‘‘(ii) a description of each program 
funded through this section during the pre-
vious fiscal year; and 
‘‘(iii) a description of efforts to coordi-
nate the State departments responsible for 
administering 
Medicaid 
and 
Medicare 
funds, education and labor programs, the 
health care safety net, veterans programs, 
environmental programs, and medical li-
censing. 
‘‘(6) AUDITS.—A funding agreement for a 
grant under subsection (a)(1) is that the State in-
volved will provide for audits of expenditures of 
grant funds. 
‘‘(d) DETERMINATION
OF
AMOUNT
OF
ALLOT-
MENT.— 
‘‘(1) IN GENERAL.—The Secretary shall deter-
mine the amount of the allotment to each State 
under this section for a fiscal year based on a for-
mula. 
‘‘(2) DEVELOPMENT
OF
FORMULA.—The for-
mula referred to in paragraph (1) shall be deter-
mined by the Secretary by regulation, taking into 
consideration the following criteria: 
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‘‘(A) Existing shortages and deficiencies in 
health workforce distribution. 
‘‘(B) Rural, urban, and frontier areas. 
‘‘(C) Community health centers. 
‘‘(D) The number of medical, nursing, and 
allied health professions schools in each State. 
‘‘(e) FEDERAL PROGRAM ADMINISTRATION.— 
‘‘(1) DELEGATION
WITHIN
HHS.—The Sec-
retary shall designate an identifiable administrative 
unit of the Department of Health and Human Serv-
ices with expertise in health workforce issues to be 
responsible for administering the program under this 
section, including the following: 
‘‘(A) Coordinating activities under this sec-
tion with related activities of the Department of 
Health and Human Services, the Department of 
Defense, the Department of Education, the De-
partment of Labor, the Department of Veterans 
Affairs, and any other relevant Federal depart-
ments or agencies. 
‘‘(B) Disseminating health workforce infor-
mation and best practices to States. 
‘‘(C) Providing technical assistance to 
grant recipients under this section. 
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‘‘(D) Submitting reports to Congress 
under paragraph (2). 
‘‘(2) ANNUAL REPORTS.—The Secretary shall 
submit annual reports to the Congress on the fol-
lowing: 
‘‘(A) The amount of each allotment and 
grant to a State under this section. 
‘‘(B) Significant State projects funded 
through this section and their performance. 
‘‘(C) 
Significant 
innovations 
funded 
through this section and their outcomes. 
‘‘(D) Highlights with respect to the status 
of the Nation’s health workforce, including— 
‘‘(i) significant changes in supply by 
profession, specialty, and geographic loca-
tion, including with respect to primary care 
providers, nurses, long-term care workers, 
dentists, and allied health professionals; 
and 
‘‘(ii) significant changes in diversity 
by profession, specialty, and geographic lo-
cation. 
‘‘(3) ADDITIONAL
AUTHORITIES.—In carrying 
out this section, the Secretary may— 
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‘‘(A) allow States receiving grants to work 
together in regional authorities; 
‘‘(B) impose matching fund requirements 
as a condition on receipt of a grant; and 
‘‘(C) allow States to use grant funds for 
planning and infrastructure development. 
‘‘(f) RULE OF CONSTRUCTION.—Subject to the pur-
poses described in subsection (a)(2), nothing in this sec-
tion shall be construed to prohibit a State from making 
funds received under this section available to other enti-
ties, including entities receiving funds under other provi-
sions of this title or title VIII. 
‘‘(g) FEDERAL RESEARCH AND PROJECTS.— 
‘‘(1) IN GENERAL.—The Secretary may make 
grants to, or enter into contracts or jointly financed 
cooperative agreements with, public or nonprofit in-
stitutions of higher education and public or non-
profit private agencies and organizations engaged in 
research to identify best practices and innovative ap-
proaches to improving the supply, distribution, diver-
sity, and development of the health workforce, tak-
ing into consideration the supply, distribution, diver-
sity, and development of health workforce profession 
specialties and subspecialties. 
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‘‘(2) TECHNICAL ASSISTANCE.—The Secretary 
shall incorporate the best practices and innovative 
approaches identified under paragraph (1) into any 
technical assistance provided to grant recipients 
under this section. 
‘‘(3) 
COORDINATION.—The 
Secretary 
shall 
carry out this subsection in coordination with the ac-
tivities of the National Center for Health Workforce 
Information and Analysis, including any research, 
demonstrations, and evaluations under section 
792(b)(4). 
‘‘(h) NATIONAL
HEALTH
WORKFORCE
OBJEC-
TIVES.—The Secretary, based on information and analysis 
of the National Center for Health Workforce Information 
and Analysis and the findings and recommendations of the 
National Health Workforce Advisory Council, shall de-
velop national health workforce objectives to be used for 
purposes of subsections (a)(2)(C) and (b)(2)(B)(i). 
‘‘(i) DEFINITIONS.—In this section: 
‘‘(1) The term ‘diversity’ includes racial, ethnic, 
language ability, and gender diversity. 
‘‘(2) The term ‘health workforce’ includes phy-
sicians, nurses (including registered nurses and li-
censed practical nurses), advance practice nurses 
(including nurse practitioners, certified registered 
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nurse anesthetists, certified nurse midwives, clinical 
nurse specialists, doctorates of nursing practice, and 
clinical nurse leaders), dentists, physician assistants, 
chiropractors, podiatrists, optometrists and opti-
cians, pharmacists, mental health providers (includ-
ing psychologists and clinical social workers), allied 
health professionals (including physical therapists, 
occupational therapists, speech-language patholo-
gists, audiologists, respiratory therapists, techni-
cians, technologists, emergency medical technicians, 
paramedics, medical and clinical laboratory tech-
nologists and technicians, medical records and health 
information technicians, nuclear medicine tech-
nologists, radiologic technologists, dieticians, and nu-
tritionists), auxiliary health professionals (including 
home health aides, certified nursing assistants, nurs-
ing aides, orderlies, and attendants), public health 
workforce professionals, and any other providers de-
termined by the Secretary for purposes of this sec-
tion to be part of the health workforce. 
‘‘(3) The term ‘National Center for Health 
Workforce Information and Analysis’ means the Na-
tional Center for Health Workforce Information and 
Analysis established under section 792. 
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‘‘(4) The term ‘National Health Workforce Ad-
visory Council’ means the National Health Work-
force Advisory Council established under section 
762. 
‘‘(j) FUNDING.— 
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
To carry out this section, there are authorized to be 
appropriated such sums as may be necessary for 
each of fiscal years 2009 through 2013. 
‘‘(2) RESERVATION.—Of the amount of funds 
appropriated to carry out this section for a fiscal 
year, the Secretary shall reserve 5 percent of such 
amount to carry out subsection (g).’’. 
Æ 
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