85
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professionals in entering the field of geriatrics, long-term care,
and chronic care management.
‘‘(2) E
LIGIBLE INDIVIDUALS
.—To be eligible to received an
award under paragraph (1), an individual shall—
‘‘(A) be an advanced practice nurse, a clinical social
worker, a pharmacist, or student of psychology who is pur-
suing a doctorate or other advanced degree in geriatrics or
related fields in an accredited health professions school;
and
‘‘(B) submit to the Secretary an application at such
time, in such manner, and containing such information as
the Secretary may require.
‘‘(3) C
ONDITION OF AWARD
.—As a condition of receiving an
award under this subsection, an individual shall agree that,
following completion of the award period, the individual will
teach or practice in the field of geriatrics, long-term care, or
chronic care management for a minimum of 5 years under
guidelines set by the Secretary.
‘‘(4) A
UTHORIZATION OF APPROPRIATIONS
.—There is author-
ized to be appropriated to carry out this subsection,
$10,000,000 for the period of fiscal years 2011 through 2013.’’.
(b) E
XPANSION OF
E
LIGIBILITY FOR
G
ERIATRIC
A
CADEMIC
C
A
-
REER
A
WARDS
; P
AYMENT TO
I
NSTITUTION
.—Section 753(c) of the
Public Health Service Act 294(c)) is amended—
(1) by redesignating paragraphs (4) and (5) as paragraphs
(5) and (6), respectively;
(2) by striking paragraph (2) through paragraph (3) and in-
serting the following:
‘‘(2) E
LIGIBLE INDIVIDUALS
.—To be eligible to receive an
Award under paragraph (1), an individual shall—
‘‘(A) be board certified or board eligible in internal
medicine, family practice, psychiatry, or licensed dentistry,
or have completed any required training in a discipline
and employed in an accredited health professions school
that is approved by the Secretary;
‘‘(B) have completed an approved fellowship program
in geriatrics or have completed specialty training in geri-
atrics as required by the discipline and any addition geri-
atrics training as required by the Secretary; and
‘‘(C) have a junior (non-tenured) faculty appointment
at an accredited (as determined by the Secretary) school of
medicine, osteopathic medicine, nursing, social work, psy-
chology, dentistry, pharmacy, or other allied health dis-
ciplines in an accredited health professions school that is
approved by the Secretary.
‘‘(3) L
IMITATIONS
.—No Award under paragraph (1) may be
made to an eligible individual unless the individual—
‘‘(A) has submitted to the Secretary an application, at
such time, in such manner, and containing such informa-
tion as the Secretary may require, and the Secretary has
approved such application;
‘‘(B) provides, in such form and manner as the Sec-
retary may require, assurances that the individual will
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meet the service requirement described in paragraph (6);
and
‘‘(C) provides, in such form and manner as the Sec-
retary may require, assurances that the individual has a
full-time faculty appointment in a health professions insti-
tution and documented commitment from such institution
to spend 75 percent of the total time of such individual on
teaching and developing skills in interdisciplinary edu-
cation in geriatrics.
‘‘(4) M
AINTENANCE OF EFFORT
.—An eligible individual that
receives an Award under paragraph (1) shall provide assur-
ances to the Secretary that funds provided to the eligible indi-
vidual under this subsection will be used only to supplement,
not to supplant, the amount of Federal, State, and local funds
otherwise expended by the eligible individual.’’; and
(3) in paragraph (5), as so designated—
(A) in subparagraph (A)—
(i) by inserting ‘‘for individuals who are physi-
cians’’ after ‘‘this section’’; and
(ii) by inserting after the period at the end the fol-
lowing: ‘‘The Secretary shall determine the amount of
an Award under this section for individuals who are
not physicians.’’; and
(B) by adding at the end the following:
‘‘(C) P
AYMENT TO INSTITUTION
.—The Secretary shall
make payments to institutions which include schools of
medicine, osteopathic medicine, nursing, social work, psy-
chology, dentistry, and pharmacy, or other allied health
discipline in an accredited health professions school that is
approved by the Secretary.’’.
(c) C
OMPREHENSIVE
G
ERIATRIC
E
DUCATION
.—Section 855 of the
Public Health Service Act (42 U.S.C. 298) is amended—
(1) in subsection (b)—
(A) in paragraph (3), by striking ‘‘or’’ at the end;
(B) in paragraph (4), by striking the period and insert-
ing ‘‘; or’’; and
(C) by adding at the end the following:
‘‘(5) establish traineeships for individuals who are pre-
paring for advanced education nursing degrees in geriatric
nursing, long-term care, gero-psychiatric nursing or other nurs-
ing areas that specialize in the care of the elderly population.’’;
and
(2) in subsection (e), by striking ‘‘2003 through 2007’’ and
inserting ‘‘2010 through 2014’’.
SEC. 5306. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND
TRAINING GRANTS.
(a) I
N
G
ENERAL
.—Part D of title VII (42 U.S.C. 294 et seq.) is
amended by—
(1) striking section 757;
(2) redesignating section 756 (as amended by section 5103)
as section 757; and
(3) inserting after section 755 the following:
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73
556
Sec. 5306\756 PHSA
PPACA (Consolidated)
‘‘SEC. 756 ø42 U.S.C. 294e–1¿. MENTAL AND BEHAVIORAL HEALTH EDU-
CATION AND TRAINING GRANTS.
‘‘(a) G
RANTS
A
UTHORIZED
.—The Secretary may award grants to
eligible institutions of higher education to support the recruitment
of students for, and education and clinical experience of the stu-
dents in—
‘‘(1) baccalaureate, master’s, and doctoral degree programs
of social work, as well as the development of faculty in social
work;
‘‘(2) accredited master’s, doctoral, internship, and post-doc-
toral residency programs of psychology for the development
and implementation of interdisciplinary training of psychology
graduate students for providing behavioral and mental health
services, including substance abuse prevention and treatment
services;
‘‘(3) accredited institutions of higher education or accred-
ited professional training programs that are establishing or ex-
panding internships or other field placement programs in child
and adolescent mental health in psychiatry, psychology, school
psychology, behavioral pediatrics, psychiatric nursing, social
work, school social work, substance abuse prevention and
treatment, marriage and family therapy, school counseling, or
professional counseling; and
‘‘(4) State-licensed mental health nonprofit and for-profit
organizations to enable such organizations to pay for programs
for preservice or in-service training of paraprofessional child
and adolescent mental health workers.
‘‘(b) E
LIGIBILITY
R
EQUIREMENTS
.—To be eligible for a grant
under this section, an institution shall demonstrate—
‘‘(1) participation in the institutions’ programs of individ-
uals and groups from different racial, ethnic, cultural, geo-
graphic, religious, linguistic, and class backgrounds, and dif-
ferent genders and sexual orientations;
‘‘(2) knowledge and understanding of the concerns of the
individuals and groups described in subsection (a);
‘‘(3) any internship or other field placement program as-
sisted under the grant will prioritize cultural and linguistic
competency;
‘‘(4) the institution will provide to the Secretary such data,
assurances, and information as the Secretary may require; and
‘‘(5) with respect to any violation of the agreement between
the Secretary and the institution, the institution will pay such
liquidated damages as prescribed by the Secretary by regula-
tion.
‘‘(c) I
NSTITUTIONAL
R
EQUIREMENT
.—For grants authorized
under subsection (a)(1), at least 4 of the grant recipients shall be
historically black colleges or universities or other minority-serving
institutions.
‘‘(d) P
RIORITY
.—
‘‘(1) In selecting the grant recipients in social work under
subsection (a)(1), the Secretary shall give priority to applicants
that—
‘‘(A) are accredited by the Council on Social Work Edu-
cation;
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67
557
Sec. 5306
PPACA (Consolidated)
‘‘(B) have a graduation rate of not less than 80 percent
for social work students; and
‘‘(C) exhibit an ability to recruit social workers from
and place social workers in areas with a high need and
high demand population.
‘‘(2) In selecting the grant recipients in graduate psy-
chology under subsection (a)(2), the Secretary shall give pri-
ority to institutions in which training focuses on the needs of
vulnerable groups such as older adults and children, individ-
uals with mental health or substance-related disorders, victims
of abuse or trauma and of combat stress disorders such as
posttraumatic stress disorder and traumatic brain injuries,
homeless individuals, chronically ill persons, and their fami-
lies.
‘‘(3) In selecting the grant recipients in training programs
in child and adolescent mental health under subsections (a)(3)
and (a)(4), the Secretary shall give priority to applicants that—
‘‘(A) have demonstrated the ability to collect data on
the number of students trained in child and adolescent
mental health and the populations served by such students
after graduation or completion of preservice or in-service
training;
‘‘(B) have demonstrated familiarity with evidence-
based methods in child and adolescent mental health serv-
ices, including substance abuse prevention and treatment
services;
‘‘(C) have programs designed to increase the number of
professionals and paraprofessionals serving high-priority
populations and to applicants who come from high-priority
communities and plan to serve medically underserved pop-
ulations, in health professional shortage areas, or in medi-
cally underserved areas;
‘‘(D) offer curriculum taught collaboratively with a
family on the consumer and family lived experience or the
importance of family-professional or family-paraprofes-
sional partnerships; and
‘‘(E) provide services through a community mental
health program described in section 1913(b)(1).
‘‘(e) A
UTHORIZATION OF
A
PPROPRIATION
.—For the fiscal years
2010 through 2013, there is authorized to be appropriated to carry
out this section—
‘‘(1) $8,000,000 for training in social work in subsection
(a)(1);
‘‘(2) $12,000,000 for training in graduate psychology in
subsection (a)(2), of which not less than $10,000,000 shall be
allocated for doctoral, postdoctoral, and internship level train-
ing;
‘‘(3) $10,000,000 for training in professional child and ado-
lescent mental health in subsection (a)(3); and
‘‘(4) $5,000,000 for training in paraprofessional child and
adolescent work in subsection (a)(4).’’.
(b) C
ONFORMING
A
MENDMENTS
.—Section 757(b)(2) of the Public
Health Service Act, as redesignated by subsection (a), is amended
by striking ‘‘sections 751(a)(1)(A), 751(a)(1)(B), 753(b), 754(3)(A),
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June 9, 2010
113
558
Sec. 5307
PPACA (Consolidated)
and 755(b)’’ and inserting ‘‘sections 751(b)(1)(A), 753(b), and
755(b)’’.
SEC. 5307. CULTURAL COMPETENCY, PREVENTION, AND PUBLIC
HEALTH AND INDIVIDUALS WITH DISABILITIES TRAIN-
ING.
(a) T
ITLE
VII.—Section 741 of the Public Health Service Act
(42 U.S.C. 293e) is amended—
(1) in subsection (a)—
(A) by striking the subsection heading and inserting
‘‘C
ULTURAL
C
OMPETENCY
, P
REVENTION
,
AND
P
UBLIC
H
EALTH AND
I
NDIVIDUALS
W
ITH
D
ISABILITY
G
RANTS
’’; and
(B) in paragraph (1), by striking ‘‘for the purpose of’’
and all that follows through the period at the end and in-
serting ‘‘for the development, evaluation, and dissemina-
tion of research, demonstration projects, and model cur-
ricula for cultural competency, prevention, public health
proficiency, reducing health disparities, and aptitude for
working with individuals with disabilities training for use
in health professions schools and continuing education pro-
grams, and for other purposes determined as appropriate
by the Secretary.’’; and
(2) by striking subsection (b) and inserting the following:
‘‘(b) C
OLLABORATION
.—In carrying out subsection (a), the Sec-
retary shall collaborate with health professional societies, licensing
and accreditation entities, health professions schools, and experts
in minority health and cultural competency, prevention, and public
health and disability groups, community-based organizations, and
other organizations as determined appropriate by the Secretary.
The Secretary shall coordinate with curricula and research and
demonstration projects developed under section 807.
‘‘(c) D
ISSEMINATION
.—
‘‘(1) I
N GENERAL
.—Model curricula developed under this
section shall be disseminated through the Internet Clearing-
house under section 270 and such other means as determined
appropriate by the Secretary.
‘‘(2) E
VALUATION
.—The Secretary shall evaluate the adop-
tion and the implementation of cultural competency, preven-
tion, and public health, and working with individuals with a
disability training curricula, and the facilitate inclusion of
these competency measures in quality measurement systems
as appropriate.
‘‘(d) A
UTHORIZATION OF
A
PPROPRIATIONS
.—There is authorized
to be appropriated to carry out this section such sums as may be
necessary for each of fiscal years 2010 through 2015.’’.
(b) T
ITLE
VIII.—Section 807 of the Public Health Service Act
(42 U.S.C. 296e–1) is amended—
(1) in subsection (a)—
(A) by striking the subsection heading and inserting
‘‘C
ULTURAL
C
OMPETENCY
, P
REVENTION
,
AND
P
UBLIC
H
EALTH AND
I
NDIVIDUALS
W
ITH
D
ISABILITY
G
RANTS
’’; and
(B) by striking ‘‘for the purpose of’’ and all that follows
through ‘‘health care.’’ and inserting ‘‘for the development,
evaluation, and dissemination of research, demonstration
projects, and model curricula for cultural competency, pre-
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June 9, 2010
80
559
Sec. 5309
PPACA (Consolidated)
vention, public health proficiency, reducing health dispari-
ties, and aptitude for working with individuals with dis-
abilities training for use in health professions schools and
continuing education programs, and for other purposes de-
termined as appropriate by the Secretary.’’; and
(2) by redesignating subsection (b) as subsection (d);
(3) by inserting after subsection (a) the following:
‘‘(b) C
OLLABORATION
.—In carrying out subsection (a), the Sec-
retary shall collaborate with the entities described in section
741(b). The Secretary shall coordinate with curricula and research
and demonstration projects developed under such section 741.
‘‘(c) D
ISSEMINATION
.—Model curricula developed under this sec-
tion shall be disseminated and evaluated in the same manner as
model curricula developed under section 741, as described in sub-
section (c) of such section.’’; and
(4) in subsection (d), as so redesignated—
(A) by striking ‘‘subsection (a)’’ and inserting ‘‘this sec-
tion’’; and
(B) by striking ‘‘2001 through 2004’’ and inserting
‘‘2010 through 2015’’.
SEC. 5308. ADVANCED NURSING EDUCATION GRANTS.
Section 811 of the Public Health Service Act (42 U.S.C. 296j)
is amended—
(1) in subsection (c)—
(A) in the subsection heading, by striking ‘‘
AND
N
URSE
M
IDWIFERY
P
ROGRAMS
’’; and
(B) by striking ‘‘and nurse midwifery’’;
(2) in subsection (f)—
(A) by striking paragraph (2); and
(B) by redesignating paragraph (3) as paragraph (2);
and
(3) by redesignating subsections (d), (e), and (f) as sub-
sections (e), (f), and (g), respectively; and
(4) by inserting after subsection (c), the following:
‘‘(d) A
UTHORIZED
N
URSE
-
MIDWIFERY
P
ROGRAMS
.—Midwifery
programs that are eligible for support under this section are edu-
cational programs that—
‘‘(1) have as their objective the education of midwives; and
‘‘(2) are accredited by the American College of Nurse-Mid-
wives Accreditation Commission for Midwifery Education.’’.
SEC. 5309. NURSE EDUCATION, PRACTICE, AND RETENTION GRANTS.
(a) I
N
G
ENERAL
.—Section 831 of the Public Health Service Act
(42 U.S.C. 296p) is amended—
(1) in the section heading, by striking ‘‘RETENTION’’ and
inserting ‘‘QUALITY’’;
(2) in subsection (a)—
(A) in paragraph (1), by adding ‘‘or’’ after the semi-
colon;
(B) by striking paragraph (2); and
(C) by redesignating paragraph (3) as paragraph (2);
(3) in subsection (b)(3), by striking ‘‘managed care, quality
improvement’’ and inserting ‘‘coordinated care’’;
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Sec. 5309\831A PHSA
PPACA (Consolidated)
(4) in subsection (g), by inserting ‘‘, as defined in section
801(2),’’ after ‘‘school of nursing’’; and
(5) in subsection (h), by striking ‘‘2003 through 2007’’ and
inserting ‘‘2010 through 2014’’.
(b) N
URSE
R
ETENTION
G
RANTS
.—Title VIII of the Public Health
Service Act is amended by inserting after section 831 (42 U.S.C.
296b) the following:
‘‘SEC. 831A ø42 U.S.C. 296p–1¿. NURSE RETENTION GRANTS.
‘‘(a) R
ETENTION
P
RIORITY
A
REAS
.—The Secretary may award
grants to, and enter into contracts with, eligible entities to enhance
the nursing workforce by initiating and maintaining nurse reten-
tion programs pursuant to subsection (b) or (c).
‘‘(b) G
RANTS FOR
C
AREER
L
ADDER
P
ROGRAM
.—The Secretary
may award grants to, and enter into contracts with, eligible entities
for programs—
‘‘(1) to promote career advancement for individuals includ-
ing licensed practical nurses, licensed vocational nurses, cer-
tified nurse assistants, home health aides, diploma degree or
associate degree nurses, to become baccalaureate prepared reg-
istered nurses or advanced education nurses in order to meet
the needs of the registered nurse workforce;
‘‘(2) developing and implementing internships and resi-
dency programs in collaboration with an accredited school of
nursing, as defined by section 801(2), to encourage mentoring
and the development of specialties; or
‘‘(3) to assist individuals in obtaining education and train-
ing required to enter the nursing profession and advance with-
in such profession.
‘‘(c) E
NHANCING
P
ATIENT
C
ARE
D
ELIVERY
S
YSTEMS
.—
‘‘(1) G
RANTS
.—The Secretary may award grants to eligible
entities to improve the retention of nurses and enhance patient
care that is directly related to nursing activities by enhancing
collaboration and communication among nurses and other
health care professionals, and by promoting nurse involvement
in the organizational and clinical decision-making processes of
a health care facility.
‘‘(2) P
RIORITY
.—In making awards of grants under this
subsection, the Secretary shall give preference to applicants
that have not previously received an award under this sub-
section (or section 831(c) as such section existed on the day be-
fore the date of enactment of this section).
‘‘(3) C
ONTINUATION OF AN AWARD
.—The Secretary shall
make continuation of any award under this subsection beyond
the second year of such award contingent on the recipient of
such award having demonstrated to the Secretary measurable
and substantive improvement in nurse retention or patient
care.
‘‘(d) O
THER
P
RIORITY
A
REAS
.—The Secretary may award grants
to, or enter into contracts with, eligible entities to address other
areas that are of high priority to nurse retention, as determined by
the Secretary.
‘‘(e) R
EPORT
.—The Secretary shall submit to the Congress be-
fore the end of each fiscal year a report on the grants awarded and
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June 9, 2010
93
561
Sec. 5311
PPACA (Consolidated)
the contracts entered into under this section. Each such report
shall identify the overall number of such grants and contracts and
provide an explanation of why each such grant or contract will
meet the priority need of the nursing workforce.
‘‘(f) E
LIGIBLE
E
NTITY
.—For purposes of this section, the term
‘eligible entity’ includes an accredited school of nursing, as defined
by section 801(2), a health care facility, or a partnership of such
a school and facility.
‘‘(g) A
UTHORIZATION OF
A
PPROPRIATIONS
.—There are author-
ized to be appropriated to carry out this section such sums as may
be necessary for each of fiscal years 2010 through 2012.’’.
SEC. 5310. LOAN REPAYMENT AND SCHOLARSHIP PROGRAM.
(a) L
OAN
R
EPAYMENTS AND
S
CHOLARSHIPS
.—Section 846(a)(3)
of the Public Health Service Act (42 U.S.C. 297n(a)(3)) is amended
by inserting before the semicolon the following: ‘‘, or in a accredited
school of nursing, as defined by section 801(2), as nurse faculty’’.
(b) T
ECHNICAL AND
C
ONFORMING
A
MENDMENTS
.—Title VIII (42
U.S.C. 296 et seq.) is amended—
(1) by redesignating section 810 (relating to prohibition
against discrimination by schools on the basis of sex) as section
809 and moving such section so that it follows section 808;
(2) in sections 835, 836, 838, 840, and 842, by striking the
term ‘‘this subpart’’ each place it appears and inserting ‘‘this
part’’;
(3) in section 836(h), by striking the last sentence;
(4) in section 836, by redesignating subsection (l) as sub-
section (k);
(5) in section 839, by striking ‘‘839’’ and all that follows
through ‘‘(a)’’ and inserting ‘‘839. (a)’’;
(6) in section 835(b), by striking ‘‘841’’ each place it ap-
pears and inserting ‘‘871’’;
(7) by redesignating section 841 as section 871, moving
part F to the end of the title, and redesignating such part as
part I;
(8) in part G—
(A) by redesignating section 845 as section 851; and
(B) by redesignating part G as part F;
(9) in part H—
(A) by redesignating sections 851 and 852 as sections
861 and 862, respectively; and
(B) by redesignating part H as part G; and
(10) in part I—
(A) by redesignating section 855, as amended by sec-
tion 5305, as section 865; and
(B) by redesignating part I as part H.
SEC. 5311. NURSE FACULTY LOAN PROGRAM.
(a) I
N
G
ENERAL
.—Section 846A of the Public Health Service
Act (42 U.S.C. 297n–1) is amended—
(1) in subsection (a)—
(A) in the subsection heading, by striking ‘‘E
STABLISH
-
MENT
’’ and inserting ‘‘S
CHOOL OF
N
URSING
S
TUDENT
L
OAN
F
UND
’’; and
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