,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cifh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ai1 #bjbd,mr4    
,wick] 7= himself & ,mr4 ,casey7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to provide community-bas$  
tra9+ opportunities = m$ical /ud5ts 9   
rural areas & m$ically und]s]v$         
communities1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,community ,tra9+1 ,education1 & ,access
 = ,m$ical ,/ud5ts ,act ( #bjbd or !    
,community ,,teams ,act ( #bjbd4  #b4   
,grants = community-bas$ tra9+ = m$ical 
/ud5ts 9 rural areas & m$ically und]s]v$
 communities  7a7 ,9 g5]al ,section     
#ccj;,a ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c7 is am5d$-- 7#a7  
by r$esignat+ subsections 7h71 7i71 &   
7j7 z subsections 7i71 7j71 & 7k71      
respectively2 &  7#b7 by ins]t+ aft]    
subsection 7g7 ! foll[+3  7h7 ,grants = 

community-,bas$ tra9+ = m$ical /ud5ts 9 
rural areas & m$ically und]s]v$         
communities  7#a7 ,grants ,! ,director  
may aw>d grants to eligible entities to 
exp& ! availability ( community-bas$    
tra9+ = m$ical /ud5ts 9 rural areas &   
m$ically und]s]v$ communities to        
facilitate long-t]m1 su/a9able physician
 practice 9 high-ne$ communities by     
support+ m$ical /ud5t cl9ical rotations 
9 heal? c>e facilities 9 su* areas &    
communities1 includ+ 9 outpati5t sett+s4
  7#b7 ,p]iod ( grants ,a grant "u ?is  
subsection %all be = a p]iod ( #a to #e 
ye>s1 z det]m9$ by ! ,director4  7#c7   
,eligibility ,to be eligible = a grant  
"u ?is subsection1 an entity %all be a  
consortium (-- 7,a7 "o or m o/eopa?ic or
 allopa?ic m$ical s*ools2 &  7,b7 "o or 
m ( ! foll[+3 7i7 ,a rural heal? cl9ic4 
7ii7 ,a ,f$]ally qualifi$ heal? c5t] 7z 
def9$ 9 section #ahfa7;aa7 ( ! ,social  
,security ,act74  7iii7 ,a heal? c>e    
facility locat$ 9 a m$ically und]s]v$   
community4  7#d7 ,applications ,to seek 

a grant "u ?is subsection1 an eligible  
entity1 9 consultation ) ! appropriate  
,/ate (fice ( rural heal? or ano!r      
appropriate ,/ate entity1 %all prep>e & 
submit to ! ,director an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,director may require1    
includ+-- 7,a7 a description ( ! project
 t ! eligible entity w c>ry out us+ !   
funds provid$ ?r\gh ! grant2  7,b7 an   
explanation ( ! reasons :y ,f$]al       
assi/ance is requir$ to c>ry out !      
project2  7,c7 a description ( ! mann] 9
 :i* ! project fund$ ?r\gh ! grant w    
assure cont9u\s quality improvem5t 9 !  
provision ( s]vices by ! entity2  7,d7 a
 description ( h[ ! populations 9 !     
rural area or m$ically und]s]v$         
community to be s]v$ ?r\gh ! grant w    
exp]i5ce increas$ access to quality     
heal? c>e s]vices across ! cont9uum (   
c>e z a result ( ! activities c>ri$ out 
by ! entity2  7,e7 a plan = su/a9+ !    
project aft] ,f$]al support = ! project 
has end$2  7,f7 a description ( h[ !    

project w be evaluat$2 &  7,g7 su* o!r  
in=mation z ! ,director det]m9es to be  
appropriate4  4  7b7 ,con=m+ am5dm5ts   
,section #ccj;,a ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bed;c7 is  
am5d$-- 7#a7 9 subsection 7a71 by /rik+ 
& = ! plann+ & implem5tation ( small    
heal? c>e provid] quality improvem5t    
activities & ins]t+ = ! plann+ &        
implem5tation ( small heal? c>e provid] 
quality improvem5t activities1 & = exp&+
 ! availability ( community-bas$ tra9+ =
 m$ical /ud5ts 9 rural areas & m$ically 
und]s]v$ communities2  7#b7 9 subsection
 7d77#b7-- 7,a7 9 subp>agraph 7,a71 by  
/rik+ subsections 7e71 7f71 & 7g7 &     
ins]t+ subsections 7e71 7f71 7g71 & 7h72
  7,b7 9 subp>agraph 7,b7-- 7i7 9 clause
 7ii71 by /rik+ & at ! end2  7ii7 9     
clause 7iii71 by /rik+ ! p]iod at ! end 
& ins]t+ 2 &2 &  7iii7 by add+ at ! end 
! foll[+3  7iv7 exp& ! availability (   
community-bas$ tra9+ = m$ical /ud5ts 9  
rural areas & m$ically und]s]v$         
communities "u subsection 7h74  2 &     

7#c7 9 subsection 7j71 z r$esignat$ by  
subsection 7a77#a71 by /rik+ subsections
 7e71 7f71 & 7g7 & ins]t+ subsections   
7e71 7f71 7g71 & 7h74