,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cgbh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #aa1        
#bjag,mr4 ,burgess 7= himself1 ,ms4     
,s*ak[sky1 & ,mr4 ,buc%on7 introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,vii ( ! ,public
 ,heal? ,s]vice ,act to reau?orize c]ta9
 programs relat+ to ! heal? pr(essions  
work=ce1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,educat+
 ,m$ical ,pr(essionals & ,optimiz+      
,work=ce ,effici5cy & ,read9ess ,act (  
#bjag or ! ,,emp[] ,act ( #bjag4  #b4   
,reau?orization ( heal? pr(essions      
work=ce programs  7a7 ,c5t]s ( excell5ce
 ,subsection 7i7 ( section #gcf ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bic7 is am5d$ to read z      
foll[s3  7i7 ,au?orization (            
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#ba1gaa1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb4  4  7b7 ,heal? pr(essions  

tra9+ = div]sity ,section #gdj ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bic;d7 is am5d$-- 7#a7 9     
subsection 7a71 by /rik+ #ea1jjj1jjj =  
fiscal ye> #bjaj1 & su* sums z may be   
necess>y = ea* ( ! fiscal ye>s #bjaa    
?r\gh #bjad & ins]t+ #de1igj1jjj = ea* (
 ! fiscal ye>s #bjah ?r\gh #bjbb2  7#b7 
9 subsection 7b71 by /rik+ #e1jjj1jjj = 
ea* ( ! fiscal ye>s #bjaj ?r\gh #bjad & 
ins]t+ #a1aij1jjj = ea* ( ! fiscal ye>s 
#bjah ?r\gh #bjbb2 &  7#c7 9 subsection 
7c71 by /rik+ #fj1jjj1jjj = fiscal ye>  
#bjaj & su* sums z may be necess>y = ea*
 ( ! fiscal ye>s #bjaa ?r\gh #bjad &    
ins]t+ #ad1ahi1jjj = ea* ( ! fiscal ye>s
 #bjah ?r\gh #bjbb4  7c7 ,prim>y c>e    
tra9+ & enhancem5t ,section #gdg7;c77#a7
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bick7c77#a77 is am5d$ by     
/rik+ #abe1jjj1jjj = fiscal ye> #bjaj1 &
 su* sums z may be necess>y = ea* (     
fiscal ye>s #bjaa ?r\gh #bjad & ins]t+  
#ch1ibd1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb4  7d7 ,tra9+ 9 g5]al1       

p$iatric1 & public heal? d5ti/ry        
,section #gdh7;f7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bick-#b7;f77 is am5d$ by /rik+         
#cj1jjj1jjj = fiscal ye> #bjaj & su*    
sums z may be necess>y = ea* ( fiscal   
ye>s #bjaa ?r\gh #bjae & ins]t+         
#cf1fgc1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb4  7e7 ,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+ #cj1bej1jjj = ea* 
( ! fiscal ye>s #bjah ?r\gh #bjbb4  7f7 
,national ,c5t] = ,heal?c>e ,work=ce    
,analysis  7#a7 ,9 g5]al ,section       
#gfa7;e77#a77;,a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bidn7e77#a77;,a77 is am5d$ by /rik+    
#g1ejj1jjj = ea* ( fiscal ye>s #bjaj    
?r\gh #bjad & ins]t+ #d1ffc1jjj = ea* ( 
fiscal ye>s #bjah ?r\gh #bjbb4  7#b7    
,te*nical correction ,section           
#gfa7;e77#b7 ( ! ,public ,heal? ,s]vice 

,act 7#db ,u4,s4,c4 #bidn7e77#b77 is    
am5d$ by /rik+ subsection 7a7 & ins]t+  
p>agraph 7#a74  7g7 ,public heal?       
work=ce ,section #ggj7;a7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bie;e7a77 is am5d$ by /rik+ #dc1jjj1jjj
 = fiscal ye> #bjaa1 & su* sums z may be
 necess>y = ea* ( ! fiscal ye>s #bjab   
?r\gh #bjae & ins]t+ #ba1jjj1jjj = ea* (
 ! fiscal ye>s #bjah ?r\gh #bjbb4  #c4  
,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 ,equitable geographic    
di/ribution ,! ,secret>y may aw>d grants
 "u p>agraph 7#a7 9 a mann] :i* w       
equitably di/ribute su* grants among !  
v>i\s regions ( ! ,unit$ ,/ates4  7#f7  
,priority ,9 aw>d+ grants "u p>agraph   
7#a71 ! ,secret>y may give priority to  
programs t-- 7,a7 h ! goal ( improv+ &  
provid+ compreh5sive coord9at$ c>e (    

old] adults1 includ+ m$ical1 d5tal1 &   
psy*osocial ne$s2  7,b7 support ! tra9+ 
& retra9+ ( faculty1 preceptors1 prim>y 
c>e provid]s1 & provid]s 9 o!r          
specialties to increase _! k ( g]iatrics
 & g]ontology2  7,c7 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
  7,d7 emphasize education & engagem5t (
 family c>egiv]s on disease             
self-managem5t1 m$ication managem5t1 &  
/ress r$uction /rategies2  7,e7 provide 
tra9+ to ! heal? c>e work=ce on disease 
self-managem5t1 motivational int]view+1 
m$ication managem5t1 & /ress r$uction   
/rategies2  7,f7 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  7,g7 integrate g]iatrics  
compet5cies & int]pr(essional           
collaborative practice into heal? c>e   
education & tra9+ curricula = resid5ts1 

fell[s1 & /ud5ts2  7,h7 sub/antially    
b5efit rural or und]s]v$ populations (  
old] adults2  7,i7 integrate behavioral 
heal? compet5cies into prim>y c>e       
practice1 especially ) respect to eld]  
abuse1 pa9 managem5t1 & advance c>e     
plann+2 or  7,j7 (f] %ort-t]m int5sive  
c\rses t-- 7i7 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>y2 &  7ii7 are op5 
to curr5t faculty1 & appropriately      
cr$5tial$ volunte] faculty &            
practition]s1 to upgrade _! k & cl9ical 
skills = ! c>e ( old] adults & adults ) 
functional & cognitive limitations & to 
enhance _! int]discipl9>y tea*+ skills4 
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 ,act2 &  7,f7 
%all aw>d a maximum ( #abj grants dur+  
any ?ree-ye> p]iod4  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 & t]m  7,a7    
,am\nt ,! am\nt ( an aw>d "u ?is        
subsection = eligible individuals :o are
 physicians %all equal #ej1jjj = 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  
,t]m ,! t]m ( any aw>d made "u ?is      
subsection %all n exce$ #c 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  7c7 ,au?orization (  
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$ to   
c>ry out ?is subsection #ch1gcg1jjj = ! 
p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4  
4