SEC. 433. TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY.

Part C of Title VII of the Public Health Service Act (42 U.S.C. 293k et seq.) is amended by-

(1)
redesignating section 748, as amended by section 413 of this Act, as section 749; and

(2)
inserting after section 747A, as added by section 432, the following:

"SEC. 748. TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC

HEALTH DENTISTRY.

(a) SUPPORT AND DEVELOPMENT OF DENTAL TRAINING PROGRAMS.-

(1) IN GENERAL.-The Secretary may make grants to, or enter into contracts with, a school of dentistry, public or nonprofit private hospital, or a public or private nonprofit entity which the Sec-retary has determined is capable of carrying out such grant or contract-

(A) to plan, develop, and operate, or par-ticipate in, an approved professional training program in the field of general dentistry, pedi-atric dentistry, or public health dentistry for dental students, residents, practicing dentists, or dental hygienists or other approved primary care dental trainees, that emphasizes training for general, pediatric, or public health dentistry;

(B) to provide financial assistance to den-tal students, residents, practicing dentists, and dental hygiene students who are in need there-of, who are participants in any such program, and who plan to work in the practice of general, pediatric, public heath dentistry, or dental hy-giene;

(C) to plan, develop, and operate a program for the training of oral health care providers who plan to teach in general, pediatric, public health dentistry, or dental hygiene;

(D) to provide financial assistance in the form of traineeships and fellowships to dentists who plan to teach or are teaching in general, pediatric, or public health dentistry;

(E) to meet the costs of projects to establish, maintain, or improve dental faculty development programs in primary care (which may be departments, divisions or other units);

(F) to meet the costs of projects to establish, maintain, or improve predoctoral and postdoctoral training in primary care programs;

(G) to create a loan repayment program for faculty in dental programs; and

(H) to provide technical assistance to pe-diatric training programs in developing and im-plementing instruction regarding the oral health status, dental care needs, and risk-based clin-ical disease management of all pediatric popu-lations with an emphasis on underserved chil-dren. (2) FACULTY LOAN REPAYMENT.-

(A) IN GENERAL.-A grant or contract under subsection (a)(1)(G) may be awarded to a program of general, pediatric, or public health dentistry described in such subsection to plan, develop, and operate a loan repayment program under which-

(i) individuals agree to serve full-

time as faculty members; and

(ii) the program of general, pediatric

or public health dentistry agrees to pay the

principal and interest on the outstanding

student loans of the individuals.

(B) MANNER OF PAYMENTS.-With re-spect to the payments described in subpara-graph (A)(ii), upon completion by an individual of each of the first, second, third, fourth, and fifth years of service, the program shall pay an amount equal to 10, 15, 20, 25, and 30 percent, respectively, of the individuals student loan balance as calculated based on principal and interest owed at the initiation of the agreement.

(b) ELIGIBLE ENTITY.-For purposes of this sub-section, entities eligible for such grants or contracts in general, pediatric, or public health dentistry shall include entities that have programs in dental or dental hygiene schools, or approved residency or advanced education pro-grams in the practice of general, pediatric, or public health dentistry. Eligible entities may partner with schools of public health to permit the education of dental students, residents, and dental hygiene students for a masters year in public health at a school of public health.

(c) PRIORITIES IN MAKING AWARDS.-With respect to training provided for under this section, the Secretary shall give priority in awarding grants or contracts to the following:

(1) Qualified applicants that propose collaborative projects between departments of primary care medicine and departments of general, pediatric, or public health dentistry.

(2) Qualified applicants that have a record of training the greatest percentage of providers, or that have demonstrated significant improvements in the percentage of providers, who enter and remain in general, pediatric, or public health dentistry.

(3) Qualified applicants that have a record of training individuals who are from a rural or dis-advantaged background, or from underrepresented minorities.

(4) Qualified applicants that establish formal relationships with Federally qualified health centers, rural health centers, or accredited teaching facilities and that conduct training of students, residents, fellows, or faculty at the center or facility.

(5) Qualified applicants that conduct teaching programs targeting vulnerable populations such as older adults, homeless individuals, victims of abuse or trauma, individuals with mental health or sub-stance-related disorders, individuals with disabilities, and individuals with HIV/AIDS.

(6) Qualified applicants that include educational activities in cultural competency and health literacy.

(7) Qualified applicants that provide instruction regarding the oral health status, dental care needs, and risk-based clinical disease management of all pediatric populations with an emphasis on under-served children.

(8) Qualified applicants that intend to estab-lish a special populations oral health care needs edu-cation center or training program for the didactic and clinical education of dentists, dental health pro-fessionals, and dental hygienists who plan to teach oral health care for people with developmental dis-abilities, cognitive impairment, complex medical problems, significant physical limitations, and vul-nerable elderly. (d) PREFERENCE IN MAKING AWARDS.-In making

awards of grants or contracts under this section, the Sec

retary shall give preference to any qualified applicant

that- (1) has a high rate for placing graduates in practice settings having the principal focus of serv-ing in underserved areas or health disparity popu-lations (including serving patients eligible for Med-icaid or the Childrens Health Insurance Program, or those with special health care needs); or (2) during the 2-year period before the fiscal year for which such an award is sought, has achieved a significant increase in the rate of placing graduates in such settings or graduating practi-

tioners who serve health disparity populations in

their practices.

(e) APPLICATION.-An eligible entity desiring a grant under this section shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.

(f) DURATION OF AWARD.-The period during which payments are made to an entity from an award of a grant or contract under subsection (a) shall be 5 years. The provision of such payments shall be subject to annual approval by the Secretary of the payments and subject to the availability of appropriations for the fiscal year in-volved to make the payments.

(g) AUTHORIZATIONS OF APPROPRIATIONS.-For the purpose of carrying out subsections (a) and (b), there is authorized to be appropriated $30,000,000 for fiscal year 2010 and such sums as may be necessary for each of fiscal years 2011 through 2015.

(h) CARRYOVER FUNDS.-An entity that receives an award under this section may carry over funds from 1 fis-cal year to another without obtaining approval from the Secretary. In no case may any funds be carried over pur-suant to the preceding sentence for more than 3 years..