,,ii  #aahth ,,congress  #b;d ,session  
,s4 #eadf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbd,mr4 ,sanders 7for himself and    
,mr4 ,kaine7 introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to authorize the ,secretary of 
,health and ,human ,services to award   
grants to schools of medicine or        
osteopathic medicine at historically    
,black colleges and universities and    
other minority-serving institutions for 
the purpose of increasing enrollment of 
medical students4  #a4 ,short title     
,this ,act may be cited as the ,medical 
,graduate ,investment ,act of #bjbd4    
#b4 ,expanding the number of doctors    
,subpart #c of part ,e of title ,,vii of
 the ,public ,health ,service ,act 7#db 
,u4,s4,c4 #bie;f et seq47 is amended by 
adding at the end the following3  #ggi4 
,expanding the number of doctors  7a7   
,in general ,the ,secretary shall award 

grants to eligible entities for the     
purpose of increasing enrollment of     
medical students by at least #e percent 
each year as compared to the prior year4
 ,grants awarded under this section     
shall be used for tuition and student   
fees 7excluding living expenses71       
faculty recruitment and retention 7with 
not more than #bj percent of the cost of
 salaries covered by such grants71 costs
 associated with equipment 7including   
acquisition of equipment71 and costs    
associated with clinical training of    
medical students and preparing and      
encouraging such students to serve as   
primary care physicians in medically    
underserved areas1 including rural      
areas1 frontier areas1 and jurisdictions
 of ,indian ,tribes and ,tribal         
organizations1 after completing         
residency training4  7b7 ,eligible      
entities ,to be eligible to receive an  
award under this section1 an entity     
shall-- 7#a7 be-- 7,a7 an accredited    
school of medicine or an accredited     

school of osteopathic medicine at a     
minority-serving institution of higher  
education 7defined as an institution    
described in any of paragraphs 7#a7     
through 7#g7 of section #cga7;a7 of the 
,higher ,education ,act of #aife7 or a  
minority-serving institution of higher  
education 7as so defined7 with plans to 
establish an accredited school of       
medicine or an accredited school of     
osteopathic medicine1 if such           
institution provides documentation of   
such plans1 as the ,secretary may       
require2  7,b7 an accredited school of  
medicine or an accredited school of     
osteopathic medicine that1 at the time  
of the application1 has an agreement    
with a historically ,black college or   
university 7as defined in paragraph 7#a7
 of section #cga7;a7 of the ,higher     
,education ,act of #aife7 to enroll1 in 
the school of medicine or school of     
osteopathic medicine1 students who have 
completed their undergraduate education 
at such minority-serving institution of 

higher education1 provided that such    
school of medicine or school of         
osteopathic medicine intends to use the 
award under this section to increase    
enrollment of such students in          
accordance with the threshold described 
in subsection 7a72 or  7,c7 an          
accredited school of medicine or an     
accredited school of osteopathic        
medicine that-- 7i7 at the time of the  
application1 has an agreement with an   
,indian ,tribe 7as defined in section #d
 of the ,indian ,self ,determination and
 ,education ,assistance ,act7 to provide
 medical education for ,american        
,indian1 ,alaska ,native1 and ,native   
,hawaiian students2 or  7ii7 an         
accredited school of medicine or an     
accredited school of osteopathic        
medicine that trains in ,tribal         
communities or otherwise has a history  
of graduating a high number of          
physicians who1 after completion of     
residency1 practice in ,tribal          
communities in rural or frontier areas2 

and  7#b7 submit to the ,secretary an   
application at such time1 in such       
manner1 and containing such information 
as the ,secretary may require1 including
 information on how the entity will     
sustain increased enrollment of medical 
students following the expirations of   
grant funds provided under this section4
  7c7 ,grant amounts  7#a7 ,minimum     
award2 disbursements ,the ,secretary    
shall-- 7,a7 determine the amount of    
each award under this section1 provided 
that each eligible entity receiving such
 an award shall receive a minimum amount
 of #a1jjj1jjj per year of the #e-year  
grant period2 and  7,b7 disburse the    
grant amount to each eligible entity    
receiving such an award in #e annual    
increments4  7#b7 ,distribution among   
types of eligible entities ,in awarding 
amounts to eligible entities under this 
section1 the ,secretary shall disburse  
grant funding evenly among the following
 #i categories 7subject to the receipt  
of applications from eligible entities  

in each of the categories described in  
subparagraph 7,a773 7,a7 ,eligible      
entities in each category of minority   
serving institution of higher education 
described in paragraphs 7#a7 through    
7#g7 of section #cga7;a7 of the ,higher 
,education ,act of #aife4  7,b7         
,eligible entities described in         
subsection 7b77#a77;,b74  7,c7 ,eligible
 entities described in subsection       
7b77#a77;,c74  7#c7 ,evaluation ,the    
,secretary may reserve not more than    
half of one percent of amounts made     
available under subsection 7f7 to       
evaluate the results of the program     
under this section during and after the 
grant period1 including the number of   
new medical students enrolled1 such     
students' progression to participate in 
an accredited internship or medical     
residency program1 and rates of passing 
the ,united ,states ,medical ,licensing 
,examination or the ,comprehensive      
,osteopathic ,medical ,licensing        
,examination4  7d7 ,matching requirement

 ,the ,secretary shall require each     
eligible entity receiving an award under
 this section to provide non-,federal   
matching funds for each year of the     
grant period1 which may be in cash or   
in-kind1 in an amount equal to #be      
percent of the total amount of funds    
awarded under this section for the      
applicable year4 ,an eligible entity may
 apply to the ,secretary for a waiver of
 not more than #hj percent of the       
matching fund amount required for each  
year the entity receives an award under 
this section4  7e7 ,reporting  7#a7     
,eligible entity reporting  7,a7 ,in    
general ,each eligible entity receiving 
a grant under this section shall submit 
a report to the ,secretary1 annually for
 the duration of the grant period1 on   
activities conducted under such grant1  
including information on the number of  
new students enrolled1 faculty          
supported1 how funds under such grant   
were used1 plans for continuation of the
 activities in the next budget period1  

and other information1 as the ,secretary
 may require4  7,b7 ,contents ,each     
report under subparagraph 7,a7 shall    
include-- 7i7 an overview of activities 
conducted under such grant2  7ii7       
associated costs of equipment purchased2
  7iii7 the number of new students      
enrolled in the applicable school of    
medicine or school of osteopathic       
medicine per year 7including the number 
of students from racial and ethnic      
groups underrepresented among medical   
students and health professions1        
students who were ,federal ,pell ,grant 
recipients1 and first-generation college
 students72  7iv7 plans for continuation
 of the activities in the next fiscal   
year2 and  7v7 any other information the
 ,secretary may require4  7#b7 ,reports 
to ,congress ,not later than #b years   
after the first grants are awarded under
 this section1 the ,secretary shall     
submit to the ,committee on ,health1    
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committee on ,energy  

and ,commerce of the ,house of          
,representatives a report that          
includes-- 7,a7 an assessment of the    
effectiveness of the activities         
associated with grants made under this  
section2  7,b7 a summary of outcomes and
 best practices and recommendations on  
the recruitment and retention of medical
 students2  7,c7 annual enrollment of   
students at each school of medicine or  
school of osteopathic medicine supported
 by the program2 and  7,d7 summaries1   
including justification1 of the         
allocations of grant funds made by the  
,secretary4  7f7 ,authorization of      
appropriations ,to carry out this       
section1 there are authorized to be     
appropriated #fj1jjj1jjj for each of    
fiscal years #bjbf through #bjcj1 to    
remain available until expended4  7g7   
,non-,duplication of efforts ,the       
,secretary shall ensure that activities 
carried out under this section do not   
unnecessarily duplicate efforts of any  
other ,federal program4  4