H.R. 3962/Division C

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DIVISION B
—Medicare and Medicaid Improvements

Affordable Health Care for America Act

Division C − Public Health and Workforce Development

DIVISION D—
Indian Health Care Improvement

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557355Affordable Health Care for America Act — Division C − Public Health and Workforce Development

DIVISION C — PUBLIC HEALTH AND WORKFORCE DEVELOPMENT

Sec. 2001. Table of Contents; References.

(a) Table of Contents.—

The table of contents of this division is as follows:

Sec. 2001. Table of Contents; References.

Sec. 2002. Public Health Investment Fund.

Sec. 2003. Deficit Neutrality.

(b) References.—

Except as otherwise specified, whenever in this division an amendment is expressed in terms of an amendment to a section or other provision, the reference shall be considered to be made to a section or other provision of the Public Health Service Act (42 U.S.C. 201 et seq.).

Sec. 2002. Public Health Investment Fund.

(a) Establishment of Funds.—

(1) IN GENERAL.—

Subject to section 2003, there is hereby established in the Treasury a separate account to be known as the “Public Health Investment Fund” (referred to in this section and section 2003 as the “Fund”).

(2) FUNDING.—

(A) There shall be deposited into the Fund—

(i) for fiscal year 2011, $4,600,000,000;

(ii) for fiscal year 2012, $5,600,000,000;

(iii) for fiscal year 2013, $6,900,000,000;

(iv) for fiscal year 2014, $7,800,000,000; and

(v) for fiscal year 2015, $9,000,000,000.

(B) Amounts deposited into the Fund shall be derived from general revenues of the Treasury only for the fiscal years set forth in this section, and amounts appropriated from the Fund shall remain available until expended.

(b) Authorization of Appropriations from the Fund.—

(1) NEW FUNDING.—

(A) IN GENERAL.—

Subject to section 2003, amounts in the Fund are authorized to be appropriated for carrying out activities under designated public health provisions.

(B) DESIGNATED PROVISIONS.—

For purposes of this paragraph, the term “designated public health provisions” means the provisions for which amounts are authorized to be appropriated under section 330(s), 338(c), 338H–1, 799C, 872, or 3111 of the Public Health Service Act, as added by this division.

(2) BASELINE FUNDING.—

(A) IN GENERAL.—

Amounts in the Fund are authorized to be appropriated (as described in paragraph (1)) for a fiscal year only if (excluding any amounts in or appropriated from the Fund)—

(i) the amounts specified in subparagraph (B) for the fiscal year involved are equal to or greater than the amounts specified in subparagraph (B) for fiscal year 2008; and

(ii) the amounts appropriated, out of the general fund of the Treasury, to the Prevention and Wellness Trust under section 3111(a)(1) of the Public Health Service Act, as added by this division, for the fiscal year involved are equal to or greater than the funds—

(I) appropriated under the heading “Prevention and Wellness Fund” in title VIII of division A of the American Recovery and Reinvestment Act of 2009 (Public Law 111-5); and

(II) allocated by the second proviso under such heading for evidence-based clinical and community-based prevention and wellness strategies.

(B) AMOUNTS SPECIFIED.—

The amounts specified in this subparagraph, with respect to a fiscal year, are the amounts appropriated for the following:

(i) Community health centers (including funds appropriated under the authority of section 330 of the Public Health Service Act (42 U.S.C. 254b)).

(ii) The National Health Service Corps Program (including funds appropriated under the authority of section 338 of such Act (42 U.S.C. 254k)).

(iii) The National Health Service Corps Scholarship and Loan Repayment Programs (including funds appropriated under the authority of section 338H of such Act (42 U.S.C. 254q)).

(iv) Primary care education programs (including funds appropriated under the authority of sections 736, 740, 741, and 747 of such Act (42 U.S.C. 293, 293d, and 293k)).

(v) Sections 761 and 770 of such Act (42 U.S.C. 294n and 295e).

(vi) Nursing workforce development (including funds appropriated under the authority of title VIII of such Act (42 U.S.C. 296 et seq.)).

(vii) The National Center for Health Statistics (including funds appropriated under the authority of sections 304, 306, 307, and 308 of such Act (42 U.S.C. 242b, 242k, 242l, and 242m)).

(viii) The Agency for Healthcare Research and Quality (including funds appropriated under the authority of title IX of such Act (42 U.S.C. 299 et seq.)).

Sec. 2003. Deficit Neutrality.

(a) Availability.—

Funds appropriated or made available pursuant to sections 330(s), 338(c), 338H–1, 799C, 872, or 3111 of the Public Health Service Act, as added by this division, are only available for the purposes set forth in this Act. Appropriations shall not be available and are precluded from obligation for any other purpose.

(b) Estimation of Budgetary Impact.—

For the purposes of estimating the spending effects of this Act, the authorization of appropriations from the Fund, to the extent amounts in the Fund are derived from the general revenues of the Treasury, shall be treated as new direct spending and attributed to this Act.

(c) Budgetary Treatment.—

For the purposes of section 257 of the Balanced Budget and Emergency Deficit Control Act of 1985, the Fund, to the extent amounts in the Fund are derived from the general revenues of the Treasury, and not in excess of amounts subsequently appropriated from the Fund, shall be deemed to be included on the list of appropriations referenced under section 250(c)(17) of that Act.

.mw-parser-output .wst-anchor:target{background-color:rgba(100,149,237,0.1);color:#202122;outline:1px solid cornflowerblue}DIVISION C — PUBLIC HEALTH AND WORKFORCE DEVELOPMENT

Sec. 2001. Table of Contents; References.

TITLE I − COMMUNITY HEALTH CENTERS

TITLE II − WORKFORCE

TITLE III − PREVENTION AND WELLNESS

TITLE IV − QUALITY AND SURVEILLANCE

TITLE V − OTHER PROVISIONS

Sec. 2002. Public Health Investment Fund.

Sec. 2003. Deficit Neutrality.

DIVISION C — PUBLIC HEALTH AND WORKFORCE DEVELOPMENT