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US Laws | Affordable Health Care Act (HR3950F)
Subtitle D--Enhancing Health Care Workforce Education and Training

"(f) Evidence-based Interventions- The Secretary shall encourage community health worker programs receiving funding under this section to implement a process or an outcome-based payment system that rewards community health workers for connecting underserved populations with the most appropriate services at the most appropriate time. Nothing in this section shall be construed to require such a payment. (8061)

"(g) Quality Assurance and Cost Effectiveness- The Secretary shall establish guidelines for assuring the quality of the training and supervision of community health workers under the programs funded under this section and for assuring the cost-effectiveness of such programs. (8062)

"(h) Monitoring- The Secretary shall monitor community health worker programs identified in approved applications under this section and shall determine whether such programs are in compliance with the guidelines established under subsection (g). (8063)

"(i) Technical Assistance- The Secretary may provide technical assistance to community health worker programs identified in approved applications under this section with respect to planning, developing, and operating programs under the grant. (8064)

"(j) Authorization of Appropriations- There are authorized to be appropriated, such sums as may be necessary to carry out this section for each of fiscal years 2010 through 2014. (8065)

"(k) Definitions- In this section: (8066)

"(1) COMMUNITY HEALTH WORKER- The term "community health worker", as defined by the Department of Labor as Standard Occupational Classification [21-1094] means an individual who promotes health or nutrition within the community in which the individual resides-- (8067)

"(A) by serving as a liaison between communities and healthcare agencies; (8068)

"(B) by providing guidance and social assistance to community residents; (8069)

"(C) by enhancing community residents" ability to effectively communicate with healthcare providers; (8070)

"(D) by providing culturally and linguistically appropriate health or nutrition education; (8071)

"(E) by advocating for individual and community health; (8072)

"(F) by providing referral and follow-up services or otherwise coordinating care; and (8073)

"(G) by proactively identifying and enrolling eligible individuals in Federal, State, local, private or nonprofit health and human services programs. (8074)

"(2) COMMUNITY SETTING- The term "community setting" means a home or a community organization located in the neighborhood in which a participant in the program under this section resides. (8075)

"(3) ELIGIBLE ENTITY- The term "eligible entity" means a public or nonprofit private entity (including a State or public subdivision of a State, a public health department, a free health clinic, a hospital, or a Federally-qualified health center (as defined in section 1861(aa) of the Social Security Act)), or a consortium of any such entities. (8076)

"(4) MEDICALLY UNDERSERVED COMMUNITY- The term "medically underserved community" means a community identified by a State-- (8077)

"(A) that has a substantial number of individuals who are members of a medically underserved population, as defined by section 330(b)(3); and (8078)

"(B) a significant portion of which is a health professional shortage area as designated under section 332.". (8079)


Part E of title VII of the Public Health Service Act (42 U.S.C. 294n et seq.), as amended by section 5206, is further amended by adding at the end the following: (8081)


"(a) In General- The Secretary may carry out activities to address documented workforce shortages in State and local health departments in the critical areas of applied public health epidemiology and public health laboratory science and informatics and may expand the Epidemic Intelligence Service. (8083)

"(b) Specific Uses- In carrying out subsection (a), the Secretary shall provide for the expansion of existing fellowship programs operated through the Centers for Disease Control and Prevention in a manner that is designed to alleviate shortages of the type described in subsection (a). (8084)

"(c) Other Programs- The Secretary may provide for the expansion of other applied epidemiology training programs that meet objectives similar to the objectives of the programs described in subsection (b). (8085)

"(d) Work Obligation- Participation in fellowship training programs under this section shall be deemed to be service for purposes of satisfying work obligations stipulated in contracts under section 338I(j). (8086)

"(e) General Support- Amounts may be used from grants awarded under this section to expand the Public Health Informatics Fellowship Program at the Centers for Disease Control and Prevention to better support all public health systems at all levels of government. (8087)

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