II 

118TH CONGRESS 

1ST SESSION S. 1403 

To amend the Public Health Service Act to establish a grant program to 

award grants to accredited public institutions of higher education, and 

for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 2, 2023 

Mr. MULLIN (for himself and Ms. ROSEN) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to establish a grant 

program to award grants to accredited public institutions 

of higher education, 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 ‘‘Medical Student Edu5 cation Authorization Act of 2023’’. 


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1 SEC. 2. EDUCATION PROGRAM TO SUPPORT PRIMARY 

2 HEALTH CARE FOR MEDICALLY UNDER3 SERVED COMMUNITIES. 

4 Part B of title VII of the Public Health Service Act 

5 (42 U.S.C. 293 et seq.) is amended by adding at the end 

6 the following: 

7 ‘‘SEC. 742. EDUCATION PROGRAM TO SUPPORT PRIMARY 

8 HEALTH CARE FOR MEDICALLY UNDER9 SERVED COMMUNITIES. 

10 ‘‘(a) ESTABLISHMENT.—The Secretary, acting 

11 through the Administrator of the Health Resources and 

12 Services Administration, shall establish a grant program 

13 to award grants to accredited public institutions of higher 

14 education to carry out the activities described in sub15 section (d) for the purposes of— 

16 ‘‘(1) expanding and supporting education for 

17 medical students who are preparing to become physi18 cians; and 

19 ‘‘(2) preparing and encouraging each such stu20 dent trained by a grantee to serve in a Tribal, rural, 

21 or medically underserved community as a primary 

22 care physician after completing residency training. 

23 ‘‘(b) ELIGIBILITY.—In order to be eligible to receive 

24 a grant under this section, an accredited public institution 

25 of higher education shall— 


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1 ‘‘(1) be located in a State that is in the top 

2 quintile of States by a projected shortage of primary 

3 care physicians, as determined by the Secretary; and 

4 ‘‘(2) submit an application to the Secretary at 

5 such time, in such manner, and containing such in6 formation as the Secretary may require, that in7 cludes— 

8 ‘‘(A) a certification that such institution 

9 will use amounts provided to the institution 

10 through the grant to carry out the activities de11 scribed in subsection (d); and 

12 ‘‘(B) a description of how such institution 

13 will carry out such activities. 

14 ‘‘(c) PRIORITY.—In awarding grants under this sec15 tion, the Secretary shall give priority to accredited public 

16 institutions of higher education that meet the eligibility 

17 requirements of subsection (b) and— 

18 ‘‘(1) are located in a State with not fewer than 

19 2 Indian Tribes or Tribal organizations (as such 

20 terms are defined in section 4 of the Indian Self-De21 termination and Education Assistance Act); and 

22 ‘‘(2) have established, or demonstrate plans to 

23 establish, a public-private partnership that supports 

24 the purposes described in subsection (a). 


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1 ‘‘(d) USE OF FUNDS.—An eligible entity that receives 

2 a grant under this section shall, as appropriate, use the 

3 funds made available under such grant to carry out the 

4 following activities: 

5 ‘‘(1) Support or expand community-based and 

6 experiential training for medical students who will 

7 practice in or serve Tribal, rural, and medically un8 derserved communities. 

9 ‘‘(2) Develop and operate programs to train 

10 medical students in the provision of primary care 

11 services, which may include developing training pro12 grams and activities that— 

13 ‘‘(A) emphasize care for Tribal, rural, or 

14 medically underserved communities; 

15 ‘‘(B) are applicable to primary care prac16 tice with respect to individuals from Tribal, 

17 rural, or medically underserved communities; 

18 ‘‘(C) support the use of telehealth tech19 nologies and practices; 

20 ‘‘(D) integrate mental health and sub21 stance use disorder care into primary care prac22 tice, including prevention and treatment of 

23 opioid use disorders and other substance use 

24 disorders; and 

25 ‘‘(E) promote interdisciplinary training. 


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1 ‘‘(3) Increase the capacity of faculty to develop 

2 and operate programs described in paragraph (2). 

3 ‘‘(4) Develop or expand strategic partnerships, 

4 such as public-private partnerships, to improve 

5 health outcomes for individuals from Tribal, rural, 

6 and medically underserved communities, which part7 nerships may include— 

8 ‘‘(A) federally recognized Tribes, Tribal 

9 Colleges or Universities (as such term is defined 

10 in section 316 of the Higher Education Act of 

11 1965), and Tribal organizations (as such term 

12 is defined in section 4 of the Indian Self-Deter13 mination and Education Assistance Act); 

14 ‘‘(B) Federally-qualified health centers; 

15 ‘‘(C) rural health clinics; 

16 ‘‘(D) health facilities or programs operated 

17 by or in accordance with a contract or grant 

18 with the Indian Health Service; and 

19 ‘‘(E) primary care clinics. 

20 ‘‘(5) Develop a plan, as appropriate, for fol21 lowup with graduates, including with respect to spe22 cialties, as applicable. 

23 ‘‘(6) Develop, implement, and evaluate methods 

24 to improve recruitment and retention of medical stuVerDate Sep 11 2014 22:11 May 10, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S1403.IS S1403

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1 dents from Tribal, rural, and medically underserved 

2 communities. 

3 ‘‘(7) Train and support instructors to serve 

4 Tribal, rural, and medically underserved commu5 nities. 

6 ‘‘(8) Prepare medical students for transition 

7 into primary care residency training and future 

8 practice. 

9 ‘‘(9) Provide scholarships to medical students. 

10 ‘‘(e) GRANT PERIOD.—A grant under this section 

11 shall be awarded for a period of not more than 5 years. 

12 ‘‘(f) GRANT AMOUNT.—Each fiscal year, the amount 

13 of a grant made to an eligible entity under this section 

14 shall be not less than $1,000,000. 

15 ‘‘(g) MATCHING REQUIREMENT.—The Secretary 

16 shall, as appropriate, require that an eligible entity receiv17 ing a grant under this section provide non-Federal match18 ing funds, which may be in cash or in kind, in an amount 

19 equal to or greater than 10 percent of the total amount 

20 of Federal funds provided through the grant each fiscal 

21 year. 

22 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 

23 is authorized to be appropriated to carry out this section 


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1 $150,000,000 for each of fiscal years 2023 through 

2 2025.’’. 

Æ 


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