1.This Act may be cited as the
Health Care Workforce Incentive Act of
2009
.
<enum>I</enum><header>National Health
Workforce Advisory Board</header>
<section id="H08B76A8DBFDB4D308731A33E3EE1473C"><enum>101.</enum><header>Establishment</header><text display-inline="no-display-inline">There is established an independent National
Health Workforce Advisory Board (in this title referred to as the
<quote>Advisory Board</quote>) to advise Congress on issues affecting the
health care workforce, consistent with this title.</text>
</section><section id="H1240A628E7A1483D86DFB1DAF87700D3"><enum>102.</enum><header>Purpose</header>
<subsection id="H7037E36C43714C0B81A14CECA69217F9"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The purpose of the
Advisory Board is to improve the supply, distribution, diversity, and quality
of health professionals in the health care workforce by—</text>
<paragraph id="H138BD962BC5648F29CDD6D05D7E9D78C"><enum>(1)</enum><text>examining the
impact of policies on workforce and workforce shortages from a
multijurisdictional perspective, including the Department of Labor, Department
of Health and Human Services, the Department of Veterans Affairs, and the
Department of Defense;</text>
</paragraph><paragraph id="H56AE9F6EF6024035B3DC32054C32C987"><enum>(2)</enum><text>developing
innovative solutions to increase the short-term supply of the health care
workforce, including a plan to rapidly deploy health care professionals in the
field;</text>
</paragraph><paragraph id="H85BB90E8E0184D0B8FBE065DA44360DA"><enum>(3)</enum><text>coming up with a
national plan for increasing the long-term supply and structure of the health
care workforce;</text>
</paragraph><paragraph id="H2B168BFC31B54D728271B95F5653298B"><enum>(4)</enum><text>making health care
professionals more accessible to the general population, especially low-income,
underserved, uninsured, minority, those experiencing health disparities, and
rural populations;</text>
</paragraph><paragraph id="HCEF34560F40949C29B2FE28B7109D9AB"><enum>(5)</enum><text>improving the
training of primary care physicians, nurses, dentists, physician assistants,
behavioral and mental health professionals, public health professionals, and
other health professionals;</text>
</paragraph><paragraph id="H4982DDDC332246A6B8092DEA342E2EA"><enum>(6)</enum><text>training faculty
educators in the health professions; and</text>
</paragraph><paragraph id="H12AD3FF01EA94525BF15FA0028F3D963"><enum>(7)</enum><text display-inline="yes-display-inline">utilizing data from a variety of sources,
including the Health Resources and Services Administration, the Centers for
Medicare & Medicaid Services, and State Councils that report to the
National Workforce Data Center of the Health Resources and Services
Administration.</text>
</paragraph></subsection><subsection id="HF4BBE0302F8147EA9B68AC91B2F87138"><enum>(b)</enum><header>Duties</header>
<paragraph id="H839414867E1F427900BE8BCF9BCBEA26"><enum>(1)</enum><header>Review of health
care workforce and annual reports</header><text>With the goal of developing a
fiscally sustainable integrated workforce which supports high-quality health
care delivery system that meets the needs of patients and populations, the
Advisory Board shall—</text>
<subparagraph id="HC134CC1EEDF848548BFDABF8F0C254F2"><enum>(A)</enum><text>review health care
workforce and projected workforce needs, including the topics described in
paragraph (2);</text>
</subparagraph><subparagraph id="HB7C68472E576493C96B979916365C272"><enum>(B)</enum><text>make
recommendations to Congress concerning national workforce priorities, goals,
and policies;</text>
</subparagraph><subparagraph id="H3076B5E489CD4BAA89CFD250B9EAC94"><enum>(C)</enum><text>examine and develop
innovative short-term and long-term solutions for rapid training and deployment
of personnel into the health care workforce;</text>
</subparagraph><subparagraph id="HFF50B18B1924400CBAAFBB25EE2FE3BB"><enum>(D)</enum><text>not later than 6
months after its creation, the Board shall develop short-term solutions for
rapid training and deployment of personnel into the workforce, submit to
Congress a report on such solutions;</text>
</subparagraph><subparagraph id="HF44CBE6CC4164B929880361441735B00"><enum>(E)</enum><text>by not later than
January 31 of each year (beginning with 2011), submit a report to Congress
containing the results of such reviews and its recommendations concerning
related policies; and</text>
</subparagraph><subparagraph id="H87BC7C3A36074FB39387F0285C76F13"><enum>(F)</enum><text>by not later than
April 1 of each year (beginning with 2011), submit a report to Congress
containing a review of and recommendations on at minimum one high priority area
as described in paragraph (3).</text>
</subparagraph></paragraph><paragraph id="HBAB3A2D989F847C5AB25F02606D99229"><enum>(2)</enum><header>Specific topics
to be reviewed</header>
<subparagraph id="H6E161A8EEDB44CD194492476206D07A9"><enum>(A)</enum><text>Current health
care workforce demographics, skill sets, and needs, with projected needs over
the following 10- and 25-year periods.</text>
</subparagraph><subparagraph id="H6F59F2FD22BF49989754BE62F0C4BED9"><enum>(B)</enum><text>Health care
workforce training capacity, including number of students trained, number of
qualified faculty, training infrastructure and training needs, with projected
needs over the following 10- and 25-year periods.</text>
</subparagraph><subparagraph id="HCDFE5820102440CC8FB5DFD2F021E100"><enum>(C)</enum><text>The implications
of new and existing Federal policies which affect the workforce, including but
not limited to Medicare and Medicaid GME policies, title VII and title VIII of
the Public Health Service Act, and the National Health Service Corps with
recommendations for aligning these programs with national health workforce
priorities and goals.</text>
</subparagraph><subparagraph id="H9807312F103D4B64B9AB8B98BBC3BD80"><enum>(D)</enum><text>Health care
workforce needs of special populations, such as minorities, rural populations,
underserved populations, and geriatric and pediatric populations with
recommendations for new and existing Federal policies to meet the needs of
these special populations.</text>
</subparagraph></paragraph><paragraph id="H9C0D8F1A1CC44682B5CE5CAF1350702"><enum>(3)</enum><header>High priority
topics</header><text>High priority topics are health care workforce areas which
require special attention. The topics may be determined by the Advisory Board
or assigned by appropriate committees of Congress. Initial high priority topics
include—</text>
<subparagraph id="HA97959FABFBB4560B1D503A4303CB42"><enum>(A)</enum><text>integrated
workforce planning maximizing the skill sets of health care professionals
across disciplines;</text>
</subparagraph><subparagraph id="HDEB049C64F5640BC9D441E5449F400AC"><enum>(B)</enum><text>integrated
workforce planning for short-term and rapid deployment into the health care
workforce;</text>
</subparagraph><subparagraph id="HA54A5DEB0C9D46B1B524381CC4F1D57D"><enum>(C)</enum><text>analysis of the
nature, scopes of practice, and demands for health workers in the enhanced
information technology and management work place;</text>
</subparagraph><subparagraph id="H4138E110EEB540FE971C1614FFACC859"><enum>(D)</enum><text>Medicare and
Medicaid graduate medical education policies and recommendations for aligning
with national workforce goals;</text>
</subparagraph><subparagraph id="H98320B7C17C64367974B0470E2ED7073"><enum>(E)</enum><text>nursing workforce
capacity at all levels of nurse training, training capacity, projected needs,
and integration within the health care system;</text>
</subparagraph><subparagraph id="H87C08BD13D2B4C8D8F403EBFDE233E66"><enum>(F)</enum><text>dental workforce
capacity, training capacity, projected needs, and integration within the health
care system; and</text>
</subparagraph><subparagraph id="H69128FCFF1EC4AB9AF43E330B8447213"><enum>(G)</enum><text>mental health
workforce capacity, training capacity and projected needs.</text>
</subparagraph></paragraph><paragraph id="H22C0ECE8E2214AA1B400E1AF0119D1E8"><enum>(4)</enum><header>Agenda and
additional reviews</header><text>The Advisory Board shall consult periodically
with the chairmen and ranking minority members of the appropriate committees of
Congress regarding the Advisory Board’s agenda, progress towards achieving this
agenda and requests for high priority topics.</text>
</paragraph></subsection></section><section id="H6E69576E704244DBBBD710D907DF864B"><enum>103.</enum><header>Membership and
related provisions</header>
<subsection id="H2B4A18F788E04B8F9735B531A65368A7"><enum>(a)</enum><header>Membership</header>
<paragraph id="H57751AB1B2FC44E189A33D87D9580068"><enum>(1)</enum><header>Number and
appointment</header><text>The Advisory Board shall be composed of 15 members
appointed by the Comptroller General.</text>
</paragraph><paragraph id="H71BAE9C105744B9A84C2CC7632AAA905"><enum>(2)</enum><header>Qualifications</header>
<subparagraph id="H79C24BB615AC441E89EE05D1158E2C10"><enum>(A)</enum><header>In
general</header><text>The membership of the Advisory Board shall include
individuals with national recognition for their expertise in the provision of
health services, health care workforce analysis, health care finance and
economics, health facility management, health plans and integrated delivery
systems, higher education, health care philanthropy, and other related fields,
who will provide a mix of professional perspectives, broad geographic
representation, and a balance between urban and rural representatives.</text>
</subparagraph><subparagraph id="H915B5E6E278B4DE99276EB60475D6C6F"><enum>(B)</enum><header>Inclusion</header><text>The
membership of the Advisory Board shall include (but not be limited to) health
professionals, employers, third-party payers, individuals skilled in the
conduct and interpretation of health services and health economics research.
Such membership shall also include representatives of consumers.</text>
</subparagraph><subparagraph id="HBA199D80637F473F91E9EB71591BEFCA"><enum>(C)</enum><header>Majority
non-providers</header><text>Individuals who are directly involved in health
professions education or practice shall not constitute a majority of the
membership of the Advisory Board.</text>
</subparagraph><subparagraph id="HAD1BB075041F46F69C46FE9699A6B8"><enum>(D)</enum><header>Ethical
disclosure</header><text>The Comptroller General shall establish a system for
public disclosure by members of the Advisory Board of financial and other
potential conflicts of interest relating to such members.</text>
</subparagraph></paragraph><paragraph id="HE54F363E160042248FDCCD9800B612EC"><enum>(3)</enum><header>Terms</header>
<subparagraph id="HE894AB48634F45EFAC14934DD9D397E6"><enum>(A)</enum><header>In
general</header><text>The terms of members of the Advisory Board shall be for 3
years except that the Comptroller General shall designate staggered terms for
the members first appointed.</text>
</subparagraph><subparagraph id="HE81ACFDBAE094458B1B012A583B94761"><enum>(B)</enum><header>Vacancies</header><text>Any
member appointed to fill a vacancy occurring before the expiration of the term
for which the member’s predecessor was appointed shall be appointed only for
the remainder of that term. A member may serve after the expiration of that
member’s term until a successor has taken office. A vacancy in the Advisory
Board shall be filled in the manner in which the original appointment was
made.</text>
</subparagraph></paragraph><paragraph id="HC98D90311A9048FE003BAC3DC6B80429"><enum>(4)</enum><header>Compensation</header><text>While
serving on the business of the Advisory Board (including travel time), a member
of the Advisory Board shall be entitled to compensation at the per diem
equivalent of the rate provided for level IV of the Executive Schedule under
section 5315 of title 5, United States Code; and while so serving away from
home and the member’s regular place of business, a member may be allowed travel
expenses, as authorized by the Chairman of the Advisory Board. Physicians
serving as personnel of the Advisory Board may be provided a physician
comparability allowance by the Advisory Board in the same manner as Government
physicians may be provided such an allowance by an agency under section 5948 of
title 5, United States Code, and for such purpose subsection (i) of such
section shall apply to the Advisory Board in the same manner as it applies to
the Tennessee Valley Authority. For purposes of pay (other than pay of members
of the Advisory Board) and employment benefits, rights, and privileges, all
personnel of the Advisory Board shall be treated as if they were employees of
the United States Senate.</text>
</paragraph><paragraph id="H8607CE4C2AF24448B7194C6EB606299C"><enum>(5)</enum><header>Chairman; vice
chairman</header><text>The Advisory Board members shall elect by a majority
vote the Advisory Board chairman and vice chairman for the term of their
appointment of portion remaining. Elections shall occur at the end of any
chairman or vice chairman’s term or should a Advisory Board member leave the
Advisory Board for any reason.</text>
</paragraph><paragraph id="H0322F831296D4A289090AE21F75C91BF"><enum>(6)</enum><header>Meetings</header><text>The
Advisory Board shall meet at the call of the Chairman.</text>
</paragraph></subsection><subsection id="H597A988E36514296AE27A9D7A638F2E"><enum>(b)</enum><header>Director and
staff; experts and consultants</header><text>Subject to such review as the
Comptroller General deems necessary to assure the efficient administration of
the Advisory Board, the Advisory Board may—</text>
<paragraph id="H0E23CA4B52DF46D997DF704BE0C700B0"><enum>(1)</enum><text>employ and fix the
compensation of an Executive Director (subject to the approval of the
Comptroller General) and such other personnel as may be necessary to carry out
its duties (without regard to the provisions of title 5, United States Code,
governing appointments in the competitive service);</text>
</paragraph><paragraph id="H89878431B19B4D0BA6A323D4F0D2907F"><enum>(2)</enum><text>seek such
assistance and support as may be required in the performance of its duties from
appropriate Federal departments and agencies;</text>
</paragraph><paragraph id="HC065B1B4B8CE4C14B485DEC1E9E3D16"><enum>(3)</enum><text>enter into
contracts or make other arrangements, as may be necessary for the conduct of
the work of the Advisory Board (without regard to section 3709 of the Revised
Statutes (41 U.S.C. 5));</text>
</paragraph><paragraph id="H7FE203CBB17F47E192123C49FEB8C800"><enum>(4)</enum><text>make advance,
progress, and other payments which relate to the work of the Advisory
Board;</text>
</paragraph><paragraph id="H0146902C73A9447F89E900B8FCAFB732"><enum>(5)</enum><text>provide
transportation and subsistence for persons serving without compensation;
and</text>
</paragraph><paragraph id="HCB25361B34F8452ABC3979A5ACC54218"><enum>(6)</enum><text>prescribe such
rules and regulations as it deems necessary with respect to the internal
organization and operation of the Advisory Board.</text>
</paragraph></subsection><subsection id="H3922A0DF676E4CEA958B70F98FBDA82F"><enum>(c)</enum><header>Powers</header>
<paragraph id="H47C1527EAE5549899E324400B9C5A189"><enum>(1)</enum><header>Obtaining
official data</header><text>The Advisory Board may secure directly from any
department or agency of the United States information necessary to enable it to
carry out this section. Upon request of the Chairman, the head of that
department or agency shall furnish that information to the Advisory Board on an
agreed upon schedule.</text>
</paragraph><paragraph id="H388692550C4C4105A0710032F16D9E06"><enum>(2)</enum><header>Data
collection</header><text>In order to carry out its functions, the Advisory
Board shall—</text>
<subparagraph id="HC6C464AAFAEB4B70AD24F3AE13016DD6"><enum>(A)</enum><text>utilize existing
information, both published and unpublished, where possible, collected and
assessed either by its own staff or under other arrangements made in accordance
with this section;</text>
</subparagraph><subparagraph id="H5A4E7FDD959D4E1B97D21093B67400E8"><enum>(B)</enum><text>carry out, or
award grants or contracts for, original research and experimentation, where
existing information is inadequate; and</text>
</subparagraph><subparagraph id="HD7B3872A963048859F6195FD88888399"><enum>(C)</enum><text>adopt procedures
allowing any interested party to submit information for the Advisory Board’s
use in making reports and recommendations.</text>
</subparagraph></paragraph><paragraph id="H1DAD1F9F5DA34EC090C79E1DB4BE094F"><enum>(3)</enum><header>Access of GAO to
information</header><text>The Comptroller General shall have unrestricted
access to all deliberations, records, and nonproprietary data of the Advisory
Board, immediately upon request.</text>
</paragraph><paragraph id="H8B14D0A4742548A8B30332050991F088"><enum>(4)</enum><header>Periodic
audit</header><text>The Advisory Board shall be subject to periodic audit by
the Comptroller General.</text>
</paragraph></subsection><subsection id="HEEBEEE343382429E9791185F0715BEDC"><enum>(d)</enum><header>Cooperation</header><text>The
Advisory Board shall carry out its duties in cooperation with the Council on
Graduate Medical Education established under section 762 of the Public Health
Service Act (42 U.S.C. 294o), the National Advisory Council on the National
Health Service Corps established by section 337 of such Act (42 U.S.C. 254j),
the Advisory Committee on Training in Primary Care Medicine and Dentistry
established pursuant to section 748 of such Act (42 U.S.C. 2931), the Advisory
Committee on Interdisciplinary, Community-Based Linkages established pursuant
to section 756 of such Act (42 U.S.C. 294f), and the National Advisory Council
on Nurse Education and Practice established pursuant to section 845 of such Act
(42 U.S.C. 297t).</text>
</subsection><subsection id="HBECD6CC157744704847C34FBDE1D004C"><enum>(e)</enum><header>Authorization of
appropriations</header>
<paragraph id="H1BC8D88E5EE74187AFAD373384A84D16"><enum>(1)</enum><header>Request for
appropriations</header><text>The Advisory Board shall submit requests for
appropriations in the same manner as the Comptroller General submits requests
for appropriations, but amounts appropriated for the Advisory Board shall be
separate from amounts appropriated for the Comptroller General.</text>
</paragraph><paragraph id="H34E052C3323840C4A5BDA91BD0C29932"><enum>(2)</enum><header>Authorization</header><text>There
are authorized to be appropriated such sums as may be necessary to carry out
the provisions of this section.</text>
</paragraph></subsection><subsection commented="no" id="H49FF5D816D67434F00AA427637D5351B"><enum>(f)</enum><header>Health care
workforce definition</header><text>In this section, the term <term>health care
workforce</term> includes all health care providers with direct patient care
and support responsibilities, including physicians, nurses, physician
assistants, pharmacists, dentists, allied health professionals, mental health
professionals, and public health professionals.</text>
</subsection></section><enum>II</enum><header>Workforce Data
and Analysis</header>
<section id="H65352AE8AEE64FF195F9989DB39C866B"><enum>201.</enum><header>Center for
Workforce Data and Analysis</header>
<subsection display-inline="no-display-inline" id="HB920B468EEA3415FAB87AE322932F279"><enum>(a)</enum><header>Establishment</header><text>There
is established a National Center for Workforce Data and Analysis in the
Department of Health and Human Services.</text>
</subsection><subsection id="H8851598E4DEE4AB981B2BDEE6D00ECA"><enum>(b)</enum><header>Duties</header><text>Such
Center shall comprehensively and regularly gather data, provide projections,
and conduct research on the supply, demand, distribution, diversity, and
development of the health care workforce, including information on specific
disciplines, specialties, and subspecialties.</text>
</subsection><subsection id="H0100EC3746E543B7ABF81E40F58D8BF1"><enum>(c)</enum><header>Authority</header><text>Such
Center is authorized to accept applications for and administer grants for the
purpose of establishing State and Regional Health Workforce Councils under
section 202.</text>
</subsection></section><section id="H318A68BACD8C4A0E961F754240C8B34"><enum>202.</enum><header>State and
Regional Health Workforce Councils</header>
<subsection id="HA313C52E7B8D422B9304E612BBF73706"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services,
through the National Center for Workforce Data and Analysis, shall establish a
competitive State Health Workforce Shortage grants program (in this section
referred to as the <quote>Grant Program</quote>) under which, for the purposes
described, the Secretary may make formula grants or an allotment of funds to
States.</text>
</subsection><subsection id="H30BC6027E39C49BD83BA003738BF92C3"><enum>(b)</enum><header>Purposes</header><text display-inline="yes-display-inline">The purpose of the Grant Program is to
harmonize health workforce needs and medical education through incorporating
local and regional perspectives through the organization of State and regional
health workforce councils to—</text>
<paragraph id="H42C92B379C7C4900B08C1FA8E749B4F"><enum>(1)</enum><text>ensure access to
health services for all individuals, particularly those with low incomes or
limited access to health services, through an adequate health care
workforce;</text>
</paragraph><paragraph id="H9EE772361BA5463BA376CD98ED23309C"><enum>(2)</enum><text>improve the
supply, distribution, diversity, and development of the health care workforce,
taking into consideration the supply, distribution, and diversity of health
care workforce profession specialties and subspecialties in a manner consistent
with—</text>
<subparagraph id="H860862C2A43249C79166DC948C45F860"><enum>(A)</enum><text>determining
high-need geographic areas;</text>
</subparagraph><subparagraph id="H34809A2D10834D42B754FA111B10853D"><enum>(B)</enum><text>determining
high-priority specialties; and</text>
</subparagraph><subparagraph id="H0E45E89F5D4545A18B27EE1F4BD3A74B"><enum>(C)</enum><text display-inline="yes-display-inline">determining the optimal mix and numbers of
primary care physicians per population and as a percentage of the total health
care workforce;</text>
</subparagraph></paragraph><paragraph id="HCFF974F5F7E449C6A7167086BF11F6C4"><enum>(3)</enum><text>create
State-specific health care workforce goals and objectives that are consistent
with and aligned to health status goals and national health care workforce
objectives developed under the National Health Workforce Advisory Board under
title I; and</text>
</paragraph><paragraph commented="no" id="HC08EE125A4D54A138C05CB3754D78BE3"><enum>(4)</enum><text>during the first
12-month period funded through grants provided under this section, establish or
designate a State health care workforce planning entity to establish statewide
processes for State health care workforce planning, State health workforce data
collection, policy recommendations, and State resource allocations.</text>
</paragraph></subsection><subsection display-inline="no-display-inline" id="H186604D53E4F4C3EBCB3D006F3D16C4"><enum>(c)</enum><header>Application for
grant</header><text>For the purpose of this subsection, a grant is in
accordance if the following is met:</text>
<paragraph id="H2A7BA6351F0A4685AA727C25A1BFA500"><enum>(1)</enum><header>Use of
funds</header><text>For the purposes described in subsection (b), State and
Regional Health Workforce Councils may use grant funds under this section
to—</text>
<subparagraph id="H41030C76B4B1499F83A8287CFBF76036"><enum>(A)</enum><text>collect and
analyze State and regional health workforce supply, distribution, diversity,
demand and training capacity data, following any data collection and reporting
standards set by the National Health Workforce Advisory Board;</text>
</subparagraph><subparagraph id="H429ACFBD15B2447CAB8BB1ED6B00E8A5"><enum>(B)</enum><text>determine critical
State/regional level health workforce needs, including identifying—</text>
<clause id="H04B69FE7C0834D1CABAEEB0845CA78DE"><enum>(i)</enum><text>high-priority
specialties and disciplines, which may be region specific; and</text>
</clause><clause id="HD6DB2C1664494C688F9682C8EBCBC93"><enum>(ii)</enum><text>high-need
geographic areas;</text>
</clause></subparagraph><subparagraph id="H2FE8F6308BE7409284D1B3FF21B6D7EF"><enum>(C)</enum><text>establish
State/regional health workforce goals and recommendations to coordinate with
national level goals set by the National Health Workforce Advisory
Board;</text>
</subparagraph><subparagraph id="H6F43B15C712A4E2091F84D19C409A452"><enum>(D)</enum><text>devise short- and
long-term plans and initiatives for meeting State/regional health workforce
goals;</text>
</subparagraph><subparagraph id="H26940544078B495A9FA66054006DEF8E"><enum>(E)</enum><text>devise
State/regional level plans that set specific targets for increasing primary
care capacity, including training and retaining more primary care physicians,
nurses, physicians assistants, and other members of the allied health
workforce; and</text>
</subparagraph><subparagraph id="H1CE468723B834BF2A041F40221B05600"><enum>(F)</enum><text>make
recommendations to the National Health Workforce Advisory Board on the
re-alignment of graduate medical education under title XVIII of the Social
Security Act to meet State/regional health workforce goals, including—</text>
<clause id="HB3CB4A00E622453399D251C244FF2FD9"><enum>(i)</enum><text>recommendations
for GME funding cap modifications; and</text>
</clause><clause id="H87D4870AADBD4FAFACC861186A1B2BA"><enum>(ii)</enum><text>proposals for
alternative funding and distribution frameworks aligned with State/regional
health workforce goals.</text>
</clause></subparagraph></paragraph><paragraph id="HC3D06DF185594A29893BBCBE12EC0CB"><enum>(2)</enum><header>State/region wide
health workforce assessment</header><text>The application includes a plan for a
state/region wide health workforce assessment that—</text>
<subparagraph id="HF84A20DF0229415591693157006258DE"><enum>(A)</enum><text>will be updated
not less than every 5 years;</text>
</subparagraph><subparagraph id="H628BC41EBDAA4E8CA98FC3E9BCAB327D"><enum>(B)</enum><text>identifies—</text>
<clause id="H982FE91754034772B515B76F48371532"><enum>(i)</enum><text>current and future
State and regional health workforce supply, distribution, diversity, demand and
training capacity;</text>
</clause><clause id="H90638BFE7A9849C4A3DBA4DEB2D59528"><enum>(ii)</enum><text>projected needs
related to the supply, distribution, diversity and development of the
State/regional health workforce; and</text>
</clause><clause id="HA83DB9D71365478CA9E88B80FFE03757"><enum>(iii)</enum><text>short- and
long-term State/region specific health workforce goals and objectives
consistent with health status goals and national health workforce objectives
developed under section (103) of previous title.</text>
</clause></subparagraph></paragraph><paragraph id="H16D211454872423184FA9899EDD42777"><enum>(3)</enum><header>Annual
reports</header><text>The application includes a plan for annual reports
submitted to HRSA and to the National Health Workforce Advisory Board to
include an annually updated plan to meet the goals and objectives and address
the needs identified under the State/Region wide health workforce assessment
described in paragraph (1), and such plan includes strategies related
to—</text>
<subparagraph id="H722CF89CD05F4509978B91519FFD84C1"><enum>(A)</enum><text>collaboration
between—</text>
<clause id="H9BCEAB32040C4780825345B196F9A4E4"><enum>(i)</enum><text>State departments
of labor, health, education, higher education, veterans affairs, environment,
and professional licensure; and</text>
</clause><clause id="HC328A298A05543DD9B00BEAA4478E8D5"><enum>(ii)</enum><text>State health
workforce investment boards;</text>
</clause></subparagraph><subparagraph id="H794E6259CE434E67A4C5EA53ACE137A2"><enum>(B)</enum><text>State data
collection;</text>
</subparagraph><subparagraph id="H5F2F01294D0C4CF0A153D93DC1EE34B3"><enum>(C)</enum><text>State Medicare and
Medicaid policies; and</text>
</subparagraph><subparagraph id="H908089F7D7D84D56A8F2561183D07B05"><enum>(D)</enum><text>State health
professions licensure and regulation.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H03BA34CCE5F348EB9BBD126687000150"><enum>(4)</enum><header>Description of
funding use</header><text>The application includes a description of how funds
received through the grant will be used—</text>
<subparagraph commented="no" id="H4F4F579CF61D40CFBFE3CFEA82D15200"><enum>(A)</enum><text>in accordance with
subparagraphs (1) and (2) of subsection (b), to ensure access to health
services for all individuals and to improve the supply, distribution,
diversity, and development of the health workforce, such as through programs
related to—</text>
<clause commented="no" id="HF593704E17344BB595ABA5C48208B1CD"><enum>(i)</enum><text>health workforce
training and education capacity;</text>
</clause><clause commented="no" id="HE697CE5B33DA45AB8E6296CF38002689"><enum>(ii)</enum><text>the health care
safety net workforce, including health centers under section 330;</text>
</clause><clause commented="no" id="HE12EE8A9B68B44FC816970F6D5F1992"><enum>(iii)</enum><text>provider cultural
competency;</text>
</clause><clause commented="no" id="HAD95DA1853264755B1C32363D5B4163"><enum>(iv)</enum><text>health workforce
diversity;</text>
</clause><clause commented="no" id="H6EA0A10E68A644F88B39E05D13B3129"><enum>(v)</enum><text>health workforce
pipeline development;</text>
</clause><clause commented="no" id="H9494CDF1006A4272AFFDC2095FDB0006"><enum>(vi)</enum><text>health workforce
retention;</text>
</clause><clause commented="no" id="HBA94871CBAA243AE007F726BD03F1DAF"><enum>(vii)</enum><text>health workforce
faculty recruitment;</text>
</clause><clause commented="no" id="HE93E39289B834F61B68C51BAF772151"><enum>(viii)</enum><text>health workforce
faculty retention;</text>
</clause><clause commented="no" id="HF02F5A41A2F34C71BE56D4251F959BA2"><enum>(ix)</enum><text>health workforce
career ladders;</text>
</clause><clause commented="no" id="H6A074C3EF4E140DD9BA9BA396106D80"><enum>(x)</enum><text>public awareness;
and</text>
</clause><clause commented="no" id="HBA1C9FBA53B141CC9195F4EF79BC214C"><enum>(xi)</enum><text>health workforce
scholarship and loan repayment programs;</text>
</clause></subparagraph><subparagraph commented="no" id="HFAAE14E8D3654E1C8978CDE53EFB4489"><enum>(B)</enum><text>to create
State-specific health workforce goals and objectives in accordance with
subsection (b)(3) and to develop annual plans in accordance with subsection
(b)(4) to meet such goals and objectives; and</text>
</subparagraph><subparagraph commented="no" id="H0D8974970EBD46D397E892086015574B"><enum>(C)</enum><text>during the first
12-month period funded through the grant, to establish or designate in
accordance with subsection (a)(2)(D) a State health workforce planning entity
to establish statewide processes for State health workforce planning, State
health workforce data collection, policy recommendations, and State resource
allocations.</text>
</subparagraph></paragraph><paragraph commented="no" id="HF43CB9BB05D94EE7949C9074B33FA0D4"><enum>(5)</enum><header>Development of
application</header><text>The application—</text>
<subparagraph commented="no" id="H3253E1890CD14D4B9320A362AE9D0298"><enum>(A)</enum><text>is developed by or
in consultation with the State agency that will be responsible for
administering the program; and</text>
</subparagraph><subparagraph commented="no" id="HA5AC296069D846C39229FA00AA00ABB3"><enum>(B)</enum><text>is made publicly
available during its development or after its submission to the Secretary in
order to facilitate public comment.</text>
</subparagraph></paragraph></subsection><subsection commented="no" id="H9E3B38F3729C433F922223C77FED004D"><enum>(d)</enum><header>Additional
duties and authorities</header><text>A State and Regional Health Workforce
Council funded through a grant under this section shall—</text>
<paragraph commented="no" id="H30CBE7D1C7534169B6878C7C4FAADE1D"><enum>(1)</enum><text>submit analyses
and recommendations to the Advisory Board under title I, at least on an annual
basis;</text>
</paragraph><paragraph commented="no" id="HEDDE4216CCB2401F9B927F6119583227"><enum>(2)</enum><text>have the authority
to allocate any future increases in State graduate medical education caps under
title XVIII of the Social Security Act, consistent with section 203 and the
amendments made by title III; and</text>
</paragraph><paragraph commented="no" id="H8DD001A77C31412CBCAC2992BE6E9FCF"><enum>(3)</enum><text>shall be eligible
to apply for the authority to administer direct graduate medical education
funds under title XVIII of such Act at the State level in order to achieve
flexibility in direct graduate medical education placements to meet State
health needs.</text>
</paragraph></subsection><subsection id="H2E8D12280203451BAB62611D9B26B92C"><enum>(e)</enum><header>Determination of
Amount of Allotment</header>
<paragraph id="H900450E02FE8446AAA82C6123B54AB61"><enum>(1)</enum><header>In
general</header><text>The Secretary shall determine the amount of the allotment
to each State under this section for a fiscal year based on a formula.</text>
</paragraph><paragraph id="HD9BB67B1F47349A5BEC007B7AC000645"><enum>(2)</enum><header>Development of
formula</header><text>The formula referred to in paragraph (1) shall be
determined by the Secretary by regulation, taking into consideration the
following criteria:</text>
<subparagraph id="H5846EF3932074BB4B8668BD85B454E00"><enum>(A)</enum><text>Existing shortages
and deficiencies in health workforce distribution.</text>
</subparagraph><subparagraph id="H027D32ACCD6140AD8BBECB9F337B57C9"><enum>(B)</enum><text>Rural, urban, and
frontier areas.</text>
</subparagraph><subparagraph id="H5F71A5E65C5546A9AEBC38713EB909D"><enum>(C)</enum><text>Community health
centers.</text>
</subparagraph><subparagraph id="H2FAF35FE4CF347E8B3C056F4CB96EB1E"><enum>(D)</enum><text>The number of
medical, nursing, and allied health professions schools in each State.</text>
</subparagraph></paragraph></subsection><subsection id="H51477EF598014101BF4F4B60A7E48FA8"><enum>(f)</enum><header>Reports</header><text display-inline="yes-display-inline">A State and Regional Health Workforce
Council funded through a grant under this section shall submit data to the
National Health Workforce Advisory Board under title I and the National
Workforce Data Center established under section 201 on an annual basis for
purposes of consideration and incorporation into the recommendations made by
the National Health Workforce Advisory Board.</text>
</subsection></section>