I 

118TH CONGRESS 

2D SESSION H. R. 10337 

To amend the Public Health Service Act to establish a demonstration project 

to make grants to eligible hospitals for the purpose of promoting workbased learning in health care, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 10, 2024 

Ms. BROWN (for herself, Mrs. LEE CARTER, Ms. KELLY of Illinois, Ms. 

MCCLELLAN, Mrs. DINGELL, Ms. BARRAGA ́N, Mrs. HAYES, Mr. LIEU, 

Mr. KRISHNAMOORTHI, Ms. CLARKE of New York, Mr. CARBAJAL, Mr. 

CARTER of Louisiana, Mr. MEEKS, Mrs. CHERFILUS-MCCORMICK, Ms. 

WILLIAMS of Georgia, Ms. SALINAS, Mrs. WATSON COLEMAN, Mrs. 

MCIVER, Mr. LANDSMAN, and Ms. MENG) introduced the following bill; 

which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to establish a demonstration project to make grants to eligible hospitals 

for the purpose of promoting work-based learning in 

health care, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Expanding the Health 

5 Care Workforce Act’’. 


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1 SEC. 2. DEMONSTRATION PROJECT GRANTS TO PREPARE 

2 THE NEXT GENERATION OF THE HEALTH 

3 CARE WORKFORCE. 

4 The Public Health Service Act is amended by insert5 ing after section 778 (42 U.S.C. 295f–3) the following: 

6 ‘‘SEC. 779. DEMONSTRATION PROJECT GRANTS TO PRE7 PARE THE NEXT GENERATION OF THE 

8 HEALTH CARE WORKFORCE. 

9 ‘‘(a) ESTABLISHMENT.—The Secretary shall estab10 lish a demonstration project (in this section referred to 

11 as the ‘Demonstration Project’) to make grants to eligible 

12 entities to— 

13 ‘‘(1) create, develop, expand, or scale a cur14 riculum in a secondary school that implements a 

15 work-based learning program; 

16 ‘‘(2) develop or expand an educational cur17 riculum that promotes the matriculation of students 

18 enrolled in secondary school to— 

19 ‘‘(A) employment in the health care work20 force; or 

21 ‘‘(B) an educational program in a health 

22 care–related field; 

23 ‘‘(3) promote an educational curriculum that 

24 encourages student attendance and community en25 gagement; and 


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1 ‘‘(4) ensure the health and well-being of the 

2 community of the eligible entity by strengthening the 

3 health care workforce. 

4 ‘‘(b) USE OF FUNDS.—An eligible entity shall use a 

5 grant under this section to develop or expand a program 

6 that— 

7 ‘‘(1) provides students with work-based learning 

8 opportunities in an eligible hospital— 

9 ‘‘(A) during a student’s first year enrolled 

10 in the program, for at least 20 hours; 

11 ‘‘(B) during a student’s second year en12 rolled in the program, for at least 20 hours; 

13 ‘‘(C) during a student’s third year enrolled 

14 in the program, for at least 30 hours; 

15 ‘‘(D) during a student’s fourth year en16 rolled in the program, for at least 100 hours; 

17 and 

18 ‘‘(E) during a student’s fifth year (or any 

19 subsequent year) enrolled in the program, an 

20 appropriate amount of work-based learning as 

21 determined by the eligible entity; 

22 ‘‘(2) has a written partnership agreement with 

23 a secondary school to provide work-based learning; 


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1 ‘‘(3) provides a comprehensive high school edu2 cation that leads to the conferral of a high school di3 ploma, as defined by State law; 

4 ‘‘(4) provides college planning services and ca5 reer planning services; and 

6 ‘‘(5) provides education on appropriate health 

7 care topics that would facilitate entry to the health 

8 care workforce or an educational program in a 

9 health care–related field, including age-appropriate 

10 clinical interactions and coursework in preparation 

11 to take a licensing or certification examination re12 quired to enter the health care workforce. 

13 ‘‘(c) GRANT SPECIFICATIONS.— 

14 ‘‘(1) PERIOD.—A grant under this section shall 

15 be for a period of not less than 4 and not more than 

16 6 years. 

17 ‘‘(2) DISBURSEMENT SCHEDULE.—A grant 

18 under this section shall be disbursed during such pe19 riod on the schedule and in the increments described 

20 in the budget and budget narrative submitted by the 

21 eligible entity receiving the grant under subsection 

22 (e)(2). 

23 ‘‘(3) NUMBER; GEOGRAPHIC DIVERSITY.— 

24 ‘‘(A) IN GENERAL.—The Secretary shall 

25 award grants under this section to at least 20 


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1 eligible entities, divided equally among the 10 

2 regions of the United States described in sub3 paragraph (B). 

4 ‘‘(B) REGIONS DESCRIBED.—The regions 

5 described in this subparagraph are the fol6 lowing: 

7 ‘‘(i) Region 1: Connecticut, Maine, 

8 Massachusetts, New Hampshire, Rhode Is9 land, and Vermont. 

10 ‘‘(ii) Region 2: New Jersey, New 

11 York, Puerto Rico, and the Virgin Islands. 

12 ‘‘(iii) Region 3: Delaware, the District 

13 of Columbia, Maryland, Pennsylvania, Vir14 ginia, and West Virginia. 

15 ‘‘(iv) Region 4: Alabama, Florida, 

16 Georgia, Kentucky, Mississippi, North 

17 Carolina, South Carolina, and Tennessee. 

18 ‘‘(v) Region 5: Illinois, Indiana, Michi19 gan, Minnesota, Ohio, and Wisconsin. 

20 ‘‘(vi) Region 6: Arkansas, Louisiana, 

21 New Mexico, Oklahoma, and Texas. 

22 ‘‘(vii) Region 7: Iowa, Kansas, Mis23 souri, and Nebraska. 


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1 ‘‘(viii) Region 8: Colorado, Montana, 

2 North Dakota, South Dakota, Utah, and 

3 Wyoming. 

4 ‘‘(ix) Region 9: Arizona, California, 

5 Hawaii, Nevada, American Samoa, Com6 monwealth of the Northern Mariana Is7 lands, Federated States of Micronesia, 

8 Guam, Marshall Islands, and Republic of 

9 Palau. 

10 ‘‘(x) Region 10: Alaska, Idaho, Or11 egon, and Washington. 

12 ‘‘(4) QUOTA FOR EXPANDING EXISTING PRO13 GRAMS.—Of the grants made by the Secretary under 

14 this section, at least 25 percent of the total number 

15 of such grants shall be to expand programs estab16 lished before the date of enactment of this section. 

17 ‘‘(d) PRIORITY.—In making grants under this sec18 tion, the Secretary shall give priority to any eligible entity 

19 that— 

20 ‘‘(1) serves a medically underserved population; 

21 ‘‘(2) is located in a medically underserved com22 munity; or 

23 ‘‘(3) is a multi-mission hospital, a vulnerable 

24 community hospital, or an endangered small rural 

25 hospital, as determined by the Secretary. 


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1 ‘‘(e) APPLICATIONS.—To be eligible to receive a grant 

2 under this section, an eligible entity shall submit to the 

3 Secretary an application at such time and in such manner 

4 as the Secretary may reasonably require. The application 

5 shall include— 

6 ‘‘(1) a description of the curriculum to be used 

7 in the program to be funded by the grant; 

8 ‘‘(2) a budget and budget narrative for such 

9 program; 

10 ‘‘(3) an explanation of how the curriculum of 

11 such program will promote the matriculation of sec12 ondary students in employment in the health care 

13 workforce or an educational program in a health 

14 care–related field; 

15 ‘‘(4) an explanation of how such program to be 

16 funded by the grant will promote student attend17 ance, community engagement, and successful com18 pletion of the requirements of such program; 

19 ‘‘(5) a letter of support from the lead State 

20 health or human services agency for the State in 

21 which the eligible entity is located that certifies that 

22 there exists a need for a such a program in the com23 munity of the eligible entity; and 

24 ‘‘(6) an explanation of how such program in25 tends to improve the educational outcomes of the 


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1 students of the eligible entity compared to other stu2 dents in the county of the eligible entity. 

3 ‘‘(f) REPORTS.— 

4 ‘‘(1) TO SECRETARY.—Not less than annually, 

5 an eligible entity receiving a grant under this section 

6 shall submit to the Secretary, in such form and 

7 manner as the Secretary may reasonably require, a 

8 report that includes the following information with 

9 respect to the preceding school year: 

10 ‘‘(A) The number of students enrolled in 

11 the program funded by the grant. 

12 ‘‘(B) The number of students who grad13 uated from such program. 

14 ‘‘(C) The number of students who are tru15 ant, as defined by the secondary school’s ac16 crediting body or the State. 

17 ‘‘(D) The four-year adjusted cohort grad18 uation rate and extended-year adjusted cohort 

19 graduation rate of such program. 

20 ‘‘(E) The average daily attendance of such 

21 program. 

22 ‘‘(F) The number and percentage of stu23 dents entering post-secondary education, sepa24 rated by those who enter into an educational 


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1 program in a health care–related field and 

2 those who do not. 

3 ‘‘(G) The number and percentage of stu4 dents entering the workforce, separated by 

5 those who enter the health care workforce and 

6 those who do not. 

7 ‘‘(H) Any other information the Secretary 

8 determines necessary to ensure the adequate 

9 evaluation of the Demonstration Project. 

10 ‘‘(2) TO CONGRESS.—Not later than 5 years 

11 after the date on which a grant is first made to an 

12 eligible entity under this section, the Secretary, in 

13 consultation with the Secretary of Education, shall 

14 submit to Congress a report on the results of the 

15 Demonstration Project. Such report shall include— 

16 ‘‘(A) a list of eligible entities that have re17 ceived a grant under this section, including the 

18 primary geographic location of each such eligi19 ble entity; 

20 ‘‘(B) the total number and demographic 

21 profile of students who are enrolled in a pro22 gram funded by a grant under this section; 

23 ‘‘(C) the total number of students who 

24 participated in such a program and who matric25 ulated into an educational program in a health 


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1 care–related field or gained employment in the 

2 health care workforce; 

3 ‘‘(D) the four-year adjusted cohort gradua4 tion rate and extended-year adjusted cohort 

5 graduation rate of each such program, com6 pared to other secondary schools in each county 

7 of such programs; 

8 ‘‘(E) the effects of the Demonstration 

9 Project on the health care workforce; 

10 ‘‘(F) recommendations for improving the 

11 Demonstration Project; and 

12 ‘‘(G) other information or metrics that the 

13 Secretary determines necessary for Congress to 

14 evaluate the success of the Demonstration 

15 Project. 

16 ‘‘(g) DEFINITIONS.—In this section: 

17 ‘‘(1) EDUCATIONAL PROGRAM IN A HEALTH

18 CARE–RELATED FIELD.—The term ‘educational pro19 gram in a health care–related field’ means any ac20 credited or certified educational program that per21 mits an individual to gain employment in the health 

22 care workforce. 

23 ‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en24 tity’ means an eligible hospital that has a formal 

25 written partnership with a secondary school. 


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1 ‘‘(3) ELIGIBLE HOSPITAL.—The term ‘eligible 

2 hospital’ means— 

3 ‘‘(A) a hospital (as defined in section 

4 1861(e) of the Social Security Act); and 

5 ‘‘(B) a hospital that provides complex, 

6 comprehensive, high-acuity care, as determined 

7 by the Secretary. 

8 ‘‘(4) ESEA TERMS.—The terms ‘average daily 

9 attendance’, ‘extended-year adjusted cohort gradua10 tion rate’, ‘four-year adjusted cohort graduation 

11 rate’, and ‘secondary school’ have the meanings 

12 given to such terms in section 8101 of the Elemen13 tary and Secondary Education Act. 

14 ‘‘(5) HEALTH CARE WORKFORCE.—The term 

15 ‘health care workforce’ has the meaning given to the 

16 term in section 5101(i) of the Patient Protection 

17 and Affordable Care Act. 

18 ‘‘(6) MEDICALLY UNDERSERVED COMMUNITY.— 

19 The term ‘medically underserved community’ has the 

20 meaning given to the term in section 799B(6) of the 

21 Public Health Service Act. 

22 ‘‘(7) MEDICALLY UNDERSERVED POPU23 LATION.—The term ‘medically underserved popu24 lation’ has the meaning given to the term in section 

25 330(b)(3) of the Public Health Service Act. 


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1 ‘‘(8) WORK-BASED LEARNING.—The term 

2 ‘work-based learning’ has the meaning given to the 

3 term in section 3(55) of the Carl D. Perkins Career 

4 and Technical Education Act of 2006. 

5 ‘‘(h) TERMINATION.—The authority of the Secretary 

6 to make grants under this section shall cease on the date 

7 that is 6 years after the date on which the Secretary estab8 lishes the Demonstration Project. 

9 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 

10 authorized to be appropriated such sums as may be nec11 essary to carry out this section for fiscal year 2025 and 

12 each of the 5 succeeding fiscal years.’’. 

Æ 


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