,,ii ,calendar ,no4 #cgb #aafth         
,,congress  #ast ,session  ,s4 #biig    
,,in ,,the ,,senate ,,of ,,the ,,united 
,,states  ,december #i1 #bjai,mr4 ,reed 
7for himself1 ,mr4 ,enzi1 and ,ms4      
,mc,sally7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions       
,december #ag1 #bjai,reported by ,mr4   
,alexander1 with an amendment,strike out
 all after the enacting clause and      
insert the part printed in italic  ,a   
,,bill  ,to revise and extend health    
workforce programs under title ,,vii of 
the ,public ,health ,service ,act4  #a4 
,short title ,this ,act may be cited as 
the ,title ,,vii ,health ,care          
,workforce ,act of #bjai4  #b4          
,reauthorization of health professions  
workforce programs ,title ,,vii of the  
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bib et seq47 is amended--    
7#a7 in section #gcf 7#db ,u4,s4,c4     
#bic71 by striking subsection 7i7 and   

inserting the following3  7i7           
,authorization of appropriations ,to    
carry out this section1 there is        
authorized to be appropriated           
#bc1gaa1jjj for each of fiscal years    
#bjbj through #bjbd4  2  7#b7 in section
 #gdj 7#db ,u4,s4,c4 #bic;d7-- 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    
#bjbj through #bjbd2  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 #bjbj through #bjbd2  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 #bjbj through #bjbd2 and   
7,d7 in subsection 7d71 by striking ,not
 ,later than #f months after the date of

 enactment of this part1 the ,secretary 
shall prepare and submit to the         
appropriate committees of ,congress and 
inserting3 ,not later than ,september   
#cj1 #bjbd1 and every five years        
thereafter1 the ,secretary shall prepare
 and submit to the ,committee on        
,health1 ,education1 ,labor1 and        
,pensions of the ,senate1 and the       
,committee on ,energy and ,commerce of  
the ,house of ,representatives12  7#c7  
in section #gdg 7#db ,u4,s4,c4 #bick7-- 
7,a7 in subsection 7a77#a77;,g71 by     
striking to plan1 develop1 and operate a
 demonstration program that provides    
training and inserting3 to plan1        
develop1 and operate a program that     
identifies or develops innovative models
 of providing care1 and trains primary  
care physicians on such models and2     
7,b7 in subsection 7b77#c77;,e71 by     
striking substance-related disorders and
 inserting substance use disorders2 and 
7,c7 in subsection 7c77#a71 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 #bjbj through #bjbd2  7#d7 in    
section #gdh 7#db ,u4,s4,c4 #bick-#b7-- 
7,a7 in subsection 7c77#e71 by striking 
substance-related disorders and         
inserting substance use disorders2 and  
7,b7 in subsection 7f71 by striking     
#cj1jjj1jjj for fiscal year #bjaj and   
such sums as may be necessary for each  
of fiscal years #bjaa through #bjae and 
inserting #bh1eca1jjj for each of fiscal
 years #bjbj through #bjbd2  7#e7 in    
section #gdi7;d77#b7 7#db ,u4,s4,c4     
#bicl7d77#b771 by striking ,committee on
 ,labor and ,human ,resources of the    
,senate1 and the ,committee on ,commerce
 of the ,house of ,representatives and  
inserting ,committee on ,health1        
,education1 ,labor1 and ,pensions of the
 ,senate1 and the ,committee on ,energy 
and ,commerce of the ,house of          
,representatives2  7#f7 in section      
#gea7;j77#a7 7#db ,u4,s4,c4             

#bid;a7j77#a771 by striking #abe1jjj1jjj
 for each of the fiscal years #bjaj     
through #bjad and inserting #ci1bej1jjj 
for each of fiscal years #bjbj through  
#bjbd2  7#g7 in section                 
#ged7;b77#a77;,a7 7#db ,u4,s4,c4        
#bid;d7b77#a77;,a771 by striking new and
 innovative and inserting innovative or 
evidence-based2  7#h7 in section        
#gee7;b77#a77;,a7 7#db ,u4,s4,c4        
#bid;e7b77#a77;,a771 by striking the    
elderly and inserting geriatric         
populations or for maternal and child   
health2  7#i7 in section #gfa7;e7 7#db  
,u4,s4,c4 #bidn7e77--  7,a7 in paragraph
 7#a77;,a71 by striking #g1ejj1jjj for  
each of fiscal years #bjaj through #bjad
 and inserting #e1ffc1jjj for each of   
fiscal years #bjbj through #bjbd2 and   
7,b7 in paragraph 7#b71 by striking     
subsection 7a7 and inserting paragraph  
7#a72  7#aj7 in section #gfb 7#db       
,u4,s4,c4 #bido7-- 7,a7 in subsection   
7a77#a71 by striking ,committee on      
,labor and ,human ,resources and        

inserting ,committee on ,health1        
,education1 ,labor1 and ,pensions2  7,b7
 in subsection 7b7-- 7i7 in paragraph   
7#b71 by striking ,health ,care         
,financing ,administration and inserting
 ,centers for ,medicare  ,medicaid      
,services2  7ii7 by redesignating       
paragraphs 7#d7 through 7#f7 as         
paragraphs 7#e7 through 7#g71           
respectively2 and  7iii7 by inserting   
after paragraph 7#c71 the following3    
7#d7 the ,administrator of the ,health  
,resources and ,services                
,administration2  2  7,c7 by striking   
subsections 7i71 7j71 and 7k7 and       
inserting the following3  7i7 ,reports  
,not later than ,september #cj1 #bjbc1  
and not less than every #e years        
thereafter1 the ,council shall submit to
 the ,secretary1 and to the ,committee  
on ,health1 ,education1 ,labor1 and     
,pensions of the ,senate and the        
,committee on ,energy and ,commerce of  
the ,house of ,representatives1 a report
 on the recommendations described in    

subsection 7a74  2 and  7,d7 by         
redesignating subsection 7l7 as         
subsection 7j72  7#aa7 in section       
#gff7;b77#a7 7#db ,u4,s4,c4             
#bie;a7b77#a771 by striking that plans  
and all that follows through the period 
and inserting that plans1 develops1     
operates1 and evaluates projects to     
improve preventive medicine1 health     
promotion and disease prevention1 or    
access to and quality of health care    
services in rural or medically          
underserved communities42 and  7#ab7 in 
section #ggj7;a7 7#db ,u4,s4,c4         
#bie;e7a771 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    
#bjbj through #bjbd4  #a4 ,short title  
,this ,act may be cited as the ,title   
,,vii ,health ,care ,workforce          
,reauthorization ,act of #bjai4  #b4    
,reauthorization of health professions  
workforce programs ,title ,,vii of the  

,public ,health ,service ,act 7#db      
,u4,s4,c4 #bib et seq47 is amended--    
7#a7 in section #gcf 7#db ,u4,s4,c4     
#bic71 by striking subsection 7i7 and   
inserting the following3  7i7           
,authorization of appropriations ,to    
carry out this section1 there is        
authorized to be appropriated           
#bc1gaa1jjj for each of fiscal years    
#bjba through #bjbe4  2  7#b7 in section
 #gdj 7#db ,u4,s4,c4 #bic;d7-- 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    
#bjba through #bjbe2  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 #bjba through #bjbe2  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 #bjba through #bjbe2 and   
7,d7 in subsection 7d71 by striking ,not
 ,later than #f months after the date of
 enactment of this part1 the ,secretary 
shall prepare and submit to the         
appropriate committees of ,congress and 
inserting3 ,not later than ,september   
#cj1 #bjbe1 and every five years        
thereafter1 the ,secretary shall prepare
 and submit to the ,committee on        
,health1 ,education1 ,labor1 and        
,pensions of the ,senate1 and the       
,committee on ,energy and ,commerce of  
the ,house of ,representatives12  7#c7  
in section #gdg 7#db ,u4,s4,c4 #bick7-- 
7,a7 in subsection 7a7--  7i7 in        
paragraph 7#a77;,g71 by striking to     
plan1 develop1 and operate a            
demonstration program that provides     
training and inserting3 to plan1        
develop1 and operate a program that     
identifies or develops innovative models
 of providing care1 and trains primary  
care physicians on such models and2 and 

7ii7 by adding at the end the following3
  7#c7 ,priorities in making awards ,in 
awarding grants or contracts under      
paragraph 7#a71 the ,secretary may give 
priority to qualified applicants that   
train residents in rural areas1         
including for ,tribes or ,tribal        
,organizations in such areas4  2  7,b7  
in subsection 7b77#c77;,e71 by striking 
substance-related disorders and         
inserting substance use disorders2 and  
7,c7 in subsection 7c77#a71 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 #bjba through #bjbe2  7#d7 in    
section #gdh 7#db ,u4,s4,c4 #bick-#b7-- 
7,a7 in subsection 7c77#e71 by striking 
substance-related disorders and         
inserting substance use disorders2 and  
7,b7 in subsection 7f71 by striking     
#cj1jjj1jjj for fiscal year #bjaj and   
such sums as may be necessary for each  
of fiscal years #bjaa through #bjae and 

inserting #bh1eca1jjj for each of fiscal
 years #bjba through #bjbe2  7#e7 in    
section #gdi7;d77#b7 7#db ,u4,s4,c4     
#bicl7d77#b771 by striking ,committee on
 ,labor and ,human ,resources of the    
,senate1 and the ,committee on ,commerce
 of the ,house of ,representatives and  
inserting ,committee on ,health1        
,education1 ,labor1 and ,pensions of the
 ,senate1 and the ,committee on ,energy 
and ,commerce of the ,house of          
,representatives2  7#f7 in section      
#gea7;j77#a7 7#db ,u4,s4,c4             
#bid;a7j77#a771 by striking #abe1jjj1jjj
 for each of the fiscal years #bjaj     
through #bjad and inserting #ci1bej1jjj 
for each of fiscal years #bjba through  
#bjbe2  7#g7 in section                 
#ged7;b77#a77;,a7 7#db ,u4,s4,c4        
#bid;d7b77#a77;,a771 by striking new and
 innovative and inserting innovative or 
evidence-based2  7#h7 in section        
#gee7;b77#a77;,a7 7#db ,u4,s4,c4        
#bid;e7b77#a77;,a771 by striking the    
elderly and inserting geriatric         

populations or for maternal and child   
health2  7#i7 in section #gfa7;e7 7#db  
,u4,s4,c4 #bidn7e77--  7,a7 in paragraph
 7#a77;,a71 by striking #g1ejj1jjj for  
each of fiscal years #bjaj through #bjad
 and inserting #e1ffc1jjj for each of   
fiscal years #bjba through #bjbe2 and   
7,b7 in paragraph 7#b71 by striking     
subsection 7a7 and inserting paragraph  
7#a72  7#aj7 in section #gfb 7#db       
,u4,s4,c4 #bido7-- 7,a7 in subsection   
7a77#a71 by striking ,committee on      
,labor and ,human ,resources and        
inserting ,committee on ,health1        
,education1 ,labor1 and ,pensions2  7,b7
 in subsection 7b7-- 7i7 in paragraph   
7#b71 by striking ,health ,care         
,financing ,administration and inserting
 ,centers for ,medicare  ,medicaid      
,services2  7ii7 by redesignating       
paragraphs 7#d7 through 7#f7 as         
paragraphs 7#e7 through 7#g71           
respectively2 and  7iii7 by inserting   
after paragraph 7#c71 the following3    
7#d7 the ,administrator of the ,health  

,resources and ,services                
,administration2  2  7,c7 by striking   
subsections 7i71 7j71 and 7k7 and       
inserting the following3  7i7 ,reports  
,not later than ,september #cj1 #bjbc1  
and not less than every #e years        
thereafter1 the ,council shall submit to
 the ,secretary1 and to the ,committee  
on ,health1 ,education1 ,labor1 and     
,pensions of the ,senate and the        
,committee on ,energy and ,commerce of  
the ,house of ,representatives1 a report
 on the recommendations described in    
subsection 7a74  2 and  7,d7 by         
redesignating subsection 7l7 as         
subsection 7j72  7#aa7 in section       
#gff7;b77#a7 7#db ,u4,s4,c4             
#bie;a7b77#a771 by striking that plans  
and all that follows through the period 
and inserting that plans1 develops1     
operates1 and evaluates projects to     
improve preventive medicine1 health     
promotion and disease prevention1 or    
access to and quality of health care    
services in rural or medically          

underserved communities42  7#ab7 in     
section #ggj7;a7 7#db ,u4,s4,c4         
#bie;e7a771 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    
#bjba through #bjbe2 and  7#ac7 in      
section #gge7;e7 7#db ,u4,s4,c4         
#bie;f7e771 by striking #cj1jjj1jjj and 
all that follows through the period and 
inserting such sums as may be necessary 
for each of fiscal years #bjba through  
#bjbe44  #c4 ,health workforce          
coordination  7a7 ,strategic plan  7#a7 
,in general ,not later than #a year     
after the date of enactment of this     
,act1 the ,secretary of ,health and     
,human ,services 7referred to in this   
,act as the ,secretary71 in consultation
 with the ,advisory ,committee on       
,training in ,primary ,care ,medicine   
and ,dentistry and the ,advisory        
,council on ,graduate ,medical          
,education1 shall develop a             

comprehensive and coordinated plan with 
respect to the health care workforce    
development programs of the ,department 
of ,health and ,human ,services1        
including education and training        
programs4  7#b7 ,requirements ,the plan 
under paragraph 7#a7 shall-- 7,a7       
include performance measures to         
determine the extent to which the       
programs described in paragraph 7#a7 are
 strengthening the ,nation's health care
 system2  7,b7 identify any gaps that   
exist between the outcomes of programs  
described in paragraph 7#a7 and         
projected health care workforce needs   
identified in workforce projection      
reports conducted by the ,health        
,resources and ,services                
,administration2  7,c7 identify actions 
to address the gaps described in        
subparagraph 7,b72 and  7,d7 identify   
barriers1 if any1 to implementing the   
actions identified under subparagraph   
7,c74  7b7 ,coordination with other     
agencies ,the ,secretary shall          

coordinate with the heads of other      
,federal agencies and departments that  
fund or administer health care workforce
 development programs1 including        
education and training programs1 to--   
7#a7 evaluate the performance of such   
programs1 including the extent to which 
such programs are efficient and         
effective and are meeting the nation's  
health workforce needs2 and  7#b7       
identify opportunities to improve the   
quality and consistency of the          
information collected to evaluate within
 and across such programs1 and to       
implement such improvements4  7c7       
,report ,not later than #b years after  
the date of enactment of this ,act1 the 
,secretary shall submit to the          
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate1   
and the ,committee on ,energy and       
,commerce of the ,house of              
,representatives1 a report describing   
the plan developed under subsection 7a7 
and actions taken to implement such     

plan4  #d4 ,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 program  7#a7 ,in 
general ,the ,secretary shall award     
grants1 contracts1 or cooperative       
agreements 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     
7,a7 ,in general ,a ,geriatrics         
,workforce ,enhancement ,program        
receiving an award under this section   
shall support the training of health    
professionals in geriatrics1 including  
traineeships or fellowships4 ,such      

programs shall emphasize1 as            
appropriate1 patient and family         
engagement1 integration of geriatrics   
with primary care and other appropriate 
specialties1 and collaboration with     
community partners to address gaps in   
health care for older adults4  7,b7     
,activities ,activities conducted by a  
program under this section may include  
the following3  7i7 ,clinical training  
on providing integrated geriatrics and  
primary care delivery services4  7ii7   
,interprofessional training to          
practitioners from multiple disciplines 
and specialties1 including training on  
the provision of care to older adults4  
7iii7 ,establishing or maintaining      
training-related community-based        
programs for older adults and caregivers
 to improve health outcomes for older   
adults4  7iv7 ,providing education on   
,alzheimer's disease and related        
dementias to families and caregivers of 
older adults1 direct care workers1 and  
health professions students1 faculty1   

and providers4  7#c7 ,duration ,each    
grant1 contract1 or cooperative         
agreement or contract awarded under     
paragraph 7#a7 shall be for a period not
 to exceed #e years4  7#d7 ,applications
 ,to be eligible to receive a grant1    
contract1 or cooperative agreement 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 ,program requirements    
7,a7 ,in general ,in awarding grants1   
contracts1 and cooperative agreements   
under paragraph 7#a71 the ,secretary--  
7i7 shall give priority to programs that
 demonstrate coordination with another  
,federal or ,state program or another   
public or private entity2  7ii7 shall   
give priority to applicants with        
programs or activities that are expected
 to substantially benefit rural or      
medically underserved populations of    
older adults1 or serve older adults in  

,indian ,tribes or ,tribal              
organizations2 and  7iii7 may give      
priority to any program that-- 7,i7     
integrates geriatrics into primary care 
practice2  7,,ii7 provides training to  
integrate geriatric care into other     
specialties across care settings1       
including practicing clinical           
specialists1 health care administrators1
 faculty without backgrounds in         
geriatrics1 and students from all health
 professions2  7,,iii7 emphasizes       
integration of geriatric care into      
existing service delivery locations and 
care across settings1 including primary 
care clinics1 medical homes1 ,federally 
qualified health centers1 ambulatory    
care clinics1 critical access hospitals1
 emergency care1 assisted living and    
nursing facilities1 and home- and       
community-based services1 which may     
include adult daycare2  7,,iv7 supports 
the training and retraining of faculty1 
primary care providers1 other direct    
care providers1 and other appropriate   

professionals on geriatrics2  7,v7      
emphasizes education and engagement of  
family caregivers on disease management 
and strategies to meet the needs of     
caregivers of older adults2 or  7,,vi7  
proposes to conduct outreach to         
communities that have a shortage of     
geriatric workforce professionals4  7,b7
 ,special consideration ,in awarding    
grants1 contracts1 and cooperative      
agreements under this section1 the      
,secretary shall give special           
consideration to entities that provide  
services in areas with a shortage of    
geriatric workforce professionals4  7#f7
 ,priority ,the ,secretary may provide  
awardees with additional support for    
activities in areas of demonstrated     
need1 which may include education and   
training for home health workers1 family
 caregivers1 and direct care workers on 
care for older adults4  7#g7 ,reporting 
7,a7 ,reports from entities ,each entity
 awarded a grant1 contract1 or          
cooperative agreement under this section

 shall submit an annual report to the   
,secretary on the activities conducted  
under such grant1 contract1 or          
cooperative agreement1 which may include
 information on the number of trainees1 
the number of professions and           
disciplines1 the number of partnerships 
with health care delivery sites1 the    
number of faculty and practicing        
professionals who participated in such  
programs1 and other information1 as the 
,secretary may require4  7,b7 ,report to
 ,congress ,not later than #d years     
after the date of enactment of the      
,title ,,vii ,health ,care ,workforce   
,reauthorization ,act of #bjai and every
 #e years thereafter1 the ,secretary    
shall submit to the ,committee on       
,health1 ,education1 ,labor1 and        
,pensions of the ,senate and the        
,committee on ,energy and ,commerce of  
the ,house of ,representatives a report 
that provides a summary of the          
activities and outcomes associated with 
grants1 contracts1 and cooperative      

agreements made under this section4     
,such reports shall include--  7i7      
information on the number of trainees1  
faculty1 and professionals who          
participated in programs under this     
section2  7ii7 information on the impact
 of the program conducted under this    
section on the health status of older   
adults1 including in areas with a       
shortage of health professionals2 and   
7iii7 information on outreach and       
education provided under this section to
 families and caregivers of older       
adults4  7,c7 ,public availability ,the 
,secretary shall make reports submitted 
under paragraph 7,b7 publically         
available on the internet website of the
 ,department of ,health and ,human      
,services4  7b7 ,geriatric ,academic    
,career ,awards  7#a7 ,establishment of 
program ,the ,secretary shall1 as       
appropriate1 establish or maintain 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 another 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 7,i7 is board certified or board    
eligible in internal medicine1 family   
practice1 psychiatry1 or licensed       
dentistry1 or has completed required    
training in a discipline and is employed
 in an accredited health professions    
school or graduate program that is      
approved by the ,secretary2 or  7,,ii7  
has completed an approved fellowship    
program in geriatrics1 or has completed 

specialty training in geriatrics as     
required by the discipline and any      
additional geriatrics training as       
required by the ,secretary2 and  7ii7   
has a junior1 nontenured1 faculty       
appointment at an accredited health     
professions school or graduate program  
in geriatrics or a geriatrics health    
profession4  7#c7 ,application          
requirements ,in order to receive an    
award under paragraph 7#a71 an eligible 
entity1 on behalf of an eligible        
individual1 shall--  7,a7 submit to the 
,secretary an application1 at such time1
 in such manner1 and containing such    
information as the ,secretary may       
require2  7,b7 provide1 in such form and
 manner as the ,secretary may require1  
assurances that the eligible individual 
will meet the service requirement       
described in paragraph 7#f72 and  7,c7  
provide1 in such form and manner as the 
,secretary may require1 assurances that 
the individual has a full-time faculty  
appointment in a health professions     

institution and documented commitment   
from such eligible entity that the      
individual will spend #ge percent of the
 individual's time that is supported by 
the award on teaching and developing    
skills in interdisciplinary education in
 geriatrics4  7#d7 ,equitable           
distribution ,in making awards under    
this subsection1 the ,secretary shall   
seek to ensure geographical distribution
 among award recipients1 including among
 rural or medically underserved areas of
 the ,united ,states4  7#e7 ,amount and 
duration  7,a7 ,amount ,the amount of an
 award under this subsection shall be at
 least #ge1jjj for fiscal year #bjbj1   
adjusted for subsequent years in        
accordance with the consumer price      
index4 ,the ,secretary shall determine  
the amount of an award under this       
subsection for individuals who are not  
physicians4  7,b7 ,duration ,the        
,secretary shall make awards under      
paragraph 7#a7 for a period not to      
exceed #e years4  7#f7 ,service         

requirement ,an individual who receives 
an award under this subsection shall    
provide training in clinical geriatrics1
 including the training of              
interprofessional teams of health care  
professionals4 ,the provision of such   
training shall constitute at least #ge  
percent of the obligations of such      
individual under the award4  7c7        
,nonapplicability of provision          
,notwithstanding any other provision of 
this title1 section #gia7;a7 shall not  
apply to awards made under this section4
  7d7 ,authorization of appropriations  
,there is authorized to be appropriated 
#dj1gcg1jjj for each of fiscal years    
#bjba through #bjbe for purposes of     
carrying out this section4  4  ,december
 #ag1 #bjai,reported with an amendment