(A) Health care professionals. (B) Representatives of institutional providers of health care. (C) Representatives of health care advocacy groups. (D) Representatives of labor unions. (E) Citizen patient advocates. (3) Terms Each member shall be appointed for a term of 6 years, except that the President shall stagger the terms of members initially appointed so that the term of no more than 3 members expires in any year. (4) Prohibition on conflicts of interest No member of the Board shall have a financial conflict of interest with the duties before the Board. (b) Duties (1) In general The Board shall meet at least twice per year and shall advise the Secretary and the Director on a regular basis to ensure quality, access, and affordability. (2) Specific issues The Board shall specifically address the following issues: (A) Access to care. (B) Quality improvement. (C) Efficiency of administration. (D) Adequacy of budget and funding. (E) Appropriateness of reimbursement levels of physicians and other providers. (F) Capital expenditure needs. (G) Long-term care. (H) Mental health and substance abuse services. (I) Staffing levels and working conditions in health care delivery facilities. (3) Establishment of universal, best quality standard of care The Board shall specifically establish a universal, best quality of standard of care with respect to— (A) appropriate staffing levels