,,ii  #aac? ,,congress  #a/ ,session    
,s4 #aaeb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ab1 #bjac ,mr4  
,re$ 7= himself & ,mr4 ,blunt7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,a      
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to help build a /rong]     
heal? c>e work=ce4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,build+ a ,heal?  
,c>e ,work=ce = ! ,future ,act4  #b4    
,grants to ,/ates = s*ol>%ip 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 ,9  
g5]al ,! ,secret>y %all aw>d grants to  
eligible ,/ates to enable su* ,/ates to 
implem5t s*ol>%ip programs to ensure1 ) 
respect to ! provision ( heal? s]vices1 
an adequate supply ( physicians1 d5ti/s1
 behavioral & m5tal heal? pr(essionals1 
c]tifi$ nurse midwives1 c]tifi$ nurse   

practition]s1 physician assi/ants1 &    
ph>maci/s or o!r heal? pr(ession z      
det]m9$ by ! ,secret>y4  7b7 ,eligible  
,/ates ,to be eligible to receive a     
grant "u ?is section1 a ,/ate %all      
submit to ! ,secret>y an application    
conta9+ su* in=mation z ! ,secret>y     
det]m9es necess>y to c>ry out ?is       
section4  7c7 ,eligible p>ticipants ,to 
be eligible to p>ticipate 9 a s*ol>%ip  
program c>ri$ out ) a grant receiv$ "u  
?is section1 an individual %all--  7#a7 
be accept$ = enrollm5t1 or be enroll$1 z
 a full-"t /ud5t--  7,a7 9 an accr$it$  
7z det]m9$ by ! ,secret>y7 educational  
in/itution 9 a ,/ate2 &  7,b7 9 a c\rse 
( /udy or program1 (f]$ by su*          
in/itution & approv$ by ! ,secret>y1    
lead+ to a degree 9 m$ic9e1 d5ti/ry1    
s*ool ( ph>macy1 o!r heal? pr(ession    
designat$ by ! ,secret>y1 nurs+ college1
 or an appropriate degree f a graduate  
program ( behavioral & m5tal heal?2     
7#b7 submit to ! ,/ate1 an application  
to p>ticipate 9 ! program2 &  7#c7 sign 

& submit to ! ,/ate1 at ! "t ( !        
submission ( ! application "u p>agraph  
7#b71 a writt5 contract t requires !    
individual to--  7,a7 accept paym5ts "u 
! s*ol>%ip2  7,b7 ma9ta9 a m9imum level 
( academic /&+ dur+ ! p]iod ( !         
s*ol>%ip1 z det]m9$ by ! ,secret>y2     
7,c7 if applicable1 complete an accr$it$
 resid5cy tra9+ program2  7,d7 become   
lic5s$ 9 ! applicant's ,/ate ( resid5ce2
 &  7,e7 s]ve z a provid] = #a ye> 9--  
7i7 a heal? pr(essional %ortage area 7z 
def9$ by ! ,national ,heal? ,s]vice     
,corps "u section #ccb72  7ii7 a        
m$ically und]s]v$ area 7z def9$ =       
purposes ( section #ccj72 or  7iii7 any 
o!r %ortage area def9$ by ! ,/ate &     
approv$ by ! ,secret>y2  9 ! applicant's
 ,/ate ( resid5ce = e ye> 9 :i* !       
applicant receiv$ a s*ol>%ip4  7d7      
,designation ( areas ,to be eligible to 
receive a grant "u ?is section1 a ,/ate 
%all adequately demon/rate to !         
,secret>y t ! ,/ate has designat$       
appropriate heal? pr(essions or         

specialty %ortage areas4  7e7 ,requir$  
disclosures ,9 dissem9at+ application & 
contract =ms to individuals desir+ to   
p>ticipate 9 a s*ol>%ip program fund$ "u
 ?is section1 ! ,/ate %all include ) su*
 =ms a summ>y ( ! rights & liabilities (
 an individual ^: application is approv$
 7& ^: contract is accept$71 includ+ a  
cle> explanation ( ! damages to :i* !   
,/ate is entitl$ 9 ! case ( !           
individual's brea* ( ! contract4  7f7   
,aw>d+ ( contracts  7#a7 ,9 g5]al ,a    
,/ate t ent]s into a contract ) an      
individual "u subsection 7c77#c7 %all1 )
 respect to ! program 9 :i* ! individual
 is enroll$1 agree to pay--  7,a7 all   
tuition & co/s associat$ ) ! program2   
7,b7 any o!r reasonable educational     
exp5ses1 includ+ fees1 books1 &         
laboratory exp5ses1 relat$ to ! program2
 &  7,c7 a co/-(-liv+ /ip5d 9 an am\nt  
to be det]m9$ ! ,secret>y4  7#b7        
,consid]ation by ,/ate ,9 ent]+ into    
contracts ) individuals t meet !        
requirem5ts ( subsection 7c71 ! ,/ate   

%all consid] ! ext5t ( ! applicant's    
demon/rat$ int]e/ 9 ! provision ( c>e   
s]vices 9 a p>ticul> provid] %ortage    
area4  7g7 ,mat*+ funds ,a ,/ate receiv+
 a grant "u ?is section %all1 ) respect 
to ! co/s ( mak+ paym5ts on behalf (    
individuals "u ! s*ol>%ip program       
implem5t$ by ! ,/ate "u ! grant1 make   
available 7directly or ?r\gh donations f
 public or private entities7 non-,f$]al 
contributions 9 ca% t[>d su* co/s 9 an  
am\nt equal to n less ?an #a = ea* #a ( 
,f$]al funds provid$ "u ! grant4  7h7   
,direct adm9i/ration by ,/ate ag5cy ,!  
s*ol>%ip program ( any ,/ate receiv+ a  
grant "u ?is section %all be adm9i/]$   
directly by a ,/ate ag5cy4  7i7 ,report 
by ,secret>y ,n lat] ?an #d ye>s aft] ! 
date ( enactm5t ( ?is section1 & e #e   
ye>s !reaft]1 ! ,secret>y %all submit to
 ,congress a report conc]n+--  7#a7 !   
numb] ( s*ol>%ips aw>d$ "u ! ,/ate      
s*ol>%ip program2  7#b7 ! numb] (       
s*ol>%ip recipi5ts1 brok5 d[n by        
practice area1 s]v+ 9 ! pr(ession       

orig9ally aw>d$ a s*ol>%ip = #a ye> aft]
 ! completion ( ! s]vice p]iod requir$  
"u subsection 7c77#c77;,e72  7#c7 !     
numb] ( s*ol>%ip recipi5ts1 brok5 d[n by
 provid] type1 practic+ 9 an und]s]v$   
area #a ye> aft] ! completion ( ! s]vice
 p]iod requir$ "u subsection            
7c77#c77;,e72  7#d7 data on any *anges 9
 heal? pr(essional %ortage areas or     
m$ically und]s]v$ areas )9 ! ,/ate2     
7#e7 rema9+ gaps 9 su* heal? pr(essional
 %ortage areas or m$ically und]s]v$     
areas2  7#f7 ! numb] ( additional       
full-"t physicians t w\ld be requir$ to 
elim9ate su* heal? pr(essional %ortage  
areas or m$ically und]s]v$ areas 9 !    
,/ate2  7#g7 ! numb] ( individuals :o   
receiv$ a s*ol>%ip b fail$ to comply )  
its requirem5ts2  7#h7 ! action tak5 by 
! ,/ate to rec\p s*ol>%ip funds 9 ! case
 ( any non-compliance2 &  7#i7          
recomm5dations to improve ! program "u  
?is section4  7j7 ,au?orization (       
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section1    

#bj1jjj1jjj = ea* ( fiscal ye>s #bjad   
?r\gh #bjah4 ,n less ?an #ej p]c5t ( !  
am\nt appropriat$ = a fiscal ye> "u ?is 
subsection %all be us$ to provide       
s*ol>%ips to provid]s :o int5d on pursu+
 c>e]s 9 prim>y c>e4  4  #c4 ,increas+  
m5tor+ & trans=m+ compet5cies 9 prim>y  
c>e ,title ,,vii ( ! ,public ,heal?     
,s]vice ,act is am5d$ by ins]t+ aft]    
section #gdg;,a 7#db ,u4,s4,c4          
#bick-#a71 ! foll[+3  #gdg;,b4 ,develop+
 effective prim>y c>e m5tors & improv+  
m5tor%ip opportunities = m$ical /ud5ts  
7a7 ,grants ,to cultivate prim>y c>e    
m5tors & improve prim>y c>e m5tor%ip    
opportunities = m$ical /ud5ts ,!        
,secret>y may aw>d grants to eligible   
m$ical s*ools to assi/ su* s*ools 9     
develop+ & /r5g!n+ prim>y c>e m5tor%ip  
programs & cultivat+ lead]s 9 prim>y c>e
 among /ud5ts4  7b7 ,eligibility ,to be 
eligible to receive a grant "u ?is      
section1 an entity %all--  7#a7 be an   
accr$it$ m$ical s*ool or college (      
o/eopa?ic m$ic9e2 &  7#b7 submit to !   

,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ an       
assurance t ! applicant w use am\nts    
receiv$ "u ! grant to--  7,a7 e/abli% or
 enhance exi/+ m5tor%ip programs1       
includ+--  7i7 inc5tiviz+ m$ical s*ool  
faculty 7?r\gh f9ancial or o!r rew>d    
sy/ems7 to p>ticipate z a m5tor ( o!r   
prim>y c>e physician faculty memb]s &   
/ud5ts2  7ii7 provid+ res\rces = aspir+ 
m5tors to p>ticipate 9 work%ops or o!r  
le>n+ exp]i5ces 9 :i* prim>y c>e        
physicians c le>n ab\t effective        
/rategies 9 prim>y c>e m5tor+2  7iii7   
enabl+ successful prim>y c>e m5tors on  
m$ical s*ool faculty to sp5d "t at ano!r
 in/itution :]e !y c promote be/        
practices 9 m5tor+ prim>y c>e lead]s &  
/ud5ts2 &  7iv7 develop+ web-bas$       
res\rces = m5tors to int]act regul>ly & 
%>e successful /rategies2 or  7,b7      
cultivate int]e/ & lead]s 9 prim>y c>e  
among /ud5ts1 includ+--  7i7 (f]+ /ud5ts
 t id5tify int]e/ 9 prim>y c>e ^u       

matriculation1 longitud9al exp]i5ces 9  
prim>y c>e to c>e = & track ! heal? &   
wellness ( pati5ts ?r\gh\t m$ical s*ool2
  7ii7 arrang+ p>tn]%ips ) private      
practices1 insur]s1 s*ools ( public     
heal?1 public heal? dep>tm5ts1 &        
community-bas$ s]vice projects ) ! goal 
( provid+ /ud5ts ) ! opportunity to     
int]act ) prim>y c>e m5tors f a v>iety (
 heal? c>e sett+s2  7iii7 provid+ /ip5ds
 or o!r =ms ( f9ancial res\rces to      
/ud5ts :o "w ) designat$ m5tors 9 !     
field ( prim>y c>e 9 und]s]v$ urban &   
rural communities2 &  7iv7 support+     
opportunities = /ud5ts to engage 9      
practice r$esign or o!r ef=ts 9 :i*     
prim>y c>e physicians are tak+ a        
lead]%ip role 9 deliv]y sy/em re=m4  7c7
 ,au?orization ( appropriations ,!re are
 au?oriz$ to be appropriat$ to c>ry out 
?is section1 #bj1jjj1jjj = ea* ( fiscal 
ye>s #bjad ?r\gh #bjbj4  #gdg;,c4       
,develop+ & promot+ new compet5cies  7a7
 ,grants ,to develop & promote new      
compet5cies ,9 ord] to fo/] curricul>   

innovations to improve ! education &    
tra9+ ( heal? c>e provid]s1 ! ,secret>y 
%all aw>d grants to m$ical & o!r heal?  
pr(essions s*ools to promote priority   
compet5cies 7z describ$ 9 subsection    
7b774  7b7 ,priority compet5cies ,9     
aw>d+ grants "u subsection 7a71 !       
,secret>y1 act+ ?r\gh ! ,advisory       
,committee on ,tra9+ 9 ,prim>y ,c>e &   
,d5ti/ry1 %all select an annual         
compet5cy to direct ! aw>d+ ( su*       
grants4 ,su* annual compet5cies may     
include--  7#a7 pati5t-c5t]$ m$ical     
homes2  7#b7 *ronic disease managem5t2  
7#c7 integration ( prim>y c>e & m5tal   
heal? c>e2  7#d7 integration ( prim>y   
c>e1 public & population heal?1 & heal? 
promotion2  7#e7 cultural compet5cy2    
7#f7 dome/ic viol5ce2  7#g7 improv+ c>e 
9 m$ically undes]v$ areas2 &  7#h7      
team-bas$ c>e4  7c7 ,grant recipi5ts ,! 
,secret>y may aw>d grants "u subsection 
7a7 to programs t provide education or  
tra9+ =--  7#a7 physicians2  7#b7 d5ti/s
 & d5tal hygi5i/s2  7#c7 physician      

assi/ants2  7#d7 m5tal & behavioral     
heal? provid]s2  7#e7 public &          
populations heal? pr(essionals2 or  7#f7
 ph>maci/s4  7d7 ,consid]ation 9        
evaluat+ grant applications ,! ,secret>y
 %all give consid]ation to applicants t 
are propos+ to p>tn] ) o!r m$ical       
programs1 heal? pr(essions programs1 or 
nurs+ programs4  7e7 ,grantee reports ,!
 recipi5t ( a grant "u ?is section %all1
 n lat] ?an #ahj days aft] ! end ( !    
grant p]iod involv$1 submit to !        
,advisory ,committee1 a report on !     
foll[+ 7:]e appropriate73  7#a7 ,a      
description ( h[ ! fund+ "u ! grant 0   
us$ by ! grantee4  7#b7 ,a description (
 ! int5d$ goal ( su* fund+4  7#c7 ,a    
description ( ! *all5ges fac$ by !      
grantee 9 rea*+ ! goal describ$ 9       
p>agraph 7#b74  7#d7 ,a description ( ! 
lessons le>n$ by ! grantee relat$ to !  
grant activities4  7f7 ,recomm5dations (
 ! ,advisory ,committee ,! ,advisory    
,committee1 bas$ on ! in=mation submitt$
 "u subsection 7d71 %all annually report

 to ! ,secret>y on outcomes ( !         
activities c>ri$ out "u grants "u ?is   
section1 includ+ specific recomm5dations
 = scal+ up innovations to promote      
education & tra9+ ( heal? c>e provid]s 9
 ! priority compet5cies describ$ 9      
subsection 7b74  7g7 ,au?orization (    
appropriations ,!re are au?oriz$ to be  
appropriat$1 #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjad ?r\gh #bjah to c>ry out ?is  
section4  4  #d4 ,/udy on docum5tation  
requirem5ts = cognitive s]vice ,n lat]  
?an #c ye>s aft] ! date ( enactm5t ( ?is
 ,act1 ! ,in/itute ( ,m$ic9e %all       
conduct a /udy1 & submit a report to    
,congress1 conc]n+ ! docum5tation       
requirem5ts = cognitive s]vices         
7evaluation & managem5t s]vices7 requir$
 "u ! ,m$ic>e & ,m$icaid programs "u    
titles ,,xviii & ,,xix ( ! ,social      
,security ,act1 & ?r\gh private heal?   
insur]s4 ,su* /udy %all include an      
evaluation (--  7#a7 h[ docum5tation    
requirem5ts design$ = pap]-bas$ records 
%\ld be modifi$ = electronic records2   

7#b7 :e!r or n ! docum5tation           
requirem5ts are ov]ly burd5some on      
physicians & detract f pati5t c>e2  7#c7
 ! adm9i/rative co/s to physician       
practices ( ! curr5t docum5tation       
requirem5ts2  7#d7 ! av]age am\nt ( "t  
requir$ by physicians to docum5t        
cognitive s]vices2  7#e7 options to m   
appropriately comp5sate physicians =    
evaluation & managem5t ( pati5t c>e )\t 
requir+ excessive docum5tation (        
cognitive s]vices2 &  7#f7              
recomm5dations = less burd5some         
alt]natives or *anges to exi/+          
docum5tation requirem5ts ( cognitive    
s]vices4