II 

109TH CONGRESS 

1ST SESSION S. 1000 

To amend the Public Health Service Act to increase the number of permanent 

faculty in palliative care medicine at accredited allopathic and osteopathic 

medical schools and to promote the development of faculty careers as 

academic palliative specialists who emphasize teaching. 

IN THE SENATE OF THE UNITED STATES 

MAY 11, 2005 

Mr. WYDEN introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to increase the 

number of permanent faculty in palliative care medicine 

at accredited allopathic and osteopathic medical schools 

and to promote the development of faculty careers as 

academic palliative specialists who emphasize teaching. 

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 ‘‘Palliative Care Train5 ing Act’’. 
2 

•S 1000 IS 

1 SEC. 2. PALLIATIVE CARE TRAINING PROGRAM. 

2 (a) IN GENERAL.—Section 753 of the Public Health 

3 Service Act (42 U.S.C. 294c) is amended by adding at 

4 the end the following: 

5 ‘‘(d) HOSPICE AND PALLIATIVE CARE ACADEMIC CA6 REER AWARDS.— 

7 ‘‘(1) IN GENERAL.—The Secretary shall estab8 lish a program to provide Hospice and Palliative 

9 Care Academic Career Awards to eligible individuals 

10 under this subsection. 

11 ‘‘(2) ELIGIBILITY.—To be eligible to receive an 

12 Award under this subsection, an individual shall— 

13 ‘‘(A) be board certified or board eligible in 

14 internal medicine, family practice, or pediatrics 

15 and their subspecialties including geriatrics, 

16 palliative medicine, or other specialties as deter17 mined by the Secretary; 

18 ‘‘(B) have completed an approved fellow19 ship program or demonstrated specialized expe20 rience in palliative medicine as determined by 

21 the Secretary; and 

22 ‘‘(C) have a junior faculty appointment at 

23 an accredited (as determined by the Secretary) 

24 school of medicine (allopathic or osteopathic) 

25 and within an internship or residency program 

26 that is approved by the Accreditation Council 
3 

•S 1000 IS 

1 on Graduate Medical Education or the Amer2 ican Osteopathic Association. 

3 ‘‘(3) AMOUNT AND TERM.— 

4 ‘‘(A) AMOUNT.—The amount of an Award 

5 to an individual under this subsection shall be 

6 equal to $75,000 for fiscal year 2006, adjusted 

7 for subsequent fiscal years to reflect the in8 crease in the Consumer Price Index. 

9 ‘‘(B) TERM.—The term of any Award 

10 made under this subsection shall not exceed 5 

11 years. 

12 ‘‘(4) SERVICE REQUIREMENT.—An individual 

13 who receives an Award under this subsection shall 

14 provide training in hospice care and palliative medi15 cine, including the training of interdisciplinary 

16 teams of health care professionals. The provision of 

17 such training shall constitute at least 75 percent of 

18 the obligations of such individual under the terms of 

19 the Award. 

20 ‘‘(5) EFFECTIVE DATE.—This subsection shall 

21 take effect 90 days after the date of enactment of 

22 the Palliative Care Training Act.’’. 

23 (b) AUTHORIZATION OF APPROPRIATIONS.—Section 

24 757 of the Public Health Service Act (42 U.S.C. 294g) 

25 is amended— 
4 

•S 1000 IS 

1 (1) in subsection (a), by striking ‘‘through 

2 2002’’ and inserting ‘‘through 2010’’; 

3 (2) in subsection (b)(1)(C), by striking 

4 ‘‘$22,631,000’’ and inserting ‘‘$55,779,000’’; and 

5 (3) in subsection (c), by adding at the end the 

6 following: 

7 ‘‘(3) GERIATRIC EDUCATION AND TRAINING.— 

8 Of the amount made available under subsection 

9 (b)(1)(C) for fiscal year 2006, the Secretary may ob10 ligate for awards under subsections (a), (b), and (c) 

11 of section 753 an amount not less than 

12 $31,805,000.’’. 

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