Funding of programs in Title IV and V of Patient Protection and Affordable Care Act

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1 Funding of programs in Title IV and V of Patient Protection and Affordable Care Act Program Funding Level Type of Funding Responsibility Title IV - Prevention of Chronic Disease and Improving Public Health Sec Prevention and Public Health Fund $500 million in FY10, $750 million in FY11, $1 billion in FY12, $1.25 billion in FY13, $1.5 billion in FY 14, $2 billion in FY15+ Mandatory Sec Clinical and community preventive services (Task Force will develop and update recommendations) Such sums as necessary Director of CDC Sec Education and outreach campaign regarding preventive benefits Such sums as necessary Direct Sec School-based health centers $50 million for FY10-13 appropriation Sec Oral healthcare prevention activities Sec Community transformation grants (for implementation, evaluatin, and dissemination of community preventive health activities) Sec Healthy Aging, Living Well; Evaluation of Community-Based Prevention and Wellness Programs for Medicare Beneficiaries Sec Immunizations (purchasing vaccines for adults) 14

2 Sec Nutrition labeling of standard menu items at chain restaurants Does not specify Sec Demonstration project concerning individualized wellness plan (provide at-risk populations individualized wellness plans) Such sums as may be necessary Sec Understanding health disparities; data collection and analysis Such sums as may be necessary, FY10-14 Sec Epidemiology-Laboratory Capacity Grants (grants awarded to State and local health departments and tribal jurisdictions that meet criteria, determined by Director) $190 million for FY10-13 Director of CDC Sec Advancing research and treatment for pain care management (evaluate the adequacy of pain assessment, treatment, and management; identify and address barriers to appropriate pain care; increase awareness) Such sums as may be necessary Sec Funding for childhood obesity demonstration project $25 million for FY10-14 Direct appropriation Institute of Medicine Conference on Pain - reports to Congress Sec Grants for Small Businesses to Provide Comprehensive Workplace Wellness Programs $200 million for FY11-15 $500 million for FY10 and such Sec Cures Acceleration Network Director of NIH Sec Centers of Excellence for Depression $100 million for FY11-15 and $150 million for FY16-20 Sec Programs relating to congenital heart failure Such sums as necessary for FY11-15 Director of CDC

3 Sec Automated Defibrillation in Adam's Memory Act Does not specify Does not specify Sec Young women s breast health awareness and support of young women diagnosed with breast cancer Does not specify Does not specify Sec Diabetes Prevention Program (national prevention program targeting at-risk adults) Title V - Health Care Workforce Sec Community Health Centers and the National Health Service Corps Fund (for sustained investment in community health centers) Sec State health care workforce development grants Sec Health care workforce loan repayment programs (loan repayment for specialists who are or will be working in a Health Professional Shortage Area, Medically Underserved Area, or with a Medically Underserved Population) Sec Public health workforce recruitment and retention program (loan repayment to public health students and workers in exchange for working at least 3 at a federal, state, local, or tribal public health agency) For community health centers: $700 million for FY11, $800 million for FY12, $1 billion for FY13, $1.6 billion for FY14, $2.9 billion for FY15. For the National Health Service Corps: $290 million for FY11, $295 million for FY12, $300 million for FY13, $305 million for FY14, $310 million for FY15 Mandatory $8 million for FY10 and such sums as necessary for subsequent $30 million for FY10-14 for Pediatric Medical and Surgical Specialists, $20 million for FY10-14 for Child and Adolescent Mental and Behavioral Health Specialists $195 million for FY10 and such sums as necessary for FY11-15 Health Resources and Services Administration of

4 Sec Grants for States and local programs (awards scholarships to midcareer public and allied health professionals employed in public and allied health positions) Sec Funding for National Health Service Corps $60 million for FY10 and such sums as necessary for FY11-15 $320,461,632 for FY10, $414,095,394 for FY11, $535,087,442 for FY12, $691,431,432 for FY13, $893,456,433 for FY14, $1,154,510,336 for FY15 Mandatory+C42 Sec Nurse-managed health clinics (strengthens health care safety-net by creating a grant program) $50 million for FY10 and such sums as necessary for subsequent Sec Establishing a Ready Reserve Corps (establishes a Ready Reserve Corps within the Commissioned Corps for service in times of national emergency) Sec Training in family medicine, general internal medicine, general pediatrics, and physician assistantship (provides grants for training and financial assistance) $5 million for FY10-14 for recruitment and training and $12.5 million for FY10-14 for Ready Reserve Corps $125 million for FY10 and such President and Senate will appoint members Sec Training opportunities for direct care workers $10 million for FY11-13 Sec Training in general, pediatric, and public health dentistry (allows dental schools and education programs to use grants for pre-doctoral training, faculty development, dental faculty loan repayment, and academic administrative units) $30 million for FY10 and such sums as necessary for FY11-15

5 Sec Alternative dental health care provider demonstration project (increase access to dental health care services in rural, tribal, and underserved communities) Such sums as necessary Sec Geriatric education and training; career awards; comprehensive geriatric education $10.8 million for FY11-14 Sec Mental and behavioral health education and training grants For FY10-13, $8 million for social work training, $12 million for graduate psychology training, $10 million for child and adolescent mental health training, $5 million for paraprofessional child and adolescent training Sec Cultural competency, prevention, and public health and individuals with disabilities training Such sums as necessary Sec Nurse education, practice, and retention grants Such sums as necessary Sec Loan repayment and scholarship program (grants to faculty at nursing facilities) Such sums as necessary Sec Nurse faculty loan program (Federally-funded student loan repayment program for nurses with outstanding debt who pursue careers in nurse education) 14 Sec Grants to promote the community health workforce (promote positive health behaviors and outcomes in medically underserved areas through the use of community health workers) Sec Fellowship training in public health $39.5 million for FY10-13

6 Sec United States Public Health Sciences Track (trains physicians, dentists, nurses, physician assistants, mental and behavior health specialists, and public health professionals) SEC Demonstration Grants for Family Nurse Practitioner Training Programs Sec Centers of excellence (develops a minority applicant pool to enhance recruitment, training, academic performance for minorities interested in careers in health) Such sums as may be necessary from the Public Health and Social Services Emergency Fund Surgeon General 14 $50 million for FY10-15 and such Sec Health professions training for diversity (scholarships for disadvantaged students who commit to work in medically underserved areas as primary care providers) $51 million for FY10-13 does not specify Sec Interdisciplinary, communitybased linkages (community-based training and education grants for Area Health Education Centers (AHECs) and Programs) $125 million for FY10-14 for Area Health Education Centers and $5 million for FY10-14 for educational support for health professionals Sec Workforce diversity grants does not specify Sec Primary care extension program (educates and provides technical assistance to primary care providers about evidence-based therapies, preventive medicine, health promotion, chronic disease management, and mental health) $120 million for FY11-12 and such sums as necessary for FY13-14

7 Sec Demonstration project to address health professions workforce needs; extension of family-to-family health information centers (provide aid and supportive services to low-income individuals with the opportunity to obtain education and training for occupations in the health care field) Sec Increasing teaching capacity (support new or expanded primary care residency programs at teaching health centers) $85 million for FY10-14 $25 million for FY10, $50 million for FY11, $50 million for FY12, and such Direct appropriation Sec Reauthorization of Wakefield Emergency Medical Services for Children Program (supports the improvement and expansion of emergency medical services for children needing trauma or critical care treatment) Sec Co-locating primary and specialty care in community-based mental health settings (grants for coordinated and integrated services through the co-location of primary and specialty care in community-based mental and behavioral health settings) Sec Key national indicators (establishes a Commission on Key National Indicators to conduct an oversight of a newly established key national indicators) Sec State Grants to Health Care Providers who Provide Services to a High Percentage of Medically Underserved Populations or Other Special Populations $25,000,000 for fiscal year 2010, $26,250,000 for fiscal year 2011, $27,562,500 for fiscal year 2012, $28,940,625 for fiscal year 2013, and $30,387,656 for fiscal year 2014 $50 million for FY10 and such sums as necessary for FY11-14 $10 million for FY10 and $7.5 million for FY11-18 $4 million for FY10-13 does not specify Administrator of the Health Resources and Services Administration