[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Page S5799]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 6268. Ms. ROSEN (for herself, Mr. Inhofe, and Mr. Boozman)
submitted an amendment intended to be proposed to amendment SA 5499
submitted by Mr. Reed (for himself and Mr. Inhofe) and intended to be
proposed to the bill H.R. 7900, to authorize appropriations for fiscal
year 2023 for military activities of the Department of Defense, for
military construction, and for defense activities of the Department of
Energy, to prescribe military personnel strengths for such fiscal year,
and for other purposes; which was ordered to lie on the table; as
follows:
At the appropriate place, insert the following:
SEC. __. EDUCATION PROGRAM TO SUPPORT PRIMARY HEALTH SERVICE
FOR UNDERSERVED POPULATIONS.
Part B of title VII of the Public Health Service Act (42
U.S.C. 293 et seq.) is amended by adding at the end the
following:
``SEC. 742. EDUCATION PROGRAM TO SUPPORT PRIMARY HEALTH
SERVICE FOR UNDERSERVED POPULATIONS.
``(a) Establishment.--The Secretary, acting through the
Administrator of the Health Resources and Services
Administration, shall establish a grant program to award
grants to public institutions of higher education located in
a covered State to carry out the activities described in
subsection (d) for the purposes of--
``(1) expanding and supporting education for medical
students who are preparing to become physicians in a covered
State; and
``(2) preparing and encouraging each such student training
in a covered State to serve Tribal, rural, or medically
underserved communities as a primary care physician after
completing such training.
``(b) Eligibility.--In order to be eligible to receive a
grant under this section, a public institution of higher
education shall submit an application to the Secretary that
includes--
``(1) a certification that such institution will use
amounts provided to the institution to carry out the
activities described in subsection (d); and
``(2) a description of how such institution will carry out
such activities.
``(c) Priority.--In awarding grants under this section, the
Secretary shall give priority to public institutions of
higher education that--
``(1) are located in a State with not fewer than 2
federally recognized Tribes; and
``(2) demonstrate a public-private partnership.
``(d) Authorized Activities.--An eligible entity that
receives a grant under this section shall use the funds made
available under such grant to carry out the following
activities:
``(1) Support or expand community-based experiential
training for medical students who will practice in or serve
Tribal, rural, and medically underserved communities.
``(2) Develop and operate programs to train medical
students in primary care services.
``(3) Develop and implement curricula that--
``(A) includes a defined set of clinical and community-
based training activities that emphasize care for Tribal,
rural, or medically underserved communities;
``(B) is applicable to primary care practice with respect
to individuals from Tribal, rural, or medically underserved
communities;
``(C) identifies and addresses challenges to health equity,
including the needs of Tribal, rural, and medically
underserved communities;
``(D) supports the use of telehealth technologies and
practices;
``(E) considers social determinants of health in care plan
development;
``(F) integrates behavioral health care into primary care
practice, including prevention and treatment of opioid
disorders and other substance use disorders;
``(G) promotes interprofessional training that supports a
patient-centered model of care; and
``(H) builds cultural and linguistic competency.
``(4) Increase the capacity of faculty to implement the
curricula described in paragraph (3).
``(5) Develop or expand strategic partnerships to improve
health outcomes for individuals from Tribal, rural, and
medically underserved communities, including with--
``(A) federally recognized Tribes, Tribal colleges, and
Tribal organizations;
``(B) Federally-qualified health centers;
``(C) rural health clinics;
``(D) Indian health programs;
``(E) primary care delivery sites and systems; and
``(F) other community-based organizations.
``(6) Develop a plan to track graduates' chosen specialties
for residency and the States in which such residency programs
are located.
``(7) Develop, implement, and evaluate methods to improve
recruitment and retention of medical students from Tribal,
rural, and medically underserved communities.
``(8) Train and support instructors to serve Tribal, rural,
and medically underserved communities.
``(9) Prepare medical students for transition into primary
care residency training and future practice.
``(10) Provide scholarships to medical students.
``(e) Grant Period.--A grant under this section shall be
awarded for a period of not more than 5 years.
``(f) Grant Amount.--Each fiscal year, the amount of a
grant made to a public institution of higher education under
this section shall be in amount that is not less than
$1,000,000.
``(g) Matching Requirement.--Each public institution of
higher education that receives a grant under this section
shall provide, from non-Federal sources, an amount equal to
or greater than 10 percent of the total amount of Federal
funds provided to the institution each fiscal year during the
period of the grant (which may be provided in cash or in
kind).
``(h) Definitions.--In this section:
``(1) Covered state.--The term `covered State' means a
State that is in the top quartile of States by projected
unmet demand for primary care providers, as determined by the
Secretary
``(2) Federally-qualified health center.--The term
`Federally-qualified health center' has the meaning given
such term in section 1905(l)(2)(B) of the Social Security
Act.
``(3) Indian health program.--The term `Indian health
program' has the meaning given such term in section 4 of the
Indian Health Care Improvement Act.
``(4) Institution of higher education.--The term
`institution of higher education' has the meaning given such
term in section 101 of the Higher Education Act of 1965,
provided that such institution is public in nature.
``(5) Medically underserved community.--The term `medically
underserved community' has the meaning given such term in
section 799B.
``(6) Rural health clinic.--The term `rural health clinic'
has the meaning given such term in section 1861(aa) of the
Social Security Act.
``(7) Rural population.--The term `rural population' means
the population of a geographical area located--
``(A) in a non-metropolitan county; or
``(B) in a metropolitan county designated as rural by the
Administrator of the Health Resources and Services
Administration.
``(8) Tribal population.--The term `Tribal population'
means the population of any Indian Tribe recognized by the
Secretary of the Interior pursuant to section 104 of the
Federally Recognized Indian Tribe List Act of 1994.
``(i) Authorization of Appropriations.--There is authorized
to be appropriated to carry out this section $150,000,000 for
each of fiscal years 2023 through 2025.''.
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