,,ii ,cal5d> ,no4 #cgb #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  ,decemb] #ag1       
#bjai,report$ by ,mr4 ,alex&]1 ) an     
amendment,strike out all aft] ! enact+  
clause & ins]t ! "p pr9t$ 9 italic  ,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  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,title ,,vii ,heal? ,c>e
 ,work=ce ,reau?orization ,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 #bjba ?r\gh #bjbe4  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 #bjba   
?r\gh #bjbe2  7,b7 9 subsection 7b71 by 
/rik+ #e1jjj1jjj = ea* ( ! fiscal ye>s  
#bjaj ?r\gh #bjad & ins]t+ #a1aij1jjj = 
ea* ( fiscal ye>s #bjba ?r\gh #bjbe2    
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 #bjba   
?r\gh #bjbe2 &  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 #bjbe1 & 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 7a7--  7i7 9 
p>agraph 7#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 &  7ii7 by add+ at ! end !
 foll[+3  7#c7 ,priorities 9 mak+ aw>ds 
,9 aw>d+ grants or contracts "u p>agraph
 7#a71 ! ,secret>y may give priority to 
qualifi$ applicants t tra9 resid5ts 9   
rural areas1 includ+ = ,tribes or       
,tribal ,organizations 9 su* areas4  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 #bjba   
?r\gh #bjbe2  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 #bjba   
?r\gh #bjbe2  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 #bjba ?r\gh #bjbe2  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 #bjba ?r\gh #bjbe2 &  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 #bjba   
?r\gh #bjbe2 &  7#ac7 9 section #gge7;e7
 7#db ,u4,s4,c4 #bie;f7e771 by /rik+    
#cj1jjj1jjj & all t foll[s ?r\gh ! p]iod
 & ins]t+ su* sums z may be necess>y =  
ea* ( fiscal ye>s #bjba ?r\gh #bjbe44   
#c4 ,heal? work=ce coord9ation  7a7     
,/rategic plan  7#a7 ,9 g5]al ,n lat]   
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices 7ref]r$ to 9 ?is ,act z !      
,secret>y71 9 consultation ) ! ,advisory
 ,committee on ,tra9+ 9 ,prim>y ,c>e    
,m$ic9e & ,d5ti/ry & ! ,advisory ,c\ncil
 on ,graduate ,m$ical ,education1 %all  
develop a compreh5sive & coord9at$ plan 
) respect to ! heal? c>e work=ce        

developm5t programs ( ! ,dep>tm5t (     
,heal? & ,human ,s]vices1 includ+       
education & tra9+ programs4  7#b7       
,requirem5ts ,! plan "u p>agraph 7#a7   
%all-- 7,a7 include p]=mance measures to
 det]m9e ! ext5t to :i* ! programs      
describ$ 9 p>agraph 7#a7 are /r5g!n+ !  
,nation's heal? c>e sy/em2  7,b7 id5tify
 any gaps t exi/ betwe5 ! outcomes (    
programs describ$ 9 p>agraph 7#a7 &     
project$ heal? c>e work=ce ne$s id5tifi$
 9 work=ce projection reports conduct$  
by ! ,heal? ,res\rces & ,s]vices        
,adm9i/ration2  7,c7 id5tify actions to 
address ! gaps describ$ 9 subp>agraph   
7,b72 &  7,d7 id5tify b>ri]s1 if any1 to
 implem5t+ ! actions id5tifi$ "u        
subp>agraph 7,c74  7b7 ,coord9ation )   
o!r ag5cies ,! ,secret>y %all coord9ate 
) ! heads ( o!r ,f$]al ag5cies &        
dep>tm5ts t fund or adm9i/] heal? c>e   
work=ce developm5t programs1 includ+    
education & tra9+ programs1 to--  7#a7  
evaluate ! p]=mance ( su* programs1     
includ+ ! ext5t to :i* su* programs are 

effici5t & effective & are meet+ !      
nation's heal? work=ce ne$s2 &  7#b7    
id5tify opportunities to improve !      
quality & consi/5cy ( ! in=mation       
collect$ to evaluate )9 & across su*    
programs1 & to implem5t su* improvem5ts4
  7c7 ,report ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 %all submit to ! ,committee on ,heal?1 
,education1 ,labor1 & ,p5sions ( !      
,s5ate1 & ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives1 a 
report describ+ ! plan develop$ "u      
subsection 7a7 & actions tak5 to        
implem5t su* plan4  #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 grants1 contracts1  
or coop]ative agreem5ts "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
 receiv+ an aw>d "u ?is section %all    
support ! tra9+ ( heal? pr(essionals 9  
g]iatrics1 includ+ tra9ee%ips or        
fell[%ips4 ,su* programs %all emphasize1
 z appropriate1 pati5t & family         
engagem5t1 integration ( g]iatrics )    
prim>y c>e & o!r appropriate            
specialties1 & collaboration ) community
 p>tn]s to address gaps 9 heal? c>e =   
old] adults4  7,b7 ,activities          
,activities conduct$ by a program "u ?is
 section may include ! foll[+3  7i7     
,cl9ical tra9+ on provid+ integrat$     
g]iatrics & prim>y c>e deliv]y s]vices4 
7ii7 ,int]pr(essional tra9+ to          
practition]s f multiple discipl9es &    
specialties1 includ+ tra9+ on !         

provision ( c>e to old] adults4  7iii7  
,e/abli%+ or ma9ta9+ tra9+-relat$       
community-bas$ programs = old] adults & 
c>egiv]s to improve heal? outcomes =    
old] 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 ,ea* grant1 contract1 or      
coop]ative agreem5t or contract aw>d$ "u
 p>agraph 7#a7 %all be = a p]iod n to   
exce$ #e ye>s4  7#d7 ,applications ,to  
be eligible to receive a grant1         
contract1 or coop]ative agreem5t "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 ,program requirem5ts     
7,a7 ,9 g5]al ,9 aw>d+ grants1          
contracts1 & coop]ative agreem5ts "u    
p>agraph 7#a71 ! ,secret>y-- 7i7 %all   
give priority to programs t demon/rate  
coord9ation ) ano!r ,f$]al or ,/ate     

program or ano!r public or private      
entity2  7ii7 %all give priority to     
applicants ) programs or activities t   
are expect$ to sub/antially b5efit rural
 or m$ically und]s]v$ populations ( old]
 adults1 or s]ve old] adults 9 ,indian  
,tribes or ,tribal organizations2 &     
7iii7 may give priority to any program  
t-- 7,i7 integrates g]iatrics into      
prim>y c>e practice2  7,,ii7 provides   
tra9+ to integrate g]iatric 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(essions2  7,,iii7 emphasizes         
integration ( g]iatric c>e 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 critical  
access hospitals1 em]g5cy c>e1 assi/$   
liv+ & nurs+ facilities1 & home- &      
community-bas$ s]vices1 :i* may include 
adult dayc>e2  7,,iv7 supports ! tra9+ &

 retra9+ ( faculty1 prim>y c>e provid]s1
 o!r direct c>e provid]s1 & o!r         
appropriate pr(essionals on g]iatrics2  
7,v7 emphasizes education & engagem5t ( 
family c>egiv]s on disease managem5t &  
/rategies to meet ! ne$s ( c>egiv]s (   
old] adults2 or  7,,vi7 proposes to     
conduct outrea* to communities t h a    
%ortage ( g]iatric work=ce pr(essionals4
  7,b7 ,special consid]ation ,9 aw>d+   
grants1 contracts1 & coop]ative         
agreem5ts "u ?is section1 ! ,secret>y   
%all give special consid]ation to       
entities t provide s]vices 9 areas ) a  
%ortage ( g]iatric work=ce pr(essionals4
  7#f7 ,priority ,! ,secret>y may       
provide aw>dees ) additional support =  
activities 9 areas ( demon/rat$ ne$1 :i*
 may include education & tra9+ = home   
heal? work]s1 family c>egiv]s1 & direct 
c>e work]s on c>e = old] adults4  7#g7  
,report+  7,a7 ,reports f entities ,ea* 
entity aw>d$ a grant1 contract1 or      
coop]ative agreem5t "u ?is section %all 
submit an annual report to ! ,secret>y  

on ! activities conduct$ "u su* grant1  
contract1 or coop]ative agreem5t1 :i*   
may include in=mation on ! 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   
su* programs1 & o!r in=mation1 z !      
,secret>y may require4  7,b7 ,report to 
,congress ,n lat] ?an #d ye>s aft] !    
date ( enactm5t ( ! ,title ,,vii ,heal? 
,c>e ,work=ce ,reau?orization ,act (    
#bjai & e #e ye>s !reaft]1 ! ,secret>y  
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t provides a summ>y ( !          
activities & outcomes associat$ )       
grants1 contracts1 & coop]ative         
agreem5ts made "u ?is section4 ,su*     
reports %all include--  7i7 in=mation on
 ! numb] ( tra9ees1 faculty1 &          
pr(essionals :o p>ticipat$ 9 programs "u
 ?is section2  7ii7 in=mation on !      

impact ( ! program conduct$ "u ?is      
section on ! heal? /atus ( old] adults1 
includ+ 9 areas ) a %ortage ( heal?     
pr(essionals2 &  7iii7 in=mation on     
outrea* & education provid$ "u ?is      
section to families & c>egiv]s ( old]   
adults4  7,c7 ,public availability ,!   
,secret>y %all make reports submitt$ "u 
p>agraph 7,b7 publically available on ! 
int]net website ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices4  7b7 ,g]iatric        
,academic ,c>e] ,aw>ds  7#a7 ,e/abli%m5t
 ( program ,! ,secret>y %all1 z         
appropriate1 e/abli% or ma9ta9 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]iatrics1 or has complet$    
specialty tra9+ 9 g]iatrics z requir$ by
 ! discipl9e & any additional g]iatrics 
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(ession4  7#c7 ,application           
requirem5ts ,9 ord] to receive an aw>d  
"u p>agraph 7#a71 an eligible entity1 on
 behalf ( an eligible individual1 %all--

  7,a7 submit to ! ,secret>y 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 w meet ! s]vice  
requirem5t describ$ 9 p>agraph 7#f72 &  
7,c7 provide1 9 su* =m & mann] z !      
,secret>y may require1 assurances t !   
individual has a full-"t faculty        
appo9tm5t 9 a heal? pr(essions          
in/itution & docum5t$ commitm5t f su*   
eligible entity t ! individual w sp5d   
#ge p]c5t ( ! individual's "t t is      
support$ by ! aw>d on tea*+ & develop+  
skills 9 int]discipl9>y education 9     
g]iatrics4  7#d7 ,equitable di/ribution 
,9 mak+ aw>ds "u ?is subsection1 !      
,secret>y %all seek to ensure           
geographical di/ribution among aw>d     
recipi5ts1 includ+ among rural or       
m$ically und]s]v$ areas ( ! ,unit$      
,/ates4  7#e7 ,am\nt & duration  7,a7   
,am\nt ,! am\nt ( an aw>d "u ?is        
subsection %all be at lea/ #ge1jjj =    

fiscal ye> #bjbj1 adju/$ = subsequ5t    
ye>s 9 accordance ) ! consum] price     
index4 ,! ,secret>y %all det]m9e ! am\nt
 ( an aw>d "u ?is subsection =          
individuals :o are n physicians4  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]iatrics1 includ+ ! tra9+ (            
int]pr(essional teams ( heal? c>e       
pr(essionals4 ,! provision ( su* tra9+  
%all con/itute at lea/ #ge p]c5t ( !    
obligations ( su* individual "u ! aw>d4 
7c7 ,nonapplicability ( provision       
,not)/&+ any o!r provision ( ?is title1 
section #gia7;a7 %all n apply to aw>ds  
made "u ?is section4  7d7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ #dj1gcg1jjj = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbe = purposes (     
c>ry+ out ?is section4  4  ,decemb] #ag1
 #bjai,report$ ) an am5dm5t