Health Service Act (42 U.S.C. 254b(r)) is amended by 
amending paragraph (1) 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) $2,065,000,000 for fiscal year 2008; 
‘‘(B) $2,313,000,000 for fiscal year 2009; 
‘‘(C) $2,602,000,000 for fiscal year 2010; 
‘‘(D) $2,940,000,000 for fiscal year 2011; 
and 
‘‘(E) $3,337,000,000 for fiscal year 2012.’’. 
(b) STUDIES RELATING TO COMMUNITY HEALTH CEN-
TERS.— 
(1) DEFINITIONS.—For purposes of this sub-
section— 
(A) the term ‘‘community health center’’ 
means a health center receiving assistance under 
section 330 of the Public Health Service Act (42 
U.S.C. 254b); and 
(B) the term ‘‘medically underserved popu-
lation’’ has the meaning given that term in such 
section 330. 
(2) SCHOOL-BASED HEALTH CENTER STUDY.—
(A) IN GENERAL.—Not later than 2 years 
after the date of enactment of this Act, the 
Comptroller General of the United States shall 
issue a study of the economic costs and benefits 
of school-based health centers and the impact on 
the health of students of these centers. 
(B) CONTENT.—In conducting the study 
under subparagraph (A), the Comptroller Gen-
eral of the United States shall analyze— 
(i) the impact that Federal funding 
could have on the operation of school-based 
health centers; 
(ii) any cost savings to other Federal 
programs derived from providing health 
services in school-based health centers; 
(iii) the effect on the Federal Budget 
and the health of students of providing Fed-
eral funds to school-based health centers and 
clinics, including the result of providing 
disease prevention and nutrition informa-
tion; 
(iv) the impact of access to health care 
from school-based health centers in rural or 
underserved areas; and
(v) other sources of Federal funding for 
school-based health centers. 
(3) HEALTH CARE QUALITY STUDY.— 
(A) IN GENERAL.—Not later than 1 year 
after the date of enactment of this Act, the Sec-
retary of Health and Human Services (referred 
to in this Act as the ‘‘Secretary’’), acting through 
the Administrator of the Health Resources and 
Services Administration, and in collaboration 
with the Agency for Healthcare Research and 
Quality, shall prepare and submit to the Com-
mittee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on En-
ergy and Commerce of the House of Representa-
tives a report that describes agency efforts to ex-
pand and accelerate quality improvement activi-
ties in community health centers. 
(B) CONTENT.—The report under subpara-
graph (A) shall focus on— 
(i) Federal efforts, as of the date of en-
actment of this Act, regarding health care 
quality in community health centers, in-
cluding quality data collection, analysis, 
and reporting requirements;
(ii) identification of effective models 
for quality improvement in community 
health centers, which may include models 
that— 
(I) incorporate care coordination, 
disease management, and other services 
demonstrated to improve care; 
(II) are designed to address mul-
tiple, co-occurring diseases and condi-
tions; 
(III) improve access to providers 
through non-traditional means, such as 
the use of remote monitoring equip-
ment; 
(IV) target various medically un-
derserved populations, including unin-
sured patient populations; 
(V) increase access to specialty 
care, including referrals and diagnostic 
testing; and 
(VI) enhance the use of electronic 
health records to improve quality; 
(iii) efforts to determine how effective 
quality improvement models may be adapt-
ed for implementation by community health
centers that vary by size, budget, staffing, 
services offered, populations served, and 
other characteristics determined appropriate 
by the Secretary; 
(iv) types of technical assistance and 
resources provided to community health cen-
ters that may facilitate the implementation 
of quality improvement interventions; 
(v) proposed or adopted methodologies 
for community health center evaluations of 
quality improvement interventions, includ-
ing any development of new measures that 
are tailored to safety-net, community-based 
providers; 
(vi) successful strategies for sustaining 
quality improvement interventions in the 
long-term; and 
(vii) partnerships with other Federal 
agencies and private organizations or net-
works as appropriate, to enhance health 
care quality in community health centers. 
(C) DISSEMINATION.—The Administrator of 
the Health Resources and Services Administra-
tion shall establish a formal mechanism or mech-
anisms for the ongoing dissemination of agency
initiatives, best practices, and other information 
that may assist health care quality improvement 
efforts in community health centers. 
(4) GAO STUDY ON INTEGRATED HEALTH SYS-
TEMS MODEL FOR THE DELIVERY OF HEALTH CARE 
SERVICES TO MEDICALLY UNDERSERVED AND UNIN-
SURED POPULATIONS.— 
(A) STUDY.—The Comptroller General of 
the United States shall conduct a study on inte-
grated health system models of at least 15 sites 
for the delivery of health care services to medi-
cally underserved and uninsured populations. 
The study shall include an examination of— 
(i) health care delivery models spon-
sored by public or private non-profit enti-
ties that— 
(I) integrate primary, specialty, 
and acute care; and 
(II) serve medically underserved 
and uninsured populations; and 
(ii) such models in rural and urban 
areas. 
(B) REPORT.—Not later than 1 year after 
the date of the enactment of this Act, the Comp-
troller General of the United States shall submit
to Congress a report on the study conducted 
under subparagraph (A). The report shall in-
clude— 
(i) an evaluation of the models, as de-
scribed in subparagraph (A), in— 
(I) expanding access to primary, 
preventive, and specialty services for 
medically underserved and uninsured 
populations; and 
(II) improving care coordination 
and health outcomes; 
(III) increasing efficiency in the 
delivery of quality health care; and 
(IV) conducting some combination 
of the following services— 
(aa) outreach activities; 
(bb) case management and 
patient navigation services; 
(cc) chronic care manage-
ment; 
(dd) transportation to health 
care facilities; 
(ee) development of provider 
networks and other innovative 
models to engage local physicians
and other providers to serve the 
medically underserved within a 
community; 
(ff) 
recruitment, 
training, 
and compensation of necessary 
personnel; 
(gg) acquisition of technology 
for the purpose of coordinating 
care; 
(hh) improvements to pro-
vider communication, including 
implementation of shared infor-
mation systems or shared clinical 
systems; 
(ii) determination of eligi-
bility for Federal, State, and local 
programs that provide, or finan-
cially support the provision of, 
medical, 
social, 
housing, 
edu-
cational, or other related services; 
(jj) development of preven-
tion and disease management 
tools and processes; 
(kk) translation services;