,,ii  #aafth ,,congress  #ast ,session  
,s4 #cjd  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,january #ca1 #bjai 
,ms4 ,collins 7for herself1 ,mr4        
,tester1 ,mrs4 ,capito1 ,mr4 ,jones1    
,mr4 ,boozman1 ,mr4 ,manchin1 and ,ms4  
,harris7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
reauthorize section #cdj;,h of the      
,public ,health ,service ,act to        
continue to encourage the expansion1    
maintenance1 and establishment of       
approved graduate medical residency     
programs at qualified teaching health   
centers1 and for other purposes4  #a4   
,short title  ,this ,act may be cited as
 the ,training the ,next ,generation of 
,primary ,care ,doctors ,act of #bjai4  
#b4 ,findings ,congress finds as        
follows3 7#a7 ,the program of payments  
to teaching health centers for graduate 
medical education under section #cdj;,h 
of the ,public ,health ,service ,act    

7#db ,u4,s4,c4 #bef;h7 was enacted in   
#bjaj and reauthorized in #bjae and     
#bjah to address the crisis-level       
shortage of primary care physicians1    
especially in rural and medically       
underserved communities4  7#b7 ,teaching
 health center residents and faculty    
will provide more than #a1jjj1jjj       
primary care medical visits in #bjai to 
underserved communities4  7#c7 ,when    
compared with traditional ,medicare     
,,gme residents1 residents who train at 
teaching health centers are more likely 
to practice primary care and remain in  
underserved or rural communities4  7#d7 
,the teaching health center program not 
only plays a vital role in training the 
,nation's next generation of primary    
care physicians 7including dentists71   
but helps bridge the ,nation's physician
 shortfall and address the              
maldistribution of physicians across the
 ,united ,states4  7#e7 ,for these      
reasons1 it is of vital importance to   
continue the program under section      

#cdj;,h of the ,public ,health ,service 
,act 7#db ,u4,s4,c4 #bef;h7 at a        
sustainable level of funding per        
full-time equivalent resident1 as       
recommended in the fact sheet of the    
,health ,resources and ,services        
,administration entitled ,cost          
,estimates for ,training ,residents in a
 ,teaching ,health ,center4  #c4        
,payments  7a7 ,in general ,subsection  
7g7 of section #cdj;,h of the ,public   
,health ,service ,act 7#db ,u4,s4,c4    
#bef;h7g77 is amended-- 7#a7 by         
redesignating paragraph 7#b7 as         
paragraph 7#d72 and  7#b7 by inserting  
after paragraph 7#a7 the following3     
7#b7 ,payments to approved graduate     
medical residency training programs ,to 
carry out this section1 for payments to 
approved graduate medical residency     
programs 7as defined in paragraph       
7j77#a7 of this section71 there are     
authorized to be appropriated           
#abf1ejj1jjj for fiscal year #bjbj1     
#abh1jjj1jjj for fiscal year #bjba1     

#abi1ejj1jjj for fiscal year #bjbb1     
#aca1jjj1jjj for fiscal year #bjbc1 and 
#acb1ejj1jjj for fiscal year #bjbd1 to  
remain available until expended4  7#c7  
,payments to new approved graduate      
medical residency training programs ,to 
carry out this section1 for payments to 
new approved graduate medical residency 
training programs 7as defined in        
paragraph 7j77#b7 of this section71     
there are authorized to be appropriated 
#f1jjj1jjj for fiscal year #bjba1       
#ab1jjj1jjj for fiscal year #bjbb1      
#ag1jjj1jjj for fiscal year #bjbc1 and  
#be1jjj1jjj for fiscal year #bjbd1 to   
remain available until expended4  4  7b7
 ,number of residents ,in calculating   
the level of payments to each approved  
graduate medical residency training     
program pursuant to paragraph 7g77#b7 of
 section #cdj;,h of the ,public ,health 
,service ,act 7#db ,u4,s4,c4 #bef;h71   
the ,secretary of ,health and ,human    
,services shall pay for the number of   
residents at a program at a number that 

is no lower than the highest number of  
residents in their programs for the     
period of fiscal years #bjaf through    
#bjah4  7c7 ,limitations ,the number of 
full-time equivalent residents for which
 a qualified teaching health center     
receives payments pursuant to           
subparagraph 7a77#a77;,c7 of section    
#cdj;,h of the ,public ,health ,service 
,act 7#db ,u4,s4,c4 #bef;h7 for a fiscal
 year shall not exceed by more than #f  
the number of full-time equivalent      
residents for which the center received 
such payments for the preceding fiscal  
year4  7d7 ,report on expansion ,not    
later than ,september #cj1 #bjba1 the   
,secretary of ,health and ,human        
,services shall submit to the ,congress 
a report on the establishment of new    
approved graduate medical residency     
programs and expansion of existing      
approved graduate medical residency     
programs4 ,the report shall include the 
locations of such programs1 the number  
of residents1 and statistics regarding  

the number of programs receiving        
priority under paragraph 7a77#c7 of     
section #cdj;,h of the ,public ,health  
,service ,act 7#db ,u4,s4,c4 #bef;h74   
7e7 ,public availability of data ,the   
,secretary of ,health and ,human        
,services shall make available to the   
public the data reported by qualified   
teaching health centers pursuant to     
subsection 7d7 of this section and      
paragraph 7h77#a7 of section #cdj;,h of 
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bef7;h774