II 

115TH CONGRESS 

1ST SESSION S. 1441 

To provide funding for Federally Qualified Health Centers, the National 

Health Service Corps, Teaching Health Centers, and the Nurse Practitioner Residency Training program. 

IN THE SENATE OF THE UNITED STATES 

JUNE 26, 2017 

Mr. SANDERS (for himself, Ms. WARREN, and Ms. HARRIS) introduced the following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To provide funding for Federally Qualified Health Centers, 

the National Health Service Corps, Teaching Health 

Centers, and the Nurse Practitioner Residency Training 

program. 

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 ‘‘Community Health 

5 Center and Primary Care Workforce Expansion Act of 

6 2017’’. 


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1 SEC. 2. COMMUNITY HEALTH CENTER PROGRAM. 

2 (a) IN GENERAL.—Section 10503(b)(1) of the Pa3 tient Protection and Affordable Care Act (42 U.S.C. 

4 254b–2(b)(1)) is amended— 

5 (1) in subparagraph (D), by striking ‘‘and’’ at 

6 the end; 

7 (2) in subparagraph (E), by striking ‘‘; and’’; 

8 and 

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

10 ‘‘(F) $5,110,000,000 for fiscal year 2018; 

11 ‘‘(G) $5,410,000,000 for fiscal year 2019; 

12 ‘‘(H) $5,790,000,000 for fiscal year 2020; 

13 ‘‘(I) $6,620,000,000 for fiscal year 2021; 

14 ‘‘(J) $7,510,000,000 for fiscal year 2022; 

15 ‘‘(K) $8,460,000,000 for fiscal year 2023; 

16 ‘‘(L) $9,490,000,000 for fiscal year 2024; 

17 ‘‘(M) $10,590,000,000 for fiscal year 

18 2025; 

19 ‘‘(N) $11,780,000,000 for fiscal year 

20 2026; 

21 ‘‘(O) $12,500,000,000 for fiscal year 2027; 

22 and 

23 ‘‘(P) for fiscal year 2028, and each subse24 quent fiscal year, the amount appropriated for 

25 the preceding fiscal year adjusted by the prod26 uct of— 


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1 ‘‘(i) one plus the average percentage 

2 increase in costs incurred per patient 

3 served; and 

4 ‘‘(ii) one plus the average percentage 

5 increase in the total number of patients 

6 served; and’’. 

7 (b) CAPITAL PROJECTS.—In addition to amounts 

8 otherwise appropriated under section 10503(b) of the Pa9 tient Protection and Affordable Care Act (42 U.S.C. 

10 254b–2(b)), there is authorized to be appropriated, and 

11 there is appropriated, for the community health centers 

12 program under section 330 of the Public Health Service 

13 Act (42 U.S.C. 254b) for capital projects, 

14 $18,600,000,000 for fiscal year 2017. 

15 (c) LIMITATION.—Amounts otherwise appropriated 

16 for community health centers may not be reduced as a 

17 result of the appropriations made under this section. 

18 (d) AVAILABILITY OF FUNDS.—Amounts appro19 priated under this section shall remain available until ex20 pended. 

21 SEC. 3. NATIONAL HEALTH SERVICE CORPS. 

22 (a) IN GENERAL.—Section 10503(b)(2) of the Pa23 tient Protection and Affordable Care Act (42 U.S.C. 

24 254b–2(b)(2)) is amended— 


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1 (1) in subparagraph (D), by striking ‘‘and’’ at 

2 the end; 

3 (2) in subparagraph (E), by striking the period; 

4 and 

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

6 ‘‘(F) $850,000,000 for fiscal year 2018; 

7 ‘‘(G) $893,000,000 for fiscal year 2019; 

8 ‘‘(H) $938,000,000 for fiscal year 2020; 

9 ‘‘(I) $985,000,000 for fiscal year 2021; 

10 ‘‘(J) $1,030,000,000 for fiscal year 2022; 

11 ‘‘(K) $1,090,000,000 for fiscal year 2023; 

12 ‘‘(L) $1,100,000,000 for fiscal year 2024; 

13 ‘‘(M) $1,200,000,000 for fiscal year 2025; 

14 ‘‘(N) $1,300,000,000 for fiscal year 2026; 

15 ‘‘(O) $1,500,000,000 for fiscal year 2027; 

16 and 

17 ‘‘(P) for fiscal year 2028, and each subse18 quent fiscal year, the amount appropriated for 

19 the preceding fiscal year adjusted by the prod20 uct of— 

21 ‘‘(i) one plus the average percentage 

22 increase in the costs of health professions 

23 education during the prior fiscal year; and 

24 ‘‘(ii) one plus the average percentage 

25 change in the number of individuals residVerDate Sep 11 2014 04:43 Jul 01, 2017 Jkt 069200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S1441.IS S1441

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1 ing in health professions shortage areas 

2 designated under section 333 of the Public 

3 Health Service Act during the prior fiscal 

4 year, relative to the number of individuals 

5 residing in such areas during the previous 

6 fiscal year.’’. 

7 (b) LIMITATION.—Amounts otherwise appropriated 

8 for National Health Service Corps may not be reduced as 

9 a result of the appropriations made under this section. 

10 (c) AVAILABILITY OF FUNDS.—Amounts appro11 priated under this section shall remain available until ex12 pended. 

13 SEC. 4. TEACHING HEALTH CENTERS. 

14 (a) IN GENERAL.—Section 340H(g) of the Public 

15 Health Service Act (42 U.S.C. 256h(g)) is amended— 

16 (1) by striking ‘‘2015 and’’ and inserting 

17 ‘‘2015,’’; and 

18 (2) by striking the period and inserting ‘‘, 

19 $176,000,000 for fiscal years 2018 and 2019, 

20 $184,000,000 for fiscal year 2020, $194,000,000 for 

21 fiscal year 2021, $203,000,000 for fiscal year 2022, 

22 $214,000,000 for fiscal year 2023, $224,000,000 for 

23 fiscal year 2024, $235,000,000 for fiscal year 2025, 

24 $247,000,000 for fiscal year 2026, $260,000,000 for 

25 fiscal year 2027, and for fiscal year 2028, and each 


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1 subsequent fiscal year, the amount appropriated for 

2 the preceding fiscal year adjusted by the greater of 

3 the annual percentage increase in the medical care 

4 component of the consumer price index for all urban 

5 consumers (U.S. city average) as rounded up in an 

6 appropriate manner, or the percentage increase for 

7 the fiscal year involved under section 2(a)(11).’’. 

8 (b) LIMITATION.—Amounts otherwise appropriated 

9 for Teaching Health Centers may not be reduced as a re10 sult of the appropriations made under this section. 

11 (c) AVAILABILITY OF FUNDS.—Amounts appro12 priated under this section shall remain available until ex13 pended. 

14 SEC. 5. NURSE PRACTITIONER RESIDENCY TRAINING PRO15 GRAMS. 

16 (a) IN GENERAL.—Section 5316 of the Patient Pro17 tection and Affordable Care Act is amended by striking 

18 subsection (i) and inserting the following: 

19 ‘‘(i) APPROPRIATIONS.—In addition to amounts oth20 erwise appropriated, there is authorized to be appro21 priated, and there is appropriated to carry out this sec22 tion— 

23 ‘‘(1) $35,000,000 for fiscal year 2018; 

24 ‘‘(2) $40,000,000 for fiscal year 2019; 

25 ‘‘(3) $45,000,000 for fiscal year 2020; 


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1 ‘‘(4) $50,000,000 for fiscal year 2021; 

2 ‘‘(5) $55,000,000 for fiscal year 2022; 

3 ‘‘(6) $60,000,000 for fiscal year 2023; 

4 ‘‘(7) $65,000,000 for fiscal year 2024; 

5 ‘‘(8) $70,000,000 for fiscal year 2025; 

6 ‘‘(9) $75,000,000 for fiscal year 2026; 

7 ‘‘(10) $80,000,000 for fiscal year 2027; and 

8 ‘‘(11) for fiscal year 2028, and each subsequent 

9 fiscal year, the amount appropriated for the pre10 ceding fiscal year adjusted by the greater of the an11 nual percentage increase in the medical care compo12 nent of the consumer price index for all urban con13 sumers (U.S. city average) as rounded up in an ap14 propriate manner, or the percentage increase for the 

15 fiscal year involved under section 10503(b)(1)(P) of 

16 the Patient Protection and Affordable Care Act.’’. 

17 (b) LIMITATION.—Amounts otherwise appropriated 

18 for Nurse Practitioner Residency Training Programs may 

19 not be reduced as a result of the appropriations made 

20 under this section. 

21 (c) AVAILABILITY OF FUNDS.—Amounts appro22 priated under this section shall remain available until ex23 pended. 

Æ 


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