S.Amdt. 2873

SA 2873. Mr. BROWN submitted an amendment intended to be proposed to
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr.
Dodd, and Mr. Harkin) to the bill 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; which was ordered to lie on the
table; as follows:

Beginning on page 1390, strike line 25 and all that follows
through line 21 on page 1393, and insert the following:
``(4) to identify and refer underserved populations to
appropriate healthcare agencies and community-based programs
and organizations in order to increase access to quality
healthcare services and to eliminate duplicative care; or
``(5) to educate, guide, and provide home visitation
services regarding maternal health and prenatal care.
``(c) Application.--Each eligible entity that desires to
receive a grant under subsection (a) shall submit an
application to the Secretary, at such time, in such manner,
and accompanied by such information as the Secretary may
require.
``(d) Priority.--In awarding grants under subsection (a),
the Secretary shall give priority to applicants that--
``(1) propose to target geographic areas--
``(A) with a high percentage of residents who are eligible
for health insurance but are uninsured or underinsured;
``(B) with a high percentage of residents who suffer from
chronic diseases; or
``(C) with a high infant mortality rate;
``(2) have experience in providing health or health-related
social services to individuals who are underserved with
respect to such services; and
``(3) have documented community activity and experience
with community health workers.
``(e) Collaboration With Academic Institutions and the One-
Stop Delivery System.--The Secretary shall encourage
community health worker programs receiving funds under this
section to collaborate with academic institutions and one-
stop delivery systems under section 134(c) of the Workforce
Investment Act of 1998. Nothing in this section shall be
construed to require such collaboration.
``(f) Evidence-Based Interventions.--The Secretary shall
encourage community health worker programs receiving funding
under this section to implement a process or an outcome-based
payment system that rewards community health workers for
connecting underserved populations with the most appropriate
services at the most appropriate time. Nothing in this
section shall be construed to require such a payment.
``(g) Quality Assurance and Cost Effectiveness.--The
Secretary shall establish guidelines for assuring the quality
of the training and supervision of community health workers
under the programs funded under this section and for assuring
the cost-effectiveness of such programs.
``(h) Monitoring.--The Secretary shall monitor community
health worker programs identified in approved applications
under this section and shall determine whether such programs
are in compliance with the guidelines established under
subsection (g).
``(i) Technical Assistance.--The Secretary may provide
technical assistance to community health worker programs
identified in approved applications under this section with
respect to planning, developing, and operating programs under
the grant.
``(j) Authorization of Appropriations.--There are
authorized to be appropriated, such sums as may be necessary
to carry out this section for each of fiscal years 2010
through 2014.
``(k) Definitions.--In this section:
``(1) Community health worker.--The term `community health
worker' means an individual who promotes health or nutrition
within the community in which the individual resides--
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