,,ii ,calendar ,no4 #ebi #aaith         
,,congress  #b;d ,session  ,s4 #daaj    
,,in ,,the ,,senate ,,of ,,the ,,united 
,,states  ,march #ag1 #bjbf,mr4 ,reed   
7for himself and ,ms4 ,murkowski7       
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,july #bh1       
#bjbf,reported by ,mr4 ,cassidy1 with an
 amendment,strike out all after the     
enacting clause and insert the part     
printed in italic  ,a ,,bill  ,to revise
 and extend health workforce programs   
under title ,,vii of the ,public ,health
 ,service ,act4  #a4 ,short title ,this 
,act may be cited as the ,educating     
,medical ,professionals and ,optimizing 
,workforce ,efficiency and ,readiness   
for ,health ,act or the ,,empower for   
,health ,act4  #b4 ,reauthorization of  
health professions workforce programs   
,title ,,vii of the ,public ,health     
,service ,act 7#db ,u4,s4,c4 #bib et    
seq47 is amended-- 7#a7 in section      

#gcf7;i7 7#db ,u4,s4,c4 #bic7;i771 by   
striking #bc1gaa1jjj for each of fiscal 
years #bjba through #bjbe and inserting 
#bh1dbb1jjj for each of fiscal years    
#bjbf through #bjcj2  7#b7 in section   
#gdj 7#db ,u4,s4,c4 #bic;d7-- 7,a7 in   
subsection 7a71 by striking #ea1dgj1jjj 
for each of fiscal years #bjba through  
#bjbe and inserting #ee1jad1jjj for each
 of fiscal years #bjbf through #bjcj2   
7,b7 in subsection 7b71 by striking     
appropriated1 #a1aij1jjj for each of    
fiscal years #bjba through #bjbe and    
inserting appropriated #b1caj1jjj for   
each of fiscal years #bjbf through      
#bjcj2  7,c7 in subsection 7c71 by      
striking #ae1jjj1jjj for each of fiscal 
years #bjba through #bjbe and inserting 
#af1jjj1jjj for each of fiscal years    
#bjbf through #bjcj2 and  7,d7 in       
subsection 7d71 by striking ,september  
#cj1 #bjbe and inserting ,september #cj1
 #bjcj2  7#c7 in section #gdg7;c77#a7   
7#db ,u4,s4,c4 #bick7c77#a771 by        
striking #dh1ibd1jjj for each of fiscal 

years #bjba through #bjbe and inserting 
#di1ibd1jjj for each of fiscal years    
#bjbf through #bjcj2  7#d7 in section   
#gdh7;f7 7#db ,u4,s4,c4 #bick-#b7;f771  
by striking #bh1eca1jjj for each of     
fiscal years #bjba through #bjbe and    
inserting #db1fgc1jjj for each of fiscal
 years #bjbf through #bjcj2  7#e7 in    
section #gea7;j77#a7 7#db ,u4,s4,c4     
#bid;a7j77#a771 by striking #da1bej1jjj 
for each of fiscal years #bjba through  
#bjbe and inserting #dg1jjj1jjj for each
 of fiscal years #bjbf through #bjcj2   
7#f7 in section #gec7;d7 7#db ,u4,s4,c4 
#bid;c7d771 by striking #dj1gcg1jjj for 
each of fiscal years #bjba through #bjbe
 and inserting #dh1bde1jjj for each of  
fiscal years #bjbf through #bjcj2  7#g7 
in section #gfa7;e77#a77;,a7 7#db       
,u4,s4,c4 #bidn7e77#a77;,a771 by        
striking #bjba through #bjbe and        
inserting #bjbf through #bjcj2  7#h7 in 
section #gfb7;i7 7#db ,u4,s4,c4         
#bido7i771 by striking ,september #cj1  
#bjbc and inserting ,september #cj1     

#bjcj2  7#i7 in section #ggj7;a7 7#db   
,u4,s4,c4 #bie;e7a771 by striking       
#ag1jjj1jjj for each of fiscal years    
#bjba through #bjbe and inserting       
#ah1jjj1jjj for each of fiscal years    
#bjbf through #bjcj2  7#aj7 in section  
#gge7;e7 7#db ,u4,s4,c4 #bie;f7e771 by  
striking is authorized to be            
appropriated such sums as may be        
necessary for each of fiscal years #bjba
 through #bjbe4 and inserting the       
following3 8are authorized to be        
appropriated for each of fiscal years   
#bjbf through #bjcj--  7#a7 to carry out
 subsection 7c77#a77;,a71 #e1jjj1jjj2   
and  7#b7 to carry out subsection       
7c77#a77;,b71 #e1jjj1jjj4  2 and  7#aa7 
in section #ggf7;i7 7#db ,u4,s4,c4      
#bie;f-#a7;i771 by striking #bjbc       
through #bjbe and inserting #bjbf       
through #bjcj4  #c4 ,investment in      
tomorrow's pediatric health care        
workforce ,section #gge of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bie;f7 is amended-- 7#a7 in subsection 

7a71 by striking be employed full-time  
and inserting perform full-time service2
  7#b7 in subsection 7b7-- 7,a7 in      
paragraph 7#a71 by striking in an area  
with a shortage of the specified        
pediatric subspecialty that has a       
sufficient pediatric population to      
support such pediatric subspecialty1 as 
determined by the ,secretary and        
inserting to underserved children or in 
an area with a shortage of the specified
 pediatric subspecialty2 and  7,b7 in   
paragraph 7#b77;,b7-- 7i7 by striking   
employment and inserting service2 and   
7ii7 by striking an area or and         
inserting a2  7#c7 in subsection 7c7--  
7,a7 by striking the subsection         
designation and heading and all that    
follows through the paragraph           
designation and heading in paragraph    
7#a7 and inserting the following3  7c7  
,eligibility  7#a7 ,definition of       
qualified health professional ,in this  
section3  2  7,b7 in paragraph 7#a7--   
7i7 in subparagraph 7,a7-- 7,i7 in the  

matter preceding clause 7i71 by         
inserting under this section after      
contracts2 and  7,,ii7 in clause 7ii71  
by striking subparagraph 7,b7 and       
inserting clause 7i72 and  7ii7 in      
subparagraph 7,b71 in the matter        
preceding clause 7i71 by inserting under
 this section after contracts2 and  7,c7
 in paragraph 7#b7-- 7i7 in the matter  
preceding subparagraph 7,a71 by striking
 this subsection with an eligible       
individual and inserting this section   
with a qualified health professional2   
7ii7 in subparagraph 7,a7-- 7,i7 by     
striking individual and inserting       
qualified health professional2 and      
7,,ii7 by striking medically underserved
 population and inserting medically     
underserved pediatric population        
7including children enrolled in the     
,medicaid program under title ,,xix of  
the ,social ,security ,act72 and  7iii7 
in each of subparagraphs 7,b7 and 7,c71 
by striking individual and inserting    
qualified health professional2  7#d7 by 

redesignating subsection 7e7 7as amended
 by section #b7aj77 as subsection 7f72  
and  7#e7 by inserting after subsection 
7d7 the following3  7e7 ,full-,time     
service obligations  7#a7 ,in general   
,with respect to qualified health       
professionals described in subparagraphs
 7,a77ii7 and 7,b7 of subsection 7c77#a7
 who enter into contracts under this    
section1 the ,secretary shall establish 
requirements for full-time service that 
are consistent with the practice        
standards1 including research and       
teaching obligations1 of the applicable 
pediatric medical subspecialty1         
pediatric surgical specialty1 or child  
and adolescent mental and behavioral    
health care field in which such         
qualified health professional practices4
  7#b7 ,fellowships or residencies ,with
 respect to qualified health            
professionals described in subsection   
7c77#a77;,a77i71 the ,secretary shall   
establish requirements for full-time    
service that are consistent with the    

requirements of the accrediting body for
 the applicable residency or fellowship 
for full-time service4  4  #d4 ,area    
health education centers ,section #gea  
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bid;a7 is amended-- 7#a7
 in subsection 7c77#a77;,g71 by striking
 high school and inserting              
pre-collegiate2 and  7#b7 in subsection 
7h77#a7-- 7,a7 in subparagraph 7,a71 by 
striking #ab years and inserting #b     
award cycles2 and  7,b7 in subparagraph 
7,b71 by striking #f years and inserting
 #a award cycle4  #a4 ,short title ,this
 ,act may be cited as the ,educating    
,medical ,professionals and ,optimizing 
,workforce ,efficiency and ,readiness   
for ,health ,act or the ,,empower for   
,health ,act4  #b4 ,reauthorization of  
health professions workforce programs   
,title ,,vii of the ,public ,health     
,service ,act 7#db ,u4,s4,c4 #bib et    
seq47 is amended-- 7#a7 in section      
#gcf7;i7 7#db ,u4,s4,c4 #bic7;i771 by   
striking #bc1gaa1jjj for each of fiscal 

years #bjba through #bjbe and inserting 
#be1dbb1jjj for each of fiscal years    
#bjbg through #bjca2  7#b7 in section   
#gdj 7#db ,u4,s4,c4 #bic;d7-- 7,a7 in   
subsection 7a71 by striking #ea1dgj1jjj 
for each of fiscal years #bjba through  
#bjbe and inserting #ee1jad1jjj for each
 of fiscal years #bjbg through #bjca2   
7,b7 in subsection 7b71 by striking     
appropriated1 #a1aij1jjj for each of    
fiscal years #bjba through #bjbe and    
inserting appropriated #b1caj1jjj for   
each of fiscal years #bjbg through      
#bjca2  7,c7 in subsection 7c71 by      
striking fiscal years #bjba through     
#bjbe and inserting fiscal years #bjbg  
through #bjca2 and  7,d7 in subsection  
7d71 by striking ,september #cj1 #bjbe  
and inserting ,september #cj1 #bjca2    
7#c7 in section #gdg7;c77#a7 7#db       
,u4,s4,c4 #bick7c77#a771 by striking    
#dh1ibd1jjj for each of fiscal years    
#bjba through #bjbe and inserting       
#di1ibd1jjj for each of fiscal years    
#bjbg through #bjca2  7#d7 in section   

#gdh7;f7 7#db ,u4,s4,c4 #bick-#b7;f771  
by striking #bh1eca1jjj for each of     
fiscal years #bjba through #bjbe and    
inserting #dc1fgc1jjj for each of fiscal
 years #bjbg through #bjca2  7#e7 in    
section #gea7;j77#a7 7#db ,u4,s4,c4     
#bid;a7j77#a771 by striking #da1bej1jjj 
for each of fiscal years #bjba through  
#bjbe and inserting #dg1jjj1jjj for each
 of fiscal years #bjbg through #bjca2   
7#f7 in section #gec7;d7 7#db ,u4,s4,c4 
#bid;c7d771 by striking #dj1gcg1jjj for 
each of fiscal years #bjba through #bjbe
 and inserting #dh1bde1jjj for each of  
fiscal years #bjbg through #bjca2  7#g7 
in section #gfa7;e77#a77;,a7 7#db       
,u4,s4,c4 #bidn7e77#a77;,a771 by        
striking #bjba through #bjbe and        
inserting #bjbg through #bjca2  7#h7 in 
section #gfb7;i7 7#db ,u4,s4,c4         
#bido7i771 by striking ,september #cj1  
#bjbc and inserting ,september #cj1     
#bjca2  7#i7 in section #ggj7;a7 7#db   
,u4,s4,c4 #bie;e7a771 by striking       
#ag1jjj1jjj for each of fiscal years    

#bjba through #bjbe and inserting       
#ah1jjj1jjj for each of fiscal years    
#bjbg through #bjca2  7#aj7 in section  
#gge7;e7 7#db ,u4,s4,c4 #bie;f7e771 by  
striking such sums as may be necessary  
for each of fiscal years #bjba through  
#bjbe4 and inserting to carry out this  
section #aj1jjj1jjj for each of fiscal  
years #bjbg through #bjca1 to remain    
available until expended42 and  7#aa7 in
 section #ggf7;i7 7#db ,u4,s4,c4        
#bie;f-#a7;i771 by striking #bjbc       
through #bjbe and inserting #bjbg       
through #bjca4  #c4 ,investment in      
tomorrow's pediatric health care        
workforce ,section #gge of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bie;f7 is amended-- 7#a7 in subsection 
7a71 by striking be employed full-time  
and inserting perform full-time service2
  7#b7 in subsection 7b7-- 7,a7 in      
paragraph 7#a71 by inserting to         
underserved pediatric populations1 or to
 provide such care before in an area2   
and  7,b7 in paragraph 7#b77;,b7-- 7i7  

by striking employment and inserting    
service2 and  7ii7 by striking serving  
an area or population described in such 
paragraph2  7#c7 in subsection 7c7--    
7,a7 by striking the subsection         
designation and heading and all that    
follows through the paragraph           
designation and heading in paragraph    
7#a7 and inserting the following3  7c7  
,eligibility  7#a7 ,definition of       
qualified health professional ,in this  
section3  2  7,b7 in paragraph 7#a7--   
7i7 in subparagraph 7,a7-- 7,i7 in the  
matter preceding clause 7i71 by         
inserting under this section after      
contracts2 and  7,,ii7 in clause 7ii71  
by striking subparagraph 7,b7 and       
inserting clause 7i72 and  7ii7 in      
subparagraph 7,b7-- 7,i7 in the matter  
preceding clause 7i71 by inserting under
 this section after contracts2  7,,ii7  
in clause 7i71 by striking or           
professional counseling and inserting   
professional counseling1 or such other  
pediatric mental or behavioral health   

discipline as the ,secretary determines 
appropriate2 and  7,,iii7 in clause     
7ii71 by striking or professional       
counseling and inserting professional   
counseling1 or such other pediatric     
mental or behavioral health discipline  
as the ,secretary determines            
appropriate2 and  7,c7 in paragraph     
7#b7-- 7i7 in the matter preceding      
subparagraph 7,a71 by striking this     
subsection with an eligible individual  
and inserting this section with a       
qualified health professional2  7ii7 in 
subparagraph 7,a7-- 7,i7 by striking    
individual and inserting qualified      
health professional2 and  7,,ii7 by     
striking medically underserved          
population and inserting medically      
underserved pediatric population        
7including children enrolled in the     
,medicaid program under title ,,xix of  
the ,social ,security ,act72 and  7iii7 
in each of subparagraphs 7,b7 and 7,c71 
by striking individual and inserting    
qualified health professional2  7#d7 by 

redesignating subsection 7e7 7as amended
 by section #b7aj77 as subsection 7h72  
and  7#e7 by inserting after subsection 
7d7 the following3  7e7 ,full-,time     
service obligations  7#a7 ,in general   
,with respect to qualified health       
professionals described in subsection   
7c77#a77;,a77i71 qualified health       
professionals described in subsection   
7c77#a77;,a77ii7 7including those who   
have completed their residency or       
fellowship and have additional time     
remaining on their contract71 and       
qualified health professionals described
 in subsection 7c77#a77;,b71 the        
,secretary1 in consultation with        
organizations representing qualified    
pediatric health professionals and      
service sites1 shall establish          
requirements for full-time service that 
include1 at a minimum1 a requirement    
that half of the required service hours 
per contract year must be providing     
direct clinical care4 ,in establishing  
such requirements1 the ,secretary shall 

ensure that such requirements take into 
account the research and teaching       
obligations of fellows in accredited    
pediatric residency and fellowship      
programs4  7#b7 ,fellowships or         
residencies ,with respect to qualified  
health professionals described in       
subsection 7c77#a77;,a77i71 the         
,secretary shall establish requirements 
for full-time service that are          
consistent with the requirements of the 
accrediting body for the applicable     
residency or fellowship for full-time   
service4  7f7 ,breach of contract  7#a7 
,liquidated damages formula ,the        
,secretary may establish a liquidated   
damages formula to be used in the event 
of a breach of a contract entered into  
under this section4  7#b7 ,limitation   
,the failure by an individual to        
complete the full period of service     
obligated pursuant to a contract entered
 into under this section1 taken alone1  
shall not constitute a breach of such   
contract1 so long as the individual     

completed in good faith the years of    
service for which payments were made to 
the individual under this section4  7g7 
,termination of contract ,the ,secretary
 may terminate a contract under this    
section in the same manner as the       
,secretary may terminate a contract     
entered into under section #cch;,b4  4  
#d4 ,area health education centers      
,section #gea7;c77#a77;,g7 of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bid;a7c77#a77;,g77 is amended
 by inserting middle school and before  
high school4  #e4 ,state and regional   
centers for health workforce analysis   
7a7 ,expansion of covered programs      
,section #gfa7;c77#a77;,a7 of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bidn7c77#a77;,a77 is amended 
by striking under this title and        
inserting under this ,act4  7b7         
,analysis and technical assistance      
,section #gfa7;c7 of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4 #bidn7c77 
is amended by adding at the end the     

following3  7#c7 ,minimum requirement   
,at least one grant or contract awarded 
under this subsection may be awarded to 
an eligible entity that demonstrates--  
7,a7 a mission to advance and support   
the nursing workforce2  7,b7 experience 
and expertise in guiding ,state-level   
nursing workforce centers2  7,c7        
experience in working with nursing      
workforce data2  7,d7 expertise in      
analytical methods and tools appropriate
 for nursing workforce research2 and    
7,e7 awareness of emerging topics1      
issues1 and trends related to the       
nursing workforce4  7#d7 ,analysis and  
reporting ,analysis and reporting       
carried out pursuant to a grant or      
contract under this subsection may      
include-- 7,a7 collaborating with       
nursing workforce centers to produce or 
deliver educational materials and       
research with respect to the supply of  
nurses1 the demand for nurses1 and the  
capacity to educate and train the       
nursing workforce2  7,b7 evaluating the 

programs and activities of the nursing  
workforce centers overall2  7,c7        
developing evidence-based or            
evidence-informed strategies and best   
practices to alleviate nursing workforce
 shortages across ,states and regions2  
and  7,d7 conducting rapid data analysis
 and short-term1 issue-specific         
research4  7#e7 ,technical assistance   
,technical assistance provided pursuant 
to this subsection may include-- 7,a7   
providing technical assistance to       
nursing workforce centers on the        
collection1 analysis1 and reporting of  
standardized supply1 demand1 and        
education and training data to inform   
analysis conducted pursuant to this     
subsection2  7,b7 collaborating with    
nursing workforce centers to identify   
and deliver evidence-based or           
evidence-informed strategies to         
alleviate nursing shortages and the     
maldistribution of nurses2  7,c7        
providing online and in-person training 
opportunities for nurses and other staff

 at nursing workforce centers2 and  7,d7
 developing and maintaining a website   
that-- 7i7 is accessible to grant and   
contract recipients under this section2 
7ii7 supports resources for the         
provision of technical assistance under 
this section1 such as-- 7,i7            
evidence-based or evidence-informed     
educational materials1 tools1 recent    
findings of interest1 and links to      
relevant resources2 and  7,,ii7         
logistical and administrative           
information1 such as online trainings1  
webinars1 and publications2 and  7iii7  
includes a publicly accessible          
repository of webinars1 tools1 and      
resources4  4  ,july #bh1 #bjbf,reported
 with an amendment