,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cjd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #ca1 #bjai ,ms4
 ,coll9s 7= h]self1 ,mr4 ,te/]1 ,mrs4   
,capito1 ,mr4 ,jones1 ,mr4 ,boozman1    
,mr4 ,man*91 & ,ms4 ,h>ris7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
reau?orize section #cdj;,h ( ! ,public  
,heal? ,s]vice ,act to cont9ue to       
enc\rage ! expansion1 ma9t5ance1 &      
e/abli%m5t ( approv$ graduate m$ical    
resid5cy programs at qualifi$ tea*+     
heal? c5t]s1 & = o!r purposes4  #a4     
,%ort title  ,?is ,act may be cit$ z !  
,tra9+ ! ,next ,g5]ation ( ,prim>y ,c>e 
,doctors ,act ( #bjai4  #b4 ,f9d+s      
,congress f9ds z foll[s3 7#a7 ,! program
 ( paym5ts to tea*+ heal? c5t]s =       
graduate m$ical education "u section    
#cdj;,h ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bef;h7 0 enact$ 9 #bjaj 
& reau?oriz$ 9 #bjae & #bjah to address 
! crisis-level %ortage ( prim>y c>e     

physicians1 especially 9 rural &        
m$ically und]s]v$ communities4  7#b7    
,tea*+ heal? c5t] resid5ts & faculty w  
provide m ?an #a1jjj1jjj prim>y c>e     
m$ical visits 9 #bjai to und]s]v$       
communities4  7#c7 ,:5 comp>$ )         
traditional ,m$ic>e ,,gme resid5ts1     
resid5ts :o tra9 at tea*+ heal? c5t]s   
are m likely to practice prim>y c>e &   
rema9 9 und]s]v$ or rural communities4  
7#d7 ,! tea*+ heal? c5t] program n only 
plays a vital role 9 tra9+ ! ,nation's  
next g5]ation ( prim>y c>e physicians   
7includ+ d5ti/s71 b helps bridge !      
,nation's physician %ortfall & address !
 maldi/ribution ( physicians across !   
,unit$ ,/ates4  7#e7 ,= ^! reasons1 x is
 ( vital importance to cont9ue ! program
 "u section #cdj;,h ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 at a
 su/a9able level ( fund+ p] full-"t     
equival5t resid5t1 z recomm5d$ 9 ! fact 
%eet ( ! ,heal? ,res\rces & ,s]vices    
,adm9i/ration entitl$ ,co/ ,e/imates =  
,tra9+ ,resid5ts 9 a ,tea*+ ,heal?      

,c5t]4  #c4 ,paym5ts  7a7 ,9 g5]al      
,subsection 7g7 ( section #cdj;,h ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;h7g77 is am5d$-- 7#a7 by 
r$esignat+ p>agraph 7#b7 z p>agraph     
7#d72 &  7#b7 by ins]t+ aft] p>agraph   
7#a7 ! foll[+3  7#b7 ,paym5ts to approv$
 graduate m$ical resid5cy tra9+ programs
 ,to c>ry out ?is section1 = paym5ts to 
approv$ graduate m$ical resid5cy        
programs 7z def9$ 9 p>agraph 7j77#a7 (  
?is section71 !re are au?oriz$ to be    
appropriat$ #abf1ejj1jjj = fiscal ye>   
#bjbj1 #abh1jjj1jjj = fiscal ye> #bjba1 
#abi1ejj1jjj = fiscal ye> #bjbb1        
#aca1jjj1jjj = fiscal ye> #bjbc1 &      
#acb1ejj1jjj = fiscal ye> #bjbd1 to     
rema9 available until exp5d$4  7#c7     
,paym5ts to new approv$ graduate m$ical 
resid5cy tra9+ programs ,to c>ry out ?is
 section1 = paym5ts to new approv$      
graduate m$ical resid5cy tra9+ programs 
7z def9$ 9 p>agraph 7j77#b7 ( ?is       
section71 !re are au?oriz$ to be        
appropriat$ #f1jjj1jjj = fiscal ye>     

#bjba1 #ab1jjj1jjj = fiscal ye> #bjbb1  
#ag1jjj1jjj = fiscal ye> #bjbc1 &       
#be1jjj1jjj = fiscal ye> #bjbd1 to rema9
 available until exp5d$4  4  7b7 ,numb] 
( resid5ts ,9 calculat+ ! level (       
paym5ts to ea* approv$ graduate m$ical  
resid5cy tra9+ program pursuant to      
p>agraph 7g77#b7 ( section #cdj;,h ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;h71 ! ,secret>y ( ,heal? 
& ,human ,s]vices %all pay = ! numb] (  
resid5ts at a program at a numb] t is no
 l[] ?an ! highe/ numb] ( resid5ts 9 _! 
programs = ! p]iod ( fiscal ye>s #bjaf  
?r\gh #bjah4  7c7 ,limitations ,! numb] 
( full-"t equival5t resid5ts = :i* a    
qualifi$ tea*+ heal? c5t] receives      
paym5ts pursuant to subp>agraph         
7a77#a77;,c7 ( section #cdj;,h ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;h7 = a fiscal ye> %all n 
exce$ by m ?an #f ! numb] ( full-"t     
equival5t resid5ts = :i* ! c5t] receiv$ 
su* paym5ts = ! prec$+ fiscal ye>4  7d7 
,report on expansion ,n lat] ?an        

,septemb] #cj1 #bjba1 ! ,secret>y (     
,heal? & ,human ,s]vices %all submit to 
! ,congress a report on ! e/abli%m5t (  
new approv$ graduate m$ical resid5cy    
programs & expansion ( exi/+ approv$    
graduate m$ical resid5cy programs4 ,!   
report %all include ! locations ( su*   
programs1 ! numb] ( resid5ts1 & /ati/ics
 reg>d+ ! numb] ( programs receiv+      
priority "u p>agraph 7a77#c7 ( section  
#cdj;,h ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bef;h74  7e7 ,public    
availability ( data ,! ,secret>y (      
,heal? & ,human ,s]vices %all make      
available to ! public ! data report$ by 
qualifi$ tea*+ heal? c5t]s pursuant to  
subsection 7d7 ( ?is section & p>agraph 
7h77#a7 ( section #cdj;,h ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef7;h774