,,ii #aahth ,,congress #ast ,session ,s4 #hfb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #af1 #bjbc,mr4 ,durbin 7for himself and ,mr4 ,rubio7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to address health workforce shortages through additional funding for the ,national ,health ,service ,corps1 and to establish a ,national ,health ,service ,corps ,emergency ,service demonstration project4 #a4 ,short title ,this ,act may be cited as the ,restoring ,america's ,health ,care ,workforce and ,readiness ,act4 #b4 ,additional funding for the ,national ,health ,service ,corps 7a7 ,additional funding ,section #ajejc7;b77#b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77 is amended-- 7#a7 in subparagraph 7,g71 by striking 2 and and inserting a semicolon2 7#b7 in subparagraph 7,h71 by striking the period and inserting a semicolon2 and 7#c7 by adding at the end the following3 7,i7 #fbe1jjj1jjj for fiscal year #bjbd2 7,j7 #fge1jjj1jjj for fiscal year #bjbe2 and 7,k7 #hbe1jjj1jjj for fiscal year #bjbf4 4 7b7 ,national health service corps emergency service demonstration project ,part ,b of title ,,xxviii of the ,public ,health ,service ,act is amended by inserting after section #bhab 7#db ,u4,s4,c4 #cjj;hh-#aa7 the following3 #bhab;,a4 ,national health service corps emergency service demonstration project 7a7 ,in general ,for each of fiscal years #bjbd through #bjbf1 from the amounts made available under section #ajejc7;b77#b7 of the ,patient ,protection and ,affordable ,care ,act1 to the extent permitted by1 and consistent with1 the requirements of applicable ,state law1 the ,secretary shall allocate up to #ej1jjj1jjj to establishing1 as a demonstration project1 a ,national ,health ,service ,corps ,emergency ,service 7referred to in this section as the emergency service7 under which a qualified individual currently or previously participating in the ,national ,health ,service ,corps agrees to engage in service through the ,national ,disaster ,medical ,system established under section #bhab1 as described in this section4 7b7 ,participants 7#a7 ,,nhsc alumni 7,a7 ,qualified individuals ,an individual may be eligible to participate in the emergency service under this section if such individual participated in the ,scholarship ,program under section #cch;,a or the ,loan ,repayment ,program under section #cch;,b1 and satisfied the obligated service requirements under such program1 in accordance with the individual's contract4 7,b7 ,priority and increased funding amounts 7i7 ,priority ,in selecting eligible individuals to participate in the program under this paragraph1 the ,secretary shall give priority-- 7,i7 first1 to qualified individuals who continue to practice at the site where the individual fulfilled his or her obligated service under the ,scholarship ,program or ,loan ,repayment ,program through the time of the application to the program under this section2 and 7,,ii7 secondly1 to qualified individuals who continue to practice in any site approved for obligated service under the ,scholarship ,program or ,loan ,repayment ,program other than the site at which the individual served4 7ii7 ,increased funding amounts ,the ,secretary may grant increased award amounts to certain participants in the program under this section based on the site where a participant fulfilled his or her obligated service under the ,scholarship ,program or ,loan ,repayment ,program4 7,c7 ,private practice ,an individual participating in the emergency service under this section may practice a health profession in any private capacity when not obligated to fulfill the requirements described in subsection 7c74 7#b7 ,current ,,nhsc members 7,a7 ,in general ,an individual who is participating in the ,scholarship ,program under section #cch;,a or the ,loan ,repayment ,program under section #cch;,b may apply to participate in the program under this section while fulfilling the individual's obligated services under such program4 7,b7 ,clarifications ,notwithstanding any other provision of law or any contract with respect to service requirements under the ,scholarship ,program or ,loan ,repayment ,program1 an individual fulfilling service requirements described in subsection 7c7 shall not be considered in breach of such contract under such ,scholarship ,program or ,loan ,repayment ,program1 provided that the individual give advance and reasonable notification to the site at which the individual is fulfilling his or her obligated service requirements under such contract1 and the site approves the individual's deployment through the ,national ,disaster ,medical ,system4 7,c7 ,no credit toward obligated service ,no period of service under the ,national ,disaster ,medical ,system described in subsection 7c77#a7 shall be counted toward satisfying a period of obligated service under the ,scholarship ,program or ,loan ,repayment ,program4 7c7 ,participants as members of the ,national ,disaster ,medical ,system 7#a7 ,service requirements ,an individual participating in the program under this section shall participate in the activities of the ,national ,disaster ,medical ,system under section #bhab in the same manner and to the same extent as other participants in such system4 7#b7 ,rights and requirements ,an individual participating in the program under this section shall be considered participants in the ,national ,disaster ,medical ,system and shall be subject to the rights and requirements of subsections 7c7 and 7d7 of section #bhab4 7d7 ,emergency service plan ,in carrying out this section1 the ,secretary1 in consultation with the ,administrator of the ,health ,resources and ,services ,administration and the ,assistant ,secretary for ,preparedness and ,response1 shall establish an action plan for the service commitments1 deployment protocols1 coordination efforts1 training requirements1 liability1 workforce development1 and such other considerations as the ,secretary determines appropriate4 ,such action plan shall-- 7#a7 ensure adherence to the missions of both the ,national ,health ,service ,corps and ,national ,disaster ,medical ,service2 7#b7 outline the type of providers determined by the ,assistant ,secretary to be priorities for participation in the program established under this section2 7#c7 describe how such deployments will be determined and prioritized in a manner consistent with-- 7,a7 the ,national ,health ,service ,corps contracts2 and 7,b7 the ,national ,disaster ,medical ,system's deployment policy of not hindering civilian responders already engaged in an emergency response2 7#d7 ensure an adequate health care workforce during a public health emergency declared by the ,secretary under section #cai of this ,act1 a major disaster declared by the ,president under section #dja of the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act1 an emergency declared by the ,president under section #eja of the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act1 or a national emergency declared by the ,president under the ,national ,emergencies ,act2 and 7#e7 describe how the program established under this section will be implemented in a manner consistent with1 and in furtherance of1 the assessments and goals for workforce and training described in the review conducted by the ,secretary under section #bhab7;b77#b74 7e7 ,contracts for certain participating individuals ,an individual who is participating in the emergency service program under this section shall receive loan repayments in an amount up to #ej percent 7as determined by the ,secretary7 of the highest new award made for the year under the ,national ,health ,service ,corps ,loan ,repayment ,program pursuant to a contract entered into at the same time under section #cch;,b7g71 in a manner similar to the manner in which payments are made under such section1 pursuant to the terms of a contract between the ,secretary and such individual4 ,the ,secretary shall establish a system of contracting for purposes of this subsection which shall be similar to the contract requirements and terms under subsections 7c71 7d71 and 7f7 of section #cch;,b4 ,amounts received by an individual under this subsection shall be in addition to any amounts received by an individual described in subsection 7b77#b7 pursuant to the ,scholarship ,program under section #cch;,a or the ,loan ,repayment ,program under section #cch;,b1 as applicable4 7f7 ,breach of contract1 termination1 waiver1 and suspension 7#a7 ,recovery of amounts in the event of a breach ,if an individual breaches the written contract of the individual under subsection 7e7 by failing either to begin such individual's service obligation in accordance with such contract or to complete such service obligation1 the ,united ,states shall be entitled to recover from the individual an amount equal to the sum of-- 7,a7 the total of the amounts paid by the ,united ,states under such contract on behalf of the individual for any period of such service not served2 7,b7 an amount equal to the product of the number of months of service that were not completed by the individual1 multiplied by #c1gej2 and 7,c7 the interest on the amounts described in subparagraphs 7,a7 and 7,b71 at the maximum legal prevailing rate1 as determined by the ,treasurer of the ,united ,states1 from the date of the breach4 7#b7 ,termination of contract ,the ,secretary may terminate a contract under subsection 7e7 in accordance with the termination standards that are-- 7,a7 applicable to contracts entered into under section #cch;,b2 and 7,b7 in effect in the fiscal year in which such contract was entered4 7#c7 ,waiver or suspension of obligation ,if an individual participating in the program under this section submits a written request to the ,secretary1 the ,secretary may waive or suspend a service or payment obligation arising under this subsection or a contract under subsection 7e71 in whole or in part1 in accordance with the standards set forth in section #fb4ab of title #db1 ,code of ,federal ,regulations 7or any successor regulations74 7g7 ,report ,not later than #d years after the date of enactment of 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 evaluates the demonstration project established under this section1 including-- 7#a7 the effects of such program on health care access in underserved areas and health professional shortage areas and on public health emergency response capacity2 7#b7 the effects of such program on the health care provider workforce pipeline1 including any impact on the fields or specialties pursued by students in approved graduate training programs in medicine1 osteopathic medicine1 dentistry1 behavioral and mental health1 or other health profession2 7#c7 the impact of such program on the enrollment1 participation1 and completion of requirements in the underlying scholarship and loan repayment programs of the ,national ,health ,service ,corps2 7#d7 the effects of such program on the ,national ,disaster ,medical ,system's response capability1 readiness1 and workforce strength2 and 7#e7 recommendations for improving the demonstration project described in this section1 and any other considerations as the ,secretary determines appropriate4 4