For those interested in learning more about the National Health Service Corps, the Nursing Workforce, and the preferences for minority, underprivileged, underrepresented people, this is a good read. I'm busy adding up the amounts budgeted for this - have to find a calculator that will enable that many zeros!
PART 1--NATIONAL HEALTH SERVICE CORPS
SEC. 2201. NATIONAL HEALTH SERVICE CORPS.
(a) Fulfillment of Obligated Service Requirement Through Half-Time Service-
(1) WAIVERS- Subsection (i) of section 331 (42 U.S.C. 254d) is amended--
(A) in paragraph (1), by striking `In carrying out subpart III' and all that follows through the period and inserting `In carrying out subpart III, the Secretary may, in accordance with this subsection, issue waivers to individuals who have entered into a contract for obligated service under the Scholarship Program or the Loan Repayment Program under which the individuals are authorized to satisfy the requirement of obligated service through providing clinical practice that is half-time.';
(B) in paragraph (2)—
________________________________________
SEC. 2201. NATIONAL HEALTH SERVICE CORPS.
(a) Fulfillment of Obligated Service Requirement Through Half-Time Service-
(1) WAIVERS- Subsection (i) of section 331 (42 U.S.C. 254d) is amended--
(A) in paragraph (1), by striking `In carrying out subpart III' and all that follows through the period and inserting `In carrying out subpart III, the Secretary may, in accordance with this subsection, issue waivers to individuals who have entered into a contract for obligated service under the Scholarship Program or the Loan Repayment Program under which the individuals are authorized to satisfy the requirement of obligated service through providing clinical practice that is half-time.';
(B) in paragraph (2)--
(i) in subparagraphs (A)(ii) and (B), by striking `less than full time' each place it appears and inserting `half time';
(ii) in subparagraphs (C) and (F), by striking `less than full-time service' each place it appears and inserting `half-time service'; and
(iii) by amending subparagraphs (D) and (E) to read as follows:
`(D) the entity and the Corps member agree in writing that the Corps member will perform half-time clinical practice;
`(E) the Corps member agrees in writing to fulfill all of the service obligations under section 338C through half-time clinical practice and either--
`(i) double the period of obligated service; or
`(ii) in the case of contracts entered into under section 338B, accept a minimum service obligation of 2 years with an award amount equal to 50 percent of the amount that would otherwise be payable for full-time service; and'; and
(C) in paragraph (3), by striking `In evaluating a demonstration project described in paragraph (1)' and inserting `In evaluating waivers issued under paragraph (1)'.
(2) DEFINITIONS- Subsection (j) of section 331 (42 U.S.C. 254d) is amended by adding at the end the following:
`(5) The terms `full time' and `full-time' mean a minimum of 40 hours per week in a clinical practice, for a minimum of 45 weeks per year.
`(6) The terms `half time' and `half-time' mean a minimum of 20 hours per week (not to exceed 39 hours per week) in a clinical practice, for a minimum of 45 weeks per year.'.
(b) Reappointment to National Advisory Council- Section 337(b)(1) (42 U.S.C. 254j(b)(1)) is amended by striking `Members may not be reappointed to the Council.'.
(c) Loan Repayment Amount- Section 338B(g)(2)(A) is amended (42 U.S.C. 254l-1(g)(2)(A)) by striking `$35,000' and inserting `$50,000, plus, beginning with fiscal year 2012, an amount determined by the Secretary on an annual basis to reflect inflation,'.
(d) Treatment of Teaching as Obligated Service- Subsection (a) of section 338C (42 U.S.C. 254m) is amended by adding at the end the following: `The Secretary may treat teaching as clinical practice for up to 20 percent of such period of obligated service.'.
SEC. 2202. AUTHORIZATIONS OF APPROPRIATIONS.
(a) National Health Service Corps Program- Section 338 (42 U.S.C. 254k) is amended--
(1) in subsection (a), by striking `2012' and inserting `2019'; and
(2) by adding at the end the following:
`(c) For the purpose of carrying out this subpart, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:
`(1) $63,000,000 for fiscal year 2010.
`(2) $66,000,000 for fiscal year 2011.
`(3) $70,000,000 for fiscal year 2012.
`(4) $73,000,000 for fiscal year 2013.
`(5) $77,000,000 for fiscal year 2014.
`(6) $81,000,000 for fiscal year 2015.
`(7) $85,000,000 for fiscal year 2016.
`(8) $89,000,000 for fiscal year 2017.
`(9) $94,000,000 for fiscal year 2018.
`(10) $98,000,000 for fiscal year 2019.'.
(b) Scholarship and Loan Repayment Programs- Subpart III of part D of title III of the Public Health Service Act (42 U.S.C. 254l et seq.) is amended--
(1) in section 338H(a)--
(A) in paragraph (4), by striking `and' at the end;
(B) in paragraph (5), by striking the period at the end and inserting `; and'; and
(C) by adding at the end the following:
`(6) for fiscal years 2013 and 2019, such sums as may be necessary.'; and
(2) by inserting after section 338H the following:
`SEC. 338H-1. ADDITIONAL FUNDING.
`For the purpose of carrying out this subpart, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:
`(1) $254,000,000 for fiscal year 2010.
`(2) $266,000,000 for fiscal year 2011.
`(3) $278,000,000 for fiscal year 2012.
`(4) $292,000,000 for fiscal year 2013.
`(5) $306,000,000 for fiscal year 2014.
`(6) $321,000,000 for fiscal year 2015.
`(7) $337,000,000 for fiscal year 2016.
`(8) $354,000,000 for fiscal year 2017.
`(9) $372,000,000 for fiscal year 2018.
`(10) $391,000,000 for fiscal year 2019.'.
SEC. 2213. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL PEDIATRICS, GERIATRICS, AND PHYSICIAN ASSISTANTSHIP.
Section 747 (42 U.S.C. 293k) is amended--
(1) by amending the section heading to read as follows: `primary care training and enhancement';
(2) by redesignating subsection (e) as subsection (f); and
(3) by striking subsections (a) through (d) and inserting the following:
`(a) Program- The Secretary shall establish a primary care training and capacity building program consisting of awarding grants and contracts under subsections (b) and (c).
`(b) Support and Development of Primary Care Training Programs-
`(1) IN GENERAL- The Secretary shall make grants to, or enter into contracts with, eligible entities--
`(A) to plan, develop, operate, or participate in an accredited professional training program, including an accredited residency or internship program, in the field of family medicine, general internal medicine, general pediatrics, or geriatrics for medical students, interns, residents, or practicing physicians;
`(B) to provide financial assistance in the form of traineeships and fellowships to medical students, interns, residents, or practicing physicians, who are participants in any such program, and who plan to specialize or work in family medicine, general internal medicine, general pediatrics, or geriatrics;
`(C) to plan, develop, operate, or participate in an accredited program for the training of physicians who plan to teach in family medicine, general internal medicine, general pediatrics, or geriatrics training programs including in community-based settings;
`(D) to provide financial assistance in the form of traineeships and fellowships to practicing physicians who are participants in any such programs and who plan to teach in a family medicine, general internal medicine, general pediatrics, or geriatrics training program; and
`(E) to plan, develop, operate, or participate in an accredited program for physician assistant education, and for the training of individuals who plan to teach in programs to provide such training.
`(2) ELIGIBILITY- To be eligible for a grant or contract under paragraph (1), an entity shall be--
`(A) an accredited school of medicine or osteopathic medicine, public or nonprofit private hospital, or physician assistant training program;
`(B) a public or private nonprofit entity; or
`(C) a consortium of 2 or more entities described in subparagraphs (A) and (B).
`(c) Capacity Building in Primary Care-
`(1) IN GENERAL- The Secretary shall make grants to or enter into contracts with eligible entities to establish, maintain, or improve--
`(A) academic administrative units (including departments, divisions, or other appropriate units) in the specialties of family medicine, general internal medicine, general pediatrics, or geriatrics; or
`(B) programs that improve clinical teaching in such specialties.
`(2) ELIGIBILITY- To be eligible for a grant or contract under paragraph (1), an entity shall be an accredited school of medicine or osteopathic medicine.
`(d) Preference- In awarding grants or contracts under this section, the Secretary shall give preference to entities that have a demonstrated record of the following:
`(1) Training the greatest percentage, or significantly improving the percentage, of health care professionals who provide primary care.
`(2) Training individuals who are from underrepresented minority groups or disadvantaged backgrounds.
`(3) A high rate of placing graduates in practice settings having the principal focus of serving in underserved areas or populations experiencing health disparities (including serving patients eligible for medical assistance under title XIX of the Social Security Act or for child health assistance under title XXI of such Act or those with special health care needs).
`(4) Supporting teaching programs that address the health care needs of vulnerable populations.
`(e) Report- The Secretary shall submit to the Congress an annual report on the program carried out under this section.
`(f) Definition- In this section, the term `health disparities' has the meaning given the term in section 3171.'.
SEC. 748. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
`(a) Program- The Secretary shall establish a program for the training of medical residents in community-based settings consisting of awarding grants or contracts under this section.
`(b) Development and Operation of Community-Based Programs- The Secretary shall make grants to, or enter into contracts with, eligible entities--
`(1) to plan and develop a new primary care residency training program, which may include--
`(A) planning and developing curricula;
`(B) recruiting and training residents and faculty; and
`(C) other activities designated to result in accreditation of such a program; or
`(2) to operate or participate in an established primary care residency training program, which may include--
`(A) planning and developing curricula;
`(B) recruitment and training of residents; and
`(C) retention of faculty.
`(c) Eligible Entity- To be eligible to receive a grant or contract under subsection (b), an entity shall--
`(1) be designated as a recipient of payment for the direct costs of medical education under section 1886(k) of the Social Security Act;
`(2) be designated as an approved teaching health center under section 1502(d) of the America's Affordable Health Choices Act of 2009 and continuing to participate in the demonstration project under such section; or
`(3) be an applicant for designation described in paragraph (1) or (2) and have demonstrated to the Secretary appropriate involvement of an accredited teaching hospital to carry out the inpatient responsibilities associated with a primary care residency training program.
`(d) Preferences- In awarding grants and contracts under paragraph (1) or (2) of subsection (b), the Secretary shall give preference to entities that--
`(1) support teaching programs that address the health care needs of vulnerable populations; or
`(2) are a Federally qualified health center (as defined in section 1861(aa)(4) of the Social Security Act) or a rural health clinic (as defined in section 1861(aa)(2) of such Act).
`(e) Additional Preferences for Established Programs- In awarding grants and contracts under subsection (b)(2), the Secretary shall give preference to entities that have a demonstrated record of training--
`(1) a high or significantly improved percentage of health care professionals who provide primary care;
`(2) individuals who are from underrepresented minority groups or disadvantaged backgrounds; or
`(3) individuals who practice in settings having the principal focus of serving underserved areas or populations experiencing health disparities (including serving patients eligible for medical assistance under title XIX of the Social Security Act or for child health assistance under title XXI of such Act or those with special health care needs).
`(f) Period of Awards-
`(1) IN GENERAL- The period of a grant or contract under this section--
`(A) shall not exceed 2 years for awards under subsection (b)(1); and
`(B) shall not exceed 5 years for awards under subsection (b)(2).
`(2) SPECIAL RULES-
`(A) An award of a grant or contract under subsection (b)(1) shall not be renewed.
`(B) The period of a grant or contract awarded to an entity under subsection (b)(2) shall not overlap with the period of any grant or contact awarded to the same entity under subsection (b)(1).
`(g) Report- The Secretary shall submit to the Congress an annual report on the program carried out under this section.
`(h) Definitions- In this section:
`(1) PRIMARY CARE RESIDENCY TRAINING PROGRAM- The term `primary care residency training program' means an approved medical residency training program described in section 1886(h)(5)(A) of the Social Security Act that is--
`(A) in the case of entities seeking awards under subsection (b)(1), actively applying to be accredited by the Accreditation Council for Graduate Medical Education; or
`(B) in the case of entities seeking awards under subsection (b)(2), so accredited.
`(2) HEALTH DISPARITIES- The term `health disparities' has the meaning given the term in section 3171.'.
SEC. 2215. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
Title VII (42 U.S.C. 292 et seq.) is amended--
(1) in section 791(a)(1), by striking `747 and 750' and inserting `747, 749, and 750'; and
(2) by inserting after section 748, as added, the following:
`SEC. 749. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
`(a) Program- The Secretary shall establish a dental medicine training program consisting of awarding grants and contracts under this section.
`(b) Support and Development of Dental Training Programs- The Secretary shall make grants to, or enter into contracts with, eligible entities--
`(1) to plan, develop, operate, or participate in an accredited professional training program for oral health professionals;
`(2) to provide financial assistance to oral health professionals who are in need thereof, who are participants in any such program, and who plan to work in general, pediatric, or public heath dentistry, or dental hygiene;
`(3) to plan, develop, operate, or participate in a program for the training of oral health professionals who plan to teach in general, pediatric, or public health dentistry, or dental hygiene;
`(4) to provide financial assistance in the form of traineeships and fellowships to oral health professionals who plan to teach in general, pediatric, or public health dentistry or dental hygiene;
`(5) to establish, maintain, or improve--
`(A) academic administrative units (including departments, divisions, or other appropriate units) in the specialties of general, pediatric, or public health dentistry; or
`(B) programs that improve clinical teaching in such specialties;
`(6) to plan, develop, operate, or participate in predoctoral and postdoctoral training in general, pediatric, or public health dentistry programs, or training for dental hygienists;
`(7) to plan, develop, operate, or participate in a loan repayment program for full-time faculty in a program of general, pediatric, or public health dentistry; and
`(8) to provide technical assistance to pediatric dental training programs in developing and implementing instruction regarding the oral health status, dental care needs, and risk-based clinical disease management of all pediatric populations with an emphasis on underserved children.
`(c) Eligibility- To be eligible for a grant or contract under subsection (a), an entity shall be--
`(1) an accredited school of dentistry, training program in dental hygiene, or public or nonprofit private hospital;
`(2) a training program in dental hygiene at an accredited institution of higher education;
`(3) a public or private nonprofit entity; or
`(4) a consortium of--
`(A) 2 or more of the entities described in paragraphs (1) through (3); and
`(B) an accredited school of public health.
`(d) Preference- In awarding grants or contracts under this section, the Secretary shall give preference to entities that have a demonstrated record of the following:
`(1) Training the greatest percentage, or significantly improving the percentage, of oral health professionals who practice general, pediatric, or public health dentistry.
`(2) Training individuals who are from underrepresented minority groups or disadvantaged backgrounds.
`(3) A high rate of placing graduates in practice settings having the principal focus of serving in underserved areas or populations experiencing health disparities (including serving patients eligible for medical assistance under title XIX of the Social Security Act or for child health assistance under title XXI of such Act or those with special health care needs).
`(4) Supporting teaching programs that address the dental needs of vulnerable populations.
`(5) Providing instruction regarding the oral health status, dental care needs, and risk-based clinical disease management of all pediatric populations with an emphasis on underserved children.
`(e) Report- The Secretary shall submit to the Congress an annual report on the program carried out under this section.
`(f) Definition- In this section:
`(1) The term `health disparities' has the meaning given the term in section 3171.
`(2) The term `oral health professional' means an individual training or practicing--
`(A) in general dentistry, pediatric dentistry, public health dentistry, or dental hygiene; or
`(B) another dental medicine specialty, as deemed appropriate by the Secretary.'.
SEC. 2216. AUTHORIZATION OF APPROPRIATIONS.
(a) In General- Part F of title VII (42 U.S.C. 295j et seq.) is amended by adding at the end the following:
`SEC. 799C. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
`(a) Promotion of Primary Care and Dentistry- For the purpose of carrying out subpart XI of part D of title III and sections 723, 747, 748, and 749, in addition to any other amounts authorized to be appropriated for such purpose, there is authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:
`(1) $240,000,000 for fiscal year 2010.
`(2) $253,000,000 for fiscal year 2011.
`(3) $265,000,000 for fiscal year 2012.
`(4) $278,000,000 for fiscal year 2013.
`(5) $292,000,000 for fiscal year 2014.
`(6) $307,000,000 for fiscal year 2015.
`(7) $322,000,000 for fiscal year 2016.
`(8) $338,000,000 for fiscal year 2017.
`(9) $355,000,000 for fiscal year 2018.
`(10) $373,000,000 for fiscal year 2019.'.
(b) Existing Authorizations of Appropriations-
(1) SECTION 735- Paragraph (1) of section 735(g), as so redesignated, is amended by inserting `and such sums as may be necessary for subsequent years through fiscal year 2019' before the period at the end.
(2) SECTION 747- Subsection (f), as so redesignated, of section 747 (42 U.S.C. 293k) is amended by striking `2002' and inserting `2019'.
Subtitle B--Nursing Workforce
SEC. 2221. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.
(a) Definitions- Section 801 (42 U.S.C. 296 et seq.) is amended--
(1) in paragraph (1), by inserting `nurse-managed health centers' after `nursing centers,'; and
(2) by adding at the end the following:
`(16) NURSE-MANAGED HEALTH CENTER- The term `nurse-managed health center' means a nurse-practice arrangement, managed by advanced practice nurses, that provides primary care or wellness services to underserved or vulnerable populations and is associated with an accredited school of nursing, Federally qualified health center, or independent nonprofit health or social services agency.'.
(a) Grants for Health Professions Education- Title VIII (42 U.S.C. 296 et seq.) is amended by striking section 807.
(b) Advanced Education Nursing Grants- Section 811(f) (42 U.S.C. 296j(f)) is amended--
(1) by striking paragraph (2);
(2) by redesignating paragraph (3) as paragraph (2); and
(3) in paragraph (2), as so redesignated, by striking `that agrees' and all that follows through the end and inserting: `that agrees to expend the award--
`(A) to train advanced education nurses who will practice in health professional shortage areas designated under section 332; or
`(B) to increase diversity among advanced education nurses.'.
(c) Nurse Education, Practice, and Retention Grants- Section 831 (42 U.S.C. 296p) is amended--
(1) in subsection (b), by amending paragraph (3) to read as follows:
`(3) providing coordinated care, quality care, and other skills needed to practice nursing;'; and
(2) by striking subsection (e) and redesignating subsections (f) through (h) as subsections (e) through (g), respectively.
(d) Student Loans- Subsection (a) of section 836 (42 U.S.C. 297b) is amended--
(1) by striking `$2,500' and inserting `$3,300';
(2) by striking `$4,000' and inserting `$5,200';
(3) by striking `$13,000' and inserting `$17,000'; and
(4) by adding at the end the following: `Beginning with fiscal year 2012, the dollar amounts specified in this subsection shall be adjusted by an amount determined by the Secretary on an annual basis to reflect inflation.'.
(e) Loan Repayment- Section 846 (42 U.S.C. 297n) is amended--
(1) in subsection (a), by amending paragraph (3) to read as follows:
`(3) who enters into an agreement with the Secretary to serve for a period of not less than 2 years--
`(A) as a nurse at a health care facility with a critical shortage of nurses; or
`(B) as a faculty member at an accredited school of nursing;'; and
(2) in subsection (g)(1), by striking `to provide health services' each place it appears and inserting `to provide health services or serve as a faculty member'.
(f) Nurse Faculty Loan Program- Paragraph (2) of section 846A(c) (42 U.S.C. 297n-1(c)) is amended by striking `$30,000' and all that follows through the semicolon and inserting `$35,000, plus, beginning with fiscal year 2012, an amount determined by the Secretary on an annual basis to reflect inflation;'.
(g) Public Service Announcements- Title VIII (42 U.S.C. 296 et seq.) is amended by striking part H.
(h) 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;
(2) in sections 835, 836, 838, 840, and 842, by striking the term `this subpart' each place it appears and inserting `this part';
(3) in section 836(h), by striking the last sentence;
(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 redesignating such part as part H;
(8) in part G--
(A) by redesignating section 845 as section 851; and
(B) by redesignating part G as part F; and
(9) in part I--
(A) by redesignating section 855 as section 861; and
(B) by redesignating part I as part G.
(i) Funding-
(1) IN GENERAL- Part H, as redesignated, of title VIII is amended by adding at the end the following:
`SEC. 872. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
`For the purpose of carrying out this title, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:
`(1) $115,000,000 for fiscal year 2010.
`(2) $122,000,000 for fiscal year 2011.
`(3) $127,000,000 for fiscal year 2012.
`(4) $134,000,000 for fiscal year 2013.
`(5) $140,000,000 for fiscal year 2014.
`(6) $147,000,000 for fiscal year 2015.
`(7) $154,000,000 for fiscal year 2016.
`(8) $162,000,000 for fiscal year 2017.
`(9) $170,000,000 for fiscal year 2018.
`(10) $179,000,000 for fiscal year 2019.'.
(2) EXISTING AUTHORIZATIONS OF APPROPRIATIONS-
(A) SECTIONS 831, 846, 846A, AND 861- Sections 831(g) (as so redesignated), 846(i)(1) (42 U.S.C. 297n(i)(1)), 846A(f) (42 U.S.C. 297n-1(f)), and 861(e) (as so redesignated) are amended by striking `2007' each place it appears and inserting `2019'.
(B) SECTION 871- Section 871, as so redesignated, is amended to read as follows:
`SEC. 871. FUNDING.
`For the purpose of carrying out parts B, C, and D (subject to section 845(g)), there are authorized to be appropriated such sums as may be necessary for each fiscal year through fiscal year 2019.'.
PART 1--HEALTH PROFESSIONS TRAINING FOR DIVERSITY
SEC. 2241. SCHOLARSHIPS FOR DISADVANTAGED STUDENTS, LOAN REPAYMENTS AND FELLOWSHIPS REGARDING FACULTY POSITIONS, AND EDUCATIONAL ASSISTANCE IN THE HEALTH PROFESSIONS REGARDING INDIVIDUALS FROM DISADVANTAGED BACKGROUNDS.
Paragraph (1) of section 738(a) (42 U.S.C. 293b(a)) is amended by striking `not more than $20,000' and all that follows through the end of the paragraph and inserting: `not more than $35,000 (plus, beginning with fiscal year 2012, an amount determined by the Secretary on an annual basis to reflect inflation) of the principal and interest of the educational loans of such individuals.'
SEC. 2242. NURSING WORKFORCE DIVERSITY GRANTS.
Subsection (b) of section 821 (42 U.S.C. 296m) is amended--
(1) in the heading, by striking `Guidance' and inserting `Consultation'; and
(2) by striking `shall take into consideration' and all that follows through `consult with nursing associations' and inserting `shall, as appropriate, consult with nursing associations'.
SEC. 2243. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
Title VII (42 U.S.C. 292 et seq.) is amended by inserting after section 739 the following:
`SEC. 739A. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
`The Secretary shall, to the extent practicable, coordinate the activities carried out under this part and section 821 in order to enhance the effectiveness of such activities and avoid duplication of effort.'.
PART 2--INTERDISCIPLINARY TRAINING PROGRAMS
SEC. 2251. CULTURAL AND LINGUISTIC COMPETENCY TRAINING FOR HEALTH CARE PROFESSIONALS.
Section 741 (42 U.S.C. 293e) is amended--
(1) in the section heading, by striking `Grants for Health Professions Education' and inserting `Cultural and Linguistic Competency Training for Health Care Professionals';
(2) by redesignating subsection (b) as subsection (h); and
(3) by striking subsection (a) and inserting the following:
`(a) Program- The Secretary shall establish a cultural and linguistic competency training program for health care professionals, including nurse professionals, consisting of awarding grants and contracts under subsection (b).
`(b) Cultural and Linguistic Competency Training- The Secretary shall award grants and contracts to eligible entities--
`(1) to test, develop, and evaluate models of cultural and linguistic competency training (including continuing education) for health professionals; and
`(2) to implement cultural and linguistic competency training programs for health professionals developed under paragraph (1) or otherwise.
`(c) Eligibility- To be eligible for a grant or contract under subsection (b), an entity shall be--
`(1) an accredited health professions school or program;
`(2) an academic health center;
`(3) a public or private nonprofit entity; or
`(4) a consortium of 2 or more entities described in paragraphs (1) through (3).
`(d) Preference- In awarding grants and contracts under this section, the Secretary shall give preference to entities that have a demonstrated record of the following:
`(1) Addressing, or partnering with an entity with experience addressing, the cultural and linguistic competency needs of the population to be served through the grant or contract.
`(2) Addressing health disparities.
`(3) Placing health professionals in regions experiencing significant changes in the cultural and linguistic demographics of populations, including communities along the United States-Mexico border.
`(4) Carrying out activities described in subsection (b) with respect to more than one health profession discipline, specialty, or subspecialty.
`(e) Consultation- The Secretary shall carry out this section in consultation with the heads of appropriate health agencies and offices in the Department of Health and Human Services, including the Office of Minority Health.
`(f) Definition- In this section, the term `health disparities' has the meaning given to the term in section 3171.
`(g) Report- The Secretary shall submit to the Congress an annual report on the program carried out under this section.'.
SEC. 2281. AUTHORIZATION OF APPROPRIATIONS.
(a) In General- Section 799C, as added by section 2216 of this Act, is amended by adding at the end the following:
`(c) Health Professions Training for Diversity- For the purpose of carrying out sections 736, 737, 738, 739, and 739A, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:
`(1) $90,000,000 for fiscal year 2010.
`(2) $97,000,000 for fiscal year 2011.
`(3) $100,000,000 for fiscal year 2012.
`(4) $104,000,000 for fiscal year 2013.
`(5) $110,000,000 for fiscal year 2014.
`(6) $116,000,000 for fiscal year 2015.
`(7) $121,000,000 for fiscal year 2016.
`(8) $127,000,000 for fiscal year 2017.
`(9) $133,000,000 for fiscal year 2018.
`(10) $140,000,000 for fiscal year 2019.
`(d) Interdisciplinary Training Programs, Advisory Committee on Health Workforce Evaluation and Assessment, and Health Workforce Assessment- For the purpose of carrying out sections 741, 759, 761, and 764, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:
`(1) $91,000,000 for fiscal year 2010.
`(2) $97,000,000 for fiscal year 2011.
`(3) $101,000,000 for fiscal year 2012.
`(4) $105,000,000 for fiscal year 2013.
`(5) $111,000,000 for fiscal year 2014.
`(6) $117,000,000 for fiscal year 2015.
`(7) $122,000,000 for fiscal year 2016.
`(8) $129,000,000 for fiscal year 2017.
`(9) $135,000,000 for fiscal year 2018.
`(10) $141,000,000 for fiscal year 2019.'.
(a) Existing Authorizations of Appropriations-