,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #biig  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #i1 #bjai,mr4 
,re$ 7= himself1 ,mr4 ,enzi1 & ,ms4     
,mc,sally7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to revise & ext5d heal?     
work=ce programs "u title ,,vii ( !     
,public ,heal? ,s]vice ,act4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,title  
,,vii ,heal? ,c>e ,work=ce ,act ( #bjai4
  #b4 ,reau?orization ( heal? pr(essions
 work=ce programs ,title ,,vii ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bib et seq47 is am5d$-- 7#a7 
9 section #gcf 7#db ,u4,s4,c4 #bic71 by 
/rik+ subsection 7i7 & ins]t+ ! foll[+3 
7i7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #bc1gaa1jjj = ea* (     
fiscal ye>s #bjbj ?r\gh #bjbd4  2  7#b7 
9 section #gdj 7#db ,u4,s4,c4 #bic;d7-- 
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+         
#dh1igj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd2  7,b7 9 subsection 7b71 by 
/rik+ #e1jjj1jjj = ea* ( ! fiscal ye>s  
#bjaj ?r\gh #bjad & ins]t+ #a1aij1jjj = 
ea* ( fiscal ye>s #bjbj ?r\gh #bjbd2    
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 #bjbj   
?r\gh #bjbd2 &  7,d7 9 subsection 7d71  
by /rik+ ,n ,lat] ?an #f mon?s aft] !   
date ( enactm5t ( ?is "p1 ! ,secret>y   
%all prep>e & submit to ! appropriate   
committees ( ,congress & ins]t+3 ,n lat]
 ?an ,septemb] #cj1 #bjbd1 & e five ye>s
 !reaft]1 ! ,secret>y %all prep>e &     
submit to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions ( !      
,s5ate1 & ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives12  
7#c7 9 section #gdg 7#db ,u4,s4,c4      
#bick7-- 7,a7 9 subsection 7a77#a77;,g71

 by /rik+ to plan1 develop1 & op]ate a  
demon/ration program t provides tra9+ & 
ins]t+3 to plan1 develop1 & op]ate a    
program t id5tifies or develops         
innovative models ( provid+ c>e1 & tra9s
 prim>y c>e physicians on su* models &2 
7,b7 9 subsection 7b77#c77;,e71 by /rik+
 sub/ance-relat$ disord]s & ins]t+      
sub/ance use disord]s2 &  7,c7 9        
subsection 7c77#a71 by /rik+            
#abe1jjj1jjj = fiscal ye> #bjaj1 & su*  
sums z may be necess>y = ea* ( fiscal   
ye>s #bjaa ?r\gh #bjad & ins]t+         
#dh1ibd1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd2  7#d7 9 section #gdh 7#db  
,u4,s4,c4 #bick-#b7-- 7,a7 9 subsection 
7c77#e71 by /rik+ sub/ance-relat$       
disord]s & ins]t+ sub/ance use disord]s2
 &  7,b7 9 subsection 7f71 by /rik+     
#cj1jjj1jjj = fiscal ye> #bjaj & su*    
sums z may be necess>y = ea* ( fiscal   
ye>s #bjaa ?r\gh #bjae & ins]t+         
#bh1eca1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd2  7#e7 9 section            
#gdi7;d77#b7 7#db ,u4,s4,c4             

#bicl7d77#b771 by /rik+ ,committee on   
,labor & ,human ,res\rces ( ! ,s5ate1 & 
! ,committee on ,comm]ce ( ! ,h\se (    
,repres5tatives & ins]t+ ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate1 & ! ,committee on ,en]gy &   
,comm]ce ( ! ,h\se ( ,repres5tatives2   
7#f7 9 section #gea7;j77#a7 7#db        
,u4,s4,c4 #bid;a7j77#a771 by /rik+      
#abe1jjj1jjj = ea* ( ! fiscal ye>s #bjaj
 ?r\gh #bjad & ins]t+ #ci1bej1jjj = ea* 
( fiscal ye>s #bjbj ?r\gh #bjbd2  7#g7 9
 section #ged7;b77#a77;,a7 7#db         
,u4,s4,c4 #bid;d7b77#a77;,a771 by /rik+ 
new & innovative & ins]t+ innovative or 
evid5ce-bas$2  7#h7 9 section           
#gee7;b77#a77;,a7 7#db ,u4,s4,c4        
#bid;e7b77#a77;,a771 by /rik+ ! eld]ly &
 ins]t+ g]iatric populations or =       
mat]nal & *ild heal?2  7#i7 9 section   
#gfa7;e7 7#db ,u4,s4,c4 #bidn7e77--     
7,a7 9 p>agraph 7#a77;,a71 by /rik+     
#g1ejj1jjj = ea* ( fiscal ye>s #bjaj    
?r\gh #bjad & ins]t+ #e1ffc1jjj = ea* ( 
fiscal ye>s #bjbj ?r\gh #bjbd2 &  7,b7 9

 p>agraph 7#b71 by /rik+ subsection 7a7 
& ins]t+ p>agraph 7#a72  7#aj7 9 section
 #gfb 7#db ,u4,s4,c4 #bido7-- 7,a7 9    
subsection 7a77#a71 by /rik+ ,committee 
on ,labor & ,human ,res\rces & ins]t+   
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions2  7,b7 9 subsection  
7b7-- 7i7 9 p>agraph 7#b71 by /rik+     
,heal? ,c>e ,f9anc+ ,adm9i/ration &     
ins]t+ ,c5t]s = ,m$ic>e  ,m$icaid       
,s]vices2  7ii7 by r$esignat+ p>agraphs 
7#d7 ?r\gh 7#f7 z p>agraphs 7#e7 ?r\gh  
7#g71 respectively2 &  7iii7 by ins]t+  
aft] p>agraph 7#c71 ! foll[+3  7#d7 !   
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration2  2  7,c7 by     
/rik+ subsections 7i71 7j71 & 7k7 &     
ins]t+ ! foll[+3  7i7 ,reports ,n lat]  
?an ,septemb] #cj1 #bjbc1 & n less ?an e
 #e ye>s !reaft]1 ! ,c\ncil %all submit 
to ! ,secret>y1 & to ! ,committee on    
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives1 a 
report on ! recomm5dations describ$ 9   

subsection 7a74  2 &  7,d7 by r$esignat+
 subsection 7l7 z subsection 7j72  7#aa7
 9 section #gff7;b77#a7 7#db ,u4,s4,c4  
#bie;a7b77#a771 by /rik+ t plans & all t
 foll[s ?r\gh ! p]iod & ins]t+ t plans1 
develops1 op]ates1 & evaluates projects 
to improve prev5tive m$ic9e1 heal?      
promotion & disease prev5tion1 or access
 to & quality ( heal? c>e s]vices 9     
rural or m$ically und]s]v$ communities42
 &  7#ab7 9 section #ggj7;a7 7#db       
,u4,s4,c4 #bie;e7a771 by /rik+          
#dc1jjj1jjj = fiscal ye> #bjaa1 & su*   
sums z may be necess>y = ea* ( ! fiscal 
ye>s #bjab ?r\gh #bjae & ins]t+         
#ag1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4