text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Community Health Improvement 
  Councils Act of 2010''.
  
  SEC. 2. COMMUNITY HEALTH IMPROVEMENT COUNCILS AND STATE HEALTH 
                IMPROVEMENT TECHNICAL ASSISTANCE CENTER GRANTS.
  
      Part P of title III of the Public Health Service Act (42 U.S.C. 
  280g et seq.) is amended by adding at the end the following:
  
  ``SEC. 399V-5. COMMUNITY HEALTH IMPROVEMENT COUNCILS AND STATE HEALTH 
                IMPROVEMENT TECHNICAL ASSISTANCE CENTER GRANTS.
  
      ``(a) In General.--The Secretary shall establish a program for the 
  creation of State Health Improvement Technical Assistance Centers and 
  Community Health Improvement Councils.
      ``(b) State Health Improvement Technical Assistance Center Grant 
  Program.--
              ``(1) In general.--The Secretary shall award grants, on a 
          competitive basis, to 5 eligible entities for the purpose of 
          establishing State Health Improvement Technical Assistance 
          Centers designed to--
                      ``(A) improve individual and community health 
                  status, especially in communities and regions with poor 
                  health status performance;
                      ``(B) slow annual growth in health care utilization 
                  and medical spending;
                      ``(C) coordinate best practices among networks of 
                  local coalitions that result in accelerated locally 
                  driven issue identification and creative ways to align 
                  improvement efforts with payment reforms;
                      ``(D) partner with the Agency for Healthcare 
                  Research and Quality to design and produce the annual 
                  report of such agency on health care quality;
                      ``(E) serve as a resource to communities to provide 
                  assistance in identifying reliable national resources 
                  and research tools to promote health, improve health 
                  literacy, and accelerate the diffusion of innovations 
                  to improve health outcomes;
                      ``(F) partner with organizations to design and 
                  implement locally driven payment innovations to improve 
                  quality and productivity; and
                      ``(G) educate State policymakers on the benefits of 
                  locally driven community health improvement councils 
                  that engage community stakeholders, including small 
                  businesses, local governments, faith leaders, civic 
                  leaders, and consumer advocacy representatives.
              ``(2) Eligibility.--
                      ``(A) In general.--To be eligible to receive a 
                  grant under this subsection, an entity shall be--
                              ``(i) a private nonprofit entity with a 
                          governing board comprised of \1/4\ consumer, 
                          faith, minority, nonprofit and charitable 
                          organization, philanthropic, and civic leaders; 
                          \1/4\ purchasers of care, including employers, 
                          unions, and insurers; \1/4\ local government 
                          officials, including mayors, county 
                          commissioners, State legislators, and public 
                          health officials; and \1/4\ private health care 
                          leaders and experts; or
                              ``(ii) a consortium of 2 or more of the 
                          nonprofit entities described in clause (i).
                      ``(B) Preferences.--In awarding grants under this 
                  section, the Secretary shall give preference to 
                  entities that--
                              ``(i) demonstrate the capacity to attract 
                          private sector or local government funding to 
                          ensure fiscal sustainability;
                              ``(ii) address significant health 
                          disparities, including those identified by the 
                          Secretary through other Federal programs;
                              ``(iii) demonstrate coordination or 
                          collaboration across governmental and 
                          nongovernmental sectors;
                              ``(iv) are committed to promoting full 
                          transparency of all deliberations of the 
                          Technical Assistance Centers and Community 
                          Health Improvement Councils; and
                              ``(v) are independent from government and 
                          the financial self-interest of healthcare and 
                          purchasers stakeholders.
              ``(3) Activities.--Each Technical Assistance Center 
          established through a grant awarded under this subsection 
          shall--
                      ``(A) establish up to 4 Community Health 
                  Improvement Councils, as described in subsection (c);
                      ``(B) provide technical assistance to such 
                  councils, including community organizing, public 
                  relations, communications, and public education 
                  services, computer networking, grants development, 
                  system performance monitoring, opinion surveys, data 
                  management, community meeting facilitation, and 
                  strategic planning;
                      ``(C) partner with Federal, State, and local health 
                  agencies, such as area health education centers, the 
                  Agency for Healthcare Research and Quality, public 
                  health departments, and insurance exchanges; and
                      ``(D) deliver an annual performance report to the 
                  Secretary and the nonprofit entity receiving the grant, 
                  containing data regarding improvements in local and 
                  State health status, clinical outcomes, reductions in 
                  medical spending growth, and health care disparities.
              ``(4) Funding.--
                      ``(A) In general.--Each Technical Assistance Center 
                  established under a grant awarded under this subsection 
                  shall receive an award in an amount determined by the 
                  Secretary, but not to exceed $1,500,000 per year for 3 
                  years.
                      ``(B) Use of funds.--Each such Technical Assistance 
                  Center shall allocate 80 percent of the total amount 
                  awarded each year to the Community Health Improvement 
                  Councils established by such recipient under paragraph 
                  (3)(B).
      ``(c) Community Health Improvement Councils.--In this section, 
  `Community Health Improvement Council' means a locally driven, private 
  nonprofit entity that serves as the neutral convener for engaging 
  providers and insurers, that fully engages patients and citizens in 
  coordinating and improving the health care delivery system through 
  community-wide education programs to promote healthier lifestyles, 
  improve local or regional health status, clinical outcomes, and 
  reductions in the growth in medical spending and health disparities 
  through any of the following approaches:
              ``(1) Promotion of wellness, prevention and expanded public 
          health and consumer education efforts.
              ``(2) Enhancement of the care delivery experience through 
          local health system infrastructure and care redesign changes 
          such as the primary care medical home, accelerated information 
          exchange implementation, community-wide chronic disease 
          management programs, and all-payer evidence-based clinical 
          protocols.
              ``(3) Alignment of provider and consumer financial 
          incentives through accelerated payer experiments with non-fee-
          for-service payment arrangements and innovative consumer 
          incentives built into the benefits design of health plans.
              ``(4) Restructuring of local health care governance, such 
          as--
                      ``(A) formation of accountable care teams across 
                  medical practices and institutions;
                      ``(B) integration of primary care and public 
                  health; and
                      ``(C) integration of doctors and hospitals.
              ``(5) Track, document, and make publicly available, in a 
          transparent manner, system performance and improvement.
      ``(d) Report.--The Secretary shall submit to Congress an annual 
  report on the grant program under this section, including both local 
  and State progress toward improvement of health status, clinical 
  outcomes, and reductions in the growth of medical spending.''.
target: Community Health Improvement Councils Act of 2010 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to establish a program for the creation of State Health Improvement Technical Assistance Centers and Community Health Improvement Councils to improve community health through local innovation. Defines "Community Health Improvement Council" to mean a locally driven, private, nonprofit entity that serves as the neutral convener for engaging providers and insurers and that fully engages patients and citizens in coordinating and improving the health care delivery system through community-wide education programs to promote healthier lifestyles, improve local or regional health status, clinical outcomes, and reductions in the growth in medical spending and health disparities through various approaches.
  
  Requires the Secretary to award competitive grants to five eligible entities to establish State Health Improvement Technical Assistance Centers, each of which shall: (1) establish up to four Community Health Improvement Councils; (2) provide technical assistance to such Councils; and (3) report on improvements in local and state health status, clinical outcomes, reductions in medical spending growth, and health care disparities.
  
  Requires the Secretary, in awarding grants, to give preference to entities that: (1) demonstrate the capacity to attract private sector or local government funding to ensure fiscal sustainability; (2) address significant health disparities; (3) demonstrate coordination or collaboration across governmental and nongovernmental sectors; (4) are committed to promoting full transparency of all deliberations of the Technical Assistance Centers and Community Health Improvement Councils; and (5) are independent from government and the financial self-interest of health care and purchasers stakeholders.
feat_title: A bill to establish community health improvement councils and State health improvement technical assistance center grants.