```

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 1441 Introduced in Senate (IS)]

<DOC>

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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Community Health Center and Primary 
Care Workforce Expansion Act of 2017''.

SEC. 2. COMMUNITY HEALTH CENTER PROGRAM.

    (a) In General.--Section 10503(b)(1) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 254b-2(b)(1)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking ``; and''; and
            (3) by adding at the end the following:
                    ``(F) $5,110,000,000 for fiscal year 2018;
                    ``(G) $5,410,000,000 for fiscal year 2019;
                    ``(H) $5,790,000,000 for fiscal year 2020;
                    ``(I) $6,620,000,000 for fiscal year 2021;
                    ``(J) $7,510,000,000 for fiscal year 2022;
                    ``(K) $8,460,000,000 for fiscal year 2023;
                    ``(L) $9,490,000,000 for fiscal year 2024;
                    ``(M) $10,590,000,000 for fiscal year 2025;
                    ``(N) $11,780,000,000 for fiscal year 2026;
                    ``(O) $12,500,000,000 for fiscal year 2027; and
                    ``(P) for fiscal year 2028, and each subsequent 
                fiscal year, the amount appropriated for the preceding 
                fiscal year adjusted by the product of--
                            ``(i) one plus the average percentage 
                        increase in costs incurred per patient served; 
                        and
                            ``(ii) one plus the average percentage 
                        increase in the total number of patients 
                        served; and''.
    (b) Capital Projects.--In addition to amounts otherwise 
appropriated under section 10503(b) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 254b-2(b)), there is authorized to be 
appropriated, and there is appropriated, for the community health 
centers program under section 330 of the Public Health Service Act (42 
U.S.C. 254b) for capital projects, $18,600,000,000 for fiscal year 
2017.
    (c) Limitation.--Amounts otherwise appropriated for community 
health centers may not be reduced as a result of the appropriations 
made under this section.
    (d) Availability of Funds.--Amounts appropriated under this section 
shall remain available until expended.

SEC. 3. NATIONAL HEALTH SERVICE CORPS.

    (a) In General.--Section 10503(b)(2) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 254b-2(b)(2)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period; and
            (3) by adding at the end the following:
                    ``(F) $850,000,000 for fiscal year 2018;
                    ``(G) $893,000,000 for fiscal year 2019;
                    ``(H) $938,000,000 for fiscal year 2020;
                    ``(I) $985,000,000 for fiscal year 2021;
                    ``(J) $1,030,000,000 for fiscal year 2022;
                    ``(K) $1,090,000,000 for fiscal year 2023;
                    ``(L) $1,100,000,000 for fiscal year 2024;
                    ``(M) $1,200,000,000 for fiscal year 2025;
                    ``(N) $1,300,000,000 for fiscal year 2026;
                    ``(O) $1,500,000,000 for fiscal year 2027; and
                    ``(P) for fiscal year 2028, and each subsequent 
                fiscal year, the amount appropriated for the preceding 
                fiscal year adjusted by the product of--
                            ``(i) one plus the average percentage 
                        increase in the costs of health professions 
                        education during the prior fiscal year; and
                            ``(ii) one plus the average percentage 
                        change in the number of individuals residing in 
                        health professions shortage areas designated 
                        under section 333 of the Public Health Service 
                        Act during the prior fiscal year, relative to 
                        the number of individuals residing in such 
                        areas during the previous fiscal year.''.
    (b) Limitation.--Amounts otherwise appropriated for National Health 
Service Corps may not be reduced as a result of the appropriations made 
under this section.
    (c) Availability of Funds.--Amounts appropriated under this section 
shall remain available until expended.

SEC. 4. TEACHING HEALTH CENTERS.

    (a) In General.--Section 340H(g) of the Public Health Service Act 
(42 U.S.C. 256h(g)) is amended--
            (1) by striking ``2015 and'' and inserting ``2015,''; and
            (2) by striking the period and inserting ``, $176,000,000 
        for fiscal years 2018 and 2019, $184,000,000 for fiscal year 
        2020, $194,000,000 for fiscal year 2021, $203,000,000 for 
        fiscal year 2022, $214,000,000 for fiscal year 2023, 
        $224,000,000 for fiscal year 2024, $235,000,000 for fiscal year 
        2025, $247,000,000 for fiscal year 2026, $260,000,000 for 
        fiscal year 2027, and for fiscal year 2028, and each subsequent 
        fiscal year, the amount appropriated for the preceding fiscal 
        year adjusted by the greater of the annual percentage increase 
        in the medical care component of the consumer price index for 
        all urban consumers (U.S. city average) as rounded up in an 
        appropriate manner, or the percentage increase for the fiscal 
        year involved under section 2(a)(11).''.
    (b) Limitation.--Amounts otherwise appropriated for Teaching Health 
Centers may not be reduced as a result of the appropriations made under 
this section.
    (c) Availability of Funds.--Amounts appropriated under this section 
shall remain available until expended.

SEC. 5. NURSE PRACTITIONER RESIDENCY TRAINING PROGRAMS.

    (a) In General.--Section 5316 of the Patient Protection and 
Affordable Care Act is amended by striking subsection (i) and inserting 
the following:
    ``(i) Appropriations.--In addition to amounts otherwise 
appropriated, there is authorized to be appropriated, and there is 
appropriated to carry out this section--
            ``(1) $35,000,000 for fiscal year 2018;
            ``(2) $40,000,000 for fiscal year 2019;
            ``(3) $45,000,000 for fiscal year 2020;
            ``(4) $50,000,000 for fiscal year 2021;
            ``(5) $55,000,000 for fiscal year 2022;
            ``(6) $60,000,000 for fiscal year 2023;
            ``(7) $65,000,000 for fiscal year 2024;
            ``(8) $70,000,000 for fiscal year 2025;
            ``(9) $75,000,000 for fiscal year 2026;
            ``(10) $80,000,000 for fiscal year 2027; and
            ``(11) for fiscal year 2028, and each subsequent fiscal 
        year, the amount appropriated for the preceding fiscal year 
        adjusted by the greater of the annual percentage increase in 
        the medical care component of the consumer price index for all 
        urban consumers (U.S. city average) as rounded up in an 
        appropriate manner, or the percentage increase for the fiscal 
        year involved under section 10503(b)(1)(P) of the Patient 
        Protection and Affordable Care Act.''.
    (b) Limitation.--Amounts otherwise appropriated for Nurse 
Practitioner Residency Training Programs may not be reduced as a result 
of the appropriations made under this section.
    (c) Availability of Funds.--Amounts appropriated under this section 
shall remain available until expended.
                                 <all>
```