,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #edih  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #af1 #bjad  
,mr4 ,s>banes introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to e/abli% a     
demon/ration program to facilitate      
physician re5try into cl9ical practice  
to provide prim>y heal? s]vices4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,prim>y ,c>e ,physician ,re5try ,act4   
#b4 ,f9d+s ,congress f9ds z foll[s3     
7#a7 ,accord+ to ! ,association (       
,am]ican ,m$ical ,colleges--  7,a7 !    
%ortage ( prim>y c>e physicians w rea*  
#de1jjj by ! ye> #bjbj1 z few] ?an #bj  
p]c5t ( m$ical /ud5ts *oose to ent]     
prim>y c>e m$ic9e2 &  7,b7 ! ov]all     
%ortage ( physicians 9 ! ,unit$ ,/ates  
is expect$ to surpass #acj1jjj by #bjbe4
  7#b7 ,m$ical s*ools 9 ! ,unit$ ,/ates 
tra9 only approximately #af1jjj new     
physicians e ye>4  7#c7 ,! ,dep>tm5t (  
,heal? & ,human ,s]vices e/imates t !   
,unit$ ,/ates ne$s at lea/ #af1jjj m    

prim>y c>e physicians4  7#d7 ,accord+ to
 a survey ( #a1fjj p$iatricians ov] !   
age ( #ej conduct$ by ! ,association (  
,am]ican ,m$ical ,colleges & ! ,am]ican 
,academy ( ,p$iatrics1 #bb p]c5t (      
female p$iatricians took ext5d$ leave   
7#f mon?s or m7 f m$ic9e1 comp>$ to only
 #f4e p]c5t ( male p$iatricians4        
,sev5ty-"o p]c5t ( ! female p$iatricians
 :o took ext5d$ leave did s to c>e = a  
*ild or family memb]4  #c4 ,re5try      
program = physicians  7a7 ,activities ( 
! ,secret>y  7#a7 ,e/abli%m5t (         
demon/ration program ,! ,secret>y (     
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y7 %all e/abli% 
a demon/ration program to assi/ !       
developm5t ( innovative programs t      
facilitate physician re5try into cl9ical
 practice to provide prim>y heal?       
s]vices4 ,"u su* demon/ration program1 !
 ,secret>y %all--  7,a7 aw>d "o grant1  
on a competitive basis1 to an eligible  
entity describ$ 9 subsection 7b7 9 ea* (
 ! #aj regions s]v$ by a regional (fice 

( ! ,dep>tm5t ( ,heal? & ,human ,s]vices
 to c>ry out physician re5try projects  
to assi/ re5t]+ physicians p>ticipat+ 9 
su* projects ?r\gh any ( ! activities   
describ$ 9 subsection 7d72 &  7,b7 9    
consultation ) key /akehold]s & subject 
to p>agraph 7#b77;,b71 c>ry out !       
adm9i/rative activities describ$ 9      
p>agraph 7#b77;,a74  7#b7 ,adm9i/rative 
activities  7,a7 ,9 g5]al ,= purposes ( 
p>agraph 7#a77;,b71 ! adm9i/rative      
activities describ$ 9 ?is subp>agraph   
are ! foll[+3  7i7 ,conduct a national  
ne$s assessm5t ) reg>d to ! supply (    
physicians :o provide prim>y heal?      
s]vices1 us+1 to ! ext5t feasible1      
in=mation collect$ = use 9 o!r simil>   
complet$ or =?com+ /udies1 su* z /udies 
conduct$ by ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality & ! ,heal? ,res\rces &      
,s]vices ,adm9i/ration4  7ii7 ,develop a
 database t conta9s a directory (       
programs t help physicians re5t] cl9ical
 practice4  7iii7 ,dissem9ate           
evid5ce-bas$ assessm5ts & evaluation    

tools z su* assessm5ts & tools become   
available to measure ! basic core       
compet5cies ( physicians re5t]+ cl9ical 
practice t are consi/5t ) ! guidel9es   
publi%$ by ! ,f$]ation ( ,/ate ,m$ical  
,bo>ds = su* physicians4  7iv7 ,assi/   
,/ate regulatory au?orities & hospital  
cr$5tial+ committees to /ructure        
requirem5ts = physicians to return to   
cl9ical practice 9 a mann] t ensures    
pati5t safety :ile address+ ! burd5s on 
su* re5t]+ physicians4  7,b7 ,limitation
 ,! ,secret>y %all use n m ?an #ae p]c5t
 ( ! funds appropriat$ to c>ry out ?is  
section to c>ry out ! activities        
describ$ 9 subp>agraph 7,a74  7b7       
,eligible entities ,entities eligible to
 receive a grant "u ?is section are !   
foll[+3  7#a7 ,a ,/ate4  7#b7 ,a        
hospital4  7#c7 ,an academic m$ical     
c5t]4  7#d7 ,a m$ical s*ool4  7#e7 ,a   
heal? c5t] 7z def9$ 9 section #ccj7;a7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bed;b7a7774  7#f7 ,a tea*+   
heal? c5t]4  7#g7 ,a non-pr(it          

organization ) a demon/rat$ hi/ory or   
exp]tise 9 provid+ physician education &
 ) ! ability to (f] programs            
specifically t>get$ at re5t]+           
physicians4  7c7 ,application ,9 ord] to
 receive a grant "u ?is section1 an     
eligible entity %all submit to !        
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7d7 ,uses (     
,funds ,an eligible entity t receives   
funds "u ?is section %all use su* funds 
to c>ry out a physician re5try project  
to assi/ re5t]+ physicians p>ticipat+ 9 
! project ?r\gh any ( ! foll[+          
activities3  7#a7 ,tra9+ su* re5t]+     
physicians to re5t] cl9ical practice4   
7#b7 ,pay+ cr$5tial+ fees & o!r fees t  
are necess>y = su* re5t]+ physicians to 
re5t] cl9ical practice4  7#c7 ,pay+ !   
sal>ies ( su* re5t]+ physicians :o are s
 eligible to re5t] cl9ical practice dur+
 ! p]iod = :i* su* physicians provide   
prim>y heal? s]vices at a c5t] describ$ 
9 subsection 7e77#a74  7#d7 ,provid+    

loan repaym5t assi/ance & o!r f9ancial  
assi/ance1 includ+ s*ol>%ips & grants = 
education & tra9+1 to su* re5t]+        
physicians4  7e7 ,requirem5ts ( re5try  
physicians ,to p>ticipate 9 projects ,to
 be eligible to p>ticipate 9 a physician
 re5try project c>ri$ out by an eligible
 entity "u ?is section1 a re5t]+        
physician %all provide assurances       
satisfactory to ! ,secret>y t !         
physician w comply ) ! foll[+3  7#a7    
,s]vice locations ,! re5t]+ physician   
%all provide prim>y heal? s]vices at--  
7,a7 a heal? c5t] 7z def9$ 9 section    
#ccj7;a7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bed;b7a7772  7,b7 a    
,vet]ans ,adm9i/ration ,m$ical ,c5t] if 
! ,secret>y ( ,vet]ans ,affairs c]tifies
 t !re is a %ortage ( physicians at su* 
m$ical c5t]2 or  7,c7 a s*ool-bas$ heal?
 c5t] 7z def9$ 9 section #baaj7;c77#i7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acig;jj7c77#i7774  7#b7 ,l5g? ( s]vice
 ,! re5t]+ physician %all provide su*   
s]vices at su* a c5t]1 consi/5t )       

p>agraph 7#a71 = n less ?an #b ye>s4    
7f7 ,liability protections ,= purposes (
 section #bbd ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bcc71 a re5t]+    
physician p>ticipat+ 9 a physician      
re5try project "u ?is section %all be   
deem$ to be an employee ( ! ,public     
,heal? ,s]vice work+ )9 ! scope ( su*   
employm5t ) respect to prim>y heal?     
s]vices provid$ by su* re5t]+ physician 
at a c5t] describ$ 9 subsection 7e77#a7 
"u ! t]ms ( su* p>ticipation 9 su*      
project4 ,! rem$y aga9/ ! ,unit$ ,/ates 
= a physician describ$ 9 p>agraph 7#b7  
:o is deem$ to be an employee ( !       
,public ,heal? ,s]vice pursuant to !    
previ\s s5t5ce %all be exclusive ( any  
o!r civil action or proce$+ to ! same   
ext5t z ! rem$y aga9/ ! ,unit$ ,/ates is
 exclusive pursuant to subsection 7a7 ( 
su* section4  7g7 ,annual review &      
report ,= any ye> dur+ :i* !            
demon/ration program "u ?is section is  
c>ri$ out1 ! ,secret>y %all conduct a   
review & compreh5sive evaluation ( su*  

program & %all prep>e & submit to       
,congress a report assess+ su* program1 
includ+ an assessm5t ( ! p]=mance ( !   
re5t]+ physicians :o p>ticipate 9       
physician re5try projects "u su*        
program4  7h7 ,re5t]+ physicians  7#a7  
,def9ition ,subject to p>agraph 7#b71 = 
purposes ( ?is section1 ! t]m re5t]+    
physician means an individual--  7,a7 :o
 is a doctor ( m$ic9e2  7,b7 :o receiv$ 
tra9+ 9 prim>y c>e or prim>y heal?      
s]vices1 includ+ family m$ic9e1 int]nal 
m$ic9e1 p$iatrics1 ob/etrics &          
gynecology1 d5ti/ry1 & m5tal heal?4     
7,c7 :o 0 previ\sly 7& may curr5tly be7 
legally au?oriz$ to practice m$ic9e &   
surg]y by a ,/ate2  7,d7 :o previ\sly   
engag$ 9 ! cl9ical practice ( m$ic9e1 b 
:o is n curr5tly engag$ 9 ! cl9ical     
practice ( m$ic9e & has n be5 engag$ 9  
su* practice = a p]iod ( #b ye>s or su* 
long] p]iod det]m9$ to be suffici5t by !
 ,secret>y2 &  7,e7 :o provides         
assurances satisfactory to ! ,secret>y &
 ! respective ,/ate lic5s+ bo>d t !     

individual w return to cl9ical practice 
9 ! discipl9e 9 :i* su* individual 0    
tra9$ or c]tifi$1 includ+1 if           
applicable1 by rega9+ necess>y tra9+ &  
c]tification = legal au?orization to    
practice m$ic9e & surg]y by a ,/ate4    
7#b7 ,exclusions ,= purposes ( ?is      
section1 ! t]m re5t]+ physician does n  
include an individual if--  7,a7 su*    
individual has fail$ to complete an     
obligation to provide heal? c>e s]vices 
"u a ,f$]al1 ,/ate1 or local program    
7includ+ any p]iod ( obligat$ s]vice "u 
subp>t ,,iii ( "p ,d ( title ,,iii ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedl et seq4772  7,b7 a f9al 
adv]se action reg>d+ su* individual has 
be5 report$ to ! data collection program
 "u section #aabh;,e ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;e72 or  7,c7 ! individual has
 a debt due to ! ,unit$ ,/ates4  7i7    
,prim>y heal? s]vices def9$ ,= purposes 
( ?is section1 ! t]m prim>y heal?       
s]vices has ! mean+ giv5 su* t]m 9      

section #cca7;a77#c7 ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4             
#bed;d7a77#c774  7j7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = fiscal ye>     
#bjae4