,i #aae? ,,congress #a/ ,session ,h4 ,r4 #cgac ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #h1 #bjag,ms4 ,s*ak[sky 7= h]self1 ,ms4 ,matsui1 & ,mr4 ,mc,kinley7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to support g]iatrics education & tra9+ to address ! eld] c>e work=ce %ortage1 promote int]discipl9>y team-bas$ c>e1 educate & engage family c>egiv]s1 & improve ! quality ( c>e deliv]$ to old] adults1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,g]iatrics ,work=ce & ,c>egiv] ,enhancem5t ,act4 #b4 ,education & tra9+ relat+ to g]iatrics ,section #gec ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;c7 is am5d$ to read z foll[s3 #gec4 ,education & tra9+ relat+ to g]iatrics 7a7 ,g]iatrics work=ce enhancem5t program 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants "u ?is subsection to entities describ$ 9 p>agraph 7#a71 7#c71 or 7#d7 ( section #gii;,b1 section #hja7b71 or section #hfe7;d71 or o!r heal? pr(essions s*ools or programs approv$ by ! ,secret>y1 = ! e/abli%m5t or op]ation ( g]iatric work=ce enhancem5t programs t meet ! requirem5ts ( p>agraph 7#b74 7#b7 ,requirem5ts ,a g]iatrics work=ce enhancem5t program meets ! requirem5ts ( ?is p>agraph if su* program supports ! developm5t ( a heal? c>e work=ce t maximizes pati5t & family engagem5t & improves heal? outcomes = old] adults by integrat+ g]iatrics ) prim>y c>e & o!r appropriate specialties4 ,special emphasis %\ld be plac$ on provid+ ! prim>y c>e work=ce ) ! k & skills to c>e = old] adults & collaborat+ ) community p>tn]s to address gaps 9 heal? c>e = old] adults ?r\gh individual1 sy/em1 community1 & population level *anges4 ,areas ( programmatic focus may include ! foll[+3 7,a7 ,trans=m+ cl9ical tra9+ environm5ts to integrat$ g]iatrics & prim>y c>e deliv]y sy/ems to ensure tra9ees are well prep>$ to practice 9 & lead 9 su* sy/ems4 7,b7 ,develop+ provid]s :o c assess & address ! ne$s & pref]5ces ( old] adults & _! families & c>egiv]s at ! individual1 community1 & population levels4 7,c7 ,creat+ & deliv]+ community-bas$ programs t w provide old] adults & _! families & c>egiv]s ) ! k & skills to improve heal? outcomes & ! quality ( c>e = su* adults4 7,d7 ,provid+ ,alzheim]'s disease & relat$ dem5tias 7,,adrd7 education to ! families & c>egiv]s ( old] adults1 direct c>e work]s1 heal? pr(essions /ud5ts1 faculty1 & provid]s4 7#c7 ,duration ,! ,secret>y %all aw>d grants "u p>agraph 7#a7 = a p]iod n to exce$ five ye>s4 7#d7 ,application ,to be eligible to receive a grant "u p>agraph 7#a71 an entity describ$ 9 su* p>agraph %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#e7 ,priority ,9 aw>d+ grants "u p>agraph 7#a71 ! ,secret>y-- 7,a7 %all ensure an equitable geographic di/ribution ( grant recipi5ts2 7,b7 %all give priority to-- 7i7 programs ) ! goal ( improv+ & provid+ compreh5sive coord9at$ c>e ( old] adults1 includ+ m$ical1 d5tal1 & psy*osocial ne$s2 7ii7 programs t support ! tra9+ & retra9+ ( faculty1 preceptors1 prim>y c>e provid]s1 & provid]s 9 o!r specialties to increase _! k ( g]iatrics & g]ontology2 7iii7 programs t provide cl9ical exp]i5ces across c>e sett+s1 includ+ ambulatory c>e1 hospitals1 po/-acute c>e1 nurs+ homes1 f$]ally qualifi$ heal? c5t]s1 & home & community-bas$ s]vices2 7iv7 programs t emphasize education & engagem5t ( family c>egiv]s on disease self-managem5t1 m$ication managem5t1 & /ress r$uction /rategies2 7v7 programs t provide tra9+ to ! heal? c>e work=ce on disease self-managem5t1 motivational int]view+1 m$ication managem5t1 & /ress r$uction /rategies2 7vi7 programs t provide tra9+ to ! heal? c>e work=ce on social det]m9ants ( heal? 9 ord] to bett] address ! g]iatric heal? c>e ne$s ( div]se populations2 & 7vii7 programs t integrate g]iatrics compet5cies & int]pr(essional collaborative practice into heal? c>e education & tra9+ curricula = resid5ts1 fell[s1 & /ud5ts2 & 7,c7 may give priority to-- 7i7 programs t sub/antially b5efit rural or und]s]v$ populations ( old] adults2 7ii7 programs t integrate behavioral heal? compet5cies into prim>y c>e practice1 especially ) respect to eld] abuse1 pa9 managem5t1 & advance c>e plann+2 or 7iii7 programs t (f] %ort-t]m int5sive c\rses 7ref]r$ to 9 ?is clause z a fell[%ip7 t focus on g]iatrics1 g]ontology1 *ronic c>e managem5t1 & long-t]m c>e t provide supplem5tal tra9+ = faculty memb]s 9 m$ical s*ools & o!r heal? pr(essions s*ools or graduate programs 9 psy*ology1 ph>macy1 nurs+1 social "w1 d5ti/ry1 public heal?1 alli$ heal?1 or o!r heal? discipl9es1 z approv$ by ! ,secret>y4 ,su* a fell[%ip %all be op5 to curr5t faculty1 & appropriately cr$5tial$ volunte] faculty & practition]s1 to upgrade _! k & cl9ical skills = ! c>e ( old] adults1 & adults ) functional & cognitive limitations & to enhance _! int]discipl9>y tea*+ skills4 7#f7 ,au?orization ( appropriations ,9 addition to any o!r fund+ available to c>ry out ?is subsection1 !re is au?oriz$ to be appropriat$ #de1hjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc = purposes ( c>ry+ out ?is subsection4 7b7 ,g]iatric ,academic ,c>e] ,aw>ds 7#a7 ,e/abli%m5t ( program ,! ,secret>y %all e/abli% a program to provide ,g]iatric ,academic ,c>e] ,aw>ds to eligible entities apply+ on behalf ( eligible individuals to promote ! c>e] developm5t ( su* individuals z academic g]iatricians or o!r academic g]iatrics heal? pr(essionals4 7#b7 ,eligibility 7,a7 ,eligible entity ,= purposes ( ?is subsection1 ! t]m eligible entity means-- 7i7 an entity describ$ 9 p>agraph 7#a71 7#c71 or 7#d7 ( section #biep or section #bif7b72 or 7ii7 an accr$it$ heal? pr(essions s*ool or graduate program approv$ by ! ,secret>y4 7,b7 ,eligible individual ,= purposes ( ?is subsection1 ! t]m eligible individual means an individual :o-- 7i7 is bo>d c]tifi$ or bo>d eligible 9 int]nal m$ic9e1 family practice1 psy*iatry1 or lic5s$ d5ti/ry1 or has complet$ any requir$ tra9+ 9 a discipl9e & is employ$ 9 an accr$it$ heal? pr(essions s*ool or graduate program t is approv$ by ! ,secret>y2 or 7ii7 has complet$ an approv$ fell[%ip program 9 g]iatrics or g]ontology1 or has complet$ specialty tra9+ 9 g]iatrics or g]ontology z requir$ by ! discipl9e & any additional g]iatrics or g]ontology tra9+ z requir$ by ! ,secret>y2 & 7iii7 has a junior 7non-t5ur$7 faculty appo9tm5t at an accr$it$ s*ool ( allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 nurs+1 social "w1 psy*ology1 d5ti/ry1 ph>macy1 or o!r alli$ heal? discipl9es 9 an accr$it$ heal? pr(essions s*ool or graduate program t is approv$ by ! ,secret>y4 7#c7 ,limitations ,an eligible entity may n receive an aw>d "u p>agraph 7#a7 on behalf ( an eligible individual unless ! eligible entity-- 7,a7 submits to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 & ! ,secret>y approves su* application2 7,b7 provides1 9 su* =m & mann] z ! ,secret>y may require1 assurances t ! eligible individual on ^: behalf an application 0 submitt$ "u subp>agraph 7,a7 w meet ! s]vice requirem5t describ$ 9 p>agraph 7#g72 & 7,c7 provides1 9 su* =m & mann] z ! ,secret>y may require1 assurances t su* individual has a full-"t faculty appo9tm5t 9 an accr$it$ heal? pr(essions s*ool or graduate program & docum5t$ commitm5t f su* s*ool or program to sp5d #ej p]c5t ( ! total "t ( su* individual on tea*+ & develop+ skills 9 int]discipl9>y education 9 g]iatrics4 7#d7 ,requirem5ts ,9 aw>d+ grants "u ?is section1 ! ,secret>y-- 7,a7 %all give priority to eligible entities t apply on behalf ( eligible individuals :o are on ! faculty ( in/itutions t integrate g]iatrics education1 tra9+1 & be/ practices into academic program crit]ia2 7,b7 may give priority to eligible entities t op]ate a g]iatrics work=ce enhancem5t program "u subsection 7a72 7,c7 %all ensure t grants are equitably di/ribut$ among rural or und]s]v$ populations ( old] adults across ! v>i\s geographical regions ( ! ,unit$ ,/ates2 7,d7 %all pay p>ticul> att5tion to g]iatrics heal?c>e work=ce ne$s among und]s]v$ populations & rural areas2 & 7,e7 may n require an eligible individual1 or an eligible entity apply+ on behalf ( an eligible individual1 to be a recipi5t ( a grant or contract "u section #gec7;a7 or #gej ( title ,,vii ( ! ,public ,heal? ,s]vice ,act4 7#e7 ,ma9t5ance ( ef=t ,an eligible entity receiv+ an aw>d "u p>agraph 7#a7 on behalf ( an eligible individual %all provide assurances to ! ,secret>y t funds provid$ to su* individual "u ?is subsection w be us$ only to supplem5t1 n to supplant1 ! am\nt ( ,f$]al1 ,/ate1 & local funds o!rwise exp5d$ by su* individual4 7#f7 ,am\nt & duration 7,a7 ,am\nt ,! am\nt ( an aw>d "u ?is subsection = eligible individuals :o are physicians %all equal #ge1jjj = fiscal ye> #aiih1 adju/$ = subsequ5t fiscal ye>s to reflect ! increase 9 ! ,consum] ,price ,index4 ,! ,secret>y %all det]m9e ! am\nt ( an aw>d "u ?is subsection = individuals :o are n physicians4 7,b7 ,duration ,! ,secret>y %all make aw>ds "u p>agraph 7#a7 = a p]iod n to exce$ five ye>s4 7,c7 ,paym5t to in/itution ,! ,secret>y %all make paym5ts to in/itutions :i* include s*ools ( m$ic9e1 o/eopa?ic m$ic9e1 nurs+1 social "w1 psy*ology1 d5ti/ry1 & ph>macy1 or o!r alli$ heal? discipl9e 9 an accr$it$ heal? pr(essions s*ool or graduate program t is approv$ by ! ,secret>y4 7#g7 ,s]vice requirem5t ,an eligible individual on ^: behalf an application 0 submitt$ & approv$ "u p>agraph 7#c77;,a7 %all provide tra9+ 9 cl9ical g]iatrics or g]ontology1 includ+ ! tra9+ ( int]discipl9>y teams ( heal? c>e pr(essionals4 7#h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #e1bjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbc = purposes ( c>ry+ out ?is subsection4 4