCOTT of Virginia, Ms. SOLIS, Mr. DOOLITTLE, 
Mr. BAIRD, Mr. WHITFIELD of Kentucky, Mr. SMITH of Texas, Mr. 
MCINTYRE, Mr. RANGEL, Mr. PLATTS, Mr. BLUMENAUER, Mr. THOMP-
SON of California, Mr. GONZALEZ, Mr. LANTOS, Mrs. JO ANN DAVIS of 
Virginia, Mr. DICKS, Mr. BOUSTANY, Mr. BISHOP of New York, Mrs. 
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DRAKE, Mr. BOREN, Mr. DOYLE, Mrs. CAPITO, Mr. DAVIS of Illinois, 
Mr. THORNBERRY, Ms. VELA´ZQUEZ, Mr. GEORGE MILLER of California, 
Mr. REHBERG, Mr. MURPHY of Connecticut, Mr. SMITH of Washington, 
Mr. CARTER, Mr. MEEK of Florida, Mrs. DAVIS of California, Mr. 
BISHOP of Utah, Mr. REYES, Ms. HERSETH SANDLIN, Ms. CLARKE, Mr. 
STUPAK, Mr. CUELLAR, Mr. TOWNS, Ms. ROS-LEHTINEN, Mr. GUTIER-
REZ, Mr. COSTELLO, Mrs. CUBIN, Mr. ISSA, Mr. RODRIGUEZ, Mr. HALL 
of Texas, Mr. BRADY of Texas, Mr. AL GREEN of Texas, Mr. MCCAUL 
of Texas, Mr. EDWARDS, Ms. JACKSON-LEE of Texas, Mr. DOGGETT, Mr. 
MARCHANT, Mr. RUSH, Mr. WYNN, Ms. DEGETTE, Mr. SHIMKUS, Mr. 
LOBIONDO, Mr. ETHERIDGE, Mr. UDALL of Colorado, Mr. WELCH of 
Vermont, Mr. RAHALL, Mr. MANZULLO, Mr. TIM MURPHY of Pennsyl-
vania, Mr. ALEXANDER, Mr. MCHUGH, Mr. LARSON of Connecticut, Mr. 
PAYNE, Mr. WAMP, Mr. HARE, Mr. HERGER, Mr. MARSHALL, Mr. WU, 
Mr. KANJORSKI, Mr. SPRATT, Mr. WALSH of New York, Mr. HALL of 
New York, Mr. GORDON of Tennessee, Ms. ESHOO, Mr. PERLMUTTER, 
Mrs. EMERSON, Mr. SHERMAN, Ms. ROYBAL-ALLARD, Mr. LOEBSACK, 
Mr. HODES, Mr. CONAWAY, Mr. SIMPSON, Mr. FRANK of Massachusetts, 
Mr. BILIRAKIS, Mr. DAVIS of Kentucky, Mr. JACKSON of Illinois, Mr. 
GILLMOR, Mr. ISRAEL, Mrs. WILSON of New Mexico, Mr. WELLER of Illi-
nois, Mr. CASTLE, Ms. SHEA-PORTER, Mr. LAMPSON, Mrs. BOYDA of 
Kansas, Mr. SAXTON, Mr. LYNCH, Mr. WALDEN of Oregon, Mr. BRADY 
of Pennsylvania, Mr. COURTNEY, Mr. BOUCHER, Ms. HOOLEY, Mr. 
NEUGEBAUER, Mr. MORAN of Virginia, Mr. SERRANO, Mr. MCGOVERN, 
Mr. ROGERS of Alabama, Mr. TIERNEY, Mr. REICHERT, Mr. PASTOR, 
Mr. PASCRELL, Mr. MEEHAN, Mrs. NAPOLITANO, Mr. ENGLISH of Penn-
sylvania, Mr. WOLF, Mr. BECERRA, Mr. YARMUTH, Mrs. BLACKBURN, 
Ms. SLAUGHTER, Mr. REYNOLDS, Mr. WEINER, Ms. GIFFORDS, Mr. 
ARCURI, Mr. PUTNAM, Mr. ROGERS of Kentucky, Ms. HARMAN, Mr. 
SMITH
of Nebraska, Mr. CARNEY, Mr. BISHOP
of Georgia, Mr. 
BOOZMAN, Mr. BRALEY of Iowa, Mr. ALTMIRE, Mr. LAHOOD, Mr. KUHL 
of New York, Mr. LEWIS of Georgia, Mr. SCOTT of Georgia, Ms. LEE, 
Mr. GERLACH, Mr. CUMMINGS, Mr. FATTAH, Mr. HOLDEN, Mr. MOORE 
of Kansas, Mr. MEEKS of New York, Mr. YOUNG of Alaska, Mr. LUCAS, 
Ms. SCHWARTZ, Mr. ROTHMAN, Mr. JOHNSON of Illinois, Mr. MILLER of 
North Carolina, Mr. PETRI, Ms. MATSUI, Mr. MURTHA, Mr. HOLT, Mr. 
FORTUN˜O, Mr. WILSON of Ohio, Mr. THOMPSON of Mississippi, Mr. 
DONNELLY, Ms. MOORE of Wisconsin, Mr. CULBERSON, Ms. GINNY 
BROWN-WAITE of Florida, Mr. FOSSELLA, Mr. SPACE, Mr. COSTA, Mr. 
SALI, Mr. POE, Mr. DEFAZIO, Mr. CARSON, Mr. JEFFERSON, Mr. 
HULSHOF, and Mr. FORTENBERRY 
JUNE 4, 2008 
Reported with amendments, committed to the Committee of the Whole House 
on the State of the Union, and ordered to be printed 
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[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on March 6, 2007] 
A BILL 
To amend the Public Health Service Act to provide additional 
authorizations of appropriations for the health centers 
program under section 330 of such Act. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Centers Renewal 
Act of 2008’’. 
SEC. 2. ADDITIONAL AUTHORIZATIONS OF APPROPRIA-
TIONS FOR HEALTH CENTERS PROGRAM. 
Section 330(r)(1) of the Public Health Service Act (42 
U.S.C. 254b(r)(1)) is amended to read as follows: 
‘‘(1) IN GENERAL.—For the purpose of carrying 
out this section, in addition to the amounts author-
ized to be appropriated under subsection (d), there 
are authorized to be appropriated— 
‘‘(A) for fiscal year 2008, $2,213,020,000; 
‘‘(B) for fiscal year 2009, $2,451,394,400; 
‘‘(C) for fiscal year 2010, $2,757,818,700; 
‘‘(D) for fiscal year 2011, $3,116,335,131; 
and 
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‘‘(E) for fiscal year 2012, $3,537,040,374.’’. 
SEC. 3. RECOGNITION OF HIGH POVERTY AREAS. 
(a) IN GENERAL.—Section 330(c) of the Public Health 
Service Act (42 U.S.C. 254b(c)) is amended by adding at 
the end the following new paragraph: 
‘‘(3) RECOGNITION OF HIGH POVERTY AREAS.— 
‘‘(A) IN
GENERAL.—In making grants 
under this subsection, the Secretary may recog-
nize the unique needs of high poverty areas. 
‘‘(B) HIGH POVERTY AREA DEFINED.—For 
purposes of subparagraph (A), the term ‘high 
poverty area’ means a catchment area which is 
established in a manner that is consistent with 
the factors in subsection (k)(3)(J), and the pov-
erty rate of which is greater than the national 
average poverty rate as determined by the Bu-
reau of the Census.’’. 
(b) EFFECTIVE DATE.—The amendment made by sub-
section (a) shall apply to grants made on or after January 
1, 2009. 
SEC. 4. LIABILITY PROTECTIONS FOR HEALTH CENTER 
VOLUNTEER PRACTITIONERS. 
(a) IN GENERAL.—Section 224 of the Public Health 
Service Act (42 U.S.C. 233) is amended— 
(1) in subsection (g)(1)(A)— 
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