,,ii #aaf? ,,congress #b;d ,session ,s4 #caid ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #ae1 #bjbj,ms4 ,ros5 7= h]self & ,ms4 ,murk[ski7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to e/abli% a program ensur+ access to accr$it$ cont9u+ m$ical education = prim>y c>e physicians & o!r heal? c>e provid]s at ,f$]ally-qualifi$ heal? c5t]s & rural heal? cl9ics1 to provide tra9+ & cl9ical support = prim>y c>e provid]s to practice at _! full scope & improve access to c>e = pati5ts 9 und]s]v$ areas4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,improv+ ,access to ,heal? ,c>e 9 ,rural & ,und]s]v$ ,areas ,act4 #b4 ,prim>y c>e accr$it$ cont9u+ m$ical education program ,subp>t #a ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq47 is am5d$ by add+ at ! end ! foll[+3 #ccj,n4 ,prim>y c>e accr$it$ cont9u+ m$ical education program 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all e/abli% a program to aw>d n m ?an #ajj grants to ,f$]ally-qualifi$ heal? c5t]s or rural heal? cl9ics1 or organizations affiliat$ ) su* cl9ics1 = ! purpose ( ensur+ access to accr$it$ cont9u+ m$ical education by bo>d-c]tifi$ speciali/ physicians1 includ+ family & int]nal m$ic9e physicians1 ) tea*+ or high-volume pati5t exp]i5ce1 & o!r lic5s$ m$ical provid]s :o h cl9ical exp]i5ce & are c]tifi$ 9 accordance ) regulations issu$ by ! ,secret>y1 to prim>y c>e physicians & m$ical provid]s employ$ by ,f$]ally-qualifi$ heal? c5t]s or rural heal? cl9ics1 to increase ! prim>y c>e provid]s' k & capacity to practice )9 _! full scope & increase access to c>e = pati5ts 9 rural & und]s]v$ areas4 7b7 ,scope ( tra9+ 7#a7 ,9 g5]al ,accr$it$ cont9u+ m$ical education programs (f]$ "u ?is section-- 7,a7 %all be design$ to be flexible to meet ! ne$s ( ! pati5ts & provid]s s]v$ & (f] a v>iety ( s*$ules1 ) a m9imum ( #a-;day tra9+ p] mon?1 p] specialty area2 7,b7 %all involve cl9ical practice = at lea/ #ej p]c5t ( ! tra9+ 7bas$ on a #c-mon? av]age71 involv+ direct c>e = pati5ts ) a s*$ul$ visit ) ! prim>y c>e provid]1 & :o c\ld b5efit f a concurr5t visit ) bo? ! prim>y c>e provid] & a speciali/2 7,c7 %all n impose additional co/-%>+ ) respect to ! concurr5t visits describ$ 9 subp>agraph 7,b72 7,d7 may involve speciali/s & faculty :o p>ticipate 9 ! program via telem$ic9e = up to #ej p]c5t ( ! cl9ical "t1 n to exce$ #ge p]c5t ( ! total program "t ov] a #c-mon? av]age2 & 7,e7 ) respect to rural & fronti] ,f$]ally-qualifi$ heal? c5t]s or rural heal? cl9ics1 may p]mit a waiv] ( subp>agraph 7,d7 7^u reque/ to ! ,heal? ,res\rces & ,s]vices ,adm9i/ration7 to p]mit #ajj p]c5t telem$ic9e p>ticipation4 7#b7 ,tra9+ ,accr$it$ cont9u+ m$ical education programs (f]$ "u ?is section may provide tra9+ to prim>y & behavioral c>e physicians & heal? c>e provid]s on-- 7,a7 endocr9ology 7includ+ diabetes c>e72 7,b7 palliative c>e & pa9 managem5t2 7,c7 d]matology2 7,d7 ob/etrics & gynecology2 7,e7 p$iatric prim>y c>e & p$iatric subspecialties2 7,f7 ga/ro5t]ology2 7,g7 m5tal & behavioral heal?1 & sub/ance use treatm5t2 7,h7 prev5tive c>e & nutrition2 7,i7 g]iatric m$ic9e2 7,j7 infecti\s disease2 7,k7 c>diology2 7,l7 rural heal? & tra9+ to improve outcomes = populations exp]i5c+ heal? disp>ities2 7,m7 w\nd c>e2 7,n7 disease managem5t = pati5ts ) multiple comorbidities2 7,o7 heal? in=mation te*nology2 & 7,p7 o!r topics1 z ! ,secret>y det]m9es appropriate4 7#c7 ,p>ticipat+ c5t]s or cl9ics 7,a7 ,9 g5]al ,to be eligible = a grant "u ?is section a ,f$]ally-qualifi$ heal? c5t] or rural heal? cl9ic1 or an organization affiliat$ ) any su* heal? cl9ic act+ on behalf ( multiple su* cl9ics1 %all-- 7i7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require2 7ii7 ensure t tra9+ "u ! program "u ! grant is provid$ to ! physicians & prim>y c>e provid]s employ$ by su* c5t] or cl9ic1 z well z pe]-to-pe] tra9+2 7iii7 include 9 ! application a ne$s assessm5t describ+ h[ p>ticipation 9 ! program "u ! grant w meet bo? pati5t ne$s & skills tra9+ ne$s = _! prim>y c>e provid]s2 & 7iv7 include 9 ! application a description ( ! expect$ pati5t t>get = h[ _m pati5ts w\ld be directly s]v$ by activities "u ! grant & an assurance t data & reports w be provid$ on ! numb] ( pati5ts s]v$ & ! accr$it+ entity us$ = purposes ( subsection 7c74 7,b7 ,use ( grant ,a ,f$]ally-qualifi$ heal? c5t]1 rural heal? cl9ic1 or affiliat$ organization receiv+ a grant "u ?is section may use grant funds =-- 7i7 comp5sation = m$ical provid]s p>ticipat+ 9 tea*+ at program sessions2 7ii7 "p-"t adm9i/ration support = ! program2 7iii7 comp5sation = ! c5t] = ! noncl9ical tra9+ "t ( ! c5t]'s prim>y c>e or behavioral heal? c>e provid]s2 7iv7 te*nology & equipm5t ne$$ to facilitate cl9ical visits = ! program2 7v7 transportation co/s = m$ical provid]s p>ticipat+ 9 tea*+ "u ! program to travel to c5t] sites if su* sites are locat$ m ?an #ce miles f _! prim>y resid5ces2 & 7vi7 o!r purposes relat$ to exp5ses incurr$ 9 ! plann+ & deliv]y ( ! educational program & associat$ cl9ical visits1 z ! ,secret>y det]m9es appropriate4 7,c7 ,t]m ,a grant "u ?is section %all be = a p]iod ( #e-ye>s4 7,d7 ,rural areas ,! ,secret>y %all ensure t at lea/ half ( ! recipi5ts ( a grant "u ?is section are eligible ,f$]ally-qualifi$ heal? c5t]s locat$ 9 a rural area or rural heal? cl9ics1 or affiliat$ organizations act+ on behalf ( su* c5t]s4 7c7 ,physician p>ticipation 9 program 7#a7 ,eligibility ,to be eligible to p>ticipate 9 an accr$it$ cont9u+ m$ical education program (f]$ "u ?is section1 a physician or o!r prim>y c>e or behavioral heal? c>e provid] %all be a prim>y c>e provid]-- 7,a7 :o is employ$ by ! grantee2 & 7,b7 :o s]ves pati5ts 9 a m$ically und]s]v$ population 7z def9$ 9 section #ccj7;b77#c774 7#b7 ,,cme cr$it 7,a7 ,9 g5]al ,! ,secret>y %all require a grantee "u ?is section to id5tify an accr$it+ body t ! grantee w "w ) to c]tify ! program "u ! grant 9 a mann] t provides cont9u+ m$ical education cr$its to provid]s p>ticipat+ 9 ! program4 ,su* c]tification %all include mat]ial ) respect to specific skills developm5t4 7,b7 ,report+ ,z "p ( ! annual report+ provid$ "u subsection 7b77#c77;,a77iv7 a grantee %all provide in=mation to confirm ! accr$it$ cont9u+ m$ical education entity us$ by ! grantee4 ,! ,secret>y may susp5d grant fund+ if ! grantee fails to provide = accr$it$ cont9u+ m$ical education )9 ! fir/ ye> ( ! grant4 ,su* grant fund+ may be re9/at$ by ! ,secret>y once ! grantee c]tifies t accr$it$ cont9u+ m$ical education is provid$4 7d7 ,annual report+ ,beg9n+ #a ye> aft] ! date ( enactm5t ( ! ,improv+ ,access to ,heal? ,c>e 9 ,rural & ,und]s]v$ ,areas ,act1 & e ye> !reaft]1 ! ,secret>y %all submit to ,congress a report on ! program "u ?is section1 includ+-- 7#a7 ! numb] ( physicians :o p>ticipate 9 ! program ea* ye> & ! specialties ( su* physicians2 7#b7 a breakd[n ( speciali/ "t sp5t directly ) pati5ts1 ) pati5ts ?r\gh telem$ic9e1 & ) prim>y c>e provid]s 9 classroom or o!r non-cl9ical sett+ dur+ ! program sessions2 7#c7 a comp>ison ( measures "u ! ,uni=m ,data ,sy/em ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 or simil> program1 relevant to pati5t c>e improvem5ts1 betwe5 ! ye> prior to ! implem5tation ( ! program "u ?is section & ! mo/ rec5t ye> 9 ! program2 7#d7 a summ>y ( any cl9ical practice *anges or notable improvem5ts 9 pati5t c>e2 7#e7 pati5t ref]rals f heal? c5t]s t p>ticipate 9 ! program to outside speciali/ c>e1 & any pati5t c>e provid$ at ! heal? c5t] t1 prior to ! program1 w\ld h be5 ref]r$ to outside speciali/s2 7#f7 ret5tion rates ( physicians at p>ticipat+ heal? c5t]s2 & 7#g7 satisfaction rates ( physicians ) ! education program at p>ticipat+ heal? c5t]s4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 4