,,ii  #aaith ,,congress  #b;d ,session  
,s4 #ddaf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #bh1    
#bjbf,ms4 ,murkowski 7for herself1 ,mrs4
 ,murray1 ,mr4 ,tillis1 and ,ms4 ,cortez
 ,masto7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
establish procedures for the detailing  
of ,public ,health ,service officers for
 purposes of advancing care in          
underserved communities4  #a4 ,short    
title ,this ,act may be cited as the    
,public ,health ,services for ,advancing
 ,care and ,creating ,efficient ,support
 ,systems in ,underserved ,communities  
,act or the ,,phs ,,access ,act4  #b4   
,detail of personnel  7a7 ,in general   
,section #bad of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #bae7 is   
amended-- 7#a7 by redesignating         
subsections 7d7 and 7e7 as subsections  
7e7 and 7f71 respectively2  7#b7 by     
inserting after subsection 7c7 the      

following3  7d7 ,the ,secretary may     
detail ,public ,health ,service         
,commissioned ,corps officers to ,urban 
,indian organizations1 as defined in    
section #d of the ,indian ,health ,care 
,improvement ,act1 to cooperate in or   
conduct work related to the functions of
 the ,department of ,health and ,human  
,services4  2 and  7#c7 in subsection   
7e71 as so redesignated-- 7,a7 by       
striking subsections 7b7 and 7c7 and    
inserting subsection 7b7 or 7c72 and    
7,b7 by striking subsections 7b7 or 7c7 
and inserting subsection 7b7 or 7c74    
7b7 ,appointment of personnel ,section  
#bjg7;d7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #bji7;d77 is       
amended-- 7#a7 in paragraph 7#a71 by    
striking shall1 and inserting may1 at   
the discretion of the ,secretary1 after 
consideration of the criteria described 
in paragraph 7#e712 and  7#b7 by adding 
at the end the following3  7#e7 7,a7    
,the ,secretary shall develop objective1
 transparent criteria for purposes of   

determining whether to grant a person   
appointed under subsection 7a7          
constructive credit for length of       
service as described in paragraph 7#a74 
,such criteria shall-- 7i7 give         
preference to appointees who-- 7,i7     
serve in a rural or remote 7as          
determined by the ,secretary in         
accordance with objective and           
transparent criteria established by the 
,secretary7 agency for which the        
,service is statutorily required to     
provide services2  7,,ii7 are           
specialists in an area with a           
demonstrated workforce shortage2        
7,,iii7 serve in an area with           
significant access to care challenges2  
or  7,,iv7 serve with an ,indian tribe1 
tribal organization1 or ,urban ,indian  
organization 7as such terms are defined 
in section #d of the ,indian ,health    
,care ,improvement ,act72 and  7ii7     
consider established ,federal           
designation systems and workforce       
assessments4  7,b7 ,the ,secretary shall

 review and update the criteria         
established under subparagraph 7,a7     
periodically to reflect current         
workforce needs4  4