,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bii  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #ca1 #bjai,ms4 
,coll9s 7= h]self & ,mr4 ,casey7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d title ,,vii ( !     
,public ,heal? ,s]vice ,act to          
reau?orize programs t support           
int]pr(essional g]iatric education &    
tra9+ to develop a g]iatric-capable     
work=ce1 improv+ heal? outcomes = a gr[+
 & div]se ag+ ,am]ican population & _!  
families1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,g]iatrics ,work=ce ,improvem5t ,act4   
#b4 ,f9d+s ,congress f9ds ! foll[+3     
7#a7 ,9 #bjaf1 #df1jjj1jjj adults age   
#fe or old] liv$ 9 ! ,unit$ ,/ates1 &   
?is numb] is expect$ to d\ble to ov]    
#ih1jjj1jjj by #bjfj4 ,?ree out ( f\r   
old] adults are expect$ to h multiple   
*ronic conditions1 :i* increases !      
complexity ( c>e ne$$ & increases m$ical

 exp5ditures4  7#b7 ,?irty p]c5t ( old] 
adults 9 ! ,unit$ ,/ates1 ab\t          
#ad1jjj1jjj individuals1 are project$ to
 ne$ specializ$ g]iatric c>e by #bjcj4  
,t c>e w require at lea/ #bj1jjj        
g]iatricians & ev5 m g]iatric-tra9$     
heal? pr(essionals4 ,!re are ne>ly      
#a1jjj1jjj physicians 9 ! ,unit$ ,/ates1
 less ?an #g1cjj ( :om are bo>d-c]tifi$ 
g]iatricians4 ,!re are #c1fjj1jjj nurses
 9 ! ,unit$ ,/ates1 ( :om1 less ?an #a  
p]c5t are regi/]$ nurses c]tifi$ 9      
g]iatrics & less ?an #c p]c5t are       
advanc$ practice nurses c]tifi$ 9       
g]iatrics4 ,!re are simil>ly few        
pr(essionals c]tifi$ 9 g]iatrics among  
pr(essionals 9 social "w1 ph>macy1      
psy*iatry1 & ! alli$ heal? discipl9es4  
7#c7 ,heal? pr(essionals tra9$ 9        
g]iatrics und]/& ! unique heal? ne$s &  
complex c>e *all5ges associat$ ) ag+4   
,outcomes associat$ ) int]pr(essional   
g]iatric teams include improv$          
heal?-relat$ quality ( life1 few]       
em]g5cy room visits1 few] hospital      

admissions &1 9 ! case (                
hospitalization1 %ort] l5g? ( /ay & l[] 
co/s p] admission4  7#d7 ,two f$]ally   
fund$ initiatives h hi/orically aim$ to 
r$uce ! wid5+ gap betwe5 ! numb]s ( old]
 adults & heal? pr(essionals tra9$ 9    
g]iatrics3 ,! ,g]iatrics ,work=ce       
,enhancem5t ,program & ! ,g]iatrics     
,academic ,c>e] ,aw>d4  #c4 ,purpose ,x 
is ! purpose ( ?is ,act to develop !    
next g5]ation ( g]iatric sci5ti/s &     
innovators1 improv+ heal? outcomes & c>e
 deliv]y = old] adults4 ,toge!r1 !      
,g]iatrics ,work=ce ,enhancem5t ,program
 & ! ,g]iatrics ,academic ,c>e] ,aw>d   
develop a work=ce capable ( provid+     
complex1 high-quality c>e t improves    
heal? outcomes & saves valuable res\rces
 by r$uc+ unnecess>y co/s = a gr[+ &    
div]se ag+ population4  #d4 ,education &
 tra9+ relat+ to g]iatrics ,section #gec
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bid;c7 is am5d$ 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]iatrics    
,work=ce ,enhancem5t ,programs t meet ! 
requirem5ts ( p>agraph 7#b74  7#b7      
,requirem5ts  7,a7 ,9 g5]al ,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 %all 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 individual-1 sy/em-1 community-1 &
 population-level *anges4  7,b7         

,programmatic focus ,areas (            
programmatic focus = a program meet+ !  
requirem5ts ( ?is p>agraph may include !
 foll[+3  7i7 ,trans=m+ cl9ical tra9+   
environm5ts into integrat$ g]iatrics &  
prim>y c>e deliv]y sy/ems to ensure     
tra9ees are well prep>$ to practice 9 & 
lead su* sy/ems4  7ii7 ,develop+        
provid]s f multiple discipl9es &        
specialties to "w int]pr(essionally to  
assess & address ! ne$s & pref]5ces (   
old] adults & _! families & c>egiv]s at 
! individual1 community1 & population   
levels4  7iii7 ,creat+ & deliv]+        
community-bas$ programs t w provide old]
 adults & _! families & c>egiv]s )      
education & tra9+ to improve heal?      
outcomes & ! quality ( c>e = su* adults4
  7iv7 ,provid+ education on ,alzheim]'s
 disease & relat$ dem5tias 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$ #e ye>s4  7#d7

 ,applications ,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 require1    
includ+ ! specific measures ! applicant 
w use to demon/rate t ! project is      
improv+ ! quality ( c>e provid$ to old] 
adults 9 ! applicant's region1 :i* may  
include--  7,a7 improvem5ts 9 access to 
c>e provid$ by a heal? pr(essional )    
tra9+ 9 g]iatrics or g]ontology2  7,b7  
improvem5ts 9 family c>egiv] capacity to
 c>e = old] adults2  7,c7 pati5t outcome
 data demon/rat+ an improvem5t 9 old]   
adult heal? /atus or c>e quality2 &     
7,d7 reports on h[ ! applicant w        
implem5t specific innovations ) ! t>get 
audi5ce to improve old] adults heal?    
/atus or ! quality ( c>e4  7#e7 ,program
 requirem5ts  7,a7 ,9 g5]al ,9 aw>d+    
grants "u p>agraph 7#a71 ! ,secret>y--  
7i7 %all ensure an equitable geographic 
di/ribution ( grant recipi5ts bas$ on   

,/ate & regional ag+ demographics2  7ii7
 %all give priority to programs t       
demon/rate coord9ation ) o!r            
programmatic ef=ts fund$ "u ?is program 
or o!r public or private entities2      
7iii7 %all give priority to applicants )
 programs or activities %\ld            
sub/antially b5efit rural1 und]s]v$1 or 
,native ,am]ican populations ( old]     
adults2 &  7iv7 may give priority to any
 program t-- 7,i7 integrates g]iatrics &
 g]ontology into prim>y c>e practice1   
especially ) respect to m$ical1 d5tal1 &
 psy*osocial c>e1 eld] abuse1 pa9       
managem5t1 & advance c>e plann+2  7,,ii7
 (f]s c\rses to infuse core g]iatric    
pr9ciples ( c>e into o!r specialties    
across c>e sett+s1 includ+ practic+     
cl9ical speciali/s1 heal? c>e           
adm9i/rators1 faculty )\t backgr\nds 9  
g]iatrics1 /ud5ts f all heal?           
pr(essions1 z approv$ by ! ,secret>y1 to
 improve k & cl9ical skills = ! c>e (   
old] adults2  7,,iii7 emphasizes        
integration into exi/+ s]vice deliv]y   

locations & c>e across sett+s1 includ+  
prim>y c>e cl9ics1 m$ical homes1        
,f$]ally qualifi$ heal? c5t]s1          
ambulatory c>e cl9ics1 age-fri5dly heal?
 sy/ems1 critical access hospitals1     
em]g5cy c>e1 assi/$ liv+ & nurs+        
facilities1 & home- & community-bas$    
s]vices1 includ+ s5ior day c>e2  7,,iv7 
supports ! tra9+ & retra9+ ( faculty1   
preceptors1 prim>y c>e provid]s1 & o!r  
direct c>e provid]s to increase _! k (  
g]iatrics & g]ontology2  7,v7 emphasizes
 education & engagem5t ( family c>egiv]s
 on disease self-managem5t1 m$ication   
managem5t1 & /ress-r$uction /rategies = 
old] adults2  7,,vi7 provides tra9+ to !
 heal? c>e work=ce on disease           
self-managem5t1 m$ication managem5t1    
/ress-r$uction /rategies1 & social      
det]m9ants ( heal? 9 old] adults2 or    
7,,vii7 proposes to conduct outrea* to  
communities t h a %ortage ( g]iatric    
work=ce pr(essionals4  7,b7 ,special    
consid]ation ,9 aw>d+ grants "u p>agraph
 7#a71 p>ticul>ly ) respect to aw>d+1 9 

fiscal ye> #bjbj1 any am\nt appropriat$ 
= su* fiscal ye> = purposes ( c>ry+ out 
?is subsection t is 9 excess ( ! am\nt  
appropriat$ = ! mo/ rec5t previ\s fiscal
 ye> = :i* appropriations 7 made su*    
purposes1 ! ,secret>y %all give special 
consid]ation to entities t op]ate--  7i7
 9 communities t h a %ortage ( g]iatric 
work=ce pr(essionals2 &  7ii7 9 ,/ates 9
 :i* no entity has previ\sly receiv$ an 
aw>d "u su* p>agraph 7includ+ "u        
subsection 7a77#a7 ( ?is section z 9    
effect be=e ! date ( enactm5t ( !       
,g]iatrics ,work=ce ,improvem5t ,act74  
7#f7 ,aw>d am\nts ,aw>ds "u p>agraph    
7#a7 %all be 9 an am\nt det]m9$ by !    
,secret>y4 ,entities t submit           
applications "u ?is subsection t        
describe a plan = provid+ g]iatric      
education & tra9+ = home heal? work]s & 
family c>egiv]s are eligible to receive 
#ajj1jjj p] ye> m ?an entities t d n    
include a description ( su* a plan4     
7#g7 ,report+  7,a7 ,reports f entities 
,ea* entity aw>d$ a grant "u p>agraph   

7#a7 %all submit an annual report to !  
,secret>y on ! f9ancial & programmatic  
p]=mance "u su* grant1 :i* may include  
factors su* z ! numb] ( tra9ees1 ! numb]
 ( pr(essions & discipl9es1 ! numb] (   
p>tn]%ips ) heal? c>e deliv]y sites1 !  
numb] ( faculty & practic+ pr(essionals 
:o p>ticipat$ 9 cont9u+ education       
programs1 & o!r factors1 z ! ,secret>y  
may require4  7,b7 ,reports to ,congress
  7i7 ,9 g5]al  7,i7 ,annual report ,at 
! end ( ea* ye> 9 :i* ! ,secret>y aw>ds 
grants "u ?is subsection1 ! ,secret>y   
%all submit to ,congress a report t     
provides a summ>y ( ! f9ancial &        
programmatic p]=mance ( su* grants1 :i* 
may include factors su* z ! numb]       
tra9ees1 ! numb] ( pr(essions &         
discipl9es1 ! numb] ( p>tn]%ips ) heal? 
c>e deliv]y sites1 ! numb] ( faculty &  
practic+ pr(essionals :o p>ticipat$ 9   
cont9u+ education programs1 & o!r       
factors t assess ! impact ( ! program "u
 ?is subsection on ! heal? /atus ( old] 
adults4  7,,ii7 ,summ>y reports ,n lat] 

?an #a ye> aft] ! completion ( ea*      
#e-ye> grant t]m "u ?is subsection1 !   
,secret>y %all submit to ,congress a    
report--  7aa7 t provides a summ>y ( !  
f9ancial & programmatic p]=mance ( !    
fund$ grants & a summ>y ( o!r factors t 
assess ! impact ( ! program "u ?is      
subsection on ! heal? /atus ( old]      
adults1 quality ( c>e = old] adults1 & !
 k & skills ( ! ,nation's heal? c>e     
work=ce to c>e = old] adults2 &  7bb7   
:i* may include factors su* z ! numb] ( 
tra9ees1 ! numb] ( pr(essions &         
discipl9es1 ! numb] ( p>tn]%ips ) heal? 
c>e deliv]y sites1 & ! numb] ( faculty &
 practic+ pr(essionals :o p>ticipat$ 9  
cont9u+ education program4  7ii7 ,public
 availability ,! ,secret>y %all make ea*
 report submitt$ "u clause 7i71 &       
support+ data1 publicly available 9 an  
accessible =mat on ! int]net website ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration4  7#h7 ,au?orization (    
appropriations ,= purposes ( c>ry+ out  
?is subsection1 9 addition to any o!r   

fund+ available = su* purpose1 !re is   
au?oriz$ to be appropriat$ #de1jjj1jjj =
 ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4   
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  
#gii;,b or section #hja7b72 or  7ii7    
ano!r 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 7,i7 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$ 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 
7,,ii7 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 &  7ii7
 has a junior1 nont5ur$1 faculty        
appo9tm5t at an accr$it$ heal?          
pr(essions s*ool or graduate program 9  
g]iatrics or a g]iatrics heal? pr(ession
 su* z psy*ology1 ph>macy1 nurs+1 social
 "w1 d5ti/ry1 public heal?1 alli$ heal?1
 heal? c>e adm9i/ration1 or ano!r heal? 
discipl9e1 z det]m9$ by ! ,secret>y4    
7#c7 ,application requirem5ts ,9 ord] to
 receive an aw>d "u p>agraph 7#a71 an   
eligible entity1 on behalf ( eligible   
individuals1 %all--  7,a7 submit to !   
,secret>y or a designee an application1 
at su* "t1 9 su* mann]1 & conta9+ su*   
in=mation z ! ,secret>y may require2    

7,b7 provide1 9 su* =m & mann] z !      
,secret>y may require1 assurances t !   
eligible individual on ^: behalf an     
application 0 submitt$ w meet ! s]vice  
requirem5t describ$ 9 p>agraph 7#f72 &  
7,c7 provide1 9 su* =m & mann] z !      
,secret>y may require1 docum5t$         
commitm5t f su* s*ool or program to sp5d
 #ej p]c5t ( ! individual's "t t is     
support$ by ! aw>d on tea*+ & develop+  
skills 9 int]pr(essional education 9    
g]iatrics4  7#d7 ,equitable di/ribution 
,9 mak+ aw>ds "u ?is subsection1 !      
,secret>y %all ensure t aw>ds are       
equitably di/ribut$1 includ+ among rural
 or und]s]v$ populations across ! v>i\s 
geographical regions ( ! ,unit$ ,/ates4 
7#e7 ,am\nt & duration  7,a7 ,am\nt ,!  
am\nt ( an aw>d "u ?is subsection = an  
eligible individual = ea* fiscal ye> (  
su* aw>d %all be ! less] (--  7i7 #ej   
p]c5t ( ! eligible individual's annual  
full-"t sal>y = su* fiscal ye>2 or  7ii7
 #ij1jjj4  7,b7 ,duration ,! ,secret>y  
%all make aw>ds "u p>agraph 7#a7 = a    

p]iod n to exce$ #e ye>s4  7#f7 ,s]vice 
requirem5t ,an individual :o receives an
 aw>d "u ?is subsection %all provide    
tra9+ 9 cl9ical g]iatrics or g]ontology1
 includ+ ! tra9+ ( int]pr(essional teams
 ( heal? c>e pr(essionals4 ,! provision 
( su* tra9+ %all con/itute at lea/ #ej  
p]c5t ( ! obligations ( su* individual  
"u ! aw>d4  7#g7 ,au?orization (        
appropriations ,!re is au?oriz$ to be   
appropriat$ #f1jjj1jjj = ea* ( fiscal   
ye>s #bjbj ?r\gh #bjbd = purposes (     
c>ry+ out ?is subsection4  7c7          
,inapplicability ,section #gia7;a7 %all 
n apply ) respect to grants "u          
subsection 7a7 or aw>ds "u subsection   
7b74  4