,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #edbh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ag1        
#bjbe,mr4 ,cole 7= himself & ,ms4       
,titus7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to e/abli% a grant  
program to aw>d grants to accr$it$      
public in/itutions ( high] education1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,m$ical ,/ud5t     
,education ,au?orization ,act ( #bjbe4  
#b4 ,education program to support prim>y
 heal? c>e = m$ically und]s]v$          
communities ,"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  #gdb4 ,education   
program to support prim>y heal? c>e =   
m$ically und]s]v$ communities  7a7      
,e/abli%m5t  ,! ,secret>y1 act+ ?r\gh ! 
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration 79 ?is section   
ref]r$ to z ! ,secret>y7 %all e/abli% a 

grant program to aw>d grants to accr$it$
 public in/itutions ( high] education to
 c>ry out ! activities describ$ 9       
subsection 7d7 = ! purposes (--  7#a7   
support+ education = m$ical /ud5ts :o   
are prep>+ to become physicians2 &  7#b7
 prep>+ & enc\rag+ ea* su* /ud5t tra9$  
by a grantee to s]ve 9 a ,tribal1 rural1
 or m$ically und]s]v$ community z a     
prim>y c>e physician aft] complet+      
resid5cy tra9+4  7b7 ,eligibility ,9    
ord] to be eligible to receive a grant  
"u ?is section1 an accr$it$ public      
in/itution ( high] education %all-- 7#a7
 be locat$ 9 a ,/ate t is 9 ! top       
qu>tile ( ,/ates ) a project$ %ortage ( 
prim>y c>e physicians1 z det]m9$ by !   
,secret>y2 &  7#b7 submit an application
 to ! ,secret>y at su* "t1 9 su* mann]1 
& conta9+ su* in=mation z ! ,secret>y   
may require1 t includes-- 7,a7 a        
c]tification t su* in/itution w use     
am\nts provid$ to ! in/itution ?r\gh !  
grant to c>ry out ! activities describ$ 
9 subsection 7d72 &  7,b7 a description 

( h[ su* in/itution w c>ry out su*      
activities4  7c7 ,priority ,9 aw>d+     
grants "u ?is section1 ! ,secret>y %all 
give priority to accr$it$ public        
in/itutions ( high] education t meet !  
eligibility requirem5ts ( subsection 7b7
 &--  7#a7 are locat$ 9 a ,/ate ) n few]
 ?an #b ,indian ,tribes or ,tribal      
organizations 7z su* t]ms are def9$ 9   
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act72 &  7#b7 h e/abli%$1 or
 demon/rate plans to e/abli%1 a /rategic
 p>tn]%ip ) entities describ$ 9         
subsection 7d77#d7 t supports ! purposes
 describ$ 9 subsection 7a74  7d7 ,use ( 
funds ,an eligible entity t receives a  
grant "u ?is section %all1 z            
appropriate1 use ! funds made available 
"u su* grant to c>ry out ! foll[+       
activities3 7#a7 ,support community-bas$
 tra9+ = m$ical /ud5ts :o w practice 9  
or s]ve ,tribal1 rural1 or m$ically     
und]s]v$ communities4  7#b7 ,develop &  
op]ate programs to tra9 m$ical /ud5ts 9 

! provision ( prim>y c>e s]vices1 :i*   
may include develop+ tra9+ programs &   
activities t-- 7,a7 emphasize c>e =     
,tribal1 rural1 or m$ically und]s]v$    
communities2  7,b7 are applicable to    
prim>y c>e practice ) respect to        
individuals f ,tribal1 rural1 or        
m$ically und]s]v$ communities2 &  7,c7  
promote int]discipl9>y tra9+4  7#c7     
,increase ! capacity ( faculty to       
develop & op]ate programs describ$ 9    
p>agraph 7#b74  7#d7 ,develop /rategic  
p>tn]%ips1 su* z public-private         
p>tn]%ips1 to improve heal? outcomes =  
individuals f ,tribal1 rural1 or        
m$ically und]s]v$ communities1 :i*      
p>tn]%ips may include--  7,a7 f$]ally   
recogniz$ ,tribes1 ,tribal ,colleges or 
,univ]sities 7z su* t]m is def9$ 9      
section #caf ( ! ,high] ,education ,act 
( #aife71 & ,tribal organizations 7z su*
 t]m is def9$ 9 section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act72  7,b7 ,f$]ally        
qualifi$ heal? c5t]s2  7,c7 rural heal? 

cl9ics2  7,d7 heal? facilities or       
programs op]at$ by or 9 accordance ) a  
contract or grant ) ! ,indian ,heal?    
,s]vice2 &  7,e7 prim>y c>e cl9ics4     
7#e7 ,develop a plan1 z appropriate1 =  
foll[up ) graduates1 includ+ ) respect  
to specialties1 z applicable4  7#f7     
,develop1 implem5t1 & evaluate me?ods to
 improve recruitm5t & ret5tion ( m$ical 
/ud5ts f ,tribal1 rural1 or m$ically    
und]s]v$ communities4  7#g7 ,tra9 &     
support in/ructors to s]ve ,tribal1     
rural1 or m$ically und]s]v$ communities4
  7#h7 ,prep>e m$ical /ud5ts =          
transition into prim>y c>e resid5cy     
tra9+ & future practice4  7#i7 ,provide 
s*ol>%ips to m$ical /ud5ts4  7e7 ,grant 
p]iod ,a grant "u ?is section %all be   
aw>d$ = a p]iod ( n m ?an #e ye>s4  7f7 
,grant am\nt ,ea* fiscal ye>1 ! am\nt ( 
a grant made to an eligible entity "u   
?is section %all be n less ?an          
#a1jjj1jjj4  7g7 ,mat*+ requirem5t ,!   
,secret>y %all1 z appropriate1 require t
 an eligible entity receiv+ a grant "u  

?is section provide non-,f$]al mat*+    
funds1 :i* may be 9 ca% or 9 k9d1 9 an  
am\nt t is n m ?an #aj p]c5t ( ! total  
am\nt ( ,f$]al funds provid$ ?r\gh !    
grant ea* fiscal ye>4  7h7 ,au?orization
 ( appropriations ,!re is au?oriz$ to be
 appropriat$ to c>ry out ?is section    
#ge1jjj1jjj = ea* ( fiscal ye>s #bjbf   
?r\gh #bjbh4  4