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‘‘Sec. 340M. Public Health Workforce Scholarship Program.
‘‘Sec. 340N. Public Health Workforce Loan Repayment Program.
Sec. 2232. Enhancing the public health workforce.
Sec. 2233. Public health training centers.
Sec. 2234. Preventive medicine and public health training grant program.
Sec. 2235. Authorization of appropriations.

Subtitle D—Adapting Workforce to Evolving Health System Needs

PART 1—HEALTH PROFESSIONS TRAINING FOR DIVERSITY

Sec. 2241. Scholarships for disadvantaged students, loan repayments and fel-
lowships regarding faculty positions, and educational assistance
in the health professions regarding individuals from disadvan-
taged backgrounds.
Sec. 2242. Nursing workforce diversity grants.
Sec. 2243. Coordination of diversity and cultural competency programs.

PART 2—INTERDISCIPLINARY TRAINING PROGRAMS

Sec. 2251. Cultural and linguistic competency training for health care profes-
sionals.
Sec. 2252. Innovations in interdisciplinary care training.

PART 3—ADVISORY COMMITTEE ON HEALTH WORKFORCE EVALUATION AND

ASSESSMENT

Sec. 2261. Health workforce evaluation and assessment.

PART 4—HEALTH WORKFORCE ASSESSMENT

Sec. 2271. Health workforce assessment.

PART 5—AUTHORIZATION OF APPROPRIATIONS

Sec. 2281. Authorization of appropriations.

TITLE III—PREVENTION AND WELLNESS

Sec. 2301. Prevention and Wellness.

‘‘TITLE XXXI—PREVENTION AND WELLNESS

‘‘Subtitle A—Prevention and Wellness Trust

‘‘Sec. 3111. Prevention and Wellness Trust.

‘‘Subtitle B—National Prevention and Wellness Strategy

‘‘Sec. 3121. National Prevention and Wellness Strategy.

‘‘Subtitle C—Prevention Task Forces

‘‘Sec. 3131. Task Force on Clinical Preventive Services.

‘‘Sec. 3132. Task Force on Community Preventive Services.

‘‘Subtitle D—Prevention and Wellness Research

‘‘Sec. 3141. Prevention and wellness research activity coordination.

‘‘Sec. 3142. Community prevention and wellness research grants.

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‘‘Subtitle E—Delivery of Community Prevention and Wellness Services

‘‘Sec. 3151. Community prevention and wellness services grants.

‘‘Subtitle F—Core Public Health Infrastructure

‘‘Sec. 3161. Core public health infrastructure for State, local, and tribal
health departments.
‘‘Sec. 3162. Core public health infrastructure and activities for CDC.

‘‘Subtitle G—General Provisions

‘‘Sec. 3171. Definitions.

TITLE IV—QUALITY AND SURVEILLANCE

Sec. 2401. Implementation of best practices in the delivery of health care.

Sec. 2402. Assistant Secretary for Health Information.
Sec. 2403. Authorization of appropriations.

TITLE V—OTHER PROVISIONS

Subtitle A—Drug Discount for Rural and Other Hospitals

Sec. 2501. Expanded participation in 340B program.

Sec. 2502. Extension of discounts to inpatient drugs.
Sec. 2503. Effective date.

Subtitle B—School-Based Health Clinics

Sec. 2511. School-based health clinics.

Subtitle C—National Medical Device Registry

Sec. 2521. National medical device registry.

Subtitle D—Grants for Comprehensive Programs to Provide Education to

Nurses and Create a Pipeline to Nursing

Sec. 2531. Establishment of grant program.

Subtitle E—States Failing to Adhere to Certain Employment Obligations

Sec. 2541. Limitation on Federal funds.

1 (b) REFERENCES.—Except as otherwise specified,

2 whenever in this division an amendment is expressed in
3 terms of an amendment to a section or other provision,
4 the reference shall be considered to be made to a section
5 or other provision of the Public Health Service Act (42
6 U.S.C. 201 et seq.).

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1 SEC. 2002. PUBLIC HEALTH INVESTMENT FUND.

2 (a) ESTABLISHMENT OF FUNDS.—

3 (1) IN GENERAL.—There is established a fund
4 to be known as the ‘‘Public Health Investment
5 Fund’’ (referred to in this section as the ‘‘Fund’’).
6 (2) FUNDING.—
7 (A) There shall be deposited into the
8 Fund—
9 (i) for fiscal year 2010,
10 $4,600,000,000;
11 (ii) for fiscal year 2011,
12 $5,600,000,000;
13 (iii) for fiscal year 2012,
14 $6,900,000,000;
15 (iv) for fiscal year 2013,
16 $7,800,000,000;
17 (v) for fiscal year 2014,
18 $9,000,000,000;
19 (vi) for fiscal year 2015,
20 $9,400,000,000;
21 (vii) for fiscal year 2016,
22 $10,100,000,000;
23 (viii) for fiscal year 2017,
24 $10,800,000,000;
25 (ix) for fiscal year 2018,
26 $11,800,000,000; and
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1 (x) for fiscal year 2019,
2 $12,700,000,000.
3 (B) Amounts deposited into the Fund shall
4 be derived from general revenues of the Treas-
5 ury.
6 (b) AUTHORIZATION OF APPROPRIATIONS FROM THE

7 FUND.—
8 (1) NEW FUNDING.—

9 (A) IN GENERAL.—Amounts in the Fund

10 are authorized to be appropriated by the Com-
11 mittees on Appropriations of the House of Rep-
12 resentatives and the Senate for carrying out ac-
13 tivities under designated public health provi-
14 sions.
15 (B) DESIGNATED PROVISIONS.—For pur-
16 poses of this paragraph, the term ‘‘designated
17 public health provisions’’ means the provisions
18 for which amounts are authorized to be appro-
19 priated under section 330(s), 338(c), 338H–1,
20 799C, 872, or 3111 of the Public Health Serv-
21 ice Act, as added by this division.
22 (2) BASELINE FUNDING.—

23 (A) IN GENERAL.—Amounts in the Fund

24 are authorized to be appropriated (as described
25 in paragraph (1)) for a fiscal year only if (ex-

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1 cluding any amounts in or appropriated from
2 the Fund)—
3 (i) the amounts specified in subpara-
4 graph (B) for the fiscal year involved are
5 equal to or greater than the amounts spec-
6 ified in subparagraph (B) for fiscal year
7 2008; and
8 (ii) the amounts appropriated, out of
9 the general fund of the Treasury, to the
10 Prevention and Wellness Trust under sec-
11 tion 3111 of the Public Health Service
12 Act, as added by this division, for the fis-
13 cal year involved are equal to or greater
14 than the funds—
15 (I) appropriated under the head-
16 ing ‘‘Prevention and Wellness Fund’’
17 in title VIII of division A of the Amer-
18 ican Recovery and Reinvestment Act
19 of 2009 (Public Law 111–5); and
20 (II) allocated by the second pro-
21 viso under such heading for evidence-
22 based clinical and community-based
23 prevention and wellness strategies.
24 (B) AMOUNTS SPECIFIED.—The amounts
25 specified in this subparagraph, with respect to

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1 a fiscal year, are the amounts appropriated for
2 the following:
3 (i) Community health centers (includ-
4 ing funds appropriated under the authority
5 of section 330 of the Public Health Service
6 Act (42 U.S.C. 254b)).
7 (ii) The National Health Service
8 Corps Program (including funds appro-
9 priated under the authority of section 338
10 of such Act (42 U.S.C. 254k)).
11 (iii) The National Health Service
12 Corps Scholarship and Loan Repayment
13 Programs (including funds appropriated
14 under the authority of section 338H of
15 such Act (42 U.S.C. 254q)).
16 (iv) Primary care loan funds (includ-
17 ing funds appropriated for schools of medi-
18 cine or osteopathic medicine under the au-
19 thority of section 735(f) of such Act (42
20 U.S.C. 292y(f))).
21 (v) Primary care education programs
22 (including funds appropriated under the
23 authority of sections 736, 740, 741, and
24 747 of such Act (42 U.S.C. 293, 293d,
25 and 293k)).

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1 (vi) Sections 761 and 770 of such Act
2 (42 U.S.C. 294n and 295e).
3 (vii) Nursing workforce development
4 (including funds appropriated under the
5 authority of title VIII of such Act (42
6 U.S.C. 296 et seq.)).
7 (viii) The National Center for Health
8 Statistics (including funds appropriated
9 under the authority of sections 304, 306,
10 307, and 308 of such Act (42 U.S.C.
11 242b, 242k, 242l, and 242m)).
12 (ix) The Agency for Healthcare Re-
13 search and Quality (including funds appro-
14 priated under the authority of title IX of
15 such Act (42 U.S.C. 299 et seq.)).
16 (3) BUDGETARY IMPLICATIONS.—Amounts ap-
17 propriated under this section, and outlays flowing
18 from such appropriations, shall not be taken into ac-
19 count for purposes of any budget enforcement proce-
20 dures including allocations under section 302(a) and
21 (b) of the Balanced Budget and Emergency Deficit
22 Control Act and budget resolutions for fiscal years
23 during which appropriations are made from the
24 Fund.

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1 TITLE I—COMMUNITY HEALTH
2 CENTERS
3 SEC. 2101. INCREASED FUNDING.

4 Section 330 of the Public Health Service Act (42

5 U.S.C. 254b) is amended—
6 (1) in subsection (r)(1)—
7 (A) in subparagraph (D), by striking
8 ‘‘and’’ at the end;
9 (B) in subparagraph (E), by striking the
10 period at the end and inserting ‘‘; and’’; and
11 (C) by inserting at the end the following:
12 ‘‘(F) Such sums as may be necessary for
13 each of fiscal years 2013 and 2019.’’; and
14 (2) by inserting after subsection (r) the fol-
15 lowing:
16 ‘‘(s) ADDITIONAL FUNDING.—For the purpose of
17 carrying out this section, in addition to any other amounts
18 authorized to be appropriated for such purpose, there are
19 authorized to be appropriated, out of any monies in the
20 Public Health Investment Fund, the following:
21 ‘‘(1) For fiscal year 2010, $1,000,000,000.
22 ‘‘(2) For fiscal year 2011, $1,500,000,000.
23 ‘‘(3) For fiscal year 2012, $2,500,000,000.
24 ‘‘(4) For fiscal year 2013, $3,000,000,000.
25 ‘‘(5) For fiscal year 2014, $4,000,000,000.

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