"(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 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. 2214. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS. Title VII (42 U.S.C. 292 et seq.) is amended— (1) by redesignating section 748 as 749A; and (2) by inserting after section 747 the following: "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 and 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 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- "(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) HEALTH DISPARITIES.-The term health disparities' has the meaning given the term in section 3171. "(2) PRIMARY CARE RESIDENT.-The term 'primary care resident' has the meaning given the term in section 1886(h)(5)(H) of the Social Security Act. "(3) 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 for primary care residents 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 the American Osteopathic Association; or “(B) in the case of entities seeking awards under subsection (b)(2), so accredited.". 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 training program for oral professionals 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 health 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; "(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) 1 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) DEFINITIONS.-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 oral health 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 747, 748, and 749, 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) $240,000,000 for fiscal year 2010. (b) EXISTING AUTHORIZATION OF APPROPRIATIONS.-Subsection (g), as so redesignated, of section 747 (42 U.S.C. 293k) is amended by striking "2002" and inserting "2014". SEC. 2217. STUDY ON EFFECTIVENESS OF SCHOLARSHIPS AND LOAN REPAYMENTS. Not later than 18 months after the date of the enactment of this Act, the Comptroller General of the United States shall conduct a study to determine the effectiveness of scholarship and loan repayment programs under subparts III and XI of part D of title III of the Public Health Service Act, as amended or added by sections 2201 and 2211, including whether scholarships or loan repayments are more effective in (1) incentivizing physicians, and other providers, to pursue careers in primary care specialties; (2) retaining such primary care providers; and (3) encouraging such primary care providers to practice in underserved areas. 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.". (b) GRANTS FOR HEALTH PROFESSIONS EDUCATION.-Title VIII (42 U.S.C. 296 et seq.) is amended by striking section 807. (c) REPORTS.-Part A of title VIII (42 U.S.C. 296 et seq.) is amended by adding at the end the following: "SEC. 809. REPORTS. "The Secretary shall submit to the Congress a separate annual report on the activities carried out under each of sections 811, 821, 836, 846A, and 861.". (d) 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.". (e) 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; or"; and (2) by striking subsection (e) and redesignating subsections (f) through (h) as subsections (e) through (g), respectively. (f) 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.". (g) 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 or "(A) as a nurse at a health care facility with a critical shortage of nurses; "(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". (h) 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;". (i) PUBLIC SERVICE ANNOUNCEMENTS.-Title VIII (42 U.S.C. 296 et seq.) is amended by striking part H. (j) TECHNICAL AND CONFORMING AMENDMENTS.-Title VIII (42 U.S.C. 296 et seq.) is amended (1) by moving section 810 (relating to prohibition against discrimination by schools on the basis of sex) so that it follows section 809, as added by subsection (c); (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 (1) 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 (9) in part I— (A) by redesignating section 855 as section 861; and (B) by redesignating part I as part G. (k) 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) 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 "2014". (B) SECTION 871.-Section 871, as so redesignated by subsection (j), 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 2014.". Subtitle C-Public Health Workforce SEC. 2231. PUBLIC HEALTH WORKFORCE CORPS. Part D of title III (42 U.S.C. 254b et seq.), as amended by section 2211, is amended by adding at the end the following: "Subpart XII-Public Health Workforce "SEC. 340L. PUBLIC HEALTH WORKFORCE CORPS. "(a) ESTABLISHMENT.-There is established, within the Service, the Public Health Workforce Corps (in this subpart referred to as the 'Corps'), for the purpose of ensuring an adequate supply of public health professionals throughout the Nation. The Corps shall consist of "(1) such officers of the Regular and Reserve Corps of the Service as the Secretary may designate; "(2) such civilian employees of the United States as the Secretary may appoint; and "(3) such other individuals who are not employees of the United States. “(b) ADMINISTRATION.-Except as provided in subsection (c), the Secretary shall carry out this subpart acting through the Administrator of the Health Resources and Services Administration. "(c) PLACEMENT AND ASSIGNMENT.-The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall develop a methodology for placing and assigning Corps participants as public health professionals. Such methodology may allow for placing and assigning such participants in State, local, and tribal health departments and Federally qualified health centers (as defined in section 1861(aa)(4) of the Social Security Act). "(d) APPLICATION OF CERTAIN PROVISIONS.-The provisions of subpart II shall, except as inconsistent with this subpart, apply to the Public Health Workforce Corps |