,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eiag  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bb1 #bjah,ms4   
,roybal-,all>d introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to au?orize !    
,secret>y ( ,heal? & ,human ,s]vices to 
aw>d grants = c>e] support = skill$1    
int]nationally educat$ heal?            
pr(essionals1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,pr(essional's ,access to ,heal?        
,work=ce ,integration ,act ( #bjah4  #b4
 ,f9d+s ,! ,congress f9ds ! foll[+3     
7#a7 ,accord+ to ! ,association (       
,s*ools ( ,public ,heal?1 projections   
indicate a nationwide %ortage ( up to   
#bej1jjj public heal? work]s by #bjbj4  
7#b7 ,accord+ to ! ,bureau ( ,labor     
,/ati/ics1 ! regi/]$ nurse work=ce is   
project$ to h #a1jhh1djj job op5+s by   
#bjbd due to gr[? & replacem5t ne$s4    
7#c7 ,simil> tr5ds are project$ = o!r   
heal? pr(essions indicat+ %ortages      
across discipl9es1 includ+ )9 ! fields (

 neurology physicians 7ab\t #a1jjj by   
#bjbe71 g]iatric physicians 7ne>ly      
#bg1jjj by #bjbe71 m5tal & behavioral   
heal?1 prim>y c>e 7up to #dc1ajj by     
#bjcj71 & community & alli$ heal?4  7#d7
 ,a nationwide heal? work=ce %ortage w  
result 9 s]i\s heal? ?reats & m sev]e & 
co/ly heal? c>e ne$s1 due to1 9 "p1 a   
delay$ response to food-borne outbreaks1
 em]g+ infecti\s diseases1 natural      
disa/]s1 few] canc] scre5+s1 & delay$   
treatm5t4  7#e7 ,vuln]able & und]s]v$   
populations & heal? pr(essional %ortage 
areas w be mo/ sev]ely impact$ by !     
heal? work=ce %ortage4  7#f7 ,accord+ to
 ! ,new ,am]ican ,economy1 ,_w          
,education ,s]vices 7,,wes71 &          
,migration ,policy ,in/itute 7,,mpi71   
ne>ly #b1jjj1jjj college-educat$        
immigrants 9 ! ,unit$ ,/ates are        
unemploy$ or und]employ$ 9 l[-skill$ or 
semiskill$ jobs t fail to draw on _!    
education & exp]tise4  7#g7 ,accord+ to 
! ,new ,am]ican ,economy1 ,,wes1 & ,,mpi
 report us+ data f #bjji to #bjac1 #bg  

p]c5t ( highly skill$ & int]nationally  
educat$ naturaliz$ citiz5s1 #cc p]c5t ( 
highly skill$ & int]nationally educat$  
legal p]man5t resid5ts1 & #aj p]c5t (   
highly skill$ & int]nationally educat$  
tempor>y visa hold]s 7 unemploy$ or     
und]employ$4  7#h7 ,accord+ to ! ,new   
,am]ican ,economy1 ,,wes1 & ,,mpi report
 us+ data f #bjji to #bjac1 #ae p]c5t ( 
immigrants ) und]graduate degrees 9     
m$ical heal? sci5ces & s]vices 7 ei!r   
und]employ$ or unemploy$4  7#i7 ,accord+
 to ! ,new ,am]ican ,economy1 ,,wes1 &  
,,mpi1 und]employm5t (                  
immigrants--highly skill$ immigrants :o 
are work+ 9 l[] skill$                  
occupations--results 9 an e/imat$ loss (
 #aj4b billion 9 tax rev5ue at ! ,f$]al1
 ,/ate1 & local levels4  7#aj7 ,accord+ 
to ,upw>dly ,global & ! ,welcome ,back  
,initiative1 ) prop] guidance & support1
 und]employ$1 skill$ immigrants         
typically increase _! income by #bae    
p]c5t to #ijj p]c5t4  7#aa7 ,accord+ to 
! ,brook+s ,in/itution & ! ,p>tn]%ip = a

 ,new ,am]ican ,economy1 immigrants     
work+ 9 ! heal? work=ce are1 on av]age1 
bett] educat$ ?an ,unit$ ,/ates-born    
work]s 9 ! heal? work=ce4  #c4 ,grants =
 c>e] support = skill$1 int]nationally  
educat$ heal? pr(essionals  7a7         
,au?ority ,! ,secret>y ( ,heal? & ,human
 ,s]vices act+ ?r\gh ! ,bureau ( ,heal? 
,work=ce ( ! ,heal? ,res\rces & ,s]vices
 ,adm9i/ration1 ! ,director ( !         
,national ,in/itute on ,m9ority ,heal? &
 ,heal? ,disp>ities ( ! ,national       
,in/itutes ( ,heal?1 or ! ,deputy       
,assi/ant ,secret>y = ,m9ority ,heal? 79
 ?is section ref]r$ to z ! ,secret>y7   
may aw>d #e grants to eligible entities 
= c>e] support = skill$1 int]nationally 
educat$ heal? pr(essionals1 z describ$ 9
 subsection 7c74  7b7 ,eligibility ,to  
be eligible to receive a grant "u ?is   
section1 an entity %all-- 7#a7 be a     
cl9ical1 public heal?1 or heal? s]vices 
organization1 a community-bas$ or       
nonpr(it entity1 an academic in/itution1
 a fai?-bas$ organization1 a ,/ate1     

c\nty1 or local gov]nm5t1 an ,area      
,heal? ,education ,c5t]1 or ano!r entity
 det]m9$ appropriate by ! ,secret>y2 &  
7#b7 submit to ! ,secret>y an           
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7c7 ,au?oriz$ activities      
,subject to ! requirem5t 9 subsection   
7d71 a grant aw>d$ "u ?is section %all  
be us$-- 7#a7 to provide s]vices to     
assi/ unemploy$ & und]employ$ skill$    
immigrants1 resid+ 9 ! ,unit$ ,/ates1 :o
 h legal1 p]man5t "w au?orization & :o  
are int]nationally educat$ heal?        
pr(essionals--  7,a7 to ent] into !     
,unit$ ,/ates heal? work=ce ) employm5t 
mat*+ _! heal? pr(essional skills &     
education2 &  7,b7 to advance 9         
employm5t to positions t bett] mat* _!  
heal? pr(essional exp]tise & education2 
7#b7 to provide tra9+ opportunities to  
r$uce b>ri]s to entry & advancem5t 9 !  
heal? work=ce = skill$1 int]nationally  
educat$ immigrants2  7#c7 to educate    
employ]s reg>d+ ! abilities & capacities

 ( int]nationally educat$ heal?         
pr(essionals2  7#d7 to assi/ 9 !        
evaluation ( ! =eign cr$5tials ( skill$1
 int]nationally educat$ heal?           
pr(essionals2 &  7#e7 to facilitate     
access to contextualiz$ & accel]at$     
c\rses on ,engli% z a second language = 
skill$1 int]nationally educat$ heal?    
pr(essionals4  7d7 ,s]vice p]iod  7#a7  
,9 g5]al ,z a condition on receipt ( a  
grant "u ?is section1 an eligible entity
 %all agree to require ea* heal?        
pr(essional or immigrant receiv+        
assi/ance pursuant to ! grant 7z        
describ$ 9 p>agraph 7#a71 7#b71 7#d71 or
 7#e7 ( subsection 7c77 to commit to    
provide heal? c>e s]vices to a m$ically 
und]s]v$ community = a s]vice p]iod     
det]m9$ "u p>agraph 7#b74  7#b7         
,duration ( s]vice p]iod ,! duration (  
s]vice p]iod "u p>agraph 7#a7 = an      
individual-- 7,a7 %all n exce$ #a ye>2 &
  7,b7 %all be det]m9$ by ! eligible    
entity receiv+ ! grant "u ?is section1 9
 consultation ) ! ,secret>y4  7#c7      

,rem$ies = brea* ( s]vice commitm5t ,!  
,secret>y %all det]m9e ! rem$ies to be  
made applicable 9 agreem5ts pursuant to 
p>agraph 7#a7 = ! brea* by an individual
 ( ! s]vice commitm5t requir$ by su*    
p>agraph4  7e7 ,p]iod ( a grant ,! p]iod
 ( a grant "u ?is section %all be #c    
ye>s4  7f7 ,grantee evaluation ,an      
eligible entity receiv+ a grant "u ?is  
section %all use am\nts provid$ ?r\gh ! 
grant--  7#a7 to measure ! impacts (    
activities fund$ ?r\gh ! grant ov] !    
#c-ye> grant p]iod2 &  7#b7 to submit a 
reports to ! ,secret>y on ! results (   
su* measurem5ts4  7g7 ,au?orization (   
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#d1ejj1jjj = ! p]iod ( fiscal ye>s #bjai
 ?r\gh #bjba4  #d4 ,grant = data        
collection sy/em  7a7 ,au?ority ,!      
,secret>y ( ,heal? & ,human ,s]vices    
act+ ?r\gh ! ,bureau ( ,heal? ,work=ce (
 ! ,heal? ,res\rces & ,s]vices          
,adm9i/ration1 ! ,director ( ! ,national
 ,in/itute on ,m9ority ,heal? & ,heal?  

,disp>ities ( ! ,national ,in/itutes (  
,heal?1 or ! ,deputy ,assi/ant ,secret>y
 = ,m9ority ,heal? 79 ?is section ref]r$
 to z ! ,secret>y7 may aw>d #a grant to 
an entity to e/abli%1 improve1 or ma9ta9
 a data collection sy/em to analyze &   
track ! outcomes ( programs 9 ! ,unit$  
,/ates 7includ+ ^? fund$ "u section #c7 
= c>e] support = skill$1 int]nationally 
educat$ heal? pr(essionals4  7b7        
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #bej1jjj = ! p]iod ( fiscal 
ye>s #bjai ?r\gh #bjba4  #e4 ,def9itions
 ,9 ?is ,act3 7#a7 ,! t]m heal?         
pr(essional means an individual tra9$ = 
employm5t 9 ! field ( public heal?1     
heal? managem5t1 d5ti/ry1 heal?         
adm9i/ration1 m$ic9e1 nurs+1 ph>macy1   
psy*ology1 social "w1 psy*iatry1 o!r    
m5tal & behavioral heal?1 alli$ heal?1  
community heal? or wellness 7includ+    
fitness & nutrition71 or o!r fields z   
det]m9$ appropriate by ! ,secret>y4     
7#b7 ,! t]m int]nationally educat$ means

 hav+ obta9$ an educational degree      
outside ( ! ,unit$ ,/ates4  7#c7 ,! t]m 
m$ically und]s]v$ community has ! mean+ 
giv5 to t t]m 9 section #gii;,b ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #biep74  7#d7 ,! t]m          
und]employ$ means be+ employ$ at less   
skill$ tasks ?an an employee's tra9+ or 
abilities w\ld o!rwise p]mit4