,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #cidc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #e1 #bjae    
,ms4 ,bass introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to provide loan     
repaym5t inc5tives = physician          
assi/ants1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,physician ,assi/ant ,education ,public 
,heal? ,initiatives ,act ( #bjae4  #b4  
,/ud5t loan repaym5t = c]ta9 physician  
assi/ants  7a7 ,9 g5]al ,"p ,c ( title  
,,vii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bick et seq47 is am5d$  
by add+ at ! end ! foll[+3  ,,iii       
,physician ,assi/ants  #gdi;,c4 ,faculty
 positions 9 physician assi/ant         
education program loan repaym5t  7a7 ,9 
g5]al  7#a7 ,contracts ,subject to      
p>agraph 7#b71 ! ,secret>y %all ent]    
into contracts ) eligible individuals "u
 :i* su* an individual agrees to s]ve z 
a full-"t memb] ( ! faculty at a        

graduate-level physician assi/ant       
education program 7z def9$ 9 section    
#gii;,b7 9 consid]ation ( ! ,f$]al      
,gov]nm5t agree+ to pay1 = ea* ye> ( su*
 s]vice1 at ! end ( ea* su* ye>1 n m ?an
 #aj1jjj ( ! pr9cipal & int]e/ ( !      
educational loans ( su* individual4     
7#b7 ,cap ,! ,secret>y may n pay m ?an  
#de1jjj "u ?is section = any individual4
  7b7 ,def9itions  7#a7 ,eligible       
individual ,9 ?is section1 ! t]m        
eligible individual means an individual 
:o-- 7,a7 is a citiz51 national1 or     
lawful p]man5t resid5t ( ! ,unit$       
,/ates2  7,b7 has a degree f a          
graduate-level physician assi/ant       
education program2  7,c7 has contract$ )
 a graduate-level physician assi/ant    
education program to s]ve z a memb] ( ! 
faculty = n less ?an #b ye>s2 &  7,d7   
ei!r-- 7i7 holds a lic5se z a physician 
assi/ant2 or  7ii7 is qualifi$ =        
lic5sure z a physician assi/ant 9 a     
,/ate :]e su* individual s]ves z a      
full-"t memb] ( ! faculty at a          

graduate-level physician assi/ant       
education program4  7c7 ,au?orization ( 
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( ! fiscal 
ye>s #bjag ?r\gh #bjba4  #gdi;,d4       
,physician assi/ant prim>y c>e provid]  
loan repaym5t  7a7 ,9 g5]al ,! ,secret>y
 %all ent] into contracts ) eligible    
individuals "u :i* su* an individual    
agrees to s]ve = at lea/ #b ye>s z a    
full-"t physician assi/ant 9 a heal?    
pr(essional %ortage area1 9 a m$ically  
und]s]v$ area1 or at a heal? c5t] 9     
consid]ation ( ! ,f$]al ,gov]nm5t agree+
 to pay ! eligible am\nt ( ! pr9cipal & 
int]e/ ( ! educational loans ( su*      
individual4  7b7 ,def9itions ,9 ?is     
section3  7#a7 ,eligible am\nt ,! t]m   
eligible am\nt means1 ) respect to an   
eligible individual :o has ent]$ into a 
contract "u subsection 7a71 ) respect to
 ! aggregate pr9cipal & int]e/ on       
educational loans ( su* individual      
out/&+ on ! date su* individual began ! 

s]vice describ$ 9 su* contract-- 7,a7 = 
ea* ( ! fir/ two ye>s ( s]vice "u su*   
contract1 #cj p]c5t ( su* aggregate     
pr9cipal & int]e/2 &  7,b7 = ! ?ird ye>1
 if any1 ( s]vice "u su* contract1 #be  
p]c5t ( su* aggregate pr9cipal & int]e/4
  7#b7 ,eligible individual ,! t]m      
eligible individual means an individual 
:o--  7,a7 is a citiz51 national1 or    
lawful p]man5t resid5t ( ! ,unit$       
,/ates2  7,b7 has a degree f a          
graduate-level physician assi/ant       
education program2 &  7,c7 has contract$
 ) a heal? c>e provid] locat$ 9 a heal? 
pr(essional %ortage area or a m$ically  
und]s]v$ area or ) a heal? c5t] to s]ve 
z a physician assi/ant = n less ?an #b  
ye>s4  7#c7 ,heal? c5t] ,! t]m heal?    
c5t] has ! mean+ giv5 su* t]m 9 section 
#ccj7;a74  7#d7 ,m$ically und]s]v$ area 
,! t]m m$ically und]s]v$ area has !     
mean+ giv5 ! t]m m$ically und]s]v$      
community 9 section #gii;,b7#f74  7#e7  
,heal? pr(essional %ortage area ,! t]m  
heal? pr(essional %ortage area has !    

mean+ giv5 su* t]m 9 section #ccb7;a74  
7c7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section su* sums z may be       
necess>y = ea* ( ! fiscal ye>s #bjag    
?r\gh #bjba4  4  7b7 ,effective date ,! 
am5dm5t made by ?is section %all apply )
 respect to s]vice occurr+ on or aft] ! 
date ( ! enactm5t ( ?is ,act4  #c4      
,ext5d+ au?orization ( appropriations to
 support faculty developm5t &           
disadvantag$ /ud5ts ,section #gdj ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bic;d7 is am5d$-- 7#a7 9     
subsection 7a71 by ins]t+ aft] #bjad !  
foll[+3 & ea* ( ! fiscal ye>s #bjag     
?r\gh #bjba2  7#b7 9 subsection 7b71 by 
ins]t+ aft] #bjad ! foll[+3 & su* sums z
 may be necess>y = ea* ( ! fiscal ye>s  
#bjag ?r\gh #bjba2 &  7#c7 9 subsection 
7c71 by ins]t+ aft] #bjad ! foll[+3 &   
ea* ( ! fiscal ye>s #bjag ?r\gh #bjba4  
#d4 ,reau?orization ( prim>y c>e tra9+ &
 enhancem5t programs ,section #gdg7;c7 (
 ! ,public ,heal? ,s]vice ,act 7#db     

,u4,s4,c4 #bick7c77 is am5d$-- 7#a7 9   
p>agraph 7#a71 by ins]t+ aft] #bjad !   
foll[+3 & ea* ( fiscal ye>s #bjag ?r\gh 
#bjba2 &  7#b7 9 p>agraph 7#b71 by /rik+
 ,fifte5 & ins]t+ ,at lea/ #ae4  #e4    
,grants = rese>* on physician assi/ant  
education  7a7 ,9 g5]al ,! ,secret>y (  
,heal? & ,human ,s]vices %all provide   
grants to eligible entities to fund     
eligible rese>*]s to increase rese>* on 
physician assi/ant education4  7b7      
,application ,an eligible entity desir+ 
a grant "u ?is section %all submit to ! 
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,condition (
 receipt ,z a condition ( receipt ( a   
grant "u ?is section1 an entity %all ea*
 ye> aw>d n few] ?an eight eligible     
rese>*]s funds to support physician     
assi/ant education rese>*4  7d7 ,report 
requirem5t ,an entity receiv+ a grant "u
 ?is section %all provide to ! ,secret>y
 ) respect to ea* ye> t su* entity      
receives funds "u ?is section a report  

on ! activities conduct$ us+ su* funds1 
includ+-- 7#a7 ! numb] ( rese>*]s       
support$ dur+ su* ye> by su* entity us+ 
su* funds2  7#b7 a li/ ( ! rese>*]s     
c\nt$ "u p>agraph 7#a71 organiz$ by     
rese>*]1 includ+-- 7,a7 ! in/itution su*
 rese>*] is affiliat$ )2 &  7,b7 !      
rese>* topic ( su* rese>*]2  7#c7       
citations to publi%$ cl9ical & sci5tific
 rese>* by rese>*]s describ$ 9 p>agraph 
7#a7 t is attributable to support "u ?is
 section2  7#d7 an evaluation ( !       
b5efits ( grants "u ?is section2 &  7#e7
 any o!r in=mation ! ,secret>y may      
reque/4  7e7 ,def9itions ,9 ?is section3
 7#a7 ,eligible entity ,! t]m eligible  
entity means an organization t--  7,a7  
is a non-pr(it organization2 &  7,b7 has
 demon/rat$ exp]tise 9 physician        
assi/ant education & faculty developm5t4
  7#b7 ,eligible rese>*] ,! t]m eligible
 rese>*] means1 ) respect to an eligible
 entity1 a rese>*] t-- 7,a7 has         
demon/rat$ exp]tise 9 physician assi/ant
 education & faculty developm5t2 &  7,b7

 at su* "t & 9 su* mann] z su* entity   
may require1 provides su* entity ) a    
rese>* proposal on improv+ physician    
assi/ant education & faculty developm5t4
  7#c7 ,physician assi/ant education ,! 
t]m physician assi/ant education means  
select+1 educat+1 & graduat+ /ud5ts 9   
accr$it$ graduate physician assi/ant    
educational programs4  7#d7 ,secret>y ,!
 t]m ,secret>y means ! ,secret>y (      
,heal? & ,human ,s]vices4  7f7          
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ su* sums z   
may be necess>y to c>ry out ?is section 
= ea* ( fiscal ye>s #bjag ?r\gh #bjba4