,,ii ,cal5d> ,no4 #ebg #aai? ,,congress #b;d ,session ,s4 #ahgd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #bb1 #bjbe,mr4 ,m]kley 7= himself1 ,ms4 ,coll9s1 ,ms4 ,baldw91 ,mrs4 ,blackburn1 ,mr4 ,blum5?al1 ,mr4 ,coons1 ,mrs4 ,gillibr&1 ,mr4 ,kelly1 ,mr4 ,s*iff1 ,ms4 ,murk[ski1 ,mrs4 ,hyde-,smi?1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,lujn1 ,mrs4 ,%ahe51 ,mr4 ,oss(f1 & ,mr4 ,gallego7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,july #bh1 #bjbf,report$ by ,mr4 ,cassidy1 ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to reau?orize c]ta9 nurs+ work=ce developm5t programs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,title ,,viii ,nurs+ ,work=ce ,reau?orization ,act ( #bjbe4 #b4 ,advanc$ nurs+ education grants ,section #haa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bif;j7 is am5d$-- 7#a7 9 subsection 7a77#b71 by /rik+ programs4 & ins]t+ ! foll[+3 8programs1 includ+ individuals enroll$ 9-- 7,a7 au?oriz$ nurse practition] programs describ$ 9 subsection 7c72 7,b7 au?oriz$ nurse-midwif]y programs describ$ 9 subsection 7d72 7,c7 au?oriz$ nurse ane/hesia programs describ$ 9 subsection 7e72 & 7,d7 au?oriz$ cl9ical nurse speciali/ programs describ$ 9 subsection 7f74 2 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by /rik+ midwives & ins]t+ nurse-midwives2 & 7,b7 9 p>agraph 7#b71 by /rik+ ,am]ican ,college ( ,nurse-,midwives2 & 7#c7 9 subsection 7h77#a77;,a71 by /rik+ fees & ins]t+ fees1 includ+ co/s = cl9ical education & preceptors14 #c4 ,/r5g!n+ capacity = nurse education & practice 7a7 ,9 g5]al ,"p ,d ( title ,,viii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bifp et seq47 is am5d$-- 7#a7 9 ! "p head+1 by /rik+ basic2 & 7#b7 9 section #hca 7#db ,u4,s4,c4 #bifp7-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#a71 by /rik+ or aft] ! semicolon2 7ii7 9 p>agraph 7#b71 by /rik+ me?odologies4 & ins]t+ me?odologies1 audiovisual or o!r equipm5t1 simulation & augm5t$ reality res\rces1 teleheal? te*nologies1 & virtual & physical laboratories2 or2 & 7iii7 by add+ at ! end ! foll[+3 7#c7 increas+ ! numb] ( faculty & /ud5ts at s*ools ( nurs+ 9 ord] to address nurs+ work=ce %ortages4 2 & 7,b7 9 subsection 7b7-- 7i7 9 p>agraph 7#b71 by /rik+ & survivors ( dome/ic viol5ce & ins]t+ survivors ( dome/ic viol5ce1 & survivors ( sexual assault2 7ii7 9 p>agraph 7#c71 by /rik+ or aft] ! semicolon2 7iii7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ 2 or2 & 7iv7 by add+ at ! end ! foll[+3 7#e7 p>tn]+ ) a heal? c>e facility1 nurse-manag$ heal? cl9ic1 community heal? c5t]1 or o!r facility t provides heal? c>e 9 ord] to provide education opportunities = ! purpose ( e/abli%+ or exp&+ cl9ical education4 4 7b7 ,con=m+ am5dm5t ,section #hjf7;f77#b77;,c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bif;e7f77#b77;,c77 is am5d$ by /rik+ basic4 #d4 ,au?orization ( appropriations ,section #hga ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bih;d7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #acg1hcg1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #ahd1ccg1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 & 7#b7 9 subsection 7b71 by /rik+ #aag1ace1jjj = ea* ( ! fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #aba1ace1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,title ,,viii ,nurs+ ,work=ce ,reau?orization ,act ( #bjbf4 #b4 ,advanc$ nurs+ education grants ,section #haa ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bif;j7 is am5d$-- 7#a7 9 subsection 7a77#b71 by /rik+ programs4 & ins]t+ ! foll[+3 8programs1 includ+ individuals enroll$ 9-- 7,a7 au?oriz$ nurse practition] programs describ$ 9 subsection 7c72 7,b7 au?oriz$ nurse-midwif]y programs describ$ 9 subsection 7d72 7,c7 au?oriz$ nurse ane/hesia programs describ$ 9 subsection 7e72 & 7,d7 au?oriz$ cl9ical nurse speciali/ programs describ$ 9 subsection 7f74 2 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by /rik+ midwives & ins]t+ nurse-midwives2 & 7,b7 9 p>agraph 7#b71 by /rik+ ,am]ican ,college ( ,nurse-,midwives2 & 7#c7 9 subsection 7h77#a77;,a71 by /rik+ fees & ins]t+ fees1 includ+ co/s = cl9ical education & preceptors14 #c4 ,/r5g!n+ capacity = nurse education & practice 7a7 ,9 g5]al ,"p ,d ( title ,,viii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bifp et seq47 is am5d$-- 7#a7 9 ! "p head+1 by /rik+ basic2 & 7#b7 9 section #hca 7#db ,u4,s4,c4 #bifp7-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#a71 by /rik+ or aft] ! semicolon2 7ii7 9 p>agraph 7#b71 by /rik+ me?odologies4 & ins]t+ me?odologies1 audiovisual or o!r equipm5t1 simulation & augm5t$ reality res\rces1 teleheal? te*nologies1 & virtual & physical laboratories2 or2 & 7iii7 by add+ at ! end ! foll[+3 7#c7 increas+ ! numb] ( faculty & /ud5ts at s*ools ( nurs+ 9 ord] to address nurs+ work=ce %ortages4 2 & 7,b7 9 subsection 7b7-- 7i7 9 p>agraph 7#b71 by /rik+ & survivors ( dome/ic viol5ce & ins]t+ survivors ( dome/ic viol5ce1 & survivors ( sexual assault2 7ii7 9 p>agraph 7#c71 by /rik+ or aft] ! semicolon2 7iii7 9 p>agraph 7#d71 by /rik+ ! p]iod & ins]t+ 2 or2 & 7iv7 by add+ at ! end ! foll[+3 7#e7 p>tn]+ ) a heal? c>e facility1 nurse-manag$ heal? cl9ic1 community heal? c5t]1 or o!r facility t provides heal? c>e 9 ord] to provide education opportunities = ! purpose ( e/abli%+ or exp&+ cl9ical education4 4 7b7 ,con=m+ am5dm5t ,section #hjf7;f77#b77;,c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bif;e7f77#b77;,c77 is am5d$ by /rik+ basic4 #d4 ,nurse faculty demon/ration program ,section #hdf;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bign-#a7 is am5d$-- 7#a7 by am5d+ subsection 7a7 to read z foll[s3 7a7 ,9 g5]al ,to increase ! numb] ( qualifi$ nurs+ faculty1 ! ,secret>y may-- 7#a7 ent] into an agreem5t ) any accr$it$ s*ool ( nurs+ = ! e/abli%m5t & op]ation ( a /ud5t loan fund 9 accordance ) subsection 7b72 & 7#b7 aw>d nurse faculty grants 9 accordance ) subsection 7c74 2 7#b7 9 subsection 7b7-- 7,a7 by r$esignat+ subp>agraphs 7,a7 ?r\gh 7,d7 ( p>agraph 7#b7 z clauses 7i7 ?r\gh 7iv71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#e7 z subp>agraphs 7,a7 ?r\gh 7,e71 respectively1 & adju/+ ! m>g9s accord+ly2 7,c7 9 subp>agraph 7,c71 z s r$esignat$1 by /rik+ subsection 7c7 & ins]t+ p>agraph 7#b72 & 7,d7 by /rik+ 7b7 ,agreem5ts--,ea* agreem5t ent]$ into "u subsection 7a7 %all-- & ins]t+ ! foll[+3 7b7 ,s*ool ( nurs+ /ud5t loan fund 7#a7 ,9 g5]al ,ea* agreem5t ent]$ into "u subsection 7a77#a7 %all-- 2 7#c7 9 subsection 7c7-- 7,a7 by /rik+ subsection 7a7 ea* place x appe>s & ins]t+ subsection 7a77#a72 7,b7 9 p>agraph 7#c71 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & adju/+ ! m>g9s accord+ly2 7,c7 9 p>agraph 7#f71 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & adju/+ ! m>g9s accord+ly2 7,d7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#f7 z subp>agraphs 7,a7 ?r\gh 7,f71 respectively1 & adju/+ ! m>g9s accord+ly2 & 7,e7 9 subp>agraph 7,f77ii71 z s r$esignat$1 by /rik+ subsection 7e7 & ins]t+ p>agraph 7#d72 7#d7 9 subsection 7e71 by /rik+ subsection 7c77#f77;,b7 & ins]t+ p>agraph 7#b77;,f77ii72 7#e7 by r$esignat+ subsections 7c7 ?r\gh 7e7 z p>agraphs 7#b7 ?r\gh 7#d71 respectively1 & adju/+ ! m>g9s accord+ly2 & 7#f7 by add+ at ! end ! foll[+3 7c7 ,nurse faculty demon/ration program 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% & c>ry out a demon/ration program describ$ 9 subsection 7a77#b7 "u :i* eligible s*ools ( nurs+ receive a grant = purposes ( supplem5t+ ! sal>ies ( eligible nurs+ faculty memb]s to enhance recruitm5t & ret5tion ( nurs+ faculty memb]s4 7#b7 ,eligible entities ,to be eligible to receive a grant "u ?is subsection1 an entity %all-- 7,a7 be an accr$it$ s*ool ( nurs+2 & 7,b7 submit an application to ! ,secret>y1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+-- 7i7 7,i7 to ! ext5t su* in=mation is available to ! s*ool ( nurs+1 ! sal>y hi/ory ( nurs+ faculty at su* s*ool :o previ\sly 7 nurses 9 cl9ical practice1 = ! mo/ rec5t #c-ye> p]iod end+ on ! date ( application1 adju/$ = inflation z appropriate & brok5 d[n by cr$5tials1 exp]i5ce1 & levels ( education ( su* nurses2 or 7,,ii7 if ! in=mation describ$ 9 subclause 7,i7 is n available1 in=mation on ! av]age local sal>y ( nurses 9 cl9ical practice1 adju/$ = inflation z appropriate & brok5 d[n by cr$5tials1 exp]i5ce1 & levels ( education ( ! individual nurses1 9 accordance ) su* requirem5ts z ! ,secret>y may specify2 7ii7 an atte/ation ( ! av]age nurs+ faculty sal>y at ! s*ool ( nurs+ dur+ ! mo/ rec5t #c-ye> p]iod prior to ! date ( application1 adju/$ = inflation1 z appropriate1 brok5 d[n by cr$5tials1 exp]i5ce1 & levels ( education ( su* faculty memb]s2 7iii7 ! numb] ( nurs+ faculty memb] vacancies at ! entity at ! "t ( application1 & ! entity's projection ( su* vacancies ov] ! ensu+ #e-ye> p]iod2 & 7iv7 a description ( ! entity's plans to id5tify fund+ s\rces to su/a9ably cont9ue1 aft] ! #c-ye> grant p]iod1 ! sal>y available to ! eligible nurs+ faculty memb] pursuant to ! program "u ?is subsection dur+ su* grant program & to reta9 eligible nurs+ faculty memb]s aft] ! end ( ! grant p]iod4 7#c7 ,aw>ds ,a grant aw>d$ "u ?is subsection1 ) respect to support+ eligible nurs+ faculty memb]s1 %all-- 7,a7 be aw>d$ to ! s*ool ( nurs+ to supplem5t ! sal>ies ( eligible faculty memb]s at ! s*ool ( nurs+1 annually1 = up to a #c-ye> p]iod1 9 an am\nt equal to1 = ea* eligible nurs+ faculty memb] at ! eligible entity dur+ ! grant p]iod1 ! diff]5ce betwe5-- 7i7 ! av]age sal>y ( nurses 9 cl9ical practice1 z submitt$ "u subclause 7,i7 or 7,,ii7 ( p>agraph 7#b77;,b77i72 & 7ii7 ! great] (-- 7,i7 ! sal>y = ! eligible nurs+ faculty memb] at ! s*ool ( nurs+2 or 7,,ii7 ! av]age nurs+ faculty sal>y1 z submitt$ "u p>agraph 7#b77;,b77ii7 = faculty memb]s ) ! same or simil> cr$5tials & level ( education2 7,b7 not)/&+ section #hjc7;a71 be us$ 9 its entirety to supplem5t ! eligible faculty memb]'s sal>y2 & 7,c7 be condition$ ^u ! s*ool ( nurs+ ma9ta9+1 = ea* ye> 9 :i* ! aw>d is made z describ$ 9 subp>agraph 7,a71 a sal>y = su* faculty memb] at a level t is n less ?an ! great] ( ! am\nt "u subclause 7,i7 or 7,,ii7 ( subp>agraph 7,a77ii74 7#d7 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all-- 7,a7 ensure ! equitable geographic di/ribution ( aw>ds2 7,b7 give priority to applications f s*ools ( nurs+ t demon/rate-- 7i7 ! greate/ ne$ = su* grant1 :i* may be bas$ ^u ! f9ancial circum/ances ( ! s*ool ( nurs+1 ! numb] ( eligible nurse faculty memb]s1 ! plann$ numb] ( /ud5ts to be tra9$ or admitt$ (f a wait li/2 or 7ii7 tra9+ or p>tn]%ips to s]ve vuln]able pati5t populations1 su* z ?r\gh ! location or activity ( a s*ool 9 a heal? pr(essional %ortage area 7z def9$ 9 section #ccb72 & 7,c7 ensure t n less ?an #bj p]c5t ( ! total am\nt aw>d$ is aw>d$ to eligible entities locat$ 9 ,/ates ) populations "u #a1ejj1jjj4 7#e7 ,rule ( con/ruction ,no?+ 9 ?is subsection precludes a s*ool ( nurs+ or an eligible nurs+ faculty memb] receiv+ an aw>d "u ?is section f obta9+ or receiv+ any o!r =m ( ,f$]al support or fund+4 7#f7 ,report ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is subsection1 ! ,secret>y %all submit to ! ,committee on ,f9ance & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,ways & ,means & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report t evaluates ! program e/abli%$ "u ?is subsection1 includ+-- 7,a7 ! impact ( su* program on recruitm5t & ret5tion rates ( nurs+ faculty1 z available1 & specifically = ea* faculty memb] p>ticipat+ 9 ! program2 & 7,b7 recomm5dations & consid]ations = ,congress on cont9u+ ! program "u ?is subsection4 7#g7 ,def9itions ,9 ?is subsection3 7,a7 ,eligible nurs+ faculty memb] ,! t]m eligible nurs+ faculty memb] means a nurs+ faculty memb] :o-- 7i7 0 hir$ by a s*ool ( nurs+ )9 ! #b-ye> p]iod prec$+ ! submission ( an application "u p>agraph 7#b71 or a prospective nurs+ faculty memb]2 7ii7 is curr5tly employ$ at ! s*ool ( nurs+ & :o demon/rates ! ne$ = su* support2 7iii7 previ\sly work$ z a nurse 9 cl9ical practice or z a nurse faculty memb] at ano!r s*ool ( nurs+2 or 7iv7 may "w on a "p-"t basis z a nurs+ faculty memb]1 = :om su* aw>d am\nts describ$ 9 p>agraph 7#c7 %all be prorat$ relative to ! am\nt ( "t p>ticipat+ 9 "p-"t tea*+4 7,b7 ,inflation ,! t]m inflation means ! ,consum] ,price ,index = all urban consum]s 7all items2 ,u4,s4 city av]age74 7#h7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 !re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ! p]iod ( fiscal ye>s #bjbg ?r\gh #bjca4 7#i7 ,sunset ,! au?ority ( ! ,secret>y to aw>d grants "u ?is section %all t]m9ate on ,septemb] #cj1 #bjca4 ,any grant aw>d$ be=e su* date %all cont9ue 9 accordance ) ! t]ms ( ! grant1 b no grant may be aw>d$ "u ?is subsection aft] su* date4 4 #e4 ,/ate & regional nurs+ work=ce c5t] data collection pilot program 7a7 ,9 g5]al ,title ,,viii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bif et seq47 is am5d$ by /rik+ ,"p ,g--,public ,s]vice ,ann\ncem5ts & ins]t+ ! foll[+3 ,g ,nurs+ work=ce c5t]s #hfa4 ,/ate & regional nurs+ work=ce c5t] data collection pilot program 7a7 ,9 g5]al ,! ,secret>y may c>ry out a #c-ye> pilot program "u :i* ! ,secret>y aw>ds grants1 or ent]s into contracts )1 eligible entities to e/abli% new or enhance exi/+ ,/ate- & regional bas$ nurs+ work=ce c5t]s1 evaluate ! impact ( ,/ate-& regional bas$ nurs+ work=ce c5t]s on outcomes1 & assess ! feasibility ( nurs+ work=ce public-private p>tn]%ips4 ,! ,secret>y %all beg9 implem5tation ( su* pilot program n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,title ,,viii ,nurs+ ,work=ce ,reau?orization ,act ( #bjbf4 7b7 ,aw>d t]ms 7#a7 ,t]m ,! t]m ( a grant or contract aw>d$ "u ! pilot program "u subsection 7a7 %all be #c ye>s4 7#b7 ,mat*+ requirem5t ,z a condition on receipt ( a grant or contract "u ! pilot program "u subsection 7a71 ! ,secret>y %all require ! applicant to agree1 ) respect to co/s to be incurr$ by ! applicant 9 c>ry+ out ! activities fund$ ?r\gh ! grant or contract1 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt t is equal to n less ?an #a = ea* #d ( ,f$]al funds provid$ ?r\gh ! grant or contract4 ,su* contributions may be made directly or ?r\gh donations f public or private entities4 7c7 ,eligibility ,to be eligible to receive a grant or contract "u ?is section1 an entity %all be-- 7#a7 a ,/ate ag5cy2 7#b7 a ,/ate bo>d ( nurs+2 7#c7 a nonpr(it2 or 7#d7 a s*ool ( nurs+4 7d7 ,equitable di/ribution ,9 aw>d+ grants or contracts "u ?is section1 ! ,secret>y %all ensure1 to ! greate/ ext5t possible1 t su* grants & contracts are equitably di/ribut$ among ! geographical regions ( ! ,unit$ ,/ates4 7e7 ,priority ,9 select+ ! eligible entity to be aw>d$ a grant or contract "u ?is section = a nurs+ work=ce c5t] 9 a p>ticul> ,/ate1 ! ,secret>y %all give priority to eligible entities t-- 7#a7 propose to provide /atewide s]vices2 7#b7 h exp]tise 9 ! ,/ate's nurs+ work=ce issues2 7#c7 h a hi/ory ( conv5+ entities to address nurs+ work=ce issues2 & 7#d7 h p>tn]%ips ) entities t traditionally educate or employ ! ,/ate's nurses4 7f7 ,use ( funds ,a recipi5t ( a grant or contract "u ?is section may use su* aw>d = purposes (-- 7#a7 collect+1 analyz+1 & report+ data reg>d+ nurs+ work=ce tra9+ programs "u ?is ,act to ! ,national ,c5t] = ,heal? ,work=ce ,analysis & to ! public2 & 7#b7 provid+ te*nical assi/ance to local & regional entities on ! collection1 analysis1 & report+ ( data & mak+ recomm5dations to improve nurs+ work=ce capacity4 7g7 ,reports ,n lat] ?an #b ye>s aft] ! date on :i* ! fir/ grant or contract is aw>d$ "u ! pilot program "u subsection 7a71 & annually !reaft]1 ! ,secret>y %all submit to ,congress a report on ! grants & contracts aw>d$ "u su* pilot program dur+ ! ye> cov]$ by ! report4 ,ea* su* report %all include-- 7#a7 a description ( initiatives to /udy ! unique *>act]i/ics ( ,/ate nurs+ work=ces1 & ef=ts to increase ! numb] ( new nurses1 recruit nurses to ! nurs+ pr(ession1 & reta9 nurses 9 ! workplace2 7#b7 impact data on nurses s]v$ by nurs+ work=ce c5t]s1 includ+ demographic in=mation ( ! individuals s]v$1 ! numb] ( su* individuals1 & ! types ( s]vices provid$2 7#c7 ! effectiv5ess ( e/abli%+ =mal public-private relation%ips = purposes ( und]/&+ ! national nurs+ work=ce ?r\gh improv$ data collection & /&>dization2 7#d7 data on cont9u\s evaluation & quality improvem5t1 & o!r relevant data z det]m9$ by ! ,secret>y2 & 7#e7 ! ,secret>y's recomm5dations & be/ practices =-- 7,a7 r$uc+ %ortages among diff]5t nurs+ specialties2 7,b7 r$uc+ %ortages 9 rural & und]s]v$ areas2 7,c7 improv+ geographical di/ribution ( ! nurs+ work=ce2 & 7,d7 r$uc+ %ortages among diff]5t types ( nurs+ employ]s4 7h7 ,data collection ,! recipi5t ( a grant or contract "u ?is section %all provide ! ,secret>y ) su* in=mation 7includ+ data & assurances71 at su* "t1 & 9 su* mann] z ! ,secret>y may require 9 ord] to prep>e ! report "u subsection 7g74 7i7 ,fund+ 7#a7 ,9 g5]al ,f ! am\nts appropriat$ to c>ry out ?is title1 ! ,secret>y may use up to #a1ejj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjbi = purposes ( c>ry+ out ?is section4 7#b7 ,limitation ,p>agraph 7#a7 %all n apply = a fiscal ye> unless ! am\nt made available to c>ry out p>ts ,b1 ,c1 & ,d = su* fiscal ye> exce$s ! am\nt appropriat$ to c>ry out su* p>ts = fiscal ye> #bjbf4 4 7b7 ,au?orization ( appropriations ,section #hga7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bih;d7a77 is am5d$ by /rik+ & ,d & ins]t+ ,d1 & ,g4 #f4 ,au?orization ( appropriations ,section #hga ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bih;d71 z am5d$ by section #e7;b71 is fur!r am5d$-- 7#a7 9 subsection 7a71 by /rik+ #acg1hcg1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #ahd1ccg1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 & 7#b7 9 subsection 7b71 by /rik+ #aag1ace1jjj = ea* ( ! fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #aba1ace1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 ,july #bh1 #bjbf,report$ ) an am5dm5t