,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ebbc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bh1 #bjad ,mr4 
,mc,dermott introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to au?orize grants  
to ,/ates = ! purpose ( assi/+ ! ,/ates 
9 op]at+ an ,,rdocs program 9 ord] to   
provide = ! increas$ availability (     
prim>y heal? c>e s]vices 9 heal?        
pr(essional %ortage areas4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,re/or+ 
! ,doctors ( ,our ,c\ntry ?r\gh         
,s*ol>%ips ,act ( #bjad or ! ,,rdocs    
,act ( #bjad4  #b4 ,f9d+s ,! ,congress  
f9ds ! foll[+3  7#a7 ,due to an ag+     
population1 ! retirem5t ( a g5]ation (  
physicians1 & #cj1jjj1jjj newly insur$  
"u ! ,pati5t ,protection & ,af=dable    
,c>e ,act 7,public ,law #aaj-adh71 !    
,unit$ ,/ates is expect$ to exp]i5ce an 
acute physician work=ce %ortage 9 ! com+
 decades1 p>ticul>ly 9 prim>y c>e4 ,if  
unaddress$1 ?is %ortage w compromise !  

heal? ( ! population z well z ! ability 
( ! ,unit$ ,/ates to rema9 competitive 9
 ! _w4  7#b7 ,by #bjbj1 ! %ortage (     
prim>y c>e doctors is expect$ to rea*   
#de1jjj4  7#c7 ,! %ortage w             
disproportionately impact rural         
communities & und]s]v$ urban            
communities4  7#d7 ,! ,res]ve ,(fic]s'  
,tra9+ ,corps 7,,rotc7 model ( education
 & tra9+ is a respect$ & effective way (
 meet+ ! ,nation's ne$ = educat$ & tra9$
 (fic]s 9 ! ,unit$ ,/ates ,arm$ ,=ces1 &
 c be appli$ to solv+ ! ,nation's prim>y
 c>e %ortage4  7#e7 ,!re are #aj        
applicants = ea* ,national ,heal?       
,s]vice ,corps s*ol>%ip aw>d$1 indicat+ 
! unmet dem& = m$ical s*ol>%ips4  #c4   
,grants to ,/ates = ,re/or+ ! ,doctors (
 ,our ,c\ntry ?r\gh ,s*ol>%ips 7,,rdocs7
 programs ,subp>t ,,iii ( "p ,d ( title 
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bedl et seq47 is am5d$  
by add+ at ! end ! foll[+3  #cch,n4     
,grants to ,/ates = s*ol>%ip programs   
7a7 ,grants to ,/ates  7#a7 ,9 g5]al ,! 

,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 %all make grants to      
,/ates = ! purpose ( assi/+ ! ,/ates 9  
op]at+ a program describ$ 9 p>agraph    
7#b7 7ref]r$ to 9 ?is section z an      
,,rdocs program7 9 ord] to provide = !  
increas$ availability ( prim>y heal? c>e
 s]vices 9 heal? pr(essional %ortage    
areas4  7#b7 ,applications ,to seek a   
grant "u ?is section1 a ,/ate %all      
submit an application 9 su* =m1 9 su*   
mann]1 & conta9+ su* agreem5ts1         
assurances1 & in=mation z ! ,secret>y   
det]m9es to be necess>y to c>ry out ?is 
section4  7#c7 ,total numb] ( new       
,,rdocs s*ol>s ea* ye> ,subject to !    
availability ( appropriations1 !        
,secret>y %all ensure t a total ( at    
lea/ #d1jjj new ,,rdocs s*ol>s are aw>d$
 s*ol>%ips "u ?is section ea* academic  
ye>4  7b7 ,s*ol>%ip program describ$ ,an
 ,,rdocs program is a program ( ent]+   
into contracts betwe5 ! ,/ate involv$ & 
an ,,rdocs s*ol> "u :i*--  7#a7 ! ,/ate 

involv$ agrees--  7,a7 to pay all       
tuition & co/s = ! ,,rdocs s*ol>'s      
und]graduate m$ical education1 to !     
p>ticipat+ und]graduate m$ical program1 
= a p]iod ( /udy n exce$+ #dh           
consecutive mon?s2 &  7,b7 to pay1 dur+ 
su* p]iod1 a co/-(-liv+ /ip5d1 9 an     
am\nt to be det]m9$ by ! ,secret>y1 to !
 ,,rdocs s*ol>2 &  7#b7 ! ,,rdocs s*ol> 
agrees--  7,a7 to be admitt$ into &     
ma9ta9 enrollm5t 9 a p>ticipat+         
und]graduate m$ical program 9 ! ,,rdocs 
s*ol>'s ,/ate ( resid5ce 7or if su*     
,/ate ( resid5ce op]ates no su* program1
 9 a p>ticipat+ und]graduate m$ical     
program 9 a ,/ate )9 an associat$       
region72  7,b7 :5 enroll$ 9 su* program1
 to ma9ta9 a m9imum level 7to be det]m9$
 by ! ,secret>y7 ( academic /&+2  7,c7  
to complete an accr$it$ resid5cy tra9+  
program 9 a prim>y c>e specialty2  7,d7 
to become lic5s$ to practice m$ic9e 9 ! 
applicant's ,/ate ( resid5ce2  7,e7 to  
receive & ma9ta9 bo>d c]tification 9 a  
prim>y c>e speciality2 &  7,f7 to       

complete a #e-ye> po/-graduate p]iod (  
s]vice 9 a heal? pr(essional %ortage    
area4  7c7 ,priority 9 aw>d+ s*ol>%ips  
,9 select+ ,,rdocs s*ol>s & aw>d+       
s*ol>%ip contracts describ$ 9 subsection
 7b71 ! ,/ate involv$ %all give pref]5ce
 to applicants :o are enroll$ 9--  7#a7 
an accel]at$ track family-m$ic9e        
program2 or  7#b7 a program t includes  
cl9ical tra9+ 9 rural or und]s]v$ urban 
communities4  7d7 ,direct adm9i/ration  
by ,/ate ag5cy ,! ,,rdocs program ( any 
,/ate receiv+ a grant "u ?is section    
%all be adm9i/]$ directly by a ,/ate    
ag5cy4  7e7 ,requirem5t ( mat*+ funds   
7#a7 ,9 g5]al ,any ,/ate receiv+ a grant
 "u ?is section %all1 ) respect to !    
co/s ( mak+ paym5ts on behalf (         
individuals "u s*ol>%ip contracts       
describ$ 9 subsection 7b71 make         
available 7directly or ?r\gh donations f
 public or private entities7 non-,f$]al 
contributions 9 ca% t[>d su* co/s 9 an  
am\nt equal to n less ?an #a = ea* #i ( 
,f$]al funds provid$ ?r\gh ! grant4     

7#b7 ,det]m9ation ( am\nt ( non-f$]al   
contribution ,9 det]m9+ ! am\nt (       
non-,f$]al contributions 9 ca% t a ,/ate
 has provid$ pursuant to p>agraph 7#a7--
  7,a7 any am\nts provid$ to ! ,/ate by 
! ,f$]al ,gov]nm5t %all n be includ$2 & 
7,b7 any am\nts exp5d$ by ! ,/ate z     
adm9i/rative funds to op]ate its ,,rdocs
 program may1 at ! ,/ate's discretion1  
be includ$4  7f7 ,coord9ation ) ,f$]al  
program  7#a7 ,assignm5ts = heal?       
pr(essional %ortage areas "u f$]al      
program ,any ,/ate receiv+ a grant "u   
?is section %all1 9 c>ry+ out its       
,,rdocs program1 assign ,,rdocs (fic]s  
p>ticipat+ 9 ! program only to public & 
nonpr(it private entities locat$ 9 &    
provid+ heal? s]vices 9 heal?           
pr(essional %ortage areas4  7#b7        
,rem$ies = brea* ( contracts ,!         
,secret>y may n make a grant "u         
subsection 7a7 unless ! ,/ate involv$   
agrees t ! s*ol>%ip contracts provid$ by
 ! ,/ate pursuant to subsection 7b7 w   
provide rem$ies = any brea* ( !         

contracts by ! ,,rdocs s*ol>s & ,,rdocs 
(fic]s involv$4  7#c7 ,limitation reg>d+
 contract inducem5ts ,any ,/ate receiv+ 
a grant "u ?is section %all ensure t    
contracts betwe5 ! ,/ate & ,,rdocs      
s*ol>s "u ?is section d n include any   
t]ms m favorable to ! ,,rdocs s*ol>s ?an
 ! mo/ favorable t]ms :i* ! ,secret>y is
 au?oriz$ to provide 9 contracts "u !   
,national ,heal? ,s]vice ,corps         
,s*ol>%ip ,program "u section #cch;,a1  
includ+ t]ms reg>d+ ! availability (    
rem$ies = any brea* ( ! contracts by !  
heal? pr(essionals involv$4  7g7        
,re/rictions on use ( funds ,any ,/ate  
receiv+ a grant "u ?is section %all n   
exp5d ! grant funds = any purpose o!r   
?an mak+ paym5ts on behalf ( or to      
,,rdocs s*ol>s "u contracts ent]$ into  
pursuant to ?is section4  7h7 ,reports  
by ,/ates ,any ,/ate receiv+ a grant "u 
?is section %all submit to ! ,secret>y--
  7#a7 a report on ! ,/ate's ,,rdocs    
program n lat] ?an ,janu>y #aj ( ea*    
fiscal ye> imm$iately foll[+ any fiscal 

ye> = :i* ! ,/ate has receiv$ su* a     
grant2 &  7#b7 su* o!r reports reg>d+ ! 
,/ate's ,,rdocs program1 z are det]m9$  
to be appropriate by ! ,secret>y4  7i7  
,reports by ,secret>y ,! ,secret>y %all 
report annually to ! relevant committees
 on ! physician work=ce 9 ! ,unit$      
,/ates1 & %all include 9 ea* su*        
report--  7#a7 data on ! physician      
%ortage1 if any1 disaggregat$ by ,/ate &
 region2 &  7#b7 a gap analysis ( !     
prim>y c>e practition]s ne$$ 9 ea* ,/ate
 & region1 & #e- & #aj-ye> e/imates ( ! 
fund+ ne$$ to close ! gap ?r\gh !       
,,rdocs program4  7j7 ,noncompliance    
7#a7 ,9 g5]al ,! ,secret>y may n make   
paym5ts "u ?is section to a ,/ate = any 
fiscal ye> subsequ5t to ! fir/ fiscal   
ye> ( su* paym5ts unless ! ,secret>y    
det]m9es t1 = ! imm$iately prec$+ fiscal
 ye>1 ! ,/ate has compli$ ) ea* ( !     
agreem5ts made by ! ,/ate "u ?is        
section4  7#b7 ,r$uction 9 grant        
relative to numb] ( brea*$ contracts    
7,a7 ,det]m9ation ( numb] ( brea*$      

contracts ,be=e mak+ a grant "u ?is     
section to a ,/ate = a fiscal ye>1 !    
,secret>y %all det]m9e ! numb] (        
contracts provid$ pursuant to ! ,/ate's 
,,rdocs program ) respect to :i* !re has
 be5 an initial brea* by ! ,,rdocs      
s*ol>s or (fic]s involv$ dur+ ! fiscal  
ye> prec$+ ! fiscal ye> = :i* ! ,/ate is
 apply+ to receive ! grant4  7,b7       
,r$uction ( grants ,subject to p>agraph 
7#c71 9 ! case ( a ,/ate ) #a or m      
initial brea*es = purposes ( subp>agraph
 7,a71 ! ,secret>y %all r$uce ! am\nt ( 
a grant "u ?is section to ! ,/ate = !   
fiscal ye> involv$ by an am\nt equal to 
! sum (--  7i7 ! exp5ditures ( ,f$]al   
funds made reg>d+ ! contracts involv$2 &
  7ii7 an am\nt repres5t+ int]e/ on !   
am\nt ( su* exp5ditures1 det]m9$ )      
respect to ea* contract on ! basis ( !  
maximum legal rate prevail+ = loans made
 dur+ ! "t am\nts 7 paid "u ! contract1 
z det]m9$ by ! ,treasur] ( ! ,unit$     
,/ates4  7#c7 ,waiv] reg>d+ r$uction 9  
grant ,! ,secret>y may waive !          

requirem5t ( p>agraph 7#b77;,b7 )       
respect to ! initial brea* ( a contract 
if ! ,secret>y det]m9es t su* brea* by !
 ,,rdocs s*ol> or (fic] involv$ 0       
attributable solely to ! pr(essional    
hav+ a s]i\s illness4  7k7 ,def9itions  
,= ! purposes ( ?is section3  7#a7      
,accel]at$ track family-m$ic9e program  
,! t]m accel]at$ track family-m$ic9e    
program ref]s to an appropriately       
accr$it$1 integrat$ c\rse ( /udy 9 :i* a
 c&idate c complete und]graduate m$ical 
education & graduate m$ical education 9 
#f ye>s4  7#b7 ,associat$ region ,! t]m 
associat$ region ref]s to--  7,a7 ! area
 encompass+ ! b\nd>ies ( ,wa%+ton1      
,wyom+1 ,alaska1 ,montana1 & ,idaho2    
7,b7 ! area encompass+ ! b\nd>ies (     
,ma9e1 ,new ,hamp%ire1 ,massa*usetts1   
,rhode ,isl&1 ,connecticut1 & ,v]mont2  
7,c7 ! area encompass+ ! b\nd>ies (     
,delaw>e & ,p5nsylvania2 or  7,d7 ! area
 encompass+ ! b\nd>ies ( ,m>yl&1 !      
,di/rict ( ,columbia1 & ,virg9ia4  7#c7 
,bo>d c]tification ,! t]m bo>d          

c]tification means a c]tification to    
practice m$ic9e 9 a specialty1 by an    
appropriate m$ical specialty bo>d4  7#d7
 ,heal? pr(essional %ortage area ,! t]m 
heal? pr(essional %ortage area means a  
heal? pr(essional %ortage area designat$
 "u section #ccb4  7#e7 ,p>ticipat+     
und]graduate m$ical program ,! t]m      
p>ticipat+ und]graduate m$ical program  
means an allopa?ic or o/eopa?ic         
und]graduate m$ical program op]at$ by a 
,/ate4  7#f7 ,prim>y c>e specialty ,!   
t]m prim>y c>e specialty means          
p$iatrics1 g]iatric1 g]ontology1 family 
m$ic9e1 or g5]al int]nal m$ic9e4  7#g7  
,,rdocs (fic] ,! t]m ,,rdocs (fic] means
 an ,,rdocs program p>ticipant :o has   
complet$ und]graduate m$ical tra9+1 b   
has n yet fulfill$ ! rema9+ requirem5ts 
( 8 or h] s*ol>%ip contract "u          
subsection 7b74  7#h7 ,,rdocs s*ol> ,!  
t]m ,,rdocs s*ol> means an individual   
p>ticipat+ 9 an ,,rdocs program pursuant
 to a s*ol>%ip contract "u subsection   
7b71 :o has n yet complet$ und]graduate 

m$ical education4  7#i7 ,relevant       
committees ,! t]m relevant committees   
means ! ,committee on ,heal?1           
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives4   
7#aj7 ,/ate ,! t]m ,/ate means ea* ( !  
#ej ,/ates & ! ,di/rict ( ,columbia4  4