ABORTION ; Including carrying pregnancy to term and parenting child, carrying pregnancy to term and placing child for adoption, miscarriage and
Index of Sec 2529. ...ABSENTEEISM rates ; Assessment of number of education days gained by students as result of seasonal vaccinations based on
Index of Sec 2524. ...ACADEMIC day when school in session and established network of support and access to services with backup health providers when school or SBHC closed ; SBHC providing onsite access during
Index of Sec 2511. ...CONTRACT with academic institution or other entity to conduct independent evaluation of demonstration programing funded under subsection ; Secretary entering into
Index of Sec 2553. ...EDUCATION and training organizations jointly administered by health care providers and health care labor organizations or other organizations representing staff nurses and frontline health care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through
Index of Sec 2521. ...ASSOCIATE'S, bachelor's or advanced nursing degree programs or specialty training or certification programs ; Entities carrying out or overseeing programs carried out with assistance provided under section demonstrating collaboration with accredited schools of nursing including community colleges and other academic institutions providing
Index of Sec 2521. ...ASSOCIATE'S, bachelor's or advanced nursing degree programs or specialty training or certification programs for nurses to carry out innovative nursing programs meeting needs of bedside nursing and health care providers ; Collaboration with accredited schools of nursing including community colleges and other academic institutions providing
Index of Sec 2521. ...HEALTH worker programs receiving funds under section to collaborate with academic institutions ; Secretary encouraging community
Index of Sec 2530. ...ADMINISTRATIVE staff on weekends or otherwise providing urgent care alternative to emergency department ; Expanding capacity to provide care at provider participating in community-based collaborative care network hiring new clinical or
Index of Sec 2534. ...ABORTION ; Including carrying pregnancy to term and parenting child, carrying pregnancy to term and placing child for adoption, miscarriage and
Index of Sec 2529. ...ALCOHOL treatment programs, nutrition and physical activity programs ; Additional counseling for at-risk mothers including smoking cesations programs, drug treatment programs,
Index of Sec 2532. ...AMBULANCE diversion status and coordination of tracking with regional communications and hospital destination decisions ; Emergency department capacity, on-call specialist coverage,
Index of Sec 2553. ...APPOINTMENTS or following up care instructions ; Providing for followup outreach to remind patients of
Index of Sec 2534. ...ASSESSMENT ; Designing services and operations of nurse-managed health center for populations based on
Index of Sec 2512. ...ASSESSMENT, interventions, services, treatment and supports for children and adults with autism ; Convening experts from multiple interdiscipations training programs, individuals with autism and families of individuals to discuss and make recommendations with regard to training issues related to
Index of Sec 2527. ...ASSESSMENT ; Entity establishing steering committee to provide input on
Index of Sec 2535. ...ASSESSMENT, diagnosis, treatment and management of pain ; Evaluating adequacy of assessment, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in
Index of Sec 2561. ...ASSESSMENT and crisis planning ; Person-centered treatment planning or similar processes including risk
Index of Sec 2513. ...ASSESSMENT and diagnosis including risk assessment ;
Index of Sec 2513. ...ASSESSMENT and treatment ; Providing resources reducing disparities in access to appropriate diagnosis,
Index of Sec 2563. ...ASSESSMENT of feasibility of using existing Federal and private insurance funding in establishing multistate ;
Index of Sec 2524. ...ASSESSMENT of overweight and obesity problem in community including extent of problem and factors contributing to problem ; Entity conducting or conducting
Index of Sec 2535. ...ASSESSMENT of utility of employing elementary schools and secondary schools as part of multistate ;
Index of Sec 2524. ...ASSESSMENT, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in assessment, diagnosis, treatment and management of pain ; Evaluating adequacy of
Index of Sec 2561. ...ASSESSMENT ; Assessment and diagnosis including risk
Index of Sec 2513. ...ASSESSMENT and provision of supports and services ; Serving as research-based resource for Federal and State policymakers on information concerning provision of training and technical assistance for
Index of Sec 2527. ...ASSESSMENT methods and new treatments to improve pain care ; Gaps in basic and clinical research on symptoms and causes of pain and potential
Index of Sec 2561. ...ASSOCIATE'S, bachelor's or advanced nursing degree programs or specialty training or certification programs ; Entities carrying out or overseeing programs carried out with assistance provided under section demonstrating collaboration with accredited schools of nursing including community colleges and other academic institutions providing
Index of Sec 2521. ...ASSOCIATE'S, bachelor's or advanced nursing degree programs or specialty training or certification programs for nurses to carry out innovative nursing programs meeting needs of bedside nursing and health care providers ; Collaboration with accredited schools of nursing including community colleges and other academic institutions providing
Index of Sec 2521. ...AT-risk teens in State ; Describing State's proposal addressing needs of
Index of Sec 2526. ...ALCOHOL treatment programs, nutrition and physical activity programs ; Additional counseling for at-risk mothers including smoking cesations programs, drug treatment programs,
Index of Sec 2532. ...AT-risk mothers in rural areas ; Establishing rural outreach program to provide care to
Index of Sec 2532. ...ATTORNEYS' fees or imposing caps on damages ; Law not limiting
Index of Sec 2531. ...AUTISM ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with autism and families to address unmet needs related to
Index of Sec 2527. ...AUTISM ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with autism and families to address unmet needs related to
Index of Sec 2527. ...AUTISM and related developmental disabilities fully to participate in society and achieving good quality-of-life outcomes ; Support community-based family and individual services and enabling individuals with
Index of Sec 2527. ...AUTISM ; Collecting data on outcomes of training and technical assistance programs to meet statewide needs for expansion of services to children and adults with
Index of Sec 2527. ...AUTISM ; Convening experts from multiple interdiscipations training programs, individuals with autism and families of individuals to discuss and make recommendations with regard to training issues related to assessment, interventions, services, treatment and supports for children and adults with
Index of Sec 2527. ...AUTISM ; Term interventions meaning educational methods and positive behavioral support strategies designed to improve or ameliorate symptoms associated with
Index of Sec 2527. ...AUTISM to live more independently in communities ; Term servicing means servicing to assist individuals with
Index of Sec 2527. ...AUTISM ; Term treatments meaning health services designed to improve or ameliorate symptoms associated with
Index of Sec 2527. ...AUTISM and families to address unmet needs related to autism ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with
Index of Sec 2527. ...AUTISM and families as part of program to ensure that individualand family-centered approach used ; Including individuals with
Index of Sec 2527. ...AUTISM and families to address unmet needs related to autism ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with
Index of Sec 2527. ...AUTISM and families including seamless transitions between education and health systems across lifespan ; Working to develop comprehensive systems of supports and services for individuals with
Index of Sec 2527. ...ASSESSMENT, interventions, services, treatment and supports for children and adults with autism ; Convening experts from multiple interdiscipations training programs, individuals with autism and families of individuals to discuss and make recommendations with regard to training issues related to
Index of Sec 2527. ...AUTISM and families ; Minority institutions demonstrated capacity to meet requirements of section and providing services to individuals with
Index of Sec 2527. ...AUTISM meaning autism spectrum disorder or related developmental disability ; Term
Index of Sec 2527. ...AUTISM spectrum disorder or related developmental disability ; Term autism meaning
Index of Sec 2527. ...BACHELOR'S or advanced nursing degree programs or specialty training or certification programs ; Entities carrying out or overseeing programs carried out with assistance provided under section demonstrating collaboration with accredited schools of nursing including community colleges and other academic institutions providing associate's,
Index of Sec 2521. ...BACHELOR'S or advanced nursing degree programs or specialty training or certification programs for nurses to carry out innovative nursing programs meeting needs of bedside nursing and health care providers ; Collaboration with accredited schools of nursing including community colleges and other academic institutions providing associate's,
Index of Sec 2521. ...BEHAVIORAL health centers ; Paragraph, striking community mental health centers and inserting federally qualified
Index of Sec 2513. ...BEHAVIORAL health centers as meeting criteria specified in subsection ; Federally qualified
Index of Sec 2513. ...BEHAVIORAL health services ; Subsection, striking community mental health services and inserting
Index of Sec 2513. ...AUTISM ; Term interventions meaning educational methods and positive behavioral support strategies designed to improve or ameliorate symptoms associated with
Index of Sec 2527. ...BIOLOGY, chemistry, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in health professions or bachelor's degree programs in health professions-related majors ; Including curricula in
Index of Sec 2533. ...CAPITAL or operating expenses ; Financial support to be demonstrated by State or political subdivision funding for trauma center's
Index of Sec 2551. ...CAREER centers, community-based organizations, community colleges and accredited schools of nursing ; Labor organizations including joint labor-management training programs and including representatives from local governments worker investment agency one-stop
Index of Sec 2521. ...CAREER ladder to nursing for incumbent ancillary health care workers ; Addressing projected shortage of nurses by funding comprehensive programs to create
Index of Sec 2521. ...CAREER ladder programs ; Provision of paid leave time and continued health coverage to incumbent health care workers to allow participation in nursing
Index of Sec 2521. ...CAREER ladders to educate incumbent health care workers to become nurses ; Carrying out programs providing education and training to establish nursing
Index of Sec 2521. ...CAREER opportunities for community health workers ; Recommendations regarding training to enhance
Index of Sec 2530. ...CAREGIVERS with respect ; Secretary designing public awareness campaign under section to educate consumers, patients, families and other
Index of Sec 2563. ...CATASTROPHIC event ; Need of financial assistance following natural disaster or other
Index of Sec 2551. ...CATASTROPHIC event ; Geographic location substantially affected by natural disaster or other
Index of Sec 2551. ...CERTIFICATION program ; Provision of paid release time for staff nurses to enable to obtain bachelor of science in nursing degree, other advanced nursing degrees, specialty training or
Index of Sec 2521. ...CERTIFICATION programs ; Entities carrying out or overseeing programs carried out with assistance provided under section demonstrating collaboration with accredited schools of nursing including community colleges and other academic institutions providing associate's, bachelor's or advanced nursing degree programs or specialty training or
Index of Sec 2521. ...CERTIFICATION programs and establishing incentives for nurses to assume nurse faculty positions on part-time or full-time basis ; Carrying out programs assisting nurses in obtaining advanced degrees and completing specialty training or
Index of Sec 2521. ...CERTIFICATION programs for nurses to carry out innovative nursing programs meeting needs of bedside nursing and health care providers ; Collaboration with accredited schools of nursing including community colleges and other academic institutions providing associate's, bachelor's or advanced nursing degree programs or specialty training or
Index of Sec 2521. ...CHEMISTRY, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in health professions or bachelor's degree programs in health professions-related majors ; Including curricula in biology,
Index of Sec 2533. ...ABORTION ; Including carrying pregnancy to term and parenting child, carrying pregnancy to term and placing child for adoption, miscarriage and
Index of Sec 2529. ...CHRONIC care management ; Requiring services provided by community-based collaborative care network to include support services appropriate to meet health needs of low-income populations in network's community including
Index of Sec 2534. ...CHRONIC conditions by teaching more effective management techniques focusing on individual self-care and patient-driven decisionmaking ; Term wellness services meaning health-related service or intervention designed to reduce identifiable health risks and increase healthy behaviors intended to prevent onset of disease or lessening impact of existing
Index of Sec 2512. ...CHRONIC conditions ; Developing or strengthening activities related to providing coordinated care for individuals with
Index of Sec 2534. ...CHRONIC conditions to reduce severity ; Managing
Index of Sec 2534. ...CHRONIC conditions in various populations including comparison of prevalence in general population versus in population of individuals with inadequate health insurance coverage ; Prevalence of certain
Index of Sec 2534. ...DISSEMINATION and implementation of pharmacist-delivered MTM services ; Chronic disease groups and other stakeholders involved with research,
Index of Sec 2528. ...CHRONIC diseases including pulations conditions ; High percentage of residents suffering from
Index of Sec 2530. ...ASSESSMENT, diagnosis, treatment and management of pain ; Evaluating adequacy of assessment, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in
Index of Sec 2561. ...EDUCATION and clinical care in United States ; Establishing agenda for action public and private sectors reducing barriers and significantly improving state of pain care research,
Index of Sec 2561. ...CLINICAL opportunities through collaborative programs between staff nurse organizations, health care providers and accredited schools of nursing ; Increasing capacity for educating nurses by increasing nurse faculty and
Index of Sec 2521. ...ASSESSMENT methods and new treatments to improve pain care ; Gaps in basic and clinical research on symptoms and causes of pain and potential
Index of Sec 2561. ...COMPARATIVE analysis of laws ; Reports containing sufficient documentation regarding effectiveness of laws to enable objective
Index of Sec 2531. ...COMPENSATION or continued health coverage to staff nurses desiring to work full or part-time in faculty position ; Provision of paid release time, incentive
Index of Sec 2521. ...LABOR organization ; Providing waging and benefiting to nurses being competitive for market or collectively bargained with
Index of Sec 2521. ...COMPETITIVE grants to eligible entities to support demonstration programs ; Secretary awarding not fewer than 4 multiyear contracts or
Index of Sec 2553. ...COMPLIANCE with guidelines established under subsection ; Secretary monitoring community health worker programs identified in approved applications under section and determining whether programs in
Index of Sec 2530. ...COMPLIANCE with section ; Secretary submitting to Congress annual report on progress States making in enacting and implementing alternative medical liability laws in
Index of Sec 2531. ...CAREGIVERS with respect ; Secretary designing public awareness campaign under section to educate consumers, patients, families and other
Index of Sec 2563. ...MEDICAL device manufacturers and pharmaceutical companies ; Secretary consulting with organizations representing patients in pain and other consumers, employers, physicians including physicians specializing in pain care, other pain management professionals,
Index of Sec 2563. ...CONTRACT with academic institution or other entity to conduct independent evaluation of demonstration programing funded under subsection ; Secretary entering into
Index of Sec 2553. ...CONTRACT or grant under subsection to eligible entity proposing demonstration program to design, implement and evaluate emergency medical system ; Secretary awarding
Index of Sec 2553. ...CONTRACT or grant described in subsection submitting to Secretary application at timing and mannering as Secretary requiring ; Eligible entity seeking
Index of Sec 2553. ...CONTRACT or grant under subsection ; Respect to costs of activities to be carried out year with
Index of Sec 2553. ...CONTRACT or grant being eligible entity involved agreeing to make available non-Federal contributions toward ; Condition for receipt of
Index of Sec 2553. ...CONTRACT or grant described in subsection submitting to Secretary report containing results of evaluation of program ; Recipient of
Index of Sec 2553. ...CONTRACT or linkages with other programs ; Make available to individuals served by center through
Index of Sec 2513. ...CONTRACT to be carried out in partnership with accredited health professions schooling ; Activities under grant or
Index of Sec 2533. ...CONTRACT recipient demonstrating to Secretary's satisfaction ; Secretary renewing grant or contract award under section only if grant or
Index of Sec 2535. ...CONTRACT under section to entity only if entity demonstrating to Secretary's satisfaction ; Secretary awarding grant or
Index of Sec 2535. ...CONTRACT ; Entity's program funded through grant or
Index of Sec 2535. ...CONTRACT to carry out activities supported by grant or contract ; Secretary awarding grant or contract to eligible entity under section only if entity agreeing to provide amount equal to $1 for $9 provided through grant or
Index of Sec 2535. ...CONTRACT under section to entity only if entity demonstrating to satisfaction of Secretary ; Secretary awarding grant or
Index of Sec 2535. ...CONTRACT under section to entity only if entity demonstrating to satisfaction of Secretary ; Secretary awarding grant or
Index of Sec 2535. ...CONTRACT to be expended only to supplement and not ; Funds received through grant or
Index of Sec 2535. ...CONTRACT under section to be used to assist patients and families to navigate health care-related programs and activities and achieving one or more of following goals ; Amounts received as grant or
Index of Sec 2537. ...CONTRACTS or grants described in subsection to eligible entity serving medically underserved population ; Secretary giving priority for award of
Index of Sec 2553. ...CONTRACTS to public agencies and private nonprofit organizations to assist with development and implementation of public awareness campaign under section ; Secretary making awards of grants, cooperative agreements and
Index of Sec 2563. ...CONTRACTS ; Maintaining linkages and possible entering into formal
Index of Sec 2513. ...CONTRACTS to eligible entities for purpose of funding development of performance measures assessing use and effectiveness of medication therapy management services ; Secretary awarding grants or
Index of Sec 2528. ...COMPETITIVE grants to eligible entities to support demonstration programs ; Secretary awarding not fewer than 4 multiyear contracts or
Index of Sec 2553. ...CONTRACTS awarded under section ; Secretary submitting to Congress annual report on program of grants and
Index of Sec 2535. ...CONTRACT award under section only if grant or contract recipient demonstrating to Secretary's satisfaction ; Secretary renewing grant or
Index of Sec 2535. ...CONTRIBUTIONS to be made directly or donations from public or private entities or provided through cash equivalent of paid release time provided to incumbent worker students ;
Index of Sec 2521. ...CONTRIBUTIONS toward ; Secretary not making grant under section unless applicant involved agreeing to make available non-Federal
Index of Sec 2521. ...CONTRIBUTIONS in accordance with subsection ; Agreement to make available non-Federal
Index of Sec 2553. ...CONTRIBUTIONS toward ; Condition for receipt of contract or grant being eligible entity involved agreeing to make available non-Federal
Index of Sec 2553. ...CONTRIBUTIONS ; Secretary of Education requiring recipients of grants under subsection to provide matching funds from non-Federal sources and permitting recipients to match funds in whole or part with in-kind
Index of Sec 2536. ...CONTRIBUTIONS required in subparagraph in cash or kind ; Non-Federal
Index of Sec 2521. ...CONTRIBUTIONS required in paragraph in cash or kind ; Non-Federal
Index of Sec 2553. ...DATABANKS and registries ; Reports data to appropriate Federal and State
Index of Sec 2553. ...ECONOMIC outcomes including demographic characteristics ; Identify and evaluating other factors impacting clinical and
Index of Sec 2528. ...ASSESSMENT, diagnosis, treatment and management of pain ; Evaluating adequacy of assessment, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in
Index of Sec 2561. ...HEALTH facilities ; Matter preceding subparagraph, inserting dental and mental
Index of Sec 2555. ...DENTAL ; Subparagraph of section 653(b)(4) of Post-Katrina Emergency Management Reform Act of 2006 amended by striking public health and medical and inserting public health, medical and
Index of Sec 2556. ...DENTAL ; Section 319f(a)(5)(b) 42 USC 247d-6(a)(5)(b) amended by striking public health or medical and inserting public health, medical or
Index of Sec 2555. ...DEPRESSION or postpartum psychosis ; Term postpartum condition meaning postpartum
Index of Sec 2529. ...DIAGNOSTIC techniques ; Development of improved screening and
Index of Sec 2529. ...DISABILITIES fully to participate in society and achieving good quality-of-life outcomes ; Support community-based family and individual services and enabling individuals with autism and related developmental
Index of Sec 2527. ...DISABILITY self-management, supported employment, supported housing services, therapeutic foster care services, multisystemic therapy and other evidence-based practices as Secretary requiring ; Assertive community treatment, family psychoeducation,
Index of Sec 2513. ...DISABILITY ; Term autism meaning autism spectrum disorder or related developmental
Index of Sec 2527. ...DISTRIBUTION and care of routine community patients ; Promoting regional partnerships and more effective emergency medical systems in order to enhance appropriate triage,
Index of Sec 2552. ...COMPARATIVE analysis of laws ; Reports containing sufficient documentation regarding effectiveness of laws to enable objective
Index of Sec 2531. ...DOWNGRADATION ; Operating in rural areas where trauma care availability significantly decreaseing if center forced to close or downgrade service and substantial costs contributing to likelihood of closure or
Index of Sec 2551. ...ALCOHOL treatment programs, nutrition and physical activity programs ; Additional counseling for at-risk mothers including smoking cesations programs, drug treatment programs,
Index of Sec 2532. ...ECONOMIC outcomes including demographic characteristics ; Identify and evaluating other factors impacting clinical and
Index of Sec 2528. ...EDUCATION to nursing and creating A pipeline to nursing ; Sec 2521, comprehensive Programs to provide
Index of Sec 2521. ...EDUCATION and training organizations jointly administered by health care providers and health care labor organizations or other organizations representing staff nurses and frontline health care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through
Index of Sec 2521. ...EDUCATION to nurses and creating pipeline to nursing for incumbent ancillary health care workers wishing to advance careers and otherwise carrying out purposes of section ; Secretary of Labor establishing partnership grant program to award grants to eligible entities to carry out comprehensive programs to provide
Index of Sec 2521. ...CAREER ladders to educate incumbent health care workers to become nurses ; Carrying out programs providing education and training to establish nursing
Index of Sec 2521. ...AUTISM and families to address unmet needs related to autism ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with
Index of Sec 2527. ...AUTISM and families to address unmet needs related to autism ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with
Index of Sec 2527. ...EDUCATION and training designed to enhance understanding and appropriate use of medications by patient, caregiver and other authorized representative ; Providing
Index of Sec 2528. ...EDUCATION including complete information concerning postpartum conditions including symptoms ; Ensuring that
Index of Sec 2529. ...EDUCATION among employers, patients, health care providers, regulators and third-party payors ; Lack of understanding and
Index of Sec 2561. ...EDUCATION and clinical care in United States ; Establishing agenda for action public and private sectors reducing barriers and significantly improving state of pain care research,
Index of Sec 2561. ...EDUCATION and health systems across lifespan ; Working to develop comprehensive systems of supports and services for individuals with autism and families including seamless transitions between
Index of Sec 2527. ...ABSENTEEISM rates ; Assessment of number of education days gained by students as result of seasonal vaccinations based on
Index of Sec 2524. ...EDUCATION to improve patient care and safety ; Providing for improving quality of nursing
Index of Sec 2521. ...EDUCATION ; Section not to be construed to preempt or limit State law regarding parental involvement and decisionmaking in children's
Index of Sec 2526. ...EDUCATION fellowship in trauma or trauma-related specialties including neurological surgery ; 1 graduate medical
Index of Sec 2551. ...EDUCATION outreach and awareness campaign described in subsection ; Secretary establishing and implementing national pain care
Index of Sec 2563. ...EDUCATION program or programs selected from registry developed under subsection to be used to address risks in priority populations ; Identify evidence-based
Index of Sec 2526. ...EDUCATION program described in subsection ; Secretary establishing program consisting of making granting to State submiting application in accordance with subsection for evidence-based
Index of Sec 2526. ...EDUCATION programs ; Intensive summer institutes continuing
Index of Sec 2527. ...EDUCATION programs to reduce teen pregnancy or sexually transmitted diseases ; Amounts received by State under section to be used to conduct or support evidence-based
Index of Sec 2526. ...WOMEN and infants ; Educational and clinical services to promote healthy pregnancies, full term births and healthy infancies delivered to
Index of Sec 2532. ...EDUCATIONAL agencies for purpose of reducing student-to-school nurse ratio in public elementary and secondary schools ; Secretary of Education making demonstration grants to eligible local
Index of Sec 2536. ...EDUCATIONAL agencies demonstrating greatest need for new or additional nursing services among children in public elementary and secondary schools served by agency in part by providing information on current ratios of students to school nurses ; Secretary of Education giving special consideations to applications submitted by high-need local
Index of Sec 2536. ...EDUCATIONAL agency described in section 6211(b)(1) of Elementary and Secondary Education Act of 1965 20 USC 7345(b)(1) ; Term rural local educational agency meaning eligible local
Index of Sec 2524. ...EDUCATIONAL agency in which student-to-school nurse ratio in public elementary and secondary schools served by agency being 750 or more students to every school nurse ; Term eligible local educational agency meaning local
Index of Sec 2536. ...EDUCATIONAL agency having meaning given to term in section 9101 of Elementary and Secondary Education Act of 1965 20 USC 7801 ; Term local
Index of Sec 2533. ...EDUCATIONAL agency having meaning given to term in section 9101 of Elementary and Secondary Education Act of 1965 ; Term local
Index of Sec 2535. ...EDUCATIONAL agency and secondary school having meanings given to terms in section 9101 of Elementary and Secondary Education Act of 1965 20 USC 7801 ; Terms elementary school, local
Index of Sec 2536. ...EDUCATIONAL agency meaning local educational agency ; Term high-need local
Index of Sec 2536. ...AUTISM ; Term interventions meaning educational methods and positive behavioral support strategies designed to improve or ameliorate symptoms associated with
Index of Sec 2527. ...MEDICAL data and inserting transmission and electronic archival of medical data ; Subparagraph, striking transmission of
Index of Sec 2523. ...INFLUENZA vaccination Centers ; Demonstration Program using elementary and secondary Schools as
Index of Sec 2524. ...SCHOOL nurses ; Secretary awarding grants to eligible partnerships to be used to provide influenza vaccinations to children in elementary and secondary schools in coordination with
Index of Sec 2524. ...EDUCATIONAL agencies for purpose of reducing student-to-school nurse ratio in public elementary and secondary schools ; Secretary of Education making demonstration grants to eligible local
Index of Sec 2536. ...INFORMATION on current ratios of students to school nurses ; Secretary of Education giving special consideations to applications submitted by high-need local educational agencies demonstrating greatest need for new or additional nursing services among children in public elementary and secondary schools served by agency in part by providing
Index of Sec 2536. ...SCHOOL nurse ; Term eligible local educational agency meaning local educational agency in which student-to-school nurse ratio in public elementary and secondary schools served by agency being 750 or more students to every
Index of Sec 2536. ...HEALTH department or another health organization defined by Secretary as eligible to submit application and one or more elementary and secondary schools ; Term eligible partnership meaning local public
Index of Sec 2524. ...ELEMENTARY school and secondary school having meanings given terms in section 9101 of Elementary and Secondary Education Act of 1965 20 USC 7801 ; Terms
Index of Sec 2524. ...EDUCATIONAL agency and secondary school having meanings given to terms in section 9101 of Elementary and Secondary Education Act of 1965 20 USC 7801 ; Terms elementary school, local
Index of Sec 2536. ...ELEMENTARY schools and secondary schools as influenza vaccination centers ; Awarding grants to eligible partnerships to carry out demonstration programs designed to test feasibility of using Nation's
Index of Sec 2524. ...ELEMENTARY schools and secondary schools as part of multistate ; Assessment of utility of employing
Index of Sec 2524. ...ELIGIBILITY under programs and receiving services or other benefits of programs ; Assisting individuals in establishing
Index of Sec 2530. ...ELIGIBILITY for another grant described in section ; Acquisition of grant under section 1241(b) not precluding trauma center's
Index of Sec 2551. ...ELIGIBILITY requirements ; Community-based collaborative care network described in subsection being consortium of health care providers with joint governance structure providing comprehensive range of coordinated and integrated health care services for low-income patient populations or medically underserved communities and complying with applicable minimum
Index of Sec 2534. ...LABOR-management training funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing health care employees of employer and carries out activities using
Index of Sec 2521. ...LABOR-management training funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing health care employees of employer and carries out activities using
Index of Sec 2521. ...HEALTH care employees of employer and carries out activities using labor-management training funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing
Index of Sec 2521. ...HEALTH care providers, regulators and third-party payors ; Lack of understanding and education among employers, patients,
Index of Sec 2561. ...MEDICAL device manufacturers and pharmaceutical companies ; Secretary consulting with organizations representing patients in pain and other consumers, employers, physicians including physicians specializing in pain care, other pain management professionals,
Index of Sec 2563. ...EMPLOYMENT, supported housing services, therapeutic foster care services, multisystemic therapy and other evidence-based practices as Secretary requiring ; Assertive community treatment, family psychoeducation, disability self-management, supported
Index of Sec 2513. ...ASSESSMENT, diagnosis, treatment and management of pain ; Evaluating adequacy of assessment, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in
Index of Sec 2561. ...NATURAL history of conditions and differences among racial and ethnic groups with respect to conditions ; Epidemiological studies to address frequency and
Index of Sec 2529. ...ETIOLOGY and causes of conditions ; Basic research concerning
Index of Sec 2529. ...ELEMENTARY schools and secondary schools as influenza vaccination centers ; Awarding grants to eligible partnerships to carry out demonstration programs designed to test feasibility of using Nation's
Index of Sec 2524. ...BEHAVIORAL health professionals being participants program and plan to work in field of mental and behavioral health ; Providing financial assistance to mental and
Index of Sec 2522. ...BEHAVIORAL health professionals being participants programming and plan to teach in field of mental and behavioral health ; Providing financial assistance in form of traineeships and fellowships to mental and
Index of Sec 2522. ...CATASTROPHIC event ; Need of financial assistance following natural disaster or other
Index of Sec 2551. ...FINANCIAL consequences resulting if pain being not appropriately assessed, diagnosed, treated or managed ; Societal and
Index of Sec 2563. ...FINANCIAL coordination among providers of care in community ; Information sharing and clinical and
Index of Sec 2534. ...CAPITAL or operating expenses ; Financial support to be demonstrated by State or political subdivision funding for trauma center's
Index of Sec 2551. ...FINANCIAL support of State or political subdivision involved for activities to be funded through grant for fiscal year during that payments being made to center under grant ; Giving preference to application submitted by applicant demonstrating
Index of Sec 2551. ...FINANCIAL support for purposes of preferential treatment under subsection ; State funding derived from Federal support not constituting State or local
Index of Sec 2551. ...FINANCIAL sustainability ; Submitting to Secretary plan for achieving long-term
Index of Sec 2528. ...FINANCIAL sustainability of emergency care system ; Methods of assuring long-term
Index of Sec 2553. ...FISCAL year ; Amounts appropriated to carry out that section for
Index of Sec 2522. ...FISCAL year ; Amount appropriated to carry out that section for
Index of Sec 2526. ...FISCAL year ; Amounts making available to State through grant under section for
Index of Sec 2526. ...FISCAL year only if State agreeing to provide amount equal to $1 for $4 provided through grant to carry out activities supported by grant ; Secretary awarding grant to State under section for
Index of Sec 2526. ...FISCAL year to make grant to national organization with demonstrated capacity for providing training and technical assistance ; Secretary reserving 2 percent of amount appropriated to carry out that subsection for
Index of Sec 2527. ...FISCAL year ; Funds received through grant under section for
Index of Sec 2532. ...FISCAL year during that payments being made to center under grant ; Giving preference to application submitted by applicant demonstrating financial support of State or political subdivision involved for activities to be funded through grant for
Index of Sec 2551. ...FISCAL year For which trauma center applying to receive grant or geographic areas where growth in demand for trauma services exceeding capacity ; Providing trauma care in geographic area in which availability of trauma care significantly decreasing as result of trauma center in area permanently ceasing participation in system described in section 1241(c)(1) as of date occurring during 2-year period preceding
Index of Sec 2551. ...FISCAL year under section 1245 ; Total amount appropriated for
Index of Sec 2551. ...FISCAL year ; Amount appropriated to carry out that section for
Index of Sec 2553. ...FISCAL year ; Excepting that Secretary waiving requirement for center and authorizing center to receive payments for 1 additional
Index of Sec 2551. ...FISCAL years ; Period during that trauma center receiving payments under grant under section 1241(b)(1) for 3
Index of Sec 2551. ...FISCAL year 2001 and following through period and inserting projects for fiscal year 2010 ; Subsection, striking projects for
Index of Sec 2523. ...FISCAL year 2010 ; Subsection, striking projects for fiscal year 2001 and following through period and inserting projects for
Index of Sec 2523. ...FISCAL year 2011 ; Subsection, striking authorized and following through period and inserting authorized to be appropriated $70,000,000 for
Index of Sec 2525. ...CREDIT courses ; Developing mechanisms to provide training and technical assistance including for-
Index of Sec 2527. ...HEALTH and functional status of patient receiving MTM services ; Performing or obtaining necessary assessments of
Index of Sec 2528. ...PUBLIC awareness campaign under section in educating general public with respect to matters described in subsection ; Secretary preparing and submitting to Congress report evaluating effectiveness of
Index of Sec 2563. ...ASSESSMENT, diagnosis, treatment and management of pain ; Evaluating adequacy of assessment, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in
Index of Sec 2561. ...GENERAL population versus in population of individuals with inadequate health insurance coverage ; Prevalence of certain chronic conditions in various populations including comparison of prevalence in
Index of Sec 2534. ...GEOGRAPHIC area served by Coordinated Care Network ; Federally qualified health centers of Social Security Act 42 USC 1395x( aa located in
Index of Sec 2534. ...GEOGRAPHIC area where growth in demand for trauma services exceeding capacity ;
Index of Sec 2551. ...FISCAL year For which trauma center applying to receive grant or geographic areas where growth in demand for trauma services exceeding capacity ; Providing trauma care in geographic area in which availability of trauma care significantly decreasing as result of trauma center in area permanently ceasing participation in system described in section 1241(c)(1) as of date occurring during 2-year period preceding
Index of Sec 2551. ...GEOGRAPHIC area ; Incurring substantial uncompensated care costs in amount rendering center unable to continue participation in system and results in significant decrease in availability of trauma care in
Index of Sec 2551. ...GEOGRAPHIC areas where growth in demand for trauma services exceeding capacity ; Providing trauma care in geographic area in which availability of trauma care significantly decreasing as result of trauma center in area permanently ceasing participation in system described in section 1241(c)(1) as of date occurring during 2-year period preceding fiscal year For which trauma center applying to receive grant or
Index of Sec 2551. ...GEOGRAPHIC areas and populations to be served by network and including following ; Criteria varying based on needs of
Index of Sec 2534. ...GEOGRAPHIC coverage in rural or medically underserved areas of State or States in which entity located ; Eligible entity demonstrating broad
Index of Sec 2523. ...CATASTROPHIC event ; Geographic location substantially affected by natural disaster or other
Index of Sec 2551. ...GEOGRAPHY ; Report on populations using trauma care centering and including aggregate patient data on income, race, ethnicity and
Index of Sec 2551. ...GOVERNANCE requirements under section 330 of Public Health Service Act 42 USC 254b ; Participation in community-based collaborative care network not affecting federally qualified health centers' obligation to comply with
Index of Sec 2534. ...GOVERNANCE structure of community-based collaborative care network in manner so being clear why decisions to be made and decisionmaking process of network including appropriate representation of participating entities ; Including description of organizational and joint
Index of Sec 2534. ...ELIGIBILITY requirements ; Community-based collaborative care network described in subsection being consortium of health care providers with joint governance structure providing comprehensive range of coordinated and integrated health care services for low-income patient populations or medically underserved communities and complying with applicable minimum
Index of Sec 2534. ...GUIDANCE regarding effective strategies to promote positive health behaviors within family ; Educating and providing
Index of Sec 2530. ...HEALTH and mental health services ; Communities or populations in which children and adolescents having difficulty accessing
Index of Sec 2511. ...HEALTH professionals in accordance with State and local laws and regulations ; Providing comprehensive primary health services during school hours to children and adolescents by
Index of Sec 2511. ...HEALTH professionals ; Direct access to client-centered services offered by advanced practice nurses, other nurses, physicians, physician assistants or other qualified
Index of Sec 2512. ...CHRONIC conditions by teaching more effective management techniques focusing on individual self-care and patient-driven decisionmaking ; Term wellness services meaning health-related service or intervention designed to reduce identifiable health risks and increase healthy behaviors intended to prevent onset of disease or lessening impact of existing
Index of Sec 2512. ...HEALTH professional shortage area as designated under section 332 ;
Index of Sec 2530. ...HEALTH and wellness services including services for tobacco cesations ;
Index of Sec 2513. ...HEALTH or health-related social services to individuals being underserved with respect to services ; Experience in providing
Index of Sec 2530. ...HEALTH providers when school or SBHC closed ; SBHC providing onsite access during academic day when school in session and established network of support and access to services with backup
Index of Sec 2511. ...HEALTH with fewer hospitalizations and emergency room visits than similar patients not enrolled in program ; Including evaluation whether enrollees maintained better
Index of Sec 2528. ...HEALTH professionals ; Conducting study on barriers experienced by veterans received training as medical personnel when serving in Armed Forces of United States and seeking to become licensed or certified in State as civilian
Index of Sec 2554. ...HEALTH workers ; Grants awarded under subsection to be used to support community
Index of Sec 2530. ...HEALTH workers to enable workers to provide authorized program services ; Containing assurance program providing training and supervision to community
Index of Sec 2530. ...HEALTH worker program receiving funds under grant providing services in cultural context ; Community
Index of Sec 2530. ...HEALTH worker programs receiving funds under section to collaborate with academic institutions ; Secretary encouraging community
Index of Sec 2530. ...HEALTH worker programs receiving funding under section to implement outcome-based payment system ; Secretary encouraging community
Index of Sec 2530. ...COMPLIANCE with guidelines established under subsection ; Secretary monitoring community health worker programs identified in approved applications under section and determining whether programs in
Index of Sec 2530. ...HEALTH worker programs identified in approved applications under section with respect to planning, developing and operating programs under grant ; Secretary providing technical assistance to community
Index of Sec 2530. ...HEALTH worker programs developed or assisted under section ; Recommendations for sustaining community
Index of Sec 2530. ...HEALTH workers ; Recommendations regarding training to enhance career opportunities for community
Index of Sec 2530. ...HEALTH worker programs receiving funds under grant ; Applicant evaluating effectiveness of community
Index of Sec 2530. ...HEALTH and prenatal care ; Educating, guiding and providing home visitation services regarding maternal
Index of Sec 2530. ...DENTAL ; Section 319f(a)(5)(b) 42 USC 247d-6(a)(5)(b) amended by striking public health or medical and inserting public health, medical or
Index of Sec 2555. ...DENTAL ; Subparagraph of section 653(b)(4) of Post-Katrina Emergency Management Reform Act of 2006 amended by striking public health and medical and inserting public health, medical and
Index of Sec 2556. ...HEALTH and functional status of patient receiving MTM services ; Performing or obtaining necessary assessments of
Index of Sec 2528. ...HEALTH workers informing individuals about availability of safety net and primary care providers available through community-based collaborative care network ; Using neighborhood
Index of Sec 2534. ...HEALTH professionals available in community network serving ; Addressing appropriate minimum scope of work consistent with setting of network and
Index of Sec 2534. ...DENTAL ; Section 319f(a)(5)(b) 42 USC 247d-6(a)(5)(b) amended by striking public health or medical and inserting public health, medical or
Index of Sec 2555. ...DENTAL ; Subparagraph of section 653(b)(4) of Post-Katrina Emergency Management Reform Act of 2006 amended by striking public health and medical and inserting public health, medical and
Index of Sec 2556. ...HEALTH of students on learning ; Including evaluation of effectiveness of program in improving student-to-school nurse ratios described in subsection and evaluation of impact of resulting enhanced
Index of Sec 2536. ...HEALTH or nutrition within community in which individual residing ; Term community health worker meaning individual promoting
Index of Sec 2530. ...HEALTH workers under programs funded under section and assuring cost-effectiveness of programs ; Secretary establishing guidelines for assuring quality of training and supervision of community
Index of Sec 2530. ...HEALTH professional shortage area ; Eligible entity being health care provider in health care network furnishing services in medically underserved area or
Index of Sec 2523. ...HEALTH workers ; Secretary authorized to award grants to eligible entities to promote positive health behaviors for populations in medically underserved communities through use of community
Index of Sec 2530. ...HEALTH behaviors and outcomes ; Sec 2530, Grants to promote positive
Index of Sec 2530. ...HEALTH behaviors and outcomes ; Sec 399v, Grants to promote positive
Index of Sec 2530. ...HEALTH behaviors for populations in medically underserved communities through use of community health workers ; Secretary authorized to award grants to eligible entities to promote positive
Index of Sec 2530. ...HEALTH behaviors within family ; Educating and providing guidance regarding effective strategies to promote positive
Index of Sec 2530. ...HEALTH care providers and accredited schools of nursing ; Increasing capacity for educating nurses by increasing nurse faculty and clinical opportunities through collaborative programs between staff nurse organizations,
Index of Sec 2521. ...HEALTH care labor organizations or other organizations representing staff nurses and frontline health care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through education and training organizations jointly administered by health care providers and
Index of Sec 2521. ...HEALTH care employees of employer and carries out activities using labor-management training funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing
Index of Sec 2521. ...HEALTH Care Employer described in subsection c ; Additional requirements for
Index of Sec 2521. ...HEALTH care providers ; Collaboration with accredited schools of nursing including community colleges and other academic institutions providing associate's, bachelor's or advanced nursing degree programs or specialty training or certification programs for nurses to carry out innovative nursing programs meeting needs of bedside nursing and
Index of Sec 2521. ...HEALTH care network furnishing services in medically underserved area or health professional shortage area ; Eligible entity being health care provider in
Index of Sec 2523. ...HEALTH care providers ; Enhancing community residents' ability effectively to communicate with
Index of Sec 2530. ...HEALTH care in State ; Amounts received by State as incentive payment under section to be used to improve
Index of Sec 2531. ...HEALTH care providers to coordinate efforts so ; Encouraging
Index of Sec 2534. ...HEALTH care providers participating in community-based collaborative care network proposed by applicant and reason ; Identify
Index of Sec 2534. ...HEALTH care provider from reimbursement under title XVIII, XIX or XXI of Social Security Act with respect to services otherwise reimbursable under title ; Participation in community-based collaborative care network not disqualifying
Index of Sec 2534. ...HEALTH care providers, regulators and third-party payors ; Lack of understanding and education among employers, patients,
Index of Sec 2561. ...HEALTH care workers ; Addressing projected shortage of nurses by funding comprehensive programs to create career ladder to nursing for incumbent ancillary
Index of Sec 2521. ...HEALTH care workers wishing to advance careers and otherwise carrying out purposes of section ; Secretary of Labor establishing partnership grant program to award grants to eligible entities to carry out comprehensive programs to provide education to nurses and creating pipeline to nursing for incumbent ancillary
Index of Sec 2521. ...ELIGIBILITY requirements ; Community-based collaborative care network described in subsection being consortium of health care providers with joint governance structure providing comprehensive range of coordinated and integrated health care services for low-income patient populations or medically underserved communities and complying with applicable minimum
Index of Sec 2534. ...HEALTH care across settings including health care institutions ; Coordination of delivery of
Index of Sec 2522. ...HEALTH care workers or staff nurses and direct care health care workers or staff nurses having direct input as to leadership of organization ; One or more organizations representing interests of direct care
Index of Sec 2521. ...DRUGGING Administration for use in pediatric populations ; Program under section not restricting discretion of health care provider to administer influenza vaccine approved by Food and
Index of Sec 2524. ...HEALTH care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through education and training organizations jointly administered by health care providers and health care labor organizations or other organizations representing staff nurses and frontline
Index of Sec 2521. ...CAREER ladder programs ; Provision of paid leave time and continued health coverage to incumbent health care workers to allow participation in nursing
Index of Sec 2521. ...HEALTH care workers to become nurses ; Carrying out programs providing education and training to establish nursing career ladders to educate incumbent
Index of Sec 2521. ...HEALTH care workers to participate in programs ; Providing stipends for release time and continued health care coverage to enable incumbent
Index of Sec 2521. ...HEALTH care workers to become nurses or established effective programs or pilots to increase nurse faculty ; Demonstrating success in upgrading incumbent
Index of Sec 2521. ...HEALTH care agencies and community-based programs and organizations in order to increase access to quality health care services ; Educating and referring underserved populations to appropriate
Index of Sec 2530. ...HEALTH care coverage to enable incumbent health care workers to participate in programs ; Providing stipends for release time and continued
Index of Sec 2521. ...HEALTH care delivery system characterized by effective collaboration ; Developing efficient and sustainable infrastructure for
Index of Sec 2534. ...HEALTH care employees of employer and carries out activities using labor-management training funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing
Index of Sec 2521. ...HEALTH care entity whose mission to provide access to comprehensive primary health care services ; Nonprofit
Index of Sec 2511. ...HEALTH care institutions ; Coordination of delivery of health care across settings including
Index of Sec 2522. ...HEALTH care needs of vulnerable populations ; Supporting teaching programs addressing
Index of Sec 2522. ...HEALTH care network furnishing services in medically underserved area or health professional shortage area ; Eligible entity being health care provider in
Index of Sec 2523. ...HEALTH care resources ; Eligible entity agreeing to use grant to promote greater efficiency in use of
Index of Sec 2523. ...HEALTH care services over nonclinical uses ; Eligible entity providing plan for coordinating system use by eligible entities and prioritizing use of grant funds for
Index of Sec 2523. ...HEALTH care services ; Nonprofit health care entity whose mission to provide access to comprehensive primary
Index of Sec 2511. ...HEALTH care services as required under subsection ; Failing to provide comprehensive range of coordinated and integrated
Index of Sec 2534. ...ELIGIBILITY requirements ; Community-based collaborative care network described in subsection being consortium of health care providers with joint governance structure providing comprehensive range of coordinated and integrated health care services for low-income patient populations or medically underserved communities and complying with applicable minimum
Index of Sec 2534. ...HEALTH care services ; Secretary defining criteria for evaluating whether services offered by community-based collaborative care network qualifying as comprehensive range of coordinated and integrated
Index of Sec 2534. ...HEALTH care services ; Educating and referring underserved populations to appropriate health care agencies and community-based programs and organizations in order to increase access to quality
Index of Sec 2530. ...HEALTH center controlled network as defined by section 330(e)(1)(c) of Public Health Service Act ;
Index of Sec 2534. ...HEALTH center ; Other activities for planning, developing or operating nurse-managed
Index of Sec 2512. ...HEALTH center ; Assessing needs of medically underserved populations proposed to be served by nurse-managed
Index of Sec 2512. ...ASSESSMENT ; Designing services and operations of nurse-managed health center for populations based on
Index of Sec 2512. ...HEALTH center providing ; Secretary awarding grant under subsection to entity only if entity assuring that nurse-managed
Index of Sec 2512. ...HEALTH center having meaning given to term in section 801 ; Term nurse-managed
Index of Sec 2512. ...HEALTH centers participating in community-based collaborative care network not to be required to provide services beyond Federal Health Center scope of project approved by hrss ; Federally qualified
Index of Sec 2534. ...HEALTH centers to assist centers in meeting requirements of section ; Secretary providing technical and other assistance to nurse-managed
Index of Sec 2512. ...GEOGRAPHIC area served by Coordinated Care Network ; Federally qualified health centers of Social Security Act 42 USC 1395x( aa located in
Index of Sec 2534. ...HEALTH centers ; Nothing in section to be construed to expand medical malpractice liability protection under Federal Tort Claims acting for Section 330-funded federally qualified
Index of Sec 2534. ...HEALTH center program consisting of awarding grants to entities under subsection ; Secretary establishing nurse-managed
Index of Sec 2512. ...HEALTH center's operations ; Entity establishing community advisory committee composed of individuals to provide input into nurse-managed
Index of Sec 2512. ...GOVERNANCE requirements under section 330 of Public Health Service Act 42 USC 254b ; Participation in community-based collaborative care network not affecting federally qualified health centers' obligation to comply with
Index of Sec 2534. ...HEALTH clinic ; Term school-based health clinic meaning
Index of Sec 2511. ...HEALTH clinic meaning health clinic ; Term school-based
Index of Sec 2511. ...HEALTH clinics ; Secretary establishing school-based health clinic program consisting of awarding grants to eligible entities to support operation of school-based
Index of Sec 2511. ...HEALTH clinic program consisting of awarding grants to eligible entities to support operation of school-based health clinics ; Secretary establishing school-based
Index of Sec 2511. ...CAREER ladder programs ; Provision of paid leave time and continued health coverage to incumbent health care workers to allow participation in nursing
Index of Sec 2521. ...HEALTH coverage to staff nurses desiring to work full or part-time in faculty position ; Provision of paid release time, incentive compensation or continued
Index of Sec 2521. ...HEALTH department or another health organization defined by Secretary as eligible to submit application and one or more elementary and secondary schools ; Term eligible partnership meaning local public
Index of Sec 2524. ...HEALTH department submitting proposal to Secretary ; Term eligible entity meaning State, county, city, territorial or tribal
Index of Sec 2532. ...HEALTH disparities ; Eligible entity demonstrating project to be funded through grant addressing
Index of Sec 2523. ...HEALTH disparities having meaning given term in section 3171 ; Term
Index of Sec 2523. ...HEALTH disparities having meaning given to term in section 3171 of Public Health Service Act as added by section 2301 ; Term
Index of Sec 2537. ...BENEFICIAL health effect in judgment of Secretary and including Ways to enhance Children's Activity and Nutrition program and curriculum of National Institutes of Health ; Term evidence-based means methodologically sounding research demonstrating
Index of Sec 2535. ...HEALTH measures and evaluation methodologies ; Evaluating effectiveness and efficiency of trauma care center activities using standard public
Index of Sec 2551. ...CHRONIC care management ; Requiring services provided by community-based collaborative care network to include support services appropriate to meet health needs of low-income populations in network's community including
Index of Sec 2534. ...HEALTH needs of communities served by SBHCS ; Operational and administrative support and provision of information to SBHCS of variety of resources available under title and resources to be best used to meet
Index of Sec 2511. ...HEALTH centers ; Operational and administrative support and provision of information to nurse-managed health centers regarding various resources available under section and resources besting to be used to meet health needs of communities served by nurse-managed
Index of Sec 2512. ...HEALTH organization defined by Secretary as eligible to submit application and one or more elementary and secondary schools ; Term eligible partnership meaning local public health department or another
Index of Sec 2524. ...HEALTH problems prevalent in medically underserved communities ; Educating, guiding and providing outreach in community setting regarding
Index of Sec 2530. ...HEALTH profession meaning profession of member of health workforce as added by section 2261 ; Term
Index of Sec 2533. ...HEALTH professions, specialties and subspecialties ; Term interdiscipations meaning collaboration across
Index of Sec 2522. ...HEALTH professions ; Establishing health sciences training program consisting of awarding granting and contracting under subsection to prepare secondary school students for careers in
Index of Sec 2533. ...HEALTH professions-related majors ; Including curricula in biology, chemistry, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in health professions or bachelor's degree programs in
Index of Sec 2533. ...HEALTH professions ; Programs to increase awareness of careers in
Index of Sec 2533. ...HEALTH professions or bachelor's degree programs in health professions-related majors ; Including curricula in biology, chemistry, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in
Index of Sec 2533. ...HEALTH professions schooling ; Activities under grant or contract to be carried out in partnership with accredited
Index of Sec 2533. ...HEALTH professions school including accredited school or program of psychology ; Accredited
Index of Sec 2522. ...CHRONIC conditions by teaching more effective management techniques focusing on individual self-care and patient-driven decisionmaking ; Term wellness services meaning health-related service or intervention designed to reduce identifiable health risks and increase healthy behaviors intended to prevent onset of disease or lessening impact of existing
Index of Sec 2512. ...HEALTH professions ; Establishing health sciences training program consisting of awarding granting and contracting under subsection to prepare secondary school students for careers in
Index of Sec 2533. ...HEALTH services with appropriate school personnel and other community providers co-located at school ; SBHC to be integrated into school environment and coordinating
Index of Sec 2511. ...HEALTH services on prepaid basis ; Entity providing
Index of Sec 2511. ...HEALTH Services ; Regulations regarding reimbursement for
Index of Sec 2511. ...HEALTH services on prepaid basis ; Entity providing
Index of Sec 2512. ...AUTISM ; Term treatments meaning health services designed to improve or ameliorate symptoms associated with
Index of Sec 2527. ...HEALTH services ; Access and appropriately using
Index of Sec 2534. ...HEALTH services on prepaid basis ; Entity providing
Index of Sec 2535. ...HEALTH services and health-related social services under Federal ; Describing plans to enhance capacity of individuals to utilize
Index of Sec 2530. ...HEALTH infrastructure for children and adolescents ; Term medically underserved children and adolescents meaning population of children and adolescents being residents of area designated by Secretary as area with shortage of personal health services and
Index of Sec 2511. ...HEALTH services meaning core servicing offered by SBHCS ; Term comprehensive primary
Index of Sec 2511. ...HEALTH professionals in accordance with State and local laws and regulations ; Providing comprehensive primary health services during school hours to children and adolescents by
Index of Sec 2511. ...HEALTH services and eliminating duplicative care ; Including preventive
Index of Sec 2530. ...HEALTH services in section 330(b)(1) ; Term comprehensive primary care services having meaning given to term required primary
Index of Sec 2512. ...HEALTH status and reducing long-term complications and costs ; Including screening and counseling in order to improve
Index of Sec 2534. ...HEALTH workforce as added by section 2261 ; Term health profession meaning profession of member of
Index of Sec 2533. ...HOME or community organization located in neighborhood in which participant residing ; Term community setting meaning
Index of Sec 2530. ...HEALTH and prenatal care ; Educating, guiding and providing home visitation services regarding maternal
Index of Sec 2530. ...HOSPITAL and interfacility decisions and relevant outcomes of hospital care ; Containing information sufficient to evaluate key elements of prehospital care, hospital destination decisions, including initial
Index of Sec 2553. ...HOSPITAL care ; Containing information sufficient to evaluate key elements of prehospital care, hospital destination decisions, including initial hospital and interfacility decisions and relevant outcomes of
Index of Sec 2553. ...HOSPITAL and interfacility decisions and relevant outcomes of hospital care ; Containing information sufficient to evaluate key elements of prehospital care, hospital destination decisions, including initial
Index of Sec 2553. ...HOSPITAL destination decisions ; Emergency department capacity, on-call specialist coverage, ambulance diversion status and coordination of tracking with regional communications and
Index of Sec 2553. ...HOSPITAL resources including inpatient bed capacity ; Allowing for tracking of prehospital and
Index of Sec 2553. ...HOSPITALIZATIONS and emergency room visits than similar patients not enrolled in program ; Including evaluation whether enrollees maintained better health with fewer
Index of Sec 2528. ...HOUSING services, therapeutic foster care services, multisystemic therapy and other evidence-based practices as Secretary requiring ; Assertive community treatment, family psychoeducation, disability self-management, supported employment, supported
Index of Sec 2513. ...IDENTIFICATION of amounts used for patient care services ; Including
Index of Sec 2534. ...DISSEMINATION and implementation of pharmacist-delivered MTM services ; Chronic disease groups and other stakeholders involved with research,
Index of Sec 2528. ...IMPLEMENTATION of public awareness campaign under section ; Secretary making awards of grants, cooperative agreements and contracts to public agencies and private nonprofit organizations to assist with development and
Index of Sec 2563. ...IMPLEMENTATION ; Developing systems and products allowing for interventions, services, treatments and supports to be evaluated for fidelity of
Index of Sec 2527. ...CONTRIBUTIONS ; Secretary of Education requiring recipients of grants under subsection to provide matching funds from non-Federal sources and permitting recipients to match funds in whole or part with in-kind
Index of Sec 2536. ...INCENTIVE Grants regarding coordination among States ;
Index of Sec 2523. ...HEALTH care in State ; Amounts received by State as incentive payment under section to be used to improve
Index of Sec 2531. ...INCENTIVE payment under section ; Secretary providing technical assistance to States applying or receiving
Index of Sec 2531. ...INCOME meaning student, age 5 through 19, eligible for free or reduced-price lunch under National School Lunch Act 42 USC 1751 et seq ; Term low-
Index of Sec 2524. ...INCOME to receive efficient and higher quality care and gaining entry and receiving services from comprehensive system of care ; Including uninsured and low-
Index of Sec 2534. ...INCOME individuals and families ; Providing mechanisms for improving quality and efficiency of care for low-
Index of Sec 2534. ...INCOME individuals ; Including capability to provide broadest range of services to low-
Index of Sec 2534. ...ELIGIBILITY requirements ; Community-based collaborative care network described in subsection being consortium of health care providers with joint governance structure providing comprehensive range of coordinated and integrated health care services for low-income patient populations or medically underserved communities and complying with applicable minimum
Index of Sec 2534. ...INCOME patients as demonstrated by meeting criteria in section 1923(b)(1) of Social Security Act ; Safety net hospital providing services to high volume of low-
Index of Sec 2534. ...INCOME and uninsured patients ; Other type of provider specified by Secretary having desire to serve low-
Index of Sec 2534. ...GEOGRAPHY ; Report on populations using trauma care centering and including aggregate patient data on income, race, ethnicity and
Index of Sec 2551. ...CHRONIC care management ; Requiring services provided by community-based collaborative care network to include support services appropriate to meet health needs of low-income populations in network's community including
Index of Sec 2534. ...INDIVIDUALAND family-centered approach used ; Including individuals with autism and families as part of program to ensure that
Index of Sec 2527. ...INFANT mortality in United States in past 3 years ; Secretary giving preference to eligible entities proposing to serve 15 counties or groups of counties with highest rates of
Index of Sec 2532. ...INFANT mortality pilot program funded under section ;
Index of Sec 2532. ...INFANT mortality pilot program ; Entitying that receiving grant under subsection submitting report to Secretary detailing
Index of Sec 2532. ...INFANT mortality pilot programs ; Awarding grants to eligible entities to create, implement and oversee
Index of Sec 2532. ...INFANT mortality pilot programs funded through section ;
Index of Sec 2532. ...INFLUENZA vaccination Centers ; Demonstration Program using elementary and secondary Schools as
Index of Sec 2524. ...INFLUENZA vaccination centers ; Awarding grants to eligible partnerships to carry out demonstration programs designed to test feasibility of using Nation's elementary schools and secondary schools as
Index of Sec 2524. ...INFLUENZA vaccination rates for school-aged children including whether school-based vaccination assists in achieving recommendations of Advisory Committee on Immunization Practices ; Comparing to national average
Index of Sec 2524. ...INFLUENZA vaccinations ; State Medicaid agencies, State insurance agencies and private insurers to carry out program consisting of awarding grants under subsection to ensure that children having coverage for reasonable and cusations expenses relating to
Index of Sec 2524. ...INFLUENZA vaccinations to children in elementary and secondary schools in coordination with school nurses ; Secretary awarding grants to eligible partnerships to be used to provide
Index of Sec 2524. ...INFLUENZA vaccinations ; Eligible partnerships receiving grant using funds to purchase and administer
Index of Sec 2524. ...INFLUENZA vaccinations as following ; Eligible partnerships receiving grant under section ensuring maximum number of children access
Index of Sec 2524. ...INFLUENZA vaccine administered outside of physician's office in school or other related setting ; Including costs of purchasing and administering vaccine incurred when
Index of Sec 2524. ...INFLUENZA vaccine for children not covered through other federally funded programs or private insurance ; Extent to which payment of costs of purchasing or administering
Index of Sec 2524. ...INFLUENZA vaccine ; Children being eligible under other federally funded programs for payment of costs of purchasing or administering
Index of Sec 2524. ...DRUGGING Administration for use in pediatric populations ; Program under section not restricting discretion of health care provider to administer influenza vaccine approved by Food and
Index of Sec 2524. ...INFORMATION as Secretary ; Submitting application at time and containing
Index of Sec 2511. ...INFORMATION as Secretary requiring ; Eligible partnership desiring grant under section submitting application to Secretary at time and containing
Index of Sec 2524. ...ASSESSMENT and provision of supports and services ; Serving as research-based resource for Federal and State policymakers on information concerning provision of training and technical assistance for
Index of Sec 2527. ...INFORMATION, support services and resources and strategies designed to enhance patient adherence with therapeutic regimens ; Providing
Index of Sec 2528. ...INFORMATION ; Reports required under paragraph including
Index of Sec 2532. ...FINANCIAL coordination among providers of care in community ; Information sharing and clinical and
Index of Sec 2534. ...INFORMATION as specified by Secretary ; Community-based collaborative care network described in subsection submitting to Secretary application in form and manner and containing
Index of Sec 2534. ...INFORMATION ; Evaluation including
Index of Sec 2534. ...INFORMATION on current ratios of students to school nurses ; Secretary of Education giving special consideations to applications submitted by high-need local educational agencies demonstrating greatest need for new or additional nursing services among children in public elementary and secondary schools served by agency in part by providing
Index of Sec 2536. ...INFORMATION on number of trauma cases treated by center and extent to which center incuring uncompensated costs in providing trauma care ; Center maintaining
Index of Sec 2551. ...HOSPITAL and interfacility decisions and relevant outcomes of hospital care ; Containing information sufficient to evaluate key elements of prehospital care, hospital destination decisions, including initial
Index of Sec 2553. ...INFORMATION contained in report making under subsection ;
Index of Sec 2553. ...INFORMATION and evaluation ; Secretary using not more than 7 percent of funds appropriated to carry out that section for providing technical assistance to grantees holding meetings, developing of tools, disseminating of
Index of Sec 2534. ...INFORMATION concerning postpartum conditions including symptoms ; Ensuring that education including complete
Index of Sec 2529. ...INFORMATION from reports received under paragraph ; Using data and
Index of Sec 2521. ...INFORMATION about ; Documenting care delivered and communicating essential
Index of Sec 2528. ...INFORMATION of individual to government agencies ; Nothing in section requiring provider to report individually identifiable
Index of Sec 2534. ...HEALTH needs of communities served by SBHCS ; Operational and administrative support and provision of information to SBHCS of variety of resources available under title and resources to be best used to meet
Index of Sec 2511. ...HEALTH centers regarding various resources available under section and resources besting to be used to meet health needs of communities served by nurse-managed health centers ; Operational and administrative support and provision of information to nurse-managed
Index of Sec 2512. ...AUTISM and families to address unmet needs related to autism ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with
Index of Sec 2527. ...AUTISM and families to address unmet needs related to autism ; Continuing education, technical assistance and information for purpose of improving services rendered to children and adults with
Index of Sec 2527. ...COMPLIANCE with section as Secretary requiring ; State submitting application at time and containing information and assurance of
Index of Sec 2526. ...INSURANCE funding in establishing multistate ; Assessment of feasibility of using existing Federal and private
Index of Sec 2524. ...HEALTH insurance including State Children's Health Insurance Program under title XXI of Social Security Act ; Educating and providing outreach regarding enrollment in
Index of Sec 2530. ...INSURANCE ; Extent to which payment of costs of purchasing or administering influenza vaccine for children not covered through other federally funded programs or private
Index of Sec 2524. ...INFLUENZA vaccinations ; State Medicaid agencies, State insurance agencies and private insurers to carry out program consisting of awarding grants under subsection to ensure that children having coverage for reasonable and cusations expenses relating to
Index of Sec 2524. ...HEALTH insurance coverage ; Prevalence of certain chronic conditions in various populations including comparison of prevalence in general population versus in population of individuals with inadequate
Index of Sec 2534. ...EDUCATION programs ; Intensive summer institutes continuing
Index of Sec 2527. ...BEHAVIORAL health training program consisting of awarding granting and contracting under subsection ; Secretary establishing interdiscipations mental and
Index of Sec 2522. ...ASSESSMENT, interventions, services, treatment and supports for children and adults with autism ; Convening experts from multiple interdiscipations training programs, individuals with autism and families of individuals to discuss and make recommendations with regard to training issues related to
Index of Sec 2527. ...HEALTH professions, specialties and subspecialties ; Term interdiscipations meaning collaboration across
Index of Sec 2522. ...INTEREST ; Other activities to increase
Index of Sec 2533. ...INTEREST on amount specified in subparagraph ; Amount representing
Index of Sec 2551. ...LABOR organization ; Providing waging and benefiting to nurses being competitive for market or collectively bargained with
Index of Sec 2521. ...CAREER centers, community-based organizations, community colleges and accredited schools of nursing ; Labor organizations including joint labor-management training programs and including representatives from local governments worker investment agency one-stop
Index of Sec 2521. ...HEALTH care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through education and training organizations jointly administered by health care providers and health care labor organizations or other organizations representing staff nurses and frontline
Index of Sec 2521. ...LABOR-management training funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing health care employees of employer and carries out activities using
Index of Sec 2521. ...CAREER centers, community-based organizations, community colleges and accredited schools of nursing ; Labor organizations including joint labor-management training programs and including representatives from local governments worker investment agency one-stop
Index of Sec 2521. ...LABOR-management training fund administering program involved ; Contributions to joint
Index of Sec 2521. ...LABOR-management training fund or other jointly administered program ; Payment of tuition assistance managed by joint
Index of Sec 2521. ...COMPLIANCE with section ; Secretary submitting to Congress annual report on progress States making in enacting and implementing alternative medical liability laws in
Index of Sec 2531. ...LICENSURE rates ; Increasing number of graduating nurses and improved nurse graduation and
Index of Sec 2521. ...LICENSURE tests and requirements ; Providing assistance in preparing and meeting nursing
Index of Sec 2521. ...HEALTH centers ; Nothing in section to be construed to expand medical malpractice liability protection under Federal Tort Claims acting for Section 330-funded federally qualified
Index of Sec 2534. ...ADDICTION medicine ; Social work, marriage and family therapy, professional mental health or substance abuse counseling or
Index of Sec 2522. ...HEALTH professions or bachelor's degree programs in health professions-related majors ; Including curricula in biology, chemistry, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in
Index of Sec 2533. ...MEDICAL Technicians ; Assisting Veterans with military emergency medical training to become State-licensed or certified emergency
Index of Sec 2554. ...MEDICAL Technicians ; Assisting Veterans with military emergency medical training to become State-licensed or certified emergency
Index of Sec 2554. ...MEDICAL technicians ; Secretary establishing program consisting of awarding grants to States to assist veterans received and completed military emergency medical training when serving in Armed Forces of United States to become State-licensed or certified emergency
Index of Sec 2554. ...MEDICAL technicians as following ; Amounts received as grant under section to be used to assist veterans described in subsection to become State-licensed or certified emergency
Index of Sec 2554. ...MEDICAL Care ; Sec 2553, Pilot Programs to improve emergency
Index of Sec 2553. ...MEDICAL data and inserting transmission and electronic archival of medical data ; Subparagraph, striking transmission of
Index of Sec 2523. ...MEDICAL device manufacturers and pharmaceutical companies ; Secretary consulting with organizations representing patients in pain and other consumers, employers, physicians including physicians specializing in pain care, other pain management professionals,
Index of Sec 2563. ...MEDICAL dispatch ; Coordinating approach to emergency medical system access throughout region including 9-1-1 public safety answering points and emergency
Index of Sec 2553. ...MEDICAL system ; Secretary awarding contract or grant under subsection to eligible entity proposing demonstration program to design, implement and evaluate emergency
Index of Sec 2553. ...DISTRIBUTION and care of routine community patients ; Promoting regional partnerships and more effective emergency medical systems in order to enhance appropriate triage,
Index of Sec 2552. ...MEDICAL dispatch ; Coordinating approach to emergency medical system access throughout region including 9-1-1 public safety answering points and emergency
Index of Sec 2553. ...HEALTH-related programs and activities ; Medical-legal partnerships to assist patients and families to navigate
Index of Sec 2537. ...ADDICTION medicine ; Social work, marriage and family therapy, professional mental health or substance abuse counseling or
Index of Sec 2522. ...BEHAVIORAL health training program consisting of awarding granting and contracting under subsection ; Secretary establishing interdiscipations mental and
Index of Sec 2522. ...BEHAVIORAL health professionals being participants program and plan to work in field of mental and behavioral health ; Providing financial assistance to mental and
Index of Sec 2522. ...BEHAVIORAL health professionals planning to teach in field of mental and behavioral health ; Planning, developing, operating or participating in accredited program for training of mental and
Index of Sec 2522. ...BEHAVIORAL health professionals being participants programming and plan to teach in field of mental and behavioral health ; Providing financial assistance in form of traineeships and fellowships to mental and
Index of Sec 2522. ...ADDICTION medicine ; Social work, marriage and family therapy, professional mental health or substance abuse counseling or
Index of Sec 2522. ...BEHAVIORAL health centers ; Paragraph, striking community mental health centers and inserting federally qualified
Index of Sec 2513. ...HEALTH clinic ; Community clinic including mental
Index of Sec 2534. ...HEALTH consequences for WOMEN of resolving A pregnancy ; Sense of congress regarding longitudinal Study of relative mental
Index of Sec 2529. ...HEALTH consequences for women of resolving pregnancy in various ways ; Director of National Institute of Mental Health conducting nationally representative longitudinal study on relative mental
Index of Sec 2529. ...HEALTH services ; Communities or populations in which children and adolescents having difficulty accessing health and mental
Index of Sec 2511. ...BEHAVIORAL health services ; Subsection, striking community mental health services and inserting
Index of Sec 2513. ...HEALTH services including 24-hour mobile crisis teams ; Crisis mental
Index of Sec 2513. ...MENTAL illness and substance abuse to be evidence-based ; Medication management and integrated treatment for
Index of Sec 2513. ...MENTORSHIP programs assisting newly graduated nurses in adjusting to working at bedside to ensure retention postgraduation and ongoing programs to support nurse retention ; Carrying out orientation and
Index of Sec 2521. ...MEDICAL Technicians ; Assisting Veterans with military emergency medical training to become State-licensed or certified emergency
Index of Sec 2554. ...MEDICAL Technicians ; Assisting Veterans with military emergency medical training to become State-licensed or certified emergency
Index of Sec 2554. ...MEDICAL technicians ; Secretary establishing program consisting of awarding grants to States to assist veterans received and completed military emergency medical training when serving in Armed Forces of United States to become State-licensed or certified emergency
Index of Sec 2554. ...MULTISYSTEMIC therapy and other evidence-based practices as Secretary requiring ; Assertive community treatment, family psychoeducation, disability self-management, supported employment, supported housing services, therapeutic foster care services,
Index of Sec 2513. ...CATASTROPHIC event ; Need of financial assistance following natural disaster or other
Index of Sec 2551. ...CATASTROPHIC event ; Geographic location substantially affected by natural disaster or other
Index of Sec 2551. ...NATURAL history of conditions and differences among racial and ethnic groups with respect to conditions ; Epidemiological studies to address frequency and
Index of Sec 2529. ...HEALTH-related programs and activities ; Medical-legal partnerships to assist patients and families to navigate
Index of Sec 2537. ...HEALTH care-related programs and activities and achieving one or more of following goals ; Amounts received as grant or contract under section to be used to assist patients and families to navigate
Index of Sec 2537. ...HEALTH care-related programs and activities ; Whose primary mission to assist patients and families navigate
Index of Sec 2537. ...NEUROLOGICAL surgery ; 1 graduate medical education fellowship in trauma or trauma-related specialties including
Index of Sec 2551. ...NONCLINICAL uses ; Eligible entity providing plan for coordinating system use by eligible entities and prioritizing use of grant funds for health care services over
Index of Sec 2523. ...NONPROFIT entities to establish new trauma centers in urban areas with substantial degree of trauma resulting from violent crimes ; Grants to local governments and public or private
Index of Sec 2551. ...NONPROFIT entity or consortium of entities located in United States or territory ; Term eligible entity meaning public or private
Index of Sec 2530. ...NONPROFIT organizations including equal participation from industry including public or private employers ; State training partnership program consisting of
Index of Sec 2521. ...IMPLEMENTATION of public awareness campaign under section ; Secretary making awards of grants, cooperative agreements and contracts to public agencies and private nonprofit organizations to assist with development and
Index of Sec 2563. ...NUTRITION and physical activity programs ; Additional counseling for at-risk mothers including smoking cesations programs, drug treatment programs, alcohol treatment programs,
Index of Sec 2532. ...HEALTH professions or bachelor's degree programs in health professions-related majors ; Including curricula in biology, chemistry, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in
Index of Sec 2533. ...HEALTH or nutrition within community in which individual residing ; Term community health worker meaning individual promoting
Index of Sec 2530. ...NUTRITION and increased physical activity ; Planning evidence-based programs for prevention of overweight and obesity among children and families through improved
Index of Sec 2535. ...OBESITY ; Measurable progress in preventing overweight and
Index of Sec 2535. ...NUTRITION and increased physical activity ; Planning evidence-based programs for prevention of overweight and obesity among children and families through improved
Index of Sec 2535. ...OBESITY prevention program consisting of awarding granting and contracting under subsection ; Secretary establishing community-based overweight and
Index of Sec 2535. ...OF-life outcomes ; Support community-based family and individual services and enabling individuals with autism and related developmental disabilities fully to participate in society and achieving good quality-
Index of Sec 2527. ...AMBULANCE diversion status and coordination of tracking with regional communications and hospital destination decisions ; Emergency department capacity, on-call specialist coverage,
Index of Sec 2553. ...OUTPATIENT programs ; Treatment and referral to continuum of services including emergency psychiatric care, community support programs, inpatient care and
Index of Sec 2511. ...HEALTH professions schooling ; Activities under grant or contract to be carried out in partnership with accredited
Index of Sec 2533. ...PARTNERSHIP of 1 or more States and 1 or more local governments ; Term eligible entity meaning State or
Index of Sec 2553. ...PARTNERSHIP demonstrating community support and including ; Entity to be community
Index of Sec 2535. ...INFORMATION as Secretary requiring ; Eligible partnership desiring grant under section submitting application to Secretary at time and containing
Index of Sec 2524. ...HEALTH department or another health organization defined by Secretary as eligible to submit application and one or more elementary and secondary schools ; Term eligible partnership meaning local public
Index of Sec 2524. ...PARTNERSHIP meaning entity ; Term medical-legal
Index of Sec 2537. ...EDUCATION to nurses and creating pipeline to nursing for incumbent ancillary health care workers wishing to advance careers and otherwise carrying out purposes of section ; Secretary of Labor establishing partnership grant program to award grants to eligible entities to carry out comprehensive programs to provide
Index of Sec 2521. ...NONPROFIT organizations including equal participation from industry including public or private employers ; State training partnership program consisting of
Index of Sec 2521. ...PAYMENT ; Nothing in section to be construed to require
Index of Sec 2530. ...INFLUENZA vaccine for children not covered through other federally funded programs or private insurance ; Extent to which payment of costs of purchasing or administering
Index of Sec 2524. ...INFLUENZA vaccine ; Children being eligible under other federally funded programs for payment of costs of purchasing or administering
Index of Sec 2524. ...PAYMENTS being made to center under grant ; Giving preference to application submitted by applicant demonstrating financial support of State or political subdivision involved for activities to be funded through grant for fiscal year during that
Index of Sec 2551. ...PAYMENTS under grant ; Center first receiving
Index of Sec 2551. ...FISCAL years ; Period during that trauma center receiving payments under grant under section 1241(b)(1) for 3
Index of Sec 2551. ...PAYMENT system ; Secretary encouraging community health worker programs receiving funding under section to implement outcome-based
Index of Sec 2530. ...PEDIATRIC populations ; Program under section not restricting discretion of health care provider to administer influenza vaccine approved by Food and drugging Administration for use in
Index of Sec 2524. ...PERIODIC audits and request periodic spending reports of community-based collaborative care networks under community-based collaborative care network program ; Secretary conducting
Index of Sec 2534. ...PERIODIC audits and request periodic spending reports of community-based collaborative care networks under community-based collaborative care network program ; Secretary conducting
Index of Sec 2534. ...PERSONNEL, asseal and liabilities of Emergency Care Coordination Center to be transferred to Emergency Care Coordination Center established under section 2816(a) of Public Health Service Act ; Functions,
Index of Sec 2552. ...HEALTH professionals ; Conducting study on barriers experienced by veterans received training as medical personnel when serving in Armed Forces of United States and seeking to become licensed or certified in State as civilian
Index of Sec 2554. ...PHARMACEUTICAL companies ; Secretary consulting with organizations representing patients in pain and other consumers, employers, physicians including physicians specializing in pain care, other pain management professionals, medical device manufacturers and
Index of Sec 2563. ...PHYSICAL activity ; Planning evidence-based programs for prevention of overweight and obesity among children and families through improved nutrition and increased
Index of Sec 2535. ...ALCOHOL treatment programs, nutrition and physical activity programs ; Additional counseling for at-risk mothers including smoking cesations programs, drug treatment programs,
Index of Sec 2532. ...HEALTH professions or bachelor's degree programs in health professions-related majors ; Including curricula in biology, chemistry, physiology, mathematics, nutrition and other courses deemed appropriate by Secretary to prepare students for associate or bachelor's degree programs in
Index of Sec 2533. ...ASSESSMENT and crisis planning ; Person-centered treatment planning or similar processes including risk
Index of Sec 2513. ...CAPITAL or operating expenses ; Financial support to be demonstrated by State or political subdivision funding for trauma center's
Index of Sec 2551. ...FISCAL year during that payments being made to center under grant ; Giving preference to application submitted by applicant demonstrating financial support of State or political subdivision involved for activities to be funded through grant for
Index of Sec 2551. ...HEALTH infrastructure for children and adolescents ; Term medically underserved children and adolescents meaning population of children and adolescents being residents of area designated by Secretary as area with shortage of personal health services and
Index of Sec 2511. ...HEALTH insurance coverage ; Prevalence of certain chronic conditions in various populations including comparison of prevalence in general population versus in population of individuals with inadequate
Index of Sec 2534. ...CONTRACTS or grants described in subsection to eligible entity serving medically underserved population ; Secretary giving priority for award of
Index of Sec 2553. ...TRAINING initiatives and providing access to training modules and technical assistance practices and other materials developed by grantees ; Developing Web portal providing linkages to individual
Index of Sec 2527. ...POSSESSION ; Term medically underserved community meaning community identified by State, United States territory or
Index of Sec 2530. ...POSTGRADUATION and ongoing programs to support nurse retention ; Carrying out orientation and mentorship programs assisting newly graduated nurses in adjusting to working at bedside to ensure retention
Index of Sec 2521. ...POVERTY line ; Not less than 20 percent of children served by agency from families with incomes below
Index of Sec 2536. ...PREFERENTIAL treatment under subsection ; State funding derived from Federal support not constituting State or local financial support for purposes of
Index of Sec 2551. ...PREGNANCY in various ways ; Director of National Institute of Mental Health conducting nationally representative longitudinal study on relative mental health consequences for women of resolving
Index of Sec 2529. ...PREGNANCY ; Sense of congress regarding longitudinal Study of relative mental health consequences for WOMEN of resolving A
Index of Sec 2529. ...PREGNANCY ; Healthy Teen initiative to prevent Teen
Index of Sec 2526. ...PREGNANCY ; Healthy Teen initiative to prevent Teen
Index of Sec 2526. ...PREGNANCY or sexually transmitted diseases ; Amounts received by State under section to be used to conduct or support evidence-based education programs to reduce teen
Index of Sec 2526. ...HOSPITAL and interfacility decisions and relevant outcomes of hospital care ; Containing information sufficient to evaluate key elements of prehospital care, hospital destination decisions, including initial
Index of Sec 2553. ...HEALTH and prenatal care ; Educating, guiding and providing home visitation services regarding maternal
Index of Sec 2530. ...PRIMARY care ; Vulnerable patient populations seeking and obtaining
Index of Sec 2534. ...PRIMARY care providers available through community-based collaborative care network ; Using neighborhood health workers informing individuals about availability of safety net and
Index of Sec 2534. ...PRIMARY care provider responsible for managing that patient's care ; Requiring networks to assign patient of network to
Index of Sec 2534. ...PRIMARY care services and wellness services ; Training and technical assistance related to provision of comprehensive
Index of Sec 2512. ...HEALTH services in section 330(b)(1) ; Term comprehensive primary care services having meaning given to term required primary
Index of Sec 2512. ...HEALTH care-related programs and activities ; Whose primary mission to assist patients and families navigate
Index of Sec 2537. ...PRIMARY service area ; Risk of closing or operating in area where closing occurring within
Index of Sec 2551. ...PRIVACY and security law as defined in section 3009(a)(2) ; Consistent with HIPAA
Index of Sec 2534. ...PRIVACY requirements of section 264 of Health Insurance Portability and Accountability Act of 1996 42 USC 1320d-2 note and section 444 of General Education Provisions acting 20 USC 1232g ; Secretary ensuring that program under section adhering to confidentiality and
Index of Sec 2524. ...ADDICTION medicine ; Social work, marriage and family therapy, professional mental health or substance abuse counseling or
Index of Sec 2522. ...PROFESSIONAL shortage area ; Eligible entity being health care provider in health care network furnishing services in medically underserved area or health
Index of Sec 2523. ...PROFESSIONAL shortage area as designated under section 332 ; Health
Index of Sec 2530. ...OUTPATIENT programs ; Treatment and referral to continuum of services including emergency psychiatric care, community support programs, inpatient care and
Index of Sec 2511. ...DISABILITY self-management, supported employment, supported housing services, therapeutic foster care services, multisystemic therapy and other evidence-based practices as Secretary requiring ; Assertive community treatment, family psychoeducation,
Index of Sec 2513. ...PSYCHOLOGY ; Not less than 15 percent to be used for training programs in
Index of Sec 2522. ...PSYCHOLOGY ; Accredited health professions school including accredited school or program of
Index of Sec 2522. ...PSYCHOSIS ; Term postpartum condition meaning postpartum depression or postpartum
Index of Sec 2529. ...NONPROFIT organizations including equal participation from industry including public or private employers ; State training partnership program consisting of
Index of Sec 2521. ...CONTRIBUTIONS to be made directly or donations from public or private entities or provided through cash equivalent of paid release time provided to incumbent worker students ;
Index of Sec 2521. ...NONPROFIT entity or consortium of entities located in United States or territory ; Term eligible entity meaning public or private
Index of Sec 2530. ...EDUCATIONAL agencies for purpose of reducing student-to-school nurse ratio in public elementary and secondary schools ; Secretary of Education making demonstration grants to eligible local
Index of Sec 2536. ...INFORMATION on current ratios of students to school nurses ; Secretary of Education giving special consideations to applications submitted by high-need local educational agencies demonstrating greatest need for new or additional nursing services among children in public elementary and secondary schools served by agency in part by providing
Index of Sec 2536. ...SCHOOL nurse ; Term eligible local educational agency meaning local educational agency in which student-to-school nurse ratio in public elementary and secondary schools served by agency being 750 or more students to every
Index of Sec 2536. ...NONPROFIT entities to establish new trauma centers in urban areas with substantial degree of trauma resulting from violent crimes ; Grants to local governments and public or private
Index of Sec 2551. ...EDUCATION and clinical care in United States ; Establishing agenda for action public and private sectors reducing barriers and significantly improving state of pain care research,
Index of Sec 2561. ...PUBLIC awareness campaign under section in educating general public with respect to matters described in subsection ; Secretary preparing and submitting to Congress report evaluating effectiveness of
Index of Sec 2563. ...IMPLEMENTATION of public awareness campaign under section ; Secretary making awards of grants, cooperative agreements and contracts to public agencies and private nonprofit organizations to assist with development and
Index of Sec 2563. ...CAREGIVERS with respect ; Secretary designing public awareness campaign under section to educate consumers, patients, families and other
Index of Sec 2563. ...PUBLIC awareness campaign required by section ; Designing and implementing
Index of Sec 2563. ...PUBLIC awareness campaign under section ; Secretary making awards of grants, cooperative agreements and contracts to public agencies and private nonprofit organizations to assist with development and implementation of
Index of Sec 2563. ...PUBLIC awareness campaign under section in educating general public with respect to matters described in subsection ; Secretary preparing and submitting to Congress report evaluating effectiveness of
Index of Sec 2563. ...PUBLIC entities State proposing to work including schools and community-based and faith-based organizations ; Listing private and
Index of Sec 2526. ...EDUCATIONAL agency ; Including one or more public schools located in rural local
Index of Sec 2524. ...PULATIONS conditions ; High percentage of residents suffering from chronic diseases including
Index of Sec 2530. ...NATURAL history of conditions and differences among racial and ethnic groups with respect to conditions ; Epidemiological studies to address frequency and
Index of Sec 2529. ...ASSESSMENT, diagnosis, treatment and management of pain ; Evaluating adequacy of assessment, diagnosis, treatment and management of acute and chronic pain in general population and identified racial ethnic, gender, aging and other demographic groups to be disproportionately affected by inadequacies in
Index of Sec 2561. ...RAPID cycle process improvement concepts in use in other Federal programs implemented MTM services ; Secretary determining whether possible to incorporate
Index of Sec 2528. ...DISTRIBUTION and care of routine community patients ; Promoting regional partnerships and more effective emergency medical systems in order to enhance appropriate triage,
Index of Sec 2552. ...REGIONAL services, supports and providers including schools ; Other community or
Index of Sec 2513. ...REGISTRY developed under subsection to be used to address risks in priority populations ; Identify evidence-based education program or programs selected from
Index of Sec 2526. ...REGISTRY of trauma cases in accordance with guidelines developed by American College of Surgeons ; Center establishing and operating
Index of Sec 2551. ...PSYCHIATRIC rehabilitation services including skills ;
Index of Sec 2513. ...TITLE ; Participation in community-based collaborative care network not disqualifying health care provider from reimbursement under title XVIII, XIX or XXI of Social Security Act with respect to services otherwise reimbursable under
Index of Sec 2534. ...HEALTH Services ; Regulations regarding reimbursement for
Index of Sec 2511. ...REIMBURSEMENT under title XVIII, XIX or XXI of Social Security Act with respect to services otherwise reimbursable under title ; Participation in community-based collaborative care network not disqualifying health care provider from
Index of Sec 2534. ...REIMBURSEMENT for services and other benefits ; Supervision and materials needed effectively to deliver services described in subsection
Index of Sec 2530. ...HEALTH consequences for WOMEN of resolving A pregnancy ; Sense of congress regarding longitudinal Study of relative mental
Index of Sec 2529. ...HEALTH consequences for women of resolving pregnancy in various ways ; Director of National Institute of Mental Health conducting nationally representative longitudinal study on relative mental
Index of Sec 2529. ...HEALTH consequences for women of resolving pregnancy in various ways ; Director of National Institute of Mental Health conducting nationally representative longitudinal study on relative mental
Index of Sec 2529. ...RESPONSIBILITY for SBHC administration, operations and oversight ; SBHC sponsoring facility assuming
Index of Sec 2511. ...PRIMARY service area ; Risk of closing or operating in area where closing occurring within
Index of Sec 2551. ...GEOGRAPHIC coverage in rural or medically underserved areas of State or States in which entity located ; Eligible entity demonstrating broad
Index of Sec 2523. ...RURAL areas ; Establishing rural outreach program to provide care to at-risk mothers in
Index of Sec 2532. ...DOWNGRADATION ; Operating in rural areas where trauma care availability significantly decreaseing if center forced to close or downgrade service and substantial costs contributing to likelihood of closure or
Index of Sec 2551. ...EDUCATIONAL agency ; Including one or more public schools located in rural local
Index of Sec 2524. ...EDUCATIONAL agency described in section 6211(b)(1) of Elementary and Secondary Education Act of 1965 20 USC 7345(b)(1) ; Term rural local educational agency meaning eligible local
Index of Sec 2524. ...AT-risk mothers in rural areas ; Establishing rural outreach program to provide care to
Index of Sec 2532. ...SAFETY and effectiveness ; Ordering or performing laboratory assessments and evaluating response of patient to therapy including
Index of Sec 2528. ...SAFETY ; Providing for improving quality of nursing education to improve patient care and
Index of Sec 2521. ...MEDICAL dispatch ; Coordinating approach to emergency medical system access throughout region including 9-1-1 public safety answering points and emergency
Index of Sec 2553. ...PRIMARY care providers available through community-based collaborative care network ; Using neighborhood health workers informing individuals about availability of safety net and
Index of Sec 2534. ...HOSPITAL providing services to high volume of low-income patients as demonstrated by meeting criteria in section 1923(b)(1) of Social Security Act ; Safety net
Index of Sec 2534. ...SALARY or benefits ; Obtaining leave from bedside position to assume full or part-time position as adjunct or full-time faculty without loss of
Index of Sec 2521. ...HEALTH clinic program consisting of awarding grants to eligible entities to support operation of school-based health clinics ; Secretary establishing school-based
Index of Sec 2511. ...HEALTH providers when school or SBHC closed ; SBHC providing onsite access during academic day when school in session and established network of support and access to services with backup
Index of Sec 2511. ...SCHOOL ; SBHC to be integrated into school environment and coordinating health services with appropriate school personnel and other community providers co-located at
Index of Sec 2511. ...SCHOOL or other related setting ; Including costs of purchasing and administering vaccine incurred when influenza vaccine administered outside of physician's office in
Index of Sec 2524. ...SCHOOL-based vaccination assists in achieving recommendations of Advisory Committee on Immunization Practices ; Comparing to national average influenza vaccination rates for school-aged children including whether
Index of Sec 2524. ...SCHOOL or SBHC closed ; SBHC providing onsite access during academic day when school in session and established network of support and access to services with backup health providers when
Index of Sec 2511. ...SCHOOL of nursing and pipeline for nursing programs ; Increased number of incumbent workers entering accredited
Index of Sec 2521. ...HEALTH clinics ; Secretary establishing school-based health clinic program consisting of awarding grants to eligible entities to support operation of school-based
Index of Sec 2511. ...SCHOOL having meanings given terms in section 9101 of Elementary and Secondary Education Act of 1965 20 USC 7801 ; Terms elementary school and secondary
Index of Sec 2524. ...HEALTH professions ; Establishing health sciences training program consisting of awarding granting and contracting under subsection to prepare secondary school students for careers in
Index of Sec 2533. ...SCHOOL having meanings given to terms in section 9101 of Elementary and Secondary Education Act of 1965 20 USC 7801 ; Terms elementary school, local educational agency and secondary
Index of Sec 2536. ...HEALTH clinic meaning health clinic ; Term school-based
Index of Sec 2511. ...HEALTH services with appropriate school personnel and other community providers co-located at school ; SBHC to be integrated into school environment and coordinating
Index of Sec 2511. ...HEALTH professionals in accordance with State and local laws and regulations ; Providing comprehensive primary health services during school hours to children and adolescents by
Index of Sec 2511. ...SCHOOL nurse ; Term eligible local educational agency meaning local educational agency in which student-to-school nurse ratio in public elementary and secondary schools served by agency being 750 or more students to every
Index of Sec 2536. ...SCHOOL nurses ; Secretary awarding grants to eligible partnerships to be used to provide influenza vaccinations to children in elementary and secondary schools in coordination with
Index of Sec 2524. ...PERSONNEL and other community providers co-located at school ; SBHC to be integrated into school environment and coordinating health services with appropriate school
Index of Sec 2511. ...SCHOOL State science standards ; Graduating high or significantly improved percentage of students exhibited mastery in secondary
Index of Sec 2533. ...SCHOOL years ; Eligible partnerships receiving grant administering demonstration program funded through section over period of 2 consecutive
Index of Sec 2524. ...EDUCATION programs to reduce teen pregnancy or sexually transmitted diseases ; Amounts received by State under section to be used to conduct or support evidence-based
Index of Sec 2526. ...ALCOHOL treatment programs, nutrition and physical activity programs ; Additional counseling for at-risk mothers including smoking cesations programs, drug treatment programs,
Index of Sec 2532. ...SOCIAL ; Developing and implement standardized systems for improved access, utilization and quality of
Index of Sec 2532. ...SOCIAL services and other services as proposed by network ; Transportation, language services, enrollment counselors,
Index of Sec 2534. ...HEALTH-related social services under Federal ; Describing plans to enhance capacity of individuals to utilize health services and
Index of Sec 2530. ...HEALTH-related social services to individuals being underserved with respect to services ; Experience in providing health or
Index of Sec 2530. ...ADDICTION medicine ; Social work, marriage and family therapy, professional mental health or substance abuse counseling or
Index of Sec 2522. ...ASSESSMENT ; Entity establishing steering committee to provide input on
Index of Sec 2535. ...SUBSPECIALTIES ; Term interdiscipations meaning collaboration across health professions, specialties and
Index of Sec 2522. ...CHRONIC conditions by teaching more effective management techniques focusing on individual self-care and patient-driven decisionmaking ; Term wellness services meaning health-related service or intervention designed to reduce identifiable health risks and increase healthy behaviors intended to prevent onset of disease or lessening impact of existing
Index of Sec 2512. ...HEALTH care needs of vulnerable populations ; Supporting teaching programs addressing
Index of Sec 2522. ...TELEHEALTH networks ; Awarding grants under subsection for projects involving
Index of Sec 2523. ...TELEHEALTH resource centers ; Awarding grants under subsection for projects involving
Index of Sec 2523. ...IMPLEMENTATION of telehealth services ; Eligible entity having record of success in provision of technical assistance to providers serving medically underserved communities or populations in establishment and
Index of Sec 2523. ...TELEHEALTH services at national ; Eligible entity having demonstrated record of collaborating and sharing expertise with providers of
Index of Sec 2523. ...TELEHEALTH systems ; Eligible entity agreeing to use grant to establish or develop plans for
Index of Sec 2523. ...TELEHEALTH technology ; Developing projects to use
Index of Sec 2523. ...TITLE ; Participation in community-based collaborative care network not disqualifying health care provider from reimbursement under title XVIII, XIX or XXI of Social Security Act with respect to services otherwise reimbursable under
Index of Sec 2534. ...HEALTH needs of communities served by SBHCS ; Operational and administrative support and provision of information to SBHCS of variety of resources available under title and resources to be best used to meet
Index of Sec 2511. ...TITLE XVIII, XIX or XXI of Social Security Act with respect to services otherwise reimbursable under title ; Participation in community-based collaborative care network not disqualifying health care provider from reimbursement under
Index of Sec 2534. ...TITLE XXI of Social Security Act ; Educating and providing outreach regarding enrollment in health insurance including State Children's Health Insurance Program under
Index of Sec 2530. ...SCHOOL nurse ratio in public elementary and secondary schools served by agency being 750 or more students to every school nurse ; Term eligible local educational agency meaning local educational agency in which student-to-
Index of Sec 2536. ...SCHOOL nurse ratio in public elementary and secondary schools ; Secretary of Education making demonstration grants to eligible local educational agencies for purpose of reducing student-to-
Index of Sec 2536. ...HEALTH of students on learning ; Including evaluation of effectiveness of program in improving student-to-school nurse ratios described in subsection and evaluation of impact of resulting enhanced
Index of Sec 2536. ...TOBACCO cesations ; Health and wellness services including services for
Index of Sec 2513. ...BEHAVIORAL health professionals being participants programming and plan to teach in field of mental and behavioral health ; Providing financial assistance in form of traineeships and fellowships to mental and
Index of Sec 2522. ...EDUCATION and training designed to enhance understanding and appropriate use of medications by patient, caregiver and other authorized representative ; Providing
Index of Sec 2528. ...PRIMARY care services and wellness services ; Training and technical assistance related to provision of comprehensive
Index of Sec 2512. ...CREDIT courses ; Developing mechanisms to provide training and technical assistance including for-
Index of Sec 2527. ...ASSESSMENT and provision of supports and services ; Serving as research-based resource for Federal and State policymakers on information concerning provision of training and technical assistance for
Index of Sec 2527. ...AUTISM ; Collecting data on outcomes of training and technical assistance programs to meet statewide needs for expansion of services to children and adults with
Index of Sec 2527. ...TRAINING funds as provided under section 302(c)(6) of Labor Management Relations Act, 1947 29 USC 186(c)(6) ; Health care entity jointly administered by health care employer and labor union representing health care employees of employer and carries out activities using labor-management
Index of Sec 2521. ...TRAINING initiatives and providing access to training modules and technical assistance practices and other materials developed by grantees ; Developing Web portal providing linkages to individual
Index of Sec 2527. ...ASSESSMENT, interventions, services, treatment and supports for children and adults with autism ; Convening experts from multiple interdiscipations training programs, individuals with autism and families of individuals to discuss and make recommendations with regard to training issues related to
Index of Sec 2527. ...TRAINING modules and technical assistance practices and other materials developed by grantees ; Developing Web portal providing linkages to individual training initiatives and providing access to
Index of Sec 2527. ...HEALTH care labor organizations or other organizations representing staff nurses and frontline health care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through education and training organizations jointly administered by health care providers and
Index of Sec 2521. ...TRAINING program jointly administered ; Entity operating
Index of Sec 2521. ...EDUCATION and training organizations jointly administered by health care providers and health care labor organizations or other organizations representing staff nurses and frontline health care workers working in collaboration with accredited schools of nursing and academic institutions ; Providing training programs through
Index of Sec 2521. ...CAREER centers, community-based organizations, community colleges and accredited schools of nursing ; Labor organizations including joint labor-management training programs and including representatives from local governments worker investment agency one-stop
Index of Sec 2521. ...PSYCHOLOGY ; Not less than 15 percent to be used for training programs in
Index of Sec 2522. ...ASSESSMENT, interventions, services, treatment and supports for children and adults with autism ; Convening experts from multiple interdiscipations training programs, individuals with autism and families of individuals to discuss and make recommendations with regard to training issues related to
Index of Sec 2527. ...SOCIAL services and other services as proposed by network ; Transportation, language services, enrollment counselors,
Index of Sec 2534. ...TRIBAL organization under Indian Self-Determination and Education Assistance Act ; Program administered by Indian Health Service or Bureau of Indian Affairs or operated by Indian tribe or
Index of Sec 2511. ...TUITION assistance with preference for dedicated cohort classes in community colleges, universities and accredited schools of nursing with supportive services including tutoring and counseling ; Providing
Index of Sec 2521. ...LABOR-management training fund or other jointly administered program ; Payment of tuition assistance managed by joint
Index of Sec 2521. ...UNDERTAKEN with funds reserved under section 402a(c)(1) for Common Fund or otherwise available for initiatives ; Consulations with Division of Program Coordination, Planning and Strategic Initiatives developing and submitting to Director of NIH recommendations on appropriate pain research initiatives to be
Index of Sec 2562. ...VACCINATION of children 5 through 19 years of age ; Program under section to be designed to administer vaccines consistent with recommendations of Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices for annual
Index of Sec 2524. ...SCHOOL-based vaccination assists in achieving recommendations of Advisory Committee on Immunization Practices ; Comparing to national average influenza vaccination rates for school-aged children including whether
Index of Sec 2524. ...INFLUENZA vaccine administered outside of physician's office in school or other related setting ; Including costs of purchasing and administering vaccine incurred when
Index of Sec 2524. ...PREGNANCY in various ways ; Director of National Institute of Mental Health conducting nationally representative longitudinal study on relative mental health consequences for women of resolving
Index of Sec 2529. ...WOMEN and infants ; Educational and clinical services to promote healthy pregnancies, full term births and healthy infancies delivered to
Index of Sec 2532. ...CONTRIBUTIONS to be made directly or donations from public or private entities or provided through cash equivalent of paid release time provided to incumbent worker students ;
Index of Sec 2521. ...HEALTH or nutrition within community in which individual residing ; Term community health worker meaning individual promoting
Index of Sec 2530. ...HEALTH workers under programs funded under section and assuring cost-effectiveness of programs ; Secretary establishing guidelines for assuring quality of training and supervision of community
Index of Sec 2530. ...HEALTH care workers or staff nurses having direct input as to leadership of organization ; One or more organizations representing interests of direct care health care workers or staff nurses and direct care
Index of Sec 2521. ...CAREER centers, community-based organizations, community colleges and accredited schools of nursing ; Labor organizations including joint labor-management training programs and including representatives from local governments worker investment agency one-stop
Index of Sec 2521. ...WORKER program receiving funds under grant providing services in cultural context ; Community health
Index of Sec 2530. ...WORKER programs receiving funds under grant ; Applicant evaluating effectiveness of community health
Index of Sec 2530. ...WORKER programs receiving funds under section to collaborate with academic institutions ; Secretary encouraging community health
Index of Sec 2530. ...PAYMENT system ; Secretary encouraging community health worker programs receiving funding under section to implement outcome-based
Index of Sec 2530. ...COMPLIANCE with guidelines established under subsection ; Secretary monitoring community health worker programs identified in approved applications under section and determining whether programs in
Index of Sec 2530. ...WORKER programs identified in approved applications under section with respect to planning, developing and operating programs under grant ; Secretary providing technical assistance to community health
Index of Sec 2530. ...WORKER programs developed or assisted under section ; Recommendations for sustaining community health
Index of Sec 2530. ...1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
(a) In general.—Part Q of title III (42 U.S.C. 280h et seq.) is amended by adding at the end the following:
“(a) Program.—The Secretary shall establish a school-based health clinic program consisting of awarding grants to eligible entities to support the operation of school-based health clinics (referred to in this section as ‘SBHCs’).
“(b) Eligibility.—To be eligible for a grant under this section, an entity shall—
“(1) be an SBHC (as defined in subsection (l)(3)); and
“(2) submit an application at such time, in such manner, and containing such information as the Secretary may require, including at a minimum—
“(A) evidence that the applicant meets all criteria necessary to be designated as an SBHC;
“(B) evidence of local need for the services to be provided by the SBHC;
“(i) SBHC services will be provided in accordance with Federal, State, and local laws;
“(ii) the SBHC has established and maintains collaborative relationships with other health care providers in the catchment area of the SBHC;
“(iii) the SBHC will provide onsite access during the academic day when school is in session and has an established network of support and access to services with backup health providers when the school or SBHC is closed;
“(iv) the SBHC will be integrated into the school environment and will coordinate health services with appropriate school personnel and other community providers co-located at the school; and
“(v) the SBHC sponsoring facility assumes all responsibility for the SBHC administration, operations, and oversight; and
“(D) such other information as the Secretary may require.
“(c) Use of funds.—Funds awarded under a grant under this section—
“(A) providing training related to the provision of comprehensive primary health services and additional health services;
“(B) the management and operation of SBHC programs, including through subcontracts; and
“(C) the payment of salaries for health professionals and other appropriate SBHC personnel; and
“(2) may not be used to provide abortions.
“(d) Consideration of need.—In determining the amount of a grant under this section, the Secretary shall take into consideration—
“(1) the financial need of the SBHC;
“(2) State, local, or other sources of funding provided to the SBHC; and
“(3) other factors as determined appropriate by the Secretary.
“(e) Preferences.—In awarding grants under this section, the Secretary shall give preference to SBHCs that have a demonstrated record of service to at least one of the following:
“(1) A high percentage of medically underserved children and adolescents.
“(2) Communities or populations in which children and adolescents have difficulty accessing health and mental health services.
“(3) Communities with high percentages of children and adolescents who are uninsured, underinsured, or eligible for medical assistance under Federal or State health benefits programs (including titles XIX and XXI of the Social Security Act).
“(f) Matching requirement.—The Secretary may award a grant to an SBHC under this section only if the SBHC agrees to provide, from non-Federal sources, an amount equal to 20 percent of the amount of the grant (which may be provided in cash or in kind) to carry out the activities supported by the grant.
“(g) Supplement, not supplant.—The Secretary may award a grant to an SBHC under this section only if the SBHC demonstrates to the satisfaction of the Secretary that funds received through the grant will be expended only to supplement, and not supplant, non-Federal and Federal funds otherwise available to the SBHC for operation of the SBHC (including each activity described in paragraph (1) or (2) of subsection (c)).
“(h) Payor of last resort.—The Secretary may award a grant to an SBHC under this section only if the SBHC demonstrates to the satisfaction of the Secretary that funds received through the grant will not be expended for any activity to the extent that payment has been made, or can reasonably be expected to be made—
“(1) under any insurance policy;
“(2) under any Federal or State health benefits program (including titles XIX and XXI of the Social Security Act); or
“(3) by an entity which provides health services on a prepaid basis.
“(i) Regulations regarding reimbursement for health services.—The Secretary shall issue regulations regarding the reimbursement for health services provided by SBHCs to individuals eligible to receive such services through the program under this section, including reimbursement under any insurance policy or any Federal or State health benefits program (including titles XIX and XXI of the Social Security Act).
“(j) Technical Assistance.—The Secretary shall provide (either directly or by grant or contract) technical and other assistance to SBHCs to assist such SBHCs to meet the requirements of this section. Such assistance may include fiscal and program management assistance, training in fiscal and program management, operational and administrative support, and the provision of information to the SBHCs of the variety of resources available under this title and how those resources can be best used to meet the health needs of the communities served by the SBHCs.
“(k) Evaluation; report.—The Secretary shall—
“(1) develop and implement a plan for evaluating SBHCs and monitoring quality performances under the awards made under this section; and
“(2) submit to the Congress on an annual basis a report on the program under this section.
“(l) Definitions.—In this section:
“(1) COMPREHENSIVE PRIMARY HEALTH SERVICES.—The term ‘comprehensive primary health services’ means the core services offered by SBHCs, which—
“(i) comprehensive health assessments, diagnosis, and treatment of minor, acute, and chronic medical conditions and referrals to, and followup for, specialty care; and
“(ii) mental health assessments, crisis intervention, counseling, treatment, and referral to a continuum of services including emergency psychiatric care, community support programs, inpatient care, and outpatient programs; and
“(B) may include additional services, such as oral health, social, and age-appropriate health education services, including nutritional counseling.
“(2) MEDICALLY UNDERSERVED CHILDREN AND ADOLESCENTS.—The term ‘medically underserved children and adolescents’ means a population of children and adolescents who are residents of an area designated by the Secretary as an area with a shortage of personal health services and health infrastructure for such children and adolescents.
“(3) SCHOOL-BASED HEALTH CLINIC.—The term ‘school-based health clinic’ means a health clinic that—
“(A) is located in, or is adjacent to, a school facility of a local educational agency;
“(B) is organized through school, community, and health provider relationships;
“(C) is administered by a sponsoring facility;
“(D) provides comprehensive primary health services during school hours to children and adolescents by health professionals in accordance with State and local laws and regulations, established standards, and community practice; and
“(E) does not perform abortion services.
“(4) SPONSORING FACILITY.—The term ‘sponsoring facility’ is—
“(A) a hospital;
“(B) a public health department;
“(C) a community health center;
“(D) a nonprofit health care entity whose mission is to provide access to comprehensive primary health care services;
“(E) a local educational agency; or
“(F) a program administered by the Indian Health Service or the Bureau of Indian Affairs or operated by an Indian tribe or a tribal organization under the Indian Self-Determination and Education Assistance Act, a Native Hawaiian entity, or an urban Indian program under title V of the Indian Health Care Improvement Act.
“(m) Authorization of appropriations.—For purposes of carrying out this section, there are authorized to be appropriated $50,000,000 for fiscal year 2011 and such sums as may be necessary for each of fiscal years 2012 through 2015.”.
(b) Effective date.—The Secretary of Health and Human Services shall begin awarding grants under section 399Z–1 of the Public Health Service Act, as added by subsection (a), not later than July 1, 2010, without regard to whether or not final regulations have been issued under section 399Z–1(i) of such Act.
(c) Termination of study.—Section 2(b) of the Health Care Safety Net Act of 2008 (42 U.S.C. 254b note) is amended by striking paragraph (2) (relating to a school-based health center study).
Title III (42 U.S.C. 241 et seq.) is amended by adding at the end the following:
“(a) Program.—The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a nurse-managed health center program consisting of awarding grants to entities under subsection (b).
“(b) Grant.—The Secretary shall award grants to entities—
“(1) to plan and develop a nurse-managed health center; or
“(2) to operate a nurse-managed health center.
“(c) Use of funds.—Amounts received as a grant under subsection (b) may be used for activities including the following:
“(1) Purchasing or leasing equipment.
“(2) Training and technical assistance related to the provision of comprehensive primary care services and wellness services.
“(3) Other activities for planning, developing, or operating, as applicable, a nurse-managed health center.
“(d) Assurances applicable to both planning and operation grants.—
“(1) IN GENERAL.—The Secretary may award a grant under this section to an entity only if the entity demonstrates to the Secretary’s satisfaction that—
“(A) nurses, in addition to managing the center, will be adequately represented as providers at the center; and
“(B) not later than 90 days after receiving the grant, the entity will establish a community advisory committee composed of individuals, a majority of whom are being served by the center, to provide input into the nurse-managed health center’s operations.
“(2) MATCHING REQUIREMENT.—The Secretary may award a grant under this section to an entity only if the entity agrees to provide, from non-Federal sources, an amount equal to 20 percent of the amount of the grant (which may be provided in cash or in kind) to carry out the activities supported by the grant.
“(3) PAYOR OF LAST RESORT.—The Secretary may award a grant under this section to an entity only if the entity demonstrates to the satisfaction of the Secretary that funds received through the grant will not be expended for any activity to the extent that payment has been made, or can reasonably be expected to be made—
“(A) under any insurance policy;
“(B) under any Federal or State health benefits program (including titles XIX and XXI of the Social Security Act); or
“(C) by an entity which provides health services on a prepaid basis.
“(4) MAINTENANCE OF EFFORT.—The Secretary may award a grant under this section to an entity only if the entity demonstrates to the satisfaction of the Secretary that—
“(A) funds received through the grant will be expended only to supplement, and not supplant, non-Federal and Federal funds otherwise available to the entity for the activities to be funded through the grant; and
“(B) with respect to such activities, the entity will maintain expenditures of non-Federal amounts for such activities at a level not less than the lesser of such expenditures maintained by the entity for the fiscal year preceding the fiscal year for which the entity receives the grant.
“(e) Additional assurance for planning grants.—The Secretary may award a grant under subsection (b)(1) to an entity only if the entity agrees—
“(1) to assess the needs of the medically underserved populations proposed to be served by the nurse-managed health center; and
“(2) to design services and operations of the nurse-managed health center for such populations based on such assessment.
“(f) Additional assurance for operation grants.—The Secretary may award a grant under subsection (b)(2) to an entity only if the entity assures that the nurse-managed health center will provide—
“(1) comprehensive primary care services, wellness services, and other health care services deemed appropriate by the Secretary;
“(2) care without respect to insurance status or income of the patient; and
“(3) direct access to client-centered services offered by advanced practice nurses, other nurses, physicians, physician assistants, or other qualified health professionals.
“(g) Technical assistance.—The Secretary shall provide (either directly or by grant or contract) technical and other assistance to nurse-managed health centers to assist such centers in meeting the requirements of this section. Such assistance may include fiscal and program management assistance, training in fiscal and program management, operational and administrative support, and the provision of information to nurse-managed health centers regarding the various resources available under this section and how those resources can best be used to meet the health needs of the communities served by nurse-managed health centers.
“(h) Report.—The Secretary shall submit to the Congress an annual report on the program under this section.
“(i) Definitions.—In this section:
“(1) COMPREHENSIVE PRIMARY CARE SERVICES.—The term ‘comprehensive primary care services’ has the meaning given to the term ‘required primary health services’ in section 330(b)(1).
“(2) MEDICALLY UNDERSERVED POPULATION.—The term ‘medically underserved population’ has the meaning given to such term in section 330(b)(3).
“(3) NURSE-MANAGED HEALTH CENTER.—The term ‘nurse-managed health center’ has the meaning given to such term in section 801.
“(4) WELLNESS SERVICES.—The term ‘wellness services’ means any health-related service or intervention, not including primary care, which is designed to reduce identifiable health risks and increase healthy behaviors intended to prevent the onset of disease or lessen the impact of existing chronic conditions by teaching more effective management techniques that focus on individual self-care and patient-driven decisionmaking.
“(j) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.”.
Section 1913 (42 U.S.C. 300x–3) is amended—
(1) in subsection (a)(2)(A), by striking “community mental health services” and inserting “behavioral health services (of the type offered by federally qualified behavioral health centers consistent with subsection (c)(3))”;
(A) by striking paragraph (1) and inserting the following:
“(1) services under the plan will be provided only through appropriate, qualified community programs (which may include federally qualified behavioral health centers, child mental health programs, psychosocial rehabilitation programs, mental health peer-support programs, and mental health primary consumer-directed programs); and”; and
(B) in paragraph (2), by striking “community mental health centers” and inserting “federally qualified behavioral health centers”; and
(3) by striking subsection (c) and inserting the following: “(c) Criteria for federally qualified behavioral health centers.— “(1) IN GENERAL.—The Administrator shall certify, and recertify at least every 5 years, federally qualified behavioral health centers as meeting the criteria specified in this subsection. “(2) REGULATIONS.—Not later than 18 months after the date of the enactment of the Affordable Health Care for America Act, the Administrator shall issue final regulations for certifying centers under paragraph (1). “(3) CRITERIA.—The criteria referred to in subsection (b)(2) are that the center performs each of the following: “(A) Provide services in locations that ensure services will be available and accessible promptly and in a manner which preserves human dignity and assures continuity of care. “(B) Provide services in a mode of service delivery appropriate for the target population. “(C) Provide individuals with a choice of service options where there is more than one efficacious treatment. “(D) Employ a core staff of clinical staff that is multidisciplinary and culturally and linguistically competent. “(E) Provide services, within the limits of the capacities of the center, to any individual residing or employed in the service area of the center. “(F) Provide, directly or through contract, to the extent covered for adults in the State Medicaid plan and for children in accordance with section 1905(r) of the Social Security Act regarding early and periodic screening, diagnosis, and treatment, each of the following services: “(i) Screening, assessment, and diagnosis, including risk assessment. “(ii) Person-centered treatment planning or similar processes, including risk assessment and crisis planning. “(iii) Outpatient clinic mental health services, including screening, assessment, diagnosis, psychotherapy, substance abuse counseling, medication management, and integrated treatment for mental illness and substance abuse which shall be evidence-based (including cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and other such therapies which are evidence-based). “(iv) Outpatient clinic primary care services, including screening and monitoring of key health indicators and health risk (including screening for diabetes, hypertension, and cardiovascular disease and monitoring of weight, height, body mass index (BMI), blood pressure, blood glucose or HbA1C, and lipid profile). “(v) Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization. “(vi) Targeted case management (services to assist individuals gaining access to needed medical, social, educational, and other services and applying for income security and other benefits to which they may be entitled). “(vii) Psychiatric rehabilitation services including skills training, assertive community treatment, family psychoeducation, disability self-management, supported employment, supported housing services, therapeutic foster care services, multisystemic therapy, and such other evidence-based practices as the Secretary may require. “(viii) Peer support and counselor services and family supports.
“(G) Maintain linkages, and where possible enter into formal contracts with, inpatient psychiatric facilities and substance abuse detoxification and residential programs.
“(H) Make available to individuals served by the center, directly, through contract, or through linkages with other programs, each of the following:
“(i) Adult and youth peer support and counselor services.
“(ii) Family support services for families of children with serious mental disorders.
“(iii) Other community or regional services, supports, and providers, including schools, child welfare agencies, juvenile and criminal justice agencies and facilities, housing agencies and programs, employers, and other social services.
“(iv) Onsite or offsite access to primary care services.
“(v) Enabling services, including outreach, transportation, and translation.
“(vi) Health and wellness services, including services for tobacco cessation.”.
(a) Purposes.—It is the purpose of this section to authorize grants to—
(1) address the projected shortage of nurses by funding comprehensive programs to create a career ladder to nursing (including certified nurse assistants, licensed practical nurses, licensed vocational nurses, and registered nurses) for incumbent ancillary health care workers;
(2) increase the capacity for educating nurses by increasing both nurse faculty and clinical opportunities through collaborative programs between staff nurse organizations, health care providers, and accredited schools of nursing; and
(3) provide training programs through education and training organizations jointly administered by health care providers and health care labor organizations or other organizations representing staff nurses and frontline health care workers, working in collaboration with accredited schools of nursing and academic institutions.
(b) Grants.—Not later than 6 months after the date of the enactment of this Act, the Secretary of Labor (referred to in this section as the “Secretary”) shall establish a partnership grant program to award grants to eligible entities to carry out comprehensive programs to provide education to nurses and create a pipeline to nursing for incumbent ancillary health care workers who wish to advance their careers, and to otherwise carry out the purposes of this section.
(c) Eligibility.—To be eligible for a grant under this section, an entity shall be—
(1) a health care entity that is jointly administered by a health care employer and a labor union representing the health care employees of the employer and that carries out activities using labor-management training funds as provided for under section 302(c)(6) of the Labor Management Relations Act, 1947 (29 U.S.C. 186(c)(6));
(2) an entity that operates a training program that is jointly administered by—
(A) one or more health care providers or facilities, or a trade association of health care providers; and
(B) one or more organizations which represent the interests of direct care health care workers or staff nurses and in which the direct care health care workers or staff nurses have direct input as to the leadership of the organization;
(3) a State training partnership program that consists of nonprofit organizations that include equal participation from industry, including public or private employers, and labor organizations including joint labor-management training programs, and which may include representatives from local governments, worker investment agency one-stop career centers, community-based organizations, community colleges, and accredited schools of nursing; or
(4) a school of nursing (as defined in section 801 of the Public Health Service Act (42 U.S.C. 296)).
(d) Additional requirements for health care employer described in subsection (c).—To be eligible for a grant under this section, a health care employer described in subsection (c) shall demonstrate that it—
(1) has an established program within its facility to encourage the retention of existing nurses;
(2) provides wages and benefits to its nurses that are competitive for its market or that have been collectively bargained with a labor organization; and
(3) supports programs funded under this section through 1 or more of the following:
(A) The provision of paid leave time and continued health coverage to incumbent health care workers to allow their participation in nursing career ladder programs, including certified nurse assistants, licensed practical nurses, licensed vocational nurses, and registered nurses.
(B) Contributions to a joint labor-management training fund which administers the program involved.
(C) The provision of paid release time, incentive compensation, or continued health coverage to staff nurses who desire to work full- or part-time in a faculty position.
(D) The provision of paid release time for staff nurses to enable them to obtain a bachelor of science in nursing degree, other advanced nursing degrees, specialty training, or certification program.
(E) The payment of tuition assistance which is managed by a joint labor-management training fund or other jointly administered program.
(A) IN GENERAL.—The Secretary may not make a grant under this section unless the applicant involved agrees, with respect to the costs to be incurred by the applicant in carrying out the program under the grant, to make available non-Federal contributions (in cash or in kind under subparagraph (B)) toward such costs in an amount equal to not less than $1 for each $1 of Federal funds provided in the grant. Such contributions may be made directly or through donations from public or private entities, or may be provided through the cash equivalent of paid release time provided to incumbent worker students.
(B) DETERMINATION OF AMOUNT OF NON-FEDERAL CONTRIBUTION.—Non-Federal contributions required in subparagraph (A) may be in cash or in kind (including paid release time), fairly evaluated, including equipment or services (and excluding indirect or overhead costs). Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.
(2) REQUIRED COLLABORATION.—Entities carrying out or overseeing programs carried out with assistance provided under this section shall demonstrate collaboration with accredited schools of nursing which may include community colleges and other academic institutions providing associate’s, bachelor's, or advanced nursing degree programs or specialty training or certification programs.
(f) Use of funds.—Amounts awarded to an entity under a grant under this section shall be used for the following:
(1) To carry out programs that provide education and training to establish nursing career ladders to educate incumbent health care workers to become nurses (including certified nurse assistants, licensed practical nurses, licensed vocational nurses, and registered nurses). Such programs shall include one or more of the following:
(A) Preparing incumbent workers to return to the classroom through English-as-a-second-language education, GED education, precollege counseling, college preparation classes, and support with entry level college classes that are a prerequisite to nursing.
(B) Providing tuition assistance with preference for dedicated cohort classes in community colleges, universities, and accredited schools of nursing with supportive services including tutoring and counseling.
(C) Providing assistance in preparing for and meeting all nursing licensure tests and requirements.
(D) Carrying out orientation and mentorship programs that assist newly graduated nurses in adjusting to working at the bedside to ensure their retention postgraduation, and ongoing programs to support nurse retention.
(E) Providing stipends for release time and continued health care coverage to enable incumbent health care workers to participate in these programs.
(2) To carry out programs that assist nurses in obtaining advanced degrees and completing specialty training or certification programs and to establish incentives for nurses to assume nurse faculty positions on a part-time or full-time basis. Such programs shall include one or more of the following:
(A) Increasing the pool of nurses with advanced degrees who are interested in teaching by funding programs that enable incumbent nurses to return to school.
(B) Establishing incentives for advanced degree bedside nurses who wish to teach in nursing programs so they can obtain a leave from their bedside position to assume a full- or part-time position as adjunct or full-time faculty without the loss of salary or benefits.
(C) Collaboration with accredited schools of nursing which may include community colleges and other academic institutions providing associate’s, bachelor's, or advanced nursing degree programs, or specialty training or certification programs, for nurses to carry out innovative nursing programs which meet the needs of bedside nursing and health care providers.
(g) Preference.—In awarding grants under this section the Secretary shall give preference to programs that—
(1) provide for improving nurse retention;
(2) provide for improving the diversity of the new nurse graduates to reflect changes in the demographics of the patient population;
(3) provide for improving the quality of nursing education to improve patient care and safety;
(4) have demonstrated success in upgrading incumbent health care workers to become nurses or which have established effective programs or pilots to increase nurse faculty; or
(5) are modeled after or affiliated with such programs described in paragraph (4).
(1) PROGRAM EVALUATIONS.—An entity that receives a grant under this section shall annually evaluate, and submit to the Secretary a report on, the activities carried out under the grant and the outcomes of such activities. Such outcomes may include—
(A) an increased number of incumbent workers entering an accredited school of nursing and in the pipeline for nursing programs;
(B) an increasing number of graduating nurses and improved nurse graduation and licensure rates;
(C) improved nurse retention;
(D) an increase in the number of staff nurses at the health care facility involved;
(E) an increase in the number of nurses with advanced degrees in nursing;
(F) an increase in the number of nurse faculty;
(G) improved measures of patient quality (which may include staffing ratios of nurses, patient satisfaction rates, and patient safety measures); and
(H) an increase in the diversity of new nurse graduates relative to the patient population.
(2) GENERAL REPORT.—Not later than 2 years after the date of the enactment of this Act, and annually thereafter, the Secretary of Labor shall, using data and information from the reports received under paragraph (1), submit to the Congress a report concerning the overall effectiveness of the grant program carried out under this section.
(i) 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 2011 through 2015.
Part E of title VII (42 U.S.C. 294n et seq.) is amended by adding at the end the following:
“(a) Program.—The Secretary, acting through the Administrator of the Health Resources and Services Administration and in consultation with the Administrator of the Substance Abuse and Mental Health Services Administration, shall establish an interdisciplinary mental and behavioral health training program consisting of awarding grants and contracts under subsection (b).
“(b) Support and development of mental and behavioral health 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 mental and behavioral health professionals to promote—
“(A) interdisciplinary training; and
“(B) coordination of the delivery of health care within and across settings, including health care institutions, community-based settings, and the patient’s home;
“(2) to provide financial assistance to mental and behavioral health professionals, who are participants in any such program, and who plan to work in the field of mental and behavioral health;
“(3) to plan, develop, operate, or participate in an accredited program for the training of mental and behavioral health professionals who plan to teach in the field of mental and behavioral health; and
“(4) to provide financial assistance in the form of traineeships and fellowships to mental and behavioral health professionals who are participants in any such program and who plan to teach in the field of mental and behavioral health.
“(c) Eligibility.—To be eligible for a grant or contract under subsection (b), an entity shall be—
“(1) an accredited health professions school, including an accredited school or program of psychology, psychiatry, social work, marriage and family therapy, professional mental health or substance abuse counseling, or addiction medicine;
“(2) an accredited public or nonprofit private hospital;
“(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 or contracts under this section, the Secretary shall give preference to entities that have a demonstrated record of at least one of the following:
“(1) Training a high or significantly improved percentage of health professionals who serve in underserved communities.
“(2) Supporting teaching programs that address the health care needs of vulnerable populations.
“(3) Training individuals who are from disadvantaged backgrounds (including racial and ethnic minorities underrepresented among mental and behavioral health professionals).
“(4) Training individuals who serve geriatric populations with an emphasis on underserved elderly.
“(5) Training individuals who serve pediatric populations with an emphasis on underserved children.
“(e) Report.—The Secretary shall submit to the Congress an annual report on the program under this section.
“(f) Definition.—In this section:
“(1) The term ‘interdisciplinary’ means collaboration across health professions, specialties, and subspecialties, which may include public health, nursing, allied health, dietetics or nutrition, and appropriate health specialties.
“(2) The term ‘mental and behavioral health professional’ means an individual training or practicing—
“(A) in psychology; general, geriatric, child or adolescent psychiatry; social work; marriage and family therapy; professional mental health or substance abuse counseling; or addiction medicine; or
“(B) another mental and behavioral health specialty, as deemed appropriate by the Secretary.
“(g) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated $60,000,000 for each of fiscal years 2011 through 2015. Of the amounts appropriated to carry out this section for a fiscal year, not less than 15 percent shall be used for training programs in psychology.”.
(a) Telehealth network and telehealth resource centers grant programs.—Section 330I (42 U.S.C. 254c–14) is amended—
(A) by striking paragraph (3) (relating to frontier communities); and
(B) by inserting after paragraph (2) the following:
“(3) HEALTH DISPARITIES.—The term ‘health disparities’ has the meaning given such term in section 3171.”;
(A) in subparagraph (B), by striking “and” at the end;
(B) in subparagraph (C), by striking the period at the end and inserting “; and”; and
(C) by adding at the end the following:
“(D) reduce health disparities.”;
(3) in subsection (f)(1)(B)(iii)—
(A) in subclause (VII), by inserting “, including skilled nursing facilities” before the period at the end;
(B) in subclause (IX), by inserting “, including county mental health and public mental health facilities” before the period at the end; and
(C) by adding at the end the following:
“(XIII) Renal dialysis facilities.”;
(4) by amending subsection (i) to read as follows: “(1) TELEHEALTH NETWORKS.—In awarding grants under subsection (d)(1) for projects involving telehealth networks, the Secretary shall give preference to eligible entities meeting at least one of the following: “(A) NETWORK.—The eligible entity is a health care provider in, or proposing to form, a health care network that furnishes services in a medically underserved area or a health professional shortage area. “(B) BROAD GEOGRAPHIC COVERAGE.—The eligible entity demonstrates broad geographic coverage in the rural or medically underserved areas of the State or States in which the entity is located. “(C) HEALTH DISPARITIES.—The eligible entity demonstrates how the project to be funded through the grant will address health disparities. “(D) LINKAGES.—The eligible entity agrees to use the grant to establish or develop plans for telehealth systems that will link rural hospitals and rural health care providers to other hospitals, health care providers, and patients. “(E) EFFICIENCY.—The eligible entity agrees to use the grant to promote greater efficiency in the use of health care resources. “(F) VIABILITY.—The eligible entity demonstrates the long-term viability of projects through— “(i) availability of non-Federal funding sources; or “(ii) institutional and community support for the telehealth network.
“(G) SERVICES.—The eligible entity provides a plan for coordinating system use by eligible entities and prioritizes use of grant funds for health care services over nonclinical uses.
“(2) TELEHEALTH RESOURCE CENTERS.—In awarding grants under subsection (d)(2) for projects involving telehealth resource centers, the Secretary shall give preference to eligible entities meeting at least one of the following:
“(A) PROVISION OF A BROAD RANGE OF SERVICES.—The eligible entity has a record of success in the provision of a broad range of telehealth services to medically underserved areas or populations.
“(B) PROVISION OF TELEHEALTH TECHNICAL ASSISTANCE.—The eligible entity has a record of success in the provision of technical assistance to providers serving medically underserved communities or populations in the establishment and implementation of telehealth services.
“(C) COLLABORATION AND SHARING OF EXPERTISE.—The eligible entity has a demonstrated record of collaborating and sharing expertise with providers of telehealth services at the national, regional, State, and local levels.”;
(5) in subsection (j)(2)(B), by striking “such projects for fiscal year 2001” and all that follows through the period and inserting “such projects for fiscal year 2010.”;
(A) in subparagraph (E)(i), by striking “transmission of medical data” and inserting “transmission and electronic archival of medical data”; and
(B) by amending subparagraph (F) to read as follows:
“(F) developing projects to use telehealth technology to—
“(i) facilitate collaboration between health care providers;
“(ii) promote telenursing services; or
“(iii) promote patient understanding and adherence to national guidelines for chronic disease and self-management of such conditions;”;
(7) in subsection (q), by striking “Not later than September 30, 2005” and inserting “Not later than 1 year after the date of the enactment of the Affordable Health Care for America Act, and annually thereafter”;
(8) by striking subsection (r);
(9) by redesignating subsection (s) as subsection (r); and
(10) in subsection (r) (as so redesignated)—
(i) by striking “and” before “such sums”; and
(ii) by inserting “, $10,000,000 for fiscal year 2011, and such sums as may be necessary for each of fiscal years 2012 through 2015” before the semicolon; and
(i) by striking “and” before “such sums”; and
(ii) by inserting “, $10,000,000 for fiscal year 2011, and such sums as may be necessary for each of fiscal years 2012 through 2015” before the period.
(b) Telemedicine; incentive grants regarding coordination among States.—Subsection (b) of section 330L (42 U.S.C. 254c–18) is amended by inserting “, $10,000,000 for fiscal year 2011, and such sums as may be necessary for each of fiscal years 2012 through 2015” before the period at the end.
(a) Purpose.—The Secretary of Health and Human Services in consultation with the Secretary of Education, shall award grants to eligible partnerships to carry out demonstration programs designed to test the feasibility of using the Nation’s elementary schools and secondary schools as influenza vaccination centers.
(b) In general.—The Secretary shall coordinate with the Secretary of Labor, the Secretary of Education, State Medicaid agencies, State insurance agencies, and private insurers to carry out a program consisting of awarding grants under subsection (c) to ensure that children have coverage for all reasonable and customary expenses related to influenza vaccinations, including the costs of purchasing and administering the vaccine incurred when influenza vaccine is administered outside of the physician’s office in a school or other related setting.
(1) GRANTS.—From amounts appropriated pursuant to subsection (l), the Secretary shall award grants to eligible partnerships to be used to provide influenza vaccinations to children in elementary and secondary schools, in coordination with school nurses, school health care programs, community health care providers, State insurance agencies, or private insurers.
(2) ACIP RECOMMENDATIONS.—The program under this section shall be designed to administer vaccines consistent with the recommendations of the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) for the annual vaccination of all children 5 through 19 years of age.
(3) PARTICIPATION VOLUNTARY.—Participation by a school or an individual shall be voluntary.
(d) Use of funds.—Eligible partnerships receiving a grant under this section shall ensure the maximum number of children access influenza vaccinations as follows:
(1) COVERED CHILDREN.—To the extent to which payment of the costs of purchasing or administering the influenza vaccine for children is not covered through other federally funded programs or through private insurance, eligible partnerships receiving a grant shall use funds to purchase and administer influenza vaccinations.
(2) CHILDREN COVERED BY OTHER FEDERAL PROGRAMS.—For children who are eligible under other federally funded programs for payment of the costs of purchasing or administering the influenza vaccine, eligible partnerships receiving a grant shall not use funds provided under this section for such costs.
(3) CHILDREN COVERED BY PRIVATE HEALTH INSURANCE.—For children who have private insurance, eligible partnerships receiving a grant shall offer assistance in accessing coverage for vaccinations administered through the program under this section.
(e) Privacy.—The Secretary shall ensure that the program under this section adheres to confidentiality and privacy requirements of section 264 of the Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. 1320d–2 note) and section 444 of the General Education Provisions Act (20 U.S.C. 1232g; commonly referred to as the “Family Educational Rights and Privacy Act of 1974”).
(f) Application.—An eligible partnership desiring a grant under this section shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.
(g) Duration.—Eligible partnerships receiving a grant shall administer a demonstration program funded through this section over a period of 2 consecutive school years.
(h) Choice of vaccine.—The program under this section shall not restrict the discretion of a health care provider to administer any influenza vaccine approved by the Food and Drug Administration for use in pediatric populations.
(i) Awards.—The Secretary shall award—
(1) a minimum of 10 grants in 10 different States to eligible partnerships that each include one or more public schools serving primarily low-income students; and
(2) a minimum of 5 grants in 5 different States to eligible partnerships that each include one or more public schools located in a rural local educational agency.
(j) Report.—Not later than 90 days following the completion of the program under this section, the Secretary shall submit to the Committees on Education and Labor, Energy and Commerce, and Appropriations of the House of Representatives and to the Committees on Health, Education, Labor, and Pensions and Appropriations of the Senate a report on the results of the program. The report shall include—
(1) an assessment of the influenza vaccination rates of school-age children in localities where the program is implemented, compared to the national average influenza vaccination rates for school-aged children, including whether school-based vaccination assists in achieving the recommendations of the Advisory Committee on Immunization Practices;
(2) an assessment of the utility of employing elementary schools and secondary schools as a part of a multistate, community-based pandemic response program that is consistent with existing Federal and State pandemic response plans;
(3) an assessment of the feasibility of using existing Federal and private insurance funding in establishing a multistate, school-based vaccination program for seasonal influenza vaccination;
(4) an assessment of the number of education days gained by students as a result of seasonal vaccinations based on absenteeism rates;
(5) a determination of whether the program under this section—
(A) increased vaccination rates in the participating localities; and
(B) was implemented for sufficient time for gathering enough valid data; and
(6) a recommendation on whether the program should be continued, expanded, or terminated.
(k) Definitions.—In this section:
(1) ELIGIBLE PARTNERSHIP.—The term “eligible partnership” means a local public health department, or another health organization defined by the Secretary as eligible to submit an application, and one or more elementary and secondary schools.
(2) ELEMENTARY SCHOOL.—The terms “elementary school” and “secondary school” have the meanings given such terms in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).
(3) LOW-INCOME.—The term “low-income” means a student, age 5 through 19, eligible for free or reduced-price lunch under the National School Lunch Act (42 U.S.C. 1751 et seq.).
(4) RURAL LOCAL EDUCATIONAL AGENCY.—The term “rural local educational agency” means an eligible local educational agency described in section 6211(b)(1) of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7345(b)(1)).
(5) SECRETARY.—Except as otherwise specified, the term “Secretary” means the Secretary of Health and Human Services.
(l) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.
Section 1509 of the Public Health Service Act (42 U.S.C. 300n–4a) is amended—
(A) by striking the heading and inserting “In general.—”; and
(B) in the matter preceding paragraph (1), by striking “may make grants” and all that follows through “purpose” and inserting the following: “may make grants to such States for the purpose”; and
(2) in subsection (d)(1), by striking “there are authorized” and all that follows through the period and inserting “there are authorized to be appropriated $70,000,000 for fiscal year 2011, $73,500,000 for fiscal year 2012, $77,000,000 for fiscal year 2013, $81,000,000 for fiscal year 2014, and $85,000,000 for fiscal year 2015.”.
Part B of title III (42 U.S.C. 243 et seq.) is amended by inserting after section 317T the following:
“(a) Program.—To the extent and in the amount of appropriations made in advance in appropriations Acts, the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish a program consisting of making grants, in amounts determined under subsection (c), to each State that submits an application in accordance with subsection (d) for an evidence-based education program described in subsection (b).
“(b) Use of funds.—Amounts received by a State under this section shall be used to conduct or support evidence-based education programs (directly or through grants or contracts to public or private nonprofit entities, including schools and community-based and faith-based organizations) to reduce teen pregnancy or sexually transmitted diseases.
“(c) Distribution of funds.—The Director shall, for fiscal year 2011 and each subsequent fiscal year, make a grant to each State described in subsection (a) in an amount equal to the product of—
“(1) the amount appropriated to carry out this section for the fiscal year; and
“(2) the percentage determined for the State under section 502(c)(1)(B)(ii) of the Social Security Act.
“(d) Application.—To seek a grant under this section, a State shall submit an application at such time, in such manner, and containing such information and assurance of compliance with this section as the Secretary may require. At a minimum, an application shall to the satisfaction of the Secretary—
“(1) describe how the State’s proposal will address the needs of at-risk teens in the State;
“(2) identify the evidence-based education program or programs selected from the registry developed under subsection (g) that will be used to address risks in priority populations;
“(3) describe how the program or programs will be implemented and any adaptations to the evidence-based model that will be made;
“(4) list any private and public entities with whom the State proposes to work, including schools and community-based and faith-based organizations, and demonstrate their capacity to implement the proposed program or programs; and
“(5) identify an independent entity that will evaluate the impact of the program or programs.
“(1) REQUIREMENT.—As a condition on receipt of a grant under this section, a State shall agree—
“(A) to arrange for an independent evaluation of the impact of the programs to be conducted or supported through the grant; and
“(B) submit reports to the Secretary on such programs and the results of evaluation of such programs.
“(2) FUNDING LIMITATION.—Of the amounts made available to a State through a grant under this section for any fiscal year, not more than 10 percent may be used for such evaluation.
“(f) Rule of construction.—This section shall not be construed to preempt or limit any State law regarding parental involvement and decisionmaking in children’s education.
“(g) Registry of eligible programs.—The Secretary shall develop not later than 180 days after the date of the enactment of the Affordable Health Care for America Act, and periodically update thereafter, a publicly available registry of programs described in subsection (b) that, as determined by the Secretary—
“(1) meet the definition of the term ‘evidence-based’ in subsection (i);
“(2) are medically and scientifically accurate; and
“(3) provide age-appropriate information.
“(h) Matching funds.—The Secretary may award a grant to a State under this section for a fiscal year only if the State agrees to provide, from non-Federal sources, an amount equal to $1 (in cash or in kind) for each $4 provided through the grant to carry out the activities supported by the grant.
“(i) Definition.—In this section, the term ‘evidence-based’ means based on a model that has been found, in methodologically sound research—
“(1) to delay initiation of sex;
“(2) to decrease number of partners;
“(3) to reduce teen pregnancy;
“(4) to reduce sexually transmitted infection rates; or
“(5) to improve rates of contraceptive use.
“(j) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated $50,000,000 for each of fiscal years 2011 through 2015.”.
Title I of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15001 et seq.) is amended by adding at the end the following:
“(a) Grants and technical assistance.—
“(A) IN GENERAL.—The Secretary, in consultation with the Interagency Autism Coordinating Committee, shall award multiyear grants to eligible entities to provide individuals (including parents and health, allied health, vocational, and educational professionals) with interdisciplinary training, continuing education, technical assistance, and information for the purpose of improving services rendered to children and adults with autism, and their families, to address unmet needs related to autism.
“(B) ELIGIBLE ENTITY.—To be eligible to receive a grant under this subsection, an entity shall be—
“(i) a University Center for Excellence in Developmental Disabilities Education, Research, and Service; or
“(ii) a comparable interdisciplinary education, research, and service entity.
“(C) APPLICATION REQUIREMENTS.—An entity that desires to receive a grant for a program under this paragraph shall submit to the Secretary an application—
“(i) demonstrating that the entity has capacity to—
“(I) provide training and technical assistance in evidence-based practices to evaluate, and provide effective interventions, services, treatments, and supports to, children and adults with autism and their families;
“(II) include individuals with autism and their families as part of the program to ensure that an individual- and family-centered approach is used;
“(III) share and disseminate materials and practices that are developed for, and evaluated to be effective in, the provision of training and technical assistance; and
“(IV) provide training, technical assistance, interventions, services, treatments, and supports under this subsection statewide.
“(ii) providing assurances that the entity will—
“(I) provide trainees under this subsection with an appropriate balance of interdisciplinary academic and community-based experiences; and
“(II) provide to the Secretary, in the manner prescribed by the Secretary, data regarding the number of individuals who have benefitted from, and outcomes of, the provision of training and technical assistance under this subsection;
“(iii) providing assurances that training, technical assistance, dissemination of information, and services under this subsection will be—
“(I) consistent with the goals of this Act, the Americans with Disabilities Act of 1990, the Individuals with Disabilities Education Act, and the Elementary and Secondary Education Act of 1965; and
“(II) conducted in coordination with relevant State agencies, institutions of higher education, and service providers; and
“(iv) containing such other information and assurances as the Secretary may require.
“(D) USE OF FUNDS.—A grant received under this subsection shall be used to provide individuals (including parents and health, allied health, vocational, and educational professionals) with interdisciplinary training, continuing education, technical assistance, and information for the purpose of improving services rendered to children and adults with autism, and their families, to address unmet needs related to autism. Such training, education, assistance, and information shall include each of the following:
“(i) Training health, allied health, vocational, and educational professionals to identify, evaluate the needs of, and develop interventions, services, treatments, and supports for, children and adults with autism.
“(ii) Developing model services and supports that demonstrate evidence-based practices.
“(iii) Developing systems and products that allow for the interventions, services, treatments, and supports to be evaluated for fidelity of implementation.
“(iv) Working to expand the availability of evidence-based, lifelong interventions; educational, employment, and transition services; and community supports.
“(v) Providing statewide technical assistance in collaboration with relevant State agencies, institutions of higher education, autism advocacy groups, and community-based service providers.
“(vi) Working to develop comprehensive systems of supports and services for individuals with autism and their families, including seamless transitions between education and health systems across the lifespan.
“(vii) Promoting training, technical assistance, dissemination of information, supports, and services.
“(viii) Developing mechanisms to provide training and technical assistance, including for-credit courses, intensive summer institutes, continuing education programs, distance based programs, and Web-based information dissemination strategies.
“(ix) Promoting activities that support community-based family and individual services and enable individuals with autism and related developmental disabilities to fully participate in society and achieve good quality-of-life outcomes.
“(x) Collecting data on the outcomes of training and technical assistance programs to meet statewide needs for the expansion of services to children and adults with autism.
“(E) AMOUNT OF GRANTS.—The amount of a grant to any entity for a fiscal year under this section shall be not less than $250,000.
“(2) TECHNICAL ASSISTANCE.—The Secretary shall reserve 2 percent of the amount appropriated to carry out this subsection for a fiscal year to make a grant to a national organization with demonstrated capacity for providing training and technical assistance to—
“(A) assist in national dissemination of specific information, including evidence-based best practices, from interdisciplinary training programs, and when appropriate, other entities whose findings would inform the work performed by entities awarded grants;
“(B) compile and disseminate strategies and materials that prove to be effective in the provision of training and technical assistance so that the entire network can benefit from the models, materials, and practices developed in individual centers;
“(C) assist in the coordination of activities of grantees under this subsection;
“(D) develop a Web portal that will provide linkages to each of the individual training initiatives and provide access to training modules, promising training, and technical assistance practices and other materials developed by grantees;
“(E) serve as a research-based resource for Federal and State policymakers on information concerning the provision of training and technical assistance for the assessment, and provision of supports and services for, children and adults with autism;
“(F) convene experts from multiple interdisciplinary training programs, individuals with autism, and the families of such individuals to discuss and make recommendations with regard to training issues related to assessment, interventions, services, treatment, and supports for children and adults with autism; and
“(H) undertake any other functions that the Secretary determines to be appropriate.
“(3) AUTHORIZATION OF APPROPRIATIONS.—To carry out this subsection, there are authorized to be appropriated $17,000,000 for fiscal year 2011 and such sums as may be necessary for each of fiscal years 2012 through 2015.
“(b) Expansion of the number of University Centers for Excellence in Developmental Disabilities Education, Research, and Service.—
“(1) GRANTS.—To provide for the establishment of up to 4 new University Centers for Excellence in Developmental Disabilities Education, Research, and Service, the Secretary shall award up to 4 grants to institutions of higher education.
“(2) APPLICABLE PROVISIONS.—Except for subsection (a)(3), the provisions of subsection (a) shall apply with respect to grants under this subsection to the same extent and in the same manner as such provisions apply with respect to grants under subsection (a).
“(3) PRIORITY.—In awarding grants under this subsection, the Secretary shall give priority to applicants that—
“(A) are minority institutions that have demonstrated capacity to meet the requirements of this section and provide services to individuals with autism and their families; or
“(B) are located in a State with one or more underserved populations.
“(4) AUTHORIZATION OF APPROPRIATIONS.—To carry out this subsection, there is authorized to be appropriated $2,000,000 for each of fiscal years 2011 through 2015.
“(c) Definitions.—In this section:
“(1) The term ‘autism’ means an autism spectrum disorder or a related developmental disability.
“(2) The term ‘interventions’ means educational methods and positive behavioral support strategies designed to improve or ameliorate symptoms associated with autism.
“(3) The term ‘minority institution’ has the meaning given to such term in section 365 of the Higher Education Act of 1965.
“(4) The term ‘services’ means services to assist individuals with autism to live more independently in their communities.
“(5) The term ‘treatments’ means health services, including mental health services, designed to improve or ameliorate symptoms associated with autism.
“(6) The term ‘University Center for Excellence in Developmental Disabilities Education, Research, and Service’ means a University Center for Excellence in Development Disabilities Education, Research, and Service that has been or is funded through subtitle D or subsection (b).”.
(a) In general.—The Secretary of Health and Human Services (referred to in this section as the “Secretary”), acting through the Director of the Agency for Health Care Research and Quality, shall establish a program to provide grants to eligible entities to implement medication management services (referred to in this section as “MTM services”) provided by licensed pharmacists, as a part of a collaborative, multidisciplinary, interprofessional approach to the treatment of chronic diseases for targeted individuals, to improve the quality of care and reduce overall cost in the treatment of such diseases. The Secretary shall commence the grant program not later than May 1, 2011.
(b) Eligible entities.—To be eligible to receive a grant under subsection (a), an entity shall—
(1) provide a setting appropriate for MTM services, as recommended by the experts described in subsection (e);
(2) submit to the Secretary a plan for achieving long-term financial sustainability;
(3) where applicable, submit a plan for coordinating MTM services with other local providers and where applicable, through or in collaboration with the Medicare Medical Home Pilot program as established by section 1866F of the Social Security Act, as added by section 1302(a) of this Act;
(4) submit a plan for meeting the requirements under subsection (c); and
(5) submit to the Secretary such other information as the Secretary may require.
(c) MTM services to targeted individuals.—The MTM services provided with the assistance of a grant awarded under subsection (a) shall, as allowed by State law (including applicable collaborative pharmacy practice agreements), include—
(1) performing or obtaining necessary assessments of the health and functional status of each patient receiving such MTM services;
(2) formulating a medication treatment plan according to therapeutic goals agreed upon by the prescriber and the patient or caregiver or authorized representative of the patient;
(3) selecting, initiating, modifying, recommending changes to, or administering medication therapy;
(4) monitoring, which may include access to, ordering, or performing laboratory assessments, and evaluating the response of the patient to therapy, including safety and effectiveness;
(5) performing an initial comprehensive medication review to identify, resolve, and prevent medication-related problems, including adverse drug events, quarterly targeted medication reviews for ongoing monitoring, and additional followup interventions on a schedule developed collaboratively with the prescriber;
(6) documenting the care delivered and communicating essential information about such care (including a summary of the medication review) and the recommendations of the pharmacist to other appropriate health care providers of the patient in a timely fashion;
(7) providing education and training designed to enhance the understanding and appropriate use of the medications by the patient, caregiver, and other authorized representative;
(8) providing information, support services, and resources and strategies designed to enhance patient adherence with therapeutic regimens;
(9) coordinating and integrating MTM services within the broader health care management services provided to the patient; and
(10) such other patient care services as are allowed under the scopes of practice for pharmacists for purposes of other Federal programs.
(d) Targeted individuals.—MTM services provided by licensed pharmacists under a grant awarded under subsection (a) shall be offered to targeted individuals who—
(1) take 4 or more prescribed medications (including over-the-counter and dietary supplements);
(2) take any high-risk medications;
(3) have 2 or more chronic diseases, as identified by the Secretary; or
(4) have undergone a transition of care, or other factors, as determined by the Secretary, that are likely to create a high risk of medication-related problems.
(e) Consultation with experts.—In designing and implementing MTM services provided under grants awarded under subsection (a), the Secretary shall consult with Federal, State, private, public-private, and academic entities, pharmacy and pharmacist organizations, health care organizations, consumer advocates, chronic disease groups, and other stakeholders involved with the research, dissemination, and implementation of pharmacist-delivered MTM services, as the Secretary determines appropriate. The Secretary, in collaboration with this group, shall determine whether it is possible to incorporate rapid cycle process improvement concepts in use in other Federal programs that have implemented MTM services.
(f) Reporting to the Secretary.—An entity that receives a grant under subsection (a) shall submit to the Secretary a report that describes and evaluates, as requested by the Secretary, the activities carried out under subsection (c), including quality measures, as determined by the Secretary.
(g) Evaluation and report.—The Secretary shall submit to the relevant committees of Congress a report which shall—
(1) assess the clinical effectiveness of pharmacist-provided services under the MTM services program, as compared to usual care, including an evaluation of whether enrollees maintained better health with fewer hospitalizations and emergency room visits than similar patients not enrolled in the program;
(2) assess changes in overall health care resource of targeted individuals;
(3) assess patient and prescriber satisfaction with MTM services;
(4) assess the impact of patient-cost-sharing requirements on medication adherence and recommendations for modifications;
(5) identify and evaluate other factors that may impact clinical and economic outcomes, including demographic characteristics, clinical characteristics, and health services use of the patient, as well as characteristics of the regimen, pharmacy benefit, and MTM services provided; and
(6) evaluate the extent to which participating pharmacists who maintain a dispensing role have a conflict of interest in the provision of MTM services, and if such conflict is found, provide recommendations on how such a conflict might be appropriately addressed.
(h) Grant To fund development of performance measures.—The Secretary may award grants or contracts to eligible entities for the purpose of funding the development of performance measures that assess the use and effectiveness of medication therapy management services.
(a) Expansion and intensification of activities.—
(1) CONTINUATION OF ACTIVITIES.—The Secretary is encouraged to expand and intensify activities on postpartum conditions.
(2) PROGRAMS FOR POSTPARTUM CONDITIONS.—In carrying out paragraph (1), the Secretary is encouraged to continue research to expand the understanding of the causes of, and treatments for, postpartum conditions, including conducting and supporting the following:
(A) Basic research concerning the etiology and causes of the conditions.
(B) Epidemiological studies to address the frequency and natural history of the conditions and the differences among racial and ethnic groups with respect to the conditions.
(C) The development of improved screening and diagnostic techniques.
(D) Clinical research for the development and evaluation of new treatments.
(E) Information and education programs for health professionals and the public, which may include a coordinated national campaign that—
(i) is designed to increase the awareness and knowledge of postpartum conditions;
(ii) may include public service announcements through television, radio, and other means; and
(I) raising awareness about screening;
(II) educating new mothers and their families about postpartum conditions to promote earlier diagnosis and treatment; and
(III) ensuring that such education includes complete information concerning postpartum conditions, including its symptoms, methods of coping with the illness, and treatment resources.
(1) STUDY.—The Secretary shall conduct a study on the benefits of screening for postpartum conditions.
(2) REPORT.—Not later than 2 years after the date of the enactment of this Act, the Secretary shall complete the study required by paragraph (1) and submit a report to the Congress on the results of such study.
(c) Sense of Congress regarding longitudinal study of relative mental health consequences for women of resolving a pregnancy.—
(1) SENSE OF CONGRESS.—It is the sense of the Congress that the Director of the National Institute of Mental Health may conduct a nationally representative longitudinal study (during the period of fiscal years 2011 through 2020) on the relative mental health consequences for women of resolving a pregnancy (intended and unintended) in various ways, including carrying the pregnancy to term and parenting the child, carrying the pregnancy to term and placing the child for adoption, miscarriage, and having an abortion. This study may assess the incidence, timing, magnitude, and duration of the immediate and long-term mental health consequences (positive or negative) of these pregnancy outcomes.
(2) REPORT.—Beginning not later than 3 years after the date of the enactment of this Act, and periodically thereafter for the duration of the study, such Director may prepare and submit to the Congress reports on the findings of the study.
(d) Definitions.—In this section:
(1) The term “postpartum condition” means postpartum depression or postpartum psychosis.
(2) The term “Secretary” means the Secretary of Health and Human Services.
(e) Authorization of appropriations.—For the purpose of carrying out this section, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2013.
Part P of title III (42 U.S.C. 280g et seq.) is amended by adding at the end the following:
“(a) Grants Authorized.—The Secretary, in collaboration with the Director of the Centers for Disease Control and Prevention and other Federal officials determined appropriate by the Secretary, is authorized to award grants to eligible entities to promote positive health behaviors for populations in medically underserved communities through the use of community health workers.
“(b) Use of Funds.—Grants awarded under subsection (a) shall be used to support community health workers—
“(1) to educate, guide, and provide outreach in a community setting regarding health problems prevalent in medically underserved communities, especially racial and ethnic minority populations;
“(2) to educate, guide, and provide experiential learning opportunities that target behavioral risk factors including—
“(A) poor nutrition;
“(B) physical inactivity;
“(C) being overweight or obese;
“(D) tobacco use;
“(E) alcohol and substance use;
“(F) injury and violence;
“(G) risky sexual behavior;
“(H) untreated mental health problems;
“(I) untreated dental and oral health problems; and
“(J) understanding informed consent;
“(3) to educate and provide guidance regarding effective strategies to promote positive health behaviors within the family;
“(4) to educate and provide outreach regarding enrollment in health insurance including the State Children’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;
“(5) to educate and refer underserved populations to appropriate health care agencies and community-based programs and organizations in order to increase access to quality health care services, including preventive health services, and to eliminate duplicative care; or
“(6) to educate, guide, and provide home visitation services regarding maternal health and prenatal care.
“(1) IN GENERAL.—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.
“(2) CONTENTS.—Each application submitted pursuant to paragraph (1) shall—
“(A) describe the activities for which assistance is sought under this section;
“(B) contain an assurance that, with respect to each community health worker program receiving funds under the grant, such program will provide training and supervision to community health workers to enable such workers to provide authorized program services;
“(C) contain an assurance that the applicant will evaluate the effectiveness of community health worker programs receiving funds under the grant;
“(D) contain an assurance that each community health worker program receiving funds under the grant will provide services in the cultural context most appropriate for the individuals served by the program;
“(E) contain a plan to document and disseminate project descriptions and results to other States and organizations as identified by the Secretary; and
“(F) describe plans to enhance the capacity of individuals to utilize health services and health-related social services under Federal, State, and local programs by—
“(i) assisting individuals in establishing eligibility under the programs and in receiving the services or other benefits of the programs; and
“(ii) providing other services as the Secretary determines to be appropriate, that may include transportation and translation services.
“(d) Priority.—In awarding grants under subsection (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 including pulmonary conditions, hypertension, heart disease, mental disorders, diabetes, and asthma; and
“(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
“(3) have documented community activity and experience with community health workers.
“(e) Collaboration With Academic Institutions.—The Secretary shall encourage community health worker programs receiving funds under this section to collaborate with academic institutions, especially those that graduate a disproportionate number of health and health care students from underrepresented racial and ethnic minority backgrounds. Nothing in this section shall be construed to require such collaboration.
“(f) Evidence-Based Interventions.—The Secretary shall encourage community health worker programs receiving funding under this section to implement 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 construed to require such payment.
“(g) Quality Assurance and Cost Effectiveness.—The Secretary shall establish guidelines for assuring the quality of the training and supervision of community health workers under the programs funded under this section and for assuring the cost-effectiveness of such programs.
“(h) Monitoring.—The Secretary shall monitor community health worker programs identified in approved applications under this section and shall determine whether 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.
“(1) IN GENERAL.—Not later than 4 years after the date on which the Secretary first awards grants under subsection (a), the Secretary shall submit to Congress a report regarding the grant project.
“(2) CONTENTS.—The report required under paragraph (1) shall include the following:
“(A) A description of the programs for which grant funds were used.
“(B) The number of individuals served under such programs.
“(i) the effectiveness of such programs;
“(ii) the cost of such programs; and
“(iii) the impact of the programs on the health outcomes of the community residents.
“(D) Recommendations for sustaining the community health worker programs developed or assisted under this section.
“(E) Recommendations regarding training to enhance career opportunities for community health workers.
“(k) Definitions.—In this section:
“(1) COMMUNITY HEALTH WORKER.—The term ‘community health worker’ means an individual who promotes health or nutrition within the community in which the individual resides—
“(A) by serving as a liaison between communities and health care agencies;
“(B) by providing guidance and social assistance to community residents;
“(C) by enhancing community residents’ ability to effectively communicate with health care providers;
“(D) by providing culturally and linguistically appropriate health or nutrition education;
“(E) by advocating for individual and community health, including oral and mental, or nutrition needs; and
“(F) by providing referral and followup services or otherwise coordinating care.
“(2) COMMUNITY SETTING.—The term ‘community setting’ means a home or a community organization located in the neighborhood in which a participant resides.
“(3) MEDICALLY UNDERSERVED COMMUNITY.—The term ‘medically underserved community’ means a community identified by a State, United States territory or possession, or federally recognized Indian tribe—
“(A) that has a substantial number of individuals who are members of a medically underserved 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.
“(4) SUPPORT.—The term ‘support’ means the provision of training, supervision, and materials needed to effectively deliver the services described in subsection (b), reimbursement for services, and other benefits.
“(5) ELIGIBLE ENTITY.—The term ‘eligible entity’ means a public or private nonprofit entity (including a State or public subdivision of a State, a public health department, or a federally qualified health center), or a consortium of any of such entities, located in the United States or territory thereof.
“(l) Authorization of Appropriations.—There is authorized to be appropriated to carry out this section $30,000,000 for each of fiscal years 2011 through 2015.”.
(a) Incentive payments for medical liability reform.—
(1) IN GENERAL.—To the extent and in the amounts made available in advance in appropriations Acts, the Secretary shall make an incentive payment, in an amount determined by the Secretary, to each State that has an alternative medical liability law in compliance with this section.
(2) DETERMINATION BY SECRETARY.—The Secretary shall determine that a State has an alternative medical liability law in compliance with this section if the Secretary is satisfied that—
(A) the State enacted the law after the date of the enactment of this Act and is implementing the law;
(B) the law is effective; and
(C) the contents of the law are in accordance with paragraph (4).
(3) CONSIDERATIONS FOR DETERMINING EFFECTIVENESS.—In determining whether an alternative medical liability law is effective under paragraph (2)(B), the Secretary shall consider whether the law—
(A) makes the medical liability system more reliable through prevention of, or prompt and fair resolution of, disputes;
(B) encourages the disclosure of health care errors; and
(C) maintains access to affordable liability insurance.
(4) CONTENTS OF ALTERNATIVE MEDICAL LIABILITY LAW.—The contents of an alternative liability law are in accordance with this paragraph if—
(A) the litigation alternatives contained in the law consist of certificate of merit, early offer, or both; and
(B) the law does not limit attorneys’ fees or impose caps on damages.
(b) Use of Incentive Payments.—Amounts received by a State as an incentive payment under this section shall be used to improve health care in that State.
(c) Technical assistance.—The Secretary may provide technical assistance to the States applying for or receiving an incentive payment under this section.
(d) Reports.—Beginning not later than one year after the date of the enactment of this Act, the Secretary shall submit to the Congress an annual report on the progress States have made in enacting and implementing alternative medical liability laws in compliance with this section. Such reports shall contain sufficient documentation regarding the effectiveness of such laws to enable an objective comparative analysis of such laws.
(e) Definition.—In this section—
(1) the term “Secretary” means the Secretary of Health and Human Services; and
(2) the term “State” includes the several States, District of Columbia, the Commonwealth of Puerto Rico, and each other territory or possession of the United States.
(f) Authorization of appropriations.—There are authorized to be appropriated to carry out this section such sums as may be necessary, to remain available until expended.
(a) In general.—The Secretary of Health and Human Services (in this section referred to as the “Secretary”), acting through the Director, shall award grants to eligible entities to create, implement, and oversee infant mortality pilot programs.
(b) Period of a grant.—The period of a grant under this section shall be 5 consecutive fiscal years.
(c) Preference.—In awarding grants under this section, the Secretary shall give preference to eligible entities proposing to serve any of the 15 counties or groups of counties with the highest rates of infant mortality in the United States in the past 3 years.
(d) Use of Funds.—Any infant mortality pilot program funded under this section may—
(1) include the development of a plan that identifies the individual needs of each community to be served and strategies to address those needs;
(2) provide outreach to at-risk mothers through programs deemed appropriate by the Director;
(3) develop and implement standardized systems for improved access, utilization, and quality of social, educational, and clinical services to promote healthy pregnancies, full term births, and healthy infancies delivered to women and their infants, such as—
(A) counseling on infant care, feeding, and parenting;
(B) postpartum care;
(C) prevention of premature delivery; and
(D) additional counseling for at-risk mothers, including smoking cessation programs, drug treatment programs, alcohol treatment programs, nutrition and physical activity programs, postpartum depression and domestic violence programs, social and psychological services, dental care, and parenting programs;
(4) establish a rural outreach program to provide care to at-risk mothers in rural areas;
(5) establish a regional public education campaign, including a campaign to—
(A) prevent preterm births; and
(B) educate the public about infant mortality; and
(6) provide for any other activities, programs, or strategies as identified by the community plan.
(e) Limitation.—Of the funds received through a grant under this section for a fiscal year, an eligible entity shall not use more than 10 percent for program evaluation.
(f) Reports on Pilot Programs.—
(1) IN GENERAL.—Not later than 1 year after receiving a grant, and annually thereafter for the duration of the grant period, each entity that receives a grant under subsection (a) shall submit a report to the Secretary detailing its infant mortality pilot program.
(2) CONTENTS OF REPORT.—The reports required under paragraph (1) shall include information such as the methodology of, and outcomes and statistics from, the grantee’s infant mortality pilot program.
(3) EVALUATION.—The Secretary shall use the reports required under paragraph (1) to evaluate, and conduct statistical research on, infant mortality pilot programs funded through this section.
(g) Definitions.—For the purposes of this section:
(1) DIRECTOR.—The term “Director” means the Director of the Centers for Disease Control and Prevention.
(2) ELIGIBLE ENTITY.—The term “eligible entity” means a State, county, city, territorial, or tribal health department that has submitted a proposal to the Secretary that the Secretary deems likely to reduce infant mortality rates within the standard metropolitan statistical area involved.
(3) TRIBAL.—The term “tribal” refers to an Indian tribe, a Tribal organization, or an Urban Indian organization, as such terms are defined in section 4 of the Indian Health Care Improvement Act.
(h) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated $10,000,000 for each of fiscal years 2011 through 2015.
(a) Program.—The Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, and in consultation with the Secretary of Education, may establish a health sciences training program consisting of awarding grants and contracts under subsection (b) to prepare secondary school students for careers in health professions.
(b) Development and implementation of health sciences curricula.—The Secretary may make grants to, or enter into contracts with, eligible entities—
(1) to plan, develop, or implement secondary school health sciences curricula, including curricula in biology, chemistry, physiology, mathematics, nutrition, and other courses deemed appropriate by the Secretary to prepare students for associate’s or bachelor’s degree programs in health professions or bachelor’s degree programs in health professions-related majors; and
(2) to increase the interest of secondary school students in applying to, and enrolling in, accredited associate’s or bachelor’s degree programs in health professions or bachelor’s degree programs in health professions-related majors, including through—
(A) work-study programs;
(B) programs to increase awareness of careers in health professions; and
(C) other activities to increase such interest.
(c) Eligibility.—To be eligible for a grant or contract under subsection (b), an entity shall—
(1) be a local educational agency; and
(2) provide assurances that activities under the grant or contract will be carried out in partnership with an accredited health professions school or program, public or private nonprofit hospital, or public or private nonprofit entity.
(d) Preference.—In awarding grants and contracts under subsection (b), the Secretary shall give preference to entities that have a demonstrated record of at least one of the following:
(1) Graduating a high or significantly improved percentage of students who have exhibited mastery in secondary school State science standards.
(2) Graduating students from disadvantaged backgrounds, including racial and ethnic minorities who are underrepresented in—
(A) associate’s or bachelor’s degree programs in health professions or bachelor’s degree programs in health professions-related majors; or
(B) health professions.
(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 profession” means the profession of any member of the health workforce, as defined in section 764(i) of the Public Health Service Act, as added by section 2261.
(2) The term “local educational agency” has the meaning given to the term in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).
(3) The term “secondary school”—
(A) means a secondary school, as defined in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801); and
(B) includes any such school that is a middle school.
(4) The term “Secretary” means the Secretary of Health and Human Services except as otherwise specified.
(g) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.
(a) Purpose.—The purpose of this subtitle is to establish and provide assistance to community-based collaborative care networks—
(1) to develop or strengthen coordination of services to allow all individuals, including the uninsured and low-income, to receive efficient and higher quality care and to gain entry into and receive services from a comprehensive system of care;
(2) to develop efficient and sustainable infrastructure for a health care delivery system characterized by effective collaboration, information sharing, and clinical and financial coordination among providers of care in the community;
(3) to develop or strengthen activities related to providing coordinated care for individuals with chronic conditions; and
(4) to reduce the use of emergency departments, inpatient and other expensive resources of hospitals and other providers.
(b) Creation of the Community-Based Collaborative Care Network Program.—Part D of title III (42 U.S.C. 254b et seq.), as amended, is further amended by inserting after subpart XII the following new subpart:
“(a) In general.—The Secretary may award grants to eligible entities for the purpose of establishing model projects to accomplish the following goals:
“(1) To reduce unnecessary use of items and services furnished in emergency departments of hospitals (especially to ensure that individuals without health insurance coverage or with inadequate health insurance coverage do not use the services of such department instead of the services of a primary care provider) through methods such as—
“(A) screening individuals who seek emergency department services for possible eligibility under relevant governmental health programs or for subsidies under such programs; and
“(B) providing such individuals referrals for followup care and chronic condition care.
“(2) To manage chronic conditions to reduce their severity, negative health outcomes, and expense.
“(3) To encourage health care providers to coordinate their efforts so that the most vulnerable patient populations seek and obtain primary care.
“(4) To provide more comprehensive and coordinated care to vulnerable low-income individuals and individuals without health insurance coverage or with inadequate coverage.
“(5) To provide mechanisms for improving both quality and efficiency of care for low-income individuals and families, with an emphasis on those most likely to remain uninsured despite the existence of government programs to make health insurance more affordable.
“(6) To increase preventive services, including screening and counseling, to those who would otherwise not receive such screening, in order to improve health status and reduce long-term complications and costs.
“(7) To ensure the availability of community-wide safety net services, including emergency and trauma care.
“(b) Eligibility and grantee selection.—
“(1) APPLICATION.—A community-based collaborative care network described in subsection (d) shall submit to the Secretary an application in such form and manner and containing such information as specified by the Secretary. Such information shall at least—
“(A) identify the health care providers participating in the community-based collaborative care network proposed by the applicant and, if a provider designated in paragraph (d)(1)(B) is not included, the reason such provider is not so included;
“(B) include a description of how the providers plan to collaborate to provide comprehensive and integrated care for low-income individuals, including uninsured and underinsured individuals;
“(C) include a description of the organizational and joint governance structure of the community-based collaborative care network in a manner so that it is clear how decisions will be made, and how the decisionmaking process of the network will include appropriate representation of the participating entities;
“(D) define the geographic areas and populations that the network intends to serve;
“(E) define the scope of services that the network intends to provide and identify any reasons why such services would not include a suggested core service identified by the Secretary under paragraph (3);
“(F) demonstrate the network’s ability to meet the requirements of this section; and
“(G) provide assurances that grant funds received shall be used to support the entire community-based collaborative care network.
“(A) IN GENERAL.—The Secretary shall select community-based collaborative care networks to receive grants from applications submitted under paragraph (1) on the basis of quality of the proposal involved, geographic diversity (including different States and regions served and urban and rural diversity), and the number of low-income and uninsured individuals that the proposal intends to serve.
“(B) PRIORITY.—The Secretary shall give priority to proposals from community-based collaborative care networks that—
“(i) include the capability to provide the broadest range of services to low-income individuals; and
“(ii) include providers that currently serve a high volume of low-income individuals.
“(C) RENEWAL.—In subsequent years, based on the performance of grantees, the Secretary may provide renewal grants to prior year grant recipients.
“(3) SUGGESTED CORE SERVICES.—For purposes of paragraph (1)(E), the Secretary shall develop a list of suggested core patient and core network services to be provided by a community-based collaborative care network. The Secretary may select a community-based collaborative care network under paragraph (2), the application of which does not include all such services, if such application provides a reasonable explanation why such services are not proposed to be included, and the Secretary determines that the application is otherwise high quality.
“(4) TERMINATION AUTHORITY.—The Secretary may terminate selection of a community-based collaborative care network under this section for good cause. Such good cause shall include a determination that the network—
“(A) has failed to provide a comprehensive range of coordinated and integrated health care services as required under subsection (d)(2);
“(B) has failed to meet reasonable quality standards;
“(C) has misappropriated funds provided under this section; or
“(D) has failed to make progress toward accomplishing goals set out in subsection (a).
“(1) USE BY GRANTEES.—Grant funds are provided to community-based collaborative care networks to carry out the following activities:
“(A) Assist low-income individuals without adequate health care coverage to—
“(i) access and appropriately use health services;
“(ii) enroll in applicable public or private health insurance programs;
“(iii) obtain referrals to and see a primary care provider in case such an individual does not have a primary care provider; and
“(iv) obtain appropriate care for chronic conditions.
“(B) Improve heath care by providing case management, application assistance, and appropriate referrals such as through methods to—
“(i) create and meaningfully use a health information technology network to track patients across collaborative providers;
“(ii) perform health outreach, such as by using neighborhood health workers who may inform individuals about the availability of safety net and primary care providers available through the community-based collaborative care network;
“(iii) provide for followup outreach to remind patients of appointments or follow-up care instructions;
“(iv) provide transportation to individuals to and from the site of care;
“(v) expand the capacity to provide care at any provider participating in the community-based collaborative care network, including telehealth, hiring new clinical or administrative staff, providing access to services after-hours, on weekends, or otherwise providing an urgent care alternative to an emergency department; and
“(vi) provide a primary care provider or medical home for each network patient.
“(C) Provide direct patient care services as described in their application and approved by the Secretary.
“(2) GRANT FUNDS TO HRSA GRANTEES.—The Secretary may limit the percent of grant funding that may be spent on direct care services provided by grantees of programs administered by the Health Resources and Services Administration (in this section referred to as ‘HRSA’) or impose other requirements on HRSA grantees participating in a community-based collaborative care network as may be necessary for consistency with the requirements of such programs.
“(3) RESERVATION OF FUNDS FOR NATIONAL PROGRAM PURPOSES.—The Secretary may use not more than 7 percent of funds appropriated to carry out this section for providing technical assistance to grantees, obtaining assistance of experts and consultants, holding meetings, developing of tools, disseminating of information, and evaluation.
“(d) Community-Based collaborative care networks.—
“(A) DESCRIPTION.—A community-based collaborative care network described in this subsection is a consortium of health care providers with a joint governance structure that provides a comprehensive range of coordinated and integrated health care services for low-income patient populations or medically underserved communities (whether or not such individuals receive benefits under title XVIII, XIX, or XXI of the Social Security Act, private or other health insurance or are uninsured or underinsured) and that complies with any applicable minimum eligibility requirements that the Secretary may determine appropriate.
“(B) REQUIRED INCLUSION.—Each such network shall include the following providers that serve the community (unless such provider does not exist within the community, declines or refuses to participate, or places unreasonable conditions on their participation)—
“(i) A safety net hospital that provides services to a high volume of low-income patients, as demonstrated by meeting the criteria in section 1923(b)(1) of the Social Security Act, or other similar criteria determined by the Secretary; and
“(ii) All Federally qualified health centers (as defined in section 1861(aa) of the Social Security Act (42 U.S.C. 1395x(aa))) located in the geographic area served by the Coordinated Care Network;
“(C) ADDITIONAL INCLUSIONS.—Each such network may include any of the following additional providers:
“(i) A hospital, including a critical access hospital (as defined in section 1820(c)(2) of the Social Security Act (42 U.S.C. 1395i–4(c)(2))).
“(ii) A county or municipal department of health.
“(iii) A rural health clinic or a rural health network (as defined in sections 1861(aa) and 1820(d) of the Social Security Act, respectively (42 U.S.C. 1395x(aa), 1395i–4(d))).
“(iv) A community clinic, including a mental health clinic, substance abuse clinic, or a reproductive health clinic.
“(v) A health center controlled network as defined by section 330(e)(1)(C) of the Public Health Service Act
“(vi) A private practice physician or group practice.
“(vii) A nurse or physician assistant or group practice.
“(viii) An adult day care center.
“(ix) A home health provider.
“(x) Any other type of provider specified by the Secretary, which has a desire to serve low-income and uninsured patients.
“(i) Nothing in this section shall prohibit a single entity from qualifying as community-based collaborative care network so long as such single entity meets the criteria of a community-based collaborative care network. If the network does not include the providers referenced in clauses (i) and (ii) of subparagraph (B) of this paragraph, the application must explain the reason pursuant to subsection (b)(1)(A).
“(ii) Participation in a community-based collaborative care network shall not affect Federally qualified health centers’ obligation to comply with the governance requirements under section 330 of the Public Health Service Act (42 U.S.C. 254b).
“(iii) Federally qualified health centers participating in a community-based collaborative care network may not be required to provide services beyond their Federal Health Center scope of project approved by HRSA.
“(iv) Nothing in this section shall be construed to expand medical malpractice liability protection under the Federal Tort Claims Act for Section 330-funded Federally qualified health centers.
“(2) COMPREHENSIVE RANGE OF COORDINATED AND INTEGRATED HEALTH CARE SERVICES.—The Secretary shall define criteria for evaluating whether the services offered by a community-based collaborative care network qualify as a comprehensive range of coordinated and integrated health care services. Such criteria may vary based on the needs of the geographic areas and populations to be served by the network and may include the following:
“(A) Requiring community-based collaborative care networks to include at least the suggested core services identified under subsection (b)(3), or whichever subset of the suggested core services is applicable to a particular network.
“(B) Requiring such networks to assign each patient of the network to a primary care provider responsible for managing that patient’s care.
“(C) Requiring the services provided by a community-based collaborative care network to include support services appropriate to meet the health needs of low-income populations in the network’s community, which may include chronic care management, nutritional counseling, transportation, language services, enrollment counselors, social services and other services as proposed by the network.
“(D) Providing that the services provided by a community-based collaborative care network may also include long-term care services and other services not specified in this subsection.
“(E) Providing for the approval by the Secretary of a scope of community-based collaborative care network services for each network that addresses an appropriate minimum scope of work consistent with the setting of the network and the health professionals available in the community the network serves.
“(3) CLARIFICATION.—Participation in a community-based collaborative care network shall not disqualify a health care provider from reimbursement under title XVIII, XIX, or XXI of the Social Security Act with respect to services otherwise reimbursable under such title. Nothing in this section shall prevent a community-based collaborative care network that is otherwise eligible to contract with Medicare, a private health insurer, or any other appropriate entity to provide care under Medicare, under health insurance coverage offered by the insurer, or otherwise.
“(1) GRANTEE REPORTS.—Beginning in the third year following an initial grant, each community-based collaborative care network shall submit to the Secretary, with respect to each year the grantee has received a grant, an evaluation on the activities carried out by the community-based collaborative care network under the community-based collaborative care network program and shall include—
“(A) the number of people served;
“(B) the most common health problems treated;
“(C) any reductions in emergency department use;
“(D) any improvements in access to primary care;
“(E) an accounting of how amounts received were used, including identification of amounts used for patient care services as may be required for HRSA grantees; and
“(F) to the extent requested by the Secretary, any quality measures or any other measures specified by the Secretary.
“(2) PROGRAM REPORTS.—The Secretary shall submit to Congress an annual evaluation (beginning not later than 6 months after the first reports under paragraph (1) are submitted) on the extent to which emergency department use was reduced as a result of the activities carried out by the community-based collaborative care network under the program. Each such evaluation shall also include information on—
“(A) the prevalence of certain chronic conditions in various populations, including a comparison of such prevalence in the general population versus in the population of individuals with inadequate health insurance coverage;
“(B) demographic characteristics of the population of uninsured and underinsured individuals served by the community-based collaborative care network involved; and
“(C) the conditions of such individuals for whom services were requested at such emergency departments of participating hospitals.
“(3) AUDIT AUTHORITY.—The Secretary may conduct periodic audits and request periodic spending reports of community-based collaborative care networks under the community-based collaborative care network program.
“(f) Clarification.—Nothing in this section requires a provider to report individually identifiable information of an individual to government agencies, unless the individual consents, consistent with HIPAA privacy and security law, as defined in section 3009(a)(2).
“(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 2011 through 2015.”.
Part Q of title III (42 U.S.C. 280h et seq.) is amended by inserting after section 399W the following:
“(a) Program.—The Secretary shall establish a community-based overweight and obesity prevention program consisting of awarding grants and contracts under subsection (b).
“(b) Grants.—The Secretary shall award grants to, or enter into contracts with, eligible entities—
“(1) to plan evidence-based programs for the prevention of overweight and obesity among children and their families through improved nutrition and increased physical activity; or
“(2) to implement such programs.
“(c) Eligibility.—To be eligible for a grant or contract under subsection (b), an entity shall be a community partnership that demonstrates community support and includes—
“(1) a broad cross section of stakeholders, such as—
“(A) hospitals, health care systems, community health centers, or other health care providers;
“(B) universities, local educational agencies, or childcare providers;
“(C) State, local, and tribal health departments;
“(D) State, local, and tribal park and recreation departments;
“(E) employers; and
“(F) health insurance companies;
“(2) residents of the community; and
“(3) representatives of public and private entities that have a history of working within and serving the community.
“(1) IN GENERAL.—The period of a grant or contract under this section shall be 5 years, subject to renewal under paragraph (2).
“(2) RENEWAL.—At the end of each fiscal year, the Secretary may renew a grant or contract award under this section only if the grant or contract recipient demonstrates to the Secretary’s satisfaction that the recipient has made appropriate, measurable progress in preventing overweight and obesity.
“(1) IN GENERAL.—The Secretary may award a grant or contract under this section to an entity only if the entity demonstrates to the Secretary’s satisfaction that—
“(A) not later than 90 days after receiving the grant or contract, the entity will establish a steering committee to provide input on the assessment of, and recommendations on improvements to, the entity’s program funded through the grant or contract; and
“(B) the entity has conducted or will conduct an assessment of the overweight and obesity problem in its community, including the extent of the problem and factors contributing to the problem.
“(2) MATCHING REQUIREMENT.—The Secretary may award a grant or contract to an eligible entity under this section only if the entity agrees to provide, from non-Federal sources, an amount equal to $1 (in cash or in kind) for each $9 provided through the grant or contract to carry out the activities supported by the grant or contract.
“(3) PAYOR OF LAST RESORT.—The Secretary may award a grant or contract under this section to an entity only if the entity demonstrates to the satisfaction of the Secretary that funds received through the grant or contract will not be expended for any activity to the extent that payment has been made, or can reasonably be expected to be made—
“(A) under any insurance policy;
“(B) under any Federal or State health benefits program (including titles XIX and XXI of the Social Security Act); or
“(C) by an entity which provides health services on a prepaid basis.
“(4) MAINTENANCE OF EFFORT.—The Secretary may award a grant or contract under this section to an entity only if the entity demonstrates to the satisfaction of the Secretary that—
“(A) funds received through the grant or contract will be expended only to supplement, and not supplant, non-Federal and Federal funds otherwise available to the entity for the activities to be funded through the grant or contract; and
“(B) with respect to such activities, the entity will maintain expenditures of non-Federal amounts for such activities at a level not less than the lesser of such expenditures maintained by the entity for the fiscal year preceding the fiscal year for which the entity receives the grant or contract.
“(f) Preferences.—In awarding grants and contracts under this section, the Secretary shall give preference to eligible entities that—
“(1) will serve communities with high levels of overweight and obesity and related chronic diseases; or
“(2) will plan or implement activities for the prevention of overweight and obesity in school or workplace settings.
“(g) Report.—The Secretary shall submit to the Congress an annual report on the program of grants and contracts awarded under this section.
“(h) Definitions.—In this section:
“(1) The term ‘evidence-based’ means that methodologically sound research has demonstrated a beneficial health effect in the judgment of the Secretary and includes the Ways to Enhance Children’s Activity and Nutrition (We Can) program and curriculum of the National Institutes of Health.
“(2) The term ‘local educational agency’ has the meaning given to the term in section 9101 of the Elementary and Secondary Education Act of 1965.
“(i) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated $10,000,000 for fiscal year 2011 and such sums as may be necessary for each of fiscal years 2012 through 2015.”.
(1) IN GENERAL.—The Secretary of Education, in consultation with the Secretary of Health and Human Services and the Director of the Centers for Disease Control and Prevention, may make demonstration grants to eligible local educational agencies for the purpose of reducing the student-to-school nurse ratio in public elementary and secondary schools.
(2) SPECIAL CONSIDERATION.—In awarding grants under this section, the Secretary of Education shall give special consideration to applications submitted by high-need local educational agencies that demonstrate the greatest need for new or additional nursing services among children in the public elementary and secondary schools served by the agency, in part by providing information on current ratios of students to school nurses.
(3) MATCHING FUNDS.—The Secretary of Education may require recipients of grants under this subsection to provide matching funds from non-Federal sources, and shall permit the recipients to match funds in whole or in part with in-kind contributions.
(b) Report.—Not later than 24 months after the date on which assistance is first made available to local educational agencies under this section, the Secretary of Education shall submit to the Congress a report on the results of the demonstration grant program carried out under this section, including an evaluation of the effectiveness of the program in improving the student-to-school nurse ratios described in subsection (a) and an evaluation of the impact of any resulting enhanced health of students on learning.
(c) Definitions.—For purposes of this section:
(1) The terms “elementary school”, “local educational agency”, and “secondary school” have the meanings given to those terms in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).
(2) The term “eligible local educational agency” means a local educational agency in which the student-to-school nurse ratio in the public elementary and secondary schools served by the agency is 750 or more students to every school nurse.
(3) The term “high-need local educational agency” means a local educational agency—
(A) that serves not fewer than 10,000 children from families with incomes below the poverty line; or
(B) for which not less than 20 percent of the children served by the agency are from families with incomes below the poverty line.
(4) The term “nurse” means a licensed nurse, as defined under State law.
(d) Authorization of Appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.
(a) In general.—The Secretary shall establish a nationwide demonstration project consisting of—
(1) awarding grants to, and entering into contracts with, medical-legal partnerships to assist patients and their families to navigate health-related programs and activities; and
(2) evaluating the effectiveness of such partnerships.
(b) Use of funds.—Amounts received as a grant or contract under this section shall be used to assist patients and their families to navigate health care-related programs and activities and thereby achieve one or more of the following goals:
(1) Enhancing access to health care services.
(2) Improving health outcomes for low-income individuals.
(3) Reducing health disparities.
(4) Enhancing wellness and prevention of chronic conditions.
(c) Prohibition.—No funds under this section may be used—
(1) for any medical malpractice or other civil action or proceeding; or
(2) to assist individuals who are not lawfully present in the United States.
(d) Report.—Not later than 5 years after the date of the enactment of this Act, the Secretary shall submit a report to the Congress on the results of the demonstration project under this section. Such report shall include the following:
(1) A description of the extent to which medical-legal partnerships funded through this section achieved the goals described in subsection (b).
(2) Recommendations on the possibility of extending or expanding the demonstration project.
(e) Definitions.—In this section:
(1) The term “health disparities” has the meaning given to the term in section 3171 of the Public Health Service Act, as added by section 2301.
(2) The term “medical-legal partnership” means an entity—
(A) that is a collaboration between—
(i) a community health center, public hospital, children’s hospital, or other provider of health care services to a significant number of low-income beneficiaries; and
(ii) one or more attorneys; and
(B) whose primary mission is to assist patients and their families navigate health care-related programs and activities.
(3) The term “Secretary” means the Secretary of Health and Human Services.
(f) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.
(a) Grants for trauma care centers.—Section 1241 (42 U.S.C. 300d–41) is amended to read as follows:
“(a) In general.—The Secretary shall establish a trauma center program consisting of awarding grants under section (b).
“(b) Grants.—The Secretary shall award grants as follows:
“(1) EXISTING CENTERS.—Grants to public, private nonprofit, Indian Health Service, Indian tribal, and urban Indian trauma centers—
“(A) to further the core missions of such centers; or
“(B) to provide emergency relief to ensure the continued and future availability of trauma services by trauma centers—
“(i) at risk of closing or operating in an area where a closing has occurred within their primary service area; or
“(ii) in need of financial assistance following a natural disaster or other catastrophic event, such as a terrorist attack.
“(2) NEW CENTERS.—Grants to local governments and public or private nonprofit entities to establish new trauma centers in urban areas with a substantial degree of trauma resulting from violent crimes.
“(c) Minimum Qualifications of Trauma Centers.—
“(1) PARTICIPATION IN TRAUMA CARE SYSTEM OPERATING UNDER CERTAIN PROFESSIONAL GUIDELINES.—
“(A) LIMITATION.—Subject to subparagraph (B), the Secretary may not award a grant to an existing trauma center under this section unless the center is a participant in a trauma care system that substantially complies with section 1213.
“(B) EXEMPTION.—Subparagraph (A) shall not apply to trauma centers that are located in States with no existing trauma care system.
“(2) DESIGNATION.—The Secretary may not award a grant under this section to an existing trauma center unless the center is—
“(A) verified as a trauma center by the American College of Surgeons; or
“(B) designated as a trauma center by the applicable State health or emergency medical services authority.”.
(b) Considerations in making grants.—Section 1242 (42 U.S.C. 300d–42) is amended to read as follows:
“(1) IN GENERAL.—In awarding grants under section 1241(b)(1)(A), the Secretary shall—
“(A) reserve a minimum of 25 percent of the amount allocated for such grants for level III and level IV trauma centers in rural or underserved areas;
“(B) reserve a minimum of 25 percent of the amount allocated for such grants for level I and level II trauma centers in urban areas; and
“(C) give preference to any application made by a trauma center—
“(i) in a geographic area where growth in demand for trauma services exceeds capacity;
“(ii) that demonstrates the financial support of the State or political subdivision involved;
“(iii) that has at least 1 graduate medical education fellowship in trauma or trauma-related specialties, including neurological surgery, surgical critical care, vascular surgery, and spinal cord injury, for which demand is exceeding supply; or
“(iv) that demonstrates a substantial commitment to serving vulnerable populations.
“(2) FINANCIAL SUPPORT.—For purposes of paragraph (1)(C)(ii), financial support may be demonstrated by State or political subdivision funding for the trauma center’s capital or operating expenses (including through State trauma regional advisory coordination activities, Medicaid funding designated for trauma services, or other governmental funding). State funding derived from Federal support shall not constitute State or local financial support for purposes of preferential treatment under this subsection.
“(3) USE OF FUNDS.—The recipient of a grant under section 1241(b)(1)(A) shall carry out, consistent with furthering the core missions of the center, one or more of the following activities:
“(A) Providing 24-hour-a-day, 7-day-a-week trauma care availability.
“(B) Reducing overcrowding related to throughput of trauma patients.
“(C) Enhancing trauma surge capacity.
“(D) Ensuring physician and essential personnel availability.
“(E) Trauma education and outreach.
“(F) Coordination with local and regional trauma care systems.
“(G) Such other activities as the Secretary may deem appropriate.
“(b) Emergency awards; new centers.—In awarding grants under paragraphs (1)(B) and (2) of section 1241(b), the Secretary shall—
“(1) give preference to any application submitted by an applicant that demonstrates the financial support (in accordance with subsection (a)(2)) of the State or political subdivision involved for the activities to be funded through the grant for each fiscal year during which payments are made to the center under the grant; and
“(2) give preference to any application submitted for a trauma center that—
“(A) is providing or will provide trauma care in a geographic area in which the availability of trauma care has either significantly decreased as a result of a trauma center in the area permanently ceasing participation in a system described in section 1241(c)(1) as of a date occurring during the 2-year period preceding the fiscal year for which the trauma center is applying to receive a grant, or in geographic areas where growth in demand for trauma services exceeds capacity;
“(B) will, in providing trauma care during the 1-year period beginning on the date on which the application for the grant is submitted, incur substantial uncompensated care costs in an amount that renders the center unable to continue participation in such system and results in a significant decrease in the availability of trauma care in the geographic area;
“(C) operates or will operate in rural areas where trauma care availability will significantly decrease if the center is forced to close or downgrade service and substantial costs are contributing to a likelihood of such closure or downgradation;
“(D) is in a geographic location substantially affected by a natural disaster or other catastrophic event such as a terrorist attack; or
“(E) will establish a new trauma service in an urban area with a substantial degree of trauma resulting from violent crimes.
“(c) Designations of Levels of Trauma Centers in Certain States.—In the case of a State which has not designated 4 levels of trauma centers, any reference in this section to—
“(1) a level I or level II trauma center is deemed to be a reference to a trauma center within the highest 2 levels of trauma centers designated under State guidelines; and
“(2) a level III or IV trauma center is deemed to be a reference to a trauma center not within such highest 2 levels.”.
(c) Certain agreements.—Section 1243 (42 U.S.C. 300d–43) is amended to read as follows:
“(a) Commitment regarding continued participation in trauma care system.—The Secretary may not award a grant to an applicant under section 1241(b) unless the applicant agrees that—
“(1) the trauma center involved will continue participation, or in the case of a new center will participate, in the system described in section 1241(c)(1), except as provided in section 1241(c)(1)(B), throughout the grant period beginning on the date that the center first receives payments under the grant; and
“(2) if the agreement made pursuant to paragraph (1) is violated by the center, the center will be liable to the United States for an amount equal to the sum of—
“(A) the amount of assistance provided to the center under section 1241; and
“(B) an amount representing interest on the amount specified in subparagraph (A).
“(b) Maintenance of financial support.—With respect to activities for which funds awarded through a grant under section 1241 are authorized to be expended, the Secretary may not award such a grant unless the applicant agrees that, during the period in which the trauma center involved is receiving payments under the grant, the center will maintain access to trauma services at levels not less than the levels for the prior year, taking into account—
“(1) reasonable volume fluctuation that is not caused by intentional trauma boundary reduction;
“(2) downgrading of the level of services; and
“(3) whether such center diverts its incoming patients away from such center 5 percent or more of the time during which the center is in operation over the course of the year.
“(c) Trauma care registry.—The Secretary may not award a grant to a trauma center under section 1241(b)(1) unless the center agrees that—
“(1) not later than 6 months after the date on which the center submits a grant application to the Secretary, the center will establish and operate a registry of trauma cases in accordance with guidelines developed by the American College of Surgeons; and
“(2) in carrying out paragraph (1), the center will maintain information on the number of trauma cases treated by the center and, for each such case, the extent to which the center incurs uncompensated costs in providing trauma care.”.
(d) General provisions.—Section 1244 (42 U.S.C. 300d–44) is amended to read as follows:
“(a) Limitation on duration of support.—The period during which a trauma center receives payments under a grant under section 1241(b)(1) shall be for 3 fiscal years, except that the Secretary may waive such requirement for the center and authorize the center to receive such payments for 1 additional fiscal year.
“(b) Eligibility.—The acquisition of, or eligibility for, a grant under section 1241(b) shall not preclude a trauma center’s eligibility for another grant described in such section.
“(c) Funding distribution.—Of the total amount appropriated for a fiscal year under section 1245—
“(1) 90 percent shall be used for grants under paragraph (1)(A) of section 1241(b); and
“(2) 10 percent shall be used for grants under paragraphs (1)(B) and (2) of section 1241(b).
“(d) Report.—Beginning 2 years after the date of the enactment of the Affordable Health Care for America Act, and every 2 years thereafter, the Secretary shall biennially—
“(1) report to Congress on the status of the grants made pursuant to section 1241;
“(2) evaluate and report to Congress on the overall financial stability of trauma centers in the United States;
“(3) report on the populations using trauma care centers and include aggregate patient data on income, race, ethnicity, and geography; and
“(4) evaluate the effectiveness and efficiency of trauma care center activities using standard public health measures and evaluation methodologies.”.
(e) Authorization of appropriations.—Section 1245 (42 U.S.C. 300d–45) is amended to read as follows:
“(a) In general.—For the purpose of carrying out this part, there are authorized to be appropriated $100,000,000 for fiscal year 2011, and such sums as may be necessary for each of fiscal years 2012 through 2015. Such authorization of appropriations is in addition to any other authorization of appropriations or amounts that are available for such purpose.
“(b) Reallocation.—The Secretary shall reallocate for grants under section 1241(b)(1)(A) any funds appropriated for grants under paragraph (1)(B) or (2) of section 1241(b), but not obligated due to insufficient applications eligible for funding.”.
(a) In general.—Subtitle B of title XXVIII (42 U.S.C. 300hh–10 et seq.) is amended by adding at the end the following:
“(a) Emergency Care Coordination Center.—
“(1) ESTABLISHMENT.—The Secretary shall establish, within the Office of the Assistant Secretary for Preparedness and Response, an Emergency Care Coordination Center (in this section referred to as the ‘Center’), to be headed by a director.
“(2) DUTIES.—The Secretary, acting through the Director of the Center, in coordination with the Federal Interagency Committee on Emergency Medical Services, shall—
“(A) promote and fund research in emergency medicine and trauma health care;
“(B) promote regional partnerships and more effective emergency medical systems in order to enhance appropriate triage, distribution, and care of routine community patients; and
“(C) promote local, regional, and State emergency medical systems’ preparedness for and response to public health events.
“(b) Council of Emergency Care.—
“(1) ESTABLISHMENT.—The Secretary, acting through the Director of the Center, shall establish a Council of Emergency Care to provide advice and recommendations to the Director on carrying out this section.
“(2) COMPOSITION.—The Council shall be comprised of employees of the departments and agencies of the Federal Government who are experts in emergency care and management.
“(1) SUBMISSION.—Not later than 12 months after the date of the enactment of the Affordable Health Care for America Act, the Secretary shall submit to the Congress an annual report on the activities carried out under this section.
“(2) CONSIDERATIONS.—In preparing a report under paragraph (1), the Secretary shall consider factors including—
“(A) emergency department crowding and boarding; and
“(B) delays in care following presentation.
“(d) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.”.
(b) Functions, personnel, assets, liabilities, and administrative actions.—All functions, personnel, assets, and liabilities of, and administrative actions applicable to, the Emergency Care Coordination Center, as in existence on the day before the date of the enactment of this Act, shall be transferred to the Emergency Care Coordination Center established under section 2816(a) of the Public Health Service Act, as added by subsection (a).
Part B of title III (42 U.S.C. 243 et seq.) is amended by inserting after section 314 the following:
(a) In general.—Part B of title III (42 U.S.C. 243 et seq.), as amended, is amended by inserting after section 315 the following:
“SEC. 315A. Assisting veterans with military emergency medical training to become State-licensed or certified emergency medical technicians (EMTs).
“(a) Program.—The Secretary shall establish a program consisting of awarding grants to States to assist veterans who received and completed military emergency medical training while serving in the Armed Forces of the United States to become, upon their discharge or release from active duty service, State-licensed or certified emergency medical technicians.
“(b) Use of funds.—Amounts received as a grant under this section may be used to assist veterans described in subsection (a) to become State-licensed or certified emergency medical technicians as follows:
“(1) Providing training.
“(2) Providing reimbursement for costs associated with—
“(A) training; or
“(B) applying for licensure or certification.
“(3) Expediting the licensing or certification process.
“(c) Eligibility.—To be eligible for a grant under this section, a State shall demonstrate to the Secretary’s satisfaction that the State has a shortage of emergency medical technicians.
“(d) Report.—The Secretary shall submit to the Congress an annual report on the program under this section.
“(e) Authorization of appropriations.—To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.”.
(b) GAO study and report.—The Comptroller General of the United States shall—
(1) conduct a study on the barriers experienced by veterans who received training as medical personnel while serving in the Armed Forces of the United States and, upon their discharge or release from active duty service, seek to become licensed or certified in a State as civilian health professionals; and
(2) not later than 2 years after the date of the enactment of this Act, submit to the Congress a report on the results of such study, including recommendations on whether the program established under section 315A of the Public Health Service Act, as added by subsection (a), should be expanded to assist veterans seeking to become licensed or certified in a State as health providers other than emergency medical technicians.
(a) National health security strategy.—Section 2802(b)(3) (42 U.S.C. 300hh–1(b)(3)) is amended—
(1) in the matter preceding subparagraph (A), by inserting “dental and” before “mental health facilities”; and
(2) in subparagraph (D), by inserting “and dental” after “medical”.
(b) All-Hazards public health and medical response curricula and training.—Section 319F(a)(5)(B) (42 U.S.C. 247d–6(a)(5)(B)) is amended by striking “public health or medical” and inserting “public health, medical, or dental”.
(a) National response framework.—Paragraph (6) of section 2 of the Homeland Security Act of 2002 (6 U.S.C. 101) is amended by inserting “and dental” after “emergency medical”.
(b) National preparedness system.—Subparagraph (B) of section 653(b)(4) of the Post-Katrina Emergency Management Reform Act of 2006 (6 U.S.C. 753(b)(4)) is amended by striking “public health and medical” and inserting “public health, medical, and dental”.
(c) Chief Medical Officer.—Paragraph (5) of section 516(c) of the Homeland Security Act of 2002 (6 U.S.C. 321e(c)) is amended by striking “medical community” and inserting “medical and dental communities”.
(a) Convening.—Not later than June 30, 2011, the Secretary of Health and Human Services shall seek to enter into an agreement with the Institute of Medicine of the National Academies to convene a Conference on Pain (in this section referred to as “the Conference”).
(b) Purposes.—The purposes of the Conference shall be to—
(1) increase the recognition of pain as a significant public health problem in the United States;
(2) evaluate the adequacy of assessment, diagnosis, treatment, and management of acute and chronic pain in the general population, and in identified racial, ethnic, gender, age, and other demographic groups that may be disproportionately affected by inadequacies in the assessment, diagnosis, treatment, and management of pain;
(3) identify barriers to appropriate pain care, including—
(A) lack of understanding and education among employers, patients, health care providers, regulators, and third-party payors;
(B) barriers to access to care at the primary, specialty, and tertiary care levels, including barriers—
(i) specific to those populations that are disproportionately undertreated for pain;
(ii) related to physician concerns over regulatory and law enforcement policies applicable to some pain therapies; and
(iii) attributable to benefit, coverage, and payment policies in both the public and private sectors; and
(C) gaps in basic and clinical research on the symptoms and causes of pain, and potential assessment methods and new treatments to improve pain care; and
(4) establish an agenda for action in both the public and private sectors that will reduce such barriers and significantly improve the state of pain care research, education, and clinical care in the United States.
(c) Other appropriate entity.—If the Institute of Medicine declines to enter into an agreement under subsection (a), the Secretary of Health and Human Services may enter into such agreement with another appropriate entity.
(d) Report.—A report summarizing the Conference’s findings and recommendations shall be submitted to the Congress not later than June 30, 2012.
(e) Authorization of appropriations.—For the purpose of carrying out this section, there is authorized to be appropriated $500,000 for each of fiscal years 2011 and 2012.
Part B of title IV (42 U.S.C. 284 et seq.) is amended by adding at the end the following:
“(1) IN GENERAL.—The Director of NIH is encouraged to continue and expand, through the Pain Consortium, an aggressive program of basic and clinical research on the causes of and potential treatments for pain.
“(2) ANNUAL RECOMMENDATIONS.—Not less than annually, the Pain Consortium, in consultation with the Division of Program Coordination, Planning, and Strategic Initiatives, shall develop and submit to the Director of NIH recommendations on appropriate pain research initiatives that could be undertaken with funds reserved under section 402A(c)(1) for the Common Fund or otherwise available for such initiatives.
“(3) DEFINITION.—In this subsection, the term ‘Pain Consortium’ means the Pain Consortium of the National Institutes of Health or a similar trans-National Institutes of Health coordinating entity designated by the Secretary for purposes of this subsection.
“(b) Interagency pain research coordinating committee.—
“(1) ESTABLISHMENT.—The Secretary shall establish not later than 1 year after the date of the enactment of this section and as necessary maintain a committee, to be known as the Interagency Pain Research Coordinating Committee (in this section referred to as the ‘Committee’), to coordinate all efforts within the Department of Health and Human Services and other Federal agencies that relate to pain research.
“(A) IN GENERAL.—The Committee shall be composed of the following voting members:
“(i) Not more than 7 voting Federal representatives as follows:
“(I) The Director of the Centers for Disease Control and Prevention.
“(II) The Director of the National Institutes of Health and the directors of such national research institutes and national centers as the Secretary determines appropriate.
“(III) The heads of such other agencies of the Department of Health and Human Services as the Secretary determines appropriate.
“(IV) Representatives of other Federal agencies that conduct or support pain care research and treatment, including the Department of Defense and the Department of Veterans Affairs.
“(ii) Twelve additional voting members appointed under subparagraph (B).
“(B) ADDITIONAL MEMBERS.—The Committee shall include additional voting members appointed by the Secretary as follows:
“(i) Six members shall be appointed from among scientists, physicians, and other health professionals, who—
“(I) are not officers or employees of the United States;
“(II) represent multiple disciplines, including clinical, basic, and public health sciences;
“(III) represent different geographical regions of the United States; and
“(IV) are from practice settings, academia, manufacturers, or other research settings.
“(ii) Six members shall be appointed from members of the general public, who are representatives of leading research, advocacy, and service organizations for individuals with pain-related conditions.
“(C) NONVOTING MEMBERS.—The Committee shall include such nonvoting members as the Secretary determines to be appropriate.
“(3) CHAIRPERSON.—The voting members of the Committee shall select a chairperson from among such members. The selection of a chairperson shall be subject to the approval of the Director of NIH.
“(4) MEETINGS.—The Committee shall meet at the call of the chairperson of the Committee or upon the request of the Director of NIH, but in no case less often than once each year.
“(5) DUTIES.—The Committee shall—
“(A) develop a summary of advances in pain care research supported or conducted by the Federal agencies relevant to the diagnosis, prevention, and treatment of pain and diseases and disorders associated with pain;
“(B) identify critical gaps in basic and clinical research on the symptoms and causes of pain;
“(C) make recommendations to ensure that the activities of the National Institutes of Health and other Federal agencies, including the Department of Defense and the Department of Veteran Affairs, are free of unnecessary duplication of effort;
“(D) make recommendations on how best to disseminate information on pain care; and
“(E) make recommendations on how to expand partnerships between public entities, including Federal agencies, and private entities to expand collaborative, crosscutting research.
“(6) REVIEW.—The Secretary shall review the necessity of the Committee at least once every 2 years.”.
Part B of title II (42 U.S.C. 238 et seq.) is amended by adding at the end the following:
“(a) Establishment.—Not later than 12 months after the date of the enactment of this section, the Secretary shall establish and implement a national pain care education outreach and awareness campaign described in subsection (b).
“(b) Requirements.—The Secretary shall design the public awareness campaign under this section to educate consumers, patients, their families, and other caregivers with respect to—
“(1) the incidence and importance of pain as a national public health problem;
“(2) the adverse physical, psychological, emotional, societal, and financial consequences that can result if pain is not appropriately assessed, diagnosed, treated, or managed;
“(3) the availability, benefits, and risks of all pain treatment and management options;
“(4) having pain promptly assessed, appropriately diagnosed, treated, and managed, and regularly reassessed with treatment adjusted as needed;
“(5) the role of credentialed pain management specialists and subspecialists, and of comprehensive interdisciplinary centers of treatment expertise;
“(6) the availability in the public, nonprofit, and private sectors of pain management-related information, services, and resources for consumers, employers, third-party payors, patients, their families, and caregivers, including information on—
“(A) appropriate assessment, diagnosis, treatment, and management options for all types of pain and pain-related symptoms; and
“(B) conditions for which no treatment options are yet recognized; and
“(7) other issues the Secretary deems appropriate.
“(c) Consultation.—In designing and implementing the public awareness campaign required by this section, the Secretary shall consult with organizations representing patients in pain and other consumers, employers, physicians including physicians specializing in pain care, other pain management professionals, medical device manufacturers, and pharmaceutical companies.
“(1) LEAD OFFICIAL.—The Secretary shall designate one official in the Department of Health and Human Services to oversee the campaign established under this section.
“(2) AGENCY COORDINATION.—The Secretary shall ensure the involvement in the public awareness campaign under this section of the Surgeon General of the Public Health Service, the Director of the Centers for Disease Control and Prevention, and such other representatives of offices and agencies of the Department of Health and Human Services as the Secretary determines appropriate.
“(e) Underserved areas and populations.—In designing the public awareness campaign under this section, the Secretary shall—
“(1) take into account the special needs of geographic areas and racial, ethnic, gender, age, and other demographic groups that are currently underserved; and
“(2) provide resources that will reduce disparities in access to appropriate diagnosis, assessment, and treatment.
“(f) Grants and contracts.—The Secretary may make awards of grants, cooperative agreements, and contracts to public agencies and private nonprofit organizations to assist with the development and implementation of the public awareness campaign under this section.
“(g) Evaluation and Report.—Not later than the end of fiscal year 2012, the Secretary shall prepare and submit to the Congress a report evaluating the effectiveness of the public awareness campaign under this section in educating the general public with respect to the matters described in subsection (b).
“(h) Authorization of appropriations.—For purposes of carrying out this section, there are authorized to be appropriated $2,000,000 for fiscal year 2011 and $4,000,000 for each of fiscal years 2012 and 2015.”.