II 

117TH CONGRESS 

1ST SESSION S. 3189 

To amend title XX of the Social Security Act to provide a pathway to 

health careers through health profession opportunity grants. 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 4, 2021 

Mr. HEINRICH (for himself, Mr. WYDEN, Mr. LUJA ́N, Mr. MURPHY, Mr. 

BLUMENTHAL, and Ms. ROSEN) introduced the following bill; which was 

read twice and referred to the Committee on Finance 

A BILL 

To amend title XX of the Social Security Act to provide 

a pathway to health careers through health profession 

opportunity grants. 

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 ‘‘Pathways to Health 

5 Careers Act’’. 

6 SEC. 2. PATHWAYS TO HEALTH CAREERS. 

7 Effective October 1, 2021, title XX of the Social Se8 curity Act (42 U.S.C. 1397–1397n–13) is amended by 

9 adding at the end the following: 


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1 ‘‘Subtitle D—Career Pathways 

2 Through Health Profession Op3 portunity Grants 

4 ‘‘SEC. 2071. CAREER PATHWAYS THROUGH HEALTH PRO5 FESSION OPPORTUNITY GRANTS. 

6 ‘‘(a) APPLICATION REQUIREMENTS.—An eligible en7 tity desiring a grant under this section for a project shall 

8 submit to the Secretary an application for the grant, that 

9 includes the following: 

10 ‘‘(1) A description of how the applicant will use 

11 a career pathways approach to train eligible individ12 uals for health professions that will put eligible indi13 viduals on a career path to an occupation that pays 

14 well, under the project. 

15 ‘‘(2) A description of the adult basic education 

16 and literacy activities, work readiness activities, 

17 training activities, and case management and career 

18 coaching services that the applicant will use to assist 

19 eligible individuals to gain work experience, connec20 tion to employers, and job placement, and a descrip21 tion of the plan for recruiting, hiring, and training 

22 staff to provide the case management, mentoring, 

23 and career coaching services, under the project di24 rectly or through local governmental, apprenticeship, 

25 educational, or charitable institutions. 


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1 ‘‘(3) A demonstration that the applicant has ex2 perience working with low-income populations, or a 

3 description of the plan of the applicant to work with 

4 a partner organization that has the experience. 

5 ‘‘(4) A plan for providing post-employment sup6 port and ongoing training as part of a career path7 way under the project. 

8 ‘‘(5) A description of the support services that 

9 the applicant will provide under the project, includ10 ing a plan for how child care and transportation 

11 support services will be guaranteed and, if the appli12 cant will provide a cash stipend or wage supplement, 

13 how the stipend or supplement would be calculated 

14 and distributed. 

15 ‘‘(6) A certification by the applicant that the 

16 project development included— 

17 ‘‘(A) consultation or commitment to con18 sult with a local workforce development board; 

19 ‘‘(B) consideration of registered appren20 ticeship and pre-apprenticeship models; 

21 ‘‘(C) consideration of career pathway pro22 grams in the State in which the project is to be 

23 conducted; and 


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1 ‘‘(D) a review of the State plan under sec2 tion 102 or 103 of the Workforce Innovation 

3 and Opportunity Act. 

4 ‘‘(7) A description of the availability and rel5 evance of recent labor market information and other 

6 pertinent evidence of in-demand jobs or worker 

7 shortages. 

8 ‘‘(8) A certification that the applicant will di9 rectly provide or contract for the training services 

10 described in the application. 

11 ‘‘(9) A commitment by the applicant that, if the 

12 grant is made to the applicant, the applicant will— 

13 ‘‘(A) during the planning period for the 

14 project, provide the Secretary with any informa15 tion needed by the Secretary to establish ade16 quate data reporting and administrative struc17 ture for the project; 

18 ‘‘(B) hire a person to direct the project not 

19 later than the end of the planning period appli20 cable to the project; 

21 ‘‘(C) accept all technical assistance offered 

22 by the Secretary with respect to the grant; 

23 ‘‘(D) participate in peer technical assist24 ance conferences as are regularly scheduled by 

25 the Secretary; and 


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1 ‘‘(E) provide all data required by the Sec2 retary under subsection (g). 

3 ‘‘(b) ADDITIONAL APPLICATION ELEMENT.—In con4 sidering applications for a grant under this section, the 

5 Secretary shall require qualified applicants to have at least 

6 1 of the following application elements— 

7 ‘‘(1) applications submitted by applicants to 

8 whom a grant was made under this section or any 

9 predecessor to this section; 

10 ‘‘(2) applications submitted by applicants who 

11 have business and community partners in each of 

12 the following categories: 

13 ‘‘(A) State and local government agencies 

14 and social service providers, including a State 

15 or local entity that administers a State program 

16 funded under part A of this title; 

17 ‘‘(B) institutions of higher education, ap18 prenticeship programs, and local workforce de19 velopment boards; and 

20 ‘‘(C) health care employers, health care in21 dustry or sector partnerships, labor unions, and 

22 labor-management partnerships; 

23 ‘‘(3) applications that include opportunities for 

24 mentoring or peer support, and make career coach25 ing available, as part of the case management plan; 


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1 ‘‘(4) applications which describe a project that 

2 will serve a rural area in which— 

3 ‘‘(A) the community in which the individ4 uals to be enrolled in the project reside is lo5 cated; 

6 ‘‘(B) the project will be conducted; or 

7 ‘‘(C) an employer partnership that has 

8 committed to hiring individuals who successfully 

9 complete all activities under the project is lo10 cated; 

11 ‘‘(5) applications that include a commitment to 

12 providing project participants with a cash stipend or 

13 wage supplement; and 

14 ‘‘(6) applications which have an emergency cash 

15 fund to assist project participants financially in 

16 emergency situations. 

17 ‘‘(c) GRANTS.— 

18 ‘‘(1) COMPETITIVE GRANTS.— 

19 ‘‘(A) GRANT AUTHORITY.— 

20 ‘‘(i) IN GENERAL.—The Secretary 

21 shall make a grant in accordance with this 

22 paragraph to an eligible entity whose appli23 cation for the grant is approved by the 

24 Secretary, to conduct a project designed to 

25 train low-income individuals for allied 


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1 health professions, health information tech2 nology, physician assistants, nursing as3 sistants, registered nurse, advanced prac4 tice nurse, and other professions consid5 ered part of a health care career pathway 

6 model. 

7 ‘‘(ii) GUARANTEE OF GRANTEES IN

8 EACH STATE AND THE DISTRICT OF CO9 LUMBIA.—For each grant cycle, the Sec10 retary shall award a grant under this para11 graph to at least 2 eligible entities in each 

12 State that is not a territory, to the extent 

13 there are a sufficient number of applica14 tions that have a high likelihood of success 

15 and that are submitted by the entities that 

16 meet the requirements applicable with re17 spect to such a grant. If, for a grant cycle, 

18 there are fewer than 2 such eligible entities 

19 in a State that have submitted applications 

20 with a high likelihood of success, the Sec21 retary shall identify qualified eligible appli22 cants located elsewhere, that are otherwise 

23 approved but un-funded, and issue a Sub24 stitution of Grant and tailored technical 

25 assistance. In the preceding sentence, the 


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1 term ‘issue a Substitution of Grant’ 

2 means, in a case in which an approved 

3 grantee does not complete its full project 

4 period, or in which there are fewer than 2 

5 qualified grantees per State with a high 

6 likelihood of success, substitute an appli7 cant located in another State that was ap8 proved but un-funded during the competi9 tion for the award for the award recipient. 

10 ‘‘(B) GUARANTEE OF GRANTS FOR INDIAN

11 POPULATIONS.—The Secretary shall award a 

12 grant under this paragraph to at least 10 eligi13 ble entities that are an Indian tribe, a tribal or14 ganization, or a tribal college or university, to 

15 the extent there are a sufficient number of ap16 plications submitted by the entities that meet 

17 the requirements applicable with respect to such 

18 a grant. 

19 ‘‘(C) GUARANTEE OF GRANTEES IN THE

20 TERRITORIES.—The Secretary shall award a 

21 grant under this paragraph to at least 2 eligible 

22 entities that are located in a territory, to the 

23 extent there are a sufficient number of applica24 tions submitted by the entities that meet the reVerDate Sep 11 2014 06:53 Nov 05, 2021 Jkt 029200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\S3189.IS S3189

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1 quirements applicable with respect to such a 

2 grant. 

3 ‘‘(2) GRANT CYCLE.—The grant cycle under 

4 this section shall be not less than 5 years, with a 

5 planning period of not more than the first 12 

6 months of the grant cycle. During the planning pe7 riod, the amount of the grant shall be in such lesser 

8 amount as the Secretary determines appropriate. 

9 ‘‘(d) USE OF GRANT.— 

10 ‘‘(1) IN GENERAL.—An entity to which a grant 

11 is made under this section shall use the grant in ac12 cordance with the approved application for the 

13 grant. 

14 ‘‘(2) SUPPORT TO BE PROVIDED.— 

15 ‘‘(A) REQUIRED SUPPORT.—A project for 

16 which a grant is made under this section shall 

17 include the following: 

18 ‘‘(i) An assessment for adult basic 

19 skill competency, and provision of adult 

20 basic skills education if necessary for 

21 lower-skilled eligible individuals to enroll in 

22 the project and go on to enter and com23 plete post-secondary training, through 

24 means including the following: 


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1 ‘‘(I) Establishing a network of 

2 partners that offer pre-training activi3 ties for project participants who need 

4 to improve basic academic skills or 

5 English language proficiency before 

6 entering a health occupational train7 ing career pathway program. 

8 ‘‘(II) Offering resources to enable 

9 project participants to continue ad10 vancing adult basic skill proficiency 

11 while enrolled in a career pathway 

12 program. 

13 ‘‘(III) Embedding adult basic 

14 skill maintenance as part of ongoing 

15 post-graduation career coaching and 

16 mentoring. 

17 ‘‘(ii) A guarantee that child care is an 

18 available and affordable support service for 

19 project participants through means such as 

20 the following: 

21 ‘‘(I) Referral to, and assistance 

22 with, enrollment in a subsidized child 

23 care program. 

24 ‘‘(II) Direct payment to a child 

25 care provider if a slot in a subsidized 


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1 child care program is not available or 

2 reasonably accessible. 

3 ‘‘(III) Payment of co-payments 

4 or associated fees for child care. 

5 ‘‘(iii) Case management plans that in6 clude career coaching (with the option to 

7 offer appropriate peer support and men8 toring opportunities to help develop soft 

9 skills and social capital), which may be of10 fered on an ongoing basis before, during, 

11 and after initial training as part of a ca12 reer pathway model. 

13 ‘‘(iv) A plan to provide project partici14 pants with transportation through means 

15 such as the following: 

16 ‘‘(I) Referral to, and assistance 

17 with enrollment in, a subsidized trans18 portation program. 

19 ‘‘(II) If a subsidized transpor20 tation program is not reasonably 

21 available, direct payments to subsidize 

22 transportation costs. 

23 For purposes of this clause, the term 

24 ‘transportation’ includes public transit, or 

25 gasoline for a personal vehicle if public 


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1 transit is not reasonably accessible or 

2 available. 

3 ‘‘(B) ALLOWED SUPPORT.—The goods and 

4 services provided under a project for which a 

5 grant is made under this section may include 

6 the following: 

7 ‘‘(i) A cash stipend. 

8 ‘‘(ii) A reserve fund for financial as9 sistance to project participants in emer10 gency situations. 

11 ‘‘(iii) Tuition, certification exam fees, 

12 and training materials such as books, soft13 ware, uniforms, shoes, connection to the 

14 internet, hair nets, and personal protective 

15 equipment. 

16 ‘‘(iv) In-kind resource donations such 

17 as interview clothing and conference at18 tendance fees. 

19 ‘‘(v) Assistance with accessing and 

20 completing high school equivalency or adult 

21 basic education courses as necessary to 

22 achieve success in the project and make 

23 progress toward career goals. 

24 ‘‘(vi) Assistance with programs and 

25 activities, including legal assistance, 


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1 deemed necessary to address arrest or con2 viction records as an employment barrier. 

3 ‘‘(vii) Other support services as 

4 deemed necessary for family well-being, 

5 success in the project, and progress toward 

6 career goals. 

7 ‘‘(3) TRAINING.—The number of hours of train8 ing provided to an eligible individual under a project 

9 for which a grant is made under this section, for a 

10 recognized postsecondary credential (including an in11 dustry-recognized credential, and a certificate 

12 awarded by a local workforce development board), 

13 which is awarded in recognition of attainment of 

14 measurable technical or occupational skills necessary 

15 to gain employment or advance within an occupa16 tion, shall be— 

17 ‘‘(A) not less than the number of hours of 

18 training required for certification in that level 

19 of skill by the State in which the project is con20 ducted; or 

21 ‘‘(B) if there is no such requirement, such 

22 number of hours of training as the Secretary 

23 finds is necessary to achieve that skill level. 

24 ‘‘(4) INCLUSION OF TANF RECIPIENTS.—In the 

25 case of a project for which a grant is made under 


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1 this section that is conducted in a State that has a 

2 program funded under part A of title IV, at least 10 

3 percent of the eligible individuals to whom support 

4 is provided under the project shall meet the income 

5 eligibility requirements under that State program, 

6 without regard to whether the individuals receive 

7 benefits or services directly under that State pro8 gram. 

9 ‘‘(5) INCOME LIMITATION.—An entity to which 

10 a grant is made under this section shall not use the 

11 grant to provide support to a person who is not an 

12 eligible individual. 

13 ‘‘(6) PROHIBITION.—An entity to which a grant 

14 is made under this section shall not use the grant 

15 for purposes of entertainment, except that case man16 agement and career coaching services may include 

17 celebrations of specific career-based milestones such 

18 as completing a semester, graduation, or job place19 ment. 

20 ‘‘(e) TECHNICAL ASSISTANCE.— 

21 ‘‘(1) IN GENERAL.—The Secretary shall provide 

22 technical assistance— 

23 ‘‘(A) to assist eligible entities in applying 

24 for grants under this section; 


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1 ‘‘(B) that is tailored to meet the needs of 

2 grantees at each stage of the administration of 

3 projects for which grants are made under this 

4 section; 

5 ‘‘(C) that is tailored to meet the specific 

6 needs of Indian tribes, tribal organizations, and 

7 tribal colleges and universities; 

8 ‘‘(D) that is tailored to meet the specific 

9 needs of the territories; 

10 ‘‘(E) that is tailored to meet the specific 

11 needs of applicants, eligible entities, and grant12 ees, in carrying out dedicated career pathway 

13 projects pursuant to subsections (h) and (i); 

14 and 

15 ‘‘(F) to facilitate the exchange of informa16 tion among eligible entities regarding best prac17 tices and promising practices used in the 

18 projects. 

19 ‘‘(2) CONTINUATION OF PEER TECHNICAL AS20 SISTANCE CONFERENCES.—The Secretary shall con21 tinue to hold peer technical assistance conferences 

22 for entities to which a grant is made under this sec23 tion or was made under the immediate predecessor 

24 of this section. The preceding sentence shall not be 


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1 interpreted to require any such conference to be held 

2 in person. 

3 ‘‘(f) EVALUATION OF DEDICATED CAREER PATH4 WAYS.— 

5 ‘‘(1) IN GENERAL.—The Secretary shall, by 

6 grant, contract, or interagency agreement, conduct 

7 rigorous and well-designed evaluations of the dedi8 cated career pathway projects carried out pursuant 

9 to subsections (h) and (i). 

10 ‘‘(2) REQUIREMENT APPLICABLE TO SECOND

11 CHANCE CAREER PATHWAY.—In the case of a 

12 project of the type described in subsection (i), the 

13 evaluation shall include identification of successful 

14 activities for creating opportunities for developing 

15 and sustaining, particularly with respect to low-in16 come individuals with arrest or conviction records, a 

17 health professions workforce that has accessible 

18 entry points, that meets high standards for edu19 cation, training, certification, and professional devel20 opment, and that provides increased wages and af21 fordable benefits, including health care coverage, 

22 that are responsive to the needs of the workforce. 

23 ‘‘(3) REQUIREMENT APPLICABLE TO MATERNAL

24 MORTALITY CAREER PATHWAY.—In the case of a 

25 project of the type described in subsection (h), the 


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1 evaluation shall include identification of successful 

2 activities for creating opportunities for developing 

3 and sustaining, particularly with respect to low-in4 come individuals and other entry-level workers, a ca5 reer pathway that has accessible entry points, that 

6 meets high standards for education, training, certifi7 cation, and professional development, and that pro8 vides increased wages and affordable benefits, in9 cluding health care coverage, that are responsive to 

10 the needs of the birth, pregnancy, and post-partum 

11 workforce. 

12 ‘‘(g) REPORTS.—As a condition of funding, an eligi13 ble entity awarded a grant to conduct a project under this 

14 section shall submit interim reports to the Secretary on 

15 the activities carried out under the project, and, on the 

16 conclusion of the project, a final report on the activities. 

17 ‘‘(h) MATERNAL MORTALITY CAREER PATHWAY.— 

18 ‘‘(1) GRANT AUTHORITY.—The Secretary shall 

19 award grants in accordance with this subsection to 

20 eligible entities to conduct career pathway projects 

21 for the purpose of providing education for profes22 sions such as doulas, lactation consultants, child23 birth educators, infant massage therapists, newborn 

24 care specialists, midwives, and other community 

25 health worker professions, for individuals to enter 


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1 and follow a dedicated career pathway in the field of 

2 pregnancy, childbirth, or post-partum services in a 

3 State that recognizes doulas or midwives as health 

4 care providers and that provides payment for serv5 ices provided by doulas or midwives, as the case may 

6 be, under the State plan approved under title XIX. 

7 ‘‘(2) DURATION.—A grant awarded under this 

8 subsection shall have the same grant cycle as is pro9 vided in subsection (c)(2), and as a condition of 

10 funding the grantee shall comply with all data re11 porting requirements associated with the grant cycle. 

12 ‘‘(3) APPLICATION REQUIREMENTS.—An entity 

13 seeking a grant under this subsection for a project 

14 shall submit to the Secretary an application for the 

15 grant, that includes the following: 

16 ‘‘(A) A description of the partnerships, 

17 strategic staff hiring decisions, tailored program 

18 activities, or other programmatic elements of 

19 the project that are designed to support a 

20 strong career pathway in pregnancy, birth, or 

21 post-partum services. 

22 ‘‘(B) A demonstration that the State in 

23 which the project is to be conducted recognizes 

24 and permits doulas and midwives to practice in 

25 the State. 


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1 ‘‘(C) A demonstration that the applicant 

2 has experience working with low-income popu3 lations, or a description of the plan of the appli4 cant to work with a partner that has the experi5 ence. 

6 ‘‘(4) SUPPORT TO BE PROVIDED.—The recipi7 ent of a grant under this subsection for a project 

8 shall provide required supportive services described 

9 in subsection (d)(2)(A) to project participants who 

10 need the services, and may expend the funding on el11 igible supportive services described in subsection 

12 (d)(2)(B). 

13 ‘‘(i) SECOND CHANCE CAREER PATHWAY.— 

14 ‘‘(1) GRANT AUTHORITY.—The Secretary shall 

15 award grants in accordance with this subsection to 

16 eligible entities to conduct career pathway projects 

17 for the purpose of providing education and training 

18 for eligible individuals with arrest or conviction 

19 records to enter and follow a career pathway in the 

20 health professions through occupations that are ex21 pected to experience a labor shortage or be in high 

22 demand. 

23 ‘‘(2) DURATION.—A grant awarded under this 

24 subsection shall have the same grant cycle as is pro25 vided in subsection (c)(2), and as a condition of 


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1 funding the grantee shall comply with all data re2 porting requirements associated with the grant cycle. 

3 ‘‘(3) APPLICATION REQUIREMENTS.—An entity 

4 seeking a grant under this subsection for a project 

5 shall submit to the Secretary an application for the 

6 grant, that includes the following: 

7 ‘‘(A) A demonstration that the State in 

8 which the project is to be conducted has in ef9 fect policies or laws that permit certain allied 

10 health and behavioral health care credentials to 

11 be awarded to people with certain arrest or con12 viction records (which policies or laws shall in13 clude appeals processes and other opportunities 

14 to demonstrate rehabilitation to obtain licensure 

15 and approval to work in the proposed health ca16 reers), and a plan described in the application 

17 which will use a legally permitted career path18 way to train people with such a record to be 

19 trained and employed in such a career. 

20 ‘‘(B) A discussion of how the project or fu21 ture strategic hiring decisions will demonstrate 

22 the experience and expertise of the project in 

23 working with job seekers who have arrest or 

24 conviction records or employers with experience 


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1 working with people with arrest or conviction 

2 records. 

3 ‘‘(C) A demonstration that the applicant 

4 has experience working with low-income popu5 lations, or a description of the plan of the appli6 cant to work with a partner that has the experi7 ence. 

8 ‘‘(D) An identification of promising inno9 vations or best practices that can be used to 

10 provide the training. 

11 ‘‘(E) A proof of concept or demonstration 

12 that the applicant has done sufficient research 

13 on workforce shortage or in-demand jobs for 

14 which people with certain types of criminal 

15 records can be hired. 

16 ‘‘(F) A plan for recruiting students who 

17 are eligible individuals into the project. 

18 ‘‘(G) A plan for providing post-employment 

19 support and ongoing training as part of a ca20 reer pathway under the project. 

21 ‘‘(4) SUPPORT TO BE PROVIDED.— 

22 ‘‘(A) REQUIRED SUPPORT.—A recipient of 

23 a grant under this subsection for a project shall 

24 provide— 


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1 ‘‘(i) access to legal assistance for 

2 project participants for the purpose of ad3 dressing arrest or conviction records and 

4 associated workforce barriers; 

5 ‘‘(ii) assistance with programs and ac6 tivities deemed necessary to address arrest 

7 or conviction records as an employment 

8 barrier; and 

9 ‘‘(iii) required supportive services de10 scribed in subsection (d)(2)(A) to partici11 pants who need the services, and may ex12 pend funds on eligible supportive services 

13 described in subsection (d)(2)(B). 

14 ‘‘(j) DEFINITIONS.—In this section: 

15 ‘‘(1) ALLIED HEALTH PROFESSION.—The term 

16 ‘allied health profession’ has the meaning given in 

17 section 799B(5) of the Public Health Service Act. 

18 ‘‘(2) CAREER PATHWAY.—The term ‘career 

19 pathway’ has the meaning given that term in section 

20 3(7) of the Workforce Innovation and Opportunity 

21 Act. 

22 ‘‘(3) DOULA.—The term ‘doula’ means an indi23 vidual who— 

24 ‘‘(A) is certified by an organization that 

25 has been established for not less than 5 years 


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1 and that requires the completion of continuing 

2 education to maintain the certification, to pro3 vide non-medical advice, information, emotional 

4 support, and physical comfort to an individual 

5 during the individual’s pregnancy, childbirth, 

6 and post-partum period; and 

7 ‘‘(B) maintains the certification by com8 pleting the required continuing education. 

9 ‘‘(4) ELIGIBLE ENTITY.—The term ‘eligible en10 tity’ means any of the following entities that dem11 onstrates in an application submitted under this sec12 tion that the entity has the capacity to fully develop 

13 and administer the project described in the applica14 tion: 

15 ‘‘(A) A local workforce development board 

16 established under section 107 of the Workforce 

17 Innovation and Opportunity Act. 

18 ‘‘(B) A State or territory, a political sub19 division of a State or territory, or an agency of 

20 a State, territory, or such a political subdivi21 sion, including a State or local entity that ad22 ministers a State program funded under part A 

23 of this title. 

24 ‘‘(C) An Indian tribe, a tribal organization, 

25 or a tribal college or university. 


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1 ‘‘(D) An institution of higher education (as 

2 defined in the Higher Education Act of 1965). 

3 ‘‘(E) A hospital (as defined in section 

4 1861(e)). 

5 ‘‘(F) A high-quality skilled nursing facility. 

6 ‘‘(G) A Federally qualified health center 

7 (as defined in section 1861(aa)(4)). 

8 ‘‘(H) A nonprofit organization described in 

9 section 501(c)(3) of the Internal Revenue Code 

10 of 1986, a labor organization, or an entity with 

11 shared labor-management oversight, that has a 

12 demonstrated history of providing health profes13 sion training to eligible individuals. 

14 ‘‘(I) In the case of a project of the type 

15 provided for in subsection (h) of this section, an 

16 entity recognized by a State, Indian tribe, or 

17 tribal organization as qualified to train doulas 

18 or midwives, if midwives or doulas, as the case 

19 may be, are permitted to practice in the State 

20 involved. 

21 ‘‘(J) An opioid treatment program (as de22 fined in section 1861(jjj)(2)), and other high 

23 quality comprehensive addiction care providers. 

24 ‘‘(5) ELIGIBLE INDIVIDUAL.—The term ‘eligible 

25 individual’ means an individual whose family income 


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1 does not exceed 200 percent of the Federal poverty 

2 level. 

3 ‘‘(6) FEDERAL POVERTY LEVEL.—The term 

4 ‘Federal poverty level’ means the poverty line (as de5 fined in section 673(2) of the Omnibus Budget Rec6 onciliation Act of 1981, including any revision re7 quired by such section applicable to a family of the 

8 size involved). 

9 ‘‘(7) INDIAN TRIBE; TRIBAL ORGANIZATION.— 

10 The terms ‘Indian tribe’ and ‘tribal organization’ 

11 have the meaning given the terms in section 4 of the 

12 Indian Self-Determination and Education Assistance 

13 Act (25 U.S.C. 450b). 

14 ‘‘(8) INSTITUTION OF HIGHER EDUCATION.— 

15 The term ‘institution of higher education’ has the 

16 meaning given the term in section 101 or 

17 102(a)(1)(B) of the Higher Education Act of 1965. 

18 ‘‘(9) TERRITORY.—The term ‘territory’ means 

19 the Commonwealth of Puerto Rico, the United 

20 States Virgin Islands, Guam, the Northern Mariana 

21 Islands, and American Samoa. 

22 ‘‘(10) TRIBAL COLLEGE OR UNIVERSITY.—The 

23 term ‘tribal college or university’ has the meaning 

24 given the term in section 316(b) of the Higher Edu25 cation Act of 1965. 


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1 ‘‘(k) FUNDING.—In addition to amounts otherwise 

2 available, there is appropriated to the Secretary— 

3 ‘‘(1) $318,750,000 for grants under subsection 

4 (c)(1)(A) for each of fiscal years 2022 through 

5 2026; 

6 ‘‘(2) $17,000,000 for grants under subsection 

7 (c)(1)(B) for each of fiscal years 2022 through 

8 2026; 

9 ‘‘(3) $21,250,000 for grants under subsection 

10 (c)(1)(C) for each of fiscal years 2022 through 

11 2026; 

12 ‘‘(4) $25,500,000 for projects conducted under 

13 subsections (h) and (i) for each of fiscal years 2023 

14 through 2026; 

15 ‘‘(5) $25,500,000, plus all amounts referred to 

16 in paragraphs (1) through (4) of this subsection that 

17 remain unused after all grant awards are made for 

18 the fiscal year, for each of fiscal years 2022 through 

19 2026, for the provision of technical assistance and 

20 administration; and 

21 ‘‘(6) $17,000,000 for each of fiscal years 2022 

22 through 2026 for studying the effects of the projects 

23 for which a grant is made under this section, and for 

24 administration, for the purpose of supporting the 

25 rigorous evaluation of the projects, and supporting 


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27 

•S 3189 IS

1 the continued study of the short-, medium-, and 

2 long-term effects of all such projects, including the 

3 effectiveness of new or added elements of the 

4 projects.’’. 

Æ 


kjohnson on DSK79L0C42PROD with BILLS