,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #acci  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ba1 #bjac ,mr4  
,engel 7= himself1 ,mr4 ,re$1 ,ms4 ,br[n
 ( ,florida1 ,mr4 ,f>r1 & ,mr4          
,blum5au]7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to increase ! numb] 
( p]man5t faculty 9 palliative c>e at   
accr$it$ allopa?ic & o/eopa?ic m$ical   
s*ools1 nurs+ s*ools1 & o!r programs1 to
 promote education 9 palliative c>e &   
hospice1 & to support ! developm5t (    
faculty c>e]s 9 academic palliative     
m$ic9e4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,palliative ,c>e & ,hospice 
,education & ,tra9+ ,act4  #b4 ,f9d+s   
,congress makes ! foll[+ f9d+s3  7#a7   
,heal? c>e provid]s ne$ bett] education 
ab\t pa9 managem5t & palliative c>e4    
,/ud5ts graduat+ f m$ical s*ool h v     
little1 if any1 tra9+ 9 ! core precepts 
( pa9 & symptom managem5t1 advance c>e  
plann+1 communication skills1 & c>e     

coord9ation = pati5ts ) s]i\s1          
life-?reat5+1 or t]m9al illness4  7#b7  
,palliative c>e is int]discipl9>y1      
pati5t- & family-c5t]$ heal? c>e = p )  
s]i\s illnesses4 ,?is type ( c>e is     
focus$ on provid+ pati5ts ) relief f !  
symptoms1 pa91 & /ress ( a s]i\s        
illness1 :atev] ! diagnosis4 ,! goal (  
palliative c>e is to relieve suff]+ &   
improve quality ( life = bo? pati5ts &  
_! families4 ,palliative c>e is provid$ 
by a team ( doctors1 nurses1 social     
work]s1 *apla9s1 & o!r speciali/s :o "w 
) a pati5t's o!r heal? c>e provid]s to  
provide an extra lay] ( support1 includ+
 assi/ance ) difficult m$ical           
decisionmak+ & coord9ation ( c>e among  
speciali/s4 ,palliative c>e is          
appropriate at any age & at any /age 9 a
 s]i\s illness1 & c be provid$ toge!r ) 
curative treatm5t4 ,palliative c>e is n 
dep5d5t on a life-limit+ prognosis & may
 actually help an individual recov] f   
illness by reliev+ symptoms1 su* z pa91 
anxiety1 or loss ( appetite1 :ile       

und]go+ sometimes difficult m$ical      
treatm5ts or proc$ures1 su* z surg]y or 
*emo!rapy4 ,!re 7 #a1fbc hospitals )    
palliative c>e programs 9 #bjab4  7#c7  
,hospice is palliative c>e = pati5ts 9  
_! la/ ye> ( life4 ,consid]$ ! model =  
quality compassionate c>e = individuals 
fac+ a life-limit+ illness1 hospice     
provides exp]t m$ical c>e1 pa9          
managem5t1 & emotional & spiritual      
support expressly tailor$ to ! pati5t's 
ne$s & wi%es4 ,9 mo/ cases1 c>e is      
provid$ 9 ! pati5t's home b may also be 
provid$ 9 free/&+ hospice c5t]s1        
hospitals1 nurs+ homes1 & o!r long-t]m  
c>e facilities4 ,9 #bjaa1 an e/imat$    
#a1fej1jjj pati5ts receiv$ s]vices f    
hospice1 & ne>ly #de p]c5t ( all dea?s 9
 ! ,unit$ ,/ates occurr$ "u ! c>e ( a   
hospice program4 ,hospice is a cov]$    
b5efit "u ! ,m$ic>e program4 ,!re 7     
#c1fcj ,m$ic>e-c]tifi$ hospices s]v+ m  
?an #a1bjj1jjj b5efici>ies 9 #bjaa4     
7#d7 ,a #bjje /udy at ,mi*igan ,/ate    
,univ]sity f\nd t ! =mal tra9+ ( ,unit$ 

,/ates doctors 9 palliative c>e is      
grossly inadequate4 ,:5 ! ,am]ican      
,society ( ,cl9ical ,oncology survey$ _!
 memb]s1 #fe p]c5t said !y _h receiv$   
inadequate education 9 controll+        
symptoms associat$ ) canc]1 & #ha p]c5t 
felt !y _h inadequate m5tor+ 9 discuss+ 
a poor prognosis ) _! pati5ts &         
families4 ,tra9+ 9 p$iatric palliative  
c>e is also s]i\sly lack+ accord+ to    
physicians1 resid5ts1 & m$ical /ud5ts   
respond+ to a survey pres5t$ at a meet+ 
( ,am]ican ,f$]ation = ,m$ical ,rese>*4 
7#e7 ,! ,am]ican ,bo>d ( ,m$ical        
,specialties 7,,abms7 & ! ,accr$itation 
,c\ncil = ,graduate ,m$ical ,education  
7,,acgme7 provid$ =mal subspecialty     
/atus = hospice & palliative m$ic9e     
7,,hpm7 9 #bjjf1 & ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices recogniz$ hospice &   
palliative m$ic9e z a m$ical            
subspecialty 9 ,octob] ( #bjjh4  7#f7 ,z
 ( ,febru>y #bjac1 !re 7 a total ( #hi  
hospice & palliative m$ic9e tra9+       
programs accr$it$ by ! ,accr$itation    

,c\ncil = ,graduate ,m$ical ,education4 
,= ! #bjab-bjac academic ye>1 ^!        
programs 7 tra9+ #bjf physicians 9      
hospice & palliative m$ic9e4 ,"s        
programs include an additional track 9  
rese>*1 g]iatrics1 or public heal?4     
7#g7 ,!re is a l>ge gap betwe5 ^?       
practic+ 9 ! palliative m$ic9e field & !
 numb] ( physicians ne$$4 ,a mid-range  
e/imate by ! ,am]ican ,academy (        
,hospice & ,palliative ,m$ic9e's        
,work=ce ,task ,=ce calls = #f1jjj or m 
full "t equival5ts to s]ve curr5t ne$s 9
 hospice & palliative c>e programs4 ,at 
maximum capacity1 ! curr5t sy/em w\ld   
produce r\ghly #d1fjj new hospice &     
palliative m$ic9e c]tifi$ physicians ov]
 ! next #bj ye>s1 dur+ :i* "t "s        
#gj1jjj1jjj new ,m$ic>e b5efici>ies w   
ent] ! ,m$ic>e program4 ,at ! same "t1  
!re is expect$ to be increas+ acceptance
 ( ! hospice & palliative approa* to c>e
 among ! g5]al population & heal? c>e   
provid]s4  #c4 ,palliative c>e & hospice
 education & tra9+  7a7 ,9 g5]al ,"p ,d 

( title ,,vii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bid et seq47 is   
am5d$ by add+ at ! end ! foll[+3        
#gei;,a4 ,palliative c>e & hospice      
education & tra9+  7a7 ,palliative c>e &
 hospice education c5t]s  7#a7 ,9 g5]al 
,! ,secret>y %all aw>d grants or        
contracts "u ?is section to entities    
describ$ 9 p>agraph 7#a71 7#c71 or 7#d7 
( section #gii;,b1 & section #hja7b71 = 
! e/abli%m5t or op]ation ( ,palliative  
,c>e & ,hospice ,education ,c5t]s t meet
 ! requirem5ts ( p>agraph 7#b74  7#b7   
,requirem5ts ,a ,palliative ,c>e &      
,hospice ,education ,c5t] meets !       
requirem5ts ( ?is p>agraph if su*       
,c5t]--  7,a7 improves ! tra9+ ( heal?  
pr(essionals 9 palliative c>e1 includ+  
resid5cies1 tra9ee%ips1 or fell[%ips2   
7,b7 develops & dissem9ates curricula   
relat+ to ! palliative treatm5t ( !     
complex heal? problems ( individuals )  
s]i\s or life ?reat5+ illnesses2  7,c7  
supports ! tra9+ & retra9+ ( faculty to 
provide in/ruction 9 palliative c>e2    

7,d7 supports cont9u+ education ( heal? 
pr(essionals :o provide palliative c>e  
to pati5ts ) s]i\s or life ?reat5+      
illness2  7,e7 provides /ud5ts 7includ+ 
resid5ts1 tra9ees1 & fell[s7 ) cl9ical  
tra9+ 9 palliative c>e 9 ! home1        
long-t]m c>e facilities1 home c>e1      
hospices1 *ronic & acute disease        
hospitals1 & ambulatory c>e c5t]s2  7,f7
 e/abli%es tra9ee%ips = individuals :o  
are prep>+ = advanc$ education nurs+    
degrees 9 palliative c>e nurs+1 home    
c>e1 hospice1 9 ! home1 long-t]m c>e1 or
 o!r nurs+ areas t specialize 9         
palliative c>e2 &  7,g7 does n duplicate
 ! activities ( exi/+ education c5t]s   
fund$ "u ?is section or "u section #gec 
or #hfe4  7#c7 ,expansion ( exi/+ c5t]s 
,no?+ 9 ?is section %all be con/ru$ to--
  7,a7 prev5t ! ,secret>y f provid+     
grants to exp& exi/+ education c5t]s1   
includ+ g]iatric education c5t]s        
e/abli%$ "u section #gec or #hfe1 to    
provide = education & tra9+ focus$      
specifically on palliative c>e1 includ+ 

= non-g]iatric populations2 or  7,b7    
limit ! numb] ( education c5t]s t may be
 fund$ 9 a community4  7b7 ,palliative  
m$ic9e physician tra9+  7#a7 ,9 g5]al ,!
 ,secret>y may make grants to1 & ent]   
into contracts )1 s*ools ( m$ic9e1      
s*ools ( o/eopa?ic m$ic9e1 tea*+        
hospitals1 & graduate m$ical education  
programs1 = ! purpose ( provid+ support 
= projects t fund ! tra9+ ( physicians  
7includ+ resid5ts1 tra9ees1 & fell[s7 :o
 plan to tea* palliative m$ic9e4  7#b7  
,requirem5ts ,ea* project = :i* a grant 
or contract is made "u ?is subsection   
%all--  7,a7 be /aff$ by full-"t tea*+  
physicians :o h exp]i5ce or tra9+ 9     
palliative m$ic9e2  7,b7 be bas$ 9 a    
hospice & palliative m$ic9e fell[%ip    
program accr$it$ by ! ,accr$itation     
,c\ncil = ,graduate ,m$ical ,education2 
7,c7 provide tra9+ 9 palliative m$ic9e  
?r\gh a v>iety ( s]vice rotations1 su* z
 consultation s]vices1 acute c>e        
s]vices1 ext5d$ c>e facilities1         
ambulatory c>e & compreh5sive evaluation

 units1 hospice1 home heal?1 & community
 c>e programs2  7,d7 develop specific   
p]=mance-bas$ measures to evaluate !    
compet5cy ( tra9ees2 &  7,e7 provide    
tra9+ 9 palliative m$ic9e ?r\gh "o or   
bo? ( ! tra9+ options describ$ 9        
subp>agraphs 7,a7 & 7,b7 ( p>agraph     
7#c74  7#c7 ,tra9+ options ,! tra9+     
options ref]r$ to 9 subp>agraph 7,e7 (  
p>agraph 7#b7 %all be z foll[s3  7,a7   
#a-ye> retra9+ programs 9 hospice &     
palliative m$ic9e = physicians :o are   
faculty at s*ools ( m$ic9e & o/eopa?ic  
m$ic9e1 or o!rs det]m9$ appropriate by !
 ,secret>y4  7,b7 #a- or #b-ye> tra9+   
programs t %all be design$ to provide   
tra9+ 9 hospice & palliative m$ic9e =   
physicians :o h complet$ graduate m$ical
 education programs 9 any m$ical        
specialty lead+ to bo>d eligibility 9   
hospice & palliative m$ic9e pursuant to 
! ,am]ican ,bo>d ( ,m$ical ,specialties4
  7#d7 ,def9itions ,= purposes ( ?is    
subsection ! t]m graduate m$ical        
education means a program sponsor$ by a 

s*ool ( m$ic9e1 a s*ool ( o/eopa?ic     
m$ic9e1 a hospital1 or a public or      
private in/itution t--  7,a7 (f]s       
po/graduate m$ical tra9+ 9 ! specialties
 & subspecialties ( m$ic9e2 &  7,b7 has 
be5 accr$it$ by ! ,accr$itation ,c\ncil 
= ,graduate ,m$ical ,education or !     
,am]ican ,o/eopa?ic ,association ?r\gh  
its ,committee on ,po/doctoral ,tra9+4  
7c7 ,palliative m$ic9e & hospice        
academic c>e] aw>ds  7#a7 ,e/abli%m5t ( 
program ,! ,secret>y %all e/abli% a     
program to provide aw>ds1 to be kn[n z !
 ,palliative ,m$ic9e & ,hospice         
,academic ,c>e] ,aw>ds1 to eligible     
individuals to promote ! c>e] developm5t
 ( su* individuals z academic hospice & 
palliative c>e physicians4  7#b7        
,eligible individuals ,to be eligible to
 receive an aw>d "u p>agraph 7#a71 an   
individual %all--  7,a7 be bo>d c]tifi$ 
or bo>d eligible 9 hospice & palliative 
m$ic9e2 &  7,b7 h a junior 7non-t5ur$7  
faculty appo9tm5t at an accr$it$ 7z     
det]m9$ by ! ,secret>y7 s*ool ( m$ic9e  

or o/eopa?ic m$ic9e4  7#c7 ,limitations 
,no aw>d "u p>agraph 7#a7 may be made to
 an eligible individual unless !        
individual--  7,a7 has submitt$ to !    
,secret>y an application1 at su* "t1 9  
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 & ! ,secret>y has
 approv$ su* application2  7,b7         
provides1 9 su* =m & mann] z ! ,secret>y
 may require1 assurances t ! individual 
w meet ! s]vice requirem5t describ$ 9   
p>agraph 7#f72 &  7,c7 provides1 9 su*  
=m & mann] z ! ,secret>y may require1   
assurances t ! individual has a full-"t 
faculty appo9tm5t 9 a heal? pr(essions  
in/itution & docum5t$ commitm5t f su*   
in/itution to sp5d a majority ( ! total 
fund$ "t ( su* individual on tea*+ &    
develop+ skills 9 int]discipl9>y        
education 9 palliative c>e4  7#d7       
,ma9t5ance ( ef=t ,an eligible          
individual :o receives an aw>d "u       
p>agraph 7#a7 %all provide assurances to
 ! ,secret>y t funds provid$ to !       
eligible individual "u ?is subsection w 

be us$ only to supplem5t1 n to supplant1
 ! am\nt ( ,f$]al1 ,/ate1 & local funds 
o!rwise exp5d$ by ! eligible individual4
  7#e7 ,am\nt & t]m  7,a7 ,am\nt ,!     
am\nt ( an aw>d "u ?is subsection %all  
be equal to ! aw>d am\nt provid$ = "u   
section #gec7;c77#e77;,a7 = ! fiscal ye>
 involv$4  7,b7 ,t]m ,! t]m ( an aw>d   
made "u ?is subsection %all n exce$ #e  
ye>s4  7,c7 ,paym5t to in/itution ,!    
,secret>y %all make paym5ts = aw>ds "u  
?is subsection to in/itutions :i*       
include s*ools ( m$ic9e & o/eopa?ic     
m$ic9e4  7#f7 ,s]vice requirem5t ,an    
individual :o receives an aw>d "u ?is   
subsection %all provide tra9+ 9         
palliative c>e & hospice1 includ+ !     
tra9+ ( int]discipl9>y teams ( heal? c>e
 pr(essionals4 ,! provision ( su* tra9+ 
%all con/itute a majority ( ! total     
fund$ obligations ( su* individual "u ! 
aw>d4  7d7 ,palliative c>e work=ce      
developm5t  7#a7 ,9 g5]al ,! ,secret>y  
%all aw>d grants or contracts "u ?is    
subsection to entities t op]ate a       

,palliative ,c>e & ,hospice ,education  
,c5t] pursuant to subsection 7a77#a74   
7#b7 ,application ,to be eligible = an  
aw>d "u p>agraph 7#a71 an entity        
describ$ 9 su* p>agraph %all submit to !
 ,secret>y an application at su* "t1 9  
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7 ,use (     
funds ,am\nts aw>d$ "u a grant or       
contract "u p>agraph 7#a7 %all be us$ to
 c>ry out ! fell[%ip program describ$ 9 
p>agraph 7#d74  7#d7 ,fell[%ip program  
7,a7 ,9 g5]al ,pursuant to p>agraph     
7#c71 a ,palliative ,c>e & ,hospice     
,education ,c5t] t receives an aw>d "u  
?is subsection %all use su* funds to (f]
 %ort-t]m int5sive c\rses 7ref]r$ to 9  
?is subsection z a fell[%ip7 t focus on 
palliative c>e t provide supplem5tal    
tra9+ = faculty memb]s 9 m$ical s*ools &
 o!r heal? pr(essions s*ools ) programs 
9 psy*ology1 ph>macy1 nurs+1 social "w1 
*apla9cy1 or o!r heal? discipl9es1 z    
approv$ by ! ,secret>y4 ,su* a fell[%ip 
%all be op5 to curr5t faculty1 &        

appropriately cr$5tial$ volunte] faculty
 & practition]s1 :o d n h =mal tra9+ 9  
palliative c>e1 to upgrade _! k &       
cl9ical skills = ! c>e ( individuals )  
s]i\s or life-?reat5+ illness & to      
enhance _! int]discipl9>y tea*+ skills4 
7,b7 ,location ,a fell[%ip "u ?is       
p>agraph %all be (f]$ ei!r at !         
,palliative ,c>e & ,hospice ,education  
,c5t] t is sponsor+ ! c\rse1 9          
collaboration ) o!r ,palliative ,c>e &  
,hospice ,education ,c5t]s1 or at m$ical
 s*ools1 s*ools ( nurs+1 s*ools (       
ph>macy1 s*ools ( social "w1 s*ools (   
*apla9cy or pa/oral c>e education1      
graduate programs 9 psy*ology1 or o!r   
heal? pr(essions s*ools approv$ by !    
,secret>y ) :i* ! ,c5t]s are affiliat$4 
7,c7 ,,cme cr$it ,p>ticipation 9 a      
fell[%ip "u ?is p>agraph %all be accept$
 ) respect to comply+ ) cont9u+ heal?   
pr(ession education requirem5ts4 ,z a   
condition ( su* acceptance1 ! recipi5t  
%all subsequ5tly provide a m9imum ( #ah 
h\rs ( volunt>y in/ruction 9 palliative 

c>e cont5t 7t has be5 approv$ by a      
palliative c>e & hospice education c5t]7
 to /ud5ts or tra9ees 9 heal?-relat$    
educational1 home1 hospice1 or long-t]m 
c>e sett+s4  7#e7 ,t>gets ,a ,palliative
 ,c>e & ,hospice ,education ,c5t] t     
receives an aw>d "u ?is subsection %all 
meet t>gets approv$ by ! ,secret>y =    
provid+ palliative c>e tra9+ to a c]ta9 
numb] ( faculty or practition]s dur+ !  
t]m ( ! aw>d1 z well z o!r p>amet]s     
e/abli%$ by ! ,secret>y4  7#f7 ,am\nt ( 
aw>d ,an aw>d "u ?is subsection %all be 
9 an am\nt ( #aej1jjj4 ,n m ?an #bd     
,palliative ,c>e & ,hospice ,education  
,c5t]s may receive an aw>d "u ?is       
subsection4  7#g7 ,ma9t5ance ( ef=t ,a  
,palliative ,c>e & ,hospice ,education  
,c5t] t receives an aw>d "u ?is         
subsection %all provide assurances to ! 
,secret>y t funds provid$ to ! ,c5t] "u 
! aw>d w be us$ only to supplem5t1 n to 
supplant1 ! am\nt ( ,f$]al1 ,/ate1 &    
local funds o!rwise exp5d$ by su* ,c5t]4
  7e7 ,palliative c>e & hospice c>e]    

inc5tive aw>ds  7#a7 ,9 g5]al ,!        
,secret>y %all aw>d grants or contracts 
"u ?is subsection to individuals        
describ$ 9 p>agraph 7#b7 to fo/] great] 
int]e/ among a v>iety ( heal?           
pr(essionals 9 ent]+ ! field (          
palliative c>e4  7#b7 ,eligible         
individuals ,to be eligible to receive  
an aw>d "u p>agraph 7#a71 an individual 
%all--  7,a7 be an advanc$ practice     
nurse1 a cl9ical social work]1 a        
ph>maci/1 a *apla91 or /ud5t ( psy*ology
 :o is pursu+ a doctorate or o!r advanc$
 degree 9 palliative c>e or relat$      
fields 9 an accr$it$ heal? pr(essions   
s*ool2 &  7,b7 submit to ! ,secret>y an 
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7#c7 ,conditions ( aw>d ,z a  
condition ( receiv+ an aw>d "u ?is      
subsection1 an individual %all agree t1 
foll[+ completion ( ! aw>d p]iod1 !     
individual w tea* or practice palliative
 c>e 9 heal?-relat$ educational1 home1  
hospice or long-t]m c>e sett+s = a      

m9imum ( #e ye>s "u guidel9es e/abli%$  
by ! ,secret>y4  7#d7 ,paym5t to        
in/itution ,! ,secret>y %all make       
paym5ts = aw>ds "u ?is subsection to    
in/itutions :i* include s*ools ( m$ic9e1
 o/eopa?ic m$ic9e1 nurs+1 social "w1    
psy*ology1 *apla9cy or pa/oral c>e      
education1 d5ti/ry1 & ph>macy1 or o!r   
alli$ heal? discipl9e 9 an accr$it$     
heal? pr(essions s*ool t is approv$ by !
 ,secret>y4  7f7 ,au?orization (        
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section1    
#dd1ajj1jjj = ea* ( ! fiscal ye>s #bjad 
?r\gh #bjah4  4  7b7 ,effective date ,! 
am5dm5t made by ?is section %all be     
effective beg9n+ on ! date t is #ij days
 aft] ! date ( enactm5t ( ?is ,act4  #d4
 ,application to advanc$ practice nurses
  7a7 ,advanc$ education nurs+ grants   
,section #haa7;a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bif;j7a77  
is am5d$--  7#a7 9 p>agraph 7#a71 by    
/rik+ & at ! end2  7#b7 by r$esignat+   
p>agraph 7#b7 z p>agraph 7#c72 &  7#c7  

by ins]t+ aft] p>agraph 7#a71 ! foll[+3 
7#b7 palliative c>e & hospice c>e]      
inc5tive aw>ds au?oriz$ "u section      
#gei;,a7e72 &  4  7b7 ,9 g5]al ,"p ,d ( 
title ,,viii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bifp et seq47 is   
am5d$ by add+ at ! end ! foll[+3  #hcb4 
,palliative c>e & hospice education &   
tra9+  7a7 ,program au?oriz$ ,!         
,secret>y %all aw>d grants to eligible  
entities to develop & implem5t1 9       
coord9ation ) programs "u section       
#gei;,a1 programs & initiatives to tra9 
& educate individuals 9 provid+         
palliative c>e 9 heal? relat$           
educational1 hospice1 home1 or long-t]m 
c>e sett+s4  7b7 ,use ( funds ,an       
eligible entity t receives a grant "u   
subsection 7a7 %all use funds "u su*    
grant to--  7#a7 provide tra9+ to       
individuals :o w provide palliative c>e 
9 heal?-relat$ educational1 home1       
hospice1 or long-t]m c>e sett+s2  7#b7  
develop & dissem9ate curricula relat+ to
 palliative c>e 9 heal?-relat$          

educational1 home1 hospice1 or long-t]m 
c>e sett+s2  7#c7 tra9 faculty memb]s 9 
palliative c>e 9 heal? relat$           
educational1 home1 hospice1 or long-t]m 
c>e sett+s2 or  7#d7 provide cont9u+    
education to individuals :o provide     
palliative c>e 9 heal?-relat$           
educational1 home1 hospice1 or long-t]m 
c>e sett+s4  7c7 ,application ,an       
eligible entity desir+ a grant "u       
subsection 7a7 %all submit an           
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may reasonably require4  7d7  
,eligible entity ,= purposes ( ?is      
section1 ! t]m eligible entity %all     
include a s*ool ( nurs+1 a heal? c>e    
facility1 a program lead+ to            
c]tification z a c]tifi$ nurse assi/ant1
 a p>tn]%ip ( su* a s*ool & facility1 or
 a p>tn]%ip ( su* a program & facility4 
7e7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section #e1jjj1jjj = ea* (      
fiscal ye>s #bjad ?r\gh #bjah4  4