#aaf? ,,congress  #a/ ,session  ,h4 ,r4 
#fdg  ,,an ,,act  ,to am5d ! ,public    
,heal? ,s]vice ,act to increase ! numb] 
( p]man5t faculty 9 palliative c>e at   
accr$it$ allopa?ic & o/eopa?ic m$ical   
s*ools1 nurs+ s*ools1 social "w s*ools1 
& o!r programs1 includ+ physician       
assi/ant education programs1 to promote 
education & rese>* 9 palliative c>e &   
hospice1 & to support ! developm5t (    
faculty c>e]s 9 academic palliative     
m$ic9e4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,palliative ,c>e & ,hospice 
,education & ,tra9+ ,act4  #b4          
,palliative c>e & hospice education &   
tra9+  7a7 ,9 g5]al ,"p ,d ( title ,,vii
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bid et seq47 is am5d$ by     
ins]t+ aft] section #gei ! foll[+3      
#gei;,a4 ,palliative c>e & hospice      
education & tra9+  7a7 ,palliative c>e &
 hospice education c5t]s  7#a7 ,9 g5]al 
,! ,secret>y %all aw>d grants or        
contracts "u ?is section to entities    
describ$ 9 p>agraph 7#a71 7#c71 or 7#d7 

( section #gii;,b1 & section #hja7b71 = 
! e/abli%m5t or op]ation ( ,palliative  
,c>e & ,hospice ,education ,c5t]s t meet
 ! requirem5ts ( p>agraph 7#b74  7#b7   
,requirem5ts ,a ,palliative ,c>e &      
,hospice ,education ,c5t] meets !       
requirem5ts ( ?is p>agraph if su*       
,c5t]--  7,a7 improves ! int]pr(essional
 team-bas$ tra9+ ( heal? pr(essionals 9 
palliative c>e1 includ+ resid5cies1     
tra9ee%ips1 or fell[%ips2  7,b7 develops
 & dissem9ates int]pr(essional team-bas$
 curricula relat+ to ! palliative       
treatm5t ( ! complex heal? problems (   
individuals ) s]i\s or life-?reat5+     
illnesses2  7,c7 supports ! tra9+ &     
retra9+ ( faculty to provide in/ruction 
9 int]pr(essional team-bas$ palliative  
c>e2  7,d7 supports int]pr(essional     
team-bas$ cont9u+ education ( heal?     
pr(essionals :o provide palliative c>e  
to pati5ts ) s]i\s or life-?reat5+      
illness2  7,e7 provides /ud5ts 7includ+ 
resid5ts1 tra9ees1 & fell[s7 ) cl9ical  
tra9+ 9 int]pr(essional team-bas$       

palliative c>e 9 appropriate heal?      
sett+s1 includ+ hospitals1 hospices1    
home c>e1 long-t]m c>e facilities1 &    
ambulatory c>e c5t]s2  7,f7 e/abli%es   
tra9ee%ips = individuals :o are prep>+ =
 advanc$ education nurs+ degrees1 social
 "w degrees1 or advanc$ degrees 9       
physician assi/ant /udies1 ) a focus 9  
int]pr(essional team-bas$ palliative c>e
 9 appropriate heal? sett+s1 includ+    
hospitals1 hospices1 home c>e1 long-t]m 
c>e facilities1 & ambulatory c>e c5t]s2 
7,g7 supports collaboration betwe5      
multiple specialty tra9+ programs 7su* z
 m$ic9e1 nurs+1 social "w1 physician    
assi/ant1 *apla9cy1 & ph>macy7 & cl9ical
 tra9+ sites to provide tra9+ 9         
int]pr(essional team-bas$ palliative    
c>e2 &  7,h7 does n duplicate !         
activities ( exi/+ education c5t]s fund$
 "u ?is section or "u section #gec or   
#hfe4  7#c7 ,expansion ( exi/+ c5t]s    
,no?+ 9 ?is section %all be con/ru$ to--
 7,a7 prev5t ! ,secret>y f provid+      
grants to exp& exi/+ education c5t]s1   

includ+ g]iatric education c5t]s        
e/abli%$ "u section #gec or #hfe1 to    
provide = education & tra9+ focus$      
specifically on palliative c>e1 includ+ 
= non-g]iatric populations2 or  7,b7    
limit ! numb] ( education c5t]s t may be
 fund$ 9 a community4  7b7 ,palliative  
m$ic9e physician tra9+  7#a7 ,9 g5]al ,!
 ,secret>y may make grants to1 & ent]   
into contracts )1 s*ools ( m$ic9e1      
s*ools ( o/eopa?ic m$ic9e1 tea*+        
hospitals1 & graduate m$ical education  
programs = ! purpose ( provid+ support =
 projects t fund ! tra9+ ( physicians   
7includ+ resid5ts1 tra9ees1 & fell[s7 :o
 plan to tea* palliative m$ic9e4  7#b7  
,requirem5ts ,ea* project = :i* a grant 
or contract is made "u ?is subsection   
%all-- 7,a7 be /aff$ by full-"t tea*+   
physicians :o h exp]i5ce or tra9+ 9     
int]pr(essional team-bas$ palliative    
m$ic9e2  7,b7 be bas$ 9 a hospice &     
palliative m$ic9e fell[%ip program      
accr$it$ by ! ,accr$itation ,c\ncil =   
,graduate ,m$ical ,education2  7,c7     

provide tra9+ 9 int]pr(essional         
team-bas$ palliative m$ic9e ?r\gh a     
v>iety ( s]vice rotations1 su* z        
consultation s]vices1 acute c>e s]vices1
 ext5d$ c>e facilities1 ambulatory c>e &
 compreh5sive evaluation units1         
hospices1 home c>e1 & community c>e     
programs2  7,d7 develop specific        
p]=mance-bas$ measures to evaluate !    
compet5cy ( tra9ees2 &  7,e7 provide    
tra9+ 9 int]pr(essional team-bas$       
palliative m$ic9e ?r\gh "o or bo? ( !   
tra9+ options describ$ 9 p>agraph 7#c74 
7#c7 ,tra9+ options ,! tra9+ options    
ref]r$ to 9 subp>agraph 7,e7 ( p>agraph 
7#b7 are z foll[s3 7,a7 ,"o-ye> retra9+ 
programs 9 hospice & palliative m$ic9e =
 physicians :o are faculty at s*ools (  
m$ic9e & o/eopa?ic m$ic9e1 or o!rs      
det]m9$ appropriate by ! ,secret>y4     
7,b7 ,"o- or two-ye> tra9+ programs t   
are design$ to provide tra9+ 9          
int]pr(essional team-bas$ hospice &     
palliative m$ic9e = physicians :o h     
complet$ graduate m$ical education      

programs 9 any m$ical specialty lead+ to
 bo>d eligibility 9 hospice & palliative
 m$ic9e pursuant to ! ,am]ican ,bo>d (  
,m$ical ,specialties4  7#d7 ,def9itions 
,= purposes ( ?is subsection1 ! t]m     
graduate m$ical education means a       
program sponsor$ by a s*ool ( m$ic9e1 a 
s*ool ( o/eopa?ic m$ic9e1 a hospital1 or
 a public or private in/itution t--     
7,a7 (f]s po/graduate m$ical tra9+ 9 !  
specialties & subspecialties ( m$ic9e2 &
  7,b7 has be5 accr$it$ by !            
,accr$itation ,c\ncil = ,graduate       
,m$ical ,education or ! ,am]ican        
,o/eopa?ic ,association ?r\gh its       
,committee on ,po/doctoral ,tra9+4  7c7 
,palliative m$ic9e & hospice academic   
c>e] aw>ds  7#a7 ,e/abli%m5t ( program  
,! ,secret>y %all e/abli% a program to  
provide aw>ds1 to be kn[n z !           
,palliative ,m$ic9e & ,hospice ,academic
 ,c>e] ,aw>ds1 to eligible individuals  
to promote ! c>e] developm5t ( su*      
individuals z academic hospice &        
palliative c>e physicians4  7#b7        

,eligible individuals ,to be eligible to
 receive an aw>d "u p>agraph 7#a71 an   
individual %all--  7,a7 be bo>d c]tifi$ 
or bo>d eligible 9 hospice & palliative 
m$ic9e2 &  7,b7 h a junior 7non-t5ur$7  
faculty appo9tm5t at an accr$it$ 7z     
det]m9$ by ! ,secret>y7 s*ool ( m$ic9e  
or o/eopa?ic m$ic9e4  7#c7 ,limitations 
,no aw>d "u p>agraph 7#a7 may be made to
 an eligible individual unless !        
individual-- 7,a7 has submitt$ to !     
,secret>y an application1 at su* "t1 9  
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 & ! ,secret>y has
 approv$ su* application2  7,b7         
provides1 9 su* =m & mann] z ! ,secret>y
 may require1 assurances t ! individual 
w meet ! s]vice requirem5t describ$ 9   
p>agraph 7#f72 &  7,c7 provides1 9 su*  
=m & mann] z ! ,secret>y may require1   
assurances t ! individual has a full-"t 
faculty appo9tm5t 9 a heal? pr(essions  
in/itution & docum5t$ commitm5t f su*   
in/itution to sp5d a majority ( ! total 
fund$ "t ( su* individual on tea*+ &    

develop+ skills 9 education 9           
int]pr(essional team-bas$ palliative    
c>e4  7#d7 ,ma9t5ance ( ef=t ,an        
eligible individual :o receives an aw>d 
"u p>agraph 7#a7 %all provide assurances
 to ! ,secret>y t funds provid$ to !    
eligible individual "u ?is subsection w 
be us$ only to supplem5t1 n to supplant1
 ! am\nt ( ,f$]al1 ,/ate1 & local funds 
o!rwise exp5d$ by ! eligible individual4
  7#e7 ,am\nt & t]m  7,a7 ,am\nt ,!     
am\nt ( an aw>d "u ?is subsection %all  
be equal to ! aw>d am\nt provid$ = "u   
section #gec7;c77#e77;,a7 = ! fiscal ye>
 involv$4  7,b7 ,t]m ,! t]m ( an aw>d   
made "u ?is subsection %all n exce$ #e  
ye>s4  7,c7 ,paym5t to in/itution ,!    
,secret>y %all make paym5ts = aw>ds "u  
?is subsection to in/itutions1 includ+  
s*ools ( m$ic9e & o/eopa?ic m$ic9e4     
7#f7 ,s]vice requirem5t ,an individual  
:o receives an aw>d "u ?is subsection   
%all provide tra9+ 9 palliative c>e &   
hospice1 includ+ ! tra9+ (              
int]pr(essional teams ( heal? c>e       

pr(essionals4 ,! provision ( su* tra9+  
%all con/itute a majority ( ! total     
fund$ obligations ( su* individual "u ! 
aw>d4  7d7 ,palliative c>e work=ce      
developm5t  7#a7 ,9 g5]al ,! ,secret>y  
%all aw>d grants or contracts "u ?is    
subsection to entities t op]ate a       
,palliative ,c>e & ,hospice ,education  
,c5t] pursuant to subsection 7a77#a74   
7#b7 ,application ,to be eligible = an  
aw>d "u p>agraph 7#a71 an entity        
describ$ 9 su* p>agraph %all submit to !
 ,secret>y an application at su* "t1 9  
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7 ,use (     
funds ,am\nts aw>d$ "u a grant or       
contract "u p>agraph 7#a7 %all be us$ to
 c>ry out ! fell[%ip program describ$ 9 
p>agraph 7#d74  7#d7 ,fell[%ip program  
7,a7 ,9 g5]al ,pursuant to p>agraph     
7#c71 a ,palliative ,c>e & ,hospice     
,education ,c5t] t receives an aw>d "u  
?is subsection %all use su* funds to (f]
 %ort-t]m int5sive c\rses 7ref]r$ to 9  
?is subsection z a fell[%ip7 t focus on 

int]pr(essional team-bas$ palliative c>e
 t provide supplem5tal tra9+ = faculty  
memb]s 9 m$ical s*ools & o!r heal?      
pr(essions s*ools ) programs 9          
psy*ology1 ph>macy1 nurs+1 social "w1   
physician assi/ant education1 *apla9cy1 
or o!r heal? discipl9es1 z approv$ by ! 
,secret>y4 ,su* a fell[%ip %all be op5  
to curr5t faculty1 & appropriately      
cr$5tial$ volunte] faculty &            
practition]s1 :o d n h =mal tra9+ 9     
palliative c>e1 to upgrade _! k &       
cl9ical skills = ! c>e ( individuals )  
s]i\s or life-?reat5+ illness & to      
enhance _! int]discipl9>y &             
int]pr(essional tea*+ skills4  7,b7     
,location ,a fell[%ip "u ?is p>agraph   
%all be (f]$ ei!r at ! ,palliative ,c>e 
& ,hospice ,education ,c5t] t is        
sponsor+ ! c\rse1 9 collaboration ) o!r 
,palliative ,c>e & ,hospice ,education  
,c5t]s1 or at m$ical s*ools1 s*ools (   
nurs+1 s*ools ( ph>macy1 s*ools ( social
 "w1 s*ools ( *apla9cy or pa/oral c>e   
education1 graduate programs 9          

psy*ology1 physician assi/ant education 
programs1 or o!r heal? pr(essions s*ools
 approv$ by ! ,secret>y ) :i* ! ,c5t]s  
are affiliat$4  7,c7 ,cont9u+ education 
cr$it ,p>ticipation 9 a fell[%ip "u ?is 
p>agraph %all be accept$ ) respect to   
comply+ ) cont9u+ heal? pr(ession       
education requirem5ts4 ,z a condition ( 
su* acceptance1 ! recipi5t %all         
subsequ5tly provide a m9imum ( #ah h\rs 
( volunt>y in/ruction 9 palliative c>e  
cont5t 7t has be5 approv$ by a          
palliative c>e & hospice education c5t]7
 to /ud5ts or tra9ees 9 heal?-relat$    
educational1 home1 hospice1 or long-t]m 
c>e sett+s4  7#e7 ,t>gets ,a ,palliative
 ,c>e & ,hospice ,education ,c5t] t     
receives an aw>d "u p>agraph 7#a7 %all  
meet t>gets approv$ by ! ,secret>y =    
provid+ tra9+ 9 int]pr(essional         
team-bas$ palliative c>e to a c]ta9     
numb] ( faculty or practition]s dur+ !  
t]m ( ! aw>d1 z well z o!r p>amet]s     
e/abli%$ by ! ,secret>y4  7#f7 ,am\nt ( 
aw>d ,ea* aw>d "u p>agraph 7#a7 %all be 

9 ! am\nt ( #aej1jjj4 ,n m ?an #bd      
,palliative ,c>e & ,hospice ,education  
,c5t]s may receive an aw>d "u su*       
p>agraph4  7#g7 ,ma9t5ance ( ef=t ,a    
,palliative ,c>e & ,hospice ,education  
,c5t] t receives an aw>d "u p>agraph    
7#a7 %all provide assurances to !       
,secret>y t funds provid$ to ! ,c5t] "u 
! aw>d w be us$ only to supplem5t1 n to 
supplant1 ! am\nt ( ,f$]al1 ,/ate1 &    
local funds o!rwise exp5d$ by su* ,c5t]4
  7e7 ,palliative c>e & hospice c>e]    
inc5tive aw>ds  7#a7 ,9 g5]al ,!        
,secret>y %all aw>d grants or contracts 
"u ?is subsection to individuals        
describ$ 9 p>agraph 7#b7 to fo/] great] 
int]e/ among a v>iety ( heal?           
pr(essionals 9 ent]+ ! field (          
palliative c>e4  7#b7 ,eligible         
individuals ,to be eligible to receive  
an aw>d "u p>agraph 7#a71 an individual 
%all--  7,a7 be an advanc$ practice     
nurse1 a social work]1 physician        
assi/ant1 ph>maci/1 *apla91 or /ud5t (  
psy*ology :o is pursu+ a doctorate1     

ma/]s1 or o!r advanc$ degree ) a focus 9
 int]pr(essional team-bas$ palliative   
c>e or relat$ fields 9 an accr$it$ heal?
 pr(essions s*ool2 &  7,b7 submit to !  
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7 ,conditions
 ( aw>d ,z a condition ( receiv+ an aw>d
 "u p>agraph 7#a71 an individual %all   
agree t1 foll[+ completion ( ! aw>d     
p]iod1 ! individual w tea* or practice  
palliative c>e 9 heal?-relat$           
educational1 home1 hospice1 or long-t]m 
c>e sett+s = a m9imum ( #e ye>s "u      
guidel9es e/abli%$ by ! ,secret>y4  7#d7
 ,paym5t to in/itution ,! ,secret>y %all
 make paym5ts = aw>ds "u p>agraph 7#a7  
to in/itutions t include s*ools (       
m$ic9e1 o/eopa?ic m$ic9e1 nurs+1 social 
"w1 psy*ology1 *apla9cy or pa/oral c>e  
education1 d5ti/ry1 & ph>macy1 or o!r   
alli$ heal? discipl9e 9 an accr$it$     
heal? pr(essions s*ool or program 7su* z
 a physician assi/ant education program7
 t is approv$ by ! ,secret>y4  7f7      

,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #ae1jjj1jjj = ea* ( !      
fiscal ye>s #bjbj ?r\gh #bjbd4  4  7b7  
,effective date ,! am5dm5t made by ?is  
section %all be effective beg9n+ on !   
date t is #ij days aft] ! date (        
enactm5t ( ?is ,act4  #c4 ,hospice &    
palliative nurs+  7a7 ,nurse education1 
practice1 & quality grants ,section     
#hca7;b77#c7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bifp7b77#c77 is    
am5d$ by ins]t+ hospice & palliative    
nurs+1 aft] coord9at$ c>e14  7b7        
,palliative c>e & hospice education &   
tra9+ programs ,"p ,d ( title ,,viii ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bifp et seq47 is am5d$ by    
add+ at ! end ! foll[+3  #hcb4          
,palliative c>e & hospice education &   
tra9+  7a7 ,program au?oriz$ ,!         
,secret>y %all aw>d grants to eligible  
entities to develop & implem5t1 9       
coord9ation ) programs "u section       
#gei;,a1 programs & initiatives to tra9 

& educate individuals 9 provid+         
int]pr(essional team-bas$ palliative c>e
 9 heal?-relat$ educational1 hospital1  
hospice1 home1 or long-t]m c>e sett+s4  
7b7 ,use ( funds ,an eligible entity t  
receives a grant "u subsection 7a7 %all 
use funds "u su* grant to--  7#a7       
provide tra9+ to individuals :o w       
provide palliative c>e 9 heal?-relat$   
educational1 hospital1 home1 hospice1 or
 long-t]m c>e sett+s2  7#b7 develop &   
dissem9ate curricula relat+ to          
palliative c>e 9 heal?-relat$           
educational1 hospital1 home1 hospice1 or
 long-t]m c>e sett+s2  7#c7 tra9 faculty
 memb]s 9 palliative c>e 9 heal?-relat$ 
educational1 hospital1 home1 hospice1 or
 long-t]m c>e sett+s2 or  7#d7 provide  
cont9u+ education to individuals :o     
provide palliative c>e 9 heal?-relat$   
educational1 home1 hospice1 or long-t]m 
c>e sett+s4  7c7 ,application ,an       
eligible entity desir+ a grant "u       
subsection 7a7 %all submit an           
application to ! ,secret>y at su* "t1 9 

su* mann]1 & conta9+ su* in=mation z !  
,secret>y may reasonably require4  7d7  
,eligible entity ,= purposes ( ?is      
section1 ! t]m eligible entity %all     
include a s*ool ( nurs+1 a heal? c>e    
facility1 a program lead+ to            
c]tification z a c]tifi$ nurse assi/ant1
 a p>tn]%ip ( su* a s*ool & facility1 or
 a p>tn]%ip ( su* a program & facility4 
7e7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section #e1jjj1jjj = ea* (      
fiscal ye>s #bjbj ?r\gh #bjbd4  4  #d4  
,dissem9ation ( palliative c>e in=mation
 ,"p ,a ( title ,,ix ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bii et     
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #ijd4 ,dissem9ation (    
palliative c>e in=mation  7a7 ,9 g5]al  
,"u ! au?ority "u section #ijb7;a7 to   
dissem9ate in=mation on heal? c>e & on  
sy/ems = ! deliv]y ( su* c>e1 !         
,director may dissem9ate in=mation to   
in=m pati5ts1 families1 & heal?         
pr(essionals ab\t ! b5efits ( palliative

 c>e ?r\gh\t ! cont9uum ( c>e = pati5ts 
) s]i\s or life-?reat5+ illness4  7b7   
,in=mation dissem9at$  7#a7 ,m&atory    
in=mation ,if ! ,director elects to     
dissem9ate in=mation "u subsection 7a71 
su* dissem9ation %all include ! foll[+3 
7,a7 ,palliative c>e ,in=mation1        
res\rces1 & communication mat]ials ab\t 
palliative c>e z an ess5tial "p ( !     
cont9uum ( quality c>e = pati5ts &      
families fac+ s]i\s or life-?reat5+     
illness 7includ+ canc]2 he>t1 kidney1   
liv]1 lung1 & infecti\s diseases2 z well
 z neurodeg5]ative disease su* z        
dem5tia1 ,p>k9son's disease1 or         
amyotrophic lat]al scl]osis74  7,b7     
,palliative c>e s]vices ,specific       
in=mation reg>d+ ! s]vices provid$ to   
pati5ts by pr(essionals tra9$ 9 hospice 
& palliative c>e1 includ+ pa9 & symptom 
managem5t1 support = %>$ decisionmak+1  
c>e coord9ation1 psy*osocial c>e1 &     
spiritual c>e1 expla9+ t su* s]vices may
 be provid$ />t+ at ! po9t ( diagnosis &
 alongside curative treatm5t & are      

int5d$ to--  7i7 provide pati5t-c5t]$ & 
family-c5t]$ support ?r\gh\t ! cont9uum 
( c>e = s]i\s & life-?reat5+ illness2   
7ii7 anticipate1 prev5t1 & treat        
physical1 emotional1 social1 & spiritual
 suff]+2  7iii7 optimize quality ( life2
 &  7iv7 facilitate & support ! goals & 
values ( pati5ts & families4  7,c7      
,palliative c>e pr(essionals ,specific  
mat]ials t expla9 ! role ( pr(essionals 
tra9$ 9 hospice & palliative c>e 9      
provid+ team-bas$ c>e 7includ+ pa9 &    
symptom managem5t1 support = %>$        
decisionmak+1 c>e coord9ation1          
psy*osocial c>e1 & spiritual c>e7 =     
pati5ts & families ?r\gh\t ! cont9uum ( 
c>e = s]i\s or life-?reat5+ illness4    
7,d7 ,rese>* ,evid5ce-bas$ rese>*       
demon/rat+ ! b5efits ( pati5t access to 
palliative c>e ?r\gh\t ! cont9uum ( c>e 
= s]i\s or life-?reat5+ illness4  7,e7  
,population-specific mat]ials ,mat]ials 
t>get+ specific populations1 includ+    
pati5ts ) s]i\s or life-?reat5+ illness 
:o are among m$ically und]s]v$          

populations 7z def9$ 9 section          
#ccj7;b77#c77 & families ( su* pati5ts  
or heal? pr(essionals s]v+ m$ically     
und]s]v$ populations4 ,su* populations  
%all include p$iatric pati5ts1 "y adult 
& adolesc5t pati5ts1 racial & e?nic     
m9ority populations1 & o!r priority     
populations specifi$ by ! ,director4    
7#b7 ,requir$ publication ,in=mation &  
mat]ials dissem9at$ "u p>agraph 7#a7    
%all be po/$ on ! ,int]net websites (   
relevant ,f$]al ag5cies & dep>tm5ts1    
includ+ ! ,dep>tm5t ( ,vet]ans ,affairs1
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 
& ! ,adm9i/ration on ,ag+4  7c7         
,consultation ,! ,director %all consult 
) appropriate pr(essional societies1    
hospice & palliative c>e /akehold]s1 &  
relevant pati5t advocate organizations )
 respect to palliative c>e1 psy*osocial 
c>e1 & complex *ronic illness ) respect 
to ! foll[+3 7#a7 ,! plann+ &           
implem5tation ( ! dissem9ation (        
palliative c>e in=mation "u ?is section4
  7#b7 ,! developm5t ( in=mation to be  

dissem9at$ "u ?is section4  7#c7 ,a     
def9ition ( ! t]m s]i\s or life-?reat5+ 
illness = purposes ( ?is section4  4    
#e4 ,cl>ification ,none ( ! funds       
au?oriz$ "u ?is ,act 7or an am5dm5t made
 by ?is ,act7 may be us$ to provide1    
promote1 or provide tra9+ ) reg>d to any
 item or s]vice = :i* ,f$]al fund+ is   
unavailable "u section #c ( ,public ,law
 #aje-ab 7#db ,u4,s4,c4 #addjb74  #f4   
,enhanc+ ,,nih rese>* 9 palliative c>e  
7a7 ,9 g5]al ,"p ,b ( title ,,iv ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhd et seq47 is am5d$ by add+
 at ! end ! foll[+ new section3  #dji,k4
 ,enhanc+ rese>* 9 palliative c>e ,!    
,secret>y1 act+ ?r\gh ! ,director ( !   
,national ,in/itutes ( ,heal?1 %all     
develop & implem5t a /rategy to be      
appli$ across ! in/itutes & c5t]s ( !   
,national ,in/itutes ( ,heal? to exp& & 
int5sify national rese>* programs 9     
palliative c>e 9 ord] to address !      
quality ( c>e & quality ( life = !      
rapidly gr[+ population ( pati5ts 9 !   

,unit$ ,/ates ) s]i\s or life-?reat5+   
illnesses1 includ+ canc]2 he>t1 kidney1 
liv]1 lung1 & infecti\s diseases2 z well
 z neurodeg5]ative diseases su* z       
dem5tia1 ,p>k9son's disease1 or         
amyotrophic lat]al scl]osis4  4  7b7    
,exp&+ trans-,,nih rese>* report+ ,to   
include palliative c>e rese>* ,section  
#djb;,a7c77#b77;,b7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bhb;a7c77#b77;,b77 is am5d$ by ins]t+  
&1 beg9n+ ,janu>y #a1 #bjbj1 = conduct+ 
or support+ rese>* ) respect to         
palliative c>e aft] or national c5t]s4  
,pass$ ! ,h\se ( ,repres5tatives ,octob]
 #bh1 #bjai4;,cl]k4