,,ii ,cal5d> ,no4 #ebi #aai? ,,congress #b;d ,session ,s4 #daaj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ag1 #bjbf,mr4 ,re$ 7= himself & ,ms4 ,murk[ski7 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 revise & ext5d heal? work=ce programs "u title ,,vii ( ! ,public ,heal? ,s]vice ,act4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,educat+ ,m$ical ,pr(essionals & ,optimiz+ ,work=ce ,effici5cy & ,read9ess = ,heal? ,act or ! ,,emp[] = ,heal? ,act4 #b4 ,reau?orization ( heal? pr(essions work=ce programs ,title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bib et seq47 is am5d$-- 7#a7 9 section #gcf7;i7 7#db ,u4,s4,c4 #bic7;i771 by /rik+ #bc1gaa1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #bh1dbb1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#b7 9 section #gdj 7#db ,u4,s4,c4 #bic;d7-- 7,a7 9 subsection 7a71 by /rik+ #ea1dgj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #ee1jad1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7,b7 9 subsection 7b71 by /rik+ appropriat$1 #a1aij1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ appropriat$ #b1caj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7,c7 9 subsection 7c71 by /rik+ #ae1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #af1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 & 7,d7 9 subsection 7d71 by /rik+ ,septemb] #cj1 #bjbe & ins]t+ ,septemb] #cj1 #bjcj2 7#c7 9 section #gdg7;c77#a7 7#db ,u4,s4,c4 #bick7c77#a771 by /rik+ #dh1ibd1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #di1ibd1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#d7 9 section #gdh7;f7 7#db ,u4,s4,c4 #bick-#b7;f771 by /rik+ #bh1eca1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #db1fgc1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#e7 9 section #gea7;j77#a7 7#db ,u4,s4,c4 #bid;a7j77#a771 by /rik+ #da1bej1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #dg1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#f7 9 section #gec7;d7 7#db ,u4,s4,c4 #bid;c7d771 by /rik+ #dj1gcg1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #dh1bde1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#g7 9 section #gfa7;e77#a77;,a7 7#db ,u4,s4,c4 #bidn7e77#a77;,a771 by /rik+ #bjba ?r\gh #bjbe & ins]t+ #bjbf ?r\gh #bjcj2 7#h7 9 section #gfb7;i7 7#db ,u4,s4,c4 #bido7i771 by /rik+ ,septemb] #cj1 #bjbc & ins]t+ ,septemb] #cj1 #bjcj2 7#i7 9 section #ggj7;a7 7#db ,u4,s4,c4 #bie;e7a771 by /rik+ #ag1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #ah1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 7#aj7 9 section #gge7;e7 7#db ,u4,s4,c4 #bie;f7e771 by /rik+ is au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 & ins]t+ ! foll[+3 8are au?oriz$ to be appropriat$ = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj-- 7#a7 to c>ry out subsection 7c77#a77;,a71 #e1jjj1jjj2 & 7#b7 to c>ry out subsection 7c77#a77;,b71 #e1jjj1jjj4 2 & 7#aa7 9 section #ggf7;i7 7#db ,u4,s4,c4 #bie;f-#a7;i771 by /rik+ #bjbc ?r\gh #bjbe & ins]t+ #bjbf ?r\gh #bjcj4 #c4 ,inve/m5t 9 tomorr['s p$iatric heal? c>e work=ce ,section #gge ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;f7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ be employ$ full-"t & ins]t+ p]=m full-"t s]vice2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ 9 an area ) a %ortage ( ! specifi$ p$iatric subspecialty t has a suffici5t p$iatric population to support su* p$iatric subspecialty1 z det]m9$ by ! ,secret>y & ins]t+ to und]s]v$ *ildr5 or 9 an area ) a %ortage ( ! specifi$ p$iatric subspecialty2 & 7,b7 9 p>agraph 7#b77;,b7-- 7i7 by /rik+ employm5t & ins]t+ s]vice2 & 7ii7 by /rik+ an area or & ins]t+ a2 7#c7 9 subsection 7c7-- 7,a7 by /rik+ ! subsection designation & head+ & all t foll[s ?r\gh ! p>agraph designation & head+ 9 p>agraph 7#a7 & ins]t+ ! foll[+3 7c7 ,eligibility 7#a7 ,def9ition ( qualifi$ heal? pr(essional ,9 ?is section3 2 7,b7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by ins]t+ "u ?is section aft] contracts2 & 7,,ii7 9 clause 7ii71 by /rik+ subp>agraph 7,b7 & ins]t+ clause 7i72 & 7ii7 9 subp>agraph 7,b71 9 ! matt] prec$+ clause 7i71 by ins]t+ "u ?is section aft] contracts2 & 7,c7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ?is subsection ) an eligible individual & ins]t+ ?is section ) a qualifi$ heal? pr(essional2 7ii7 9 subp>agraph 7,a7-- 7,i7 by /rik+ individual & ins]t+ qualifi$ heal? pr(essional2 & 7,,ii7 by /rik+ m$ically und]s]v$ population & ins]t+ m$ically und]s]v$ p$iatric population 7includ+ *ildr5 enroll$ 9 ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act72 & 7iii7 9 ea* ( subp>agraphs 7,b7 & 7,c71 by /rik+ individual & ins]t+ qualifi$ heal? pr(essional2 7#d7 by r$esignat+ subsection 7e7 7z am5d$ by section #b7aj77 z subsection 7f72 & 7#e7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,full-,"t s]vice obligations 7#a7 ,9 g5]al ,) respect to qualifi$ heal? pr(essionals describ$ 9 subp>agraphs 7,a77ii7 & 7,b7 ( subsection 7c77#a7 :o ent] into contracts "u ?is section1 ! ,secret>y %all e/abli% requirem5ts = full-"t s]vice t are consi/5t ) ! practice /&>ds1 includ+ rese>* & tea*+ obligations1 ( ! applicable p$iatric m$ical subspecialty1 p$iatric surgical specialty1 or *ild & adolesc5t m5tal & behavioral heal? c>e field 9 :i* su* qualifi$ heal? pr(essional practices4 7#b7 ,fell[%ips or resid5cies ,) respect to qualifi$ heal? pr(essionals describ$ 9 subsection 7c77#a77;,a77i71 ! ,secret>y %all e/abli% requirem5ts = full-"t s]vice t are consi/5t ) ! requirem5ts ( ! accr$it+ body = ! applicable resid5cy or fell[%ip = full-"t s]vice4 4 #d4 ,area heal? education c5t]s ,section #gea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;a7 is am5d$-- 7#a7 9 subsection 7c77#a77;,g71 by /rik+ high s*ool & ins]t+ pre-collegiate2 & 7#b7 9 subsection 7h77#a7-- 7,a7 9 subp>agraph 7,a71 by /rik+ #ab ye>s & ins]t+ #b aw>d cycles2 & 7,b7 9 subp>agraph 7,b71 by /rik+ #f ye>s & ins]t+ #a aw>d cycle4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,educat+ ,m$ical ,pr(essionals & ,optimiz+ ,work=ce ,effici5cy & ,read9ess = ,heal? ,act or ! ,,emp[] = ,heal? ,act4 #b4 ,reau?orization ( heal? pr(essions work=ce programs ,title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bib et seq47 is am5d$-- 7#a7 9 section #gcf7;i7 7#db ,u4,s4,c4 #bic7;i771 by /rik+ #bc1gaa1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #be1dbb1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7#b7 9 section #gdj 7#db ,u4,s4,c4 #bic;d7-- 7,a7 9 subsection 7a71 by /rik+ #ea1dgj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #ee1jad1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7,b7 9 subsection 7b71 by /rik+ appropriat$1 #a1aij1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ appropriat$ #b1caj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7,c7 9 subsection 7c71 by /rik+ fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ fiscal ye>s #bjbg ?r\gh #bjca2 & 7,d7 9 subsection 7d71 by /rik+ ,septemb] #cj1 #bjbe & ins]t+ ,septemb] #cj1 #bjca2 7#c7 9 section #gdg7;c77#a7 7#db ,u4,s4,c4 #bick7c77#a771 by /rik+ #dh1ibd1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #di1ibd1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7#d7 9 section #gdh7;f7 7#db ,u4,s4,c4 #bick-#b7;f771 by /rik+ #bh1eca1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #dc1fgc1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7#e7 9 section #gea7;j77#a7 7#db ,u4,s4,c4 #bid;a7j77#a771 by /rik+ #da1bej1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #dg1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7#f7 9 section #gec7;d7 7#db ,u4,s4,c4 #bid;c7d771 by /rik+ #dj1gcg1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #dh1bde1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7#g7 9 section #gfa7;e77#a77;,a7 7#db ,u4,s4,c4 #bidn7e77#a77;,a771 by /rik+ #bjba ?r\gh #bjbe & ins]t+ #bjbg ?r\gh #bjca2 7#h7 9 section #gfb7;i7 7#db ,u4,s4,c4 #bido7i771 by /rik+ ,septemb] #cj1 #bjbc & ins]t+ ,septemb] #cj1 #bjca2 7#i7 9 section #ggj7;a7 7#db ,u4,s4,c4 #bie;e7a771 by /rik+ #ag1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe & ins]t+ #ah1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca2 7#aj7 9 section #gge7;e7 7#db ,u4,s4,c4 #bie;f7e771 by /rik+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 & ins]t+ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca1 to rema9 available until exp5d$42 & 7#aa7 9 section #ggf7;i7 7#db ,u4,s4,c4 #bie;f-#a7;i771 by /rik+ #bjbc ?r\gh #bjbe & ins]t+ #bjbg ?r\gh #bjca4 #c4 ,inve/m5t 9 tomorr['s p$iatric heal? c>e work=ce ,section #gge ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;f7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ be employ$ full-"t & ins]t+ p]=m full-"t s]vice2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by ins]t+ to und]s]v$ p$iatric populations1 or to provide su* c>e be=e 9 an area2 & 7,b7 9 p>agraph 7#b77;,b7-- 7i7 by /rik+ employm5t & ins]t+ s]vice2 & 7ii7 by /rik+ s]v+ an area or population describ$ 9 su* p>agraph2 7#c7 9 subsection 7c7-- 7,a7 by /rik+ ! subsection designation & head+ & all t foll[s ?r\gh ! p>agraph designation & head+ 9 p>agraph 7#a7 & ins]t+ ! foll[+3 7c7 ,eligibility 7#a7 ,def9ition ( qualifi$ heal? pr(essional ,9 ?is section3 2 7,b7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,a7-- 7,i7 9 ! matt] prec$+ clause 7i71 by ins]t+ "u ?is section aft] contracts2 & 7,,ii7 9 clause 7ii71 by /rik+ subp>agraph 7,b7 & ins]t+ clause 7i72 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i71 by ins]t+ "u ?is section aft] contracts2 7,,ii7 9 clause 7i71 by /rik+ or pr(essional c\nsel+ & ins]t+ pr(essional c\nsel+1 or su* o!r p$iatric m5tal or behavioral heal? discipl9e z ! ,secret>y det]m9es appropriate2 & 7,,iii7 9 clause 7ii71 by /rik+ or pr(essional c\nsel+ & ins]t+ pr(essional c\nsel+1 or su* o!r p$iatric m5tal or behavioral heal? discipl9e z ! ,secret>y det]m9es appropriate2 & 7,c7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ?is subsection ) an eligible individual & ins]t+ ?is section ) a qualifi$ heal? pr(essional2 7ii7 9 subp>agraph 7,a7-- 7,i7 by /rik+ individual & ins]t+ qualifi$ heal? pr(essional2 & 7,,ii7 by /rik+ m$ically und]s]v$ population & ins]t+ m$ically und]s]v$ p$iatric population 7includ+ *ildr5 enroll$ 9 ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act72 & 7iii7 9 ea* ( subp>agraphs 7,b7 & 7,c71 by /rik+ individual & ins]t+ qualifi$ heal? pr(essional2 7#d7 by r$esignat+ subsection 7e7 7z am5d$ by section #b7aj77 z subsection 7h72 & 7#e7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,full-,"t s]vice obligations 7#a7 ,9 g5]al ,) respect to qualifi$ heal? pr(essionals describ$ 9 subsection 7c77#a77;,a77i71 qualifi$ heal? pr(essionals describ$ 9 subsection 7c77#a77;,a77ii7 7includ+ ^? :o h complet$ _! resid5cy or fell[%ip & h additional "t rema9+ on _! contract71 & qualifi$ heal? pr(essionals describ$ 9 subsection 7c77#a77;,b71 ! ,secret>y1 9 consultation ) organizations repres5t+ qualifi$ p$iatric heal? pr(essionals & s]vice sites1 %all e/abli% requirem5ts = full-"t s]vice t include1 at a m9imum1 a requirem5t t half ( ! requir$ s]vice h\rs p] contract ye> mu/ be provid+ direct cl9ical c>e4 ,9 e/abli%+ su* requirem5ts1 ! ,secret>y %all ensure t su* requirem5ts take into acc\nt ! rese>* & tea*+ obligations ( fell[s 9 accr$it$ p$iatric resid5cy & fell[%ip programs4 7#b7 ,fell[%ips or resid5cies ,) respect to qualifi$ heal? pr(essionals describ$ 9 subsection 7c77#a77;,a77i71 ! ,secret>y %all e/abli% requirem5ts = full-"t s]vice t are consi/5t ) ! requirem5ts ( ! accr$it+ body = ! applicable resid5cy or fell[%ip = full-"t s]vice4 7f7 ,brea* ( contract 7#a7 ,liquidat$ damages =mula ,! ,secret>y may e/abli% a liquidat$ damages =mula to be us$ 9 ! ev5t ( a brea* ( a contract ent]$ into "u ?is section4 7#b7 ,limitation ,! failure by an individual to complete ! full p]iod ( s]vice obligat$ pursuant to a contract ent]$ into "u ?is section1 tak5 alone1 %all n con/itute a brea* ( su* contract1 s long z ! individual complet$ 9 good fai? ! ye>s ( s]vice = :i* paym5ts 7 made to ! individual "u ?is section4 7g7 ,t]m9ation ( contract ,! ,secret>y may t]m9ate a contract "u ?is section 9 ! same mann] z ! ,secret>y may t]m9ate a contract ent]$ into "u section #cch;,b4 4 #d4 ,area heal? education c5t]s ,section #gea7;c77#a77;,g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;a7c77#a77;,g77 is am5d$ by ins]t+ middle s*ool & be=e high s*ool4 #e4 ,/ate & regional c5t]s = heal? work=ce analysis 7a7 ,expansion ( cov]$ programs ,section #gfa7;c77#a77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bidn7c77#a77;,a77 is am5d$ by /rik+ "u ?is title & ins]t+ "u ?is ,act4 7b7 ,analysis & te*nical assi/ance ,section #gfa7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bidn7c77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,m9imum requirem5t ,at lea/ "o grant or contract aw>d$ "u ?is subsection may be aw>d$ to an eligible entity t demon/rates-- 7,a7 a mission to advance & support ! nurs+ work=ce2 7,b7 exp]i5ce & exp]tise 9 guid+ ,/ate-level nurs+ work=ce c5t]s2 7,c7 exp]i5ce 9 work+ ) nurs+ work=ce data2 7,d7 exp]tise 9 analytical me?ods & tools appropriate = nurs+ work=ce rese>*2 & 7,e7 aw>5ess ( em]g+ topics1 issues1 & tr5ds relat$ to ! nurs+ work=ce4 7#d7 ,analysis & report+ ,analysis & report+ c>ri$ out pursuant to a grant or contract "u ?is subsection may include-- 7,a7 collaborat+ ) nurs+ work=ce c5t]s to produce or deliv] educational mat]ials & rese>* ) respect to ! supply ( nurses1 ! dem& = nurses1 & ! capacity to educate & tra9 ! nurs+ work=ce2 7,b7 evaluat+ ! programs & activities ( ! nurs+ work=ce c5t]s ov]all2 7,c7 develop+ evid5ce-bas$ or evid5ce-in=m$ /rategies & be/ practices to alleviate nurs+ work=ce %ortages across ,/ates & regions2 & 7,d7 conduct+ rapid data analysis & %ort-t]m1 issue-specific rese>*4 7#e7 ,te*nical assi/ance ,te*nical assi/ance provid$ pursuant to ?is subsection may include-- 7,a7 provid+ te*nical assi/ance to nurs+ work=ce c5t]s on ! collection1 analysis1 & report+ ( /&>diz$ supply1 dem&1 & education & tra9+ data to in=m analysis conduct$ pursuant to ?is subsection2 7,b7 collaborat+ ) nurs+ work=ce c5t]s to id5tify & deliv] evid5ce-bas$ or evid5ce-in=m$ /rategies to alleviate nurs+ %ortages & ! maldi/ribution ( nurses2 7,c7 provid+ onl9e & 9-p]son tra9+ opportunities = nurses & o!r /aff at nurs+ work=ce c5t]s2 & 7,d7 develop+ & ma9ta9+ a website t-- 7i7 is accessible to grant & contract recipi5ts "u ?is section2 7ii7 supports res\rces = ! provision ( te*nical assi/ance "u ?is section1 su* z-- 7,i7 evid5ce-bas$ or evid5ce-in=m$ educational mat]ials1 tools1 rec5t f9d+s ( int]e/1 & l9ks to relevant res\rces2 & 7,,ii7 logi/ical & adm9i/rative in=mation1 su* z onl9e tra9+s1 web9>s1 & publications2 & 7iii7 includes a publicly accessible repository ( web9>s1 tools1 & res\rces4 4 ,july #bh1 #bjbf,report$ ) an am5dm5t