Summary: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009 - Amends the Public Health Service Act to require hospitals to implement staffing plans that meet specified ratios for direct care registered nurse-to-patient staffing levels for each unit and other requirements, including for receiving input from nurses. Allows the Secretary of Health and Human Services to further limit such ratios as needed to ensure public safety and to establish ratios for units not specified. Provides an exception to such staffing requirements for a declared state of emergency. Requires hospitals to provide the Secretary with their staffing plan and annual updates. Requires the Secretary to conduct audits to ensure the implementation of adequate staffing plans. Requires the Secretary: (1) acting through the Director of the Agency for Healthcare Research and Quality (AHRQ), to complete a study of licensed practical nurse staffing and its effects on patient care in hospitals; and (2) to establish requirements for hospitals based on the outcome of the study. Requires the Secretary to adjust payments to cover additional Medicare costs that are attributable to this Act. Requires the Medicare Payment Advisory Commission to submit to Congress and the Secretary a report estimating total costs and savings attributable to compliance with nurse staffing requirements. Provides nurses with the right to refuse to accept assignments that would violate staffing requirements or for which they are not prepared. Prohibits retaliation by hospitals for such refusals or for reporting violations of staffing requirements.

nurse staffing standards patient safety quality care act amends public_health_service_act require hospitals implement staffing plans meet specified ratios direct care registered nurse patient staffing levels unit requirements including receiving input nurses allows secretary health_and_human_services limit ratios needed ensure public safety establish ratios units specified provides exception staffing requirements declared state emergency requires hospitals provide secretary staffing plan annual updates requires secretary conduct audits ensure implementation adequate staffing plans requires secretary acting director agency healthcare_research_and_quality ahrq complete study licensed practical nurse staffing effects patient care hospitals establish requirements hospitals based outcome study requires secretary adjust payments cover additional medicare costs attributable act requires medicare_payment_advisory_commission submit congress secretary report estimating total costs savings attributable compliance nurse staffing requirements provides nurses right refuse accept assignments violate staffing requirements prepared prohibits retaliation hospitals refusals reporting violations staffing requirements


Summary: Graduate Medical Education Advancement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to rules for the computation of the number of full-time-equivalent residents in an approved medical residency training program, particularly the counting of time spent in outpatient settings, for purposes of calculating payments to: (1) hospitals for direct graduate medical education (GME) costs; and (2) subsection (d) hospitals with indirect medical education (IME) costs. (Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.) Requires the counting of hours spent by an intern or resident in a nonhospital setting (that is primarily engaged in furnishing patient care) in non-patient care activities, such as didactic conferences and seminars (but excluding research not associated with the treatment or diagnosis of a particular patient). Requires the counting as well of all the time spent on vacation, sick leave, or other approved leave that does not prolong the total time the resident is participating in the approved program beyond its normal duration. Revises rules for counting resident time in outpatient settings with respect to GME and IME costs to include the costs of the residents' stipends and fringe benefits during the time residents spend in such a setting.

amends title xviii medicare social security act respect rules computation number time equivalent residents approved medical residency training program particularly counting time spent outpatient settings purposes calculating payments hospitals direct graduate medical education gme costs subsection hospitals indirect medical education ime costs generally subsection hospital acute care hospital particularly receives payments medicare inpatient prospective payment system ipps providing covered inpatient services eligible beneficiaries requires counting hours spent intern resident nonhospital setting primarily engaged furnishing patient care non patient care activities didactic conferences seminars excluding research associated treatment diagnosis particular patient requires counting time spent vacation sick leave approved leave total time resident participating approved program normal duration revises rules counting resident time outpatient settings respect gme ime costs include costs residents stipends fringe benefits time residents spend setting


Summary: Future Physicians Serving America Act of 2009 - Amends the Peace Corps Act to make Peace Corps volunteers eligible for a year of tuition assistance for undergraduate medical education for each year of service in the Peace Corps. Limits such assistance to a maximum of two years. Amends the National and Community Service Trust Act to provide individuals who successfully complete a required term of full-time or part-time national service an educational award for undergraduate medical education. Makes such assistance applicable to up to two terms of service.

amends peace corps act peace_corps volunteers eligible year tuition assistance undergraduate medical education year service peace_corps limits assistance maximum years amends provide individuals successfully complete required term time time national service educational award undergraduate medical education makes assistance applicable terms service


Summary: Preserving Patient Access to Primary Care Act of 2009 - Amends the Higher Education Act of 1965 to authorize the Secretary of Education to award recruitment incentive grants or contracts to graduate medical schools to enable them to improve primary care education and training for medical students. Amends the Public Health Service Act (PHSA) to direct the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, to: (1) award grants to critical shortage health facilities to enable them to provide scholarships to individuals who agree to serve as physicians at such facilities after completing a residency in a primary care field; (2) establish an educational loan repayment program for individuals who agree to serve as primary care physicians or primary care providers (including nurse practitioners) in an area that is not a health professional shortage area but has a critical shortage of such physicians or providers; and (3) establish an educational loan repayment program for individuals who agree to serve as physicians in the field of obstetrics and gynecology or as certified nurse midwives in an area that is not a health professional shortage area. Amends the Higher Education Act of 1965 to provide for deferment of education loans during medical residency and internships in a primary care field. Amends the PHSA to direct the Secretary to award grants to eligible state and local government entities for the development of informational materials that promote careers in primary care. Amends the PHSA to extend the authorization of appropriations for training in a family medicine, general internal medicine, general geriatrics, general pediatrics, physician assistance, general dentistry, and pediatric dentistry Authorizes increased appropriations for the national health service corps scholarships and loan repayment programs. Amends title XIX (Medicaid) of the Social Security Act (SSA) to allow the use of Medicaid transformation payments for methods for improving medical assistance under Medicaid and SSA title XXI (Children's Health Insurance Program) (CHIP, formerly known as SCHIP) by encouraging certain medical practices to qualify as patient centered medical homes. Amends SSA title XVIII (Medicare) to: (1) increase budget neutrality limits under the physician fee schedule to account for anticipated savings resulting from payments for certain services and the coordination of beneficiary care; and (2) require a separate Medicare payment for designated primary care services and comprehensive care coordination services. Amends SSA title XVIII to cover patient-centered medical home services. Directs the Secretary to develop a methodology to increase payments for designated evaluation and management services provided by primary and principal care providers. Requires: (1) additional incentive payments for primary care services furnished in health professional shortage areas; (2) permanent extension of the floor on the Medicare work geographic adjustment under the physician fee schedule; and (3) permanent extension of the Medicare incentive payment program for physician scarcity areas. Directs the Secretary to study and report to Congress on the process for determining relative value under the Medicare physician fee schedule. Eliminates cost sharing for preventive benefits and the time restriction for initial preventive physical examination. Directs the Secretary to study and report to Congress on: (1) facilitating the receipt of Medicare preventive services by Medicare beneficiaries; (2) increasing the ability of physicians and primary care providers to assist Medicare beneficiaries in obtaining needed prescriptions under Medicare part D (Voluntary Prescription Drug Benefit Program); and (3) developing and implementing mechanisms to promote and increase interaction between physicians or primary care providers and the families of Medicare beneficiaries, as well as other caregivers who support such beneficiaries, for the purpose of improving patient care under the Medicare program. Requires additional payments to physicians for services to individuals with limited English proficiency (LEP). Requires various specified studies. Directs the Medicare Payment Advisory Commission (MEDPAC) to provide an ongoing assessment of the impact of changes in Medicare payment policies in improving access to and equity of payments to primary care physicians and primary care providers. Authorizes distribution of additional residency positions and the counting of resident time in certain outpatient settings. Establishes rules for counting resident time in a nonhospital setting primarily engaged in furnishing patient care in non-patient care activities, such as didactic and scholarly activities and other activities (but not research not associated with the treatment or diagnosis of a particular patient). Authorizes redistribution of residency slots after a hospital closes or is acquired by another entity with the approval of a bankruptcy court. Directs the Secretary to revise the 9th Statement of Work under the Quality Improvement Program to include a requirement that, in order to be an eligible Quality Improvement Organization (QIO) for the 9th Statement of Work contract cycle, a QIO provide assistance, including technical assistance, to physicians under the Medicare program that seek to acquire the elements necessary to be recognized as a patient centered medical home practice under the National Committee for Quality Assurance's Physician Practice Connections -- PCMH module.

preserving patient access primary care act amends higher education act authorize secretary education award recruitment incentive grants contracts graduate medical schools enable improve primary care education training medical students amends public_health_service_act phsa direct secretary health_and_human_services acting administrator health_resources_and_services_administration award grants critical shortage health facilities enable provide scholarships individuals agree serve physicians facilities completing residency primary care field establish educational loan repayment program individuals agree serve primary care physicians primary care providers including nurse practitioners area health professional shortage area critical shortage physicians providers establish educational loan repayment program individuals agree serve physicians field obstetrics gynecology certified nurse midwives area health professional shortage area amends higher education act provide deferment education loans medical residency internships primary care field amends phsa direct secretary award grants eligible state local government entities development informational materials promote careers primary care amends phsa extend authorization appropriations training family medicine general internal medicine general geriatrics general pediatrics physician assistance general dentistry pediatric dentistry authorizes increased appropriations national health service corps scholarships loan repayment programs amends title xix medicaid social security act ssa allow use medicaid transformation payments methods improving medical assistance medicaid ssa title chip known schip encouraging certain medical practices qualify patient centered medical homes amends ssa title xviii medicare increase budget neutrality limits physician fee schedule account anticipated savings resulting payments certain services coordination beneficiary care require separate medicare payment designated primary care services comprehensive care coordination services amends ssa title xviii cover patient centered medical home services directs secretary develop methodology increase payments designated evaluation management services provided primary principal care providers requires additional incentive payments primary care services furnished health professional shortage areas permanent extension floor medicare work geographic adjustment physician fee schedule permanent extension medicare incentive payment program physician scarcity areas directs secretary study report congress process determining relative value medicare physician fee schedule eliminates cost sharing preventive benefits time restriction initial preventive physical examination directs secretary study report congress facilitating receipt medicare preventive services medicare beneficiaries increasing ability physicians primary care providers assist medicare beneficiaries obtaining needed prescriptions medicare voluntary prescription drug benefit program developing implementing mechanisms promote increase interaction physicians primary care providers families medicare beneficiaries caregivers support beneficiaries purpose improving patient care medicare program requires additional payments physicians services individuals limited english proficiency lep requires specified studies directs medicare_payment_advisory_commission medpac provide ongoing assessment impact changes medicare payment policies improving access equity payments primary care physicians primary care providers authorizes distribution additional residency positions counting resident time certain outpatient settings establishes rules counting resident time nonhospital setting primarily engaged furnishing patient care non patient care activities didactic scholarly activities activities research associated treatment diagnosis particular patient authorizes redistribution residency slots hospital closes acquired entity approval bankruptcy court directs secretary revise 9th statement work include requirement order eligible qio 9th statement work contract cycle qio provide assistance including technical assistance physicians medicare program seek acquire elements necessary recognized patient centered medical home practice module


Summary: Medicare Diabetes Self-Management Training Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for the recognition of state-licensed or -registered health care professionals who are certified diabetes educators as Medicare providers of diabetes outpatient self-management training services. Directs the Comptroller General to study and report to Congress on the barriers that exist for Medicare beneficiaries with diabetes in accessing diabetes self-management training services under the Medicare program. Directs the Director of the Agency for Health Care Research and Quality to develop a series of recommendations on effective outreach methods to educate primary care physicians and the public about the benefits of diabetes self-management training.

medicare diabetes self management training act amends title xviii medicare social security act provide recognition state licensed -registered health care professionals certified diabetes educators medicare providers diabetes outpatient self management training services directs comptroller general study report congress barriers exist medicare beneficiaries diabetes accessing diabetes self management training services medicare program directs director develop series recommendations effective outreach methods educate primary care physicians public benefits diabetes self management training


Summary: Public Health Workforce Development Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to establish the Public Health Workforce Scholarship Program to assure an adequate supply of public health professionals to eliminate critical public health workforce shortages in federal, state, local, and tribal public health agencies and centers by offering four-year scholarships in return for employment at such agencies and centers. Requires the Secretary to establish the Public Health Workforce Loan Repayment Program to provide for the repayment of loans incurred by individuals in the pursuit of the relevant public health workforce educational degree or certificate in exchange for working at public health agencies or centers for at least three years. Requires the Secretary to award grants to public health agencies that receive public health preparedness cooperative agreements from HHS to operate state, local, and tribal public health workforce loan repayment programs. Authorizes the Secretary to make grants to, or enter into contracts with, any eligible entity to award scholarships to eligible individuals to enroll in degree or professional training programs for the purpose of enabling mid-career professionals in the public health workforce to receive additional training in the field of public health. Requires the Director of the Office of Personnel Management (OPM), in cooperation with the Secretary, to ensure that included in the OPM website there is an online catalogue, or a link to an online catalogue, of public health workforce employment opportunities in the federal government. Requires the Secretary to award competitive grants to establish Academic Health Departments to provide for collaboration between the academic and practice aspects of public health.

public health workforce development act amends public_health_service_act require secretary health_and_human_services hhs establish assure adequate supply public health professionals eliminate critical public health workforce shortages federal state local tribal public health agencies centers offering year scholarships return employment agencies centers requires secretary establish provide repayment loans incurred individuals pursuit relevant public health workforce educational degree certificate exchange working public health agencies centers years requires secretary award grants public health agencies receive public health preparedness cooperative agreements hhs operate state local tribal public health workforce loan repayment programs authorizes secretary grants enter contracts eligible entity award scholarships eligible individuals enroll degree professional training programs purpose enabling mid career professionals public health workforce receive additional training field public health requires director cooperation secretary ensure included opm website online catalogue link online catalogue public health workforce employment opportunities federal government requires secretary award competitive grants establish academic health departments provide collaboration academic practice aspects public health


Summary: Nurse Training and Retention Act of 2009 - Directs the Secretary of Labor to establish a partnership grant program to award matching grants to eligible entities to carry out comprehensive programs to provide education to nurses and create a pipeline to nursing for incumbent ancillary health care workers who wish to advance their careers.

nurse training directs secretary labor establish partnership grant program award matching grants eligible entities carry comprehensive programs provide education nurses create pipeline nursing incumbent ancillary health care workers wish advance careers


Summary: Partnership to Improve Seniors Access to Medicare Act - Directs the Secretary of Health and Human Services (HHS) to establish a student loan repayment program for qualified physicians and nurse practitioners participating in Medicare who agree to accept Medicare individuals who seek the services of such health professionals.

secretary health_and_human_services hhs establish student loan repayment program qualified physicians nurse practitioners participating medicare agree accept medicare individuals seek services health professionals


Summary: Health Care Workforce Incentive Act of 2009 - Establishes an independent National Health Workforce Advisory Board to advise Congress on issues affecting the health care workforce. Establishes a National Center for Workforce Data and Analysis in the Department of Health and Human Services (HHS). Directs the HHS Secretary, through the Center, to establish a competitive State Health Workforce Shortage grants program to harmonize health workforce needs and medical education.

establishes independent advise congress issues affecting health care workforce establishes analysis department_of_health_and_human_services hhs directs hhs secretary center establish competitive state health workforce shortage grants program harmonize health workforce needs medical education


Summary: Primary Care Training Enhancement Act - Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services (HHS) to reimburse hospitals for the costs of teaching health centers to train primary care residents, including reimbursement to cover indirect medical education costs. Amends the Public Health Service Act to direct the Secretary to make grants: (1) to teaching health centers to establish new or expand existing medical residency training programs; (2) to public or private nonprofit organizations to provide technical support to such centers; (3) for state primary care scholarship and loan repayment programs; and (4) for Primary Care Training Institutes. Permits participants in the National Health Service Corps to count teaching hours as time spent toward their service obligation.

primary care training enhancement act amends title xviii medicare social security act authorize secretary health_and_human_services hhs reimburse hospitals costs teaching health centers train primary care residents including reimbursement cover indirect medical education costs amends public_health_service_act direct secretary grants teaching health centers establish new expand existing medical residency training programs public private nonprofit organizations provide technical support centers state primary care scholarship loan repayment programs primary care training institutes permits participants national_health_service_corps count teaching hours time spent service obligation


Summary: Health Care Professional Pipeline Act of 2009 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to make a grant to a qualified youth serving organization to establish and expand emergency preparedness pipelines consisting of: (1) health science curricula in secondary schools, institutions of higher education, and continuing education programs that prepare students for careers as future health care professionals; and (2) school-based emergency preparedness chapters to recruit and prepare students for public health emergencies. Defines a "qualified youth serving organization" as a nonprofit organization that prepares youth exclusively for career entry and advancement opportunities in the health professions, offers a national recognition and competitive events program in which students can demonstrate their knowledge and skills in responding to public health emergencies, and operates at least 2,500 chapters in at least 40 states. Requires the Secretary to make a grant each year to such an organization to conduct a national leadership conference that includes representatives of health science programs, emergency preparedness chapters, and the Medical Reserve Corps.

amends public_health_service_act direct secretary health_and_human_services hhs grant qualified youth serving organization establish expand emergency preparedness pipelines consisting health science curricula secondary schools institutions higher education continuing education programs prepare students careers future health care professionals school based emergency preparedness chapters recruit prepare students public health emergencies defines qualified youth serving organization nonprofit organization prepares youth exclusively career entry advancement opportunities health professions offers national recognition competitive events program students demonstrate knowledge skills responding public health emergencies operates chapters states requires secretary grant year organization conduct national leadership conference includes representatives health science programs emergency preparedness chapters medical_reserve_corps


Summary: Rural Health Access Act of 2009 - Amends the Public Health Service Act to: (1) increase the authorization of appropriations for the National Health Service Corps Scholarship and Loan Repayment Programs for FY2010-FY2012; and (2) authorize appropriations for such Programs for FY2013-2014.

amends public_health_service_act increase authorization appropriations fy2010 fy2012 authorize appropriations programs fy2013


Summary: Veterinary Public Health Amendments Act of 2010 - Amends the Public Health Service Act to revise a public health workforce grant program designed to increase the number of individuals in the public health workforce to include a health professions school or program of veterinary public health. Defines "veterinary public health" to include veterinarians engaged in one or more of the following areas to the extent such areas have an impact on human health: biodefense and emergency preparedness; emerging and reemerging infection diseases; environmental health; ecosystem health pre- and post-harvest food protection; regulatory medicine; diagnostic laboratory medicine; veterinary pathology; biomedical research; the practice of food animal medicine in rural areas; and government practice. Expands the public health workforce loan repayment program to make such veterinarians eligible for the program.

amends public_health_service_act revise public health workforce grant program designed increase number individuals public health workforce include health professions school program veterinary public health defines veterinary public health include veterinarians engaged following areas extent areas impact human health biodefense emergency preparedness emerging infection diseases environmental health ecosystem health pre- post harvest food protection regulatory medicine diagnostic laboratory medicine veterinary pathology biomedical research practice food animal medicine rural areas government practice expands public health workforce loan repayment program veterinarians eligible program


Summary: Caring for an Aging America Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to: (1) establish a Geriatric and Gerontology Loan Repayment Program to enter into contracts with qualified physicians, nurse practitioners, clinical nurse specialists, pharmacists, social workers, physician assistants, and psychologists to pay educational loans in exchange for providing full-time clinical practice and service to older adults; and (2) establish the National Advisory Council on the Geriatric and Gerontology Loan Repayment Program. Requires the Secretary to ensure that individuals eligible for the nurse loan repayment program include registered nurses who complete specialty training in geriatrics or gerontology and who elect to provide nursing services to older adults in home and long-term care settings. Authorizes the Secretary to award nursing education grants and enter into contracts for programs that focus on specialty training in providing long-term care services for nursing personnel who provide services in home and long-term care settings. Requires the Secretary to establish a Health and Long-Term Care Workforce Advisory Panel to: (1) examine, and provide advice on, workforce issues related to health and long-term care for the aging population; and (2) conduct a research project to identify incentives for recruitment and retention of clinicians and providers who agree to serve vulnerable older adults in geriatric and long-term care settings.

caring aging america act amends public_health_service_act require secretary health_and_human_services hhs establish enter contracts qualified physicians nurse practitioners clinical nurse specialists pharmacists social workers physician assistants psychologists pay educational loans exchange providing time clinical practice service older adults establish national_advisory_council requires secretary ensure individuals eligible nurse loan repayment program include registered nurses complete specialty training geriatrics gerontology elect provide nursing services older adults home long term care settings authorizes secretary award nursing education grants enter contracts programs focus specialty training providing long term care services nursing personnel provide services home long term care settings requires secretary establish health long term care workforce advisory panel examine provide advice workforce issues related health long term care aging population conduct research project identify incentives recruitment retention clinicians providers agree serve vulnerable older adults geriatric long term care settings


Summary: Health Access and Health Professions Supply Act of 2009 or HAHPSA 2009 - Establishes the National Health Care Workforce Commission to: (1) review current and projected health care workforce supply and demand; and (2) make recommendations to Congress and the Administration concerning national health care workforce priorities, goals, and policies. Requires the Secretary of Health and Human Services (HHS) to make matching grants to states for the operation of State Health Workforce Centers to improve the training, deployment, and retention of critical health professionals in underserved areas and for underserved populations. Revises provisions related to payments for direct graduate medical education costs and for the indirect costs of medical education, including to: (1) support the implementation of community-based training and innovative training models; and (2) require the Secretary to revise policies that constrain the Secretary's ability to respond to emergency situations and situations involving institutional and program closure. Amends title XVIII (Medicare) of the Social Security Act to provide coverage of geriatric assessments and chronic care management and coordination services. Amends the Public Health Service Act to require the Secretary to use excess amounts appropriated to address shortages of health professionals in rural, frontier, and urban underserved areas. Expands loan repayment programs and training programs for health professionals. Requires the Secretary to: (1) establish the National Health Service Corps Scholarship Program for Medical, Dental, Physician Assistant, Pharmacy, Behavioral and Mental Health, Public Health, and Nursing Students in the United States Public Health Sciences Track in Affiliated Schools; and (2) award grants to increase health professions training in high-needs specialties.

supply act establishes national_health_care_workforce_commission review current projected health care workforce supply demand recommendations congress administration concerning national health care workforce priorities goals policies requires secretary health_and_human_services hhs matching grants states operation improve training deployment retention critical health professionals underserved areas underserved populations revises provisions related payments direct graduate medical education costs indirect costs medical education including support implementation community based training innovative training models require secretary revise policies constrain secretary ability respond emergency situations situations involving institutional program closure amends title xviii medicare social security act provide coverage geriatric assessments chronic care management coordination services amends public_health_service_act require secretary use excess amounts appropriated address shortages health professionals rural frontier urban underserved areas expands loan repayment programs training programs health professionals requires secretary establish pharmacy behavioral mental health public health nursing students affiliated schools award grants increase health professions training high needs specialties


Summary: Caregiver Assistance and Resource Enhancement Act - (Sec. 2) Directs the Secretary of Veterans Affairs (VA) to develop and carry out a program of support services for family and non-family caregivers providing noninstitutional extended care to disabled veterans enrolled in the VA health care system. Requires such support services to include: (1) educational sessions, stipends, and access to support services; (2) counseling and related services; (3) respite care; (4) medical care for family caregivers; and (5) travel expenses in connection with the outpatient care of such veterans. Requires the Secretary to: (1) conduct outreach to inform disabled veterans and their families of services available for caregivers, as well as the ability of a caregiver to be trained and certified by a home health care agency in order to be paid for providing such services; (2) submit to the congressional veterans' committees a plan for implementation of such program; and (3) report annually thereafter for five years on plan implementation. (Sec. 3) Makes counseling and mental health services available to family and non-family caregivers of enrolled veterans. (Sec. 4) Directs the Secretary to ensure that respite care meets the needs of the veteran receiving such care, including 24-hour home respite care, and is appropriate with respect to the veteran's age. (Sec. 5) Authorizes the provision of medical care through the VA for family caregivers of eligible veterans, if the caregiver is without health insurance and ineligible for other public health insurance. Defines a "family caregiver" as an individual who provides care to a veteran who was deployed in support of Operations Iraqi Freedom or Enduring Freedom and are determined by the Secretary to: (1) have a severe service-connected disability or illness; (2) be in need of caregiver services since, without such services, the veteran would require hospitalization, nursing home care, or other residential institutional care; and (3) be unable to carry out the activities of daily living. (Sec. 6) Authorizes a lodging and subsistence allowance for family caregivers of eligible veterans described above, to cover the time in which the veteran is traveling to and from a treatment facility as well as the duration of the treatment period. (Sec. 7) Requires the Secretary to: (1) at least once every three years, design and conduct a survey of family and non-family caregivers; (2) consider survey findings when carrying out programs related to caregivers; and (3) report to the veterans' committees on survey results and services made available to caregivers.

resource enhancement act sec directs secretary veterans_affairs develop carry program support services family non family caregivers providing extended care disabled veterans enrolled health care system requires support services include educational sessions stipends access support services counseling related services respite care medical care family caregivers travel expenses connection outpatient care veterans requires secretary conduct outreach inform disabled veterans families services available caregivers ability caregiver trained certified home health care agency order paid providing services submit congressional veterans committees plan implementation program report annually years plan implementation sec makes counseling mental health services available family non family caregivers enrolled veterans sec directs secretary ensure respite care meets needs veteran receiving care including hour home respite care appropriate respect veteran age sec authorizes provision medical care family caregivers eligible veterans caregiver health insurance ineligible public health insurance defines family caregiver individual provides care veteran deployed support operations iraqi freedom enduring_freedom determined secretary severe service connected disability illness need caregiver services services veteran require hospitalization nursing home care residential institutional care unable carry activities daily living sec authorizes lodging subsistence allowance family caregivers eligible veterans described cover time veteran traveling treatment facility duration treatment period sec requires secretary years design conduct survey family non family caregivers consider survey findings carrying programs related caregivers report veterans committees survey results services available caregivers


Summary: Place Based Health Care Act of 2009 - Requires the Secretary of Health and Human Services (HHS) to award grants to Eligible Community Integrated Health Centers, which are organizations: (1) seeking to fully integrate their health care services into the community by locating in or near settings that serve particular target populations, such as schools, workplaces, or senior service facilities; and (2) organized for the purpose of providing health care, improving the quality of health care, and reducing the costs associated with the provision of health care provided to Center patients. Requires states to implement procedures to pay for primary health services furnished in a school-based health clinic under Medicaid and the State Children's Health Insurance Program (CHIP, formerly known as SCHIP). Amends the Internal Revenue Code to allow a business credit for employer-provided health and wellness benefits. Amends the Older Americans Act of 1965 to require the Assistant Secretary for Aging to establish an evidence-based disease prevention and health promotion program. Amends title XVIII (Medicare) of the Social Security Act to authorize a Medicare Advantage organization to offer a Medicare Advantage plan exclusively within a geographic area that is limited to a senior housing facility if certain requirements are met. Amends the Public Health Service Act to authorize the Secretary to award grants for the planning and delivery of services to a special medically underserved population comprised of: (1) school-aged children in a school-based health center; or (2) residents of Naturally Occurring Retirement Communities, patrons of multipurpose senior centers, and individuals living in areas and facilities immediately accessible to such Communities and centers.

requires secretary health_and_human_services hhs award grants organizations seeking fully integrate health care services community locating near settings serve particular target populations schools workplaces senior service facilities organized purpose providing health care improving quality health care reducing costs associated provision health care provided center patients requires states implement procedures pay primary health services furnished school based health clinic medicaid known schip amends internal revenue code allow business credit employer provided health wellness benefits amends older americans act require assistant secretary aging establish evidence based disease prevention health promotion program amends title xviii medicare social security act authorize medicare_advantage organization offer medicare_advantage plan exclusively geographic area limited senior housing facility certain requirements met amends public_health_service_act authorize secretary award grants planning delivery services special medically underserved population comprised school aged children school based health center residents patrons multipurpose senior centers individuals living areas facilities immediately accessible communities centers


Summary: Amends title XVIII (Medicare) of the Social Security Act to include among reasonable costs for Medicare payment to hospitals specified educational costs of a hospital and affiliated schools and settings attributable to expanded training of advanced practice nurses.

amends title xviii medicare social security act include reasonable costs medicare payment hospitals specified educational costs hospital affiliated schools settings attributable expanded training advanced practice nurses


Summary: Emergency Medic Transition Act of 2010 or the EMT Act of 2010 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to establish a program of awarding grants to states to assist veterans who received and completed military emergency medical training while serving in the U.S. Armed Forces to become, upon their discharge or release from active duty service, state-licensed or certified emergency medical technicians. Allows such funds to be used to: (1) provide such veterans required course work and training (that takes into account, and is not duplicative of, medical course work and training already received) to satisfy emergency medical services personnel certification requirements in the civilian sector; (2) provide reimbursement for costs associated with such course work and training and with applying for licensure or certification; (3) expedite the licensing or certification process; and (4) enter into an agreement with an educational institution to provide course work and training under this Act. Requires a state, to be eligible for a grant under this Act, to demonstrate that it has a shortage of emergency medical technicians. Directs the Comptroller General to: (1) study the barriers experienced by such veterans seeking to become licensed or certified in a state as civilian health professionals; and (2) report to Congress on the results of such study, including recommendations on whether the program under this Act should be expanded to assist veterans seeking to become licensed or certified in a state as health providers other than emergency medical technicians.

emergency medic transition act emt act amends public_health_service_act require secretary health_and_human_services hhs establish program awarding grants states assist veterans received completed military emergency medical training serving discharge release active duty service state licensed certified emergency medical technicians allows funds provide veterans required course work training takes account duplicative medical course work training received satisfy emergency medical services personnel certification requirements civilian sector provide reimbursement costs associated course work training applying licensure certification expedite licensing certification process enter agreement educational institution provide course work training act requires state eligible grant act demonstrate shortage emergency medical technicians directs comptroller general study barriers experienced veterans seeking licensed certified state civilian health professionals report congress results study including recommendations program act expanded assist veterans seeking licensed certified state health providers emergency medical technicians


Summary: Rural Physician Pipeline Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), acting through the Administrator of the Health Resources and Services Administration, to establish a program to make grants to accredited schools of allopathic or osteopathic medicine to: (1) assist such schools in recruiting students most likely to practice medicine in underserved rural communities; (2) provide rural-focused training and experience; and (3) increase the number of recent allopathic and osteopathic medical school graduates who practice in underserved rural communities. Requires the Secretary to convene a Rural Training Program Symposium to: (1) develop best practices for such schools; and (2) establish a network of medical schools that have developed or will develop rural training programs.

rural physician pipeline act amends public_health_service_act require secretary health_and_human_services hhs acting administrator health_resources_and_services_administration establish program grants accredited schools allopathic osteopathic medicine assist schools recruiting students likely practice medicine underserved rural communities provide rural focused training experience increase number recent allopathic osteopathic medical school graduates practice underserved rural communities requires secretary convene develop best practices schools establish network medical schools developed develop rural training programs


Summary: Ensuring the Future Physician Workforce Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the formula for calculating payments for physicians' services. Resets to 2009 the base year for application of the sustainable growth rate formula, which shall be eliminated in 2011. Amends SSA title XVIII to extend the current transitional bonus payments through 2011 at 3%. Directs the Secretary of Health and Human Services to establish a reporting system for quality measures relating to physicians' services that focus on disease-specific high cost conditions. Amends SSA title XI to create safe harbors to antikickback and civil and criminal penalties for provision of health information technology (HIT) and training services. Directs the Secretary to study and report to Congress on the impact of such safe harbors. Amends SSA title XVIII to create an exception to the limitation on certain physician referrals for the provision of HIT and training services to health care professionals. Directs the Secretary to report annually to: (1) each physician information on the physician's total Medicare billings; and (2) each individual entitled to benefits under Medicare part A (Hospital Insurance) and part B (Supplementary Medical Insurance) on the amount of Medicare payments made to or on behalf of the individual during the year involved. Directs the Secretary to collect data on annual savings in expenditures in the Medicare program due to physicians' services that resulted in hospital or in-patient diversion. Requires the Board of Trustees of the Federal Hospital Insurance Trust Fund and of the Federal Supplementary Medical Insurance Trust Fund to monitor and examine the extent to which the different funding mechanisms under Medicare parts A, B, and D (Voluntary Prescription Drug Benefit Program) provide an appropriate alignment with the program goals of the respective parts. Requires the Secretary to provide for a study of, and report to Congress on, health care disparities in high-risk health condition areas and minority communities with respect to the impact reporting requirements may have on physician penetration in such communities.

ensuring future physician workforce act amends title xviii medicare social security act ssa respect formula calculating payments physicians services resets base year application sustainable growth rate formula shall eliminated amends ssa title xviii extend current transitional bonus payments directs secretary health_and_human_services establish reporting system quality measures relating physicians services focus disease specific high cost conditions amends ssa title create safe harbors antikickback civil criminal penalties provision health information technology hit training services directs secretary study report congress impact safe harbors amends ssa title xviii create exception limitation certain physician referrals provision hit training services health care professionals directs secretary report annually physician information physician total medicare billings individual entitled benefits medicare medicare payments behalf individual year involved directs secretary collect data annual savings expenditures medicare program physicians services resulted hospital patient diversion requires board_of_trustees federal_hospital_insurance_trust_fund federal_supplementary_medical_insurance_trust_fund monitor examine extent different funding mechanisms medicare parts voluntary prescription drug benefit program provide appropriate alignment program goals respective parts requires secretary provide study report congress health care disparities high risk health condition areas minority communities respect impact reporting requirements physician penetration communities


Summary: Medical Education Development Act of 2000 - Directs the Secretary of Health and Human Services (HHS) to establish a program of grants to newly accredited allopathic medical schools to support scholarships, develop residencies, build infrastructure, recruit and retain faculty, and develop research programs, for the purpose of increasing the supply of physicians. Directs the Secretary to: (1) give first priority to schools accredited to admit students from FY2009-FY2014; (2) provide increased funding to schools that enroll larger classes while maintaining competitive faculty-to-student ratios; and (3) allocate funds to only schools that provide accountability and transparency in expending such funds. Requires: (1) each school to report annually on the specific uses of funds received and on how the grant has benefited the region and the nation; and (2) the Secretary to report annually on the extent to which such grants have increased the supply of physicians, resulted in greater access to health care, enabled the creation of new care models, provided economic regional benefits, and increased the focus on medical students' communications skills.

directs secretary health_and_human_services hhs establish program grants newly accredited allopathic medical schools support scholarships develop residencies build infrastructure recruit retain faculty develop research programs purpose increasing supply physicians directs secretary priority schools accredited admit students provide increased funding schools enroll larger classes maintaining competitive faculty student ratios allocate funds schools provide accountability transparency expending funds requires school report annually specific uses funds received grant benefited region nation secretary report annually extent grants increased supply physicians resulted greater access health care enabled creation new care models provided economic regional benefits increased focus medical students communications skills


Summary: School Protection Act of 2009 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services (HHS) to make grants to, and enter contracts with, eligible entities to train elementary and secondary school nurses to serve as first responders and crisis managers in the event of: (1) a biological or chemical attack affecting individuals in a school building or on school grounds; or (2) an outbreak of pandemic influenza among students, faculty, or other individuals under their care. Requires any such training to prepare school nurses to: (1) take necessary measures, particularly in critical early stages, to protect and preserve life; (2) notify public health authorities as appropriate to help contain or mitigate the effects of an attack or outbreak; and (3) preserve evidence of a biological or chemical attack.

school protection act amends public_health_service_act authorize secretary health_and_human_services hhs grants enter contracts eligible entities train elementary secondary school nurses serve responders crisis managers event biological chemical attack affecting individuals school building school grounds outbreak pandemic influenza students faculty individuals care requires training prepare school nurses necessary measures particularly critical early stages protect preserve life notify public health authorities appropriate help contain mitigate effects attack outbreak preserve evidence biological chemical attack


Summary: Rural Health Clinic Patient Access and Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to rural health clinic reimbursement. Directs the Secretary of Health and Human Services (HHS) to make incentive payments to rural health clinic employees or contractors for satisfactory reporting of data on clinic quality measures. Amends the Public Health Service Act to allow a community health center to contract with a federally certified rural health clinic for the delivery of primary health care services to individuals who would otherwise be eligible for free or reduced cost care if they were able to obtain it at the community health center. Directs the Comptroller General to report to Congress on the diabetes education and medical nutrition therapy counseling services provided by federally qualified health clinics. Directs the Secretary to establish a demonstration project of grants to states to examine whether health care professionals can be recruited or retained to work in underserved rural areas by providing them with medical malpractice subsidies. States that a rural health clinic qualified under Medicare or Medicaid may be defined and certified by the Secretary as rural even if it fails to satisfy the requirement that it not be located in an urbanized area. Amends SSA title XVIII to establish the minimum Medicare Advantage plan payment rate for services furnished by a rural health clinic. Expresses the sense of the Senate concerning the adequacy of network-based health plans.

improvement act amends title xviii medicare social security act respect rural health clinic reimbursement directs secretary health_and_human_services hhs incentive payments rural health clinic employees contractors satisfactory reporting data clinic quality measures amends public_health_service_act allow community health center contract federally certified rural health clinic delivery primary health care services individuals eligible free reduced cost care able obtain community health center directs comptroller general report congress diabetes education medical nutrition therapy counseling services provided federally qualified health clinics directs secretary establish demonstration project grants states examine health care professionals recruited retained work underserved rural areas providing medical malpractice subsidies states rural health clinic qualified medicare medicaid defined certified secretary rural fails satisfy requirement located urbanized area amends ssa title xviii establish minimum medicare_advantage plan payment rate services furnished rural health clinic expresses sense senate concerning adequacy network based health plans


Summary: Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2009 - Provides for reform of health care lawsuits by: (1) allowing a party against whom a judgment for medical malpractice has been awarded to pay future damages of $50,000 or more in periodic payments; (2) making each party liable for that party's share of damages only; (3) requiring a court to appoint a qualified specialist to review a health care lawsuit and file a statement of opinion regarding whether such lawsuit has a reasonable and meritorious basis; (4) requiring the losing party to pay the costs and reasonable attorneys fees of the prevailing party; (5) absolving health care providers from liability if such providers acted consistently with accepted clinical practice guidelines; and (6) providing that evidence of Medicare payments and reimbursements made to health care providers shall not, in a health care lawsuit, constitute a determination that a health care provider has or has not met the applicable standard of care. Amends the Public Health Service Act to: (1) provide protections from civil liability for certain emergency medical personnel and health center volunteer practitioners; (2) grant incentive payments to states for medical liability reform; and (3) impose liability limits and other restrictions on health care lawsuits in states that have not adopted medical liability reforms. Protects disaster relief volunteers, nonprofit organizations, and other entities from civil liability for injuries related to disaster relief services, except for injuries caused by willful, wanton, or reckless misconduct.

reforms act provides reform health care lawsuits allowing party judgment medical malpractice awarded pay future damages periodic payments making party liable party share damages requiring court appoint qualified specialist review health care lawsuit file statement opinion lawsuit reasonable meritorious basis requiring losing party pay costs reasonable attorneys fees prevailing party health care providers liability providers acted consistently accepted clinical practice guidelines providing evidence medicare payments reimbursements health care providers shall health care lawsuit constitute determination health care provider met applicable standard care amends public_health_service_act provide protections civil liability certain emergency medical personnel health center volunteer practitioners grant incentive payments states medical liability reform impose liability limits restrictions health care lawsuits states adopted medical liability reforms protects disaster relief volunteers nonprofit organizations entities civil liability injuries related disaster relief services injuries caused willful wanton reckless misconduct


Summary: Veterans Health Professionals Educational Assistance Act of 2009 - Reinstates the Department of Veterans Affairs (VA) health professionals educational assistance scholarship program and permits furnishing scholarships to new participants in the program through 2014. Requires the Secretary of Veterans Affairs, as additional requirements under such program, to: (1) modify the program in such a way that program graduates can be employed as soon as possible upon graduation and to actively assist and monitor graduates to ensure certifications are obtained in a minimal period following graduation; (2) require program participants to perform clinical tours; and (3) assign to each program participant a mentor who is employed at the same facility where the participant performs post-graduation obligated service. Increases maximum payments under the VA education debt reduction program. Allows the Secretary to waive such limits. Authorizes the Secretary to provide an educational loan repayment program for clinical researchers from disadvantaged backgrounds, in order to secure clinical research for the Veterans Health Administration. Directs the Secretary to: (1) transfer specified funds to the Secretary of Health and Human Services (HHS) for including VA facilities on a list of facilities eligible for assignment of participants in the National Health Service Corps Scholarship Program; and (2) identify all VA medical centers and community-based outpatient clinics that may be eligible for such assignments.

reinstates department_of_veterans_affairs health professionals educational assistance scholarship program permits furnishing scholarships new participants program requires secretary veterans_affairs additional requirements program modify program way program graduates employed soon possible graduation actively assist monitor graduates ensure certifications obtained minimal period following graduation require program participants perform clinical assign program participant mentor employed facility participant performs post graduation obligated service increases maximum payments education debt reduction program allows secretary waive limits authorizes secretary provide educational loan repayment program clinical researchers disadvantaged backgrounds order secure clinical research veterans_health_administration directs secretary transfer specified funds secretary health_and_human_services hhs including facilities list facilities eligible assignment participants national_health_service_corps_scholarship_program identify medical centers community based outpatient clinics eligible assignments


Summary: Women's Hospitals Education Equity Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to make two payments to each eligible women's hospital for each of FY2010-FY2014: (1) one payment for direct expenses associated with operating approved graduate medical residency training programs; and (2) one for indirect expenses associated with the treatment of more severely ill patients and the additional costs relating to teaching residents in such programs. Requires the Secretary to: (1) make the payments in 12 equal interim installments based on the number of residents reported in the hospital's most recently filed Medicare cost report; (2) withhold up to 25% from each installment to ensure a hospital will not be overpaid on an interim basis; (3) determine, prior to the end of each fiscal year, any changes to the number of residents reported to determine the final amount; and (4) recoup any overpayments based on such determination. Considers the final amount so determined to be a final intermediary determination, subject to administrative and judicial review, under the Social Security Act. Applies to women's hospitals funded under this Act annual reporting requirements and provisions regarding direct graduate medical education payments and indirect medical education payments applicable to children's hospitals that operate graduate medical education programs.

direct secretary health_and_human_services hhs payments eligible women hospital fy2010 fy2014 payment direct expenses associated operating approved graduate medical residency training programs indirect expenses associated treatment severely ill patients additional costs relating teaching residents programs requires secretary payments equal interim installments based number residents reported hospital recently filed medicare cost report withhold installment ensure hospital interim basis determine prior end fiscal year changes number residents reported determine final recoup overpayments based determination considers final determined final intermediary determination subject administrative judicial review social security act applies women hospitals funded act annual reporting requirements provisions direct graduate medical education payments indirect medical education payments applicable children hospitals operate graduate medical education programs


Summary: Pediatric Workforce Investment Act - Directs the Secretary of Health and Human Services (HHS), acting through the Administrator of the Health Resources and Services Administration, to establish and carry out a pediatric specialty loan repayment program under which a qualified physician agrees to be employed full-time for not less than two years in providing pediatric medical subspecialty, surgical specialty, or psychiatric subspecialty care in a shortage area in exchange for repayment of educational loans. Requires an area to be determined to be a shortage area based on: (1) waiting times for patient care; (2) recruitment for unfilled positions; or (3) the ratio of the number of children who reside in the area who are in need of such pediatric subspecialty care to the number of pediatric subspecialists furnishing such services within 100 miles of the area.

pediatric workforce investment act directs secretary health_and_human_services hhs acting administrator health_resources_and_services_administration establish carry pediatric specialty loan repayment program qualified physician agrees employed time years providing pediatric medical surgical specialty psychiatric care shortage area exchange repayment educational loans requires area determined shortage area based waiting times patient care recruitment positions ratio number children reside area need pediatric care number pediatric subspecialists furnishing services miles area


Summary: Community-Based Residency Training Act of 2009 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to establish a program for the training of medical residents in community-based settings. Requires the Secretary to make grants to, or enter into contracts with, eligible entities (i.e., entities designated as eligible to receive payment for the direct costs of medical education under provisions of the Social Security Act pertaining to payment to nonhospital providers) to: (1) plan and develop a new primary care residency training program; and (2) operate or participate in an established primary care residency training program. Directs the Secretary to give preference to entities that: (1) support teaching programs that address the health care needs of vulnerable populations; (2) are a federally qualified health center or a rural health clinic; or (3) have a demonstrated record of training a high or significantly improved percentage of health professionals who provide primary care, individuals who are from disadvantaged backgrounds, or individuals who practice in settings having the principal focus of serving underserved areas or populations experiencing health disparities.

amends public_health_service_act direct secretary health_and_human_services hhs establish program training medical residents community based settings requires secretary grants enter contracts eligible entities entities designated eligible receive payment direct costs medical education provisions social security act pertaining payment nonhospital providers plan develop new primary care residency training program operate participate established primary care residency training program directs secretary preference entities support teaching programs address health care needs vulnerable populations federally qualified health center rural health clinic demonstrated record training high significantly improved percentage health professionals provide primary care individuals disadvantaged backgrounds individuals practice settings having principal focus serving underserved areas populations experiencing health disparities


Summary: Veterans Access to Care Act - Amends the Public Health Service Act to designate medical facilities of the Department of Veterans Affairs (VA) as health professional shortage areas. Requires, for eligibility to participate in the National Health Service Corps Scholarship Program and the National Health Service Corps Loan Repayment Program, that an individual not be participating in the VA's Health Professionals Educational Assistance Program. Directs the Secretary of Health and Human Services (HHS), in carrying out the National Health Service Corps Program, to consult with the Secretary of Veterans Affairs regarding health professional shortage areas that are VA medical facilities.

designate medical facilities department_of_veterans_affairs health professional shortage areas requires eligibility participate national_health_service_corps_scholarship_program national_health_service_corps_loan_repayment_program individual participating directs secretary health_and_human_services hhs carrying consult secretary veterans_affairs health professional shortage areas medical facilities


Summary: Retraining a New Health Care Workforce Act of 2010 - Directs the Secretary of Health and Human Services (HHS) to develop and submit to Congress within nine months a strategic plan to retrain displaced workers to become health care professionals serving areas with a shortage of the type professionals involved. Requires the plan to include: (1) an overview of national shortages in health care professions; (2) an assessment of how existing federal health care workforce programs may be used to retrain displaced workers; and (3) recommendations for legislative and administrative changes for making such programs more effective. Requires the Secretary to establish a grant program for states to assist displaced workers to become state-licensed or certified health care professionals serving areas with a shortage of health care professionals.

retraining new health care workforce act directs secretary health_and_human_services hhs develop submit congress months strategic plan retrain displaced workers health care professionals serving areas shortage type professionals involved requires plan include overview national shortages health care professions assessment existing federal health care workforce programs retrain displaced workers recommendations legislative administrative changes making programs effective requires secretary establish grant program states assist displaced workers state licensed certified health care professionals serving areas shortage health care professionals


Summary: Healthcare Truth and Transparency Act of 2010 - Prohibits any person from making any deceptive or misleading statement, or engaging in any deceptive or misleading act, that: (1) misrepresents whether such person holds a state health care license; or (2) misrepresents such person's education, training, degree, license, or clinical expertise. Requires any person who is advertising health care services provided by such person to disclose the applicable license under which such person is authorized to provide those services. Deems a violation of this Act to be an unfair or deceptive act or practice under the Federal Trade Commission Act. Directs the Federal Trade Commission (FTC) to study and report to Congress on health care professionals' misrepresentations under this Act. Declares that nothing in this Act shall be construed or have the effect of changing state scope of practice for any health care professional.

transparency_act prohibits person making deceptive misleading statement engaging deceptive misleading act misrepresents person holds state health care license misrepresents person education training degree license clinical expertise requires person advertising health care services provided person disclose applicable license person authorized provide services deems violation act unfair deceptive act practice federal_trade_commission_act directs federal_trade_commission ftc study report congress health care professionals misrepresentations act declares act shall construed effect changing state scope practice health care professional


Summary: Student Veteran Counseling Improvement Act - Directs the Secretary of Veterans Affairs (VA) to establish a toll-free telephone number to provide mental and behavioral health professionals with information related to the treatment and counseling of a veteran reporting symptoms of: (1) post-traumatic stress disorder (PTSD); (2) traumatic brain injury; (3) anxiety; (4) depression; (5) sexual assault; (6) sexual trauma; (7) readjustment disorder; or (8) other service-connected mental health conditions. Requires that a licensed mental health counselor employed by the VA operate the hotline and provide such information. Directs the Secretary to notify each institution of higher learning of the hotline and provide hotline information on the VA's Internet website. Requires the Secretary to provide mental and behavioral health professionals at each institution of higher learning with training on such information.

student veteran counseling improvement act directs secretary veterans_affairs establish toll free telephone number provide mental behavioral health professionals information related treatment counseling veteran reporting symptoms post traumatic stress disorder ptsd traumatic brain injury anxiety depression sexual assault sexual trauma readjustment disorder service connected mental health conditions requires licensed mental health counselor employed operate hotline provide information directs secretary notify institution higher learning hotline provide hotline information internet website requires secretary provide mental behavioral health professionals institution higher learning training information


Summary: Council on Integration of Health Care Education Act of 2010 - Establishes the Council on Integration of Health Care Education in the Office of the Secretary in the Department of Health and Human Services (HHS) to develop recommendations for the purpose of strengthening the capacity of health care professionals and behavioral health providers to deliver integrated, comprehensive health care. Requires such recommendations to 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; and (2) the appropriate methods for incorporating such competencies into the curricula of institutions of higher education and of continuing education, the licensure and certification requirements for health care professionals and behavioral health providers, and the accreditation process for institutions of higher education providing terminal education for health care professionals and behavioral health providers. Authorizes the Secretary to 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. Requires the Secretary to 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.

establishes council integration health care education office_of_the_secretary department_of_health_and_human_services hhs develop recommendations purpose strengthening capacity health care professionals behavioral health providers deliver integrated comprehensive health care requires recommendations identify core competencies required type health care professional behavioral health provider respect mental health substance use prevention treatment services appropriate methods incorporating competencies curricula institutions higher education continuing education licensure certification requirements health care professionals behavioral health providers accreditation process institutions higher education providing terminal education health care professionals behavioral health providers authorizes secretary grants contracts cooperative agreements public private nonprofit entities purpose implementing recommendations council continuing education health care professionals behavioral health providers requires secretary grants contracts cooperative agreements public nonprofit private institutions higher education purpose implementing recommendations council education curricula health care professionals behavioral health providers


Summary: Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to obligate, for scholarships for individuals who are accepted or enrolled in a course of study or program that leads to a degree in medicine or osteopathic medicine, the greater of : (1) 10% of amounts appropriated for the National Health Service Corps; or (2) the amount necessary to fund such scholarships activities. Amends title XVIIII (Medicare) of the Social Security Act to require nonrural hospitals operating training programs in rural areas to include rural and emergency medicine rotations and obstetrical and pediatric training in such programs for purposes of payments for direct graduate medical education costs.

amends public_health_service_act require secretary health_and_human_services hhs obligate scholarships individuals accepted enrolled course study program leads degree medicine osteopathic medicine greater amounts appropriated national_health_service_corps necessary fund scholarships activities amends title medicare social security act require hospitals operating training programs rural areas include rural emergency medicine obstetrical pediatric training programs purposes payments direct graduate medical education costs


Summary: Chiropractic Membership in the Public Health Service Commissioned Corps Act of 2010 - Amends the Public Health Service Act to make chiropractic personnel eligible for appointment in the United States Public Health Service Commissioned Corps. Requires the Secretary of Health and Human Services (HHS) and the Surgeon General to ensure that Doctors of Chiropractic are trained, equipped, and otherwise prepared to fulfill public health and emergency response service responsibilities in the Commissioned Corps. Requires the President to appoint no fewer than six Doctors of Chiropractic into the commissioned Regular Corps and the Ready Reserve Corps. Directs the Surgeon General to submit a quarterly report to the relevant congressional committees on measures taken by the President, Surgeon General, and the Secretary to carry out this Act.

amends public_health_service_act chiropractic personnel eligible appointment requires secretary health_and_human_services hhs surgeon general ensure trained equipped prepared fulfill public health emergency response service responsibilities requires president appoint fewer doctors chiropractic commissioned regular_corps directs surgeon general submit quarterly report relevant congressional committees measures taken president surgeon general secretary carry act


Summary: Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009 [sic] - Amends title XIX (Medicaid) of the Social Security Act to eliminate the state option to include nurse practitioners, certified nurse-midwives, and physician assistants as primary care case managers. Specifies as primary care case managers any nurse practitioner, certified nurse-midwife, or physician assistant that provides primary care case management services under a primary care case management contract. Revises the coverage of certain nurse practitioner services under the Medicaid fee-for-service program to remove the specification of certified pediatric nurse practitioner and certified family nurse practitioner in order to extend such coverage to services furnished by a nurse practitioner or clinical nurse specialist. Includes nurse practitioners, clinical nurse specialists, physician assistants, certified nurse midwives, and certified registered nurse anesthetists in the mix of service providers which Medicaid managed care organizations are required to maintain.

medicaid_advanced_practice_nurses physician assistants access act sic amends title xix medicaid social security act eliminate state option include nurse practitioners certified nurse midwives physician assistants primary care case managers specifies primary care case managers nurse practitioner certified nurse midwife physician assistant provides primary care case management services primary care case management contract revises coverage certain nurse practitioner services medicaid fee service program remove specification certified pediatric nurse practitioner certified family nurse practitioner order extend coverage services furnished nurse practitioner clinical nurse specialist includes nurse practitioners clinical nurse specialists physician assistants certified nurse midwives certified registered nurse anesthetists mix service providers medicaid managed care organizations required maintain


Summary: Amends title IV (Student Assistance) of the Higher Education Act of 1965 to direct the Secretary of Education to refinance the private education loans of individuals who are participating in a residency program in: (1) family medicine; (2) obstetrics/gynecology; (3) general internal medicine; (4) gerontology; (5) general pediatrics; or (6) general psychiatry. Sets the interest rate on the refinanced loans at 8.25%. Requires the refinanced loans to have the same terms and conditions as a Direct Consolidation Loan, except they are made ineligible for: (1) consolidation with another loan eligible for consolidation under title IV; (2) income-based repayment terms under title IV; or (3) any loan forgiveness or cancellation under title IV or the Public Health Service Act, except in the case of death or permanent and total disability.

amends title student assistance higher education act direct secretary education refinance private education loans individuals participating residency program family medicine obstetrics gynecology general internal medicine gerontology general pediatrics general psychiatry sets interest rate refinanced loans requires refinanced loans terms conditions ineligible consolidation loan eligible consolidation title income based repayment terms title loan forgiveness cancellation title public_health_service_act case death permanent total disability


Summary: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2010 - Designates the National Highway Traffic Safety Administration (NHTSA) as the primary federal agency for field emergency medical services (field EMS). Defines "field EMS" as emergency medical services provided to patients prior to or outside a medical facility or other clinical setting.  Requires the Administrator of NHTSA to develop and implement a cohesive national strategy to strengthen the development of field EMS at the federal, state, and local levels. Directs the Administrator to establish: (1) the EQUIP grant program to promote excellence, quality, universal access, innovation, and preparedness in field EMS;  (2) the SPIA grant program to improve field EMS system performance, integration, and accountability; and (3) national guidelines for medical oversight of field EMS.  Authorizes the Administrator to maintain, improve, and expand the National EMS Information System, including the National EMS Database, to insure that database information is available to federal and state policymakers, EMS stakeholders, and researchers. Authorizes the Secretary of Health and Human Services (HHS), acting through the Administrator of the Health Resources and Services Administration, to make grants for the development, availability, and dissemination of field EMS education programs and courses for field EMS personnel. Directs the Secretary to: (1) complete an evaluation of alternative delivery models for medical care through field EMS and the integration of field EMS patients with other medical providers and facilities; and (2) conduct or support up to five demonstration projects to evaluate alternative dispositions of field EMS patients (e.g., transporting such patients by ambulance to alternative medical facilities). Amends title XI (General Provisions) of the Social Security Act to include field EMS as a model for testing by the Center for Medicare and Medicaid Innovation. Amends the Public Health Service Act to require: (1)  the Director of the Center for Quality Improvement and Patient Safety of the Agency for Healthcare Research and Quality to establish a Field EMS Evidence-Based Practice Center to support research to promote the highest quality of emergency medical care in field EMS and the most effective delivery system for such care; and (2) the HHS Secretary to establish an Emergency Care Coordination Center to promote and fund research, collaboration, and preparedness in emergency medicine and trauma health care. Requires the Administrator to establish and administer a National Emergency Medical Services Advisory Council to provide advice and recommendations to federal agencies and a national forum to deliberate on field EMS. Amends the Internal Revenue Code to: (1) establish the Emergency Medical Services Trust Fund; and (2) allow taxpayers to designate a portion of any income tax overpayment and make additional contributions to finance such Fund.

field ems quality innovation cost effectiveness improvements act designates national_highway_traffic_safety_administration nhtsa primary federal agency field emergency medical services field ems defines field ems emergency medical services provided patients prior outside medical facility clinical setting requires administrator nhtsa develop implement cohesive national strategy strengthen development field ems federal state local levels directs administrator establish equip grant program promote excellence quality universal access innovation preparedness field ems grant program improve field ems system performance integration accountability national guidelines medical oversight field ems authorizes administrator maintain improve expand including insure database information available federal state policymakers ems stakeholders researchers authorizes secretary health_and_human_services hhs acting administrator health_resources_and_services_administration grants development availability dissemination field ems education programs courses field ems personnel directs secretary complete evaluation alternative delivery models medical care field ems integration field ems patients medical providers facilities conduct support demonstration projects evaluate alternative dispositions field ems patients transporting patients ambulance alternative medical facilities amends title general provisions social security act include field ems model testing center medicare medicaid_innovation amends public_health_service_act require director healthcare_research quality establish support research promote highest quality emergency medical care field ems effective delivery system care hhs secretary establish emergency care coordination center promote fund research collaboration preparedness emergency medicine trauma health care requires administrator establish administer provide advice recommendations federal agencies national forum deliberate field ems amends internal revenue code establish allow taxpayers designate portion income tax overpayment additional contributions finance fund


Summary: Nursing School Clinics Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act to provide for coverage of nursing school clinic services.

nursing school clinics act amends title xix medicaid social security act provide coverage nursing school clinic services


Summary: Registered Nurse Safe Staffing Act of 2009 - Amends part D (Miscellaneous) of title XVIII (Medicare) of the Social Security Act (SSA) to: (1) require each participating hospital to adopt and implement a staffing system that ensures a number of registered nurses on each shift and in each unit of the hospital to ensure appropriate staffing levels for patient care; (2) provide for the public reporting of certain staffing information, including a daily posting for each shift in the hospital of the current number of licensed and unlicensed nursing staff directly responsible for patient care; (3) prescribe recordkeeping, data collection, and evaluation requirements for participating hospitals; (4) specify civil monetary penalties for violations of such requirements; and (5) provide whistleblower protections.

registered nurse safe staffing act amends miscellaneous title xviii medicare social security act ssa require participating hospital adopt implement staffing system ensures number registered nurses shift unit hospital ensure appropriate staffing levels patient care provide public reporting certain staffing information including daily posting shift hospital current number licensed unlicensed nursing staff directly responsible patient care prescribe recordkeeping data collection evaluation requirements participating hospitals specify civil monetary penalties violations requirements provide whistleblower protections


Summary: Psychologists in the Service of the Public Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to establish a psychology postdoctoral program to make grants to and enter into contracts with eligible individuals and institutions to encourage the provision of psychological training and services in underserved treatment areas. Requires individuals to possess a doctoral degree in psychology and to agree to provide services to a medically underserved population during the grant and at least one year thereafter. Requires institutions to use provided amounts for fellowships to such individuals.

psychologists amends public_health_service_act require secretary health_and_human_services establish psychology postdoctoral program grants enter contracts eligible individuals institutions encourage provision psychological training services underserved treatment areas requires individuals possess doctoral degree psychology agree provide services medically underserved population grant year requires institutions use provided amounts fellowships individuals


Summary: Strengthen the Public Health Service Act - Amends the Public Health Service Act to allow the Secretary of Health and Human Services to enter into an agreement for the establishment and operation of a student loan fund with any public or other nonprofit school that offers a graduate program in professional psychology. Revises provisions concerning the collection of health professions data, sex discrimination in medical education programs, and definitions to make these applicable to "professional" (rather than "clinical") psychologists.

strengthen allow secretary health_and_human_services enter agreement establishment operation student loan fund public nonprofit school offers graduate program professional psychology revises provisions concerning collection health professions data sex discrimination medical education programs definitions applicable professional clinical psychologists


Summary: Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act to eliminate the state option to include nurse practitioners, certified nurse-midwives, and physician assistants as primary care case managers. Specifies as primary care case managers any nurse practitioner, certified nurse-midwife, or physician assistant that provides primary care case management services under a primary care case management contract. Revises the coverage of certain nurse practitioner services under the Medicaid fee-for-service program to remove the specification of certified pediatric nurse practitioner and certified family nurse practitioner in order to extend such coverage to services furnished by a nurse practitioner or clinical nurse specialist. Includes nurse practitioners, clinical nurse specialists, physician assistants, certified nurse midwives, and certified registered nurse anesthetists in the mix of service providers which Medicaid managed care organizations are required to maintain.

medicaid_advanced_practice_nurses physician assistants access act amends title xix medicaid social security act eliminate state option include nurse practitioners certified nurse midwives physician assistants primary care case managers specifies primary care case managers nurse practitioner certified nurse midwife physician assistant provides primary care case management services primary care case management contract revises coverage certain nurse practitioner services medicaid fee service program remove specification certified pediatric nurse practitioner certified family nurse practitioner order extend coverage services furnished nurse practitioner clinical nurse specialist includes nurse practitioners clinical nurse specialists physician assistants certified nurse midwives certified registered nurse anesthetists mix service providers medicaid managed care organizations required maintain


Summary: Retooling the Health Care Workforce for an Aging America Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to expand training for health professionals in the fields of geriatrics, long-term care, and chronic care management. Requires an analysis of the health and long-term care workforce.Amends the Workforce Investment Act of 1998 to provide for information to adults and dislocated workers about health care and long-term care occupations. Provides for information to veterans about training, internship, and employment opportunities in geriatrics, gerontology, and long-term care. Amends the Older Americans Act of 1965 to require the Assistant Secretary for Aging to: (1) develop family caregiver training materials; and (2) provide for the establishment and operation of a National Resource Center on Volunteers, Students, and Seniors to promote partnerships between entities in the aging network and institutions of higher education and secondary schools, and to encourage projects that involve underserved communities. Requires the Secretary to: (1) provide for the development of core training competencies for personal or home care aides and additional training content for nurse aides and home health aides; and (2) establish a panel of long-term care workforce experts.Provides for the development of information and referral protocols for family caregivers of Medicare beneficiaries.Amends title XIX (Medicaid) of the Social Security Act to provide for coverage of assessments of family caregiver support needs.Provides for studies on: (1) the mental health workforce; (2) the aging network's capacity to meet current and future needs; (3) retention and tenure of nurse aides and home health aides; and (4) spending by the National Institutes of Health (NIH) on conditions and illnesses that disproportionately impact the health of older individuals.

retooling health care workforce aging america act amends public_health_service_act require secretary health_and_human_services expand training health professionals fields geriatrics long term care chronic care management requires analysis health long term care workforce amends workforce investment act provide information adults dislocated workers health care long term care occupations provides information veterans training internship employment opportunities geriatrics gerontology long term care amends older americans act require assistant secretary aging develop family caregiver training materials provide establishment operation seniors promote partnerships entities aging network institutions higher education secondary schools encourage projects involve underserved communities requires secretary provide development core training competencies personal home care aides additional training content nurse aides home health aides establish panel long term care workforce experts provides development information referral protocols family caregivers medicare beneficiaries amends title xix medicaid social security act provide coverage assessments family caregiver support needs provides studies mental health workforce aging network capacity meet current future needs retention tenure nurse aides home health aides spending national_institutes_of_health nih conditions illnesses disproportionately impact health older individuals