1.This Act may be cited as the
Council on Integration of Health Care
Education Act of 2010
.
2.In this Act:
(1)Behavioral
health providerThe term behavioral health
provider—
(A)means an
individual who provides clinical care (in accordance with applicable State law)
specializing in the diagnosis or treatment of behavioral health, including such
an individual specializing in substance use, addiction, and dependence
disorders; and
(B)includes a psychiatrist, nurse practitioner
(as defined in section 1861(aa)(5)(A) of the Social Security Act), physician
assistant (as defined in section 1861(aa)(5)(A) of such Act), clinical
psychologist (as used in section 1861(ii) of such Act), clinical social worker
(as defined in section 1861(hh) of such Act), psychiatric nurse, licensed
professional counselor, marriage and family therapist, pastoral counselor,
psychosocial rehabilitation specialist, and any other individual determined to
be appropriate by the Secretary.
(2)The term Council means the
Council on Integration of Health Care Education.
(3)The term health care
professional—
(A)means an
individual who provides clinical health care (in accordance with applicable
State law) other than a behavioral health provider; and
(B)includes (other
than a behavioral health provider) a physician (as defined in section 1861(r)
of the Social Security Act), nurse practitioner (as defined in section
1861(aa)(5)(A) of the Social Security Act), physician assistant (as defined in
section 1861(aa)(5)(A) of the Social Security Act), clinical nurse specialist
(as defined in section 1861(aa)(5)(B) of the Social Security Act), certified
nurse-midwife (as defined in section 1861(gg) of the Social Security Act), and
any other individual determined to be appropriate by the Secretary.
(4)Institution of
higher educationThe term institution of higher
education has the same meaning given such term in section 101 of the
Higher Education Act of 1965 (20 U.S.C. 1001).
(5)The
term Secretary means the Secretary of Health and Human Services.
3.Council on
Integration of Health Care Education
(a)There
is established in the Office of the Secretary the Council on Integration of
Health Care Education.
(b)The Council shall develop and publish not
later than 1 year after the date of the enactment of this section, and may
periodically revise as appropriate thereafter, recommendations for the purpose
of strengthening the capacity of health care professionals and behavioral
health providers to deliver integrated, comprehensive health care. The
recommendations shall identify—
(1)the core
competencies to be required of each type of health care professional and
behavioral health provider with respect to mental health and substance use
prevention and treatment services in order to carry out their respective scope
of practice;
(2)the appropriate
methods for incorporating such competencies into the curricula of institutions
of higher education, and of continuing education, for health care professionals
and behavioral health providers;
(3)the appropriate
methods for incorporating such competencies into the licensure and
certification requirements for health care professionals and behavioral health
providers; and
(4)the appropriate methods for incorporating
such competencies into the accreditation process for institutions of higher
education providing terminal education for health care professionals and
behavioral health providers.
(c)
(1)Not later than 1 year after the date of the enactment of
this Act, and annually thereafter, the Council shall submit to the Secretary
and the appropriate committees of the Congress, and to the Council on Graduate
Medical Education when appropriate, and make publicly available, a report on
the recommendations under subsection (b) and the implementation of such
recommendations. Each such report shall include—
(A)a description of
current and future needs related to the successful integration core
competencies for mental health and substance use disorders into health care
professional and behavioral health provider education and education curricula
beyond medical education;
(B)an identification
of goals, outcome measures, and timeframes for addressing the needs described
in subparagraph (A);
(C)a detailed plan
for implementing the recommendations under subsection (b); and
(D)an evaluation of
the extent to which such plan has been implemented.
(2)Not later than 1 year after the date of the enactment
of this Act, and annually thereafter, the Secretary shall submit a report to
the Congress on the activities of the Council.
(d)
(1)Composition;
voting; chairThe Council shall be composed of the ex officio
members specified in paragraph (2) and the members appointed under paragraph
(3). All of the members of the Council shall be voting members. The Council
shall elect a chair from among its members.
(2)The Council shall include the following ex officio
members (or their designees)—
(A)the
Secretary;
(B)the Administrator
of the Health Resources and Services Administration;
(C)the Administrator
of the Centers for Medicare & Medicaid Services;
(D)the Administrator
of the Substance Abuse and Mental Health Services Administration; and
(E)the Director of
the Office of National Drug Control Policy.
(3)
(A)The Council shall include members to be appointed by the
Secretary (in consultation with the other ex officio members of the Council and
without regard to the civil service laws) who are not employees of the Federal
Government. The Secretary shall appoint a sufficient number of members under
this subparagraph to ensure that the Council is composed of not less than 20
members, including both ex officio members under paragraph (2) and members
appointed under this paragraph.
(B)In appointing members of the Council under this
paragraph, the Secretary shall ensure—
(i)inclusion of both
urban and rural members;
(ii)adequate
representation of men and women;
(iii)a
range of members from a variety of practice settings and having expertise in
prevention and treatment across the lifespan;
(iv)adequate
representation of racial, ethnic, religious, and economic diversity;
(v)an
equal distribution of the members appointed under subparagraph (A) between
those specializing in mental health services and those specializing in
substance use disorders;
(vi)diverse
representation from addition and psychiatry specialty sectors;
(vii)diverse
representation of allopathic and osteopathic physicians;
(viii)adequate
representation of health care professionals and behavioral health providers who
provide direct patient care to individuals with co-occurring mental health or
substance use disorders and physical health conditions;
(ix)adequate
representation of health care and behavioral health (including substance use)
faculty who have demonstrated expertise in curriculum development; and
(x)inclusion of a
health or behavioral health (including substance use) consumer.
(C)
(i)Subject to subparagraph (D)(ii), each member of the
Council under this paragraph shall be appointed for a term of 4 years.
(ii)Any
member of the Council 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.
(D)
(i)The
Secretary shall appoint the initial members of the Council under this paragraph
not less than 90 days after the date of the enactment of this Act.
(ii)As
designated by the Secretary at the time of appointment, of the initial members
of the Council under this paragraph, 1/4 shall be
appointed for terms of 1 year, 1/4 shall be appointed for
terms of 2 years, 1/4 shall be appointed for terms of 3
years, and 1/4 shall be appointed for terms of 4
years.
(e)The
Secretary shall provide the Council with such professional and clerical staff,
such information, and the services of such consultants as may be necessary to
assist the Council in carrying out effectively its functions under this
section.
(f)
(1)Members shall receive travel expenses, including per
diem in lieu of subsistence, in accordance with sections 5702 and 5703 of title
5, United States Code, while away from their homes or regular places of
business in performance of services for the Council.
(2)The Council shall have reasonable access to materials,
resources, statistical data, and other information such Council determines to
be necessary to carry out its duties from agencies of the executive and
legislative branches of the Federal Government. The chair of the Council shall
make requests for such access in writing when necessary.
(3)Prohibition
against compensation of federal employeesMembers of the Council
who are officers or employees of the Federal Government shall not receive
additional pay, allowances, or benefits by reason of their service on the
Council.
(g)The
Council shall conduct at least 3 meetings each year.
(h)Authorization of
appropriationsTo carry out this section, there are authorized to
be appropriated such sums as may be necessary for each of fiscal years 2011
through 2016.
4.Implementation of
recommendations of the Council
(a)Health care and
behavioral health workforce continuing education
(1)Beginning 1 year
after submission of the first report of the Council under section 3(c)(1), the
Secretary may make grants, contracts, or cooperative agreements to public or
private nonprofit entities for the purpose of implementing the recommendations
of the Council on continuing education for health care professionals and
behavioral health providers.
(2)To
receive a grant, contract, or cooperative agreement under this subsection, a
public or private nonprofit entity shall demonstrate expertise in providing
continuing education for health care professionals and behavioral health
providers.
(3)In
awarding grants, contracts, and cooperative agreements under this subsection,
the Secretary shall give priority to entities that propose to implement
continuing education—
(A)in
interdisciplinary settings; or
(B)in collaboration with a diverse
representation of health care professionals and behavioral health providers who
have no direct affiliation with the receiving entity as determined by the
Secretary.
(4)The Secretary shall ensure that grants, contracts,
and cooperative agreements under this subsection are awarded to entities
throughout the United States to ensure the availability of continuing education
in mental health and substance abuse prevention and treatment services.
(5)The period of a grant, contract, or cooperative agreement
under this subsection shall not exceed 3 years.
(6)Authorization of
appropriationsThere are
authorized to be appropriated $5,000,000 for fiscal year 2012 and such sums as
may be necessary for each of fiscal years 2013 through 2016.
(b)Health care and
behavioral health workforce education curricula
(1)The Secretary shall
make grants, contracts, or cooperative agreements to public or nonprofit
private institutions of higher education for the purpose of implementing the
recommendations of the Council on education curricula for health care
professionals and behavioral health providers.
(2)In
awarding grants, contracts, and cooperative agreements under this subsection,
the Secretary shall give priority to applicants that demonstrate
willingness—
(A)to integrate the
recommendations of the Council on curricula across academic disciplines;
(B)to coordinate the
use of Federal and non-Federal resources for purposes of such integration;
or
(C)to incorporate other evidence-based
recommendations that further the integration of behavioral health in health
care.
(3)The Secretary shall ensure that grants, contracts,
and cooperative agreements under this subsection are awarded to institutions of
higher education throughout the United States to ensure the availability and
improvement of education curricula for health care professionals and behavioral
health providers.
(4)The period of a grant, contract, or cooperative agreement
under this subsection shall not exceed 3 years.
(5)Authorization of
appropriationsThere are authorized to be appropriated $5,000,000
for fiscal year 2012 and such sums as may be necessary for each of fiscal years
2013 through 2016.