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•AMDT. NO. 2786 
order to increase access to dental health care serv-
ices in rural and other underserved communities. 
‘‘(2) DEFINITION.—The term ‘alternative den-
tal health care providers’ includes community dental 
health coordinators, advance practice dental hygien-
ists, independent dental hygienists, supervised dental 
hygienists, primary care physicians, dental thera-
pists, dental health aides, and any other health pro-
fessional that the Secretary determines appropriate. 
‘‘(b) TIMEFRAME.—The demonstration projects fund-
ed under this section shall begin not later than 2 years 
after the date of enactment of this section, and shall con-
clude not later than 7 years after such date of enactment. 
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under subsection (a), an entity shall— 
‘‘(1) be— 
‘‘(A) an institution of higher education, in-
cluding a community college; 
‘‘(B) a public-private partnership; 
‘‘(C) a federally qualified health center; 
‘‘(D) an Indian Health Service facility or a 
tribe or tribal organization (as such terms are 
defined in section 4 of the Indian Self-Deter-
mination and Education Assistance Act); 
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‘‘(E) a State or county public health clinic, 
a health facility operated by an Indian tribe or 
tribal organization, or urban Indian organiza-
tion providing dental services; or 
‘‘(F) a public hospital or health system; 
‘‘(2) be within a program accredited by the 
Commission on Dental Accreditation or within a 
dental education program in an accredited institu-
tion; and 
‘‘(3) shall submit an application to the Sec-
retary at such time, in such manner, and containing 
such information as the Secretary may require. 
‘‘(d) ADMINISTRATIVE PROVISIONS.— 
‘‘(1) AMOUNT OF GRANT.—Each grant under 
this section shall be in an amount that is not less 
than $4,000,000 for the 5-year period during which 
the demonstration project being conducted. 
‘‘(2) DISBURSEMENT OF FUNDS.— 
‘‘(A) PRELIMINARY DISBURSEMENTS.—Be-
ginning 1 year after the enactment of this sec-
tion, the Secretary may disperse to any entity 
receiving a grant under this section not more 
than 20 percent of the total funding awarded to 
such entity under such grant, for the purpose 
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of enabling the entity to plan the demonstration 
project to be conducted under such grant. 
‘‘(B) SUBSEQUENT DISBURSEMENTS.—The 
remaining amount of grant funds not dispersed 
under subparagraph (A) shall be dispersed such 
that not less than 15 percent of such remaining 
amount is dispersed each subsequent year. 
‘‘(e) COMPLIANCE WITH STATE REQUIREMENTS.— 
Each entity receiving a grant under this section shall cer-
tify that it is in compliance with all applicable State licens-
ing requirements. 
‘‘(f) EVALUATION.—The Secretary shall contract 
with the Director of the Institute of Medicine to conduct 
a study of the demonstration programs conducted under 
this section that shall provide analysis, based upon quan-
titative and qualitative data, regarding access to dental 
health care in the United States. 
‘‘(g) CLARIFICATION REGARDING DENTAL HEALTH 
AIDE PROGRAM.—Nothing in this section shall prohibit a 
dental health aide training program approved by the In-
dian Health Service from being eligible for a grant under 
this section. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated such sums as may be nec-
essary to carry out this section.’’. 
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SEC. 5305. GERIATRIC EDUCATION AND TRAINING; CAREER 
AWARDS; COMPREHENSIVE GERIATRIC EDU-
CATION. 
(a) 
WORKFORCE
DEVELOPMENT; 
CAREER 
AWARDS.—Section 753 of the Public Health Service Act 
(42 U.S.C. 294c) is amended by adding at the end the 
following: 
‘‘(d) GERIATRIC WORKFORCE DEVELOPMENT.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants or contracts under this subsection to entities 
that operate a geriatric education center pursuant to 
subsection (a)(1). 
‘‘(2) APPLICATION.—To be eligible for an 
award under paragraph (1), an entity described in 
such paragraph shall submit to the Secretary an ap-
plication at such time, in such manner, and con-
taining such information as the Secretary may re-
quire. 
‘‘(3) USE OF FUNDS.—Amounts awarded under 
a grant or contract under paragraph (1) shall be 
used to— 
‘‘(A) carry out the fellowship program de-
scribed in paragraph (4); and 
‘‘(B) carry out 1 of the 2 activities de-
scribed in paragraph (5). 
‘‘(4) FELLOWSHIP PROGRAM.— 
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‘‘(A) IN
GENERAL.—Pursuant to para-
graph (3), a geriatric education center that re-
ceives an award under this subsection shall use 
such funds to offer short-term intensive courses 
(referred to in this subsection as a ‘fellowship’) 
that focus on geriatrics, chronic care manage-
ment, and long-term care that provide supple-
mental training for faculty members in medical 
schools and other health professions schools 
with programs in psychology, pharmacy, nurs-
ing, social work, dentistry, public health, allied 
health, or other health disciplines, as approved 
by the Secretary. Such a fellowship shall be 
open to current faculty, and appropriately 
credentialed volunteer faculty and practitioners, 
who do not have formal training in geriatrics, 
to upgrade their knowledge and clinical skills 
for the care of older adults and adults with 
functional limitations and to enhance their 
interdisciplinary teaching skills. 
‘‘(B) LOCATION.—A fellowship shall be of-
fered either at the geriatric education center 
that is sponsoring the course, in collaboration 
with other geriatric education centers, or at 
medical schools, schools of dentistry, schools of 
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nursing, schools of pharmacy, schools of social 
work, graduate programs in psychology, or al-
lied health and other health professions schools 
approved by the Secretary with which the geri-
atric education centers are affiliated. 
‘‘(C) CME CREDIT.—Participation in a fel-
lowship under this paragraph shall be accepted 
with respect to complying with continuing 
health profession education requirements. As a 
condition of such acceptance, the recipient shall 
agree to subsequently provide a minimum of 18 
hours 
of 
voluntary 
instructional 
support 
through a geriatric education center that is pro-
viding clinical training to students or trainees 
in long-term care settings. 
‘‘(5) ADDITIONAL
REQUIRED
ACTIVITIES
DE-
SCRIBED.—Pursuant to paragraph (3), a geriatric 
education center that receives an award under this 
subsection shall use such funds to carry out 1 of the 
following 2 activities. 
‘‘(A) FAMILY
CAREGIVER
AND
DIRECT 
CARE
PROVIDER
TRAINING.—A geriatric edu-
cation center that receives an award under this 
subsection shall offer at least 2 courses each 
year, at no charge or nominal cost, to family 
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caregivers and direct care providers that are de-
signed to provide practical training for sup-
porting frail elders and individuals with disabil-
ities. The Secretary shall require such Centers 
to work with appropriate community partners 
to develop training program content and to 
publicize the availability of training courses in 
their service areas. All family caregiver and di-
rect care provider training programs shall in-
clude instruction on the management of psycho-
logical and behavioral aspects of dementia, com-
munication techniques for working with individ-
uals who have dementia, and the appropriate, 
safe, and effective use of medications for older 
adults. 
‘‘(B) INCORPORATION
OF
BEST
PRAC-
TICES.—A geriatric education center that re-
ceives an award under this subsection shall de-
velop and include material on depression and 
other mental disorders common among older 
adults, medication safety issues for older adults, 
and management of the psychological and be-
havioral aspects of dementia and communica-
tion techniques with individuals who have de-
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mentia in all training courses, where appro-
priate. 
‘‘(6) TARGETS.—A geriatric education center 
that receives an award under this subsection shall 
meet targets approved by the Secretary for providing 
geriatric training to a certain number of faculty or 
practitioners during the term of the award, as well 
as other parameters established by the Secretary. 
‘‘(7) AMOUNT
OF
AWARD.—An award under 
this subsection shall be in an amount of $150,000. 
Not more than 24 geriatric education centers may 
receive an award under this subsection. 
‘‘(8) MAINTENANCE OF EFFORT.—A geriatric 
education center that receives an award under this 
subsection shall provide assurances to the Secretary 
that funds provided to the geriatric education center 
under this subsection will be used only to supple-
ment, not to supplant, the amount of Federal, State, 
and local funds otherwise expended by the geriatric 
education center. 
‘‘(9) AUTHORIZATION OF APPROPRIATIONS.—In 
addition to any other funding available to carry out 
this section, there is authorized to be appropriated 
to carry out this subsection, $10,800,000 for the pe-
riod of fiscal year 2011 through 2014. 
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‘‘(e) GERIATRIC CAREER INCENTIVE AWARDS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants or contracts under this section to individuals 
described in paragraph (2) to foster greater interest 
among a variety of health professionals in entering 
the field of geriatrics, long-term care, and chronic 
care management. 
‘‘(2) ELIGIBLE INDIVIDUALS.—To be eligible to 
received an award under paragraph (1), an indi-
vidual shall— 
‘‘(A) be an advanced practice nurse, a clin-
ical social worker, a pharmacist, or student of 
psychology who is pursuing a doctorate or other 
advanced degree in geriatrics or related fields in 
an accredited health professions school; and 
‘‘(B) submit to the Secretary an applica-
tion at such time, in such manner, and con-
taining such information as the Secretary may 
require. 
‘‘(3) CONDITION OF AWARD.—As a condition of 
receiving an award under this subsection, an indi-
vidual shall agree that, following completion of the 
award period, the individual will teach or practice in 
the field of geriatrics, long-term care, or chronic 
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care management for a minimum of 5 years under 
guidelines set by the Secretary. 
‘‘(4) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection, $10,000,000 for the period of fiscal 
years 2011 through 2013.’’. 
(b) EXPANSION
OF ELIGIBILITY
FOR GERIATRIC 
ACADEMIC CAREER AWARDS; PAYMENT
TO INSTITU-
TION.—Section 753(c) of the Public Health Service Act 
294(c)) is amended— 
(1) by redesignating paragraphs (4) and (5) as 
paragraphs (5) and (6), respectively; 
(2) by striking paragraph (2) through para-
graph (3) and inserting the following: 
‘‘(2) ELIGIBLE INDIVIDUALS.—To be eligible to 
receive an Award under paragraph (1), an individual 
shall— 
‘‘(A) be board certified or board eligible in 
internal medicine, family practice, psychiatry, 
or licensed dentistry, or have completed any re-
quired training in a discipline and employed in 
an accredited health professions school that is 
approved by the Secretary; 
‘‘(B) have completed an approved fellow-
ship program in geriatrics or have completed 
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•AMDT. NO. 2786 
specialty training in geriatrics as required by 
the discipline and any addition geriatrics train-
ing as required by the Secretary; and 
‘‘(C) have a junior (non-tenured) faculty 
appointment at an accredited (as determined by 
the Secretary) school of medicine, osteopathic 
medicine, nursing, social work, psychology, den-
tistry, pharmacy, or other allied health dis-
ciplines in an accredited health professions 
school that is approved by the Secretary. 
‘‘(3) LIMITATIONS.—No Award under para-
graph (1) may be made to an eligible individual un-
less the individual— 
‘‘(A) has submitted to the Secretary an ap-
plication, at such time, in such manner, and 
containing such information as the Secretary 
may require, and the Secretary has approved 
such application; 
‘‘(B) provides, in such form and manner as 
the Secretary may require, assurances that the 
individual will meet the service requirement de-
scribed in paragraph (6); and 
‘‘(C) provides, in such form and manner as 
the Secretary may require, assurances that the 
individual has a full-time faculty appointment 
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in a health professions institution and docu-
mented commitment from such institution to 
spend 75 percent of the total time of such indi-
vidual on teaching and developing skills in 
interdisciplinary education in geriatrics. 
‘‘(4) MAINTENANCE OF EFFORT.—An eligible 
individual that receives an Award under paragraph 
(1) shall provide assurances to the Secretary that 
funds provided to the eligible individual under this 
subsection will be used only to supplement, not to 
supplant, the amount of Federal, State, and local 
funds otherwise expended by the eligible individual.’’; 
and 
(3) in paragraph (5), as so designated— 
(A) in subparagraph (A)— 
(i) by inserting ‘‘for individuals who 
are physicians’’ after ‘‘this section’’; and 
(ii) by inserting after the period at 
the end the following: ‘‘The Secretary shall 
determine the amount of an Award under 
this section for individuals who are not 
physicians.’’; and 
(B) by adding at the end the following: 
‘‘(C) PAYMENT
TO
INSTITUTION.—The 
Secretary shall make payments to institutions 
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which include schools of medicine, osteopathic 
medicine, nursing, social work, psychology, den-
tistry, and pharmacy, or other allied health dis-
cipline in an accredited health professions 
school that is approved by the Secretary.’’. 
(c) COMPREHENSIVE GERIATRIC EDUCATION.—Sec-
tion 855 of the Public Health Service Act (42 U.S.C. 298) 
is amended— 
(1) in subsection (b)— 
(A) in paragraph (3), by striking ‘‘or’’ at 
the end; 
(B) in paragraph (4), by striking the pe-
riod and inserting ‘‘; or’’; and 
(C) by adding at the end the following: 
‘‘(5) establish traineeships for individuals who 
are preparing for advanced education nursing de-
grees in geriatric nursing, long-term care, gero-psy-
chiatric nursing or other nursing areas that spe-
cialize in the care of the elderly population.’’; and 
(2) in subsection (e), by striking ‘‘2003 through 
2007’’ and inserting ‘‘2010 through 2014’’. 
SEC. 5306. MENTAL AND BEHAVIORAL HEALTH EDUCATION 
AND TRAINING GRANTS. 
(a) IN GENERAL.—Part D of title VII (42 U.S.C. 
294 et seq.) is amended by— 
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(1) striking section 757; 
(2) redesignating section 756 (as amended by 
section 5103) as section 757; and 
(3) inserting after section 755 the following: 
‘‘SEC. 756. MENTAL AND BEHAVIORAL HEALTH EDUCATION 
AND TRAINING GRANTS. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary may 
award grants to eligible institutions of higher education 
to support the recruitment of students for, and education 
and clinical experience of the students in— 
‘‘(1) baccalaureate, master’s, and doctoral de-
gree programs of social work, as well as the develop-
ment of faculty in social work; 
‘‘(2) accredited master’s, doctoral, internship, 
and post-doctoral residency programs of psychology 
for the development and implementation of inter-
disciplinary training of psychology graduate students 
for providing behavioral and mental health services, 
including substance abuse prevention and treatment 
services; 
‘‘(3) accredited institutions of higher education 
or accredited professional training programs that are 
establishing or expanding internships or other field 
placement programs in child and adolescent mental 
health in psychiatry, psychology, school psychology, 
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behavioral pediatrics, psychiatric nursing, social 
work, school social work, substance abuse prevention 
and treatment, marriage and family therapy, school 
counseling, or professional counseling; and 
‘‘(4) State-licensed mental health nonprofit and 
for-profit organizations to enable such organizations 
to pay for programs for preservice or in-service 
training of paraprofessional child and adolescent 
mental health workers. 
‘‘(b) ELIGIBILITY REQUIREMENTS.—To be eligible 
for a grant under this section, an institution shall dem-
onstrate— 
‘‘(1) participation in the institutions’ programs 
of individuals and groups from different racial, eth-
nic, cultural, geographic, religious, linguistic, and 
class backgrounds, and different genders and sexual 
orientations; 
‘‘(2) knowledge and understanding of the con-
cerns of the individuals and groups described in sub-
section (a); 
‘‘(3) any internship or other field placement 
program assisted under the grant will prioritize cul-
tural and linguistic competency; 
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‘‘(4) the institution will provide to the Secretary 
such data, assurances, and information as the Sec-
retary may require; and 
‘‘(5) with respect to any violation of the agree-
ment between the Secretary and the institution, the 
institution will pay such liquidated damages as pre-
scribed by the Secretary by regulation. 
‘‘(c) INSTITUTIONAL REQUIREMENT.—For grants 
authorized under subsection (a)(1), at least 4 of the grant 
recipients shall be historically black colleges or universities 
or other minority-serving institutions. 
‘‘(d) PRIORITY.— 
‘‘(1) In selecting the grant recipients in social 
work under subsection (a)(1), the Secretary shall 
give priority to applicants that— 
‘‘(A) are accredited by the Council on So-
cial Work Education; 
‘‘(B) have a graduation rate of not less 
than 80 percent for social work students; and 
‘‘(C) exhibit an ability to recruit social 
workers from and place social workers in areas 
with a high need and high demand population. 
‘‘(2) In selecting the grant recipients in grad-
uate psychology under subsection (a)(2), the Sec-
retary shall give priority to institutions in which 
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training focuses on the needs of vulnerable groups 
such as older adults and children, individuals with 
mental health or substance-related disorders, victims 
of abuse or trauma and of combat stress disorders 
such as posttraumatic stress disorder and traumatic 
brain injuries, homeless individuals, chronically ill 
persons, and their families. 
‘‘(3) In selecting the grant recipients in train-
ing programs in child and adolescent mental health 
under subsections (a)(3) and (a)(4), the Secretary 
shall give priority to applicants that— 
‘‘(A) have demonstrated the ability to col-
lect data on the number of students trained in 
child and adolescent mental health and the pop-
ulations served by such students after gradua-
tion or completion of preservice or in-service 
training; 
‘‘(B) have demonstrated familiarity with 
evidence-based methods in child and adolescent 
mental health services, including substance 
abuse prevention and treatment services; 
‘‘(C) have programs designed to increase 
the number of professionals and paraprofes-
sionals serving high-priority populations and to 
applicants who come from high-priority commu-
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nities and plan to serve medically underserved 
populations, in health professional shortage 
areas, or in medically underserved areas; 
‘‘(D) offer curriculum taught collabo-
ratively with a family on the consumer and 
family lived experience or the importance of 
family-professional or family-paraprofessional 
partnerships; and 
‘‘(E) provide services through a community 
mental health program described in section 
1913(b)(1). 
‘‘(e) AUTHORIZATION OF APPROPRIATION.—For the 
fiscal years 2010 through 2013, there is authorized to be 
appropriated to carry out this section— 
‘‘(1) $8,000,000 for training in social work in 
subsection (a)(1); 
‘‘(2) $12,000,000 for training in graduate psy-
chology in subsection (a)(2), of which not less than 
$10,000,000 
shall 
be 
allocated 
for 
doctoral, 
postdoctoral, and internship level training; 
‘‘(3) $10,000,000 for training in professional 
child and adolescent mental health in subsection 
(a)(3); and 
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‘‘(4) $5,000,000 for training in paraprofes-
sional child and adolescent work in subsection 
(a)(4).’’. 
(b) CONFORMING AMENDMENTS.—Section 757(b)(2) 
of the Public Health Service Act, as redesignated by sub-
section (a), is amended by striking ‘‘sections 751(a)(1)(A), 
751(a)(1)(B), 753(b), 754(3)(A), and 755(b)’’ and insert-
ing ‘‘sections 751(b)(1)(A), 753(b), and 755(b)’’. 
SEC. 5307. CULTURAL COMPETENCY, PREVENTION, AND 
PUBLIC HEALTH AND INDIVIDUALS WITH DIS-
ABILITIES TRAINING. 
(a) TITLE VII.—Section 741 of the Public Health 
Service Act (42 U.S.C. 293e) is amended— 
(1) in subsection (a)— 
(A) by striking the subsection heading and 
inserting ‘‘CULTURAL COMPETENCY, PREVEN-
TION, AND PUBLIC HEALTH AND INDIVIDUALS 
WITH DISABILITY GRANTS’’; and 
(B) in paragraph (1), by striking ‘‘for the 
purpose of’’ and all that follows through the pe-
riod at the end and inserting ‘‘for the develop-
ment, evaluation, and dissemination of research, 
demonstration projects, and model curricula for 
cultural competency, prevention, public health 
proficiency, reducing health disparities, and ap-
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titude for working with individuals with disabil-
ities training for use in health professions 
schools and continuing education programs, and 
for other purposes determined as appropriate 
by the Secretary.’’; and 
(2) by striking subsection (b) and inserting the 
following: 
‘‘(b) COLLABORATION.—In carrying out subsection 
(a), the Secretary shall collaborate with health profes-
sional societies, licensing and accreditation entities, health 
professions schools, and experts in minority health and 
cultural competency, prevention, and public health and 
disability groups, community-based organizations, and 
other organizations as determined appropriate by the Sec-
retary. The Secretary shall coordinate with curricula and 
research and demonstration projects developed under sec-
tion 807. 
‘‘(c) DISSEMINATION.— 
‘‘(1) IN GENERAL.—Model curricula developed 
under this section shall be disseminated through the 
Internet Clearinghouse under section 270 and such 
other means as determined appropriate by the Sec-
retary. 
‘‘(2) EVALUATION.—The Secretary shall evalu-
ate the adoption and the implementation of cultural 
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competency, prevention, and public health, and 
working with individuals with a disability training 
curricula, and the facilitate inclusion of these com-
petency measures in quality measurement systems as 
appropriate. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2010 through 2015.’’. 
(b) TITLE VIII.—Section 807 of the Public Health 
Service Act (42 U.S.C. 296e–1) is amended— 
(1) in subsection (a)— 
(A) by striking the subsection heading and 
inserting ‘‘CULTURAL COMPETENCY, PREVEN-
TION, AND PUBLIC HEALTH AND INDIVIDUALS 
WITH DISABILITY GRANTS’’; and 
(B) by striking ‘‘for the purpose of’’ and 
all that follows through ‘‘health care.’’ and in-
serting ‘‘for the development, evaluation, and 
dissemination 
of 
research, 
demonstration 
projects, and model curricula for cultural com-
petency, prevention, public health proficiency, 
reducing health disparities, and aptitude for 
working with individuals with disabilities train-
ing for use in health professions schools and 
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•AMDT. NO. 2786 
continuing education programs, and for other 
purposes determined as appropriate by the Sec-
retary.’’; and 
(2) by redesignating subsection (b) as sub-
section (d); 
(3) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) COLLABORATION.—In carrying out subsection 
(a), the Secretary shall collaborate with the entities de-
scribed in section 741(b). The Secretary shall coordinate 
with curricula and research and demonstration projects 
developed under such section 741. 
‘‘(c) DISSEMINATION.—Model curricula developed 
under this section shall be disseminated and evaluated in 
the same manner as model curricula developed under sec-
tion 741, as described in subsection (c) of such section.’’; 
and 
(4) in subsection (d), as so redesignated— 
(A) by striking ‘‘subsection (a)’’ and in-
serting ‘‘this section’’; and 
(B) by striking ‘‘2001 through 2004’’ and 
inserting ‘‘2010 through 2015’’. 
SEC. 5308. ADVANCED NURSING EDUCATION GRANTS. 
Section 811 of the Public Health Service Act (42 
U.S.C. 296j) is amended— 
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•AMDT. NO. 2786 
(1) in the section heading, by striking ‘‘RETEN-
TION’’ and inserting ‘‘QUALITY’’; 
(2) in subsection (a)— 
(A) in paragraph (1), by adding ‘‘or’’ after 
the semicolon; 
(B) by striking paragraph (2); and 
(C) by redesignating paragraph (3) as 
paragraph (2); 
(3) in subsection (b)(3), by striking ‘‘managed 
care, quality improvement’’ and inserting ‘‘coordi-
nated care’’; 
(4) in subsection (g), by inserting ‘‘, as defined 
in section 801(2),’’ after ‘‘school of nursing’’; and 
(5) in subsection (h), by striking ‘‘2003 
through 2007’’ and inserting ‘‘2010 through 2014’’. 
(b) NURSE RETENTION GRANTS.—Title VIII of the 
Public Health Service Act is amended by inserting after 
section 831 (42 U.S.C. 296b) the following: 
‘‘SEC. 831A. NURSE RETENTION GRANTS. 
‘‘(a) RETENTION PRIORITY AREAS.—The Secretary 
may award grants to, and enter into contracts with, eligi-
ble entities to enhance the nursing workforce by initiating 
and maintaining nurse retention programs pursuant to 
subsection (b) or (c). 
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•AMDT. NO. 2786 
‘‘(b) GRANTS FOR CAREER LADDER PROGRAM.—The 
Secretary may award grants to, and enter into contracts 
with, eligible entities for programs— 
‘‘(1) to promote career advancement for individ-
uals including licensed practical nurses, licensed vo-
cational nurses, certified nurse assistants, home 
health aides, diploma degree or associate degree 
nurses, to become baccalaureate prepared registered 
nurses or advanced education nurses in order to 
meet the needs of the registered nurse workforce; 
‘‘(2) developing and implementing internships 
and residency programs in collaboration with an ac-
credited school of nursing, as defined by section 
801(2), to encourage mentoring and the development 
of specialties; or 
‘‘(3) to assist individuals in obtaining education 
and training required to enter the nursing profession 
and advance within such profession. 
‘‘(c) ENHANCING PATIENT CARE DELIVERY SYS-
TEMS.— 
‘‘(1) GRANTS.—The Secretary may award 
grants to eligible entities to improve the retention of 
nurses and enhance patient care that is directly re-
lated to nursing activities by enhancing collaboration 
and communication among nurses and other health 
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•AMDT. NO. 2786 
care professionals, and by promoting nurse involve-
ment in the organizational and clinical decision-mak-
ing processes of a health care facility. 
‘‘(2) PRIORITY.—In making awards of grants 
under this subsection, the Secretary shall give pref-
erence to applicants that have not previously re-
ceived an award under this subsection (or section 
831(c) as such section existed on the day before the 
date of enactment of this section). 
‘‘(3) CONTINUATION OF AN AWARD.—The Sec-
retary shall make continuation of any award under 
this subsection beyond the second year of such 
award contingent on the recipient of such award 
having demonstrated to the Secretary measurable 
and substantive improvement in nurse retention or 
patient care. 
‘‘(d) OTHER PRIORITY AREAS.—The Secretary may 
award grants to, or enter into contracts with, eligible enti-
ties to address other areas that are of high priority to 
nurse retention, as determined by the Secretary. 
‘‘(e) REPORT.—The Secretary shall submit to the 
Congress before the end of each fiscal year a report on 
the grants awarded and the contracts entered into under 
this section. Each such report shall identify the overall 
number of such grants and contracts and provide an ex-
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•AMDT. NO. 2786 
planation of why each such grant or contract will meet 
the priority need of the nursing workforce. 
‘‘(f) ELIGIBLE ENTITY.—For purposes of this sec-
tion, the term ‘eligible entity’ includes an accredited school 
of nursing, as defined by section 801(2), a health care fa-
cility, or a partnership of such a school and facility. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2010 through 2012.’’. 
SEC. 5310. LOAN REPAYMENT AND SCHOLARSHIP PRO-
GRAM. 
(a) LOAN REPAYMENTS AND SCHOLARSHIPS.—Sec-
tion 846(a)(3) of the Public Health Service Act (42 U.S.C. 
297n(a)(3)) is amended by inserting before the semicolon 
the following: ‘‘, or in a accredited school of nursing, as 
defined by section 801(2), as nurse faculty’’. 
(b) TECHNICAL AND CONFORMING AMENDMENTS.— 
Title VIII (42 U.S.C. 296 et seq.) is amended— 
(1) by redesignating section 810 (relating to 
prohibition against discrimination by schools on the 
basis of sex) as section 809 and moving such section 
so that it follows section 808; 
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•AMDT. NO. 2786 
(2) in sections 835, 836, 838, 840, and 842, by 
striking the term ‘‘this subpart’’ each place it ap-
pears and inserting ‘‘this part’’; 
(3) in section 836(h), by striking the last sen-
tence; 
(4) in section 836, by redesignating subsection 
(l) as subsection (k); 
(5) in section 839, by striking ‘‘839’’ and all 
that follows through ‘‘(a)’’ and inserting ‘‘839. (a)’’; 
(6) in section 835(b), by striking ‘‘841’’ each 
place it appears and inserting ‘‘871’’; 
(7) by redesignating section 841 as section 871, 
moving part F to the end of the title, and redesig-
nating such part as part I; 
(8) in part G— 
(A) by redesignating section 845 as section 
851; and 
(B) by redesignating part G as part F; 
(9) in part H— 
(A) by redesignating sections 851 and 852 
as sections 861 and 862, respectively; and 
(B) by redesignating part H as part G; 
and 
(10) in part I— 
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•AMDT. NO. 2786 
(A) by redesignating section 855, as 
amended by section 5305, as section 865; and 
(B) by redesignating part I as part H. 
SEC. 5311. NURSE FACULTY LOAN PROGRAM. 
(a) IN GENERAL.—Section 846A of the Public 
Health Service Act (42 U.S.C. 297n–1) is amended— 
(1) in subsection (a)— 
(A) in the subsection heading, by striking 
‘‘ESTABLISHMENT’’ and inserting ‘‘SCHOOL OF 
NURSING STUDENT LOAN FUND’’; and 
(B) by inserting ‘‘accredited’’ after ‘‘agree-
ment with any’’; 
(2) in subsection (c)— 
(A) 
in 
paragraph 
(2), 
by 
striking 
‘‘$30,000’’ and all that follows through the 
semicolon and inserting ‘‘$35,500, during fiscal 
years 2010 and 2011 fiscal years (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 loan;’’; and 
(B) in paragraph (3)(A), by inserting ‘‘an 
accredited’’ after ‘‘faculty member in’’; 
(3) in subsection (e), by striking ‘‘a school’’ and 
inserting ‘‘an accredited school’’; and 
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•AMDT. NO. 2786 
(4) in subsection (f), by striking ‘‘2003 through 
2007’’ and inserting ‘‘2010 through 2014’’. 
(b) ELIGIBLE INDIVIDUAL STUDENT LOAN REPAY-
MENT.—Title VIII of the Public Health Service Act is 
amended by inserting after section 846A (42 U.S.C. 
297n–1) the following: 
‘‘SEC. 847. ELIGIBLE INDIVIDUAL STUDENT LOAN REPAY-
MENT. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, may enter into an agreement with eligible 
individuals for the repayment of education loans, in ac-
cordance with this section, to increase the number of 
qualified nursing faculty. 
‘‘(b) AGREEMENTS.—Each agreement entered into 
under this subsection shall require that the eligible indi-
vidual shall serve as a full-time member of the faculty of 
an accredited school of nursing, for a total period, in the 
aggregate, of at least 4 years during the 6-year period be-
ginning on the later of— 
‘‘(1) the date on which the individual receives 
a master’s or doctorate nursing degree from an ac-
credited school of nursing; or 
‘‘(2) the date on which the individual enters 
into an agreement under this subsection. 
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•AMDT. NO. 2786 
‘‘(c) AGREEMENT PROVISIONS.—Agreements entered 
into pursuant to subsection (b) shall be entered into on 
such terms and conditions as the Secretary may deter-
mine, except that— 
‘‘(1) not more than 10 months after the date on 
which the 6-year period described under subsection 
(b) begins, but in no case before the individual 
starts as a full-time member of the faculty of an ac-
credited school of nursing the Secretary shall begin 
making payments, for and on behalf of that indi-
vidual, on the outstanding principal of, and interest 
on, any loan of that individual obtained to pay for 
such degree; 
‘‘(2) for an individual who has completed a 
master’s in nursing or equivalent degree in nurs-
ing— 
‘‘(A) payments may not exceed $10,000 
per calendar year; and 
‘‘(B) total payments may not exceed 
$40,000 during the 2010 and 2011 fiscal years 
(after fiscal year 2011, such amounts shall be 
adjusted to provide for a cost-of-attendance in-
crease for the yearly loan rate and the aggre-
gate loan); and 
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•AMDT. NO. 2786 
‘‘(3) for an individual who has completed a doc-
torate or equivalent degree in nursing— 
‘‘(A) payments may not exceed $20,000 
per calendar year; and 
‘‘(B) total payments may not exceed 
$80,000 during the 2010 and 2011 fiscal years 
(adjusted for subsequent fiscal years as pro-
vided for in the same manner as in paragraph 
(2)(B)). 
‘‘(d) BREACH OF AGREEMENT.— 
‘‘(1) IN GENERAL.—In the case of any agree-
ment made under subsection (b), the individual is 
liable to the Federal Government for the total 
amount paid by the Secretary under such agree-
ment, and for interest on such amount at the max-
imum legal prevailing rate, if the individual fails to 
meet the agreement terms required under such sub-
section. 
‘‘(2) WAIVER OR SUSPENSION OF LIABILITY.— 
In the case of an individual making an agreement 
for purposes of paragraph (1), the Secretary shall 
provide for the waiver or suspension of liability 
under such paragraph if compliance by the indi-
vidual with the agreement involved is impossible or 
would involve extreme hardship to the individual or 
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•AMDT. NO. 2786 
if enforcement of the agreement with respect to the 
individual would be unconscionable. 
‘‘(3) DATE CERTAIN FOR RECOVERY.—Subject 
to paragraph (2), any amount that the Federal Gov-
ernment is entitled to recover under paragraph (1) 
shall be paid to the United States not later than the 
expiration of the 3-year period beginning on the date 
the United States becomes so entitled. 
‘‘(4) AVAILABILITY.—Amounts recovered under 
paragraph (1) shall be available to the Secretary for 
making loan repayments under this section and shall 
remain available for such purpose until expended. 
‘‘(e) ELIGIBLE INDIVIDUAL DEFINED.—For pur-
poses of this section, the term ‘eligible individual’ means 
an individual who— 
‘‘(1) is a United States citizen, national, or law-
ful permanent resident; 
‘‘(2) holds an unencumbered license as a reg-
istered nurse; and 
‘‘(3) has either already completed a master’s or 
doctorate nursing program at an accredited school of 
nursing or is currently enrolled on a full-time or 
part-time basis in such a program. 
‘‘(f) PRIORITY.—For the purposes of this section and 
section 846A, funding priority will be awarded to School 
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•AMDT. NO. 2786 
of Nursing Student Loans that support doctoral nursing 
students or Individual Student Loan Repayment that sup-
port doctoral nursing students. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2010 through 2014.’’. 
SEC. 5312. AUTHORIZATION OF APPROPRIATIONS FOR 
PARTS B THROUGH D OF TITLE VIII. 
Section 871 of the Public Health Service Act, as re-
designated and moved by section 5310, is amended to read 
as follows: 
‘‘SEC. 871. AUTHORIZATION OF APPROPRIATIONS. 
‘‘For the purpose of carrying out parts B, C, and D 
(subject to section 851(g)), there are authorized to be ap-
propriated $338,000,000 for fiscal year 2010, and such 
sums as may be necessary for each of the fiscal years 2011 
through 2016.’’. 
SEC. 5313. GRANTS TO PROMOTE THE COMMUNITY HEALTH 
WORKFORCE. 
(a) IN GENERAL.—Part P of title III of the Public 
Health Service Act (42 U.S.C. 280g et seq.) is amended 
by adding at the end the following: 
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•AMDT. NO. 2786 
‘‘SEC. 399V. GRANTS TO PROMOTE POSITIVE HEALTH BE-
HAVIORS AND OUTCOMES. 
‘‘(a) GRANTS AUTHORIZED.—The Director of the 
Centers for Disease Control and Prevention, in collabora-
tion with the Secretary, shall award grants to eligible enti-
ties to promote positive health behaviors and outcomes for 
populations in medically underserved communities through 
the use of community health workers. 
‘‘(b) USE OF FUNDS.—Grants awarded under sub-
section (a) shall be used to support community health 
workers— 
‘‘(1) to educate, guide, and provide outreach in 
a community setting regarding health problems prev-
alent in medically underserved communities, particu-
larly racial and ethnic minority populations; 
‘‘(2) to educate and provide guidance regarding 
effective strategies to promote positive health behav-
iors and discourage risky health behaviors; 
‘‘(3) to educate and provide outreach regarding 
enrollment in health insurance including the Chil-
dren’s Health Insurance Program under title XXI of 
the Social Security Act, Medicare under title XVIII 
of such Act and Medicaid under title XIX of such 
Act; 
‘‘(4) to identify, educate, refer, and enroll un-
derserved populations to appropriate healthcare 
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•AMDT. NO. 2786 
agencies and community-based programs and organi-
zations in order to increase access to quality 
healthcare services and to eliminate duplicative care; 
or 
‘‘(5) to educate, guide, and provide home visita-
tion services regarding maternal health and prenatal 
care. 
‘‘(c) APPLICATION.—Each eligible entity that desires 
to receive a grant under subsection (a) shall submit an 
application to the Secretary, at such time, in such manner, 
and accompanied by such information as the Secretary 
may require. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Secretary shall give priority to applicants 
that— 
‘‘(1) propose to target geographic areas— 
‘‘(A) with a high percentage of residents 
who are eligible for health insurance but are 
uninsured or underinsured; 
‘‘(B) with a high percentage of residents 
who suffer from chronic diseases; or 
‘‘(C) with a high infant mortality rate; 
‘‘(2) have experience in providing health or 
health-related social services to individuals who are 
underserved with respect to such services; and 
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•AMDT. NO. 2786 
‘‘(3) have documented community activity and 
experience with community health workers. 
‘‘(e) COLLABORATION WITH ACADEMIC INSTITU-
TIONS AND THE ONE-STOP DELIVERY SYSTEM.—The Sec-
retary shall encourage community health worker programs 
receiving funds under this section to collaborate with aca-
demic institutions and one-stop delivery systems under 
section 134(c) of the Workforce Investment Act of 1998. 
Nothing in this section shall be construed to require such 
collaboration. 
‘‘(f) EVIDENCE-BASED INTERVENTIONS.—The Sec-
retary shall encourage community health worker programs 
receiving funding under this section to implement a proc-
ess or an outcome-based payment system that rewards 
community health workers for connecting underserved 
populations with the most appropriate services at the most 
appropriate time. Nothing in this section shall be con-
strued to require such a payment. 
‘‘(g) QUALITY ASSURANCE AND COST EFFECTIVE-
NESS.—The Secretary shall establish guidelines for assur-
ing the quality of the training and supervision of commu-
nity health workers under the programs funded under this 
section and for assuring the cost-effectiveness of such pro-
grams. 
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•AMDT. NO. 2786 
‘‘(h) MONITORING.—The Secretary shall monitor 
community health worker programs identified in approved 
applications under this section and shall determine wheth-
er such programs are in compliance with the guidelines 
established under subsection (g). 
‘‘(i) TECHNICAL ASSISTANCE.—The Secretary may 
provide technical assistance to community health worker 
programs identified in approved applications under this 
section with respect to planning, developing, and operating 
programs under the grant. 
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated, such sums as may be 
necessary to carry out this section for each of fiscal years 
2010 through 2014. 
‘‘(k) DEFINITIONS.—In this section: 
‘‘(1) COMMUNITY HEALTH WORKER.—The term 
‘community health worker’, as defined by the De-
partment of Labor as Standard Occupational Classi-
fication [21–1094] means an individual who pro-
motes health or nutrition within the community in 
which the individual resides— 
‘‘(A) by serving as a liaison between com-
munities and healthcare agencies; 
‘‘(B) by providing guidance and social as-
sistance to community residents; 
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•AMDT. NO. 2786 
‘‘(C) by enhancing community residents’ 
ability 
to 
effectively 
communicate 
with 
healthcare providers; 
‘‘(D) by providing culturally and linguis-
tically appropriate health or nutrition edu-
cation; 
‘‘(E) by advocating for individual and com-
munity health; 
‘‘(F) by providing referral and follow-up 
services or otherwise coordinating care; and 
‘‘(G) by proactively identifying and enroll-
ing eligible individuals in Federal, State, local, 
private or nonprofit health and human services 
programs. 
‘‘(2) COMMUNITY SETTING.—The term ‘commu-
nity setting’ means a home or a community organi-
zation located in the neighborhood in which a partic-
ipant in the program under this section resides. 
‘‘(3) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means a public or nonprofit private entity (in-
cluding a State or public subdivision of a State, a 
public health department, a free health clinic, a hos-
pital, or a Federally-qualified health center (as de-
fined in section 1861(aa) of the Social Security 
Act)), or a consortium of any such entities. 
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•AMDT. NO. 2786 
‘‘(4) MEDICALLY UNDERSERVED COMMUNITY.— 
The term ‘medically underserved community’ means 
a community identified by a State— 
‘‘(A) that has a substantial number of in-
dividuals who are members of a medically un-
derserved population, as defined by section 
330(b)(3); and 
‘‘(B) a significant portion of which is a 
health professional shortage area as designated 
under section 332.’’. 
SEC. 5314. FELLOWSHIP TRAINING IN PUBLIC HEALTH. 
Part E of title VII of the Public Health Service Act 
(42 U.S.C. 294n et seq.), as amended by section 5206, 
is further amended by adding at the end the following: 
‘‘SEC. 778. FELLOWSHIP TRAINING IN APPLIED PUBLIC 
HEALTH EPIDEMIOLOGY, PUBLIC HEALTH 
LABORATORY 
SCIENCE, 
PUBLIC 
HEALTH 
INFORMATICS, AND EXPANSION OF THE EPI-
DEMIC INTELLIGENCE SERVICE. 
‘‘(a) IN GENERAL.—The Secretary may carry out ac-
tivities to address documented workforce shortages in 
State and local health departments in the critical areas 
of applied public health epidemiology and public health 
laboratory science and informatics and may expand the 
Epidemic Intelligence Service. 
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•AMDT. NO. 2786 
‘‘(b) SPECIFIC USES.—In carrying out subsection 
(a), the Secretary shall provide for the expansion of exist-
ing fellowship programs operated through the Centers for 
Disease Control and Prevention in a manner that is de-
signed to alleviate shortages of the type described in sub-
section (a). 
‘‘(c) OTHER PROGRAMS.—The Secretary may provide 
for the expansion of other applied epidemiology training 
programs that meet objectives similar to the objectives of 
the programs described in subsection (b). 
‘‘(d) WORK OBLIGATION.—Participation in fellow-
ship training programs under this section shall be deemed 
to be service for purposes of satisfying work obligations 
stipulated in contracts under section 338I(j). 
‘‘(e) GENERAL SUPPORT.—Amounts may be used 
from grants awarded under this section to expand the 
Public Health Informatics Fellowship Program at the 
Centers for Disease Control and Prevention to better sup-
port all public health systems at all levels of government. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$39,500,000 for each of fiscal years 2010 through 2013, 
of which— 
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‘‘(1) $5,000,000 shall be made available in each 
such fiscal year for epidemiology fellowship training 
program activities under subsections (b) and (c); 
‘‘(2) $5,000,000 shall be made available in each 
such fiscal year for laboratory fellowship training 
programs under subsection (b); 
‘‘(3) $5,000,000 shall be made available in each 
such fiscal year for the Public Health Informatics 
Fellowship Program under subsection (e); and 
‘‘(4) $24,500,000 shall be made available for 
expanding the Epidemic Intelligence Service under 
subsection (a).’’. 
SEC. 5315. UNITED STATES PUBLIC HEALTH SCIENCES 
TRACK. 
Title II of the Public Health Service Act (42 U.S.C. 
202 et seq.) is amended by adding at the end the fol-
lowing: 
‘‘PART D—UNITED STATES PUBLIC HEALTH 
SCIENCES TRACK 
‘‘SEC. 271. ESTABLISHMENT. 
‘‘(a) UNITED STATES PUBLIC HEALTH SERVICES 
TRACK.— 
‘‘(1) IN GENERAL.—There is hereby authorized 
to be established a United States Public Health 
Sciences Track (referred to in this part as the 
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‘Track’), at sites to be selected by the Secretary, 
with authority to grant appropriate advanced de-
grees in a manner that uniquely emphasizes team- 
based service, public health, epidemiology, and emer-
gency preparedness and response. It shall be so or-
ganized as to graduate not less than— 
‘‘(A) 150 medical students annually, 10 of 
whom shall be awarded studentships to the Uni-
formed Services University of Health Sciences; 
‘‘(B) 100 dental students annually; 
‘‘(C) 250 nursing students annually; 
‘‘(D) 100 public health students annually; 
‘‘(E) 100 behavioral and mental health 
professional students annually; 
‘‘(F) 100 physician assistant or nurse 
practitioner students annually; and 
‘‘(G) 50 pharmacy students annually. 
‘‘(2) LOCATIONS.—The Track shall be located 
at existing and accredited, affiliated health profes-
sions education training programs at academic 
health centers located in regions of the United 
States determined appropriate by the Surgeon Gen-
eral, in consultation with the National Health Care 
Workforce Commission established in section 5101 
of the Patient Protection and Affordable Care Act. 
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‘‘(b) NUMBER OF GRADUATES.—Except as provided 
in subsection (a), the number of persons to be graduated 
from the Track shall be prescribed by the Secretary. In 
so prescribing the number of persons to be graduated from 
the Track, the Secretary shall institute actions necessary 
to ensure the maximum number of first-year enrollments 
in the Track consistent with the academic capacity of the 
affiliated sites and the needs of the United States for med-
ical, dental, and nursing personnel. 
‘‘(c) DEVELOPMENT.—The development of the Track 
may be by such phases as the Secretary may prescribe 
subject to the requirements of subsection (a). 
‘‘(d) INTEGRATED LONGITUDINAL PLAN.—The Sur-
geon General shall develop an integrated longitudinal plan 
for health professions continuing education throughout the 
continuum of health-related education, training, and prac-
tice. Training under such plan shall emphasize patient- 
centered, interdisciplinary, and care coordination skills. 
Experience with deployment of emergency response teams 
shall be included during the clinical experiences. 
‘‘(e) FACULTY DEVELOPMENT.—The Surgeon Gen-
eral shall develop faculty development programs and cur-
ricula in decentralized venues of health care, to balance 
urban, tertiary, and inpatient venues. 
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shall ensure that such procedures give priority to ap-
plicant medical, dental, physician assistant, phar-
macy, behavioral and mental health, public health, 
and nursing students from rural communities and 
underrepresented minorities. 
‘‘(b) CONTRACT AND SERVICE OBLIGATION.— 
‘‘(1) CONTRACT.—Upon being admitted to the 
Track, a medical, dental, physician assistant, phar-
macy, behavioral and mental health, public health, 
or nursing student shall enter into a written con-
tract with the Surgeon General that shall contain— 
‘‘(A) an agreement under which— 
‘‘(i) subject to subparagraph (B), the 
Surgeon General agrees to provide the stu-
dent with tuition (or tuition remission) and 
a student stipend (described in paragraph 
(2)) in each school year for a period of 
years (not to exceed 4 school years) deter-
mined by the student, during which period 
the student is enrolled in the Track at an 
affiliated or other participating health pro-
fessions institution pursuant to an agree-
ment between the Track and such institu-
tion; and 
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