1.Short title; table of
contents
(a)This Act may be cited
as the Place Based Health Care Act of
2009
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title; table of contents.
Title I—Community Integrated Health Centers
Sec. 101. Definitions.
Sec. 102. Funding benefits.
Title II—School-Based Health Centers
Sec. 201. Assurance of payment under Medicaid and CHIP for
covered items and services furnished by certain school-based health
clinics.
Title III—Tax credit for employer-provided health and wellness
benefits
Sec. 301. Credit for employer-provided health and wellness
benefits.
Title IV—Evidence-Based Disease Prevention and Health Promotion
Program; Senior Housing Facility Plan Option
Sec. 301. Evidence-based disease prevention and health
promotion grant program.
Sec. 302. Offering Medicare Advantage plan in a senior housing
facility.
Title V—Community Health Center Expansion of
Priorities
Sec. 401. Community health center expansion.
<enum>I</enum><header>Community
Integrated Health Centers</header>
<section id="H773C1F095D744031A5EB5361000D168"><enum>101.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text>
<paragraph id="H8DB92F72D5384D70ACE8D1051C292E"><enum>(1)</enum><header>Community
Integrated Health Center</header><text>The term <quote>Community Integrated
Health Center</quote> means an organization that—</text>
<subparagraph id="H757F86DF925E4B57A09660A169C707BF"><enum>(A)</enum><text display-inline="yes-display-inline">seeks to fully integrate its services into
the community by locating in or near settings that serve particular target
populations, such as schools, workplaces, or senior service facilities;</text>
</subparagraph><subparagraph id="HFD2FC83178DD4B7CBB0011ECD2037E6F"><enum>(B)</enum><text>is owned or
controlled by, or comprised of, two or more institutional providers or groups
of health care professionals that are eligible for participation in part A or
part B of Medicare;</text>
</subparagraph><subparagraph id="H24DFCEC88B27489FAF1EFD25B5BC0687"><enum>(C)</enum><text>is organized for
the purpose of providing health care, improving the quality of health care, and
reducing costs associated with the provision of health care provided to Center
patients;</text>
</subparagraph><subparagraph id="H6C6472F424AB4ECB8F9427DC31747DC6"><enum>(D)</enum><text>participates in
Medicare and Medicaid;</text>
</subparagraph><subparagraph id="H269B28BD58FE460CB19EF3E530C21017"><enum>(E)</enum><text>requires all of
its participating providers to participate in Medicare and Medicaid;</text>
</subparagraph><subparagraph id="H51895C483E3B418AAC7ECE636DE6EB73"><enum>(F)</enum><text>is not excluded or
precluded from participation in any Federal or State health care
program;</text>
</subparagraph><subparagraph id="H09203112D32848DA00DF228F8F42A1B8"><enum>(G)</enum><text>is organized to
receive payment from government and private health plans in a manner that
promotes cost reductions, including—</text>
<clause id="HFBB9A4B4D8CC4B94A0243CA63196E007"><enum>(i)</enum><text>accepting global
or bundled payments; and</text>
</clause><clause id="HEA37DACFF66646FEBCFEC9E3BFE84811"><enum>(ii)</enum><text>accepting
fixed-fee or capitated payments;</text>
</clause></subparagraph><subparagraph id="H181EC2F8A2D54E6BB1FF59E700B3E589"><enum>(H)</enum><text>accepts all
patients enrolled in Medicare and Medicaid;</text>
</subparagraph><subparagraph id="HEA68D11778C7494080D5838EC3B5CE15"><enum>(I)</enum><text>does not
discriminate on the basis of any prohibited criteria;</text>
</subparagraph><subparagraph id="H54EA4751E6F74CAE91A881DB9B136E00"><enum>(J)</enum><text>does not
discriminate with respect to the provision of care to patients of the Center on
the basis of the patient’s insurance status or ability to pay;</text>
</subparagraph><subparagraph id="HBBE6EB6DEF574A3B91699553A5456C6C"><enum>(K)</enum><text>maintains an
affiliation with an acute care hospital;</text>
</subparagraph><subparagraph id="HF2FFC54214BF41CA9187A296B51514C8"><enum>(L)</enum><text>maintains an
affiliation with health care providers as necessary to meet the needs of its
enrollees;</text>
</subparagraph><subparagraph id="H366B2B54B72E4F56BE1237FFE41DC5C"><enum>(M)</enum><text>maintains a
qualified workforce;</text>
</subparagraph><subparagraph id="H774B85861D8343B19E07A2606F3840F9"><enum>(N)</enum><text>has a qualified
medical director;</text>
</subparagraph><subparagraph id="HFF60E7E0A1FD444A8D09EF5665004F8B"><enum>(O)</enum><text>coordinates
inpatient and outpatient care for its enrollees, including coordination of
wellness and prevention services and care for chronic disease;</text>
</subparagraph><subparagraph id="H35568F37C2454CC29293679EC8EFC76E"><enum>(P)</enum><text>offers wellness,
prevention, and health-promotion services;</text>
</subparagraph><subparagraph id="H7EE6D018F34441BEA9A4EB65974E00B0"><enum>(Q)</enum><text>develops, and
requires its participating providers to follow, guidelines, protocols,
evidence-based medicine, and clinical pathways;</text>
</subparagraph><subparagraph id="HFC09BE37D0A44384879ED90067E6ED7F"><enum>(R)</enum><text>utilizes
electronic medical records by the deadline set forth in the amendments made by
the American Recovery and Reinvestment Act of 2009;</text>
</subparagraph><subparagraph id="H5E253915C2674246A8ACF736D9818144"><enum>(S)</enum><text>requires its
participating providers to utilize electronic medical records by such
deadlines; and</text>
</subparagraph><subparagraph id="H1DDEA1B865A140E3A0D2DCC6A2E0CBBA"><enum>(T)</enum><text>qualifies as an
<quote>organized health care arrangement</quote> pursuant parts 160, 162, and
164 of title 45, Code of Federal Regulations.</text>
</subparagraph></paragraph><paragraph id="HA7495E8F9A81422EB188D2748424356D"><enum>(2)</enum><header>Medicare;
Medicaid</header><text>The terms <quote>Medicare</quote> and
<quote>Medicaid</quote> mean the programs under titles XVIII and XIX,
respectively, of the Social Security Act.</text>
</paragraph><paragraph id="HDFA7D809948D4870BDF3FCB4A1B8AAC9"><enum>(3)</enum><header>Secretary</header><text>The
term <quote>Secretary</quote> means the Secretary of Health and Human
Services.</text>
</paragraph></section><section id="H0A99A975DD65440F93AA090054434BA3"><enum>102.</enum><header>Funding
benefits</header>
<subsection id="H92625E241DE44F8C0083E1E275354FA1"><enum>(a)</enum><header>Listing</header><text>A
facility may obtain the benefits of this section by becoming listed as a
Community Integrated Health Center by the Secretary. The Secretary shall list
such a facility that—</text>
<paragraph id="H9D3E695595614615B8693F00FE4B3F00"><enum>(1)</enum><text>certifies to the
Secretary that it meets the requirements for a Community Integrated Health
Center under section 101(1); and</text>
</paragraph><paragraph id="HF1502D88F28E47C7A143D8C8D53412F4"><enum>(2)</enum><text>every three years
demonstrates to the satisfaction of the Secretary that the facility continues
to meet such requirements.</text>
</paragraph></subsection><subsection id="HCF6E4E35BEF6418682FAF967EDA806CC"><enum>(b)</enum><header>Community
Integrated Health Center assistance</header>
<paragraph id="H9F6BB94D56144209B2FC8BDA56FECEB1"><enum>(1)</enum><header>Eligible
Community Integrated health center defined</header><text>In this subsection,
the term <quote>Eligible Community Integrated Health Center</quote> means an
Community Integrated Health Center that has been listed under subsection
(a).</text>
</paragraph><paragraph id="H72CA3A67DDAF4E77992946E44DB5E00"><enum>(2)</enum><header>Grant
Program</header>
<subparagraph id="H38D78A4E514A4E298029415ECC3BB5C"><enum>(A)</enum><header>In
general</header><text>The Secretary shall use such sums as may be necessary to
carry out a program of grants to assist Eligible Community Integrated Health
Centers with start-up and operating costs.</text>
</subparagraph><subparagraph id="HB03D481DAD704B78AB62D0AFB57C322B"><enum>(B)</enum><header>Administration</header><text>The
Secretary shall make grants to Eligible Community Integrated Health Centers
under this subsection on a competitive basis, to such Centers that demonstrate
to the satisfaction of the Secretary that the Center will—</text>
<clause id="H981F7F8F1F714D6ABC2100638210C05B"><enum>(i)</enum><text>use
the funds to—</text>
<subclause id="H61FF750A51CE4D00BF64CC5900F0364C"><enum>(I)</enum><text>promote the
integration of health care providers;</text>
</subclause><subclause id="H00BC2E288281421499A6C923DA1FDEB"><enum>(II)</enum><text>promote
coordination of patient care;</text>
</subclause><subclause id="HBA5DFA09207D4F35B7BFA000B97100E0"><enum>(III)</enum><text>provide greater
access to health care by patients within the Center’s geographic service
area;</text>
</subclause><subclause id="H29E0F409BC334047B2189F6622B0541A"><enum>(IV)</enum><text>locate services
in or near a setting that serves their target population, such as schools,
workplaces, or senior services facilities;</text>
</subclause><subclause id="HF47A7B1876854E6B8BE52F97BEADAEF2"><enum>(V)</enum><text>reduce the cost of
providing care; and</text>
</subclause><subclause id="HA360DF7F847A4A71B3749871BF5FADF0"><enum>(VI)</enum><text>improve the
quality of care provided to patients within the Center’s geographic service
area; and</text>
</subclause></clause><clause id="H27635BC282824075BFC6A8761E765F79"><enum>(ii)</enum><text>not
later than 12 months after the date on which the Secretary provides assistance
to the Center, submit to the Secretary a report that describes—</text>
<subclause id="H1392DE1DFD2147DC9707B2AEAC190000"><enum>(I)</enum><text>the manner in
which the assistance was spent;</text>
</subclause><subclause id="H0EE47B29DD2D47578B06D31897006C9C"><enum>(II)</enum><text>the manner in
which the factors outlined in clause (i) have been monitored; and</text>
</subclause><subclause id="H86382CDD285B4E8CAED9B4D789F0E698"><enum>(III)</enum><text>any measurable
change in the factors outlined in such clause as a result of the Center’s
receipt of assistance.</text>
</subclause></clause></subparagraph><subparagraph id="HE3BC7103819640BE8CB5FBF74F4BF4F7"><enum>(C)</enum><header>Timing</header><text>Not
later than 180 days after the date of enactment of this Act, the Secretary
shall make grants to provide assistance under this subsection.</text>
</subparagraph></paragraph><paragraph id="H37C081D808F14795B9385F6CC9CC79C7"><enum>(3)</enum><header>Report to
congress</header><text>Not later than 18 months after the date of enactment of
this Act, the Secretary shall submit to the appropriate committees of Congress
a report that—</text>
<subparagraph id="H7035F6C060E14FB69D443CA602732656"><enum>(A)</enum><text>describes in
detail the manner in which this grant program has been carried out; and</text>
</subparagraph><subparagraph id="HF9E00F163ECB400DB06EE59392C3C7F0"><enum>(B)</enum><text>includes the
information reported to the Secretary under paragraph (2)(B)(ii).</text>
</subparagraph></paragraph></subsection></section><enum>II</enum><header>School-Based
Health Centers</header>
<section id="H12846D48BB0445DC9BF02981E149163"><enum>201.</enum><header>Assurance of
payment under Medicaid and CHIP for covered items and services furnished by
certain school-based health clinics</header>
<subsection id="H97385FA57A0C491993EDCC30ED723FC7"><enum>(a)</enum><header>State plan
requirement</header><text>Section 1902(a) of the Social Security Act (42 U.S.C.
1396a(a)), as amended by section 5006(e)(2)(A) of division B of the American
Recovery and Reinvestment Act of 2009 (Public Law 111–5), is amended—</text>
<paragraph id="HA55B3F94F79B467AB4C4FCAABDAA32D3"><enum>(1)</enum><text>in paragraph (72),
by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="H01A3E95E20184F069B31004CFC774C5D"><enum>(2)</enum><text>in paragraph
(73)(B), by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="H7F4E68155A9341D7BA57A2A135DBBFC"><enum>(3)</enum><text>by
inserting after paragraph (73), the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H0BA5F033D63640919EF638DA1EAB0002" style="OLC">
<paragraph id="H572C57427D3C4F689FF1ADB42EE96EA1"><enum>(74)</enum><text>provide that the
State shall certify to the Secretary that the State has implemented procedures
to pay for medical assistance (including care and services described in
subsections (a)(4)(B) and (r) of section 1905 and provided in accordance with
section 1902(a)(43)) furnished in a school-based health clinic, if payment
would be made under the State plan for the same items and services if furnished
in a physician's office or other outpatient clinic (including if such payment
would be included in the determination of a prepaid capitation or other
risk-based rate of payment to an entity under a contract pursuant to section
1903(m)).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection display-inline="no-display-inline" id="HAEFD1B44AF4D48EE813C42AEFE86427B"><enum>(b)</enum><header>School-based
health clinic defined</header><text display-inline="yes-display-inline">Section
1905 of such Act (42 U.S.C. 1396d) is amended by adding at the end the
following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H8894FA37650849F8B6F40FDD9C223D0F" style="traditional">
<subsection id="H8FC119A07CA147C2A278495DADAF7086"><enum>(y)</enum><paragraph commented="no" display-inline="yes-display-inline" id="H73F2F69DC04947ACB34AEB34659E5E1F"><enum>(1)</enum><text display-inline="yes-display-inline">The term <quote>school-based health
clinic</quote> means a health clinic that—</text>
<subparagraph id="H8E1A1B0DAB2548C1BCDF94448916E102" indent="up1"><enum>(A)</enum><text>is located in or near a school
facility of a school district or board or of an Indian tribe or tribal
organization;</text>
</subparagraph><subparagraph id="H8CC615F6D8044BE2AE9EF04DD8DCC8EE" indent="up1"><enum>(B)</enum><text>is organized through school,
community, and health provider relationships;</text>
</subparagraph><subparagraph id="H7A213BB63AEC46D1AEE413D0E27DBF70" indent="up1"><enum>(C)</enum><text>is administered by a sponsoring
facility;</text>
</subparagraph><subparagraph id="HED658305924E4E1F8F329C8D7049FA91" indent="up1"><enum>(D)</enum><text>provides through health professionals
primary health services to children in accordance with State and local law,
including laws relating to licensure and certification; and</text>
</subparagraph><subparagraph id="H2D9946F1890A41088842BBE9A0416BFD" indent="up1"><enum>(E)</enum><text>satisfies such other requirements as a
State may establish for the operation of such a clinic.</text>
</subparagraph></paragraph><paragraph id="H9E09527F3A0D46F2B6344F5FE4F3C7D8" indent="up1"><enum>(2)</enum><text>For purposes of paragraph (1)(D), the
term <quote>primary health services</quote> means the core services offered by
a school-based health clinic, which shall include the following:</text>
<subparagraph id="HEDB1AD748D8240179415821CBF13FFFA"><enum>(A)</enum><text>Comprehensive health assessments,
diagnosis, and treatment of minor, acute, and chronic medical conditions and
referrals to, and follow-up for, specialty care.</text>
</subparagraph><subparagraph id="H709926A0860341C58432054FA9A4476C"><enum>(B)</enum><text>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.</text>
</subparagraph><subparagraph id="H4313C450319D45DF9C938950EBC967DE"><enum>(C)</enum><text>Additional services, which may include
oral health, social, and health education services.</text>
</subparagraph></paragraph><paragraph id="H89132A95BA7846C1AD8CAE514D52CB5D" indent="up1"><enum>(3)</enum><text>For purposes of paragraph (1)(C), the
term <quote>sponsoring facility</quote> is a community-based organization,
which may include—</text>
<subparagraph id="H42391A97C0BA44A0BC89E21DD2AF5A3F"><enum>(A)</enum><text>a hospital;</text>
</subparagraph><subparagraph id="H65E0056F6ABE41DE908DBDF5E09A7962"><enum>(B)</enum><text>a public health department;</text>
</subparagraph><subparagraph id="HDE08F7C8A616445385B73AADFA8F8B7A"><enum>(C)</enum><text>a community health center;</text>
</subparagraph><subparagraph id="HC4F35AFDD6DB4F96BB4AA2DAA4F85C94"><enum>(D)</enum><text>a nonprofit health care agency;</text>
</subparagraph><subparagraph id="H86A4DA52424E487D8DE3C45E8966EF47"><enum>(E)</enum><text>a school or school system; or</text>
</subparagraph><subparagraph id="H729205F3A0FF45FCAE0D8D1D0BB77619"><enum>(F)</enum><text>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 (25 U.S.C. 450), a Native Hawaiian entity, or an Urban Indian
program under title V of the Indian Health Care Improvement Act (25 U.S.C.
1601).</text>
</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HDEAC350B69CC40918C35BE561777AA37"><enum>(c)</enum><header>Application to
CHIP</header><text>Section 2107(e)(1) of the Social Security Act (42 U.S.C.
1397gg(e)(1)) is amended—</text>
<paragraph id="HFF690F8E9BF44B598026A00415092801"><enum>(1)</enum><text>by redesignating
subparagraphs (B) through (D) as subparagraphs (C) through (E), respectively;
and</text>
</paragraph><paragraph id="HF6CCD664F9C34F7A8CCA98C8F8226208"><enum>(2)</enum><text>by inserting after
subparagraph (A), the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HBF7042A12DA64462A13A7C58AFC954FD" style="OLC">
<subparagraph id="H65184518533341739CBBEA12ED54A24F"><enum>(B)</enum><text>Section
1902(a)(74) (relating to procedures to ensure payment for covered services
furnished in a school-based health clinic, as defined in section
1905(y)).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" id="H386145D180664C498080091F31BE7163"><enum>(d)</enum><header>Rule of
construction</header><text>Nothing in this section or the amendments made by
this section shall be construed to preempt or supersede State or local law with
respect to whether a school-based health clinic provides family planning
services and supplies.</text>
</subsection><subsection id="HDE48C340BA6C4BF0AE36FB82F875A18E"><enum>(e)</enum><header>Effective
date</header><text>The amendments made by this section take effect on October
1, 2009.</text>
</subsection></section><enum>III</enum><header>Tax
credit for employer-provided health and wellness benefits</header>
<section id="HB010E5660C3F4F2CA873CEDF2C3C34AB" section-type="subsequent-section"><enum>301.</enum><header>Credit for
employer-provided health and wellness benefits</header>
<subsection id="HD62402636DB041DABA480FC14B85818E"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Subpart D of part IV
of subchapter A of chapter 1 of the Internal Revenue Code of 1986 (relating to
business-related credits) is amended by adding at the end the following new
section:</text>
<quoted-block display-inline="no-display-inline" id="H8109EAC036AD41889E75024F64C55D0D" style="OLC">
<section id="H1C837E68B26A4D19A1CD77768DE4E6C9"><enum>45R.</enum><header>Credit for
employer-provided health and wellness benefits</header>
<subsection id="H2C00617F56494D1B84F9F687D2DF90E5"><enum>(a)</enum><header>In
general</header><text>For purposes of section 38, the employer-provided health
and wellness benefits credit determined under this section for the taxable year
is an amount equal to 25 percent of the qualified health and wellness
expenditures of the taxpayer for such taxable year.</text>
</subsection><subsection id="H34CB1682B2BC4E529A35A7DFCA9461FA"><enum>(b)</enum><header>Dollar
limitation</header><text>The credit allowable under subsection (a) for any
taxable year shall not exceed $150,000.</text>
</subsection><subsection id="H7BBBC74BB937492DB19FFADC3284380C"><enum>(c)</enum><header>Definitions</header><text>For
purposes of this section—</text>
<paragraph id="HB2021AC7A1014F6EB04D1128B1B0AB67"><enum>(1)</enum><header>Qualified health
and wellness expenditure</header>
<subparagraph id="H915F899C6A5E4A21989AF3860B33E1CD"><enum>(A)</enum><header>In
general</header><text>The term <quote>qualified health and wellness
expenditure</quote> means any amount paid or incurred—</text>
<clause id="HDC4986CC8DA5438B93281CABDA90F2AF"><enum>(i)</enum><text>to
acquire, construct, rehabilitate, or expand property—</text>
<subclause id="H18B50C1FF32B44DC9881220DB95EED2E"><enum>(I)</enum><text>which is to be
used as part of a qualified health and wellness facility of the taxpayer,
and</text>
</subclause><subclause id="HD9F66CCD44C5494E9F0F7523F9C85084"><enum>(II)</enum><text>with respect to
which a deduction for depreciation (or amortization in lieu of depreciation) is
allowable,</text>
</subclause></clause><clause id="H8D239AD9FEA34E3F8E817DBAB81A00B9"><enum>(ii)</enum><text>for the operating
costs of a qualified health and wellness facility of the taxpayer, or</text>
</clause><clause id="H4420D4C50A0D4B76BB46133ADD917F29"><enum>(iii)</enum><text>under a contract
with a qualified health and wellness facility to provide health and wellness
services to employees of the taxpayer.</text>
</clause></subparagraph><subparagraph id="HA5CE921190E74123963E0A508FABFE1C"><enum>(B)</enum><header>Fair market
value</header><text>The term <quote>qualified health and wellness
expenditures</quote> shall not include expenses in excess of the fair market
value of such care.</text>
</subparagraph></paragraph><paragraph id="HB82D64E6A9EB45C2AEB872CD6EE23212"><enum>(2)</enum><header>Qualified health
and wellness facility</header>
<subparagraph id="H52CB839371C04665BE96C6A7137C25A4"><enum>(A)</enum><header>In
general</header><text>The term <quote>qualified health and wellness
facility</quote> means a facility—</text>
<clause id="H93DECAFE97844126A4950189636E5F01"><enum>(i)</enum><text>the principal use
of which is to provide medical care (including preventive care), and</text>
</clause><clause id="H693D33F1DC924132B33843480E1595A8"><enum>(ii)</enum><text>which meets the
requirements of all applicable laws and regulations of the State or local
government in which it is located.</text>
</clause></subparagraph><subparagraph id="H2E90927ED9D04006AE535354A1B1149E"><enum>(B)</enum><header>Special rules
with respect to a taxpayer</header><text>A facility shall not be treated as a
qualified health and wellness facility with respect to a taxpayer
unless—</text>
<clause id="H90C0F5C25E144053A5D74748B5E0DC70"><enum>(i)</enum><text>enrollment in the
facility is open to employees of the taxpayer during the taxable year,
and</text>
</clause><clause id="H6E9FEFC6F03B4F5A94B72BB3C364492C"><enum>(ii)</enum><text>the use of such
facility (or the eligibility to use such facility) does not discriminate in
favor of employees of the taxpayer who are highly compensated employees (within
the meaning of section 414(q)).</text>
</clause></subparagraph></paragraph></subsection><subsection id="H370C95FCF0E548A2BDC3EB4510CFB45F"><enum>(d)</enum><header>Recapture of
acquisition and construction credit</header>
<paragraph id="HF028411EBE5A4B10AE18B00B4A8B3FD6"><enum>(1)</enum><header>In
general</header><text>If, as of the close of any taxable year, there is a
recapture event with respect to any qualified health and wellness facility of
the taxpayer, then the tax of the taxpayer under this chapter for such taxable
year shall be increased by an amount equal to the product of—</text>
<subparagraph id="HCBD7F693A1BF4CD2B11C0CBE1C8FD795"><enum>(A)</enum><text>the applicable
recapture percentage, and</text>
</subparagraph><subparagraph id="HA956C607BEB04008998D8FA7B92448CC"><enum>(B)</enum><text>the aggregate
decrease in the credits allowed under section 38 for all prior taxable years
which would have resulted if the qualified health and wellness expenditures of
the taxpayer described in subsection (c)(1)(A) with respect to such facility
had been zero.</text>
</subparagraph></paragraph><paragraph id="HEE3808DF87F64DF8A057FAEE1F4C8935"><enum>(2)</enum><header>Applicable
recapture percentage</header>
<subparagraph id="H4E1DEED52A4C4D5E83CB594F79E4631B"><enum>(A)</enum><header>In
general</header><text>For purposes of this subsection, the applicable recapture
percentage shall be determined from the following table:</text>
<table align-to-level="section" blank-lines-before="1" colsep="0" frame="none" line-rules="no-gen" rowsep="0" rule-weights="0.0.0.0.0.0" table-template-name="Tax (No Calculation)" table-type="Leaderwork">
<tgroup cols="2" rowsep="0"><colspec coldef="txt" colname="column1" colwidth="275pts" min-data-value="55"></colspec><colspec align="justify" coldef="fig" colname="column2" colsep="0" colwidth="93.00pt" min-data-value="9"></colspec>
<thead>
<row><entry align="left" colname="column1" morerows="0" namest="column1" rowsep="0"><bold>If the recapture event occurs
in:</bold></entry><entry align="right" colname="column2" morerows="0" namest="column2" rowsep="0"><bold>The applicable recapture percentage is:
</bold></entry>
</row>
</thead>
<tbody>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr"> Years 1–3 </entry><entry align="right" colname="column2" rowsep="0"> 100</entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Year 4 </entry><entry align="right" colname="column2" rowsep="0"> 85</entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Year 5 </entry><entry align="right" colname="column2" rowsep="0"> 70 </entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr"> Year 6</entry><entry align="right" colname="column2" rowsep="0"> 55 </entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Year 7</entry><entry align="right" colname="column2" rowsep="0">40 </entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Year 8 </entry><entry align="right" colname="column2" rowsep="0"> 25 </entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Years 9 and 10 </entry><entry align="right" colname="column2" rowsep="0">10 </entry>
</row>
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Years 11 and thereafter</entry><entry align="right" colname="column2" rowsep="0">0. </entry>
</row>
</tbody>
</tgroup>
</table>
</subparagraph><subparagraph id="H942CFA5E3B6448CFB1B7A1A6BCDC6BA6"><enum>(B)</enum><header>Years</header><text>For
purposes of subparagraph (A), year 1 shall begin on the first day of the
taxable year in which the qualified health and wellness facility is placed in
service by the taxpayer.</text>
</subparagraph></paragraph><paragraph id="HE85AB7AD966B4DB69DF0CA276D404675"><enum>(3)</enum><header>Recapture event
defined</header><text>For purposes of this subsection, the term
<quote>recapture event</quote> means—</text>
<subparagraph id="HE0CE737BAC5E4C8FA0D8E711C484C965"><enum>(A)</enum><header>Cessation of
operation</header><text>The cessation of the operation of the facility as a
qualified health and wellness facility.</text>
</subparagraph><subparagraph id="H73A4ABF5819842F489A7D0C6811B23E1"><enum>(B)</enum><header>Change in
ownership</header>
<clause id="HA029F2FF4C18464CBD5B06D7BB47D0DB"><enum>(i)</enum><header>In
general</header><text>Except as provided in clause (ii), the disposition of a
taxpayer’s interest in a qualified health and wellness facility with respect to
which the credit described in subsection (a) was allowable.</text>
</clause><clause id="H2DBF47AA559D4CDDA8E65F4CACEB3686"><enum>(ii)</enum><header>Agreement to
assume recapture liability</header><text>Clause (i) shall not apply if the
person acquiring such interest in the facility agrees in writing to assume the
recapture liability of the person disposing of such interest in effect
immediately before such disposition. In the event of such an assumption, the
person acquiring the interest in the facility shall be treated as the taxpayer
for purposes of assessing any recapture liability (computed as if there had
been no change in ownership).</text>
</clause></subparagraph></paragraph><paragraph id="HCB68FE8B46704152932FB37185A5AC1A"><enum>(4)</enum><header>Special
rules</header>
<subparagraph id="H559052E6426740F888FC73BD3A4B293A"><enum>(A)</enum><header>Tax benefit
rule</header><text>The tax for the taxable year shall be increased under
paragraph (1) only with respect to credits allowed by reason of this section
which were used to reduce tax liability. In the case of credits not so used to
reduce tax liability, the carryforwards and carrybacks under section 39 shall
be appropriately adjusted.</text>
</subparagraph><subparagraph id="HFB75A8D9713F451CB62F4C1F3D6B0D91"><enum>(B)</enum><header>No credits
against tax</header><text>Any increase in tax under this subsection shall not
be treated as a tax imposed by this chapter for purposes of determining the
amount of any credit under this chapter or for purposes of section 55.</text>
</subparagraph><subparagraph id="H02AB2BDD93A24095B6DF54253C94F2EF"><enum>(C)</enum><header>No recapture by
reason of casualty loss</header><text>The increase in tax under this subsection
shall not apply to a cessation of operation of the facility as a qualified
child care facility by reason of a casualty loss to the extent such loss is
restored by reconstruction or replacement within a reasonable period
established by the Secretary.</text>
</subparagraph></paragraph></subsection><subsection id="H250C4496BF5A4AAFA678C52DAC02099A"><enum>(e)</enum><header>Special
rules</header><text>For purposes of this section—</text>
<paragraph id="H67E1949118394916838D090CE3663D4A"><enum>(1)</enum><header>Aggregation
rules</header><text>All persons which are treated as a single employer under
subsections (a) and (b) of section 52 shall be treated as a single
taxpayer.</text>
</paragraph><paragraph id="H04527FB7CAFB41B398FDA52E9D365C84"><enum>(2)</enum><header>Pass-thru in the
case of estates and trusts</header><text>Under regulations prescribed by the
Secretary, rules similar to the rules of subsection (d) of section 52 shall
apply.</text>
</paragraph><paragraph id="HED77C329CBCA4F91840FDA53BE6AB37B"><enum>(3)</enum><header>Allocation in
the case of partnerships</header><text>In the case of partnerships, the credit
shall be allocated among partners under regulations prescribed by the
Secretary.</text>
</paragraph></subsection><subsection id="HDD8E1FC95D414169BB0ACD5568A0E01C"><enum>(f)</enum><header>No double
benefit</header>
<paragraph id="HF25CDCFEF4804F7F98258856FB076253"><enum>(1)</enum><header>Reduction in
basis</header><text>For purposes of this subtitle—</text>
<subparagraph id="HE1CABC0EDD34452494F51046F69EFE02"><enum>(A)</enum><header>In
general</header><text>If a credit is determined under this section with respect
to any property by reason of expenditures described in subsection (c)(1)(A),
the basis of such property shall be reduced by the amount of the credit so
determined.</text>
</subparagraph><subparagraph id="HFDD886A7AA87423DB5D78816F93E28C4"><enum>(B)</enum><header>Certain
dispositions</header><text>If, during any taxable year, there is a recapture
amount determined with respect to any property the basis of which was reduced
under subparagraph (A), the basis of such property (immediately before the
event resulting in such recapture) shall be increased by an amount equal to
such recapture amount. For purposes of the preceding sentence, the term
<quote>recapture amount</quote> means any increase in tax (or adjustment in
carrybacks or carryovers) determined under subsection (d).</text>
</subparagraph></paragraph><paragraph id="H136AA9E8EE634ED59D1D3931C4C5BCCC"><enum>(2)</enum><header>Other deductions
and credits</header><text>No deduction or credit shall be allowed under any
other provision of this chapter with respect to the amount of the credit
determined under this
section.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HC0D6FFE9B39242E3845EAFEF72782EE5"><enum>(b)</enum><header>Credit To be
part of general business credit</header><text>Subsection (b) of section 38 of
such Code (relating to general business credit) is amended by striking
<quote>plus</quote> at the end of paragraph (34), by striking the period at the
end of paragraph (35) and inserting <quote>, plus</quote> , and by adding at
the end the following new paragraph:</text>
<quoted-block id="HC31123890BAB4B19AC7F6D944FE208A5" style="OLC">
<paragraph id="HE35B3088C0CD42169F7E61DDE215CB4F"><enum>(36)</enum><text>the
employer-provided health and wellness benefits credit determined under section
45R(a).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HDCC9FBDBA2D64C318DB05F2214CE1FAB"><enum>(c)</enum><header>Clerical
amendment</header><text>The table of sections for subpart D of part IV of
subchapter A of chapter 1 of such Code is amended by inserting after the item
relating to section 45Q the following new item:</text>
<quoted-block id="H63054D8DB9ED403EB26C02299292EC27" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 45R. Credit for employer-provided
health and wellness
benefits.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H2BC7D388347D4AB2B0158EFC9EB1CB3D"><enum>(d)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after the date of the enactment of this Act.</text>
</subsection></section><enum>IV</enum><header>Evidence-Based
Disease Prevention and Health Promotion Program; Senior Housing Facility Plan
Option</header>
<section id="H7291907A2BD443F9B9172C963982E836"><enum>301.</enum><header>Evidence-based
disease prevention and health promotion grant program</header><text display-inline="no-display-inline">Part D of title III of the Older Americans
Act of 1965 (42 U.S.C. 3030m et seq.) is amended—</text>
<paragraph id="H23B5BD9A02EF461FB2DA4BC872C40EC4"><enum>(1)</enum><text>by inserting the
following before section 361:</text>
<quoted-block display-inline="no-display-inline" id="H90BA6F14C18B43938B693F518619777D" style="OLC">
<subpart id="HD3C2539B6DA44530B139712F4F2A791D"><enum>1</enum><header>Services</header>
</subpart><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="HABC9AD1D97F244709843EBCF159DBF41"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H6DD7EDF237384936A238C5B5EFEE0DC5" style="OLC">
<subpart id="H869B3F34332E4C6D9B2AABAE475FEC35"><enum>2</enum><header>Evidence-based
Disease Prevention and Health Promotion Program</header>
<section id="HED14D0C1E5E343EB82BA23C741FD39A7"><enum>365.</enum><header>Evidence-based
disease prevention and health promotion grants program</header>
<subsection id="HE3A2AC0FE3D84A02A1DCD40535DC3F60"><enum>(a)</enum><header>Grant
program</header><text display-inline="yes-display-inline">From a portion of the
funds allotted to carry out this part, the Assistant Secretary shall establish
an evidence-based disease prevention and health promotion program to make
grants to States to carry out—</text>
<paragraph id="HE39D9E4BD9E64189B897E8DCB2FA2B32"><enum>(1)</enum><text>evidence-based
disease prevention programs;</text>
</paragraph><paragraph id="H85E33FA842544159A17FBCD334245B00"><enum>(2)</enum><text>evidence-based
chronic disease management programs;</text>
</paragraph><paragraph id="HAE0D8DF735C9423CBDAA84933D25548E"><enum>(3)</enum><text>evidence-based
chronic disease self-management programs;</text>
</paragraph><paragraph id="H05FB41F4D57A49548C1594A3F309B7A0"><enum>(4)</enum><text display-inline="yes-display-inline">evidence-based health services and health
promotion services and supports;</text>
</paragraph><paragraph id="HDAFEB8E6801C4B0C8F8CCEDA432F1F1F"><enum>(5)</enum><text>a disease
self-management program such as the Stanford University Chronic Disease
Self-Management Program (CDSMP).</text>
</paragraph></subsection><subsection commented="no" id="H7D068D6E753B495582F6AEE8BBA40F2B"><enum>(b)</enum><header>Application for
grant</header><text display-inline="yes-display-inline">To request a grant
under subsection (a), a State shall, after consulting and coordinating with
area agencies on aging in the State involved, submit an application to the
Secretary at such time, in such manner, and containing the following
information:</text>
<paragraph commented="no" id="H6AB4DCF09ECF436EBDF44E955E5C12BC"><enum>(1)</enum><text>A description of
the evidence-based disease prevention and health promotion programs the State
agency proposes to carry out with such grant.</text>
</paragraph><paragraph commented="no" id="H3F666F2DC9654FEDBC53E6AED2C70D4D"><enum>(2)</enum><text>Sufficient
information to demonstrate that the infrastructure exists to support the
proposed programs.</text>
</paragraph><paragraph commented="no" id="HEEBCCF3B409F4D68BED213C493A570DB"><enum>(3)</enum><text>Such other
information as the Secretary determines appropriate.</text>
</paragraph></subsection><subsection commented="no" id="H93B91BD2C6ED4E22B7363EFB01A60DAF"><enum>(c)</enum><header>Subgrants</header>
<paragraph commented="no" id="HBE26D33CD55C41F490F035439F478842"><enum>(1)</enum><header>Grants to area
agencies on aging</header><text display-inline="yes-display-inline">With funds
received under subsection (b), the State agency shall make grants to area
agencies on aging that demonstrate performance capacity to carry out programs
and activities described in subsection (a), to carry out evidence-based disease
prevention and health promotion programs under this section either directly or
through contracts with—</text>
<subparagraph id="H93A03D408F794AAD9769325778E816F9"><enum>(A)</enum><text>organizations that
are providers of direct services to older individuals and that receive funding
under this Act; or</text>
</subparagraph><subparagraph id="H65D9CABE157743B99D185C5C3798B0C0"><enum>(B)</enum><text display-inline="yes-display-inline">Federally Qualified Health Centers or
Community Health Centers (as such terms are used in relation to section 330 of
the Public Health Service Act) or Community Integrated Health Centers (as
defined in section 101 of the Place Based Health Care Act of 2009).</text>
</subparagraph></paragraph><paragraph commented="no" id="H29B974C990F146109AC7FD6C0EB1966C"><enum>(2)</enum><header>Direct grants to
other entities</header><text display-inline="yes-display-inline">If an area
agency on aging does not receive a grant under paragraph (1), the State agency
may make a subgrant to carry out evidence-based disease prevention and health
promotion programs under this section in the planning and service area of such
agency, to—</text>
<subparagraph id="HE56F1AA881814C2C88A24DF91B910086"><enum>(A)</enum><text>organizations that
are providers of direct services to older individuals and that receive funding
under this Act; or</text>
</subparagraph><subparagraph id="H57EDF86592714DCEAA117473D1965574"><enum>(B)</enum><text display-inline="yes-display-inline">Federally Qualified Health Centers or
Community Health Centers (as such terms are used in relation to section 330 of
the Public Health Service Act) or Community Integrated Health Centers (as
defined in section 101 of the Place Based Health Care Act of 2009).</text>
</subparagraph><continuation-text continuation-text-level="paragraph">that
demonstrate performance capacity to carry out the programs and activities
described in subsection (a).</continuation-text></paragraph></subsection><subsection commented="no" id="H6A7DD04DA1E34AC2A975491C05B30A86"><enum>(d)</enum><header>Uses of
funds</header><text display-inline="yes-display-inline">A grant or subgrant
received under this section may be used to carry out—</text>
<paragraph commented="no" id="HA7EBECAE328348E79929D6434C5FC260"><enum>(1)</enum><text>an evidence-based
chronic disease management program;</text>
</paragraph><paragraph commented="no" id="H3E98C90566304F3B902FF9E18CC8D4F6"><enum>(2)</enum><text>an evidence-based
chronic disease self-management program; or</text>
</paragraph><paragraph commented="no" id="H1950C57D2A1C4E3581F15E3209726048"><enum>(3)</enum><text>an evidence-based
disease prevention and health promotion program.</text>
</paragraph></subsection><subsection id="H8BED9130D27D4DBBAD46E87196AB470D"><enum>(e)</enum><header>Definition</header><text display-inline="yes-display-inline">In this section, the term <quote>health
services and health promotion services and supports</quote> means any service,
any onsite primary care service, any in-home service, a case management
service, or any evidence-based intervention that is—</text>
<paragraph id="HC8E3BDC60B8445F89318687EF505C419"><enum>(1)</enum><text display-inline="yes-display-inline">furnished in settings that serve the
population of older individuals such as—</text>
<subparagraph id="H000257131EB84AEAB724321C45B9D7C8"><enum>(A)</enum><text>a private home or
residence;</text>
</subparagraph><subparagraph id="HA290D91D90ED4B17B9F73D3A2C65A9AE"><enum>(B)</enum><text>a community based
organization (as defined in section 1901 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801));</text>
</subparagraph><subparagraph id="HBB32C3B9A0FB4060A1AF6EC32BA19412"><enum>(C)</enum><text>a Community
Integrated Health Center (as defined in section 101(1) of the Place Based
Health Care Act of 2009);</text>
</subparagraph><subparagraph id="H2AC5A2C8089349D4966EE9E068120CFD"><enum>(D)</enum><text>a faith-based
organization;</text>
</subparagraph><subparagraph id="HE6A7FD21F8C6443586B4380E223916FD"><enum>(E)</enum><text>a community-care
setting (including a small community care setting as defined in subsection
(g)(1), and a large community care setting as defined in subsection (h)(1), of
section 1929 of the Social Security Act (42 U.S.C. 1396t));</text>
</subparagraph><subparagraph id="HF8E3F7D9F12647B1883959EDF8685C6B"><enum>(F)</enum><text>a board and care
facility;</text>
</subparagraph><subparagraph id="H04F28993037E440695AAA40566CFEC4C"><enum>(G)</enum><text>a long-term care
facility;</text>
</subparagraph><subparagraph id="HFED2F9776C1744578E67752D5E781A72"><enum>(H)</enum><text>a multi-purpose
senior center; or</text>
</subparagraph><subparagraph id="HDAC846AB4B6D4C4981E1BFEE9CF2A0A9"><enum>(I)</enum><text display-inline="yes-display-inline">a community center (as defined in section
670G of the State Dependent Care Development Grants Act (42 U.S.C.
9877));</text>
</subparagraph></paragraph><paragraph id="HF3A3A2AF8B8B4E72B23A1F742DFB6AC4"><enum>(2)</enum><text>furnished to
diagnose, treat, or cure a medical disease or condition; and</text>
</paragraph><paragraph id="HB2A1007865E94A90B8CB856B5C15202F"><enum>(3)</enum><text display-inline="yes-display-inline">intended to assist older individuals with
carrying out activities of daily living (as defined in section 802 of the
Cranston-Gonzalez National Affordable Housing Act (42 U.S.C.
8011).</text>
</paragraph></subsection></section></subpart><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H107277D141054B389868B4A9299BDA5E"><enum>302.</enum><header>Offering
Medicare Advantage plan in a senior housing facility</header><text display-inline="no-display-inline">Section 1851(b)(1) of the Social Security
Act (42 U.S.C. 1395w–21(b)(1)) is amended by adding at the end the following
new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HD6E9BDE5437E478B864466E155E5A204" style="OLC">
<subparagraph id="HEE1CA3CE7FCD43E4AFA9808451749F45"><enum>(D)</enum><header>Special rule for
senior citizen facilities</header><text display-inline="yes-display-inline">Notwithstanding any other provision of this
part, a Medicare Advantage organization may operate a Medicare Advantage plan
exclusively within a geographic area that is limited to a senior housing
facility if the plan—</text>
<clause id="H6738ACEABABD4498AC56FB27EB5B0742"><enum>(i)</enum><text display-inline="yes-display-inline">provides services only to beneficiaries who
either—</text>
<subclause id="HB7CB02F67EFA4976B716BE67C7B66484"><enum>(I)</enum><text>are under a
long-term residency contract as described in section 1919(c)(5)(B)(v);
or</text>
</subclause><subclause id="H03F3FF7B81344501867542266F7A1E1B"><enum>(II)</enum><text>reside in
supportive housing for the elderly as described in section 202 of the Housing
Act of 1959 or housing supported by the low income housing tax credit program
described in section 42 of the Internal Revenue Code of 1986, and qualify for
assistance under section 8 of the United States Housing Act of 1937;</text>
</subclause></clause><clause id="H3B8FAADCB60E440D8C60817FAC420F04"><enum>(ii)</enum><text>provides onsite
primary care services with a ratio of accessible physicians to beneficiaries
that is deemed to be adequate by the Secretary;</text>
</clause><clause id="H249D0A3983D8418FB8A819EDAB079C15"><enum>(iii)</enum><text>provides
transportation services for patients to specialty providers outside the
community;</text>
</clause><clause id="H610093FD7B094A62BF1454A06919F0E1"><enum>(iv)</enum><text>makes meaningful
use of health information technology; and</text>
</clause><clause id="HD548F4B4B3C24E70A242D54BF242DE11"><enum>(v)</enum><text>if
offered to continuing care retirement or life care community residents as
described in clause (i)(I), has participated in a Centers for Medicare &
Medicaid Services demonstration initiative for a minimum of one
year.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>V</enum><header>Community Health
Center Expansion of Priorities</header>
<section id="H19A04A3577044D399FA422D0B16602C6"><enum>401.</enum><header>Community
health center expansion</header><text display-inline="no-display-inline">Section 330 of the Public Health Service Act
(42 U.S.C. 254b) is amended by adding at the end the following new
subsections:</text>
<quoted-block display-inline="no-display-inline" id="HFC2F2F105D7D4FFBB095D0AD5ECFEE53" style="OLC">
<subsection id="H045BF58E871345D18387243428684870"><enum>(s)</enum><header>School-based
health centers</header>
<paragraph id="H22207DAAD6F540A9AA627219380BF80C"><enum>(1)</enum><header>In
general</header><text>The Secretary may award grants for the purposes described
in subparagraphs (c), (e), and (f) of this section for the planning and
delivery of services to a special medically underserved population comprised of
school-aged children in a school-based health center.</text>
</paragraph><paragraph id="H2E30B0C16CBB4307A5DDB4B663DB0BA3"><enum>(2)</enum><header>School-based
health center defined</header><text>In this section, the term
<quote>school-based health center</quote> means a health center that—</text>
<subparagraph id="H76A61B06718D4851B4C87BAD0F563F06"><enum>(A)</enum><text>is located within
an elementary or secondary school facility;</text>
</subparagraph><subparagraph id="H83570910944440488202369E620EDD2C"><enum>(B)</enum><text>is operated in
collaboration with the school in which such center is located;</text>
</subparagraph><subparagraph id="H465C2DD13AD041599F29B4247AFB46F2"><enum>(C)</enum><text>is administered by
a community-based organization including a hospital, public health department,
community health center, or nonprofit health care agency;</text>
</subparagraph><subparagraph id="H4A5BB1C6B1634136A93627FBFEC893E3"><enum>(D)</enum><text>at a minimum,
provides to school-aged children—</text>
<clause id="HC6E3C99204A8408FAF39B7E3EEB94A27"><enum>(i)</enum><text>primary health
care services, including comprehensive health assessments, and diagnosis and
treatment of minor, acute, and chronic medical conditions and Healthy Start
benefits;</text>
</clause><clause id="HF3214EAF6BF94613B5952A48F7171AC2"><enum>(ii)</enum><text>mental health
services, including crisis intervention, counseling, and emergency psychiatric
care at the school or by referral;</text>
</clause><clause id="HB0A2DFBFC7CB4D06898BC30DE661A5C2"><enum>(iii)</enum><text>the availability
of services at the school when the school is open and 24-hour coverage through
an on-call system with other providers to ensure access when the school or
health center is closed;</text>
</clause><clause id="H04EF6CF0767D4A3EB8BA2673E2A35B9A"><enum>(iv)</enum><text>services through
the use of a qualified and appropriately credentialed individual, including a
nurse practitioner or physician assistant, a mental health professional, a
physician, and a health assistant; and</text>
</clause></subparagraph><subparagraph id="H515050D9E7AD4EB59D2384D0E0A1B525"><enum>(E)</enum><text>may provide
optional preventive dental services, consistent with State licensure law,
through the use of dental hygienists or dental assistants that provide
preventive services such as basic oral exams, cleanings, and sealants.</text>
</subparagraph></paragraph><paragraph id="H8F0520CA9C7D40EFAF3CED6B4D3F149D"><enum>(3)</enum><header>Supplement not
supplant</header><text>A grant awarded under this subsection shall be expended
to supplement, and not supplant, the expenditures of the health center and the
value of in kind contributions for the delivery of services to the population
described in paragraph (1).</text>
</paragraph><paragraph id="H29C168C46D2F4709B3454489FD5EF7D2"><enum>(4)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, in addition to any funds authorized to be appropriated or
appropriated for health centers under any other subsection of this section,
such sums as may be necessary for each of fiscal years 2009 through
2014.</text>
</paragraph></subsection><subsection display-inline="no-display-inline" id="HF49840279BE4474F93661A7DBF098D90"><enum>(t)</enum><header>Residents of
Naturally Occurring Retirement Communities, Rapidly Aging Communities, Patrons
of multipurpose senior centers</header>
<paragraph id="H237A77C9BB7E436F8C1C191E9EEDFA34"><enum>(1)</enum><header>In
general</header><text>The Secretary may award grants for the purposes described
in subsections (c), (e), and (f) of this section for the planning and delivery
of services to a special medically underserved population comprised of
residents of Naturally Occurring Retirement Communities and patrons of
multipurpose senior centers and individuals living in areas and facilities
immediately accessible to such Naturally Occurring Retirement Communities and
such centers.</text>
</paragraph><paragraph id="H37CFC3CB493C4E408DF528ED8AD14D1F"><enum>(2)</enum><header>Supplement not
supplant</header><text>A grant awarded under this subsection shall be expended
to supplement, and not supplant, the expenditures of the health center and the
value of in kind contributions for the delivery of services to the population
described in paragraph (1).</text>
</paragraph><paragraph id="H373268BBC3994E90B27FFE2BD33BB728"><enum>(3)</enum><header>Consultation
with Area Agencies on Aging</header><text>The Secretary may not make a grant
under paragraph (1) unless, with respect to the residents of Naturally
Occurring Retirement Communities and patrons of multipurpose senior centers
involved, the applicant for the grant—</text>
<subparagraph id="H1F23B638F8A449F58745BAD1C29DBD71"><enum>(A)</enum><text>has consulted with
the Area Agency on Aging in the preparation of the application for the grant;
and</text>
</subparagraph><subparagraph id="H8F24A711A17146439D1D0807A74D3ED3"><enum>(B)</enum><text>agrees to provide
for ongoing consultation with the Area Agency on Aging regarding the planning
and administration of the program carried out with the grant.</text>
</subparagraph></paragraph><paragraph id="HDCD220DAF386403FB588560AE453B74A"><enum>(4)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this subsection, in addition to any funds authorized to be appropriated or
appropriated for health centers under any other subsection of this section,
such sums as may be necessary for each of fiscal years 2009 through
2014.</text>
</paragraph><paragraph id="H2235A448B6204F01AAC4FF0EB44D8909"><enum>(5)</enum><header>Naturally
Occurring Retirement Community and multipurpose senior center
defined</header><text display-inline="yes-display-inline">In this subsection,
the terms <quote>Naturally Occurring Retirement Community</quote> and
<quote>multipurpose senior center</quote> have the meanings given such terms
for purposes of the Older Americans Act of 1965 (42 U.S.C. 3001 et
seq).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section>