,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ebbd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bh1 #bjad ,mr4 
,mc,dermott introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,vet]ans'  
,affairs  ,a ,,bill  ,to am5d title #ch1
 ,unit$ ,/ates ,code1 to e/abli% a      
s*ol>%ip program to increase !          
availability ( physicians :o provide    
prim>y heal? c>e s]vices at m$ical      
facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,re/or+ ! ,doctors ( ,our  
,c\ntry ?r\gh ,s*ol>%ips ,vet]ans       
,affairs ,act ( #bjad or ! ,,rdocs-,,va 
,act ( #bjad4  #b4 ,f9d+s ,congress f9ds
 ! foll[+3  7#a7 ,m$ical facilities ( ! 
,dep>tm5t ( ,vet]ans ,affairs are 9 dire
 ne$ ( m physicians1 ) a p>ticul> ne$ = 
doctors tra9$ 9 prim>y c>e specialties4 
7#b7 ,! ,heal? ,pr(essionals            
,educational ,assi/ance ,program        
e/abli%$ by *apt] #gf ( title #ch1      
,unit$ ,/ates ,code1 provides           
educational assi/ance ?r\gh s*ol>%ips & 

loan =giv5ess = a range ( heal?         
pr(essionals1 h[ev]1 x does n           
specifically enc\rage a commitm5t to    
prim>y c>e by physicians employ$ by !   
,dep>tm5t ( ,vet]ans ,affairs4  7#c7 ,! 
,res]ve ,(fic]s' ,tra9+ ,corps 7,,rotc7 
model ( education & tra9+ is a respect$ 
& effective way ( meet+ ! ne$ ( ! ,unit$
 ,/ates = educat$ & tra9$ (fic]s 9 !    
,arm$ ,=ces1 & x c be appli$ to tra9 &  
educate physicians to provide prim>y c>e
 s]vices4  7#d7 ,congress c build (f ( !
 ,heal? ,pr(essionals ,educational      
,assi/ance ,program & ! ,,rotc model to 
solve ! prim>y c>e %ortage by provid+   
full-tuition s*ol>%ips to /ud5ts        
committ$ to s]v+ ! ,unit$ ,/ates z      
prim>y c>e doctors at ! ,dep>tm5t (     
,vet]ans ,affairs4  #c4 ,e/abli%m5t (   
,re/or+ ! ,doctors ( ,our ,c\ntry ?r\gh 
,s*ol>%ips--,vet]ans ,affairs program   
7a7 ,9 g5]al ,*apt] #gf ( title #ch1    
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new sub*apt]3  ,,viii   
,re/or+ ! ,doctors ( ,our ,c\ntry ?r\gh 

,s*ol>%ips--,vet]ans ,affairs  #gfia4   
,au?ority = program ,z "p ( !           
,educational ,assi/ance ,program1 !     
,secret>y %all c>ry out a s*ol>%ip      
program "u ?is sub*apt] 9 ord] to       
provide = ! increas$ availability (     
physicians :o provide prim>y heal? c>e  
s]vices at m$ical facilities ( !        
,dep>tm5t ( ,vet]ans ,affairs4 ,!       
program %all be kn[n z ! ,re/or+ !      
,doctors ( ,our ,c\ntry ?r\gh           
,s*ol>%ips-,vet]ans ,affairs program 79 
?is sub*apt] ref]r$ to z ! ,,rdocs-,,va 
program74  #gfib4 ,s*ol>%ip program  7a7
 ,9 g5]al ,9 c>ry+ out ! ,,rdocs-,,va   
program1 ! ,secret>y %all aw>d n less   
?an #djj ,,rdocs-,,va s*ol>%ips to      
individuals :o are select$ by !         
,secret>y & ent] into an agreem5t "u    
subsection 7b74 ,"u su* s*ol>%ips1 !    
,secret>y %all pay--  7#a7 to !         
p>ticipat+ und]graduate m$ical program  
all tuition & co/s = ! und]graduate     
m$ical education ( an ,,rdocs-,,va s*ol>
 = a p]iod ( /udy n exce$+ #dh          

consecutive mon?s2 &  7#b7 to !         
,,rdocs-,,va s*ol> a co/-(-liv+ /ip5d1 9
 an am\nt det]m9$ by ! ,secret>y4  7b7  
,agreem5t ,to p>ticipate 9 !            
,,rdocs-,,va program1 an ,,rdocs-,,va   
s*ol> %all agree to--  7#a7 be admitt$  
into & ma9ta9 enrollm5t 9 a p>ticipat+  
und]graduate m$ical program 9 ! ,/ate ( 
resid5ce ( ! s*ol> 7or if su* ,/ate (   
resid5ce op]ates no su* program1 9 a    
p>ticipat+ und]graduate m$ical program 9
 a ,/ate )9 an associat$ region72  7#b7 
:5 enroll$ 9 su* program1 ma9ta9 a      
m9imum level ( academic /&+ 7to be      
det]m9$ by ! ,secret>y72  7#c7 complete 
an accr$it$ resid5cy tra9+ program 9 a  
prim>y c>e specialty2  7#d7 become      
lic5s$ to practice m$ic9e 9 ! ,/ate (   
resid5ce ( ! s*ol>2  7#e7 receive &     
ma9ta9 bo>d c]tification 9 a prim>y c>e 
specialty2 &  7#f7 complete a five-ye>  
po/-graduate p]iod ( employm5t by !     
,dep>tm5t ( ,vet]ans ,affairs p]=m+     
prim>y c>e s]vices4  7c7 ,priority 9    
aw>d+ s*ol>%ips ,9 select+ ,,rdocs-,,va 

s*ol>s & aw>d+ s*ol>%ips "u subsection  
7a71 ! ,secret>y %all give pref]5ce to  
applicants :o--  7#a7 are enroll$ 9 an  
accel]at$ track family-m$ic9e program2  
or  7#b7 elect to complete ! p]iod (    
employm5t describ$ 9 subsection 7b77#f7 
at a facility ( ! ,dep>tm5t t !         
,secret>y designates z hav+ an urg5t ne$
 = prim>y c>e physicians4  7d7          
,ineligibility = ,o!r ,educational      
,assi/ance ,an ,,rdocs-,,va s*ol> %all n
 be eligible = o!r assi/ance "u ?is     
*apt] 9 connection ) ! education receiv$
 "u ! ,,rdocs-,,va program4  #gfic4     
,brea* ( agreem5t3 liability  7a7 ,9    
g5]al ,an ,,rdocs-,,va s*ol> 7o!r ?an a 
s*ol> describ$ 9 subsection 7b77 :o     
fails to accept paym5t1 or in/ructs !   
p>ticipat+ und]graduate m$ical program 9
 :i* ! s*ol> is enroll$ n to accept     
paym5t1 9 :ole or 9 "p1 ( a s*ol>%ip "u 
! agreem5t ent]$ into "u section        
#gfib7;b7 ( ?is title %all be liable to 
! ,unit$ ,/ates = liquidat$ damages 9 ! 
am\nt ( #a1ejj4 ,su* liability is 9     

addition to any p]iod ( obligat$ s]vice 
or o!r obligation or liability "u !     
agreem5t4  7b7 ,liability  7#a7 ,an     
,,rdocs-,,va s*ol> %all be liable to !  
,unit$ ,/ates = ! am\nt :i* has be5 paid
 to or on behalf ( ! s*ol> "u ! agreem5t
 ent]$ into "u section #gfib7;b7 ( ?is  
title if any ( ! foll[+ occurs3  7,a7 ,!
 s*ol> fails to ma9ta9 an acceptable    
level ( academic /&+ describ$ 9 p>agraph
 7#b7 ( su* section #gfib7;b74  7,b7 ,! 
s*ol> is dismiss$ f ! p>ticipat+        
und]graduate m$ical program = discipl9>y
 reasons4  7,c7 ,! s*ol> volunt>ily     
t]m9ates ! c\rse ( tra9+ 9 su* program  
be=e ! completion ( su* program4  7,d7  
,! s*ol> fails to become lic5s$ to      
practice m$ic9e 9 ! ,/ate ( resid5ce ( !
 s*ol> dur+ a p]iod ( "t det]m9$ "u     
regulations prescrib$ by ! ,secret>y4   
7#b7 ,liability "u ?is subsection is 9  
lieu ( any s]vice obligation aris+ "u ! 
agreem5t ( ! ,,rdocs-,,va s*ol>4  7c7   
,recov]y  7#a7 ,if an ,,rdocs-,,va (fic]
 brea*es ! agreem5t by fail+ 7= any     

reason7 to complete ! p]iod ( obligat$  
s]vice ( ! (fic]1 ! ,unit$ ,/ates %all  
be entitl$ to recov] f ! (fic] an am\nt 
det]m9$ 9 accordance ) ! =mula describ$ 
9 section #gfag7;c77#a7 ( ?is title4    
7#b7 ,any am\nt ( damages :i* ! ,unit$  
,/ates is entitl$ to recov] "u ?is      
section %all be paid to ! ,unit$ ,/ates 
)9 ! "o-ye> p]iod beg9n+ on ! date ( !  
brea* ( ! agreem5t4  #gfid4 ,reports  ,!
 ,secret>y %all annually submit to !    
,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate a    
report on ! physician work=ce ( !       
,dep>tm5t4 ,su* report %all include--   
7#a7 ! numb] ( s*ol>%ips aw>d$ "u ?is   
sub*apt] dur+ ! ye> cov]$ by ! report2  
7#b7 data on ! physician %ortage ( !    
,dep>tm5t1 if any1 disaggregat$ by !    
m$ical facility ( ! ,dep>tm5t2 &  7#c7 a
 gap analysis ( ! prim>y c>e            
practition]s ne$$ 9 ea* m$ical facility 
( ! ,dep>tm5t1 & a five- & t5-ye>       
e/imates ( ! fund+ ne$$ to close ! gap  
?r\gh ! ,,rdocs-,,va program4  #gfie4   

,def9itions ,9 ?is sub*apt]3  7#a7 ,!   
t]m accel]at$ track family-m$ic9e       
program means an appropriately accr$it$1
 integrat$ c\rse ( /udy 9 :i* a c&idate 
c complete und]graduate m$ical education
 & graduate m$ical education 9 six ye>s4
  7#b7 ,! t]m associat$ region means--  
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 ,! 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
 ,! 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#e7 ,! t]m prim>y c>e specialty
 means g]iatrics1 g]ontology1 family    

m$ic9e1 or g5]al int]nal m$ic9e4  7#f7  
,! t]m ,,rdocs-,,va (fic] means an      
,,rdocs-,,va program p>ticipant :o has  
complet$ und]graduate m$ical tra9+1 b   
has n yet fulfill$ ! rema9+ requirem5ts 
( ! s*ol>%ip agreem5t ent]$ into "u     
section #gfib7;b7 ( ?is title4  7#g7 ,! 
t]m ,,rdocs-,,va s*ol> means an         
individual p>ticipat+ 9 an ,,rdocs-,,va 
program pursuant to a s*ol>%ip agreem5t 
ent]$ into "u section #gfib7;b7 ( ?is   
title1 b has n yet complet$ und]graduate
 m$ical education4  7#h7 ,/ate ,! t]m   
,/ate means ea* ( ! sev]al ,/ates & !   
,di/rict ( ,columbia4  4  7b7 ,cl]ical  
am5dm5t ,! table ( sections at ! beg9n+ 
( su* *apt] is am5d$ by add+ aft] ! item
 relat+ to section #gfhd ! foll[+ new   
items3  ,sub*apt] ,,viii--,re/or+ !     
,doctors ( ,our ,c\ntry ?r\gh           
,s*ol>%ips--,vet]ans ,affairs #gfia4    
,au?ority = program4 #gfib4 ,s*ol>%ip   
program4 #gfic4 ,brea* ( agreem5t3      
liability4 #gfid4 ,reports4 #gfie4      
,def9itions4  4