,,ii  #aaith ,,congress  #b;d ,session  
,s4 #ebcb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #d1    
#bjbf,ms4 ,smith 7for herself and ,ms4  
,collins7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to authorize rural residency planning   
and development grant programs1 and for 
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,rural         
,residency ,planning and ,development   
,act of #bjbf4  #b4 ,rural residency    
planning and development programs ,title
 ,,iii of the ,public ,health ,service  
,act 7#db ,u4,s4,c4 #bda et seq47 is    
amended by inserting after section      
#ccj;,a-#b 7#db ,u4,s4,c4 #bed;c-#a;b7  
the following3  #ccj;,a-#c4 ,rural      
residency planning and development      
program and rural residency planning and
 development technical assistance       
program  7a7 ,rural residency planning  

and development program  7#a7 ,grants   
7,a7 ,in general ,the ,secretary may    
award grants to eligible entities to    
establish new rural residency programs  
7including adding new rural training    
sites to existing rural track programs74
  7,b7 ,funding ,grants awarded under   
this subsection may be fully funded at  
the time of the award4  7,c7 ,term ,the 
term of a grant under this subsection   
shall be #c years and may be extended at
 the discretion of the ,secretary4  7#b7
 ,applications  7,a7 ,in general ,to be 
eligible to receive a grant under this  
subsection1 an eligible entity shall    
prepare and submit to the ,secretary an 
application at such time1 in such       
manner1 and containing such information 
as the ,secretary may require1 including
 a description of the pathway of the    
rural residency program as described in 
subparagraph 7,b74  7,b7 ,pathway ,a    
pathway of a rural residency program    
supported under this subsection shall be
 for-- 7i7 general primary care and     

high-need specialty care1 including     
family medicine1 internal medicine1     
preventive medicine1 psychiatry1 or     
general surgery2  7ii7 maternal health  
and obstetrics1 which may be obstetrics 
and gynecology or family medicine with  
enhanced obstetrical training2 or  7iii7
 any other pathway as determined        
appropriate by the ,secretary4  7b7     
,rural residency planning and           
development technical assistance program
  7#a7 ,grants  7,a7 ,in general ,the   
,secretary may award grants to eligible 
entities to provide technical assistance
 to awardees and potential applicants of
 the program described in subsection    
7a74  7,b7 ,funding ,grants awarded     
under this subsection may be fully      
funded at the time of the award4  7,c7  
,term ,the term of a grant under this   
subsection shall be #d years and may be 
extended at the discretion of the       
,secretary4  7#b7 ,applications ,to be  
eligible to receive a grant under this  
subsection1 an eligible entity shall    

prepare and submit to the ,secretary an 
application at such time1 in such       
manner1 and containing such information 
as the ,secretary may require4  7c7     
,definitions ,in this section3 7#a7     
,eligible entity ,the term eligible     
entity-- 7,a7 means-- 7i7 a domestic    
public or private nonprofit or          
for-profit entity2 or  7ii7 an ,indian  
,tribe or ,tribal organization2 and     
7,b7 may include faith-based or         
community-based organizations1 rural    
hospitals1 rural community-based        
ambulatory patient care centers         
7including rural health clinics71 health
 centers operated by an ,indian ,tribe1 
,tribal organization1 or urban ,indian  
organization1 graduate medical education
 consortiums 7including institutions of 
higher education1 such as schools of    
allopathic medicine1 schools of         
osteopathic medicine1 or historically   
,black colleges or universities71 or    
other organizations as determined       
appropriate by the ,secretary4  7#b7    

,rural residency program ,the term rural
 residency program means a physician    
residency program1 including a rural    
track program1 accredited by the        
,accreditation ,council for ,graduate   
,medical ,education 7or a similar body7 
that-- 7,a7 trains residents in rural   
areas 7as defined by the ,secretary7 for
 more than #ej percent of the total time
 of their residency2 and  7,b7 primarily
 focuses on producing physicians who    
will practice in rural areas1 as defined
 by the ,secretary4  7d7 ,authorization 
of appropriations  7#a7 ,in general     
,there is authorized to be appropriated 
to carry out this section #ab1gjj1jjj   
for each of fiscal years #bjbg through  
#bjca4  7#b7 ,availability ,amounts     
appropriated under paragraph 7#a7 shall 
remain available until expended4  4