the United States Senate

“ NURSE-MANAGED HEALTH CLINIC- The term `nurse-managed health clinic' means a nurse-practice arrangement, managed by advanced practice nurses, that provides primary care or wellness services to underserved or vulnerable populations and that is associated with a school, college, university or department of nursing, federally qualified health center, or independent nonprofit health or social services agency. (b) Authority to Award Grants- The Secretary shall award grants for the cost of the operation of nurse-managed health clinics that meet the requirements of this section. ”

“ ELIGIBLE ENTITY- The term `eligible entity' indicates an accredited educational institution that offers a course of study, certificate program, or professional training program in public or allied health or a related discipline, as determined by the Secretary (2) ELIGIBLE INDIVIDUALS- The term `eligible individuals' includes those individuals employed in public and allied health positions at the Federal, State, tribal, or local level who are interested in retaining or upgrading their education. ”

“ ELIGIBLE ENTITY- The term `eligible entity' means a State, an Indian tribe or tribal organization, an institution of higher education, a local workforce investment board established under section 117 of the Workforce Investment Act of 1998, a sponsor of an apprenticeship program registered under the National Apprenticeship Act or a community-based organization. ”

“ HIGH PRIORITY AREAS- (A) IN GENERAL- The initial high priority topics described in this paragraph include each of the following: (i) Integrated health care workforce planning that identifies health care professional skills needed and maximizes the skill sets of health care professionals across disciplines. (ii) An analysis of the nature, scopes of practice, and demands for health care workers in the enhanced information technology and management workplace. (iii) An analysis of how to align Medicare and Medicaid graduate medical education policies with national workforce goals. ”

“ ADDITIONAL ELIGIBILITY REQUIREMENTS- The Secretary may not enter into a contract under this subsection with an eligible individual unless-- (A) the individual agrees to work in, or for a provider serving, a health professional shortage area or medically underserved area, or to serve a medically underserved population; (B) the individual is a United States citizen or a permanent legal United States resident; and (C) if the individual is enrolled in a graduate program, the program is accredited, and the individual has an acceptable level of academic standing (as determined by the Secretary) . ”

“ IN GENERAL- A demonstration project conducted by an eligible entity awarded a grant under this section shall, if appropriate, provide eligible individuals participating in the project with financial aid, child care, case management, and other supportive services. (ii) TREATMENT- Any aid, services, or incentives provided to an eligible beneficiary participating in a demonstration project under this section shall not be considered income, and shall not be taken into account for purposes of determining the individual's eligibility for, or amount of, benefits under any means-tested program. ”

“ The Surgeon General shall give priority to health professions training institutions that train medical, dental, physician assistant, pharmacy, behavioral and mental health, public health, and nursing students for some significant period of time together, but at a minimum have a discrete and shared core curriculum. ”

“ ALLIED HEALTH PROFESSIONALS- The individual is employed full-time as an allied health professional-- (A) in a Federal, State, local, or tribal public health agency; or (B) in a setting where patients might require health care services, including acute care facilities, ambulatory care facilities, personal residences and other settings located in health professional shortage areas, medically underserved areas, or medically underserved populations, as recognized by the Secretary of Health and Human Services.' ”

“ REQUIRED ACTIVITIES- A State partnership receiving a planning grant shall carry out the following: (A) Analyze State labor market information in order to create health care career pathways for students and adults, including dislocated workers. (B) Identify current and projected high demand State or regional health care sectors for purposes of planning career pathways. (C) Identify existing Federal, State, and private resources to recruit, educate or train, and retain a skilled health care workforce and strengthen partnerships. ”

“ MENTAL HEALTH SERVICE PROFESSIONAL- The term `mental health service professional' means an individual with a graduate or postgraduate degree from an accredited institution of higher education in psychiatry, psychology, school psychology, behavioral pediatrics, psychiatric nursing, social work, school social work, substance abuse disorder prevention and treatment, marriage and family counseling, school counseling, or professional counseling. ”

“ TREATMENT OF CERTAIN NONPROVIDER AND DIDACTIC ACTIVITIES- Such rules shall provide that all time spent by an intern or resident in an approved medical residency training program in a nonprovider setting that is primarily engaged in furnishing patient care (as defined in paragraph (5) (K) ) in non-patient care activities, such as didactic conferences and seminars, but not including research not associated with the treatment or diagnosis of a particular patient, as such time and activities are defined by the Secretary, shall be counted toward the determination of full-time equivalency. ”

“ TITLE V--HEALTH CARE WORKFORCE Subtitle A--Purpose and Definitions SEC. 5001. PURPOSE. The purpose of this title is to improve access to and the delivery of health care services for all individuals, particularly low income, underserved, uninsured, minority, health disparity, and rural populations by-- (1) gathering and assessing comprehensive data in order for the health care workforce to meet the health care needs of individuals, including research on the supply, demand, distribution, diversity, and skills needs of the health care workforce ”

“ POINT OF SERVICE MAINTENANCE AND ENHANCEMENT AWARD- The Secretary shall make awards to eligible entities to maintain and improve the effectiveness and capabilities of an existing area health education center program, and make other modifications to the program that are appropriate due to changes in demographics, needs of the populations served, or other similar issues affecting the area health education center program. For the purposes of this section, the term `Program' refers to the area health education center program. ”

“ MAJORITY NON-PROVIDERS- Individuals who are directly involved in health professions education or practice shall not constitute a majority of the membership of the Commission. (D) ETHICAL DISCLOSURE- The Comptroller General shall establish a system for public disclosure by members of the Commission of financial and other potential conflicts of interest relating to such members. Members of the Commission shall be treated as employees of Congress for purposes of applying title I of the Ethics in Government Act of 1978. ”

“ ACCELERATED NURSING DEGREE PROGRAM- The term `accelerated nursing degree program' means a program of education in professional nursing offered by an accredited school of nursing in which an individual holding a bachelors degree in another discipline receives a BSN or MSN degree in an accelerated time frame as determined by the accredited school of nursing. ”

“ Such evaluation shall include identification of successful activities for creating opportunities for developing and sustaining, particularly with respect to low-income individuals and other entry-level workers, a health professions workforce that has accessible entry points, that meets high standards for education, training, certification, and professional development, and that provides increased wages and affordable benefits, including health care coverage, that are responsive to the workforce's needs. ”

“ GRADUATE PSYCHOLOGY- The term `graduate psychology' means an accredited program in professional psychology. (20) HEALTH DISPARITY POPULATION- The term `health disparity population' has the meaning given such term in section 903 (d) (1) . (21) HEALTH LITERACY- The term `health literacy' means the degree to which an individual has the capacity to obtain, communicate, process, and understand health information and services in order to make appropriate health decisions. ”

“ The Secretary shall require such Centers to work with appropriate community partners to develop training program content and to publicize the availability of training courses in their service areas. All family caregiver and direct care provider training programs shall include instruction on the management of psychological and behavioral aspects of dementia, communication techniques for working with individuals who have dementia, and the appropriate, safe, and effective use of medications for older adults. ”

“ Qualified applicants that intend to establish a special populations oral health care education center or training program for the didactic and clinical education of dentists, dental health professionals, and dental hygienists who plan to teach oral health care for people with developmental disabilities, cognitive impairment, complex medical problems, significant physical limitations, and vulnerable elderly. ”

“ INSTITUTE- If the Academy designates an Institute under clause (i) (II) , such Institute shall be a non-profit entity (as defined for purposes of section 501 (c) (3) of the Internal Revenue Code of 1986) with an educational mission, a governance structure that emphasizes independence, and characteristics that make such entity appropriate for establishing a key national indicator system. ”

“ Appropriate organizations may include hospitals, health organizations with accredited primary care training programs, accredited physician assistant educational programs associated with a college or university, and universities or colleges not operating a school of medicine or osteopathic medicine. ”

“ If more than one hospital incurs these costs, either directly or through a third party, such hospitals shall count a proportional share of the time, as determined by written agreement between the hospitals, that a resident spends training in that setting.' ”

“ ELIGIBLE 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 geriatrics as required by the discipline and any addition geriatrics training as required by the Secretary ”