,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ebie  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #f1 #bjbf,mr4   
,mc,cormick 7= himself & ,mr4 ,coons7   
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to /r5g!n m5tor%ip & c>e]  
developm5t support = e>ly-c>e] rese>*]s 
receiv+ fund+ f ! ,national ,in/itutes (
 ,heal?1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,,nih   
,m5tor%ip ,mod]nization ,act4  #b4      
,m5tor%ip & c>e] developm5t support ,"p 
,g ( title ,,iv ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhh et set 
seq47 is am5d$ by add+ at ! end !       
foll[+3  #dhi;,a4 ,m5tor%ip & c>e]      
developm5t support  7a7 ,9 g5]al ,!     
,secret>y %all e/abli% m9imum m5tor%ip  
/&>ds & support requirem5ts applicable  
to entities receiv+ c>e] developm5t1    
in/itutional tra9+1 fell[%ip1 rese>*    
education1 & o!r rese>* tra9+ aw>ds f ! 

,national ,in/itutes ( ,heal? t !       
,secret>y det]m9es w\ld b5efit f        
additional m5tor%ip support beyond      
/atutory or aw>d-specific requirem5ts4  
,9 c>ry+ out ?is section1 ! ,secret>y   
%all1 to ! maximum ext5t practicable--  
7#a7 build ^u exi/+ m5tor%ip            
requirem5ts1 report+ processes1 & aw>d  
docum5tation1 includ+ annual progress   
reports add o!r exi/+ report+ me*anisms 
( ! ,national ,in/itutes ( ,heal?2  7#b7
 avoid duplicative adm9i/rative or      
report+ requirem5ts2 &  7#c7 provide    
flexibility = in/itutions ) m5tor%ip    
programs t are sub/antially simil> to ! 
/&>ds & requirem5ts e/abli%$ "u ?is     
section4  7b7 ,m5tor%ip /&>ds  7#a7 ,9  
g5]al ,! /&>ds & proc$ures e/abli%$ "u  
subsection 7a7 %all include /&>ds =     
measurable m9imum expectations relat+   
to-- 7,a7 regul> m5tor-m5tee engagem5t2 
7,b7 pr(essional developm5t support &   
c>e] guidance2  7,c7 p]iodic assessm5t (
 m5tee rese>* & c>e] progress2  7,d7    
m9imum qualification requirem5ts &      

m5tor%ip compet5cies = m5tors p>ticipat+
 9 programs support$ by su* aw>ds2 &    
7,e7 su* o!r m5tor%ip activities z !    
,secret>y det]m9es appropriate4  7#b7   
,compliance ,! ,secret>y %all e/abli%   
proc$ures = entities to c]tify1 ?r\gh   
exi/+ annual report+ requirem5ts ( !    
,national ,in/itutes ( ,heal?1          
compliance ) ! /&>ds e/abli%$ "u ?is    
section4  7c7 ,dissem9ation ( m5tor%ip  
practices & guidance  7#a7 ,9 g5]al ,!  
,secret>y-- 7,a7 %all enc\rage          
dissem9ation ( evid5ce-bas$ m5tor%ip    
practices & guidance1 includ+ m5tor+    
compacts1 m5tor-m5tee agreem5ts1        
individualiz$ developm5t plans1 m5tor   
tra9+ curricula1 & o!r evid5ce-bas$     
m5tor%ip res\rces1 relat+ to ! /&>ds    
e/abli%$ "u ?is section2 &  7,b7 may    
enc\rage entities to adopt su* practices
 & guidance1 z appropriate4  7#b7       
,cross-in/itution m5tor+ ,! practices & 
guidance issu$ "u ?is subsection may    
address m5tor%ip arrangem5ts involv+    
multiple in/itutions1 includ+           

docum5tation ( m5tor+ responsibilities &
 recognition ( co-m5tors4  7d7 ,m5tor   
support ,subject to ! availability (    
appropriations1 ! ,secret>y may provide 
supplem5tal fund+ or o!r support to     
in/itutions to assi/ ) implem5tation ( !
 m5tor%ip /&>ds e/abli%$ "u ?is section4
 ,su* support may include fund+ = m5tor 
tra9+1 m5tor%ip coord9ation1            
implem5tation ( m5tor%ip agreem5ts1     
m5tor developm5t activities1 & o!r      
reasonable exp5ses associat$ ) c>ry+ out
 ?is section4  7e7 ,cont9u\s improvem5t 
,! ,secret>y %all p]iodically review    
m5tor%ip practices across c>e]          
developm5t & rese>* tra9+ aw>ds ( !     
,national ,in/itutes ( ,heal? & update  
m5tor%ip /&>ds e/abli%$ "u ?is section1 
z appropriate1 to reflect evid5ce-bas$  
practices4  7f7 ,applicability ,! /&>ds 
& proc$ures e/abli%$ "u ?is section %all
 apply only to aw>ds made on or aft] !  
date t is #b ye>s aft] ! date ( enactm5t
 ( ?is section1 except t a recipi5t ( an
 aw>d made prior to su* date may        

volunt>ily comply ) su* /&>ds &         
proc$ures4  4