I 

116TH CONGRESS 

1ST SESSION H. R. 2781 

To amend title VII of the Public Health Service Act to reauthorize certain 

programs relating to the health professions workforce, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 16, 2019 

Ms. SCHAKOWSKY (for herself and Mr. BURGESS) introduced the following 

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

A BILL 

To amend title VII of the Public Health Service Act to 

reauthorize certain programs relating to the health professions workforce, and for other purposes. 

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 ‘‘Educating Medical 

5 Professionals and Optimizing Workforce Efficiency and 

6 Readiness for Health Act of 2019’’ or the ‘‘EMPOWER 

7 for Health Act of 2019’’. 


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1 SEC. 2. REAUTHORIZATION OF HEALTH PROFESSIONS 

2 WORKFORCE PROGRAMS. 

3 (a) CENTERS OF EXCELLENCE.—Subsection (i) of 

4 section 736 of the Public Health Service Act (42 U.S.C. 

5 293) is amended to read as follows: 

6 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—To 

7 carry out this section, there is authorized to be appro8 priated $24,897,000 for each of fiscal years 2020 through 

9 2024.’’. 

10 (b) HEALTH PROFESSIONS TRAINING FOR DIVER11 SITY.—Section 740 of the Public Health Service Act (42 

12 U.S.C. 293d) is amended— 

13 (1) in subsection (a), by striking ‘‘$51,000,000 

14 for fiscal year 2010, and such sums as may be nec15 essary for each of the fiscal years 2011 through 

16 2014’’ and inserting ‘‘$51,419,000 for each of fiscal 

17 years 2020 through 2024’’; 

18 (2) in subsection (b), by striking ‘‘$5,000,000 

19 for each of the fiscal years 2010 through 2014’’ and 

20 inserting ‘‘$1,250,000 for each of fiscal years 2020 

21 through 2024’’; and 

22 (3) in subsection (c), by striking ‘‘$60,000,000 

23 for fiscal year 2010 and such sums as may be nec24 essary for each of the fiscal years 2011 through 

25 2014’’ and inserting ‘‘$14,899,000 for each of fiscal 

26 years 2020 through 2024’’. 


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1 (c) PRIMARY CARE TRAINING AND ENHANCE2 MENT.—Section 747(c)(1) of the Public Health Service 

3 Act (42 U.S.C. 293k(c)(1)) is amended by striking 

4 ‘‘$125,000,000 for fiscal year 2010, and such sums as 

5 may be necessary for each of fiscal years 2011 through 

6 2014’’ and inserting ‘‘$51,371,000 for each of fiscal years 

7 2020 through 2024’’. 

8 (d) TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC

9 HEALTH DENTISTRY.—Section 748(f) of the Public 

10 Health Service Act (42 U.S.C. 293k–2(f)) is amended by 

11 striking ‘‘$30,000,000 for fiscal year 2010 and such sums 

12 as may be necessary for each of fiscal years 2011 through 

13 2015’’ and inserting ‘‘$42,707,000 for each of fiscal years 

14 2020 through 2024’’. 

15 (e) AREA HEALTH EDUCATION CENTERS.—Section 

16 751(j)(1) of the Public Health Service Act (42 U.S.C. 

17 294a(j)(1)) is amended by striking ‘‘$125,000,000 for 

18 each of the fiscal years 2010 through 2014’’ and inserting 

19 ‘‘$42,075,000 for each of fiscal years 2020 through 

20 2024’’. 

21 (f) NATIONAL CENTER FOR HEALTHCARE WORK22 FORCE ANALYSIS.— 

23 (1) IN GENERAL.—Section 761(e)(1)(A) of the 

24 Public Health Service Act (42 U.S.C. 

25 294n(e)(1)(A)) is amended by striking ‘‘$7,500,000 


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1 for each of fiscal years 2010 through 2014’’ and in2 serting ‘‘$5,947,000 for each of fiscal years 2020 

3 through 2024’’. 

4 (2) TECHNICAL CORRECTION.—Section 

5 761(e)(2) of the Public Health Service Act (42 

6 U.S.C. 294n(e)(2)) is amended by striking ‘‘sub7 section (a)’’ and inserting ‘‘paragraph (1)’’. 

8 (g) PUBLIC HEALTH WORKFORCE.—Section 770(a) 

9 of the Public Health Service Act (42 U.S.C. 295e(a)) is 

10 amended by striking ‘‘$43,000,000 for fiscal year 2011, 

11 and such sums as may be necessary for each of the fiscal 

12 years 2012 through 2015’’ and inserting ‘‘$17,850,000 for 

13 each of fiscal years 2020 through 2024’’. 

14 SEC. 3. EDUCATION AND TRAINING RELATING TO GERI15 ATRICS. 

16 Section 753 of the Public Health Service Act (42 

17 U.S.C. 294c) is amended to read as follows: 

18 ‘‘SEC. 753. EDUCATION AND TRAINING RELATING TO GERI19 ATRICS. 

20 ‘‘(a) GERIATRICS WORKFORCE ENHANCEMENT PRO21 GRAMS.— 

22 ‘‘(1) IN GENERAL.—The Secretary shall award 

23 grants or contracts under this subsection to entities 

24 described in paragraph (1), (3), or (4) of section 

25 799B, section 801(2), or section 865(d), or other 


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1 health professions schools or programs approved by 

2 the Secretary, for the establishment or operation of 

3 geriatrics workforce enhancement programs that 

4 meet the requirements of paragraph (2). 

5 ‘‘(2) REQUIREMENTS.—A geriatrics workforce 

6 enhancement program meets the requirements of 

7 this paragraph if such program supports the devel8 opment of a health care workforce that maximizes 

9 patient and family engagement and improves health 

10 outcomes for older adults by integrating geriatrics 

11 with primary care and other appropriate specialties. 

12 Special emphasis should be placed on providing the 

13 primary care workforce with the knowledge and 

14 skills to care for older adults and collaborating with 

15 community partners to address gaps in health care 

16 for older adults through individual, system, commu17 nity, and population level changes. Areas of pro18 grammatic focus may include the following: 

19 ‘‘(A) Transforming clinical training envi20 ronments to integrated geriatrics and primary 

21 care delivery systems to ensure trainees are well 

22 prepared to practice in and lead in such sys23 tems. 

24 ‘‘(B) Developing providers from multiple 

25 disciplines and specialties to work interprofesVerDate Sep 11 2014 03:19 May 29, 2019 Jkt 089200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H2781.IH H2781

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1 sionally to assess and address the needs and 

2 preferences of older adults and their families 

3 and caregivers at the individual, community, 

4 and population levels with cultural and lin5 guistic competency. 

6 ‘‘(C) Creating and delivering community7 based programs that will provide older adults 

8 and their families and caregivers with the 

9 knowledge and skills to improve health out10 comes and the quality of care for such adults. 

11 ‘‘(D) Providing Alzheimer’s disease and re12 lated dementias (ADRD) education to the fami13 lies and caregivers of older adults, direct care 

14 workers, health professions students, faculty, 

15 and providers. 

16 ‘‘(3) DURATION.—The Secretary shall award 

17 grants and contracts under paragraph (1) for a pe18 riod not to exceed five years. 

19 ‘‘(4) APPLICATION.—To be eligible to receive a 

20 grant or contract under paragraph (1), an entity de21 scribed in such paragraph shall submit to the Sec22 retary an application at such time, in such manner, 

23 and containing such information as the Secretary 

24 may require, including the specific measures the ap25 plicant will use to demonstrate that the project is 


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1 improving the quality of care provided to older 

2 adults in the applicant’s region, which may in3 clude— 

4 ‘‘(A) improvements in access to care pro5 vided by a health professional with training in 

6 geriatrics or gerontology; 

7 ‘‘(B) improvements in family caregiver ca8 pacity to care for older adults; 

9 ‘‘(C) patient outcome data demonstrating 

10 an improvement in older adult health status or 

11 care quality; and 

12 ‘‘(D) reports on how the applicant will im13 plement specific innovations with the target au14 dience to improve older adults’ health status or 

15 the quality of care. 

16 ‘‘(5) EQUITABLE GEOGRAPHIC DISTRIBU17 TION.—The Secretary may award grants and con18 tracts under paragraph (1) in a manner which will 

19 equitably distribute such grants among the various 

20 regions of the United States. 

21 ‘‘(6) QUALIFICATIONS.—In awarding grants 

22 and contracts under paragraph (2), the Secretary 

23 shall consider programs that— 

24 ‘‘(A) have the goal of improving and pro25 viding comprehensive coordinated care of older 


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1 adults, including medical, dental, and psycho2 social needs; 

3 ‘‘(B) demonstrate coordination with other 

4 programmatic efforts funded under this pro5 gram or other public or private entities; 

6 ‘‘(C) support the training and retraining of 

7 faculty, preceptors, primary care providers, and 

8 providers in other specialties to increase their 

9 knowledge of geriatrics and gerontology; 

10 ‘‘(D) provide clinical experiences across 

11 care settings, including ambulatory care, hos12 pitals, post-acute care, nursing homes, federally 

13 qualified health centers, and home and commu14 nity-based services; 

15 ‘‘(E) emphasize education and engagement 

16 of family caregivers on disease self-manage17 ment, medication management, and stress re18 duction strategies; 

19 ‘‘(F) provide training to the health care 

20 workforce on disease self-management, motiva21 tional interviewing, medication management, 

22 and stress reduction strategies; 

23 ‘‘(G) provide training to the health care 

24 workforce on social determinants of health in 

25 order to better address the geriatric health care 


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1 needs of diverse populations with cultural and 

2 linguistic competency; 

3 ‘‘(H) integrate geriatrics competencies and 

4 interprofessional collaborative practice into 

5 health care education and training curricula for 

6 residents, fellows, and students; 

7 ‘‘(I) substantially benefit rural or under8 served populations of older adults or conduct 

9 outreach to communities that have a shortage 

10 of geriatric workforce professionals; 

11 ‘‘(J) integrate behavioral health com12 petencies into primary care practice, especially 

13 with respect to elder abuse, pain management, 

14 and advance care planning; or 

15 ‘‘(K) offer short-term intensive courses 

16 that— 

17 ‘‘(i) focus on geriatrics, gerontology, 

18 chronic care management, and long-term 

19 care that provide supplemental training for 

20 faculty members in medical schools and 

21 other health professions schools or grad22 uate programs in psychology, pharmacy, 

23 nursing, social work, dentistry, public 

24 health, allied health, or other health dis25 ciplines, as approved by the Secretary; and 


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1 ‘‘(ii) are open to current faculty, and 

2 appropriately credentialed volunteer faculty 

3 and practitioners, to upgrade their knowl4 edge and clinical skills for the care of older 

5 adults and adults with functional and cog6 nitive limitations and to enhance their 

7 interdisciplinary teaching skills. 

8 ‘‘(7) PRIORITY.—In awarding grants under 

9 paragraph (1), particularly with respect to awarding, 

10 in fiscal year 2020, any amount appropriated for 

11 such fiscal year for purposes of carrying out this 

12 subsection that is in excess of the amount appro13 priated for the most previous fiscal year for which 

14 appropriations were made for such purposes, the 

15 Secretary may give priority to entities that oper16 ate— 

17 ‘‘(A) in communities that have a shortage 

18 of geriatric workforce professionals; and 

19 ‘‘(B) in States in which no entity has pre20 viously received an award under such paragraph 

21 (including as in effect before the date of enact22 ment of the Educating Medical Professionals 

23 and Optimizing Workforce Efficiency and Read24 iness for Health Act of 2019). 


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1 ‘‘(8) AWARD AMOUNTS.—Awards under para2 graph (1) shall be in an amount determined by the 

3 Secretary. Entities that submit applications under 

4 this subsection that describe a plan for providing 

5 geriatric education and training for home health 

6 workers and family caregivers are eligible to receive 

7 $100,000 per year more than entities that do not in8 clude a description of such a plan. 

9 ‘‘(9) REPORTING.— 

10 ‘‘(A) REPORTS FROM ENTITIES.—Each en11 tity awarded a grant under paragraph (1) shall 

12 submit an annual report to the Secretary on fi13 nancial and programmatic performance under 

14 such grant, which may include factors such as 

15 the number of trainees, the number of profes16 sions and disciplines, the number of partner17 ships with health care delivery sites, the num18 ber of faculty and practicing professionals who 

19 participated in continuing education programs, 

20 and such other factors as the Secretary may re21 quire. 

22 ‘‘(B) REPORTS TO CONGRESS.— 

23 ‘‘(i) ANNUAL REPORT.—At the end of 

24 each fiscal year in which the Secretary 

25 awards grants under this subsection, the 


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1 Secretary shall submit to Congress a re2 port that provides a summary of the finan3 cial and programmatic performance of 

4 such grants, which may include factors 

5 such as— 

6 ‘‘(I) the number of trainees; 

7 ‘‘(II) the number of professions 

8 and disciplines; 

9 ‘‘(III) the number of partner10 ships with health care delivery sites; 

11 ‘‘(IV) the number of faculty and 

12 practicing professionals who partici13 pated in continuing education pro14 grams; and 

15 ‘‘(V) other factors that assess the 

16 impact of the program under this sub17 section on the health status of older 

18 adults, the quality of care for older 

19 adults, and the knowledge and skills 

20 of the Nation’s health care workforce 

21 to care for older adults. 

22 ‘‘(ii) PUBLIC AVAILABILITY.—The 

23 Secretary shall make each report sub24 mitted under clause (i), and supporting 

25 data, publicly available in an accessible forVerDate Sep 11 2014 03:19 May 29, 2019 Jkt 089200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H2781.IH H2781

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1 mat on the internet website of the Health 

2 Resources and Services Administration. 

3 ‘‘(b) GERIATRIC ACADEMIC CAREER AWARDS.— 

4 ‘‘(1) ESTABLISHMENT OF PROGRAM.—The Sec5 retary shall establish a program to award grants, to 

6 be known as Geriatric Academic Career Awards, to 

7 eligible entities applying on behalf of eligible individ8 uals to promote the career development of such indi9 viduals as academic geriatricians or other academic 

10 geriatrics health professionals. 

11 ‘‘(2) ELIGIBILITY.— 

12 ‘‘(A) ELIGIBLE ENTITY.—For purposes of 

13 this subsection, the term ‘eligible entity’ 

14 means— 

15 ‘‘(i) an accredited school of allopathic 

16 medicine, osteopathic medicine, nursing, 

17 social work, psychology, dentistry, phar18 macy, or allied health; or 

19 ‘‘(ii) another type of accredited health 

20 professions school or graduate program 

21 deemed by the Secretary to be eligible 

22 under this subsection. 

23 ‘‘(B) ELIGIBLE INDIVIDUAL.— 


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1 ‘‘(i) IN GENERAL.—For purposes of 

2 this subsection, the term ‘eligible indi3 vidual’ means an individual who— 

4 ‘‘(I) has a junior, nontenured, 

5 faculty appointment at an accredited 

6 school of allopathic medicine, osteo7 pathic medicine, nursing, social work, 

8 psychology, dentistry, pharmacy, or 

9 allied health or at another type of ac10 credited health professions school or 

11 graduate program described in sub12 paragraph (A)(ii); 

13 ‘‘(II)(aa) is board certified or 

14 board eligible in internal medicine, 

15 family practice, psychiatry, or licensed 

16 dentistry, or has completed the train17 ing required for the individual’s dis18 cipline; and 

19 ‘‘(bb) is employed at an eligible 

20 entity; or 

21 ‘‘(III) has completed an approved 

22 fellowship program in geriatrics or 

23 gerontology, or has completed spe24 cialty training in geriatrics or geron25 tology as required for the individual’s 


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1 discipline and any additional geri2 atrics or gerontology training as re3 quired by the Secretary. 

4 ‘‘(ii) SPECIAL RULE.—If during the 

5 period of an award under this subsection 

6 respecting an eligible individual, the indi7 vidual is promoted to associate professor 

8 and thereby no longer meets the criteria of 

9 clause (i)(I), the individual may continue 

10 to be treated as an eligible individual 

11 through the term of the award. 

12 ‘‘(3) LIMITATIONS.—An eligible entity may not 

13 receive an award under paragraph (1) on behalf of 

14 an eligible individual unless the eligible entity— 

15 ‘‘(A) submits to the Secretary an applica16 tion, at such time, in such manner, and con17 taining such information as the Secretary may 

18 require, and the Secretary approves such appli19 cation; 

20 ‘‘(B) provides, in such form and manner as 

21 the Secretary may require, assurances that the 

22 eligible individual on whose behalf an applica23 tion was submitted under subparagraph (A) will 

24 meet the service requirement described in para25 graph (8); and 


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1 ‘‘(C) provides, in such form and manner as 

2 the Secretary may require, assurances that such 

3 individual has a full-time faculty appointment 

4 in an accredited health professions school or 

5 graduate program and documented commitment 

6 from such school or program to spend 75 per7 cent of the total time of such individual on 

8 teaching and developing skills in interprofes9 sional education in geriatrics. 

10 ‘‘(4) REQUIREMENTS.—In awarding grants 

11 under this subsection, the Secretary— 

12 ‘‘(A) shall give priority to eligible entities 

13 that apply on behalf of eligible individuals who 

14 are on the faculty of institutions that integrate 

15 geriatrics education, training, and best prac16 tices into academic program criteria; 

17 ‘‘(B) may give priority to eligible entities 

18 that operate a geriatrics workforce enhance19 ment program under subsection (a); 

20 ‘‘(C) shall ensure that grants are equitably 

21 distributed across the various geographical re22 gions of the United States, including rural and 

23 underserved areas; 

24 ‘‘(D) shall pay particular attention to geri25 atrics health care workforce needs among unVerDate Sep 11 2014 03:19 May 29, 2019 Jkt 089200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\H2781.IH H2781

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1 derserved populations, diverse communities, and 

2 rural areas; 

3 ‘‘(E) may not require an eligible individual, 

4 or an eligible entity applying on behalf of an eli5 gible individual, to be a recipient of a grant or 

6 contract under this part; and 

7 ‘‘(F) shall pay the full amount of the 

8 award to the eligible entity. 

9 ‘‘(5) MAINTENANCE OF EFFORT.—An eligible 

10 entity receiving an award under paragraph (1) on 

11 behalf of an eligible individual shall provide assur12 ances to the Secretary that funds provided to such 

13 individual under this subsection will be used only to 

14 supplement, not to supplant, the amount of Federal, 

15 State, and local funds otherwise expended by such 

16 individual. 

17 ‘‘(6) AMOUNT AND TERM.— 

18 ‘‘(A) AMOUNT.—The amount of an award 

19 under this subsection for eligible individuals 

20 who are physicians shall equal $100,000 for fis21 cal year 2020, adjusted for subsequent fiscal 

22 years to reflect the increase in the Consumer 

23 Price Index. The Secretary shall determine the 

24 amount of an award under this subsection for 

25 individuals who are not physicians. 


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1 ‘‘(B) TERM.—The term of any award 

2 made under this subsection shall not exceed 5 

3 years. 

4 ‘‘(7) SERVICE REQUIREMENT.—An eligible indi5 vidual on whose behalf an application was submitted 

6 and approved under paragraph (3)(A) shall provide 

7 training in clinical geriatrics or gerontology, includ8 ing the training of interprofessional teams of health 

9 care professionals. 

10 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To 

11 carry out this section, there is authorized to be appro12 priated $51,000,000 for each of fiscal years 2020 through 

13 2024. Notwithstanding the preceding sentence, no funds 

14 shall be made available to carry out subsection (b) for a 

15 fiscal year unless the amount made available to carry out 

16 this section for such fiscal year is more than the amount 

17 made available to carry out this section for fiscal year 

18 2017.’’. 

19 SEC. 4. INVESTMENT IN TOMORROW’S PEDIATRIC HEALTH 

20 CARE WORKFORCE. 

21 Section 775 of the Public Health Service Act (42 

22 U.S.C. 295f) is amended to read as follows: 


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1 ‘‘SEC. 775. INVESTMENT IN TOMORROW’S PEDIATRIC 

2 HEALTH CARE WORKFORCE. 

3 ‘‘(a) IN GENERAL.—The Secretary shall establish 

4 and carry out a program of entering into pediatric spe5 cialty loan repayment agreements with qualified health 

6 professionals under which— 

7 ‘‘(1) the qualified health professional agrees to 

8 a period of not less than 2 years of obligated service 

9 during which the professional will— 

10 ‘‘(A) participate in an accredited pediatric 

11 medical subspecialty, pediatric surgical spe12 cialty, or child and adolescent mental and be13 havioral health residency or fellowship; or 

14 ‘‘(B) be employed full-time in providing pe15 diatric medical subspecialty care, pediatric sur16 gical specialty care, or child and adolescent 

17 mental and behavioral health care, including 

18 substance use disorder prevention and treat19 ment services, in an area with— 

20 ‘‘(i) a shortage of health care profes21 sionals practicing in the pediatric medical 

22 subspecialty, the pediatric surgical spe23 cialty, or child and adolescent mental and 

24 behavioral health, as applicable; and 

25 ‘‘(ii) a sufficient pediatric population, 

26 as determined by the Secretary, to support 


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1 the addition of a practitioner in the pedi2 atric medical subspecialty, the pediatric 

3 surgical specialty, or child and adolescent 

4 mental and behavioral health, as applica5 ble; and 

6 ‘‘(2) the Secretary agrees to make payments on 

7 the principal and interest of undergraduate, grad8 uate, or graduate medical education loans of the 

9 qualified health professional of not more than 

10 $35,000 a year for each year of agreed upon service 

11 under paragraph (1) for a period of not more than 

12 3 years. 

13 ‘‘(b) ELIGIBILITY REQUIREMENTS.— 

14 ‘‘(1) PEDIATRIC MEDICAL SPECIALISTS AND PE15 DIATRIC SURGICAL SPECIALISTS.—For purposes of 

16 loan repayment agreements under this section with 

17 respect to pediatric medical subspecialty and pedi18 atric surgical specialty practitioners, the term ‘quali19 fied health professional’ means a licensed physician 

20 who— 

21 ‘‘(A) is entering or receiving training in an 

22 accredited pediatric medical subspecialty or pe23 diatric surgical subspecialty residency or fellow24 ship; or 


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1 ‘‘(B) has completed (but not prior to the 

2 end of the calendar year in which this section 

3 is enacted) the training described in clause (i). 

4 ‘‘(2) CHILD AND ADOLESCENT MENTAL AND

5 BEHAVIORAL HEALTH.—For purposes of loan repay6 ment agreements under this section with respect to 

7 child and adolescent mental and behavioral health 

8 care, the term ‘qualified health professional’ means 

9 a health care professional who— 

10 ‘‘(A) has received specialized training or 

11 clinical experience in child and adolescent men12 tal health in psychiatry, psychology, school psy13 chology, behavioral pediatrics, psychiatric nurs14 ing, social work, school social work, substance 

15 use disorder prevention and treatment, mar16 riage and family therapy, school counseling, or 

17 professional counseling; 

18 ‘‘(B) has a license or certification in a 

19 State to practice allopathic medicine, osteo20 pathic medicine, psychology, school psychology, 

21 psychiatric nursing, social work, school social 

22 work, marriage and family therapy, school 

23 counseling, or professional counseling; or 

24 ‘‘(C) is a mental health service professional 

25 who has completed (but not before the end of 


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1 the calendar year in which this section is en2 acted) specialized training or clinical experience 

3 in child and adolescent mental health described 

4 in clause (i). 

5 ‘‘(3) ADDITIONAL ELIGIBILITY REQUIRE6 MENTS.—The Secretary may not enter into a loan 

7 repayment agreement under this section with a 

8 qualified health professional unless— 

9 ‘‘(A) the professional agrees to work in, or 

10 for a provider serving, a medically underserved 

11 area, or to serve a medically underserved popu12 lation; 

13 ‘‘(B) the professional is a United States 

14 citizen or a permanent legal United States resi15 dent; and 

16 ‘‘(C) if the professional is enrolled in a 

17 graduate program, the program is accredited, 

18 and the professional has an acceptable level of 

19 academic standing (as determined by the Sec20 retary). 

21 ‘‘(c) PRIORITY.—In entering into loan repayment 

22 agreements under this section, the Secretary shall give pri23 ority to applicants who— 


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1 ‘‘(1) are or will be working in a school or other 

2 pre-kindergarten, elementary, or secondary edu3 cation setting; 

4 ‘‘(2) have familiarity with evidence-based meth5 ods and cultural and linguistic competence in health 

6 care services; and 

7 ‘‘(3) demonstrate financial need. 

8 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

9 are authorized to be appropriated for each of fiscal years 

10 2020 through 2024— 

11 ‘‘(1) $30,000,000 to carry out this section with 

12 respect to loan repayment agreements with qualified 

13 health professionals described in subsection (b)(1); 

14 and 

15 ‘‘(2) $20,000,000 to carry out this section with 

16 respect to loan repayment agreements with respect 

17 to qualified health professionals described in sub18 section (b)(2).’’. 

Æ 


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