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Union Calendar No. 162

108TH CONGRESS 

1ST SESSION H. R. 3038

[Report No. 108–275] 

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 

SEPTEMBER 17, 2003

Committed to the Committee of the Whole House on the State of the Union 

and ordered to be printed 

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’’. 
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1 SEC. 2. TECHNICAL AMENDMENTS. 

2 (a) HEALTH CENTERS.—

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

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

5 read as if—

6 (A) subparagraph (C) of the second para7 graph (4) of section 101 of Public Law 107–

8 251 had not been enacted; 

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

10 had not been enacted; and 

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

12 section 101 had not been enacted. 

13 (2) AMENDMENTS PER PUBLIC LAW 107–251.—

14 Section 330 of the Public Health Service Act (42 

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

16 amended—

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

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

19 inserting ‘‘plan.’’; 

20 (B) in subsection (d)(1)(B)(iii), in sub21 clause (I), by adding ‘‘or’’ at the end; 

22 (C) by striking subsection (k); 

23 (D) by redesignating subsection (j) as sub24 section (k); 

25 (E) by inserting after subsection (i) a sub26 section that is identical to the subsection (j) 
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1 that appears (as an amendment) in section 

2 101(8)(C) of Public Law 107–251; 

3 (F) by redesignating subsection (l) as sub4 section (r), by transferring it from its current 

5 placement, and by inserting it after subsection 

6 (q); 

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

8 subsection that is identical to the subsection 

9 that appears (as an amendment) in section 

10 101(9) of Public Law 107–251, and by redesig11 nating as subsection (l) the subsection that is 

12 so inserted; 

13 (H) in subsection (l) (as inserted and re14 designated by subparagraph (G) of this para15 graph), in the first sentence—

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

17 the following: ‘‘(either through the Depart18 ment of Health and Human Services or by 

19 grant or contract)’’; and 

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

21 ‘‘(k)(3)’’; 

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

23 ‘‘(j)(3)(G)’’ and inserting ‘‘(k)(3)(G)’’; and 
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1 (J) in subsection (r) (as redesignated, 

2 transferred, and inserted by subparagraph (F) 

3 of this paragraph)—

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

5 ‘‘$802,124,000’’ and all that follows 

6 through the period and inserting 

7 ‘‘$1,340,000,000 for fiscal year 2002 and 

8 such sums as may be necessary for each of 

9 the fiscal years 2003 through 2006.’’; 

10 (ii) in paragraph (2)(A)—

11 (I) by striking ‘‘(j)(3))’’ and in12 serting ‘‘(k)(3))’’; and 

13 (II) by striking ‘‘(j)(3)(G)(ii)’’ 

14 and inserting ‘‘(k)(3)(H)’’; and 

15 (iii) in paragraph (2), by striking sub16 paragraph (B) and inserting a subpara17 graph that is identical to the subparagraph 

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

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

20 251. 

21 (b) RURAL HEALTH OUTREACH.—Section 

22 330A(b)(4) of the Public Health Service Act (42 U.S.C. 

23 254c(b)(4)) is amended by striking ‘‘799B’’ and inserting 

24 ‘‘799B(6)’’. 
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1 (c) TELEHEALTH.—Section 330I of the Public 

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

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

4 and inserting ‘‘799B(6)’’; and 

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

6 and Resources and Services Administration’’ and in7 serting ‘‘Health Resources and Services Administra8 tion’’. 

9 (d) MENTAL HEALTH SERVICES VIA TELE10 HEALTH.—Section 330K of the Public Health Service Act 

11 (42 U.S.C. 254c–16) is amended—

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

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

14 (2) in subsection (c)(1)—

15 (A) in subparagraph (A), by striking ‘‘sub16 section (a)(4)(A)’’ and inserting ‘‘subsection 

17 (a)(3)(A)’’; and 

18 (B) in subparagraph (B), by striking ‘‘sub19 section (a)(4)(B)’’ and inserting ‘‘subsection 

20 (a)(3)(B)’’. 

21 (e) TELEMEDICINE INCENTIVE GRANTS.—

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

23 title III of the Public Health Service Act (42 

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

25 the end the following:
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1 ‘‘SEC. 330L. TELEMEDICINE; INCENTIVE GRANTS REGARD2 ING COORDINATION AMONG STATES. 

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

4 to State professional licensing boards to carry out pro5 grams under which such licensing boards of various States 

6 cooperate to develop and implement State policies that will 

7 reduce statutory and regulatory barriers to telemedicine. 

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

9 purpose of carrying out subsection (a), there are author10 ized to be appropriated such sums as may be necessary 

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

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

13 Safety Net Amendments of 2002 (Public Law 107–

14 251) is repealed. 

15 (f) HEALTH PROFESSIONAL SHORTAGE AREAS.—

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

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

18 (A) in subsection (a)(1)—

19 (i) by striking ‘‘such date of enact20 ment’’ and inserting ‘‘such date of designa21 tion’’; and 

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

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

24 inserting ‘‘regarding’’; and 

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

26 ‘‘330(h)(4)’’ and inserting ‘‘330(h)(5)’’; 
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1 (C) in subsection (b)(2), by striking ‘‘des2 ignation,.’’ and inserting ‘‘designation.’’; and 

3 (D) by adding at the end the following: 

4 ‘‘(j)(1) The Secretary shall submit the report de5 scribed in paragraph (2) if the Secretary, acting through 

6 the Administrator of the Health Resources and Services 

7 Administration, issues—

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

9 a health professional shortage area for purposes of 

10 this section; or 

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

12 concerning priority of such an area under section 

13 333A. 

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

15 (1), the Secretary shall prepare and submit to the Com16 mittee on Energy and Commerce of the House of Rep17 resentatives and the Committee on Health, Education, 

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

19 the regulation. 

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

21 take effect 180 days after the committees described in 

22 paragraph (2) receive a report referred to in such para23 graph describing the regulation.’’. 
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1 (2) REPEAL.—Subsection (b) of section 302 of 

2 the Health Care Safety Net Amendments of 2002 

3 (Public Law 107–251) is repealed. 

4 (g) ASSIGNMENT OF CORPS PERSONNEL.—Section 

5 333(a)(1) of the Public Health Service Act (42 U.S.C. 

6 254f) is amended by moving subparagraph (C) so that the 

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

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

9 (h) PRIORITIES IN ASSIGNMENT OF CORPS PER10 SONNEL.—Section 333A(c)(4) of the Public Health Serv11 ice Act (42 U.S.C. 254f–1(c)(4)) is amended by striking 

12 ‘‘30 days’’ and inserting ‘‘30 days from such notification’’. 

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

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

15 254g(b)(1)(B)) is amended by inserting ‘‘the payment of’’ 

16 after ‘‘applied to’’. 

17 (j) NATIONAL HEALTH SERVICE CORPS SCHOLAR18 SHIP PROGRAM.—Section 338A(d)(1) (42 U.S.C. 

19 254l(d)(1)) is amended by moving subparagraph (B) so 

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

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

22 (k) NATIONAL HEALTH SERVICE CORPS LOAN RE23 PAYMENT PROGRAM.—Section 338B(e) of the Public 

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

25 striking ‘‘PARTICIPATION.—’’ and all that follows through 
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1 ‘‘An individual’’ and inserting ‘‘PARTICIPATION.—An indi2 vidual’’. 

3 (l) BREACH OF CONTRACT.—

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

5 Health Service Act (42 U.S.C. 254o) is amended—

6 (A) in subsection (c)(1), by moving sub7 paragraphs (A), (B), and (C), and the flush 

8 matter following subparagraph (C), 2 ems to 

9 the left; and 

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

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

12 the Health Care Safety Net Amendments of 2002 (Public 

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

14 discharge in bankruptcy has not been granted before the 

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

16 Act.’’. 

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

18 the Health Care Safety Net Amendments of 2002 

19 (Public Law 107–251) is repealed. 

20 (m) MISCELLANEOUS.—The Public Health Service 

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

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

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

24 317E(c), and 318A(e), by striking ‘‘330, 330(h)’’ 

25 and inserting ‘‘330’’; 
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1 (2) in section 1313, by striking ‘‘329, 330, and 

2 330(h)’’ and inserting ‘‘329 and 330’’; and 

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

4 340’’ and inserting ‘‘section 330(h)’’. 

5 (n) HEALTH CARE SAFETY NET AMENDMENTS OF

6 2002.—The Health Care Safety Net Amendments of 2002 

7 (Public Law 107–251) is amended—

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

9 Care Financing Administration and the Health Re10 search’’ and inserting ‘‘Centers for Medicare & Med11 icaid Services and the Health Resources’’; and 

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

13 managed care networks’’ and inserting ‘‘guarantees 

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

15 SEC. 3. EFFECTIVE DATE. 

16 This Act is deemed to have taken effect immediately 

17 after the enactment of Public Law 107–251.

Union Calendar No. 162

108TH CONGRESS 

1ST SESSION H. R. 3038

[Report No. 108–275] 

A BILL

To make certain technical and conforming amendments to correct the Health Care Safety Net 

Amendments of 2002. 

SEPTEMBER 17, 2003

Committed to the Committee of the Whole House on the 

State of the Union and ordered to be printed