,i #aagth ,,congress #b;d ,session ,h4 ,r4 #iaje ,,in ,,the ,,house ,,of ,,representatives ,september #cj1 #bjbb,ms4 ,lee of ,california 7for herself1 ,ms4 ,chu1 and ,mr4 ,bera7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,public ,health ,service ,act to authorize the establishment of the ,national ,medical ,corps ,program to create pathway programs for community college students to pursue premedical training and enter medical school1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,national ,medical ,corps ,act or the ,,nmc ,act4 #b4 ,national ,medical ,corps programs ,part ,b of title ,,vii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bic et seq47 is amended by adding at the end the following3 #gda;,a4 ,national ,medical ,corps programs 7a7 ,in general ,the ,secretary1 in consultation with the ,secretary of ,education and the ,secretary of ,labor1 shall make grants to1 and enter into contracts with1 eligible entities for the purpose of establishing programs to assist community college students to pursue premedical training and enter medical school 7referred to in this section as an ,,nmc ,program1 by addressing-- 7#a7 the shortage of primary care physicians and psychiatrists in vulnerable and underserved communities2 and 7#b7 the widening disparities in access to care in such communities4 7b7 ,eligible entity ,an entity is eligible to receive a grant or enter into a contract under this section if the entity is a school of medicine1 an institution of higher education1 or a public or private nonprofit health or educational institution 7other than a school of nursing7 that-- 7#a7 forms a consortium that includes1 at a minimum-- 7,a7 #c community colleges in the region in which the consortium serves2 7,b7 one #d-year public or private nonprofit undergraduate institution in the region2 7,c7 one public or private nonprofit accredited medical school located in a ,state2 7,d7 one primary care association or consortium of community health centers2 7,e7 at least one community health center1 inclusive of federally qualified health centers1 federally qualified health center look-alikes1 rural health centers1 migrant health centers1 frontier health centers1 indian health service clinics1 and free clinics2 and 7,f7 other such entities as considered appropriate by the ,secretary2 and 7#b7 has established1 or commits to establish1 a community advisory board that is-- 7,a7 comprised of local business1 education1 health industry1 and other community leaders to oversee and guide the programmatic direction of the program2 and 7,b7 intended to guide the unique establishment of regional partnerships and opportunities for students along the pathway to support the accomplishment of its targets for student outcomes4 7c7 ,application2 selection 7#a7 ,application ,an eligible entity seeking a grant under this section shall submit an application at such time and in such manner as the ,secretary may require4 ,such application shall contain-- 7,a7 the name of the entity selected to operate as the lead entity of the consortium2 7,b7 documentation supporting the entity's eligibility2 and 7,c7 such other information as the ,secretary may require4 7#b7 ,selection ,the ,secretary shall select1 on a competitive basis-- 7,a7 #bj eligible entities in the first full calendar year beginning on or after the date of the enactment of this section2 and 7,b7 #bj eligible entities in each of the #e subsequent calendar years4 7d7 ,conditions on awards ,the recipient of a grant shall1 as a condition on receiving such a grant agree-- 7#a7 that a student selected to participate in an ,,nmc ,program 7referred to in this section as a ,national ,medical ,corps ,scholar or an ,,nmc ,scholar7 shall be-- 7,a7 a community college student who has completed at least one semester of community college and is intending to transfer to a #d-year college pre-medical program with the intent to pursue a career in primary care medicine or psychiatry2 7,b7 from an economically or educationally disadvantaged background2 and 7,c7 a citizen1 national1 or lawful permanent resident of the ,united ,states2 7#b7 to verify that each individual seeking to be selected as an ,,nmc ,scholar-- 7,a7 intends to pursue practice as a physician who practices primary care or psychiatry2 7,b7 intends to serve in the ,national ,health ,service ,corps2 or 7,c7 has been determined under subsection 7f7 to be from an economically or educationally disadvantaged background2 7#c7 to provide to each ,,nmc ,scholar a student-identifying marker prior to entering medical school and to require that the ,,nmc ,scholar1 as a condition on receipt of support1 provides to the grant recipient the ,national ,provider ,identifier of the ,,nmc ,scholar when the ,scholar enters medical school2 7#d7 to select and support 7through the provision of scholarships and wrap around services7 not fewer than #ej ,,nmc ,scholars each year of the grant1 selected from three or more of the populations described in subsection 7e72 7#e7 to track the academic and career pathway of such ,,nmc scholars from community college through medical school2 7#f7 to provide individualized guidance with respect to pursuing an alternate career pathway to ,,nmc scholars that elect not to pursue a career as physicians in primary care or psychiatry2 and 7#g7 to limit the amount of an award to an ,,nmc ,scholar in a fiscal year to the costs of attendance for the applicable school year4 7e7 ,populations described ,the populations described in this subsection are each of the following3 7#a7 ,individuals enrolled in #b-year community college programs with the intention to transfer to a #d-year institution of higher education4 7#b7 ,community college transfer students who are currently enrolled in a #d-year institution of higher education with intention to apply to medical school4 7#c7 ,individuals enrolled in medical school who-- 7,a7 were previously enrolled for a period of at least #a year at a community college after completing secondary school but before obtaining a bachelor's degree2 and 7,b7 intend to pursue training in primary care or psychiatry to serve rural or underserved communities4 7f7 ,economically or educationally disadvantaged background ,to determine if a student seeking to be selected as an ,,nmc ,scholar is from an economically or educationally disadvantaged background1 the recipient of a grant under this section shall-- 7#a7 first determine if such student is from an economically disadvantaged background2 and 7#b7 if a student has been determined not to be from an economically disadvantaged background1 the recipient shall evaluate whether the student is from a educationally disadvantaged background4 7g7 ,use of funds ,an eligible entity selected to receive a grant under this section may use funds received through the grant to-- 7#a7 conduct outreach toward1 and recruitment and enrollment of1 ,,nmc ,scholars2 7#b7 plan1 develop1 and operate a program to support ,,nmc ,scholars' career progression into medical school1 including providing advising1 mentoring1 academic supports for transfer1 medical school applications1 and identifying and pursuing extracurricular and work opportunities aligned with future health careers1 such as part-time employment in a health1 public health1 or primary care-related position2 7#c7 provide financial assistance in the form of scholarships or stipends for ,,nmc ,scholars from community college through entry to medical school2 7#d7 coordinate ,,nmc ,program activities with other existing ,federal1 ,state1 local1 and institutions resources1 including the ,health ,careers ,opportunity program under section #gcf1 area health education centers under section #gea1 programs and services for disabled students under subtitle ,a of title ,,ii of the ,americans with ,disabilities ,act1 and ,federal ,,trio programs under chapter #a of subpart #b of part ,a of title ,,iv of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajgj;a-#aa et seq472 7#e7 implement data sharing1 analysis1 and the continuous testing of data-informed practices1 to foster a statewide collaboration of mutual accountability for improvement1 consistent with applicable ,state and ,federal law2 7#f7 cover the costs associated with maintaining the consortium and advisory board2 7#g7 support training in community-based organizations1 such as community health centers2 7#h7 develop a partnership agreement and support ,,nmc ,scholars with one or more campus-based learning communities1 groups1 or entities2 and 7#i7 implement and adopt premedical advising standards or standardized guidelines as set out by the consortium lead1 in collaboration with consortium membership1 including community colleges1 four-year undergraduate institutions1 and participating schools of medicine4 7h7 ,priorities in making awards ,in awarding grants or contracts under this section1 the ,secretary may give priority to consortia that include at least one-- 7#a7 minority-serving institution1 including a historically ,black college or university2 7#b7 ,hispanic-serving institution2 7#c7 ,tribal college or university2 7#d7 ,asian ,american and ,pacific ,islander serving institution2 7#e7 ,native ,hawaiian-serving institution2 or 7#f7 ,native ,american-serving non-,tribal institution4 7i7 ,coordination with ,,nhsc ,individuals selected as ,,nmc ,scholars shall receive priority consideration for an award under for ,national ,health ,service ,corps ,scholarship ,program under section #cch;,a and the ,national ,health ,service ,corps ,loan ,repayment ,program under section #cch;,b4 7j7 ,report to ,secretary ,not later than #a year after the date of the enactment of this section and every calendar year thereafter1 each consortium selected to receive a grant under this section shall submit to the ,secretary a report on the following with respect to the preceding year3 7#a7 ,the selection criteria and process used to ensure that the members of the consortium and advisory board represent the intended communities to be served and the demographics of such members and advisory board4 7#b7 ,a summary of the roles of the members of the consortium and advisory board4 7#c7 ,the selection criteria1 process1 and strategy used by the consortium to recruit1 engage1 and select ,,nmc ,scholars4 7#d7 ,with respect to the ,,nmc ,scholars participating in the ,,nmc ,program-- 7,a7 self-reported demographic data 7including race and ethnicity1 sex1 sexual orientation1 gender identity1 date of birth1 ,english proficiency status1 fluency in other languages1 disadvantaged 7educational or economic7 background status1 disability1 the census tract or current address1 or other demographic data as appropriate72 7,b7 the percentages of ,,nmc ,scholars who successfully achieve transfer-level math and ,english by the completion of their second year enrolled in a community college1 disaggregated by race and ethnicity of student populations so enrolled in such a community college2 7,c7 the rate of acceptance to participating #d-year institutions of higher education and #d-year college pre-medical training programs for transfer students applying from participating community colleges2 7,d7 the rate of ,,nmc scholars eligible to transfer1 or accepted to attend1 a participating #d-year institution of higher education after completing two years1 two and one-half years1 or three or more years1 in special circumstances1 of enrollment in a community college4 7,e7 when available1 career advancement data1 including-- 7i7 whether the scholar was accepted to a #d-year institution of higher education1 medical school1 another health professions program1 or another ,,stem professions program2 7ii7 whether the scholar graduated from medical school1 another health professions program1 or another ,,stem professions program2 7iii7 whether the scholar pursued a career in primary care1 psychiatry1 or another health profession in a rural or underserved setting2 7iv7 the ,national ,provider ,identifier assigned to such student1 as available2 and 7v7 such other information as determined to be appropriate by the ,secretary4 7#e7 ,an evaluation of the success of the ,,nmc ,program1 including with respect to-- 7,a7 whether the program was able to support not less than #ej students in the first year of implementation of the program2 7,b7 the number of semesters in community college each such student enrolled in1 what type of college or university the student was enrolled in1 which degree the student pursued1 and which career pathway the student is pursuing2 7,c7 whether the program developed a partnership agreement with one or more campus-based learning communities1 groups1 or entities1 as specified in subsection 7g77#h72 and 7,d7 whether and to what extent the program was able to align its goals and equity strategies1 and maximize the use of available resources and funds1 as specified in subsection 7d77#d74 7k7 ,report to ,congress ,not later than the end of fiscal year #bjbh1 the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 shall submit an annual report to the ,congress that-- 7#a7 summarizes the information submitted in the evaluation and report under subsections 7j7 and 7k72 7#b7 describes the contracts1 strategy1 and goals shared between the ,secretary and each consortium receiving a grant under this section2 7#c7 includes data on the planned and actual use of funds by the consortium and the ,secretary in carrying out this section2 7#d7 assesses the goals and progress of the ,,nmc ,program1 including the potential impact of ,,nmc ,scholars on health care access and quality2 and 7#e7 makes recommendations for improvements to the program4 7l7 ,privacy protections ,in publishing data under this section1 the ,secretary shall take all necessary steps to protect the privacy of individuals whose information is included in such data1 including-- 7#a7 complying with privacy protections comparable to those applicable under the ,,hipaa privacy regulation 7as defined in section #aahj7;b77#c7 of the ,social ,security ,act7 to covered entities 7as defined for purposes of such regulation72 7#b7 not using or disclosing the information generated pursuant to the program for any purpose other than carrying out the program2 and 7#c7 not publishing or selling individually identifiable information generated pursuant to the program nor transmitting such data for purposes other than carrying out the program1 including not sharing such information with any local1 ,state1 or ,federal law enforcement agency4 7m7 ,definitions ,in this section3 7#a7 ,the term ,state means each ,state of the ,united ,states1 the ,district of ,columbia1 ,american ,samoa1 ,guam1 the ,northern ,mariana ,islands1 ,puerto ,rico1 the ,virgin ,islands of the ,united ,states1 and any other territory or possession of the ,united ,states1 and each federally recognized ,indian ,tribe4 7#b7 ,the term educationally disadvantaged1 with respect to the background of a student seeking to be selected as an ,,nmc scholar1 means that the student-- 7,a7 is a member of a racial and ethnic minority group 7as defined in section #agjg7 that is under-represented in medicine2 7,b7 resides in a low-income community2 7,c7 is a first-generation college attendee2 7,d7 attended high school-- 7i7 in a health professional shortage area designated under section #ccb or a medically underserved area 7as defined in section #ccj;,i7a77 or in a rural setting 7as defined by the ,office of ,rural ,health ,policy72 or 7ii7 with a low grade point average 7#b4j cumulative on a #d4j scale71 based on most recent annual data available2 7iii7 based on the most recent annual data available1 had either-- 7,i7 a low percentage of seniors receiving a high school diploma2 or 7,,ii7 a low percentage of graduates who go to college during the first year after graduation2 or 7iv7 has low per capita funding2 or 7v7 based on the most recent annual data available1 a high rate of the enrolled students are eligible for free or reduced-price lunches4 7#c7 ,the term primary care means1 with respect to a physician1 practicing as a general practitioner1 family practice practitioner1 general internist1 pediatrician1 psychiatrist1 or obstetrician or gynecologist4 7n7 ,funding 7#a7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section-- 7,a7 #bg1jjj1jjj for fiscal year #bjbc2 7,b7 #ed1jjj1jjj for fiscal year #bjbd2 7,c7 #ha1jjj1jjj for fiscal year #bjbe2 7,d7 #ajh1jjj1jjj for fiscal year #bjbf2 and 7,e7 #ace1jjj1jjj for fiscal year #bjbg4 7#b7 ,allocation among consortia ,of the amount made available under paragraph 7#a7 for a fiscal year1 the ,secretary shall allot not more than #a1 #cej1jjj to each consortium4 7#c7 ,limitation on administrative expenses ,a consortium may use not more than #cj percent of funds allocated to such consortium for administrative expenses of the consortium in carrying out an ,,nmc ,program4 4