,,ii  #aad? ,,congress  #b;d ,session   
,s4 #caij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ac1 #bjaf ,mr4  
,frank5 7= himself & ,ms4 ,heitkamp7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to enhance ! rural heal?    
work=ce1 & = o!r purposes4  #a4 ,%ort   
title  ,?is ,act may be cit$ z !        
,/r5g!n+ ,our ,rural ,heal? ,work=ce    
,act ( #bjaf4  #b4 ,table ( cont5ts ,!  
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table 
( cont5ts4 ,,title ,i--,compreh5sive    
/rategic plann+ = work=ce ne$s ,sec4    
#aja4 ,national ,heal? ,c>e ,work=ce    
,commission4 ,,title ,,ii--,increas+ !  
adoption ( rural tra9+ track programs   
,sec4 #bja4 ,cl>ify+ description ( rural
 tra9+ tracks4 ,sec4 #bjb4 ,,gao /udy & 
report on ,m$ic>e paym5ts = graduate    
m$ical education4 ,sec4 #bjc4           
,di/ribution ( additional resid5cy      
positions4 ,,title ,,iii--,support+     

prim>y c>e work=ce ,sec4 #cja4          
,reau?orization ( prim>y c>e resid5cy   
expansion program4 ,sec4 #cjb4          
,reau?orization ( area heal? education  
c5t]s4 ,,title ,,iv--,support+ em]g+    
pr(essions ,sec4 #dja4 ,au?oriz+        
appropriations = ,qu5t9 ,n4 ,burdick    
program = rural int]discipl9>y tra9+4   
,sec4 #djb4 ,d5tal !rapi/s4 ,sec4 #djc4 
,alli$ heal? pr(essionals4 ,sec4 #djd4  
,community heal? work]s4 ,sec4 #dje4    
,,gao report4 ,,title ,v--,m5tal heal?  
work=ce ,sec4 #eja4 ,e/abli%+ m5tal     
heal? & sub/ance use disord] curriculum4
 ,sec4 #ejb4 ,/reaml9+ m5tal &          
behavioral heal? work=ce programs4  ,i  
,compreh5sive /rategic plann+ = work=ce 
ne$s  #aja4 ,national ,heal? ,c>e       
,work=ce ,commission ,section #eaja ( ! 
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #bidq7 is am5d$--   
7a7 9 subsection 7h7-- 7#a7 by /rik+    
p>agraphs 7#a7 & 7#b7 & ins]t+ ! foll[+3
  7#a7  ,appropriations  ,!re are       
au?oriz$ to be appropriat$1 & !re are   

appropriat$1 out ( any monies 9 !       
,treasury n o!rwise appropriat$1        
#aj1jjj1jjj = ea* fiscal ye> to c>ry out
 ?is section4  2 &  7#b7 by r$esignat+  
p>agraph 7#c7 z p>agraph 7#b72 &  7b7 9 
subsection 7d7-- 7#a7 9 p>agraph 7#g71  
by add+ at ! end ,:5ev] feasible1       
,congress & ! ,dep>tm5t ( ,heal? &      
,human ,s]vices %all recognize &        
implem5t su* recomm5dations42 &  7#b7 by
 add+ at ! end ! foll[+3  7#i7 ,data    
track+  7,a7 ,data track+ me*anism ,!   
,commission %all develop1 or ent] into a
 contract ) ano!r entity to develop1 a  
me*anism = track+ in=mation on ! c>e]   
pa?s ( graduates ( m$ical s*ools &      
resid5cy programs1 z describ$ 9         
subp>agraph 7,b71 & %all make su*       
in=mation publicly available4  7,b7     
,recordkeep+ ,! ,commission %all collect
 or ensure ! collection ( data1 us+ !   
me*anism develop$ "u subp>agraph 7,a71  
conc]n+--  7i7 ! specialty &            
subspecialty tra9+ ( all graduates (    
m$ical s*ools receiv+ ,f$]al fund+2 &   

7ii7 ! pr(essional trajectory ( all     
graduates ( m$ical s*ools receiv+ ,f$]al
 fund+ = n less ?an #ae ye>s aft] ea*   
individual graduates f m$ical s*ool1    
includ+ data conc]n+ graduates :o       
practice m$ic9e--  7,i7 9 und]s]v$ areas
 su* z heal? pr(essional %ortage areas  
7z designat$ by ! ,secret>y "u section  
#ccb ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bed;e772  7,,ii7 )      
m$ically und]s]v$ populations 7z def9$ 9
 section #ccj7;b77#c7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bed;b7b77#c7772  7,,iii7 9             
,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9
 section #aije7l77#b77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acif;d7l77#b77;,b7772  7,,iv7 9 rural  
heal? cl9ics 7z def9$ 9 section         
#ahfa7;aa77#b7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7aa77#b7772   
7,v7 9 ! heal? c>e sy/em ( ! ,dep>tm5t (
 ,vet]ans ,affairs2 &  7,,vi7 9 cl9ics (
 ! ,indian ,heal? ,s]vices4  4  ,,ii    
,increas+ ! adoption ( rural tra9+ track

 programs  #bja4 ,cl>ify+ description ( 
rural tra9+ tracks ,section             
#ahhf7;h77#d77;,h77iv7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acieww7h77#d77;,h77iv77 is am5d$ by    
add+ at ! end ! foll[+ new s5t5ce3 ,!   
,secret>y1 9 coord9ation )              
repres5tatives ( ! ,c5t]s = ,m$ic>e     
,m$icaid ,s]vices1 ! ,heal? ,res\rces   
,s]vices ,adm9i/ration1 & ! ,f$]al      
,(fice ( ,rural ,heal? ,policy1 %all    
develop a consi/5t def9ition ( approv$  
m$ical resid5cy tra9+ programs 7or rural
 tracks7 9 a rural area = purposes ( ?is
 section & any o!r resid5cy tra9+       
program adm9i/]$ by ! ,secret>y44  #bjb4
 ,,gao /udy & report on ,m$ic>e paym5ts 
= graduate m$ical education  7a7 ,/udy  
,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 
%all conduct a /udy on ! effectiv5ess ( 
paym5ts = graduate m$ical education co/s
 & indirect co/s = m$ical education "u  
subsections 7h7 & 7d77#e77;,b7 ( section
 #ahhf ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acieww71 includ+ ef=ts to    

di/ribute unus$ resid5cy positions "u   
subsection 7h77#h7 ( su* section1 to    
meet ! prim>y c>e & m5tal heal? ne$s (  
individuals liv+ 9 rural areas4 ,su*    
/udy %all include--  7#a7 an analysis ( 
! numb] ( additional resid5cy positions 
available z a result ( su* di/ribution t
 are be+ us$ to tra9 resid5ts :o        
practice 9 rural areas aft] complet+ _! 
resid5cy2 &  7#b7 id5tification (       
approv$ m$ical resid5cy tra9+ programs )
 prov5 track records 9 tra9+ prim>y c>e 
physicians & psy*iatri/s :o practice 9  
rural areas4  7b7 ,report ,n lat] ?an #a
 ye> aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all submit to ,congress a report       
conta9+ ! results ( ! /udy conduct$ "u  
subsection 7a71 toge!r ) recomm5dations 
= su* legislation & adm9i/rative action 
z ! ,comptroll] ,g5]al det]m9es         
appropriate4  #bjc4 ,di/ribution (      
additional resid5cy positions  7a7 ,9   
g5]al ,section #ahhf7;h7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           

#acieww7h77 is am5d$-- 7#a7 9 p>agraph  
7#d77;,f77i71 by /rik+ & 7#h7 & ins]t+ 1
 7#h71 & 7#i72  7#b7 9 p>agraph         
7#d77;,h77i71 by /rik+ & 7#h7 & ins]t+ 1
 7#h71 & 7#i72  7#c7 9 p>agraph         
7#g77;,e71 by ins]t+ p>agraph 7#i71 aft]
 p>agraph 7#h712 &  7#d7 by add+ at !   
end ! foll[+ new p>agraph3  7#i7        
,di/ribution ( additional resid5cy      
positions  7,a7 ,r$uctions 9 limit bas$ 
on unus$ positions  7i7 ,9 g5]al ,except
 z provid$ 9 clause 7ii71 if a          
hospital's ref]5ce resid5t level 7z     
def9$ 9 subp>agraph 7,h77 is less ?an ! 
o!rwise applicable resid5t limit 7z     
def9$ 9 su* subp>agraph71 effective =   
portions ( co/ report+ p]iods occurr+ on
 or aft] ,july #a1 #bjbj1 ! o!rwise     
applicable resid5t limit %all be r$uc$  
by #fe p]c5t ( ! diff]5ce betwe5 su*    
o!rwise applicable resid5t limit & su*  
ref]5ce resid5t level4  7ii7 ,exceptions
 ,?is subp>agraph %all n apply to-- 7,i7
 a hospital ) few] ?an #bej acute c>e   
inpati5t b$s t is locat$ 9 a rural area 

7z def9$ 9 subsection 7d77#b77;,d77ii771
 includ+ a hospital treat$ z be+ locat$ 
9 a rural area "u subsection            
7d77#h77;,e72  7,,ii7 a hospital t 0 "p 
( a qualify+ entity :i* _h a volunt>y   
resid5cy r$uction plan approv$ "u       
p>agraph 7#f77;,b7 or "u ! au?ority (   
section #djb ( ,public ,law #ij-bdh1 if 
! hospital demon/rates to ! ,secret>y t 
x has a specifi$ plan 9 place = fill+ ! 
unus$ positions by n lat] ?an #b ye>s   
aft] ! date ( enactm5t ( ?is p>agraph2  
or  7,,iii7 a hospital describ$ 9       
p>agraph 7#d77;,h77v74  7,b7            
,di/ribution  7i7 ,9 g5]al ,! ,secret>y 
%all increase ! o!rwise applicable      
resid5t limit = ea* qualify+ hospital t 
submits an application "u ?is           
subp>agraph by su* numb] z ! ,secret>y  
may approve = portions ( co/ report+    
p]iods occurr+ on or aft] ,july #a1     
#bjbj4 ,! aggregate numb] ( increases 9 
! o!rwise applicable resid5t limit "u   
?is subp>agraph %all be equal to !      
aggregate r$uction 9 su* limits         

attributable to subp>agraph 7,a7 7z     
e/imat$ by ! ,secret>y74  7ii7          
,requirem5ts ,subject to clause 7iii71 a
 hospital t receives an increase 9 !    
o!rwise applicable resid5t limit "u ?is 
subp>agraph %all ensure1 dur+ ! #e-ye>  
p]iod beg9n+ on ! date ( su* increase1  
t--  7,i7 ! numb] ( full-"t equival5t   
prim>y c>e resid5ts1 z def9$ 9 p>agraph 
7#e77;,h7 7z det]m9$ by ! ,secret>y71   
exclud+ any additional positions "u     
subclause 7,,ii71 is n less ?an ! av]age
 numb] ( full-"t equival5t prim>y c>e   
resid5ts 7z s det]m9$7 dur+ ! #c mo/    
rec5t co/ report+ p]iods end+ prior to !
 date ( enactm5t ( ?is p>agraph2 &      
7,,ii7 n less ?an #ge p]c5t ( !         
positions attributable to su* increase  
are 9 a prim>y c>e1 psy*iatry1 or g5]al 
surg]y resid5cy 7z det]m9$ by !         
,secret>y74  ,! ,secret>y may det]m9e   
:e!r a hospital has met ! requirem5ts "u
 ?is clause dur+ su* #e-ye> p]iod 9 su* 
mann] & at su* "t z ! ,secret>y det]m9es
 appropriate1 includ+ at ! end ( su*    

#e-ye> p]iod4  7iii7 ,r$i/ribution (    
positions if hospital no long] meets    
c]ta9 requirem5ts ,9 ! case :]e !       
,secret>y det]m9es t a hospital describ$
 9 clause 7ii7 does n meet ei!r ( !     
requirem5ts "u subclause 7,i7 or 7,,ii7 
( su* clause1 ! ,secret>y %all--  7,i7  
r$uce ! o!rwise applicable resid5t limit
 ( ! hospital by ! am\nt by :i* su*     
limit 0 increas$ "u ?is p>agraph2 &     
7,,ii7 provide = ! di/ribution (        
positions attributable to su* r$uction 9
 accordance ) ! requirem5ts ( ?is       
p>agraph4  7,c7 ,consid]ations 9        
r$i/ribution ,9 det]m9+ = :i* hospitals 
! increase 9 ! o!rwise applicable       
resid5t limit is provid$ "u subp>agraph 
7,b71 ! ,secret>y %all take into        
acc\nt--  7i7 ! demon/ration likelihood 
( ! hospital fill+ ! positions made     
available "u ?is p>agraph )9 ! fir/ #c  
co/ report+ p]iods beg9n+ on or aft]    
,july #a1 #bjbj1 z det]m9$ by !         
,secret>y2 &  7ii7 :e!r ! hospital has  
an accr$it$ rural tra9+ track 7z        

describ$ 9 p>agraph 7#d77;,h77iv774     
7,d7 ,priority = c]ta9 areas ,9 det]m9+ 
= :i* hospitals ! increase 9 ! o!rwise  
applicable resid5t limit is provid$ "u  
subp>agraph 7,b71 subject to subp>agraph
 7,e71 ! ,secret>y %all di/ribute !     
increase to hospitals bas$ on ! foll[+  
factors3  7i7 ,:e!r ! hospital & !      
approv$ m$ical resid5cy tra9+ program ( 
! hospital h a prov5 track record (     
prim>y c>e & rural support 7z det]m9$ by
 ! ,secret>y74  7ii7 ,:e!r ! hospital is
 locat$ 9 a ,/ate1 a t]ritory ( ! ,unit$
 ,/ates1 or ! ,di/rict ( ,columbia t is 
among ! top #bj ,/ates1 t]ritories1 or  
,di/ricts 9 t]ms ( ! ratio ( !          
geographic area ( ! ,/ate1 t]ritory1 or 
,di/rict 9 squ>e miles t is rural comp>$
 to ! geographic area 9 ea* o!r ,/ate1  
t]ritory1 or ,di/rict 9 squ>e miles t is
 rural 7z det]m9$ by ! ,secret>y bas$   
solely on ! mo/ rec5t available         
population data publi%$ by ! ,bureau ( !
 ,c5sus74  7iii7 ,:e!r ! hospital is    
locat$ 9 a rural area 7z def9$ 9        

subsection 7d77#b77;,d77ii771 includ+ a 
hospital treat$ z be+ locat$ 9 a rural  
area "u subsection 7d77#h77;,e74  7,e7  
,res]vation ( positions = c]ta9         
hospitals  7i7 ,9 g5]al ,subject to     
clause 7ii71 ! ,secret>y %all res]ve !  
positions available = di/ribution "u ?is
 p>agraph z foll[s3  7,i7 #gj p]c5t (   
su* positions = di/ribution to hospitals
 describ$ 9 clause 7i7 ( subp>agraph    
7,d74  7,,ii7 #cj p]c5t ( su* positions 
= di/ribution to hospitals describ$ 9   
clauses 7ii7 & 7iii7 ( su* subp>agraph4 
7ii7 ,exception if positions n          
r$i/ribut$ by ,july #a1 #bjbj ,9 ! case 
:]e ! ,secret>y does n di/ribute        
positions to hospitals 9 accordance )   
clause 7i7 by ,july #a1 #bjbj1 !        
,secret>y %all di/ribute su* positions  
to o!r hospitals 9 accordance ) !       
consid]ations describ$ 9 subp>agraph    
7,c7 & ! priority describ$ 9 subp>agraph
 7,d74  7,f7 ,limitation ,a hospital may
 n receive m ?an #ge full-"t equival5t  
additional resid5cy positions "u ?is    

p>agraph4  7,g7 ,application ( p]       
resid5t am\nts = prim>y c>e & nonprim>y 
c>e ,) respect to additional resid5cy   
positions 9 a hospital attributable to !
 increase provid$ "u ?is p>agraph1 !    
approv$ ,,fte p] resid5t am\nts are     
deem$ to be equal to ! hospital p]      
resid5t am\nts = prim>y c>e & nonprim>y 
c>e comput$ "u p>agraph 7#b77;,d7 = t   
hospital4  7,h7 ,def9itions ,9 ?is      
p>agraph1 ! t]ms ref]5ce resid5t level1 
resid5t level1 & o!rwise applicable     
resid5t limit h ! mean+ giv5 su* t]ms 9 
p>agraph 7#h77;,h74  7,i7 ,affiliation  
,! provisions ( ?is p>agraph %all be    
appli$ to hospitals :i* are memb]s ( !  
same affiliat$ gr\p 7z def9$ by !       
,secret>y "u p>agraph 7#d77;,h77ii77 & !
 ref]5ce resid5t level = ea* su*        
hospital %all be ! ref]5ce resid5t level
 ) respect to ! co/ report+ p]iod t     
results 9 ! smalle/ diff]5ce betwe5 !   
ref]5ce resid5t level & ! o!rwise       
applicable resid5t limit4  4  7b7 ,,ime 
7#a7 ,9 g5]al ,section                  

#ahhf7;d77#e77;,b77v7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#e77;,b77v771 9 ! second     
s5t5ce1 is am5d$ by /rik+ & 7h77#h7 &   
ins]t+ 1 7h77#h71 & 7h77#i74  7#b7      
,con=m+ am5dm5t ,section                
#ahhf7;d77#e77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#e77;,b77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7xi7 ,=    
dis*>ges occurr+ on or aft] ,july #a1   
#bjbj1 ins(> z an additional paym5t     
am\nt "u ?is subp>agraph is attributable
 to resid5t positions di/ribut$ to a    
hospital "u subsection 7h77#i77;,b71 !  
indirect tea*+ adju/m5t factor %all be  
comput$ 9 ! same mann] z provid$ "u     
clause 7ii7 ) respect to su* resid5t    
positions4  4  7c7 ,con=m+ am5dm5t      
,section #dbb7;b77#b7 ( ! ,m$ic>e       
,prescription ,drug1 ,improvem5t1 &     
,mod]nization ,act ( #bjjc 7,public ,law
 #ajh-agc7 is am5d$ by /rik+ & 7#h7 &   
ins]t+ 1 7#h71 & 7#i74  ,,iii ,support+ 
prim>y c>e work=ce  #cja4               

,reau?orization ( prim>y c>e resid5cy   
expansion program ,section #gdg ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bick7 is am5d$-- 7#a7 9      
subsection 7b77#c77;,e71 by /rik+       
vuln]able populations & ins]t+          
individuals ) a m5tal illness or        
sub/ance use disord] or o!r vuln]able   
populations12 &  7#b7 9 subsection 7c7--
 7,a7 9 p>agraph 7#a71 by /rik+         
#abe1jjj1jjj & all t foll[s ?r\gh !     
p]iod at ! end & ins]t+ #afh1jjj1jjj = !
 p]iod ( fiscal ye>s #bjag ?r\gh #bjba42
 &  7,b7 9 p>agraph 7#c71 by /rik+ #bjaj
 ?r\gh #bjad & ins]t+ #bjag ?r\gh #bjba4
  #cjb4 ,reau?orization ( area heal?    
education c5t]s ,section #gea7;j77#a7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bid;a7j77#a77 is am5d$ by    
/rik+ #abe1jjj1jjj = ea* ( ! fiscal ye>s
 #bjaj ?r\gh #bjad & ins]t+ #dj1jjj1jjj 
= ea* ( fiscal ye>s #bjag ?r\gh #bjba4  
,,iv ,support+ em]g+ pr(essions  #dja4  
,au?oriz+ appropriations = ,qu5t9 ,n4   
,burdick program = rural int]discipl9>y 

tra9+ ,section #ged ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #gid;d7 is  
am5d$ by add+ at ! end ! foll[+3  7e7   
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ #aj1jjj1jjj =
 ea* ( fiscal ye>s #bjag ?r\gh #bjba to 
c>ry out ?is section4  4  #djb4 ,d5tal  
!rapi/s  7a7 ,tra9+ 9 g5]al1 p$iatric1 &
 public heal? d5ti/ry ,section #gdh ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bick-#b7 is am5d$-- 7#a7 9   
subsection 7a77#a7--  7,a7 9 subp>agraph
 7,a71 by ins]t+ d5tal !rapi/s1 aft]    
practic+ d5ti/s12 &  7,b7 9 subp>agraph 
7,b71 by ins]t+ d5tal !rapi/s1 aft]     
practic+ d5ti/s12 &  7#b7 9 subsection  
7b7-- 7,a7 by /rik+ programs 9 d5tal or 
d5tal hygi5e & ins]t+ programs 9 d5tal1 
d5tal !rapy1 or d5tal hygi5e2 &  7,b7 by
 /rik+ d5tal /ud5ts1 resid5ts1 & d5tal  
hygi5e /ud5ts & ins]t+ d5tal /ud5ts1    
resid5ts1 d5tal !rapy /ud5ts1 & d5tal   
hygi5e /ud5ts4  7b7 ,fund+ = prim>y     
d5tal demon/ration program  7#a7        
,timeframe ,section #cdj;,g-#a7;b7 ( !  

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;g-#a7;b77 is am5d$--     
7,a7 by /rik+ #b ye>s & ins]t+ #aj ye>s2
 &  7,b7 by /rik+ #g ye>s & ins]t+ #ad  
ye>s4  7#b7 ,s5se ( ,s5ate ,x is ! s5se 
( ! ,s5ate t-- 7,a7 section #cdj;,g-#a (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bef;g-#a7 %\ld be fully fund$
 = ea* ( fiscal ye>s #bjag ?r\gh #bjba2 
&  7,b7 any appropriations ,act         
appropriat+ am\nts = fiscal ye> #bjag1  
or any subsequ5t fiscal ye> ?r\gh fiscal
 ye> #bjba1 %\ld n conta9 any language  
prohibit+ ! availability ( funds = su*  
section4  #djc4 ,alli$ heal?            
pr(essionals  7a7 ,def9ition ( alli$    
heal? pr(essionals ,section #gii;,b7#e7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #biep7#e77 is am5d$-- 7#a7 9  
subp>agraph 7,b77v71 by /rik+ 2 & &     
ins]t+ 1 includ+ s]vices relat$ to      
manag+ ! implem5tation & op]ation (     
heal? in=mation te*nology22  7#b7 9     
subp>agraph 7,c71 by /rik+ ! p]iod &    
ins]t+ 2 &2 &  7#c7 by add+ at ! end !  

foll[+3  7,d7 :o may be lic5s$ or       
c]tifi$ to practice 9 an em]g+ heal? c>e
 pr(ession z def9$ by ! ,secret>y1 :i*  
may include community p>am$ics1 d5tal   
!rapi/s1 d\las1 & o!r community heal?   
work]s4  4  7b7 ,loan =giv5ess = alli$  
heal? pr(essionals ,section #dbh,k7h7 ( 
! ,high] ,education ,act ( #aife 7#bj   
,u4,s4,c4 #ajgh-aa7;h77 is am5d$-- 7#a7 
by /rik+ ?is section su* sums & ins]t+  
?is section-- 7#a7 su* sums  2  7#b7 by 
/rik+ ! p]iod & ins]t+ 2 &2 &  7#c7 by  
add+ at ! end ! foll[+3  7#b7 su* sums z
 may be necess>y = ea* ( fiscal ye>s    
#bjag ?r\gh #bjba to provide loan       
=giv5ess 9 accordance ) ?is section =   
individuals meet+ ! requirem5ts (       
subsection 7b77#ah74  4  7c7 ,tra9+ =   
mid-,c>e] public & alli$ heal?          
pr(essionals ,section #ggg ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bie;f-#b7 is am5d$-- 7#a7 9 subsection 
7b77#b71 by ins]t+ 1 includ+ individuals
 :o are =eign-tra9$ heal? pr(essionals  
be=e ! p]iod2  7#b7 by r$esignat+       

subsection 7c7 z subsection 7d72  7#c7  
by ins]t+ aft] subsection 7b7 ! foll[+3 
7c7 ,pref]5ce  7#a7 ,eligible           
in/itutions ,9 mak+ grants "u ?is       
section1 ! ,secret>y %all prioritize    
aw>d+ grants to eligible entities locat$
 9 rural or und]s]v$ areas4  7#b7       
,eligible individuals ,9 aw>d+ s*ol>%ips
 to eligible individuals "u ?is section1
 an eligible entity %all prioritize     
individuals f rural or und]s]v$         
communities4  2 &  7#d7 9 subsection    
7d71 z s r$esignat$1 by /rik+ #bjae &   
ins]t+ #bjba4  #djd4 ,community heal?   
work]s ,section #cii,v ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;g-#aa7 is am5d$--  7#a7 9          
subsection 7b7-- 7,a7 9 p>agraph 7#d71  
by /rik+ 2 or2  7,b7 9 p>agraph 7#e71 by
 /rik+ ! p]iod & ins]t+ 2 or2 &  7,c7 by
 add+ at ! end ! foll[+3  7#f7 to       
educate1 guide1 & provide assi/ance )   
pati5ts enroll$ 9 pati5t-c5t]$ m$ical   
homes1 acc\ntable c>e organizations 7z  
su* t]m is us$ 9 section #ahii ( !      

,social ,security ,act71 o!r ,/ate      
c]tifi$ m$ical or heal? c>e homes1 or   
o!r coord9at$ c>e models4  2 &  7#b7 9  
subsection 7d77#a7-- 7,a7 9 subp>agraph 
7,b71 by /rik+ or aft] ! semicolon2     
7,b7 9 subp>agraph 7,c71 by ins]t+ or   
aft] ! semicolon2 &  7,c7 by add+ at !  
end ! foll[+3  7,d7 t meet ! requirem5ts
 ( subp>agraph 7,a71 7,b71 or 7,c7 & are
 designat$ z a heal? pr(essional %ortage
 area "u section #ccb7;a72  4  #dje4    
,,gao report  7a7 ,9 g5]al ,n lat] ?an  
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all prep>e & submit to ,congress
 a report on em]g+ heal? c>e pr(essions 
z def9$ by ! ,secret>y ( ,heal? & ,human
 ,s]vices4  7b7 ,cont5ts ,! report      
prep>$ "u subsection 7a7 %all include   
recomm5dations on-- 7#a7 improv+ data   
collection ) respect to em]g+ heal? c>e 
pr(essions1 su* z community heal?       
work]s1 community p>am$ics1 & d5tal     
!rapi/s2  7#b7 e/abli%+ a sy/ematic way 
= ,f$]al (ficials to track ,/ate f9anc+ 

& use ( community heal? work]s1         
community p>am$ics1 & d5tal !rapi/s2    
7#c7 improv+ me?odologies to calculate !
 return on inve/m5t associat$ ) support+
 em]g+ heal? c>e pr(essions & ! impact (
 su* pr(essions on heal? c>e quality2   
7#d7 /&>ds = c]tification & tra9+ (     
individuals 9 em]g+ heal? c>e           
pr(essions2  7#e7 e/abli%+ a process to 
ensure t ! ,secret>y ( ,heal? & ,human  
,s]vices cont9ually--  7,a7 assesses    
em]g+ heal? c>e pr(essions = quality &  
consi/5cy2 &  7,b7 recognizes &         
incorporates ^! pr(essions 9 heal? c>e  
deliv]y2 &  7#f7 e/abli%+ a c5traliz$   
s\rce = evid5ce on em]g+ heal? c>e      
pr(essions to facilitate ! e/abli%m5t ( 
be/ practices = exp&$ use ( em]g+ heal? 
c>e pr(essions4  ,v ,m5tal heal? work=ce
  #eja4 ,e/abli%+ m5tal heal? & sub/ance
 use disord] curriculum  7a7 ,9 g5]al   
,subp>t ,i ( "p ,c ( title ,,vii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bic,k et seq47 is am5d$ by   
ins]t+ aft] section #gdg;,a ! foll[+3   

#gdg;,b4 ,e/abli%+ m5tal heal? &        
sub/ance use disord] curriculum  7a7    
,support & developm5t ( m5tal heal? &   
sub/ance use disord] tra9+ programs     
7#a7 ,9 g5]al ,! ,secret>y may make     
grants to1 or ent] into contracts )1 a  
s*ool ( m$ic9e or o/eopa?ic m$ic9e1 a   
nurs+ s*ool1 a physician assi/ant tra9+ 
program1 a s*ool ( ph>macy1 a s*ool (   
social "w1 an accr$it$ public or        
nonpr(it private hospital1 or a public  
or private nonpr(it entity :i* !        
,secret>y has det]m9$ is capable ( c>ry+
 out su* grant or contract to e/abli%1  
ma9ta91 or improve--  7,a7 academic     
units or programs t include cont5t &    
cl9ical exp]i5ces relat$ to m5tal heal? 
& sub/ance use disord] fields1 ) a      
special focus on addiction2  7,b7       
programs t enhance int]discipl9>y       
recruitm5t1 tra9+1 & faculty developm5t 
= ! purposes ( improv+ cl9ical tea*+ &  
rese>* 9 m5tal heal? & sub/ance use     
disord] fields1 includ+ addiction2  7,c7
 programs t develop1 assess1 &          

dissem9ate evid5ce-bas$ practices = !   
design ( academic units1 tra9+ programs1
 & faculty developm5t initiatives 9     
m5tal heal? & sub/ance use disord]      
fields1 includ+ addiction2 &  7,d7      
recomm5dations = m$ical education       
curriculum cont5t /&>ds reg>d+ m5tal    
heal? & sub/ance use disord]s1 includ+  
addiction1 to ensure t /ud5ts are able  
to recognize1 diagnose1 & treat m5tal   
heal? & sub/ance use disord]s4  7#b7    
,p>tn]%ip requir$ ,to be eligible to    
receive a grant or contract "u p>agraph 
7#a71 an entity %all ent] into a        
p>tn]%ip ) a m$ical education accr$it+  
organization 7su* z ! ,liaison          
,committee on ,m$ical ,education1 !     
,accr$itation ,c\ncil = ,graduate       
,m$ical ,education1 ! ,commission on    
,o/eopa?ic ,college ,accr$itation1 !    
,accr$itation ,commission = ,education 9
 ,nurs+1 ! ,commission on ,collegiate   
,nurs+ ,education1 ! ,accr$itation      
,c\ncil = ,ph>macy ,education1 ! ,c\ncil
 on ,social ,"w ,education1 or !        

,accr$itation ,review ,commission on    
,education = ! ,physician ,assi/ant74   
7b7 ,pref]5ce 9 mak+ aw>ds "u ?is       
section ,9 mak+ aw>ds ( grants &        
contracts "u subsection 7a71 ! ,secret>y
 %all give pref]5ce to any qualifi$     
applicant = su* an aw>d t agrees to     
exp5d ! aw>d = ! purpose (--  7#a7      
e/abli%+ academic units or programs 9   
m5tal heal? & sub/ance use disord]      
fields1 includ+ addiction m$ic9e2 or    
7#b7 sub/antially exp&+ su* units or    
programs4  7c7 ,priorities 9 mak+ aw>ds 
,9 aw>d+ grants or contracts "u         
subsection 7a71 ! ,secret>y %all give   
priority to qualifi$ applicants t--     
7#a7 h a record ( tra9+ ! greate/       
p]c5tage ( m5tal heal? & sub/ance use   
disord] provid]s1 includ+ addiction     
provid]s1 :o ent] & rema9 9 m5tal heal? 
& sub/ance use disord] fields2  7#b7 h a
 record ( tra9+ ! greate/ p]c5tage (    
provid]s1 or t h demon/rat$ significant 
improvem5ts 9 ! p]c5tage ( provid]s     
tra9$1 :o ent] & rema9 9 sett+s )       

integrat$ prim>y & m5tal heal? &        
sub/ance use disord] heal? c>e s]vice1  
or h a record ( e/abli%+ multidiscipl9>y
 addiction m$ic9e fell[%ip tra9+        
programs2  7#c7 h a record ( tra9+      
individuals :o are f und]repres5t$      
m9ority gr\ps1 includ+ native           
populations1 or f a rural or            
disadvantag$ backgr\nd2  7#d7 provide   
tra9+ 9 ! c>e ( rural & vuln]able       
populations1 su* z *ildr51 pregnant &   
po/-p>tum wom51 old] adults1 homeless   
individuals1 victims ( traffick+1       
victims ( abuse or trauma1 & o!r gr\ps z
 def9$ by ! ,secret>y2  7#e7 tea*       
tra9ees ! skills to provide             
int]pr(essional1 integrat$ c>e ?r\gh    
collaboration among heal? pr(essionals2 
or  7#f7 provide tra9+ 9 cultural       
compet5cy & heal? lit]acy4  7d7         
,duration ( aw>ds ,! p]iod dur+ :i*     
paym5ts are made to an entity f an aw>d 
( a grant or contract "u ?is section    
%all be #e ye>s4  7e7 ,au?orization (   
appropriations ,= purposes ( c>ry+ out  

?is section1 !re are au?oriz$ to be     
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjag ?r\gh #bjba4  4
  7b7 ,increas+ transp>5cy reg>d+       
graduate m$ical education on m5tal heal?
 & sub/ance use disord]s ,n lat] ?an #e 
ye>s aft] ! date ( ! enactm5t ( ?is     
,act1 & annually !reaft]1 ! ,secret>y ( 
,heal? & ,human ,s]vices %all submit to 
,congress a report t describes !        
activities t hospitals receiv+ fund+ "u 
! ,m$ic>e program "u title ,,xviii ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 h und]way to promote     
int]discipl9>y c>e teams & provide tra9+
 = all m$ical resid5ts1 m$ical /ud5ts1 &
 faculty 9 m5tal heal? & sub/ance use   
disord]s1 includ+ addiction m$ic9e4     
#ejb4 ,/reaml9+ m5tal & behavioral heal?
 work=ce programs  7a7 ,9 g5]al ,"p ,d (
 title ,,vii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bid et seq47 is    
am5d$-- 7#a7 by /rik+ sections #gee 7#db
 ,u4,s4,c4 #bid;e7 & #gef 7#db ,u4,s4,c4
 #bid;e-#a72  7#b7 by r$esignat+        

sections #geg 7#db ,u4,s4,c4 #bid;f7 &  
#gei 7#db ,u4,s4,c4 #bid;i7 z sections  
#gef & #geg1 respectively2 &  7#c7 by   
ins]t+ aft] section #ged ! foll[+3      
#gee4 ,m5tal & behavioral heal?         
education & tra9+ grants  7a7 ,grants   
au?oriz$ ,! ,secret>y may aw>d grants to
 eligible in/itutions ( high] education 
to support ! recruitm5t ( /ud5ts =1 &   
education & cl9ical exp]i5ce ( ! /ud5ts 
9--  7#a7 accr$it$ in/itutions ( high]  
education or accr$it$ pr(essional tra9+ 
programs t are e/abli%+ or exp&+        
int]n%ips or o!r field placem5t programs
 9 m5tal heal? 9 psy*iatry1 psy*ology1  
s*ool psy*ology1 behavioral p$iatrics1  
psy*iatric nurs+1 social "w1 s*ool      
social "w1 sub/ance use disord]         
prev5tion & treatm5t1 m>riage & family  
!rapy1 occupational !rapy1 s*ool        
c\nsel+1 or pr(essional c\nsel+1 includ+
 su* int]n%ips or programs ) a focus on 
*ild & adolesc5t m5tal heal? &          
transitional-age y\?2  7#b7 accr$it$    
doctoral1 int]n%ip1 & po/-doctoral      

resid5cy programs ( heal? s]vice        
psy*ology1 includ+ cl9ical psy*ology1   
c\nsel+1 & s*ool psy*ology1 = !         
developm5t & implem5tation (            
int]discipl9>y tra9+ ( psy*ology        
graduate /ud5ts = provid+ behavioral &  
m5tal heal? s]vices1 includ+ sub/ance   
use disord] prev5tion & treatm5t        
s]vices1 & ! developm5t ( faculty 9     
heal? s]vice psy*ology2  7#c7 accr$it$  
ma/]'s & doctoral degree programs (     
social "w = ! developm5t & implem5tation
 ( int]discipl9>y tra9+ ( social "w     
graduate /ud5ts = provid+ behavioral &  
m5tal heal? s]vices1 includ+ sub/ance   
use disord] prev5tion & treatm5t        
s]vices1 & ! developm5t ( faculty 9     
social "w2 or  7#d7 ,/ate-lic5s$ m5tal  
heal? nonpr(it & =-pr(it organizations  
to enable su* organizations to pay =    
programs = pres]vice or 9-s]vice tra9+ 9
 a behavioral heal?-relat$              
p>apr(essional field ) pref]5ce =       
pres]vice or 9-s]vice tra9+ (           
p>apr(essional *ild & adolesc5t m5tal   

heal? work]s4  7b7 ,eligibility         
requirem5ts ,to be eligible = a grant "u
 ?is section1 an in/itution ( high]     
education %all demon/rate--  7#a7 an    
ability to recruit & place ! /ud5ts     
describ$ 9 subsection 7a7 9 areas ) a   
high ne$ & high dem& population or rural
 or und]s]v$ areas2  7#b7 t individuals 
& gr\ps f diff]5t racial1 e?nic1        
cultural1 geographic1 religi\s1 l+ui/ic1
 & class backgr\nds1 & diff]5t g5d]s &  
sexual ori5tations1 p>ticipate 9 !      
programs ( ! in/itution2  7#c7 k &      
und]/&+ ( ! conc]ns ( ! individuals &   
gr\ps describ$ 9 p>agraph 7#b71         
especially individuals ) m5tal heal?    
symptoms or diagnoses1 p>ticul>ly *ildr5
 & adolesc5ts1 & transitional-age y\?2  
7#d7 t any int]n%ip or o!r field        
placem5t program assi/$ ?r\gh ! grant w 
prioritize cultural & l+ui/ic compet5cy2
 &  7#e7 t ! in/itution ( high]         
education w provide to ! ,secret>y su*  
data1 assurances1 & in=mation z !       
,secret>y may require4  7c7             

,in/itutional requirem5t ,= grants aw>d$
 "u p>agraphs 7#b7 & 7#c7 ( subsection  
7a71 at lea/ #d ( ! grant recipi5ts %all
 be hi/orically black colleges or       
univ]sities or o!r m9ority-s]v+         
in/itutions4  7d7 ,priority ,9 select+  
grant recipi5ts1 ! ,secret>y %all give  
priority to-- 7#a7 = grants aw>d$ "u    
p>agraphs 7#a71 7#b71 & 7#c7 (          
subsection 7a71 programs t h demon/rat$ 
! ability to tra9 psy*ology & social "w 
pr(essionals to "w 9 integrat$ c>e      
sett+s2  7#b7 = a grant "u subsection   
7a77#d71 programs = p>apr(essionals t   
emphasize ! role ( ! family & ! liv$    
exp]i5ce ( ! consum] &                  
family-p>apr(essional p>tn]%ips2 &  7#c7
 programs ) a record ( tra9+ individuals
 f rural & und]s]v$ communities & plac+ 
graduates 9 ^! communities4  7e7 ,report
 to ,congress ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ! ,/r5g!n+ ,our      
,rural ,heal? ,work=ce ,act ( #bjaf1 &  
annually !reaft]1 ! ,secret>y %all      
submit to ,congress a report on !       

effectiv5ess ( ! grants "u ?is section  
9--  7#a7 provid+ graduate /ud5ts       
support = exp]i5tial tra9+ 7int]n%ip or 
field placem5t72  7#b7 recruit+ ( /ud5ts
 int]e/$ 9 behavioral heal? practice2   
7#c7 develop+ & implem5t+               
int]pr(essional tra9+ & integration )9  
prim>y c>e2  7#d7 develop+ & implem5t+  
accr$it$ field placem5ts & int]n%ips2 & 
7#e7 collect+ data on ! numb] ( /ud5ts  
tra9$ 9 m5tal heal? & ! numb] (         
available accr$it$ int]n%ips & field    
placem5ts4  7f7 ,au?orization (         
appropriation ,!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 ,con=m+ 
am5dm5ts ,! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bja et seq471 z am5d$ by
 subsection 7a71 is fur!r am5d$--  7#a7 
9 section #cch;,a7d77#b77;,a7 7#db      
,u4,s4,c4 #bedl7d77#b77;,a771 by /rik+  
or "u section #geh2  7#b7 9 section     
#gef7;b77#b7 7#db ,u4,s4,c4             
#bid;f7b77#b771 z s r$esignat$1 by /rik+

 1 #gec7;b71 & #gee7;b7 & ins]t+ &      
#gec7;b72 &  7#c7 9 section #gfa 7#db   
,u4,s4,c4 #bidn7-- 7,a7 9 subsection    
7b77#b77;,e71 by /rik+ #geg7;d77#c7 &   
ins]t+ #gef7;d77#c72  7,b7 9 subsection 
7d77#b77;,b71 by /rik+ #geg7;d77#c7 &   
ins]t+ #gef7;d77#c72 &  7,c7 9          
subsection 7d77#c71 by /rik+            
#geg7;d77#d7 & ins]t+ #gef7;d77#d74