#aaeth ,,congress  #b;d ,session  ,h4   
,r4 #cgbh  ,,an ,,act  ,to amend title  
,,vii of the ,public ,health ,service   
,act to reauthorize certain programs    
relating to the health professions      
workforce1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,educating ,medical ,professionals  
and ,optimizing ,workforce ,efficiency  
and ,readiness ,act of #bjah or the     
,,empower ,act of #bjah4  #b4           
,reauthorization of health professions  
workforce programs  7a7 ,centers of     
excellence ,subsection 7i7 of section   
#gcf of the ,public ,health ,service    
,act 7#db ,u4,s4,c4 #bic7 is amended to 
read as follows3  7i7 ,authorization of 
appropriations ,to carry out this       
section1 there is authorized to be      
appropriated #bc1gaa1jjj for each of    
fiscal years #bjai through #bjbc4  4    
7b7 ,health professions training for    
diversity ,section #gdj of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bic;d7 is amended--  7#a7 in subsection

 7a71 by striking #ea1jjj1jjj for fiscal
 year #bjaj1 and such sums as may be    
necessary for each of the fiscal years  
#bjaa through #bjad and inserting       
#dh1igj1jjj for each of fiscal years    
#bjai through #bjbc2  7#b7 in subsection
 7b71 by striking #e1jjj1jjj for each of
 the fiscal years #bjaj through #bjad   
and inserting #a1aij1jjj for each of    
fiscal years #bjai through #bjbc2 and   
7#c7 in subsection 7c71 by striking     
#fj1jjj1jjj for fiscal year #bjaj and   
such sums as may be necessary for each  
of the fiscal years #bjaa through #bjad 
and inserting #ad1ahi1jjj for each of   
fiscal years #bjai through #bjbc4  7c7  
,primary care training and enhancement  
,section #gdg7;c77#a7 of the ,public    
,health ,service ,act 7#db ,u4,s4,c4    
#bick7c77#a77 is amended by striking    
#abe1jjj1jjj for fiscal year #bjaj1 and 
such sums as may be necessary for each  
of fiscal years #bjaa through #bjad and 
inserting #dh1ibd1jjj for each of fiscal
 years #bjai through #bjbc4  7d7        

,training in general1 pediatric1 and    
public health dentistry ,section        
#gdh7;f7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #bick-#b7;f77 is   
amended by striking #cj1jjj1jjj for     
fiscal year #bjaj and such sums as may  
be necessary for each of fiscal years   
#bjaa through #bjae and inserting       
#dj1fgc1jjj for each of fiscal years    
#bjai through #bjbc4  7e7 ,area health  
education centers ,section #gea7;j77#a7 
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bid;a7j77#a77 is amended
 by striking #abe1jjj1jjj for each of   
the fiscal years #bjaj through #bjad and
 inserting #ch1bej1jjj for each of      
fiscal years #bjai through #bjbc4  7f7  
,national ,center for ,healthcare       
,workforce ,analysis  7#a7 ,in general  
,section #gfa7;e77#a77;,a7 of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bidn7e77#a77;,a77 is amended 
by striking #g1ejj1jjj for each of      
fiscal years #bjaj through #bjad and    
inserting #e1ffc1jjj for each of fiscal 

years #bjai through #bjbc4  7#b7        
,technical correction ,section          
#gfa7;e77#b7 of the ,public ,health     
,service ,act 7#db ,u4,s4,c4            
#bidn7e77#b77 is amended by striking    
subsection 7a7 and inserting paragraph  
7#a74  7g7 ,public health workforce     
,section #ggj7;a7 of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4 #bie;e7a77
 is amended by striking #dc1jjj1jjj for 
fiscal year #bjaa1 and such sums as may 
be necessary for each of the fiscal     
years #bjab through #bjae and inserting 
#ag1jjj1jjj for each of fiscal years    
#bjai through #bjbc4  #c4 ,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 programs  7#a7 ,in general  
,the ,secretary shall award grants or   
contracts 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      
geriatrics 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 and       
contracts under paragraph 7#a7 for a    

period not to exceed #e years4  7#d7    
,application ,to be eligible to receive 
a grant or contract 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    
,equitable geographic distribution ,the 
,secretary may award grants and         
contracts under paragraph 7#a7 in a     
manner which will equitably distribute  
such grants and contracts among the     
various regions of the ,united ,states4 
7#f7 ,priority ,in awarding grants and  
contracts under paragraph 7#a71 the     
,secretary may give priority to programs
 that--  7,a7 have the goal of improving
 and providing comprehensive coordinated
 care of older adults1 including        
medical1 dental1 and psychosocial needs2
  7,b7 support the training and         
retraining of faculty1 preceptors1      
primary care providers1 and providers in
 other specialties to increase their    

knowledge of geriatrics and gerontology2
  7,c7 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  7,d7         
emphasize education and engagement of   
family caregivers on disease            
self-management1 medication management1 
and stress reduction strategies2  7,e7  
provide training to the health care     
workforce on disease self-management1   
motivational interviewing1 medication   
management1 and stress reduction        
strategies2  7,f7 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  7,g7    
integrate geriatrics competencies and   
interprofessional collaborative practice
 into health care education and training
 curricula for residents1 fellows1 and  
students2  7,h7 substantially benefit   

rural or underserved populations of     
older adults2  7,i7 integrate behavioral
 health competencies into primary care  
practice1 especially with respect to    
elder abuse1 pain management1 and       
advance care planning2 or  7,j7 offer   
short-term intensive courses that--  7i7
 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 ,secretary2 and  7ii7   
are open to current faculty1 and        
appropriately credentialed volunteer    
faculty and practitioners1 to upgrade   
their knowledge and clinical skills for 
the care of older adults and adults with
 functional and cognitive limitations   
and to enhance their interdisciplinary  
teaching skills4  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
 #gii;,b or section #hja7b72 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 
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  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 #ge percent  
of the total time of such individual on 
teaching and developing skills in       
interprofessional education in          
geriatrics4  7#d7 ,requirements ,in     
awarding grants under this subsection1  
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 across the various
 geographical regions of the ,united    
,states1 including rural and underserved
 areas2  7,d7 shall pay particular      
attention to geriatrics health care     
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  
this part4  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 term  7,a7 ,amount ,the
 amount of an award under this          
subsection for eligible individuals who 
are physicians shall equal #ajj1jjj for 
fiscal year #bjag1 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 ,term ,the term of any award made
 under this subsection shall not exceed 
#e years4  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  
interprofessional teams of health care  
professionals4  7c7 ,authorization of   
appropriations ,to carry out this       
section1 there is authorized to be      

appropriated #dj1gcg1jjj for each of    
fiscal years #bjai through #bjbc4       
,notwithstanding the preceding sentence1
 no funds shall be made available to    
carry out subsection 7b7 for a fiscal   
year unless the amount made available to
 carry out this section for such fiscal 
year is more than the amount made       
available to carry out this section for 
fiscal year #bjag4  4  ,passed the      
,house of ,representatives ,july #bc1   
#bjah4;,clerk4