,i #aag? ,,congress #b;d ,session ,h4 ,r4 #iaje ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #cj1 #bjbb,ms4 ,lee ( ,cali=nia 7= h]self1 ,ms4 ,*u1 & ,mr4 ,b]a7 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 ! e/abli%m5t ( ! ,national ,m$ical ,corps ,program to create pa?way programs = community college /ud5ts to pursue prem$ical tra9+ & ent] m$ical s*ool1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,national ,m$ical ,corps ,act or ! ,,nmc ,act4 #b4 ,national ,m$ical ,corps programs ,"p ,b ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bic et seq47 is am5d$ by add+ at ! end ! foll[+3 #gda;,a4 ,national ,m$ical ,corps programs 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,education & ! ,secret>y ( ,labor1 %all make grants to1 & ent] into contracts )1 eligible entities = ! purpose ( e/abli%+ programs to assi/ community college /ud5ts to pursue prem$ical tra9+ & ent] m$ical s*ool 7ref]r$ to 9 ?is section z an ,,nmc ,program1 by address+-- 7#a7 ! %ortage ( prim>y c>e physicians & psy*iatri/s 9 vuln]able & und]s]v$ communities2 & 7#b7 ! wid5+ disp>ities 9 access to c>e 9 su* communities4 7b7 ,eligible entity ,an entity is eligible to receive a grant or ent] into a contract "u ?is section if ! entity is a s*ool ( m$ic9e1 an in/itution ( high] education1 or a public or private nonpr(it heal? or educational in/itution 7o!r ?an a s*ool ( nurs+7 t-- 7#a7 =ms a consortium t includes1 at a m9imum-- 7,a7 #c community colleges 9 ! region 9 :i* ! consortium s]ves2 7,b7 "o #d-ye> public or private nonpr(it und]graduate in/itution 9 ! region2 7,c7 "o public or private nonpr(it accr$it$ m$ical s*ool locat$ 9 a ,/ate2 7,d7 "o prim>y c>e association or consortium ( community heal? c5t]s2 7,e7 at lea/ "o community heal? c5t]1 inclusive ( f$]ally qualifi$ heal? c5t]s1 f$]ally qualifi$ heal? c5t] look-alikes1 rural heal? c5t]s1 migrant heal? c5t]s1 fronti] heal? c5t]s1 indian heal? s]vice cl9ics1 & free cl9ics2 & 7,f7 o!r su* entities z consid]$ appropriate by ! ,secret>y2 & 7#b7 has e/abli%$1 or commits to e/abli%1 a community advisory bo>d t is-- 7,a7 compris$ ( local bus9ess1 education1 heal? indu/ry1 & o!r community lead]s to ov]see & guide ! programmatic direction ( ! program2 & 7,b7 int5d$ to guide ! unique e/abli%m5t ( regional p>tn]%ips & opportunities = /ud5ts along ! pa?way to support ! accompli%m5t ( its t>gets = /ud5t outcomes4 7c7 ,application2 selection 7#a7 ,application ,an eligible entity seek+ a grant "u ?is section %all submit an application at su* "t & 9 su* mann] z ! ,secret>y may require4 ,su* application %all conta9-- 7,a7 ! "n ( ! entity select$ to op]ate z ! lead entity ( ! consortium2 7,b7 docum5tation support+ ! entity's eligibility2 & 7,c7 su* o!r in=mation z ! ,secret>y may require4 7#b7 ,selection ,! ,secret>y %all select1 on a competitive basis-- 7,a7 #bj eligible entities 9 ! fir/ full cal5d> ye> beg9n+ on or aft] ! date ( ! enactm5t ( ?is section2 & 7,b7 #bj eligible entities 9 ea* ( ! #e subsequ5t cal5d> ye>s4 7d7 ,conditions on aw>ds ,! recipi5t ( a grant %all1 z a condition on receiv+ su* a grant agree-- 7#a7 t a /ud5t select$ to p>ticipate 9 an ,,nmc ,program 7ref]r$ to 9 ?is section z a ,national ,m$ical ,corps ,s*ol> or an ,,nmc ,s*ol>7 %all be-- 7,a7 a community college /ud5t :o has complet$ at lea/ "o seme/] ( community college & is int5d+ to transf] to a #d-ye> college pre-m$ical program ) ! int5t to pursue a c>e] 9 prim>y c>e m$ic9e or psy*iatry2 7,b7 f an economically or educationally disadvantag$ backgr\nd2 & 7,c7 a citiz51 national1 or lawful p]man5t resid5t ( ! ,unit$ ,/ates2 7#b7 to v]ify t ea* individual seek+ to be select$ z an ,,nmc ,s*ol>-- 7,a7 int5ds to pursue practice z a physician :o practices prim>y c>e or psy*iatry2 7,b7 int5ds to s]ve 9 ! ,national ,heal? ,s]vice ,corps2 or 7,c7 has be5 det]m9$ "u subsection 7f7 to be f an economically or educationally disadvantag$ backgr\nd2 7#c7 to provide to ea* ,,nmc ,s*ol> a /ud5t-id5tify+ m>k] prior to ent]+ m$ical s*ool & to require t ! ,,nmc ,s*ol>1 z a condition on receipt ( support1 provides to ! grant recipi5t ! ,national ,provid] ,id5tifi] ( ! ,,nmc ,s*ol> :5 ! ,s*ol> ent]s m$ical s*ool2 7#d7 to select & support 7?r\gh ! provision ( s*ol>%ips & wrap ar\nd s]vices7 n few] ?an #ej ,,nmc ,s*ol>s ea* ye> ( ! grant1 select$ f ?ree or m ( ! populations describ$ 9 subsection 7e72 7#e7 to track ! academic & c>e] pa?way ( su* ,,nmc s*ol>s f community college ?r\gh m$ical s*ool2 7#f7 to provide individualiz$ guidance ) respect to pursu+ an alt]nate c>e] pa?way to ,,nmc s*ol>s t elect n to pursue a c>e] z physicians 9 prim>y c>e or psy*iatry2 & 7#g7 to limit ! am\nt ( an aw>d to an ,,nmc ,s*ol> 9 a fiscal ye> to ! co/s ( att5dance = ! applicable s*ool ye>4 7e7 ,populations describ$ ,! populations describ$ 9 ?is subsection are ea* ( ! foll[+3 7#a7 ,individuals enroll$ 9 #b-ye> community college programs ) ! int5tion to transf] to a #d-ye> in/itution ( high] education4 7#b7 ,community college transf] /ud5ts :o are curr5tly enroll$ 9 a #d-ye> in/itution ( high] education ) int5tion to apply to m$ical s*ool4 7#c7 ,individuals enroll$ 9 m$ical s*ool :o-- 7,a7 7 previ\sly enroll$ = a p]iod ( at lea/ #a ye> at a community college aft] complet+ second>y s*ool b be=e obta9+ a ba*elor's degree2 & 7,b7 int5d to pursue tra9+ 9 prim>y c>e or psy*iatry to s]ve rural or und]s]v$ communities4 7f7 ,economically or educationally disadvantag$ backgr\nd ,to det]m9e if a /ud5t seek+ to be select$ z an ,,nmc ,s*ol> is f an economically or educationally disadvantag$ backgr\nd1 ! recipi5t ( a grant "u ?is section %all-- 7#a7 fir/ det]m9e if su* /ud5t is f an economically disadvantag$ backgr\nd2 & 7#b7 if a /ud5t has be5 det]m9$ n to be f an economically disadvantag$ backgr\nd1 ! recipi5t %all evaluate :e!r ! /ud5t is f a educationally disadvantag$ backgr\nd4 7g7 ,use ( funds ,an eligible entity select$ to receive a grant "u ?is section may use funds receiv$ ?r\gh ! grant to-- 7#a7 conduct outrea* t[>d1 & recruitm5t & enrollm5t (1 ,,nmc ,s*ol>s2 7#b7 plan1 develop1 & op]ate a program to support ,,nmc ,s*ol>s' c>e] progression into m$ical s*ool1 includ+ provid+ advis+1 m5tor+1 academic supports = transf]1 m$ical s*ool applications1 & id5tify+ & pursu+ extracurricul> & "w opportunities align$ ) future heal? c>e]s1 su* z "p-"t employm5t 9 a heal?1 public heal?1 or prim>y c>e-relat$ position2 7#c7 provide f9ancial assi/ance 9 ! =m ( s*ol>%ips or /ip5ds = ,,nmc ,s*ol>s f community college ?r\gh entry to m$ical s*ool2 7#d7 coord9ate ,,nmc ,program activities ) o!r exi/+ ,f$]al1 ,/ate1 local1 & in/itutions res\rces1 includ+ ! ,heal? ,c>e]s ,opportunity program "u section #gcf1 area heal? education c5t]s "u section #gea1 programs & s]vices = disabl$ /ud5ts "u subtitle ,a ( title ,,ii ( ! ,am]icans ) ,disabilities ,act1 & ,f$]al ,,trio programs "u *apt] #a ( subp>t #b ( "p ,a ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj;a-#aa et seq472 7#e7 implem5t data %>+1 analysis1 & ! cont9u\s te/+ ( data-in=m$ practices1 to fo/] a /atewide collaboration ( mutual acc\ntability = improvem5t1 consi/5t ) applicable ,/ate & ,f$]al law2 7#f7 cov] ! co/s associat$ ) ma9ta9+ ! consortium & advisory bo>d2 7#g7 support tra9+ 9 community-bas$ organizations1 su* z community heal? c5t]s2 7#h7 develop a p>tn]%ip agreem5t & support ,,nmc ,s*ol>s ) "o or m campus-bas$ le>n+ communities1 gr\ps1 or entities2 & 7#i7 implem5t & adopt prem$ical advis+ /&>ds or /&>diz$ guidel9es z set out by ! consortium lead1 9 collaboration ) consortium memb]%ip1 includ+ community colleges1 f\r-ye> und]graduate in/itutions1 & p>ticipat+ s*ools ( m$ic9e4 7h7 ,priorities 9 mak+ aw>ds ,9 aw>d+ grants or contracts "u ?is section1 ! ,secret>y may give priority to consortia t include at lea/ "o-- 7#a7 m9ority-s]v+ in/itution1 includ+ a hi/orically ,black college or univ]sity2 7#b7 ,hispanic-s]v+ in/itution2 7#c7 ,tribal college or univ]sity2 7#d7 ,asian ,am]ican & ,pacific ,isl&] s]v+ in/itution2 7#e7 ,native ,hawaiian-s]v+ in/itution2 or 7#f7 ,native ,am]ican-s]v+ non-,tribal in/itution4 7i7 ,coord9ation ) ,,nhsc ,individuals select$ z ,,nmc ,s*ol>s %all receive priority consid]ation = an aw>d "u = ,national ,heal? ,s]vice ,corps ,s*ol>%ip ,program "u section #cch;,a & ! ,national ,heal? ,s]vice ,corps ,loan ,repaym5t ,program "u section #cch;,b4 7j7 ,report to ,secret>y ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is section & e cal5d> ye> !reaft]1 ea* consortium select$ to receive a grant "u ?is section %all submit to ! ,secret>y a report on ! foll[+ ) respect to ! prec$+ ye>3 7#a7 ,! selection crit]ia & process us$ to ensure t ! memb]s ( ! consortium & advisory bo>d repres5t ! int5d$ communities to be s]v$ & ! demographics ( su* memb]s & advisory bo>d4 7#b7 ,a summ>y ( ! roles ( ! memb]s ( ! consortium & advisory bo>d4 7#c7 ,! selection crit]ia1 process1 & /rategy us$ by ! consortium to recruit1 engage1 & select ,,nmc ,s*ol>s4 7#d7 ,) respect to ! ,,nmc ,s*ol>s p>ticipat+ 9 ! ,,nmc ,program-- 7,a7 self-report$ demographic data 7includ+ race & e?nicity1 sex1 sexual ori5tation1 g5d] id5tity1 date ( bir?1 ,engli% pr(ici5cy /atus1 flu5cy 9 o!r languages1 disadvantag$ 7educational or economic7 backgr\nd /atus1 disability1 ! c5sus tract or curr5t address1 or o!r demographic data z appropriate72 7,b7 ! p]c5tages ( ,,nmc ,s*ol>s :o successfully a*ieve transf]-level ma? & ,engli% by ! completion ( _! second ye> enroll$ 9 a community college1 disaggregat$ by race & e?nicity ( /ud5t populations s enroll$ 9 su* a community college2 7,c7 ! rate ( acceptance to p>ticipat+ #d-ye> in/itutions ( high] education & #d-ye> college pre-m$ical tra9+ programs = transf] /ud5ts apply+ f p>ticipat+ community colleges2 7,d7 ! rate ( ,,nmc s*ol>s eligible to transf]1 or accept$ to att5d1 a p>ticipat+ #d-ye> in/itution ( high] education aft] complet+ two ye>s1 two & "o-half ye>s1 or ?ree or m ye>s1 9 special circum/ances1 ( enrollm5t 9 a community college4 7,e7 :5 available1 c>e] advancem5t data1 includ+-- 7i7 :e!r ! s*ol> 0 accept$ to a #d-ye> in/itution ( high] education1 m$ical s*ool1 ano!r heal? pr(essions program1 or ano!r ,,/em pr(essions program2 7ii7 :e!r ! s*ol> graduat$ f m$ical s*ool1 ano!r heal? pr(essions program1 or ano!r ,,/em pr(essions program2 7iii7 :e!r ! s*ol> pursu$ a c>e] 9 prim>y c>e1 psy*iatry1 or ano!r heal? pr(ession 9 a rural or und]s]v$ sett+2 7iv7 ! ,national ,provid] ,id5tifi] assign$ to su* /ud5t1 z available2 & 7v7 su* o!r in=mation z det]m9$ to be appropriate by ! ,secret>y4 7#e7 ,an evaluation ( ! success ( ! ,,nmc ,program1 includ+ ) respect to-- 7,a7 :e!r ! program 0 able to support n less ?an #ej /ud5ts 9 ! fir/ ye> ( implem5tation ( ! program2 7,b7 ! numb] ( seme/]s 9 community college ea* su* /ud5t enroll$ 91 :at type ( college or univ]sity ! /ud5t 0 enroll$ 91 :i* degree ! /ud5t pursu$1 & :i* c>e] pa?way ! /ud5t is pursu+2 7,c7 :e!r ! program develop$ a p>tn]%ip agreem5t ) "o or m campus-bas$ le>n+ communities1 gr\ps1 or entities1 z specifi$ 9 subsection 7g77#h72 & 7,d7 :e!r & to :at ext5t ! program 0 able to align its goals & equity /rategies1 & maximize ! use ( available res\rces & funds1 z specifi$ 9 subsection 7d77#d74 7k7 ,report to ,congress ,n lat] ?an ! end ( fiscal ye> #bjbh1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all submit an annual report to ! ,congress t-- 7#a7 summ>izes ! in=mation submitt$ 9 ! evaluation & report "u subsections 7j7 & 7k72 7#b7 describes ! contracts1 /rategy1 & goals %>$ betwe5 ! ,secret>y & ea* consortium receiv+ a grant "u ?is section2 7#c7 includes data on ! plann$ & actual use ( funds by ! consortium & ! ,secret>y 9 c>ry+ out ?is section2 7#d7 assesses ! goals & progress ( ! ,,nmc ,program1 includ+ ! pot5tial impact ( ,,nmc ,s*ol>s on heal? c>e access & quality2 & 7#e7 makes recomm5dations = improvem5ts to ! program4 7l7 ,privacy protections ,9 publi%+ data "u ?is section1 ! ,secret>y %all take all necess>y /eps to protect ! privacy ( individuals ^: in=mation is includ$ 9 su* data1 includ+-- 7#a7 comply+ ) privacy protections comp>able to ^? applicable "u ! ,,hipaa privacy regulation 7z def9$ 9 section #aahj7;b77#c7 ( ! ,social ,security ,act7 to cov]$ entities 7z def9$ = purposes ( su* regulation72 7#b7 n us+ or disclos+ ! in=mation g5]at$ pursuant to ! program = any purpose o!r ?an c>ry+ out ! program2 & 7#c7 n publi%+ or sell+ individually id5tifiable in=mation g5]at$ pursuant to ! program nor transmitt+ su* data = purposes o!r ?an c>ry+ out ! program1 includ+ n %>+ su* in=mation ) any local1 ,/ate1 or ,f$]al law en=cem5t ag5cy4 7m7 ,def9itions ,9 ?is section3 7#a7 ,! t]m ,/ate means ea* ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 ,am]ican ,samoa1 ,guam1 ! ,nor!rn ,m>iana ,isl&s1 ,pu]to ,rico1 ! ,virg9 ,isl&s ( ! ,unit$ ,/ates1 & any o!r t]ritory or possession ( ! ,unit$ ,/ates1 & ea* f$]ally recogniz$ ,indian ,tribe4 7#b7 ,! t]m educationally disadvantag$1 ) respect to ! backgr\nd ( a /ud5t seek+ to be select$ z an ,,nmc s*ol>1 means t ! /ud5t-- 7,a7 is a memb] ( a racial & e?nic m9ority gr\p 7z def9$ 9 section #agjg7 t is "u-repres5t$ 9 m$ic9e2 7,b7 resides 9 a l[-income community2 7,c7 is a fir/-g5]ation college att5dee2 7,d7 att5d$ high s*ool-- 7i7 9 a heal? pr(essional %ortage area designat$ "u section #ccb or a m$ically und]s]v$ area 7z def9$ 9 section #ccj;,i7a77 or 9 a rural sett+ 7z def9$ by ! ,(fice ( ,rural ,heal? ,policy72 or 7ii7 ) a l[ grade po9t av]age 7#b4j cumulative on a #d4j scale71 bas$ on mo/ rec5t annual data available2 7iii7 bas$ on ! mo/ rec5t annual data available1 _h ei!r-- 7,i7 a l[ p]c5tage ( s5iors receiv+ a high s*ool diploma2 or 7,,ii7 a l[ p]c5tage ( graduates :o g to college dur+ ! fir/ ye> aft] graduation2 or 7iv7 has l[ p] capita fund+2 or 7v7 bas$ on ! mo/ rec5t annual data available1 a high rate ( ! enroll$ /ud5ts are eligible = free or r$uc$-price lun*es4 7#c7 ,! t]m prim>y c>e means1 ) respect to a physician1 practic+ z a g5]al practition]1 family practice practition]1 g5]al int]ni/1 p$iatrician1 psy*iatri/1 or ob/etrician or gynecologi/4 7n7 ,fund+ 7#a7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section-- 7,a7 #bg1jjj1jjj = fiscal ye> #bjbc2 7,b7 #ed1jjj1jjj = fiscal ye> #bjbd2 7,c7 #ha1jjj1jjj = fiscal ye> #bjbe2 7,d7 #ajh1jjj1jjj = fiscal ye> #bjbf2 & 7,e7 #ace1jjj1jjj = fiscal ye> #bjbg4 7#b7 ,allocation among consortia ,( ! am\nt made available "u p>agraph 7#a7 = a fiscal ye>1 ! ,secret>y %all allot n m ?an #a1 #cej1jjj to ea* consortium4 7#c7 ,limitation on adm9i/rative exp5ses ,a consortium may use n m ?an #cj p]c5t ( funds allocat$ to su* consortium = adm9i/rative exp5ses ( ! consortium 9 c>ry+ out an ,,nmc ,program4 4