Page:United States Statutes at Large Volume 124.djvu/677

 124 STAT. 651 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(i) assist primary care providers to implement a patient-centered medical home to improve the acces- sibility, quality, and efficiency of primary care services, including health homes; ‘‘(ii) develop and support primary care learning communities to enhance the dissemination of research findings for evidence-based practice, assess implementation of practice improvement, share best practices, and involve community clinicians in the generation of new knowledge and identification of important questions for research; ‘‘(iii) participate in a national network of Primary Care Extension Hubs and propose how the Primary Care Extension Agency will share and disseminate les- sons learned and best practices; and ‘‘(iv) develop a plan for financial sustainability involving State, local, and private contributions, to pro- vide for the reduction in Federal funds that is expected after an initial 6-year period of program establishment, infrastructure development, and planning. ‘‘(B) DISCRETIONARY ACTIVITIES.—Primary Care Exten- sion Agencies established by a Hub under paragraph (1) may— ‘‘(i) provide technical assistance, training, and organizational support for community health teams established under section 3602 of the Patient Protec- tion and Affordable Care Act; ‘‘(ii) collect data and provision of primary care provider feedback from standardized measurements of processes and outcomes to aid in continuous perform- ance improvement; ‘‘(iii) collaborate with local health departments, community health centers, tribes and tribal entities, and other community agencies to identify community health priorities and local health workforce needs, and participate in community-based efforts to address the social and primary determinants of health, strengthen the local primary care workforce, and eliminate health disparities; ‘‘(iv) develop measures to monitor the impact of the proposed program on the health of practice enrollees and of the wider community served; and ‘‘(v) participate in other activities, as determined appropriate by the Secretary. ‘‘(d) FEDERAL PROGRAM ADMINISTRATION.— ‘‘(1) GRANTS; TYPES.—Grants awarded under subsection (b) shall be— ‘‘(A) program grants, that are awarded to State or multistate entities that submit fully-developed plans for the implementation of a Hub, for a period of 6 years; or ‘‘(B) planning grants, that are awarded to State or multistate entities with the goal of developing a plan for a Hub, for a period of 2 years. ‘‘(2) APPLICATIONS.—To be eligible for a grant under sub- section (b), a State or multistate entity shall submit to the Plans.