,i #aaeth ,,congress #ast ,session ,h4 ,r4 #cgac ,,in ,,the ,,house ,,of ,,representatives ,september #h1 #bjag,ms4 ,schakowsky 7for herself1 ,ms4 ,matsui1 and ,mr4 ,mc,kinley7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,public ,health ,service ,act to support geriatrics education and training to address the elder care workforce shortage1 promote interdisciplinary team-based care1 educate and engage family caregivers1 and improve the quality of care delivered to older adults1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,geriatrics ,workforce and ,caregiver ,enhancement ,act4 #b4 ,education and training relating to geriatrics ,section #gec of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid;c7 is amended to read as follows3 #gec4 ,education and training relating to geriatrics 7a7 ,geriatrics workforce enhancement program 7#a7 ,in general ,the ,secretary shall award grants under this subsection to entities described in paragraph 7#a71 7#c71 or 7#d7 of section #gii;,b1 section #hja7b71 or section #hfe7;d71 or other health professions schools or programs approved by the ,secretary1 for the establishment or operation of geriatric workforce enhancement programs that meet the requirements of paragraph 7#b74 7#b7 ,requirements ,a geriatrics workforce enhancement program meets the requirements of this paragraph if such program supports the development of a health care workforce that maximizes patient and family engagement and improves health outcomes for older adults by integrating geriatrics with primary care and other appropriate specialties4 ,special emphasis should be placed on providing the primary care workforce with the knowledge and skills to care for older adults and collaborating with community partners to address gaps in health care for older adults through individual1 system1 community1 and population level changes4 ,areas of programmatic focus may include the following3 7,a7 ,transforming clinical training environments to integrated geriatrics and primary care delivery systems to ensure trainees are well prepared to practice in and lead in such systems4 7,b7 ,developing providers who can assess and address the needs and preferences of older adults and their families and caregivers at the individual1 community1 and population levels4 7,c7 ,creating and delivering community-based programs that will provide older adults and their families and caregivers with the knowledge and skills to improve health outcomes and the quality of care for such adults4 7,d7 ,providing ,alzheimer's disease and related dementias 7,,adrd7 education to the families and caregivers of older adults1 direct care workers1 health professions students1 faculty1 and providers4 7#c7 ,duration ,the ,secretary shall award grants under paragraph 7#a7 for a period not to exceed five years4 7#d7 ,application ,to be eligible to receive a grant under paragraph 7#a71 an entity described in such paragraph shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7#e7 ,priority ,in awarding grants under paragraph 7#a71 the ,secretary-- 7,a7 shall ensure an equitable geographic distribution of grant recipients2 7,b7 shall give priority to-- 7i7 programs with the goal of improving and providing comprehensive coordinated care of older adults1 including medical1 dental1 and psychosocial needs2 7ii7 programs that support the training and retraining of faculty1 preceptors1 primary care providers1 and providers in other specialties to increase their knowledge of geriatrics and gerontology2 7iii7 programs that provide clinical experiences across care settings1 including ambulatory care1 hospitals1 post-acute care1 nursing homes1 federally qualified health centers1 and home and community-based services2 7iv7 programs that emphasize education and engagement of family caregivers on disease self-management1 medication management1 and stress reduction strategies2 7v7 programs that provide training to the health care workforce on disease self-management1 motivational interviewing1 medication management1 and stress reduction strategies2 7vi7 programs that provide training to the health care workforce on social determinants of health in order to better address the geriatric health care needs of diverse populations2 and 7vii7 programs that integrate geriatrics competencies and interprofessional collaborative practice into health care education and training curricula for residents1 fellows1 and students2 and 7,c7 may give priority to-- 7i7 programs that substantially benefit rural or underserved populations of older adults2 7ii7 programs that integrate behavioral health competencies into primary care practice1 especially with respect to elder abuse1 pain management1 and advance care planning2 or 7iii7 programs that offer short-term intensive courses 7referred to in this clause as a fellowship7 that focus on geriatrics1 gerontology1 chronic care management1 and long-term care that provide supplemental training for faculty members in medical schools and other health professions schools or graduate programs in psychology1 pharmacy1 nursing1 social work1 dentistry1 public health1 allied health1 or other health disciplines1 as approved by the ,secretary4 ,such a fellowship shall be open to current faculty1 and appropriately credentialed volunteer faculty and practitioners1 to upgrade their knowledge and clinical skills for the care of older adults1 and adults with functional and cognitive limitations and to enhance their interdisciplinary teaching skills4 7#f7 ,authorization of appropriations ,in addition to any other funding available to carry out this subsection1 there is authorized to be appropriated #de1hjj1jjj for each of fiscal years #bjah through #bjbc for purposes of carrying out this subsection4 7b7 ,geriatric ,academic ,career ,awards 7#a7 ,establishment of program ,the ,secretary shall establish a program to provide ,geriatric ,academic ,career ,awards to eligible entities applying on behalf of eligible individuals to promote the career development of such individuals as academic geriatricians or other academic geriatrics health professionals4 7#b7 ,eligibility 7,a7 ,eligible entity ,for purposes of this subsection1 the term eligible entity means-- 7i7 an entity described in paragraph 7#a71 7#c71 or 7#d7 of section #biep or section #bif7b72 or 7ii7 an accredited health professions school or graduate program approved by the ,secretary4 7,b7 ,eligible individual ,for purposes of this subsection1 the term eligible individual means an individual who-- 7i7 is board certified or board eligible in internal medicine1 family practice1 psychiatry1 or licensed dentistry1 or has completed any required training in a discipline and is employed in an accredited health professions school or graduate program that is approved by the ,secretary2 or 7ii7 has completed an approved fellowship program in geriatrics or gerontology1 or has completed specialty training in geriatrics or gerontology as required by the discipline and any additional geriatrics or gerontology training as required by the ,secretary2 and 7iii7 has a junior 7non-tenured7 faculty appointment at an accredited school of allopathic medicine1 osteopathic medicine1 nursing1 social work1 psychology1 dentistry1 pharmacy1 or other allied health disciplines in an accredited health professions school or graduate program that is approved by the ,secretary4 7#c7 ,limitations ,an eligible entity may not receive an award under paragraph 7#a7 on behalf of an eligible individual unless the eligible entity-- 7,a7 submits to the ,secretary an application1 at such time1 in such manner1 and containing such information as the ,secretary may require1 and the ,secretary approves such application2 7,b7 provides1 in such form and manner as the ,secretary may require1 assurances that the eligible individual on whose behalf an application was submitted under subparagraph 7,a7 will meet the service requirement described in paragraph 7#g72 and 7,c7 provides1 in such form and manner as the ,secretary may require1 assurances that such individual has a full-time faculty appointment in an accredited health professions school or graduate program and documented commitment from such school or program to spend #ej percent of the total time of such individual on teaching and developing skills in interdisciplinary education in geriatrics4 7#d7 ,requirements ,in awarding grants under this section1 the ,secretary-- 7,a7 shall give priority to eligible entities that apply on behalf of eligible individuals who are on the faculty of institutions that integrate geriatrics education1 training1 and best practices into academic program criteria2 7,b7 may give priority to eligible entities that operate a geriatrics workforce enhancement program under subsection 7a72 7,c7 shall ensure that grants are equitably distributed among rural or underserved populations of older adults across the various geographical regions of the ,united ,states2 7,d7 shall pay particular attention to geriatrics healthcare workforce needs among underserved populations and rural areas2 and 7,e7 may not require an eligible individual1 or an eligible entity applying on behalf of an eligible individual1 to be a recipient of a grant or contract under section #gec7;a7 or #gej of title ,,vii of the ,public ,health ,service ,act4 7#e7 ,maintenance of effort ,an eligible entity receiving an award under paragraph 7#a7 on behalf of an eligible individual shall provide assurances to the ,secretary that funds provided to such individual under this subsection will be used only to supplement1 not to supplant1 the amount of ,federal1 ,state1 and local funds otherwise expended by such individual4 7#f7 ,amount and duration 7,a7 ,amount ,the amount of an award under this subsection for eligible individuals who are physicians shall equal #ge1jjj for fiscal year #aiih1 adjusted for subsequent fiscal years to reflect the increase in the ,consumer ,price ,index4 ,the ,secretary shall determine the amount of an award under this subsection for individuals who are not physicians4 7,b7 ,duration ,the ,secretary shall make awards under paragraph 7#a7 for a period not to exceed five years4 7,c7 ,payment to institution ,the ,secretary shall make payments to institutions which include schools of medicine1 osteopathic medicine1 nursing1 social work1 psychology1 dentistry1 and pharmacy1 or other allied health discipline in an accredited health professions school or graduate program that is approved by the ,secretary4 7#g7 ,service requirement ,an eligible individual on whose behalf an application was submitted and approved under paragraph 7#c77;,a7 shall provide training in clinical geriatrics or gerontology1 including the training of interdisciplinary teams of health care professionals4 7#h7 ,authorization of appropriations ,there is authorized to be appropriated #e1bjj1jjj for each of fiscal years #bjah through #bjbc for purposes of carrying out this subsection4 4