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$23 BILLION For “nonprofits”
and climbing
Given Chris Dudley’s association with ALF ( http://www.community.kmtr.com/forums/thread/3664755.aspx
) and the Foundations how do you think he would “grant” Oregon’s share of
the $13 BILLION in the partial list from the latest U. S. Senate HealthCare
Bill below:
•AMDT. NO. 2786
Calendar No. 175
AMENDMENT NO. 2786
Purpose: In the nature of a substitute.
IN THE SENATE OF THE UNITED STATES—111th Cong., 1st Sess.
H. R. 3590
To amend the Internal Revenue Code of 1986 to modify
the first-time homebuyers credit in the case of members
of the Armed Forces and certain other Federal employees,
and for other purposes.
November 19, 2009
Ordered to lie on the table and to be printed
Amendment in the nature of a substitute intended to be
proposed by Mr. REID (for himself, Mr. BAUCUS, Mr.
DODD, and Mr. HARKIN)
Page 42 of http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590AS/pdf/BILLS-111hr3590AS.pdf
Subtitle B—Immediate
Actions to 8
Preserve and Expand
Coverage 9
SEC. 1101. IMMEDIATE
ACCESS TO INSURANCE FOR UNIN- 10
SURED INDIVIDUALS WITH A
PREEXISTING 11
CONDITION. 12
(a) IN GENERAL.—Not later
than 90 days after the 13
date of enactment of this
Act, the Secretary shall establish 14
a temporary high risk
health insurance pool program to 15
provide health insurance
coverage for eligible individuals 16
during the period
beginning on the date on which such 17
program is established and
ending on January 1, 2014. 18
(b) ADMINISTRATION.— 19
(1) IN GENERAL.—The
Secretary may carry out 20
the program under this
section directly or through 21
contracts to eligible
entities. 22
(2) ELIGIBLE ENTITIES.—To
be eligible for a 23
contract under paragraph
(1), an entity shall— 24
(A) be a State or
nonprofit private entity; 25
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42
(B) submit to the
Secretary an application 1
at such time, in such
manner, and containing 2
such information as the
Secretary may require; 3
and 4
(C) agree to utilize
contract funding to es- 5
tablish and administer a
qualified high risk pool 6
for eligible individuals.
7
…
(f) OVERSIGHT.—The Secretary
shall establish— 21
(1) an appeals process to
enable individuals to 22
appeal a determination under
this section; and 23
(2) procedures to protect
against waste, fraud, 24
and abuse. 25
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47
(g) FUNDING; TERMINATION OF
AUTHORITY.— 1
(1) IN GENERAL.—There is
appropriated to the 2
Secretary, out of any moneys
in the Treasury not 3
otherwise appropriated,
$5,000,000,000 to pay 4
claims against (and the
administrative costs of) the 5
high risk pool under this
section that are in excess 6
of the amount of premiums
collected from eligible in- 7
dividuals enrolled in the
high risk pool. Such funds 8
shall be available without
fiscal year limitation. 9
(2) INSUFFICIENT FUNDS.—If
the Secretary es- 10
timates for any fiscal year
that the aggregate 11
amounts available for the
payment of the expenses 12
of the high risk pool will be
less than the actual 13
amount of such expenses, the
Secretary shall make 14
such adjustments as are
necessary to eliminate such 15
deficit. 16
..
page 57 SEC.
1104. ADMINISTRATIVE SIMPLIFICATION. 6
(a) PURPOSE
OF ADMINISTRATIVE SIMPLIFICA- 7
TION.—Section
261 of the Health Insurance Portability 8
and
Accountability Act of 1996 (42 U.S.C. 1320d note) 9
is
amended— 10
(1)
by inserting ‘‘uniform’’ before ‘‘standards’’; 11
and 12
(2)
by inserting ‘‘and to reduce the clerical bur- 13
den
on patients, health care providers, and health 14
plans’’
before the period at the end. 15
…
Page 60 •AMDT. NO. 2786
‘‘(2) OPERATING RULES
DEVELOPMENT.—In 8
adopting operating rules
under this subsection, the 9
Secretary shall consider recommendations
for oper- 10
ating rules developed by a
qualified nonprofit entity 11
that meets the following
requirements: 12
‘‘(A) The entity focuses its
mission on ad- 13
ministrative simplification.
14
‘‘(B) The entity demonstrates
a multi- 15
stakeholder and
consensus-based process for de- 16
velopment of operating rules,
including rep- 17
resentation by or
participation from health 18
plans, health care providers,
vendors, relevant 19
Federal agencies, and other
standard develop- 20
ment organizations. 21
‘‘(C) The entity has a public
set of guiding 22
principles that ensure the
operating rules and 23
process are open and
transparent, and supports 24
nondiscrimination and
conflict of interest poli- 25
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61
cies that demonstrate a
commitment to open, 1
fair, and nondiscriminatory
practices. 2
‘‘(D) The entity builds on
the transaction 3
standards issued under Health
Insurance Port- 4
ability and Accountability
Act of 1996. 5
‘‘(E) The entity allows for
public review 6
and updates of the operating
rules. 7
‘‘(3) REVIEW AND
RECOMMENDATIONS.—The 8
National Committee on Vital
and Health Statistics 9
shall— 10
‘‘(A) advise the Secretary as
to whether a 11
nonprofit entity meets the
requirements under 12
paragraph (2); 13
‘‘(B) review the operating
rules developed 14
and recommended by such
nonprofit entity; 15
‘‘(C) determine whether such
operating 16
rules represent a consensus
view of the health 17
care stakeholders and are
consistent with and 18
do not conflict with other
existing standards; 19
‘‘(D) evaluate whether such
operating rules 20
are consistent with
electronic standards adopted 21
for health information technology;
and 22
‘‘(E) submit to the Secretary
a rec- 23
ommendation as to whether the
Secretary 24
should adopt such operating
rules. 25
…
Page 69
‘‘(3)
INTERIM FINAL RULEMAKING.— 8
‘‘(A)
IN GENERAL.—Any recommendations 9
to
amend adopted standards and operating 10
rules
that have been approved by the review 11
committee
and reported to the Secretary under 12
paragraph
(2)(B) shall be adopted by the Sec- 13
retary
through promulgation of an interim final 14
rule
not later than 90 days after receipt of the 15
committee’s
report. 16
…
Page 70
‘‘(4) REVIEW COMMITTEE.— 5
‘‘(A) DEFINITION.—For the
purposes of 6
this subsection, the term
‘review committee’ 7
means a committee chartered
by or within the 8
Department of Health and
Human services that 9
has been designated by the
Secretary to carry 10
out this subsection,
including— 11
‘‘(i) the National Committee
on Vital 12
and Health Statistics; or 13
‘‘(ii) any appropriate
committee as de- 14
termined by the Secretary. 15
…
Page 71
•AMDT. NO. 2786
‘‘(j) PENALTIES.— 5
‘‘(1) PENALTY FEE.— 6
‘‘(A) IN GENERAL.—Not later
than April 7
1, 2014, and annually
thereafter, the Secretary 8
shall assess a penalty fee
(as determined under 9
subparagraph (B)) against a
health plan that 10
has failed to meet the
requirements under sub- 11
section (h) with respect to
certification and doc- 12
umentation of compliance
with— 13
‘‘(i) the standards and
associated op- 14
erating rules described under
paragraph 15
(1) of such subsection; and
16
‘‘(ii) a standard (as
described under 17
subsection (a)(1)(B)) and
associated oper- 18
ating rules (as described
under subsection 19
(i)(5)) for any other
financial and adminis- 20
trative transactions. 21
‘‘(B) FEE AMOUNT.—Subject to
subpara- 22
graphs (C), (D), and (E), the
Secretary shall 23
assess a penalty fee against
a health plan in the 24
amount of $1 per covered life
until certification 25
…
Page 72
‘‘(C) ADDITIONAL PENALTY FOR
MIS- 8
REPRESENTATION.—A health plan
that know- 9
ingly provides inaccurate or
incomplete informa- 10
tion in a statement of
certification or docu- 11
mentation of compliance under
subsection (h) 12
shall be subject to a penalty
fee that is double 13
the amount that would
otherwise be imposed 14
under this subsection. 15
…
Page 73
•AMDT. NO. 2786
‘‘(E) PENALTY LIMIT.—A
penalty fee as- 22
sessed against a health plan
under this sub- 23
section shall not exceed, on
an annual basis— 24
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73
‘‘(i) an amount equal to $20
per cov- 1
ered life under such plan; or
2
‘‘(ii) an amount equal to $40
per cov- 3
ered life under the plan if
such plan has 4
knowingly provided inaccurate
or incom- 5
plete information (as
described under sub- 6
paragraph (C)). 7
‘‘(F) DETERMINATION OF
COVERED INDI- 8
VIDUALS.—The Secretary shall
determine the 9
number of covered lives under
a health plan 10
based upon the most recent
statements and fil- 11
ings that have been submitted
by such plan to 12
the Securities and Exchange
Commission. 13
‘‘(2) NOTICE AND DISPUTE
PROCEDURE.—The 14
Secretary shall establish a
procedure for assessment 15
of penalty fees under this
subsection that provides a 16
health plan with reasonable
notice and a dispute res- 17
olution procedure prior to
provision of a notice of as- 18
sessment by the Secretary of
the Treasury (as de- 19
scribed under paragraph
(4)(B)). 20
…
Page 128
•AMDT. NO. 2786
PART II—CONSUMER CHOICES
AND INSURANCE 7
COMPETITION THROUGH HEALTH
BENEFIT 8
EXCHANGES 9
SEC. 1311. AFFORDABLE
CHOICES OF HEALTH BENEFIT 10
PLANS. 11
(a) ASSISTANCE TO STATES TO
ESTABLISH AMER- 12
ICAN HEALTH BENEFIT
EXCHANGES.— 13
(1) PLANNING AND
ESTABLISHMENT 14
GRANTS.—There shall be
appropriated to the Sec- 15
retary, out of any moneys in
the Treasury not other- 16
wise appropriated, an amount
necessary to enable 17
the Secretary to make awards,
not later than 1 year 18
after the date of enactment
of this Act, to States in 19
the amount specified in
paragraph (2) for the uses 20
described in paragraph (3).
21
(2) AMOUNT SPECIFIED.—For
each fiscal year, 22
the Secretary shall determine
the total amount that 23
the Secretary will make
available to each State for 24
grants under this subsection.
25
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129
•AMDT. NO. 2786
(3) USE OF FUNDS.—A State
shall use 1
amounts awarded under this
subsection for activities 2
(including planning activities)
related to establishing 3
an American Health Benefit
Exchange, as described 4
in subsection (b). 5
(4) RENEWABILITY OF GRANT.— 6
(A) IN GENERAL.—Subject to
subsection 7
(d)(4), the Secretary may
renew a grant award- 8
ed under paragraph (1) if the
State recipient of 9
such grant— 10
(i) is making progress, as
determined 11
by the Secretary, toward— 12
(I) establishing an Exchange;
13
and 14
(II) implementing the reforms
15
described in subtitles A and
C (and 16
the amendments made by such
sub- 17
titles); and 18
(ii) is meeting such other
benchmarks 19
as the Secretary may
establish. 20
(B) LIMITATION.—No grant
shall be 21
awarded under this subsection
after January 1, 22
2015. 23
(5) TECHNICAL ASSISTANCE TO
FACILITATE 24
PARTICIPATION IN SHOP
EXCHANGES.—The Sec- 25
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130
retary shall provide
technical assistance to States to 1
facilitate the participation
of qualified small busi- 2
nesses in such States in SHOP
Exchanges. 3
(b) AMERICAN HEALTH BENEFIT
EXCHANGES.— 4
(1) IN GENERAL.—Each State
shall, not later 5
than January 1, 2014,
establish an American Health 6
Benefit Exchange (referred to
in this title as an 7
‘‘Exchange’’) for the State
that— 8
(A) facilitates the purchase
of qualified 9
health plans; 10
(B) provides for the
establishment of a 11
Small Business Health Options
Program (in 12
this title referred to as a
‘‘SHOP Exchange’’) 13
that is designed to assist
qualified employers in 14
the State who are small
employers in facili- 15
tating the enrollment of
their employees in 16
qualified health plans
offered in the small group 17
market in the State; and 18
(C) meets the requirements of
subsection 19
(d). 20
…
Page 136
(d) REQUIREMENTS.— 4
(1) IN GENERAL.—An Exchange
shall be a gov- 5
ernmental agency or nonprofit
entity that is estab- 6
lished by a State. 7
…
Page 149
•AMDT. NO. 2786
(2) ELIGIBILITY.— 14
(A) IN GENERAL.—To be
eligible to receive 15
a grant under paragraph (1),
an entity shall 16
demonstrate to the Exchange
involved that the 17
entity has existing
relationships, or could read- 18
ily establish relationships,
with employers and 19
employees, consumers
(including uninsured and 20
underinsured consumers), or
self-employed indi- 21
viduals likely to be
qualified to enroll in a quali- 22
fied health plan. 23
(B) TYPES.—Entities described
in sub- 24
paragraph (A) may include
trade, industry, and 25
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150
•AMDT. NO. 2786
professional associations,
commercial fishing in- 1
dustry organizations,
ranching and farming or- 2
ganizations, community and
consumer-focused 3
nonprofit groups, chambers of
commerce, 4
unions, small business
development centers, 5
other licensed insurance
agents and brokers, 6
and other entities that— 7
(i) are capable of carrying
out the du- 8
ties described in paragraph
(3); 9
(ii) meet the standards
described in 10
paragraph (4); and 11
(iii) provide information
consistent 12
with the standards developed
under para- 13
graph (5). 14
(3) DUTIES.—An entity that
serves as a navi- 15
gator under a grant under
this subsection shall— 16
(A) conduct public education
activities to 17
raise awareness of the
availability of qualified 18
health plans; 19
(B) distribute fair and
impartial informa- 20
tion concerning enrollment in
qualified health 21
plans, and the availability
of premium tax cred- 22
its under section 36B of the
Internal Revenue 23
Code of 1986 and cost-sharing
reductions under 24
section 1402; 25
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151
•AMDT. NO. 2786
(C) facilitate enrollment in
qualified health 1
plans; 2
(D) provide referrals to any
applicable of- 3
fice of health insurance
consumer assistance or 4
health insurance ombudsman
established under 5
section 2793 of the Public
Health Service Act, 6
or any other appropriate
State agency or agen- 7
cies, for any enrollee with a
grievance, com- 8
plaint, or question regarding
their health plan, 9
coverage, or a determination
under such plan or 10
coverage; and 11
(E) provide information in a
manner that 12
is culturally and
linguistically appropriate to 13
the needs of the population
being served by the 14
Exchange or Exchanges. 15
(4) STANDARDS.— 16
(A) IN GENERAL.—The Secretary
shall es- 17
tablish standards for
navigators under this sub- 18
section, including provisions
to ensure that any 19
private or public entity that
is selected as a 20
navigator is qualified, and
licensed if appro- 21
priate, to engage in the
navigator activities de- 22
scribed in this subsection
and to avoid conflicts 23
of interest. Under such
standards, a navigator 24
shall not— 25
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152
(i) be a health insurance
issuer; or 1
(ii) receive any
consideration directly 2
or indirectly from any health
insurance 3
issuer in connection with the
enrollment of 4
any qualified individuals or
employees of a 5
qualified employer in a
qualified health 6
plan. 7
…
Page 152
(6) FUNDING.—Grants under
this subsection 13
shall be made from the
operational funds of the Ex- 14
change and not Federal funds
received by the State 15
to establish the Exchange. 16
…
Page 168
SEC. 1322. FEDERAL PROGRAM
TO ASSIST ESTABLISHMENT 1
AND OPERATION OF
NONPROFIT, MEMBER- 2
RUN HEALTH INSURANCE
ISSUERS. 3
(a) ESTABLISHMENT OF
PROGRAM.— 4
(1) IN GENERAL.—The Secretary
shall establish 5
a program to carry out the
purposes of this section 6
to be known as the Consumer
Operated and Ori- 7
ented Plan (CO-OP) program. 8
(2) PURPOSE.—It is the
purpose of the CO-OP 9
program to foster the
creation of qualified nonprofit 10
health insurance issuers to
offer qualified health 11
plans in the individual and
small group markets in 12
the States in which the
issuers are licensed to offer 13
such plans. 14
•AMDT. NO. 2786
(b) LOANS AND GRANTS UNDER
THE CO-OP PRO- 15
GRAM.— 16
(1) IN GENERAL.—The Secretary
shall provide 17
through the CO-OP program for
the awarding to 18
persons applying to become
qualified nonprofit 19
health insurance issuers of—
20
(A) loans to provide
assistance to such per- 21
son in meeting its start-up
costs; and 22
(B) grants to provide
assistance to such 23
person in meeting any
solvency requirements of 24
States in which the person seeks
to be licensed 25
to issue qualified health
plans. 26
169
(2) REQUIREMENTS FOR AWARDING
LOANS AND 1
GRANTS.— 2
(A) IN GENERAL.—In awarding
loans and 3
grants under the CO-OP
program, the Sec- 4
retary shall— 5
(i) take into account the
recommenda- 6
tions of the advisory board
established 7
under paragraph (3); 8
(ii) give priority to
applicants that will 9
offer qualified health plans
on a Statewide 10
basis, will utilize
integrated care models, 11
and have significant private
support; and 12
(iii) ensure that there is
sufficient 13
funding to establish at least
1 qualified 14
•AMDT. NO. 2786
nonprofit health insurance
issuer in each 15
State, except that nothing in
this clause 16
shall prohibit the Secretary
from funding 17
the establishment of multiple
qualified 18
nonprofit health insurance
issuers in any 19
State if the funding is
sufficient to do so. 20
(B) STATES WITHOUT ISSUERS IN
PRO- 21
GRAM.—If no health insurance
issuer applies to 22
be a qualified nonprofit
health insurance issuer 23
within a State, the Secretary
may use amounts 24
appropriated under this
section for the award- 25
170
ing of grants to encourage
the establishment of 1
a qualified nonprofit health
insurance issuer 2
within the State or the
expansion of a qualified 3
nonprofit health insurance
issuer from another 4
State to the State. 5
(C) AGREEMENT.— 6
(i) IN GENERAL.—The Secretary
shall 7
require any person receiving
a loan or 8
grant under the CO-OP program
to enter 9
into an agreement with the
Secretary 10
which requires such person to
meet (and to 11
continue to meet)— 12
(I) any requirement under
this 13
section for such person to be
treated 14
•AMDT. NO. 2786
as a qualified nonprofit
health insur- 15
ance issuer; and 16
(II) any requirements
contained 17
in the agreement for such
person to 18
receive such loan or grant.
19
(ii) RESTRICTIONS ON USE OF
FED- 20
ERAL FUNDS.—The agreement
shall in- 21
clude a requirement that no
portion of the 22
funds made available by any
loan or grant 23
under this section may be
used— 24
171
(I) for carrying on
propaganda, 1
or otherwise attempting, to
influence 2
legislation; or 3
(II) for marketing. 4
Nothing in this clause shall
be construed 5
to allow a person to take any
action pro- 6
hibited by section 501(c)(29)
of the Inter- 7
nal Revenue Code of 1986. 8
(iii) FAILURE TO MEET
REQUIRE- 9
MENTS.—If the Secretary
determines that 10
a person has failed to meet
any require- 11
ment described in clause (i)
or (ii) and has 12
failed to correct such
failure within a rea- 13
sonable period of time of
when the person 14
first knows (or reasonably
should have 15
known) of such failure, such
person shall 16
repay to the Secretary an
amount equal to 17
the sum of— 18
(I) 110 percent of the
aggregate 19
amount of loans and grants
received 20
under this section; plus 21
(II) interest on the
aggregate 22
amount of loans and grants
received 23
under this section for the
period the 24
loans or grants were
outstanding. 25
•AMDT. NO. 2786
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172
The Secretary shall notify
the Secretary of 1
the Treasury of any
determination under 2
this section of a failure
that results in the 3
termination of an issuer’s
tax-exempt sta- 4
tus under section 501(c)(29)
of such Code. 5
(D) TIME FOR AWARDING LOANS
AND 6
GRANTS.—The Secretary shall
not later than 7
July 1, 2013, award the loans
and grants under 8
the CO-OP program and begin
the distribution 9
of amounts awarded under such
loans and 10
grants. 11
…
Page 173
(E) APPLICATION OF FACA.—The
Federal 21
Advisory Committee Act (5
U.S.C. App.) shall 22
apply to the advisory board,
except that section 23
14 of such Act shall not
apply. 24
…
Page 174
(c) QUALIFIED NONPROFIT
HEALTH INSURANCE 5
ISSUER.—For purposes of this
section— 6
(1) IN GENERAL.—The term
‘‘qualified non- 7
profit health insurance
issuer’’ means a health insur- 8
ance issuer that is an
organization— 9
(A) that is organized under
State law as a 10
nonprofit, member corporation;
11
(B) substantially all of the
activities of 12
which consist of the issuance
of qualified health 13
plans in the individual and
small group markets 14
in each State in which it is
licensed to issue 15
such plans; and 16
(C) that meets the other
requirements of 17
this subsection. 18
…
Page 175
(4) PROFITS INURE TO BENEFIT
OF MEM- 19
BERS.—An organization shall
not be treated as a 20
qualified nonprofit health
insurance issuer unless 21
any profits made by the
organization are required to 22
be used to lower premiums, to
improve benefits, or 23
for other programs intended
to improve the quality 24
of health care delivered to
its members. 25
…
Page 178
(e) LIMITATION ON
PARTICIPATION.—No representa- 4
tive of any Federal, State,
or local government (or of any 5
political subdivision or
instrumentality thereof), and no 6
representative of a person
described in subsection 7
(c)(2)(A), may serve on the
board of directors of a quali- 8
fied nonprofit health
insurance issuer or with a private 9
purchasing council
established under subsection (d). 10
(f) LIMITATIONS ON
SECRETARY.— 11
(1) IN GENERAL.—The Secretary
shall not— 12
(A) participate in any
negotiations between 13
1 or more qualified nonprofit
health insurance 14
issuers (or a private
purchasing council estab- 15
lished under subsection (d))
and any health 16
care facilities or providers,
including any drug 17
manufacturer, pharmacy, or
hospital; and 18
(B) establish or maintain a
price structure 19
for reimbursement of any
health benefits cov- 20
ered by such issuers. 21
…
Page 179
(g) APPROPRIATIONS.—There are hereby appro- 3
priated, out of any funds in
the Treasury not otherwise 4
appropriated, $6,000,000,000
to carry out this section. 5
…
Page 568
‘‘SEC. 511. MATERNAL,
INFANT, AND EARLY CHILDHOOD 8
HOME VISITING PROGRAMS. 9
‘‘(a) PURPOSES.—The purposes
of this section are— 10
‘‘(1) to strengthen and
improve the programs 11
and activities carried out
under this title; 12
‘‘(2) to improve coordination
of services for at 13
risk communities; and 14
‘‘(3) to identify and provide
comprehensive 15
services to improve outcomes
for families who reside 16
in at risk communities. 17
‘‘(b) REQUIREMENT FOR ALL
STATES TO ASSESS 18
STATEWIDE NEEDS AND IDENTIFY
AT RISK COMMU- 19
NITIES.— 20
…
Page 575
graph (A), or if the
Secretary determines 18
that an eligible entity has
failed to submit 19
the report required under
clause (i), the 20
Secretary shall terminate the
entity’s grant 21
and may include any
unexpended grant 22
funds in grants made to
nonprofit organi- 23
zations under subsection
(h)(2)(B). 24
…
Page 589
‘‘(B) NONPROFIT
ORGANIZATIONS.—If, as 15
of the beginning of fiscal
year 2012, a State 16
has not applied or been
approved for a grant 17
under this section, the
Secretary may use 18
amounts appropriated under
paragraph (1) of 19
subsection (j) that are
available for expenditure 20
under paragraph (3) of that
subsection to make 21
a grant to an eligible entity
that is a nonprofit 22
organization described in
subsection (k)(1)(B) 23
…
Page 590
•AMDT. NO. 2786
to conduct an early childhood
home visitation 24
program in the State. The
Secretary shall speci- 25
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590
fy the requirements for such
an organization to 1
apply for and conduct the
program which shall, 2
to the greatest extent
practicable, be consistent 3
with the requirements
applicable to eligible enti- 4
…
Page 593
‘‘(1) IN GENERAL.—Out of any
funds in the 8
Treasury not otherwise
appropriated, there are ap- 9
propriated to the Secretary
to carry out this sec- 10
tion— 11
‘‘(A) $100,000,000 for fiscal
year 2010; 12
‘‘(B) $250,000,000 for fiscal
year 2011; 13
‘‘(C) $350,000,000 for fiscal
year 2012; 14
‘‘(D) $400,000,000 for fiscal
year 2013; 15
and 16
‘‘(E) $400,000,000 for fiscal
year 2014. 17
…
Page 594
•AMDT. NO. 2786
‘‘(B) NONPROFIT
ORGANIZATIONS.—Only 21
for purposes of awarding
grants under sub- 22
section (h)(2)(B), such term
shall include a 23
nonprofit organization with
an established 24
record of providing early
childhood home visita- 25
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595
tion programs or initiatives
in a State or sev- 1
eral States. 2
…
Page 595
SEC. 2952. SUPPORT,
EDUCATION, AND RESEARCH FOR 20
POSTPARTUM DEPRESSION. 21
(a) RESEARCH ON POSTPARTUM
CONDITIONS.— 22
…
Page 602
‘‘(g) DEFINITIONS.—In this
section: 20
‘‘(1) The term ‘eligible
entity’— 21
‘‘(A) means a public or
nonprofit private 22
entity; and 23
… 603
(A) $3,000,000 for fiscal
year 2010; and 16
(B) such sums as may be
necessary for fis- 17
cal years 2011 and 2012. 18
…
Page 604
SEC. 2953. PERSONAL
RESPONSIBILITY EDUCATION. 3
Title V of the Social
Security Act (42 U.S.C. 701 4
et seq.), as amended by
sections 2951 and 2952(c), is 5
amended by adding at the end
the following: 6
‘‘SEC. 513. PERSONAL
RESPONSIBILITY EDUCATION. 7
‘‘(a) ALLOTMENTS TO STATES.—
8
‘‘(1) AMOUNT.— 9
‘‘(A) IN GENERAL.—For the
purpose de- 10
scribed in subsection (b),
subject to the suc- 11
ceeding provisions of this
section, for each of 12
fiscal years 2010 through
2014, the Secretary 13
shall allot to each State an amount equal to
the 14
product of— 15
‘‘(i) the amount appropriated
under 16
subsection (f) for the fiscal
year and avail- 17
able for allotments to States
after the ap- 18
plication of subsection (c);
and 19
‘‘(ii) the State youth
population per- 20
centage determined under
paragraph (2). 21
‘‘(B) MINIMUM ALLOTMENT.— 22
‘‘(i) IN GENERAL.—Each State
allot- 23
ment under this paragraph for
a fiscal 24
year shall be at least
$250,000. 25
…
Page 1091
SEC. 3505. TRAUMA CARE
CENTERS AND SERVICE
AVAIL- 3
ABILITY. 4
(a) TRAUMA CARE CENTERS.— 5
(1) GRANTS FOR TRAUMA CARE
CENTERS.— 6
Section 1241 of the Public
Health Service Act (42 7
U.S.C. 300d–41) is amended by
striking subsections 8
(a) and (b) and inserting the
following: 9
‘‘(a) IN GENERAL.—The
Secretary shall establish 3 10
programs to award grants to
qualified public, nonprofit 11
Indian Health Service, Indian
tribal, and urban Indian 12
trauma centers— 13
‘‘(1) to assist in defraying
substantial uncom- 14
pensated care costs; 15
‘‘(2) to further the core
missions of such trau- 16
ma centers, including by
addressing costs associated 17
with patient stabilization
and transfer, trauma edu- 18
cation and outreach,
coordination with local and re- 19
gional trauma systems,
essential personnel and other 20
fixed costs, and expenses
associated with employee 21
and non-employee physician
services; and 22
‘‘(3) to provide emergency
relief to ensure the 23
continued and future
availability of trauma services. 24
…
Page 1100
‘‘SEC. 1245. AUTHORIZATION
OF APPROPRIATIONS. 14
‘‘For the purpose of carrying
out this part, there are 15
authorized to be appropriated
$100,000,000 for fiscal year 16
2009, and such sums as may be
necessary for each of fis- 17
cal years 2010 through 2015.
Such authorization of ap- 18
propriations is in addition
to any other authorization of 19
appropriations or amounts
that are available for such pur- 20
pose.’’. 21
…
Page 1272
‘‘(12) AREA HEALTH EDUCATION
CENTER.— 8
The term ‘area health
education center’ means a 9
public or nonprofit private
organization that has a 10
cooperative agreement or
contract in effect with an 11
entity that has received an
award under subsection 12
(a)(1) or (a)(2) of section
751, satisfies the require- 13
ments in section 751(d)(1),
and has as one of its 14
principal functions the
operation of an area health 15
education center. Appropriate
organizations may in- 16
clude hospitals, health
organizations with accredited 17
primary care training
programs, accredited physician 18
assistant educational
programs associated with a col- 19
lege or university, and
universities or colleges not 20
operating a school of
medicine or osteopathic medi- 21
cine. 22
‘‘(13) AREA HEALTH
EDUCATION CENTER
PRO- 23
GRAM.—The term ‘area health
education center pro- 24
gram’ means cooperative
program consisting of an 25
1273
entity that has received an
award under subsection 1
(a)(1) or (a)(2) of section
751 for the purpose of 2
planning, developing,
operating, and evaluating an 3
area health education center
program and one or 4
more area health education
centers, which carries 5
out the required activities
described in section 6
751(c), satisfies the program
requirements in such 7
section, has as one of its
principal functions identi- 8
fying and implementing
strategies and activities that 9
address health care workforce
needs in its service 10
area, in coordination with
the local workforce invest- 11
ment boards. 12
…
Page 1338 of 2076
And a $10 BILLION for
healthcare centers in the “manager’s amendment” not sure if that is extra or
bumping up something else?
Stopping for a rest.