[Congressional Record Volume 163, Number 127 (Thursday, July 27, 2017)]
[Senate]
[Pages S4565-S4566]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 617. Mr. SANDERS submitted an amendment intended to be proposed by
him to the bill H.R. 1628, to provide for reconciliation pursuant to
title II of the concurrent resolution on the budget for fiscal year
2017; which was ordered to lie on the table; as follows:
At the appropriate place, insert the following:
TITLE __--COMMUNITY HEALTH CENTERS
SEC. _01. SHORT TITLE.
This title may be cited as the ``Community Health Center
and Primary Care Workforce Expansion Act of 2017''.
SEC. _02. COMMUNITY HEALTH CENTER PROGRAM.
(a) In General.--Section 10503(b)(1) of the Patient
Protection and Affordable Care Act (42 U.S.C. 254b- 2(b)(1))
is amended--
(1) in subparagraph (D), by striking ``and'' at the end;
(2) in subparagraph (E), by striking the period; and
(3) by adding at the end the following:
``(F) $5,110,000,000 for fiscal year 2018;
``(G) $5,410,000,000 for fiscal year 2019;
``(H) $5,790,000,000 for fiscal year 2020;
``(I) $6,620,000,000 for fiscal year 2021;
``(J) $7,510,000,000 for fiscal year 2022;
``(K) $8,460,000,000 for fiscal year 2023;
``(L) $9,490,000,000 for fiscal year 2024;
[[Page S4566]]
``(M) $10,590,000,000 for fiscal year 2025;
``(N) $11,780,000,000 for fiscal year 2026;
``(O) $12,500,000,000 for fiscal year 2027; and
``(P) for fiscal year 2028, and each subsequent fiscal
year, the amount appropriated for the preceding fiscal year
adjusted by the product of--
``(i) one plus the average percentage increase in costs
incurred per patient served; and
``(ii) one plus the average percentage increase in the
total number of patients served.''.
(b) Capital Projects.--In addition to amounts otherwise
appropriated under section 10503(b) of the Patient Protection
and Affordable Care Act (42 U.S.C. 254b- 2(b)(1)), there is
authorized to be appropriated, and there is appropriated, for
the community health centers program under section 330 of the
Public Health Service Act (42 U.S.C. 254b) for capital
projects, $18,600,000,000 for fiscal year 2017.
(c) Limitation.--Amounts otherwise appropriated for
community health centers may not be reduced as a result of
the appropriations made under this section.
(d) Availability of Funds.--Amounts appropriated under this
section shall remain available until expended.
SEC. _03. NATIONAL HEALTH SERVICE CORPS.
(a) In General.--Section 10503(b)(2) of the Patient
Protection and Affordable Care Act (42 U.S.C. 254b- 2(b)(2))
is amended--
(1) in subparagraph (D), by striking ``and'' at the end;
(2) in subparagraph (E), by striking the period; and
(3) by adding at the end the following:
``(F) $850,000,000 for fiscal year 2018;
``(G) $893,000,000 for fiscal year 2019;
``(H) $938,000,000 for fiscal year 2020;
``(I) $985,000,000 for fiscal year 2021;
``(J) $1,030,000,000 for fiscal year 2022;
``(K) $1,090,000,000 for fiscal year 2023;
``(L) $1,100,000,000 for fiscal year 2024;
``(M) $1,200,000,000 for fiscal year 2025;
``(N) $1,300,000,000 for fiscal year 2026;
``(O) $1,500,000,000 for fiscal year 2027; and
``(P) for fiscal year 2028, and each subsequent fiscal
year, the amount appropriated for the preceding fiscal year
adjusted by the product of--
``(i) one plus the average percentage increase in the costs
of health professions education during the prior fiscal year;
and
``(ii) one plus the average percentage change in the number
of individuals residing in health professions shortage areas
designated under section 333 of the Public Health Service Act
during the prior fiscal year, relative to the number of
individuals residing in such areas during the previous fiscal
year.''.
(b) Limitation.--Amounts otherwise appropriated for
National Health Service Corps may not be reduced as a result
of the appropriations made under this section.
(c) Availability of Funds.--Amounts appropriated under this
section shall remain available until expended.
SEC. _04. TEACHING HEALTH CENTERS.
(a) In General.--Section 340H(g) of the Public Health
Service Act (42 U.S.C. 256h(g)) is amended--
(1) by striking ``2015 and'' and inserting ``2015,''; and
(2) by striking the period and inserting ``, $176,000,000
for fiscal years 2018 and 2019, $184,000,000 for fiscal year
2020, $194,000,000 for fiscal year 2021, $203,000,000 for
fiscal year 2022, $214,000,000 for fiscal year 2023,
$224,000,000 for fiscal year 2024, $235,000,000 for fiscal
year 2025, $247,000,000 for fiscal year 2026, $260,000,000
for fiscal year 2027, and for fiscal year 2028, and each
subsequent fiscal year, the amount appropriated for the
preceding fiscal year adjusted by the greater of the annual
percentage increase in the medical care component of the
consumer price index for all urban consumers (U.S. city
average) as rounded up in an appropriate manner, or the
percentage increase for the fiscal year involved under
section 2(a)(11).''.
(b) Limitation.--Amounts otherwise appropriated for
Teaching Health Centers may not be reduced as a result of the
appropriations made under this section.
(c) Availability of Funds.--Amounts appropriated under this
section shall remain available until expended.
SEC. _05. NURSE PRACTITIONER RESIDENCY TRAINING PROGRAMS.
(a) In General.--Section 5316 of the Patient Protection and
Affordable Care Act is amended by striking subsection (i) and
inserting the following:
``(i) Appropriations.--In addition to amounts otherwise
appropriated, there is authorized to be appropriated, and
there is appropriated to carry out this section--
``(1) $35,000,000 for fiscal year 2018;
``(2) $40,000,000 for fiscal year 2019;
``(3) $45,000,000 for fiscal year 2020;
``(4) $50,000,000 for fiscal year 2021;
``(5) $55,000,000 for fiscal year 2022;
``(6) $60,000,000 for fiscal year 2023;
``(7) $65,000,000 for fiscal year 2024;
``(8) $70,000,000 for fiscal year 2025;
``(9) $75,000,000 for fiscal year 2026;
``(10) $80,000,000 for fiscal year 2027; and
``(11) for fiscal year 2028, and each subsequent fiscal
year, the amount appropriated for the preceding fiscal year
adjusted by the greater of the annual percentage increase in
the medical care component of the consumer price index for
all urban consumers (U.S. city average) as rounded up in an
appropriate manner, or the percentage increase for the fiscal
year involved under section 10503(b)(1)(P) of the Patient
Protection and Affordable Care Act.''.
(b) Limitation.--Amounts otherwise appropriated for Nurse
Practitioner Residency Training Programs may not be reduced
as a result of the appropriations made under this section.
(c) Availability of Funds.--Amounts appropriated under this
section shall remain available until expended.
______