I 

108TH CONGRESS 

1ST SESSION H. R. 3038

To make certain technical and conforming amendments to correct the Health 

Care Safety Net Amendments of 2002. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 9, 2003

Mr. BILIRAKIS (for himself and Mr. BROWN of Ohio) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL

To make certain technical and conforming amendments to 

correct the Health Care Safety Net Amendments of 2002.

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 ‘‘Health Care Safety 

5 Net Amendments Technical Corrections Act of 2003’’. 

6 SEC. 2. TECHNICAL AMENDMENTS. 

7 (a) HEALTH CENTERS.—

8 (1) IN GENERAL.—Section 330 of the Public 

9 Health Service Act (42 U.S.C. 254b) is amended to 

10 read as if—
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1 (A) subparagraph (C) of the second para2 graph (4) of section 101 of Public Law 107–

3 251 had not been enacted; 

4 (B) paragraph (7)(C) of such section 101 

5 had not been enacted; and 

6 (C) paragraphs (8) through (11) of such 

7 section 101 had not been enacted. 

8 (2) AMENDMENTS PER PUBLIC LAW 107–

9 251.—Section 330 of the Public Health Service Act 

10 (42 U.S.C. 254b), as amended by paragraph (1), is 

11 amended—

12 (A) in subsection (c)(1)(B), in the matter 

13 preceding clause (i), by striking ‘‘plan..’’ and 

14 inserting ‘‘plan.’’; 

15 (B) in subsection (d)(1)(B)(iii), in sub16 clause (I), by adding ‘‘or’’ at the end; 

17 (C) by striking subsection (k); 

18 (D) by redesignating subsection (j) as sub19 section (k); 

20 (E) by inserting after subsection (i) a sub21 section that is identical to the subsection (j) 

22 that appears (as an amendment) in section 

23 101(8)(C) of Public Law 107–251; 

24 (F) by redesignating subsection (l) as sub25 section (r), by transferring it from its current 
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1 placement, and by inserting it after subsection 

2 (q); 

3 (G) by inserting before subsection (m) a 

4 subsection that is identical to the subsection 

5 that appears (as an amendment) in section 

6 101(9) of Public Law 107–251, and by redesig7 nating as subsection (l) the subsection that is 

8 so inserted; 

9 (H) in subsection (l) (as inserted and re10 designated by subparagraph (G) of this para11 graph), in the first sentence—

12 (i) by inserting after ‘‘shall provide’’ 

13 the following: ‘‘(either through the Depart14 ment of Health and Human Services or by 

15 grant or contract)’’; and 

16 (ii) by striking ‘‘(l)(3)’’ and inserting 

17 ‘‘(k)(3)’’; 

18 (I) in subsection (p), by striking 

19 ‘‘(j)(3)(G)’’ and inserting ‘‘(k)(3)(G)’’; and 

20 (J) in subsection (r) (as redesignated, 

21 transferred, and inserted by subparagraph (F) 

22 of this paragraph)—

23 (i) in paragraph (1), by striking 

24 ‘‘$802,124,000’’ and all that follows 

25 through the period and inserting 
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1 ‘‘$1,340,000,000 for fiscal year 2002 and 

2 such sums as may be necessary for each of 

3 the fiscal years 2003 through 2006.’’; 

4 (ii) in paragraph (2)(A)—

5 (I) by striking ‘‘(j)(3))’’ and in6 serting ‘‘(k)(3))’’; and 

7 (II) by striking ‘‘(j)(3)(G)(ii)’’ 

8 and inserting ‘‘(k)(3)(H)’’; and 

9 (iii) in paragraph (2), by striking sub10 paragraph (B) and inserting a subpara11 graph that is identical to the subparagraph 

12 (B) that appears (as an amendment) in 

13 section 101(11)(B)(ii) of Public Law 107–

14 251. 

15 (b) RURAL HEALTH OUTREACH.—Section 

16 330A(b)(4) of the Public Health Service Act (42 U.S.C. 

17 254c(b)(4)) is amended by striking ‘‘799B’’ and inserting 

18 ‘‘799B(6)’’. 

19 (c) TELEHEALTH.—Section 330I of the Public 

20 Health Service Act (42 U.S.C. 254c–14) is amended—

21 (1) in subsection (a)(4), by striking ‘‘799B’’ 

22 and inserting ‘‘799B(6)’’; and 

23 (2) in subsection (c)(1), by striking ‘‘Health 

24 and Resources and Services Administration’’ and in-
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1 serting ‘‘Health Resources and Services Administra2 tion’’. 

3 (d) MENTAL HEALTH SERVICES VIA TELE4 HEALTH.—Section 330K of the Public Health Service Act 

5 (42 U.S.C. 254c–16) is amended—

6 (1) in subsection (b)(2), by striking ‘‘subsection 

7 (a)(4)’’ and inserting ‘‘subsection (a)(3)’’; and 

8 (2) in subsection (c)(1)—

9 (A) in subparagraph (A), by striking ‘‘sub10 section (a)(4)(A)’’ and inserting ‘‘subsection 

11 (a)(3)(A)’’; and 

12 (B) in subparagraph (B), by striking ‘‘sub13 section (a)(4)(B)’’ and inserting ‘‘subsection 

14 (a)(3)(B)’’. 

15 (e) TELEMEDICINE INCENTIVE GRANTS.—

16 (1) IN GENERAL.—Subpart I of part D of 

17 title III of the Public Health Service Act (42 

18 U.S.C. 254b et seq.) is amended by adding at 

19 the end the following:

20 ‘‘SEC. 330L. TELEMEDICINE; INCENTIVE GRANTS REGARD21 ING COORDINATION AMONG STATES. 

22 ‘‘(a) IN GENERAL.—The Secretary may make grants 

23 to State professional licensing boards to carry out pro24 grams under which such licensing boards of various States 
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1 cooperate to develop and implement State policies that will 

2 reduce statutory and regulatory barriers to telemedicine. 

3 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the 

4 purpose of carrying out subsection (a), there are author5 ized to be appropriated such sums as may be necessary 

6 for each of the fiscal years 2002 through 2006.’’. 

7 (2) REPEAL.—Section 102 of the Health Care 

8 Safety Net Amendments of 2002 (Public Law 107–

9 251) is repealed. 

10 (f) HEALTH PROFESSIONAL SHORTAGE AREAS.—

11 (1) IN GENERAL.—Section 332 of the Public 

12 Health Service Act (42 U.S.C. 254e) is amended—

13 (A) in subsection (a)(1)—

14 (i) by striking ‘‘such date of enact15 ment’’ and inserting ‘‘such date of designa16 tion’’; and 

17 (ii) by striking ‘‘, issued after the date 

18 of enactment of this Act, that revise’’ and 

19 inserting ‘‘regarding’’; and 

20 (B) in subsection (a)(3), by striking 

21 ‘‘330(h)(4)’’ and inserting ‘‘330(h)(5)’’; 

22 (C) in subsection (b)(2), by striking ‘‘des23 ignation,.’’ and inserting ‘‘designation.’’; and 

24 (D) by adding at the end the following: 
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1 ‘‘(j)(1) The Secretary shall submit the report de2 scribed in paragraph (2) if the Secretary, acting through 

3 the Administrator of the Health Resources and Services 

4 Administration, issues—

5 ‘‘(A) a regulation that revises the definition of 

6 a health professional shortage area for purposes of 

7 this section; or 

8 ‘‘(B) a regulation that revises the standards 

9 concerning priority of such an area under section 

10 333A. 

11 ‘‘(2) On issuing a regulation described in paragraph 

12 (1), the Secretary shall prepare and submit to the Com13 mittee on Energy and Commerce of the House of Rep14 resentatives and the Committee on Health, Education, 

15 Labor, and Pensions of the Senate a report that describes 

16 the regulation. 

17 ‘‘(3) Each regulation described in paragraph (1) shall 

18 take effect 180 days after the committees described in 

19 paragraph (2) receive a report referred to in such para20 graph describing the regulation.’’. 

21 (2) REPEAL.—Subsection (b) of section 302 of 

22 the Health Care Safety Net Amendments of 2002 

23 (Public Law 107–251) is repealed. 

24 (g) ASSIGNMENT OF CORPS PERSONNEL.—Section 

25 333(a)(1) of the Public Health Service Act (42 U.S.C. 
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1 254f) is amended by moving subparagraph (C) so that the 

2 margin of subparagraph (C) is aligned with the margins 

3 of subparagraphs (A), (B), and (D). 

4 (h) PRIORITIES IN ASSIGNMENT OF CORPS PER5 SONNEL.—Section 333A(c)(4) of the Public Health Serv6 ice Act (42 U.S.C. 254f–1(c)(4)) is amended by striking 

7 ‘‘30 days’’ and inserting ‘‘30 days from such notification’’. 

8 (i) CHARGES FOR SERVICES.—Section 334(b)(1)(B) 

9 of the Public Health Service Act (42 U.S.C. 

10 254g(b)(1)(B)) is amended by inserting ‘‘the payment of’’ 

11 after ‘‘applied to’’. 

12 (j) NATIONAL HEALTH SERVICE CORPS SCHOLAR13 SHIP PROGRAM.—Section 338A(d)(1) (42 U.S.C. 

14 254l(d)(1)) is amended by moving subparagraph (B) so 

15 that the margin of subparagraph (B) is aligned with the 

16 margin of subparagraphs (A) and (C). 

17 (k) NATIONAL HEALTH SERVICE CORPS LOAN RE18 PAYMENT PROGRAM.—Section 338B(e) of the Public 

19 Health Service Act (42 U.S.C. 254l–1) is amended by 

20 striking ‘‘PARTICIPATION.—’’ and all that follows through 

21 ‘‘An individual’’ and inserting ‘‘PARTICIPATION.—An indi22 vidual’’. 

23 (l) BREACH OF CONTRACT.—

24 (1) IN GENERAL.—Section 338E of the Public 

25 Health Service Act (42 U.S.C. 254o) is amended—
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1 (A) in subsection (c)(1), by moving sub2 paragraphs (A), (B), and (C), and the flush 

3 matter following subparagraph (C), 2 ems to 

4 the left; and 

5 (B) by adding at the end the following: 

6 ‘‘(f) The amendment made by section 313(a)(4) of 

7 the Health Care Safety Net Amendments of 2002 (Public 

8 Law 107–251) shall apply to any obligation for which a 

9 discharge in bankruptcy has not been granted before the 

10 date that is 31 days after the date of enactment of such 

11 Act.’’. 

12 (2) REPEAL.—Subsection (b) of section 313 of 

13 the Health Care Safety Net Amendments of 2002 

14 (Public Law 107–251) is repealed. 

15 (m) MISCELLANEOUS.—The Public Health Service 

16 Act (42 U.S.C. 201 et seq.) is amended—

17 (1) in subsections (g)(1)(G)(ii), (k)(2), and 

18 (n)(1)(C) of section 224, and sections 317A(a)(2), 

19 317E(c), and 318A(e), by striking ‘‘330, 330(h)’’ 

20 and inserting ‘‘330’’; 

21 (2) in section 1313, by striking ‘‘329, 330, and 

22 330(h)’’ and inserting ‘‘329 and 330’’; and 

23 (3) in section 2652(a)(2), by striking ‘‘section 

24 340’’ and inserting ‘‘section 330(h)’’. 
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1 (n) HEALTH CARE SAFETY NET AMENDMENTS OF

2 2002.—The Health Care Safety Net Amendments of 2002 

3 (Public Law 107–251) is amended—

4 (1) in section 404(c)(5), by striking ‘‘Health 

5 Care Financing Administration and the Health Re6 search’’ and inserting ‘‘Centers for Medicare & Med7 icaid Services and the Health Resources’’; and 

8 (2) in section 501, by striking ‘‘solvency for 

9 managed care networks’’ and inserting ‘‘guarantees 

10 of solvency for managed care networks or plans’’. 

11 SEC. 3. EFFECTIVE DATE. 

12 This Act is deemed to have taken effect immediately 

13 after the enactment of Public Law 107–251.

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