,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #gagg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ba1 #bjbb,mr4   
,cri/ 7= himself & ,ms4 ,lee (          
,cali=nia7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to au?orize a       
s*ol>%ip & loan repaym5t program to     
inc5tivize physicians to ent] into !    
field ( sickle cell disease rese>* &    
treatm5t1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,sickle 
,cell ,c>e ,expansion ,act ( #bjbb4  #b4
 ,advanc+ treatm5t & rese>* p]ta9+ to   
sickle cell disease ,"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  ,,xiii ,advanc+
 treatm5t & rese>* p]ta9+ to sickle cell
 disease  #cdj;,j4 ,s*ol>%ip & loan     
repaym5t program  7a7 ,9 g5]al ,to      
advance le>n+ reg>d+ sickle cell disease
 & to enhance ! supply ( physicians to  
treat su* disease1 especially ) respect 

to adult populations1 ! ,secret>y1 act+ 
?r\gh ! ,adm9i/rator ( ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration1 %all
 c>ry out a program consi/+ ( ent]+ into
 contracts ) individuals "u :i*-- 7#a7 !
 ,secret>y aw>ds a s*ol>%ip "u          
subsection 7b7 or agrees to make loan   
repaym5ts "u subsection 7c7 ) respect to
 ea* individual2 &  7#b7 ! individual   
agrees to s]ve = a p]iod 79 ?is section 
ref]r$ to z ! p]iod ( obligat$ s]vice7 z
 a physician engag$ 9-- 7,a7 sickle cell
 disease rese>*2 or  7,b7 s]vice 9 a    
public or private sett+ t is prim>ily   
focus$ on diagnosis1 treatm5t1 &        
education relat$ to sickle cell disease 
9 a heal? c>e facility1 cl9ic1 rural    
heal? cl9ic1 mobile m$ical asset1 or o!r
 facility z det]m9$ by ! ,secret>y4  7b7
 ,s*ol>%ips  7#a7 ,eligibility ,to be   
eligible to p>ticipate 9 ! s*ol>%ip     
program "u ?is section1 an individual   
%all-- 7,a7 be accept$ = enrollm5t1 or  
be enroll$1 z a full-"t /ud5t 9 an      
accr$it$ 7z det]m9$ by ! ,secret>y7     

educational in/itution 9 a ,/ate & 9 a  
c\rse ( /udy or program (f]$ by su*     
in/itution & approv$ by ! ,secret>y1    
lead+ to a degree 9 m$ic9e or o/eopa?ic 
m$ic9e2  7,b7 submit an application to  
p>ticipate 9 ! s*ol>%ip program2 &  7,c7
 sign & submit to ! ,secret>y1 at ! "t (
 submittal ( su* application1 a writt5  
contract 7describ$ 9 p>agraph 7#b77 to  
accept paym5t ( a s*ol>%ip & to s]ve 79 
accordance ) ?is section7 = ! applicable
 p]iod ( obligat$ s]vice4  7#b7 ,writt5 
contract ,! writt5 contract "u ?is      
subsection betwe5 ! ,secret>y & an      
individual %all conta9-- 7,a7 an        
agreem5t t-- 7i7 subject to p>agraph    
7#a71 ! ,secret>y agrees to provide !   
individual ) a s*ol>%ip 9 ea* su* s*ool 
ye> or ye>s = a p]iod ( ye>s 7n to exce$
 f\r s*ool ye>s7 det]m9$ by !           
individual1 dur+ :i* p]iod ! individual 
is pursu+ a c\rse ( /udy describ$ 9     
p>agraph 7#a77;,a72 &  7ii7 subject to  
p>agraph 7#a71 ! individual agrees to-- 
7,i7 accept provision ( su* a s*ol>%ip  

to ! individual2  7,,ii7 ma9ta9         
enrollm5t 9 a c\rse ( /udy describ$ 9   
p>agraph 7#a77;,a7 until ! individual   
completes ! c\rse ( /udy2  7,,iii7      
ma9ta9 an acceptable level ( academic   
/&+2  7,,iv7 complete a resid5cy 9 a    
specialty t ! ,secret>y det]m9es is     
consi/5t ) pursuit ( a fell[%ip 9       
hematology2  7,v7 complete a fell[%ip 9 
! specialty ( hematology2 &  7,,vi7 s]ve
 = a "t p]iod equal to "o ye> = ea*     
s*ool ye> = :i* ! individual 0 provid$ a
 s*ol>%ip "u ?is section2  7,b7 a       
provision t any f9ancial obligation ( ! 
,unit$ ,/ates aris+ out ( ! contract &  
any obligation ( ! individual :i* is    
condition$ !reon1 is cont+5t ^u funds   
be+ appropriat$ = s*ol>%ips "u ?is      
section2  7,c7 a /atem5t ( ! damages to 
:i* ! ,unit$ ,/ates is entitl$ if !     
individual %\ld brea* ! contract2 &     
7,d7 su* o!r /atem5ts ( ! rights &      
liabilities ( ! ,secret>y & ( !         
individual z ! ,secret>y det]m9es       
appropriate1 n inconsi/5t ) ! provisions

 ( ?is section4  7c7 ,loan repaym5ts    
7#a7 ,eligibility ,to be eligible to    
p>ticipate 9 ! loan repaym5t program "u 
?is section1 an individual %all-- 7,a7 h
 a degree 9 m$ic9e or o/eopa?ic m$ic9e2 
be enroll$ 9 an approv$ graduate tra9+  
program 9 m$ic9e or o/eopa?ic m$ic9e2 or
 be enroll$ z a full-"t /ud5t 9 an      
accr$it$ 7z det]m9$ by ! ,secret>y7     
educational in/itution 9 a ,/ate1 & 9 ! 
f9al ye> ( a c\rse ( /udy (f]$ by su*   
in/itution & approv$ by ! ,secret>y1    
lead+ to a degree 9 m$ic9e or o/eopa?ic 
m$ic9e2  7,b7 submit an application to  
p>ticipate 9 ! loan repaym5t program2 & 
7,c7 sign & submit to ! ,secret>y1 at ! 
"t ( submittal ( su* application1 a     
writt5 contract 7describ$ 9 p>agraph    
7#b77 to accept paym5t by ! ,secret>y ( 
! educational loans ( ! individual 9    
consid]ation ( ! individual s]v+ = a    
p]iod ( obligat$ s]vice4  7#b7 ,writt5  
contract ,! writt5 contract "u ?is      
subsection betwe5 ! ,secret>y & an      
individual %all conta9-- 7,a7 an        

agreem5t t-- 7i7 subject to p>agraph    
7#a71 ! ,secret>y agrees to pay on      
behalf ( ! individual ! pr9cipal1       
int]e/1 & relat$ exp5ses on gov]nm5t &  
comm]cial loans receiv$ by ! individual 
reg>d+ ! und]graduate or graduate       
education ( ! individual 7or bo?71 :i*  
loans 7 made =-- 7,i7 tuition exp5ses2  
7,,ii7 all o!r reasonable educational   
exp5ses1 includ+ fees1 books1 &         
laboratory exp5ses1 incurr$ by !        
individual2 or  7,,iii7 reasonable liv+ 
exp5ses z det]m9$ by ! ,secret>y2 &     
7ii7 subject to p>agraph 7#a71 !        
individual agrees to-- 7,i7 accept loan 
paym5ts on behalf ( ! individual2       
7,,ii7 ma9ta9 enrollm5t 9 a c\rse ( /udy
 describ$ 9 p>agraph 7#a77;,c7 7if      
applicable7 until ! individual completes
 ! c\rse ( /udy2  7,,iii7 ma9ta9 an     
acceptable level ( academic /&+2  7,,iv7
 complete a resid5cy 9 a specialty t !  
,secret>y det]m9es is consi/5t ) pursuit
 ( a fell[%ip 9 hematology2 &  7,v7     
complete a fell[%ip 9 hematology2  7,b7 

a provision t any f9ancial obligation ( 
! ,unit$ ,/ates aris+ out ( ! contract &
 any obligation ( ! individual :i* is   
condition$ !reon1 is cont+5t ^u funds   
be+ appropriat$ = loan repaym5ts "u ?is 
section2  7,c7 a /atem5t ( ! damages to 
:i* ! ,unit$ ,/ates is entitl$ if !     
individual %\ld brea* ! contract2 &     
7,d7 su* o!r /atem5ts ( ! rights &      
liabilities ( ! ,secret>y & ( !         
individual z ! ,secret>y det]m9es       
appropriate1 n inconsi/5t ) ! provisions
 ( ?is section4  7d7 ,priority ,9 aw>d+ 
contracts "u ?is section = s*ol>%ips &  
loan repaym5ts1 ! ,secret>y may         
prioritize mak+ aw>ds to individuals f  
disadvantag$ backgr\nds4  7e7 ,def9ition
 ,9 ?is section1 ! t]m sickle cell      
disease rese>* means rese>* into !      
detection1 diagnosis1 treatm5t1 or      
control ( sickle cell disease4  7f7     
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #aej1jjj1jjj = ea* ( fiscal 
ye>s #bjbc ?r\gh #bjbh4  #cdj,k4        

,community-bas$ grants to engage !      
sickle cell disease population by       
design+ education & advocacy programs & 
policies = heal? & community s]vices    
7a7 ,9 g5]al ,! ,secret>y %all c>ry out 
a program consi/+ ( aw>d+ grants to     
eligible entities = ! e/abli%m5t &      
support ( education & advocacy programs 
t-- 7#a7 engage ! sickle cell disease   
population1 _! families1 or ,/ate &     
local gov]nm5ts 9 ord] to-- 7,a7 improve
 sickle cell disease heal? lit]acy2     
7,b7 dissem9ate in=mation on heal? &    
community s]vices relat$ to sickle cell 
disease2 or  7,c7 improve ! c>e &       
treatm5t decisionmak+ process relat$ to 
sickle cell disease2 &  7#b7 may include
 education & advocacy reg>d+ f]tility   
pres]vation & surrogacy options =       
individuals ) sickle cell disease4  7b7 
,applications ,to seek a grant "u       
subsection 7a71 an eligible entity %all 
submit an application to ! ,secret>y at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation & assurances z ! ,secret>y may

 require4  7c7 ,consid]ation ,9 det]m9+ 
:e!r to aw>d a grant "u ?is section to  
an applicant1 & ! am\nt ( a grant "u ?is
 section1 ! ,secret>y %all consid] ! ne$
 = sickle cell education or s]vices 9 ! 
area to be s]v$ us+ ! grant4  7d7       
,def9ition ,9 ?is section1 ! t]m        
eligible entity means-- 7#a7 a ,f$]ally 
qualifi$ heal? c5t] 7z def9$ 9 section  
#ahfa7;aa7 ( ! ,social ,security ,act7  
or nonpr(it organization engag$ 9       
provid+ sickle cell disease education1  
in=mation1 or treatm5t s]vices2  7#b7 a 
community-bas$ organization or fai?-bas$
 organization or cl9ic t provides       
s]vices to1 or engages 91 advocacy =    
individuals ) sickle cell disease2 or   
7#c7 a nonpr(it organization provid+    
compreh5sive c>e to populations ) sickle
 cell disease1 includ+ any su* nonpr(it 
organization t is a fai?-bas$           
organization or community-bas$          
organization4  7e7 ,au?orization (      
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      

#ej1jjj1jjj = ea* ( fiscal ye>s #bjbc   
?r\gh #bjbh4  4