,,ii #aaith ,,congress #b;d ,session ,s4 #dcgj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #bb1 #bjbf,mr4 ,kaine introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to establish and support primary care team education centers1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,primary ,care ,team ,education ,centers ,act or the ,,pctec ,act4 #b4 ,purposes ,the purposes of this ,act are-- 7#a7 to establish and expand primary care team education centers to-- 7,a7 enhance and support the capacity of community-based ambulatory patient care centers to serve as sites to develop the next generation of health professionals to care for the needs of communities2 and 7,b7 develop and implement innovative employment1 appointment1 and compensation models to enhance and expand preceptors in primary care2 and 7#b7 to improve access to care by ensuring that more health professional students have clinical education experiences in multidisciplinary primary care settings4 #c4 ,primary care team education centers 7a7 ,in general ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following3 #cii,v-#h4 ,support and development of primary care team education centers 7a7 ,program authorized ,the ,secretary may award grants to eligible entities for the purpose of establishing and expanding primary care team education centers4 7b7 ,amount and duration ,a grant awarded under subsection 7a7 shall be for a term of not more than #e years and the maximum grant award may not be more than #a1jjj1jjj a year4 7c7 ,use of funds ,an eligible entity receiving a grant under subsection 7a7 shall use grant funds to establish or expand a primary care team education center to-- 7#a7 develop or enhance partnerships with institutions of higher education that provide a recognized postsecondary credential in health care1 or health care organizations that the ,secretary has determined are capable of carrying out such a grant or contract1 to-- 7,a7 address clinical faculty1 clinical site1 and clinical preceptor shortages for health professionals by-- 7i7 establishing mutually beneficial and sustainable agreements for precepting by the clinical staff of the primary care team education center1 through innovative employment1 appointment1 and compensation models designed to enhance-- 7,i7 recruitment and retention of such staff2 and 7,,ii7 the role of such staff in ensuring the effectiveness and sustainability of the clinical site as part of the health professional student clinical education of a partnering entity2 and 7ii7 implementing a plan to address recruitment and retention of primary care team education center clinical staff who have entered into agreements under clause 7i71 which may include paying preceptor salaries2 and 7,b7 support health professional student training in primary care by-- 7i7 implementing curricula to integrate health professional student clinical education into primary care team education centers1 including strategies to address health professional well-being and mental health2 and 7ii7 providing support for health professional students1 including assistance for housing near1 or transportation to or from1 the clinical site during the clinical training period2 7#b7 integrate and expand the role of health professionals not traditionally involved in the eligible entity's primary care team1 such as school nurses in elementary or secondary schools and community health workers1 as part of the service continuum of the primary care team education center2 and 7#c7 promote career advancement for health professionals employed by the primary care team education center4 7d7 ,award basis ,in selecting recipients for grants under subsection 7a71 the ,secretary shall give priority to grant applications that-- 7#a7 demonstrate how the program to be supported under the grant will1 for the region to be served-- 7,a7 identify the health professions with labor shortages2 and 7,b7 increase the number of health professionals with disadvantaged backgrounds working in such health professions2 and 7#b7 provide preceptor training and support to encourage eligible preceptors to participate in clinical training1 including nurses and advanced practice nurses4 7e7 ,limitation ,the recipient of a grant under section #gdi;,a or #cdj;,h shall not be eligible to receive a grant under subsection 7a74 7f7 ,technical assistance 7#a7 ,in general ,the ,secretary shall1 directly or through grants or contracts1 provide technical assistance for eligible entities receiving grants under subsection 7a74 7#b7 ,limitation ,for each year1 the ,secretary shall use not more than #e percent of the amount made available to carry out this section for technical assistance under this subsection4 7g7 ,annual report ,the ,secretary shall submit an annual report to ,congress on the grants awarded under subsection 7a74 ,each such report shall1 at a minimum1 include-- 7#a7 the total number of grants awarded under subsection 7a72 7#b7 a description of the primary care team education centers supported under each such grant2 7#c7 the number of students1 by profession1 who engaged in such primary care team education centers during the applicable academic year1 in the aggregate and disaggregated by grantee2 7#d7 in the aggregate and disaggregated by grantee-- 7,a7 the number of health professional staff at such primary care team education centers engaged in classroom teaching or clinical precepting under the grant2 7,b7 an estimate of the number of teaching or precepting hours provided under the grant2 7,c7 the number of health professional students1 and the number of advanced practice nursing students1 trained under the grant2 and 7,d7 the number of health care professional preceptors recruited and retained under the grant2 and 7#e7 a description of how each grantee met the needs of the health professionals served under the grant4 7h7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means an entity described in any of clauses 7i7 through 7v7 of section #gdi;,a7g77#c77;,b74 7#b7 ,institution of higher education ,the term institution of higher education has the meaning given the term in section #ajb of the ,higher ,education ,act of #aife4 7#c7 ,preceptor ,the term preceptor means a health professional who provides supervision and personalized experiential learning training and instruction and mentoring opportunities in the clinical practice of a health profession to a student in a health profession4 7#d7 ,primary care team ,the term primary care team means a team of #b or more health providers who provide health services to individuals1 families1 or communities by working collaboratively with patients and their caregivers1 to the extent preferred by each patient1 to accomplish shared goals within and across settings in order to achieve coordinated1 high-quality care4 7i7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section-- 7#a7 #aj1jjj1jjj for fiscal year #bjbg2 7#b7 #be1jjj1jjj for fiscal year #bjbh2 7#c7 #ej1jjj1jjj for fiscal year #bjbi2 and 7#d7 such sums as may be necessary for each fiscal year thereafter4 4 7b7 ,limitation on eligibility for other teaching health center development grants 7#a7 ,section #gdi;,a ,section #gdi;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bicl-#a7 is amended-- 7,a7 by redesignating subsections 7f7 and 7g7 as subsections 7g7 and 7h71 respectively2 and 7,b7 by inserting after subsection 7e7 the following3 7f7 ,limitation ,a recipient of a grant under section #cii,v-#h shall not be eligible to receive a grant under this section4 4 7#b7 ,graduate medical education program teaching health centers ,section #cdj;,h7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7a77 is amended by adding at the end the following3 7#d7 ,limitation ,a recipient of a grant under section #cii,v-#h shall not be eligible to receive a payment under this section4 4 7#c7 ,conforming amendment ,section #gfj7;c77#b77;,a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bidk7c77#b77;,a77 is amended by striking section #gdi;,a7f7 and inserting section #gdi;,a7g74