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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H47FEF1781E5F41EB954772B47F1174B2" public-private="public"> 
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>110 HR 3619 IH: Health Care Access Improvement Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2007-09-20</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>110th CONGRESS</congress> <session>1st Session</session> 
<legis-num>H. R. 3619</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20070920">September 20, 2007</action-date> 
<action-desc><sponsor name-id="K000180">Ms. Kilpatrick</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HWM00">Committee on Ways and Means</committee-name></action-desc> 
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To amend the Internal Revenue Code of 1986 to provide a tax credit to primary health service providers who establish practices in health professional shortage areas.</official-title> 
</form> 
<legis-body id="HB9E0115F866B4C8C862D1F662BAA3D1B" style="OLC"> 
<section display-inline="no-display-inline" id="HC5467F6AE0AB483B822E07DB66B1E086" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Health Care Access Improvement Act</short-title></quote>.</text> </section> 
<section id="H06A5BEE1075B4CE1A7D2560151B65BA"><enum>2.</enum><header>Nonrefundable credit for certain primary health service providers serving health professional shortage areas</header> 
<subsection id="HF75FE338C0254413BCA4A0AF7E462909"><enum>(a)</enum><header>In general</header><text>Subpart A of part IV of subchapter A of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/26/1">chapter 1</external-xref> of the Internal Revenue Code of 1986 (relating to nonrefundable personal credits) is amended by inserting after section 25D the following new section:</text> 
<quoted-block id="HCF3A0354BC7140F5A904988B5BF3A49B" style="OLC"> 
<section id="HC9D336545D3842F196DBEEDA22EED3"><enum>25E.</enum><header>Primary health service providers serving health professional shortage areas</header> 
<subsection id="HF0E0490F2CA947FF954FD204E881EA53"><enum>(a)</enum><header>Allowance of credit</header><text>In the case of a qualified primary health service provider, there is allowed as a credit against the tax imposed by this chapter for any taxable year in a mandatory service period an amount equal to the product of—</text> 
<paragraph id="HE587027D84B14EDBAC1F063E69F8FCC9"><enum>(1)</enum><text>the lesser of—</text> 
<subparagraph id="H9144103F48D2428D84069780C6B701D8"><enum>(A)</enum><text>the number of months of such period occurring in such taxable year, or</text> </subparagraph> 
<subparagraph id="H3D560C945F3842B1A54384BF8166A20"><enum>(B)</enum><text>60 months, reduced by the number of months taken into account under this paragraph with respect to such provider for all preceding taxable years (whether or not in the same mandatory service period), multiplied by</text> </subparagraph></paragraph> 
<paragraph id="H2683A3A84EA14AE18807697400310426"><enum>(2)</enum><text>$1,000.</text> </paragraph></subsection> 
<subsection id="HAA9F07632EAC4AD683208F5BA79F33F7"><enum>(b)</enum><header>Qualified primary health service provider</header><text>For purposes of this section, the term <term>qualified primary health service provider</term> means any qualified health provider who for any month during a mandatory service period is certified by the Bureau to be a primary health service provider who—</text> 
<paragraph id="H748182B792694F0F84CA327C92DCB5D9"><enum>(1)</enum><text>is providing health services described in subsection (c)—</text> 
<subparagraph id="HB430D84ECF734C4D96B8B95F23B8D2AE"><enum>(A)</enum><text>full time, and</text> </subparagraph> 
<subparagraph id="H4E62F51A887E4FE100E7AA8E046668F"><enum>(B)</enum><text>to individuals at least 80 percent of whom reside in a health professional shortage area,</text> </subparagraph></paragraph> 
<paragraph id="HFDFF89DB4F8C4DCBBBFEE7068FE701DE"><enum>(2)</enum><text>is not receiving during such year a scholarship under the National Health Service Corps Scholarship Program or the Indian health professions scholarship program or a loan repayment under the National Health Service Corps Loan Repayment Program or the Indian Health Service Loan Repayment Program,</text> </paragraph> 
<paragraph id="H3553C035EF204D20B30808F40027AFBD"><enum>(3)</enum><text>is not fulfilling service obligations under such Programs, and</text> </paragraph> 
<paragraph id="H6F34B85FF983428BB0004CC038B08EC0"><enum>(4)</enum><text>has not defaulted on such obligations.</text> </paragraph></subsection> 
<subsection id="H5FEEDAD52032456AB6B571C0A20026D5"><enum>(c)</enum><header>Health services described</header><text display-inline="yes-display-inline">Health services described in this subsection are—</text> 
<paragraph id="HA1A1ADC578F141DEA6E97700FCF7961"><enum>(1)</enum><text display-inline="yes-display-inline">basic health services (as described in section 330(b)(1)(A)(i) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>),</text> </paragraph> 
<paragraph id="HDB5327318DD943638D8671B37446AFA1"><enum>(2)</enum><text>qualified psychologist services (as defined in section 1861(ii) of the Social Security Act), and</text> </paragraph> 
<paragraph id="H03E68AD1ACB04834966DD6265548F6DC"><enum>(3)</enum><text>clinical social worker services (as defined in section 1861(hh) of the Social Security Act.</text> </paragraph></subsection> 
<subsection id="H2216BA09E35B477A9C76A492737DB294"><enum>(d)</enum><header>Other definitions</header><text>For purposes of this section—</text> 
<paragraph id="HF6663CADB52F41C3AC386C728EF4E44B"><enum>(1)</enum><header>Qualified health provider</header><text display-inline="yes-display-inline">The term <quote>qualified health provider</quote> means a physician (as defined in section 1861(r) of the <act-name parsable-cite="SSA">Social Security Act</act-name>), a clinical psychologist (within the meaning of section 1861(ii) of such Act), and a clinical social worker (as defined in section 1861(hh)(1) of such Act).</text> </paragraph> 
<paragraph display-inline="no-display-inline" id="H5AAF8098649F4D29863691BECF3E883F"><enum>(2)</enum><header>Mandatory Service Period</header><text>The term <term>mandatory service period</term> means the period of 60 consecutive calendar months beginning with the first month the taxpayer is a qualified primary health service provider. In the case of an individual who is such a provider on the date of enactment of the Health Care Access Improvement Act, such term means the period of 60 consecutive calendar months beginning with the first month after such date.</text> </paragraph> 
<paragraph id="H4F9A85C5F8FB4488A86306CD00E9BB55"><enum>(3)</enum><header>Health professional shortage area</header><text display-inline="yes-display-inline">The term <term>health professional shortage area</term> means a health professional shortage area designated under section 332 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>.</text> </paragraph> 
<paragraph commented="no" id="HE0F070D59E2C4770B17BE1731F008E00"><enum>(4)</enum><header>Bureau</header><text display-inline="yes-display-inline">The term <term>Bureau</term> means the Bureau of Primary Health Care, Health Resources and Services Administration of the Public Health Service.</text> </paragraph></subsection> 
<subsection id="H187E9CEDE5C04F2A90EAAD17FA54687F"><enum>(e)</enum><header>Recapture of credit</header> 
<paragraph id="H91086E7E93E843F5A732EDE4195FC67"><enum>(1)</enum><header>In general</header><text>If, during any taxable year, there is a recapture event, then the tax of the taxpayer under this chapter for such taxable year shall be increased by an amount equal to the product of—</text> 
<subparagraph id="HD0203D87D13C4508B065BC4E29C2E5FA"><enum>(A)</enum><text>the applicable percentage, and</text> </subparagraph> 
<subparagraph id="H2414A27935AD4E1FB27CE36C1DE9238E"><enum>(B)</enum><text>the aggregate unrecaptured credits allowed to such taxpayer under this section for all prior taxable years.</text> </subparagraph></paragraph> 
<paragraph id="HB4ABF1E29B23459D9166C516D409164"><enum>(2)</enum><header>Applicable recapture percentage</header> 
<subparagraph id="H1114F98F2BA64CE8B4E0353F145FB539"><enum>(A)</enum><header>In general</header><text>For purposes of this subsection, the applicable recapture percentage shall be determined from the following table:</text>
<table align-to-level="section" blank-lines-before="1" colsep="0" frame="none" line-rules="no-gen" rowsep="0" rule-weights="0.0.0.0.0.0" subformat="S6211" table-template-name="Flush/hang, 1 text, 1 num, bold hds" table-type="Leaderwork"> 
<tgroup cols="2" rowsep="0"><colspec coldef="txt" colname="column1" colwidth="297pts" min-data-value="55"/><colspec coldef="fig" colname="column2" colwidth="249.75pt" min-data-value="5"/> <thead> 
<row><entry align="left" colname="column1" morerows="0" namest="column1" rowsep="0"></entry><entry align="right" colname="column2" morerows="0" namest="column2" rowsep="0"><bold>The applicable recapture</bold></entry> </row> 
<row><entry align="left" colname="column1" morerows="0" namest="column1" rowsep="0"><bold>If the recapture event occurs in:</bold></entry><entry align="right" colname="column2" morerows="0" namest="column2" rowsep="0"><bold>percentage is:</bold></entry> </row> </thead> 
<tbody> 
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Months 1–24</entry><entry align="right" colname="column2" leader-modify="clr-ldr" rowsep="0">100</entry> </row> 
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Months 25–36</entry><entry align="right" colname="column2" leader-modify="clr-ldr" rowsep="0">75</entry> </row> 
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Months 37–48</entry><entry align="right" colname="column2" leader-modify="clr-ldr" rowsep="0">50</entry> </row> 
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Months 49–60</entry><entry align="right" colname="column2" leader-modify="clr-ldr" rowsep="0">25</entry> </row> 
<row><entry align="left" colname="column1" rowsep="0" stub-definition="txt-ldr">Months 61 and thereafter</entry><entry align="right" colname="column2" leader-modify="clr-ldr" rowsep="0">0.</entry> </row> </tbody> </tgroup> </table> </subparagraph> 
<subparagraph id="H438A770CB4DE491989D8B5084DE4215C"><enum>(B)</enum><header>Timing</header><text>For purposes of subparagraph (A), month 1 shall begin on the first day of the mandatory service period.</text> </subparagraph></paragraph> 
<paragraph id="H06A11E0866514A888DBE2D5D759962C6"><enum>(3)</enum><header>Recapture event defined</header> 
<subparagraph id="HD16E3D39CE4D428EA1402F10F7FFE6BA"><enum>(A)</enum><header>In general</header><text>For purposes of this subsection, the term <term>recapture event</term> means the failure of the taxpayer to be a qualified primary health service provider for any month during any mandatory service period.</text> </subparagraph> 
<subparagraph id="H8755A313886A43BEBF29FD26CBBEF7E9"><enum>(B)</enum><header>Cessation of designation</header><text>The cessation of the designation of any area as a rural health professional shortage area after the beginning of the mandatory service period for any taxpayer shall not constitute a recapture event.</text> </subparagraph> 
<subparagraph id="HD81B360FB02B4D71A396EC9366D414F7"><enum>(C)</enum><header>Secretarial waiver</header><text>The Secretary may waive any recapture event caused by extraordinary circumstances.</text> </subparagraph></paragraph> 
<paragraph id="HCFFF2564A77A4C3D928100FF6E4CC594"><enum>(4)</enum><header>No credits against tax</header><text>Any increase in tax under this subsection shall not be treated as a tax imposed by this chapter for purposes of determining the amount of any credit under subpart A, B, or D of this part.</text> </paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block> </subsection> 
<subsection id="H5E0371A11FC24961AE87C46F50193093"><enum>(b)</enum><header>Clerical Amendment</header><text>The table of sections for subpart A of part IV of subchapter A of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/26/1">chapter 1</external-xref> of the Internal Revenue Code of 1986 is amended by inserting after the item relating to section 25D the following new item:</text> 
<quoted-block id="HDAD4BCA45A8E40389CD923F6767C46DF" style="OLC"> 
<toc regeneration="no-regeneration"> 
<toc-entry level="section">Sec. 25E. Primary health service providers serving health professional shortage areas.</toc-entry> </toc> <after-quoted-block>.</after-quoted-block></quoted-block> </subsection> 
<subsection id="HE37E577379E4464FB05B6D8E700023D3"><enum>(c)</enum><header>Effective Date</header><text>The amendments made by this section shall apply to taxable years beginning after December 31, 2007.</text> </subsection></section> 
</legis-body> 
</bill> 


